The global crisis is taking its toll on HIV/AIDS programmes in sub-Saharan Africa. Inevitably, this sparks, for example in the Lancet, discussion on systemic gaps in ARV rollouts and how best to stretch the AIDS dollar. In the Lancet Infectious Disease, an editorial assesses HIV/AIDS developments and initiatives of the past 9 years and looks (not too gloomily) ahead. We also include the link to a report by the Center for Global Development, on the way PEPFAR money has been spent between 2004 and 2006.
On the Global Health Policy Blog, Levine considers the paradox that the Obama administration might institute better global health policies than its predecessor, and still appear to get worse results. The Weekly Standard advocates a new no-nonsense business model for foreign aid that is supposed to address new problems better and grasp new opportunities. In a section on National Health Financing, we selected a letter in the Lancet on the removal of user fees in Cambodia and universal health coverage written by our newsletter reader and colleague, Ir Por.
This week the Lancet published a series on health in South Africa, a country ravaged by HIV/AIDS. We selected two abstracts; one paper in the series pleads for decisive public health action to control the HIV and tuberculosis epidemics, another paper outlines what needs to be done to change the health trajectory of the country, in order to meet the MDGs.
Then there is the ongoing American health care reform saga. Having endured weeks of ludicrous ‘death panel’ and ‘pull the plug on Grandma’ talk, progressives are at last beginning to retaliate. To win the battle for public opinion, liberals are now coming up with their own powerful metaphors. As an example, NYT columnist Kristof discarded all unnecessary government-speak in a column aptly titled ‘health care fit for animals’. Not sure he will have an impact, as a Washington Post column pointed this week to the impotence of traditional media in the health care debate.
Finally, in a section ‘Miscellaneous’ that focuses on links between global health and other hot issues, we include a debate on the Economist’s website on overpopulation.
Enjoy your reading.
David Hercot, Kristof Decoster, Josefien Van Olmen & Wim Van Damme
Global health financing
1. Lancet – Stretching the AIDS dollar
Patralekha Chatterjee ; http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61546-4/fulltext
2. Lancet Infectious Disease – Safeguarding the future of HIV/AIDS initiatives
3. CGD – New PEPFAR Data: The Numbers Behind the Stories
Center for Global Development, April 2009; Download PDF 701 KB ; http://www.cgdev.org/content/publications/detail/15799
4. Global Health Policy Blog – Will the U.S. Have Better Global Health Policies but Get Worse Results?
5. The Weekly Standard – Help That Helps ; A new business model for foreign aid.
by Carol C. Adelman & Nicholas Eberstadt ; http://www.weeklystandard.com/Content/Public/Articles/000/000/016/864swqmt.asp?pg=1
National Health Financing
6. Lancet – Removal of user fees and universal health-care coverage
Por Ir, Maryam Bigdeli http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61515-4/fulltext
7. Lancet – HIV infection and tuberculosis in South Africa: an urgent need to escalate the public health response
Salim S Abdool Karim, Gavin J Churchyard, Quarraisha Abdool Karim, Stephen D Lawn ; http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60916-8/fulltext
8. Achieving the health Millennium Development Goals for South Africa: challenges and priorities
Mickey Chopra, Joy E Lawn, David Sanders, Peter Barron, Salim S Abdool Karim, Debbie Bradshaw, Rachel Jewkes, Quarraisha Abdool Karim, Alan J Flisher, Bongani M Mayosi, Stephen M Tollman, Gavin J Churchyard, Hoosen Coovadia ; http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61122-3/fulltext
American health care reform
9. Washington Post –Death panels smite journalism
10. New York Times – Health care fit for animals
Miscellaneous : The link between Health and … Overpopulation
11. the Economist Debate on overpopulation