Word: globalization
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...Health advocates, including both scientists and religious leaders who have petitioned Obama to increase funding, also worry about the stability of the Global Fund to Fight AIDS, Tuberculosis and Malaria. The Global Fund, a foundation that receives funding from both public and private partners, distributes nearly a quarter of all HIV/AIDS donor money. But while PEPfAR saw a small increase in funding for the current fiscal year, the U.S. government's contribution to the Global Fund was flatlined, exacerbating an existing shortfall that threatens its work. A recent paper by Harvard researchers Rochelle Walensky and Daniel Kuritzkes warned that failure...
...They'll have to ration treatment in a way they haven't had to in the last six or seven years." On Clinton's Africa trip this summer, she met with Nigeria's Minister of Health, who expressed serious concern over the flatlining of funding for PEPfAR and the Global Fund. Nigeria has one of the largest PEPfAR programs in Africa, but its funding has dropped almost $10 million over the past two years, even as the number of patients needing treatment continues to grow. (Read about the AIDS vaccine...
...Some health-policy advisers within the Administration, including Zeke Emanuel at the Office of Management and Budget, argue that a more effective global health strategy would shift some funding away from PEPfAR to focus on maternal- and child-health programs, which can produce significant results for a lower cost through food and nutrition programs, as well as treatment for so-called opportunistic diseases like malaria and TB. But many global health advocates argue that this approach unnecessarily pits diseases against each other. A Nov. 25 letter to Obama from a group of progressive religious leaders urged him "to ensure funding...
...August letter written by global AIDS coordinator Goosby to U.S. ambassadors in PEPfAR countries indicates that the Administration doesn't believe that balance is possible in the current economic climate. "The landscape around us is changing, with the need to balance a broad portfolio of global challenges at a time of financial crisis," he wrote. "As a result, we need to plan for the next stage of PEPfAR's development in this context and cannot assume the dramatic funding growth of PEPfAR's early years will be repeated." One of the original PEPfAR goals was to attain universal access (defined...
...expansion. Since PEPfAR was first implemented in 2004, its affiliated programs have expanded treatment to approximately 400,000 individuals each year. The new target would lower that number to 320,000. After the stunning successes in prevention and treatment over the past decade, that's a bitter pill for global health advocates to swallow...