Blog

Frieda Komba, a licensed drug dispenser in Tanzania. {Photo credit: MSH.}Photo credit: MSH.

Each year over 10 million men, women, and children in developing countries die as a result of our collective failure to deliver available safe, affordable, and proven prevention and treatment. A recent analysis of innovations in products and practices for global health, from the Hepatitis B vaccine to use of skilled birth attendants, revealed virtually none of these life-saving interventions reaches much more than half their target population—even after as many as 28 years of availability. This reflects a vast gap between knowledge and action in global health.

Successful Health Systems Innovations

Low- and middle-income countries (LMIC) benefit from continued innovations in health products and health practices, such as use of misoprostol to prevent post-partum hemorrhage, and technologies such as internet-based mHealth applications to protect the poor from catastrophic health expenditures.  To ensure such innovations achieve large-scale, widespread coverage, they must be accompanied by much more effective health systems innovations.

Girl from Uganda. {Photo credit: MSH.}Photo credit: MSH.

The press statement title caught my attention: “Members Continue Efforts to Protect Rights of Women in Developing Countries.”

With piqued interest, I read on:

Congresswoman Betty McCollum and Aaron Schock have once again introduced legislation to stem the devastating impact of child marriage on young girls in developing countries.  The McCollum-Schock International Protecting Girls by Preventing Child Marriage Act, House Resolution (H.R.) 6087, promotes and protects the rights of girls in the developing world.

I was pleased to learn that H.R. 6087 establishes a strategy to prevent child marriage and promote the empowerment of girls.  The legislation also integrates the issue of preventing child marriage into existing US development programs, and requires that relevant agencies collect and make available data on the rates of child marriage and its impact on meeting key development goals.

President William Clinton at Closing Session of AIDS 2012. {Photo credit: © IAS/Steve Shapiro - Commercialimage.net.}Photo credit: © IAS/Steve Shapiro - Commercialimage.net.

It's been nearly two weeks since former President William J. Clinton closed the last session of the XIX International AIDS Conference (AIDS 2012) and delegates returned home.

This year's conference featured commitment and calls for an AIDS-free generation, a growing interest in Option B+, and new research towards a cure.  Here are some reflections from what we learned at AIDS 2012, where we truly started "turning the tide together".

Clinton calls for a blueprint toward an AIDS-free generation

Secretary Hilary Rodham Clinton announced significant funding towards preventing mother-to-child transmission (PMTCT) of HIV, South Africa’s plan for voluntary medical male circumcision, and money for “implementation research,” civil society, and country-led plans. Sec. Clinton also called on Ambassador Eric Goosby to provide a blueprint for achieving an AIDS-free generation during her plenary address. Numerous other stakeholders echoed her commitment. But, if we really want to achieve an AIDS-free generation, the $7 billion funding gap that stands between where we are now, and where we should be, will need to be erased

SWSS team and NGO members visited a local shop for information, education, and communication materials in Baghalak village of Nahrin district, Baghlan province. {Photo credit: Bashir Ahmad, CLTS Supervisor/SWSS.}Photo credit: Bashir Ahmad, CLTS Supervisor/SWSS.

Afghanistan has yet another village which has successfully become an Open Defecation Free (ODF) zone. Baghalak is a village in Nahrin district with 630 inhabitants dispersed among 90 households --- each with unused latrines in poor condition. For this reason, Baghalak was selected by the USAID-funded project, Sustainable Water Supply and Sanitation (SWSS) and the Organization for Health Promotion & Management to partake in community-led total sanitation (CLTS) training.

Prior to CLTS’ involvement in the village of Baghalak, the traditional latrines also lacked hand washing facilities, which is crucial to proper sanitation. In addition, significant amounts of human waste could be seen on farms, gardens, and sidewalks. As is a common problem in communities without CLTS instruction, latrines tend to go unused due to the lack of communal education regarding their importance. While the hygienic and sanitation status of the community were in severe need of improvement, there also existed a strong desire within the community to reduce their high incidences of infectious illnesses, particularly diarrheal diseases.

