Dear Colleagues,

 

Yesterday, Obama made a last (and televised) attempt to get some bipartisan support for health care reform, probably in vain. As today’s NYT editorial states, it’s now up to the Democrats to get the job done. Let’s hope they have the guts to do so.

 

This week, the newsletter also features a section on aid effectiveness and the urgent need to think about a new paradigm. Paul Collier and various scholars and aid managers on the website of the Broker point out how the aid community should try to achieve global justice in this century. As in the American health care reform debate, differences are about ideology as much as about policy details. To be continued.

 

Enjoy your reading.

 

David Hercot, Kristof Decoster, Josefien Van Olmen, Wim Van Damme, Miti Katabaro, Basile Keugong and Peter S. Hill


Global Health initiatives

1. CISA – KENYA: Lack of HIV Drugs could be Catastrophic

CISA ; http://www.cisanewsafrica.org

This short news article underlines the competition in Kenya between the ministries of Medical Services and Public Health. This war has led the Global Fund to deny Kenya USD 270 million, funds that would have been used in the fight against AIDS.

2. PEPFAR – Ethiopia example of what the USA GHI could become.

http://www.pepfar.gov/

In the run up to the official start of its new global health initiative, the Obama administration ran simulations on what the GHI could mean for beneficiary countries. We selected for you this simulation for Ethiopia. A Recent report from a congressional staff briefing suggests that the budget might be around 200 M$ for 2011 and will target a first batch of 10 countries among which Bangladesh, Nepal, Kenya, Tanzania, Mali, Senegal, Benin, Malawi, Zambia, Ethiopia, Ghana, Guatemala and Honduras.

3. Lancet – Gates Foundation’s decade of vaccines

http://www.thelancet.com/

An editorial from the Lancet Infectious Diseases discusses the 10th year anniversary of GAVI and the implications of the Gates Foundation’s birthday gift of ten billion for vaccines.

4. Lancet – Polio eradication within 5 years now a real possibility

http://www.thelancet.com/

This news report gives a good overview of the different regional challenges that need to be addressed for this high priority policy issue. Just like five years ago, some believe eradication might be in sight.

Aid effectiveness

5. Foreign Policy – How to Fix Haiti’s Fixers.  Aid groups in the earthquake-battered country are inefficient and unaccountable. Luckily, there’s a solution.

Paul Collier  ; http://www.foreignpolicy.com/

Paul Collier argues that Haiti’s system of aid needs a complete transformation. Although NGOs could remain providers, their coordination and control should lie with the state.

6. The Broker – ‘From Aid to global justice’ (in the run up to MDG10+)

http://www.thebrokeronline.eu/

After publishing the WRR report “Less pretension, more ambition” on Dutch aid effectiveness (see IHPnews #50), the editors of the Broker started a debate on a new paradigm for aid and global justice. “We believe that the WRR can spark discussion well beyond the Dutch borders. The questions that are essentially at stake, are: What could or should a new paradigm for aid or global justice look like? Can the world community proceed along the known tracks, or is it high time for new analyses, priorities and a truly global vision on what development means and needs in a world of shifting powers and unprecedented challenges?”

7. Globe and Mail (Opinion) – Our shaky hand on African aid

Brett House & Désirée McGraw ; http://bit.ly/a7bL5C

A Globe and Mail opinion piece criticizes Canada’s freeze on increased aid to Africa over questions of accountability and effectiveness. The editors write: "Let’s be clear: If there’s an accountability deficit on aid, it lies with Canada and other G8 countries”. Donor countries did not meet the commitments made in Gleneagles five years ago.

AIDS

8. Public service – ‘Aids epidemic could be halted’ says expert

http://bit.ly/aOwsXk  

Speaking at the American Association for the Advancement of Science (AAAS) conference in San Diego, Dr Williams, a WHO advisor says that anti-retroviral treatments could be used to stem the spread of the virus. AIDS could be halted by large scale screening and treatment and would cost up to USD3 billion for South-Africa only.

9. TRSTMH – Antiretroviral therapy for HIV prevention: many concerns and challenges, but are there ways forward in sub-Saharan Africa?

R. Zachariah, A.D. Harries, M. Philips, L. Arnould, K. Sabapathy, D.P. O’Brien, C. Ferreyra, S. Balkan ; http://dx.doi.org/10.1016/j.trstmh.2010.01.004

The authors argue that, although universal ARV coverage represents a new window of opportunity, many issues remain unanswered, particularly in terms of the feasibility of the approach. They highlight four key operational challenges and discuss possible ways forward to address them.

10.    HIV/AIDS on the rise in young people in Kenya

http://www.thelancet.com/

Although the general rates of new infections with HIV and deaths from AIDS have been falling in Africa because of improvements in awareness and use of antiretroviral medicines, reports that people aged 15—24 years are at higher risk of contracting the virus are causing concern among HIV/AIDS campaigners and governments. African countries might be facing a new chapter in the HIV/AIDS crisis originating in unsafe sexual practices among younger age groups.

Child survival

11.    Global report on preterm birth & stillbirth: the foundation for innovative solutions and improved outcomes

Edited by Craig E Rubens, Cesar G Victora, Michael G Gravett and Toni M Nunes. Guest Editor: Gordon CS Smith

http://www.biomedcentral.com/

A supplement of Bio Med Central Pregnancy and Childbirth features seven review articles on preterm birth and stillbirth. They discuss 21 proven interventions and call for more resources to accelerate innovative solutions. This work has been coordinated by the Global Alliance to Prevent Prematurity and Stillbirth, an initiative of Seattle Children’s and funded by the Bill & Melinda Gates Foundation.

A supplement of Bio Med Central Pregnancy and Childbirth features seven review articles on preterm birth and stillbirth. They discuss 21 proven interventions. They also call for more resource to accelerate innovative solutions. This work has been coordinated by the Global Alliance to Prevent Prematurity and Stillbirth, an initiative of Seattle Children’s and funded by the Bill & Melinda Gates Foundation


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