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...Administration's efforts on HIV/AIDS. In perhaps an implicit acknowledgement that this year's commitment has been less than robust, the word of the day was recommitment. On Tuesday U.S. global AIDS coordinator Eric Goosby released a five-year strategy for what Obama officials call "the next phase of PEPfAR." As Clinton described it on Monday, that next phase will focus on "transitioning from emergency response to sustainable health systems that help meet the broad medical needs of people with...

Author: /time Magazine | Title: Is Obama Scaling Back Bush's AIDS Initiative? | 12/2/2009 | See Source »

...some critics are wondering if Bush's successor is doing enough. Many global health advocates worry that the success of PEPfAR - an initiative that has consistently enjoyed broad bipartisan support - may be jeopardized by harsh economic realities and shifting political priorities. Although Barack Obama pledged during the 2008 campaign to boost PEPfAR funding by $1 billion each year, his first budget proposed just $366 million more for fiscal year 2010 than the current year, and a majority of the 15 countries that receive PEPfAR funds will see no increase. After five straight years of funding hikes and public-health victories...

Author: /time Magazine | Title: Is Obama Scaling Back Bush's AIDS Initiative? | 12/2/2009 | See Source »

...attaboys on his way out of the White House. But on World AIDS Day near the end of last year, the outgoing U.S. President was the man of the hour, fielding praise from global health advocates and world leaders for the President's Emergency Plan for AIDS Relief, or PEPfAR, which increased tenfold the number of HIV-infected patients in Africa who receive antiretroviral treatments. At megachurch pastor Rick Warren's Global Health Forum on Dec. 1, 2008, Bush lingered to discuss this untarnished highlight of his presidency, a commitment of $15 billion over five years to combat HIV/AIDS...

Author: /time Magazine | Title: Is Obama Scaling Back Bush's AIDS Initiative? | 12/2/2009 | See Source »

...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 to increase HIV/AIDS funding could have...

Author: /time Magazine | Title: Is Obama Scaling Back Bush's AIDS Initiative? | 12/2/2009 | See Source »

...Fears over a slowdown in PEPfAR funding are even more heightened on the ground in recipient countries. According to a November report from Doctors Without Borders, many treatment programs have simply stopped enrolling new patients. "A lot of organizations are told they'll have to keep people on wait lists," says MacLean. "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...

Author: /time Magazine | Title: Is Obama Scaling Back Bush's AIDS Initiative? | 12/2/2009 | See Source »

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