Posts Tagged ‘HIV/AIDS’

Pilot Case Study: Do Public-Private Partnerships (PPPs) Improve access to pharmaceuticals in Uganda?

March 25th, 2011

Check out this interesting recent pilot study from the Initiative for Public-Private Partnerships for Health, a research initiative out of the Global Forum for Health Research, whose goal is to improve public-private collaborations for health.

The UK Department for International Development (DFID) funded the Initiative on Public-Private Partnerships for Health (IPPPH)1 to conduct a pilot study in Uganda to assess the health and health systems impact of public-private partnerships (PPPs) for improving access to pharmaceuticals in relation to leprosy, lymphatic filariasis, onchocerciasis, sleeping sickness, and HIV/AIDS. The specific remit was to examine issues of ownership, integration, coordination, implementation and impact, with a particular focus on the unique strengths and problems of these access PPPs as distinct from other comparable programs where drugs are competitively procured. Fieldwork visits were made to five districts in Uganda –Hoima, Kampala, Katakwi, Masaka and Soroti – selected on the basis of active implementation of the PPP programs [...]

Read the full pilot study here.

Modest Increases Proposed for U.S. Global Health Program Funding

February 15th, 2011

Yesterday, the Obama administration released its budget request for fiscal year 2012. The Administration is proposing a 2% increase towards the Global Health Initiative (GHI), raising their U.S. investment to $9.8 billion. However, despite these increases, John Cohen of ScienceMag posts about the injurious nature of the proposed cuts by the House of Representatives.

“The continuing resolution reductions introduced by the chair of the appropriations committee, Representative Hal Rogers (R-KY), would cut $783.5 million from the main component of GHI, the Global Health and Child Survival effort, which supports treatment and prevention programs for HIV/AIDS, tuberculosis, malaria, neglected tropical diseases (NTDs), family planning, and nutrition efforts. The continuing resolution would take away another $300 million in contributions to the Global Fund.”

Deep cuts in funding will have a pernicious impact on NTD research and resource mobilization. The FY2010 budget appropriated only $65 million for NTDs. While Obama’s proposed FY11 budget promised to raise that amount to $155 million, the proposed FY12 budget would drop that amount to $100 million. Peter Hotez , President of the Sabin Vaccine Institute, specializes in vaccine development for NTDs. Dr.Hotez expresses that “[NTD control is] such a good buy for public health,” emphasizing that increasing GHI funds would further the United State’s efforts to expand NTD control and elimination programs past the dozen countries the U.S now helps.

The proposed House cuts will be extremely harmful to the well-being of global health. Millions of people would die from preventable diseases due to lack of treatment and access to drugs. According to Helene Gayle, head of CARE USA, “such drastic cuts in GHI funding will contribute to pushing more people around the world in poverty this year, with Africa expected to be the hardest hit.”

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Ending the neglect

January 28th, 2011

UK-based journalist Emilie Filou (who recently authored this great article on Trachoma), writes about neglected tropical diseases again for This is Africa. The article also features snippets from interviews Filou conducted with Dr. Neeraj Mistry, Managing Director of the Global Network, and Dr. Peter Hotez. The piece discusses the role of pharmaceuticals in NTD control, the importance of integration across other disease and issue areas and elimination goals.

From the article:

“The term ‘other disease’ has been a great frustration,” says Dr Peter Hotez, president of the Sabin Vaccine Institute and an expert on NTDs. “It’s quite clear that you won’t get Bono or Angelina Jolie to help out with ‘other diseases’. That’s what spurred us to call them Neglected Tropical Diseases as a group. It’s not the greatest of names, but it will help galvanise awareness,” he says.

Advocacy group The Global Network for NTDs is now lobbying to include NTDs under the remit of The Global Fund, Pepfar or the President’s Malaria Initiative. “We have new data coming out of Zimbabwe that shows that women infected with schistosomiasis are three times more likely to be infected with HIV,” explains Dr Neeraj Mistry, managing director of the Global Network.

“Treating schistosomiasis therefore becomes an intervention for HIV control; it’s those links we need to make to justify the inclusion of NTDs in global health efforts.”

There are many more such synergies: HIV-positive individuals have seen a decrease in their viral load when de-wormed; lymphatic filariasis is transmitted by mosquitoes, so the use of bednets, widely distributed for malaria control, is an efficient prevention measure.

Dr Mistry says that including NTDs in the Global Fund would only increase their budget marginally, but substantially increase their impact. “It costs as little $0.5 per year to treat an individual against NTDs. Compare that with the $100 it costs to treat someone with HIV, or the $35 the average African family spends on malaria control. In terms of investment, you won’t find a better return in health.”

To read the full article click here

Global Health and Corruption

January 27th, 2011

By: Alanna Shaikh

It feels like everyone is talking about global health and corruption right now. Rajiv Shah mentioned it explicitly in his recent speech on USAID’s new approach to international development. The Associated press wrote an over the top alarmist article (1) about the Global Fund’s Inspector General uncovering a .03 percent loss of grant money to corruption. CGD put up two blog posts on corruption and global health, which has been followed a by a slew of other bloggers joining in the conversation.

» Read more: Global Health and Corruption