The Center for Strategic & International Studies (CSIS) on Wednesday released a report called “Advancing Health in Ethiopia.” The report examines what the U.S. can “realistically expect to achieve in its ongoing engagement in health in Ethiopia” and what the core considerations to guide future U.S. efforts should be, CSIS writes on its website (6/6). In a post in the center’s “Smart Global Health” blog, report authors J. Stephen Morrison and Suzanne Brundage, director and assistant director of the CSIS Global Health Policy Center, respectively, reflect on the report findings. They write, “It focuses on the complexity of the U.S.-Ethiopian bilateral relationship just prior to the June 14-15 Call to Action on Child Survival, to be held in Washington, D.C.,” adding, “[I]t examines the Global Health Initiative (GHI) experience in Ethiopia at a moment when the Obama administration is critically engaging with Congress over what modifications in the GHI approach make sense for the future” (6/6).
In this post in the AIDS.gov blog, USAID Administrator Rajiv Shah discusses global efforts to end HIV infections in children. “Together with PEPFAR, our efforts have made a significant difference in promoting access to prevention of mother-to-child transmission (PMTCT) services, helping to cut new pediatric infections in half in the past decade,” Shah writes, adding “We’ve also helped support 9.8 million pregnant women with HIV testing and counseling and provided PMTCT services to more than 660,000 HIV-positive women. As a result, approximately 200,000 infants were born free of HIV” (6/1).
In this Lancet opinion piece, Jennifer Kates, vice president and director of global health and HIV policy for the Kaiser Family Foundation, and Josh Michaud, principal policy analyst at the Foundation, examine the U.S. Global Health Initiative (GHI), which “represents the bulk of the U.S. global health budget and bilateral activities in more than 80 countries.” Kates and Michaud provide a brief overview of the initiative, identify the principles upon which it was founded and say that four years into the GHI, “The picture is one of both successes and challenges.”
UNAIDS and PEPFAR recently brought together the ministers of health and representatives of the 22 countries with the most new HIV cases among children to discuss progress on the Global Plan towards the Elimination of New HIV Infections among Children by 2015 and Keeping Their Mothers Alive agreed to at the 2011 U.N. High-Level Meeting on AIDS, according to a UNAIDS press release. Though “great strides have been made in reducing HIV infections among women of reproductive age and expanding access to antiretroviral therapy for pregnant women living with HIV, … progress is not being scaled up as quickly on meeting the family planning needs of women living with HIV, preventing maternal mortality and ensuring that all children living with HIV have access to antiretroviral therapy,” according to UNAIDS. “The meeting was the first annual face-to-face gathering of representatives from the 22 focus countries since the launch of the Global Plan,” the press release notes (5/23).
Estimated 740,000 Deaths In Africa Averted Between 2004-2008 In Association With PEPFAR, Study Shows
“The lives of more than 740,000 people in nine African countries were saved between 2004 and 2008 by the U.S. President’s Emergency Plan for AIDS Relief [PEPFAR],” according to a study conducted by Stanford University School of Medicine researchers and published in the Journal of the American Medical Association (JAMA) on Wednesday, HealthDay News reports (3/15). “The study is the first to show a decline in all-cause mortality related to the program,” a Stanford press release notes, adding, “To measure the impact of the program, [Eran Bendavid, assistant professor of medicine at Stanford,] and his colleagues analyzed health and survival information for more than 1.5 million adults in 27 African countries, including nine countries where PEPFAR has focused its efforts” (Richter, 5/10). According to the study, “an estimated total of 740,914 all-cause adult deaths were averted between 2004 and 2008 in association with PEPFAR,” and “[i]n comparison, PEPFAR was associated with an estimated 631,338 HIV-specific deaths averted during the same period,” a JAMA press release states, noting that “all-cause adult mortality declined more in African countries in which … PEPFAR operated more intensively” (5/15).
“This year marks the 10th anniversary of the Global Fund to Fight AIDS, Tuberculosis and Malaria, the world’s most powerful tool in the fight against the three pandemics,” Jonathan Klein, co-founder and CEO of Getty Images, Inc., writes in this post in the Huffington Post Blog, adding, “Since 2002, the Global Fund has saved and improved millions of lives.” Klein notes the Board of the Global Fund convened in Geneva, Switzerland, for its 26th meeting last week, where Board members “discussed progress to date on the current transformation of the Global Fund from emergency response to long-term sustainability.”
“In the last 20 years, the world has saved more than 50 million children’s lives and reduced maternal mortality by one-third,” “accomplishments [that] have been the result of good science, good management, bipartisan political support, the engagement of USAID and many other U.S. Government agencies, and the participation of faith-based organizations, civil society, and the private sector,” according to a summary of USAID’s “Global Health and Child Survival: Progress Report to Congress 2010-2011.” The summary states, “With prospects for ending preventable child and maternal deaths, creating an AIDS-free generation, and laying the foundations for universal health coverage, future generations will look back at this period as a turning point in the history of global health” (5/10).
In this post on the Center for Global Development’s (CGD) “Global Health Policy” blog, Research Fellow Victoria Fan, Director of Global Health Policy Amanda Glassman, and Research Assistant Rachel Silverman of CGD examine what they call the “serious limitations” of a study published recently in the American Journal of Tropical Medicine & Hygiene that looked at the impact of HIV/AIDS funding on Rwanda’s health system. After describing several “shortcomings,” they write, “We understand that the authors likely suffered from significant data constraints; likewise, we recognize the enormous empirical challenges in demonstrating system-wide effects at the national level. Still, it remains important to carefully state results and recognize the limitations of one’s research.” They conclude, “The jury is still out on whether HIV/AIDS funding has displaced or improved efforts on other disease control priorities” (5/10).
“The United States should be more selective about where and how it spends foreign assistance,” according to a new report (.pdf), titled “Engagement Amid Austerity: A Bipartisan Approach to Reorienting the International Affairs Budget,” co-authored by John Norris of the Center for American Progress and Connie Veillette of the Center for Global Development (CGD), the CGD website notes. The report “identifies four flagship reforms that would help U.S. foreign affairs institutions to better reflect national interests and reduce ineffective spending,” including “[a]ccelerat[ing] cost-sharing arrangements with upper middle income recipients of” PEPFAR and “[o]verhaul[ing] U.S. food aid laws and regulations,” according to the website (5/8).
Goosby Calls For ‘Extraordinary Resources’ To Be Put Into Male Circumcision To Prevent HIV Infection
Male circumcision is “a highly significant, lifetime intervention” to prevent HIV infection that deserves “extraordinary resources,” U.S. Global AIDS Coordinator Ambassador Eric Goosby on Monday told a meeting of 400 army officials from 80 countries in Africa, Eastern Europe and central Asia, Agence France-Presse reports. Studies have shown that male circumcision can significantly reduce the risk of HIV infection, the news agency notes, adding that the U.S. “is sponsoring programs in several African countries with a goal of circumcising four million men by 2013.”