AfricaFocus Bulletins with Material on Health - 2003-2004
Nov 7, 2003 Africa: New Commitments on AIDS Treatment
http://www.africafocus.org/docs03/hiv0311a.php
Despite footdragging by the Bush administration on full funding
both for its own initiative and for multilateral efforts, there
has been a recent flurry of announcements of new commitments to
treat people with AIDS who lack access to antiretroviral drugs.
Nov 23, 2003 South Africa: AIDS Treatment Green Light
http://www.africafocus.org/docs03/tac0311.php
Last week the South African government approved a comprehensive
plan for treatment as well as prevention of HIV and AIDS. The
result of years of pressure by the Treatment Action Campaign (TAC)
and other activists, this step gives the green light for free
public treatment of all those in need of it. Implementing this
decision, however, still requires enormous efforts.
Dec 1, 2003 Africa: AIDS, Frontline Voices
http://www.africafocus.org/docs03/hiv0312a.php
Leaders of the All Africa Conference of Churches, meeting in
Cameroon last week, pledged to "undertake prophetic advocacy until
anti-retrovirals are available to all who need them; have zero
tolerance for stigma and discrimination against HIV-positive
persons, and do whatever possible to eliminate the isolation,
rejection, fear and oppression of the infected and affected in the
community." Hundreds of the delegates responded to a call to come
forward for testing for HIV.
Dec 1, 2003 Africa: AIDS, New World Health Plan
http://www.africafocus.org/docs03/who0312.php
"I feel angry, I feel distressed, I feel helpless ... to live in a
world where we have the means, we have the resources, to be able to
help all these patients - what is lacking is the political will.
... It does indicate a certain incredible callousness that one
would not have expected in the 21st century." - United Nations
Secretary General Kofi Annan.
Jan 6, 2004 Africa: Health for All?
http://www.africafocus.org/docs04/whr0312.php
In mid-December, the World Health Organization (WHO) released its
annual World Health Report, the first under the leadership of
Director-General Jong-wook Lee. Building on its earlier
announcement of a
plan to bring AIDS treatment to 3 million people
by the end of 2005,
the WHO called for a return to the goal of "Health for All" adopted
twenty-five years ago. The report calls for strengthening health
systems across the board to address the widening gap between rich
and poor countries, and it stresses that AIDS treatment will not be
sustainable unless it is linked to the strengthening of primary
health systems.
Jan 6, 2004 USA/Africa: Health Unilateralism
http://www.africafocus.org/docs04/hgap0312.php
"As the U.S. government plods slowly towards expanded funding for
its largely bilateral global AIDS initiative (President's
Emergency Plan for AIDS Relief) and as it sends successive waves
of teary-eyed politicians on fact-finding tours to AIDS
orphanages in Africa, it has been working hard behind the scenes
to undercut multilateral AIDS initiatives."
Jan 22, 2004 Africa: Davos Report Card
http://www.africafocus.org/docs04/dav0401.php
In his New Year's message for 2004, United Nations Secretary
General Kofi Annan, referring to HIV/AIDS, poverty, and other
global issues, concluded: "We don't need any more promises. We need
to start keeping the promises we already made." A report card
prepared for the World Economic Forum now meeting in Davos,
Switzerland has concluded that the international community is
putting in barely one-third of the effort needed to achieve
internationally agreed goals.
Feb 11, 2004 Southern Africa: AIDS Plans Updates
http://www.africafocus.org/docs04/hiv0402b.php
Little more than two months after the announcement of a national
plan for providing AIDS treatment, South
African President Thabo Mbeki and Health Minister Manto Tshabalala-Msimang
have raised new doubts about the commitment of top
political leaders to rapid implementation of the plan. A
statement by the Treatment Action Campaign issued today accuses the
two government leaders of "serious factual misrepresentations"
and "causing confusion in the public and despair among people with
HIV/AIDS and health professionals."