The XIX International AIDS Conference featured five full days of plenaries with high-level speakers and community activists. The plenaries exemplified the diversity of topics covered throughout, and the global experience of people attending the July 22-27  conference. The plenary round-ups below are a great way to re-enter the experience of AIDS 2012, whether you attended the conference or just want to learn more.

Read more at storify.com.

(Cross-posted on MSH at AIDS 2012 conference blog)

On Sunday, July 22, 2012, Management Sciences for Health (MSH) hosted a satellite session, Beyond MDG 6: HIV and Chronic NCDs: Integrating Health Systems Towards Universal Health Coverage at the XIX International AIDS Conference (AIDS 2012). The session panelists were (left to right): Dr Ayoub Magimba, Till Baernighausen, Dr Jemima Kamano, John Donnelly (moderator), Sir George Alleyne, Dr Doyin Oluwole, and Dr Jonathan D. Quick

Luanda, Angola. {Photo credit: MSH.}Photo credit: MSH.

I am in Luanda, Angola right now, and what an interesting place. It is the most expensive city in the world: a can of coke costs $5, a car and driver for the day costs between $250-$300, and a basic hotel room with a view of people living in shacks below and cranes building more skyscrapers above is $380 (and it is difficult to find it for less).

Luanda feels like Africa mixed with Latin American and European energy and music. The traffic is bumper to bumper. It is not possible to have more than two meetings in a day because it takes that long to get from one area to another in the city. But it feels calm. Drivers in Luanda have figured out how to navigate the maze...slowly weaving in and out, letting a car in as they make a two lane road into three, and double parking with half the car on the sidewalk. Hardly anyone honks, it is hot and slow, and it feels like there is a sense of order to the chaos.

Angola is a country that has tremendous wealth, primarily derived from oil and other minerals. That wealth is controlled by an elite few, and there are wide disparities between the rich and the poor; 54% of the population lives on less than $1.25 a day. The public health challenges in Angola are significant. The under-five mortality rate in 2010 was 161/1,000 births, and the maternal mortality rate is 610 per 100,000 live births.

{Photo credit: MSH, South Africa.}Photo credit: MSH, South Africa.

The prospect that we may see the end of AIDS in our lifetime has never been greater. Over the last decade, the global HIV & AIDS community has achieved stunning successes, including a steady decrease in new HIV cases, a massive scale-up of antiretroviral therapy (ART), and proof that treatment is prevention. As we begin the XIX International AIDS Conference, we are also excited by new scientific advances in prevention and treatment, such as Option B+  for prevention of maternal-to-child transmission (PMTCT). As new possibilities develop, we must also build on the successes of the last decade. Only by "turning the tide together" through the simultaneous pursuit of new possibilities, leveraging of proven interventions for scale and sustainability, and strengthening of health systems overall, can we hope to reach our goal of ending the HIV & AIDS epidemic.

Seasoned HIV & AIDS experts gathered at the Center for Strategic and International Studies (CSIS) on Saturday evening, July 21, to weigh in on the President’s Emergency Plan for AIDS Relief (PEPFAR) on the eve of the XIX International AIDS Conference, dubbed "AIDS 2012".

The conference is taking place in the USA for the first time in 20 years thanks to President Obama’s lifting of the travel ban on HIV-positive visitors.

“What has been PEPFAR’s strategic significance?”

An illustrious panel including Ambassador Eric Goosby (United States Global AIDS Coordinator), Ambassador Mark Dybul (former United States Global AIDS Coordinator), and Dr Anthony Fauci (Director of National Institute of Allergy and Infectious Diseases, NIAID) discussed the first topic: “What has been PEPFAR’s strategic significance?”

Dr Fauci, who was one of the architects of PEPFAR, talked of the humanitarian and moral responsibility that George Bush felt. He mentioned an African male comment that “PEPFAR is the best thing that ever happened to Africa.”

Pages