Feb 11, 2004 Africa: AIDS & Financial Abstinence
http://www.africafocus.org/docs04/hiv0402a.php
"You might think that the industrial nations would compensate for
a decade of financial abstinence by embracing the Global Fund as
the obvious vehicle for resource-constrained countries. But that
hasn't been the case. At this moment in time, the Fund is several
hundred million dollars short for this year, and almost three
billion short for next."
Feb 24, 2004 Africa: Questions on AIDS Plans
http://www.africafocus.org/docs04/hiv0402c.php
The Bush Administration has formally released a plan for
implementation of the President's Emergency Plan for AIDS Relief,
and announced initial grants that will provide $92 million this
year to four U.S. groups working in 14 "focus countries" in Africa
and the Caribbean. But the plan leaves many questions unanswered,
These include policy on the use of generic drugs, funding levels
for the Global Fund, and how U.S. efforts will be coordinated with
other national and global programs.
Mar 25, 2004 Africa: Generic Drugs under Threat
http://www.africafocus.org/docs04/gen0403.php
One of the most important battles affecting how many people with
AIDS will receive needed anti-retroviral drugs is to take place in
a so-far little publicized conference in Botswana on March 29 and
30. AIDS activists and generic drug manufacturers fear that
pharmaceutical companies and the Bush administration will succeed
in a behind-the-scenes campaign to discredit the most effective
generic treatment, recommended by the World Health Organization, in
favor of more expensive patented drugs approved by the U.S. Food
and Drug Administration.
Apr 5, 2004 USA/Africa: Policy Prospects
http://www.africafocus.org/docs04/usaf0404.php
A U.S. election campaign, it seems, has room for one foreign policy
issue at most. That space is fully occupied by Iraq. So it is no
surprise that no African issues - not even the unfulfilled Bush
administration promises on AIDS from January 2003 - have edged
their way into election debates. The difference that this year's
election could make for Africa policy is still largely a matter for
speculation.
Apr 19, 2004 Africa: Malaria Action at Issue
http://www.africafocus.org/docs04/mala0404.php
Malaria kills approximately two million people a year, some 90
percent of them in Africa. These numbers come close to the
estimated three million worldwide dying of AIDS. The two diseases
differ in many ways, but there are deadly similarities. In both
cases, action falls far behind promises, while debates about
strategy are used as excuses for failure to provide resources.
Apr 22, 2004 Swaziland: AIDS in Context
http://www.africafocus.org/docs04/sw0404.php
"Swaziland now holds the dubious title of [having] the highest
[HIV] prevalence level in the world. ... [It] is a vivid microcosm
of all the similarly afflicted countries of Southern Africa. At the
grass roots, where it counts, there's a superhuman determination to
bring the pandemic to heel, and to overcome the tremendous assault
on the human condition." - Stephen Lewis, UN Special Envoy for
HIV/AIDS in Africa
Apr 27, 2004 Africa: Learning to Survive
http://www.africafocus.org/docs04/educ0404.php
Universal primary education is "the single most effective
preventive weapon against HIV/AIDS," says a new report by Oxfam
International. But donor countries are failing to come up with even
the minimal funds they have pledged to support African countries
under an optimistically named "Fast Track Initiative" to expand
education funding.
Apr 30, 2004 Africa: Tragedy and Hope
http://www.africafocus.org/docs04/book0404.php
"Africa eludes us; it is so clearly outlined on the map, and yet so
difficult to define. From afar, Westerners have long fancied it to
be divided into 'black' and 'white,' in the image of their own
societies, and yet observant visitors are more likely to be struck
by Africa's diversity, and by the absence of any sharp dividing
lines."
May 4, 2004 Angola: Humanitarian Update
http://www.africafocus.org/docs04/ang0404.php
Two years after the end to war in Angola, a UN analysis reports,
almost all the 3.8 million internally displaced people have
returned home. Nevertheless, "the transition [from war to recovery]
seems to be on hold," says the report, faulting both donors and the
Angolan government for failure to get resources to local
communities.
May 24, 2004 Africa: AIDS Treatment Update
http://www.africafocus.org/docs04/acc0405.php
The World Health Assembly has unanimously affirmed the continuation
of World Health Organization (WHO) programs to assist countries in
obtaining low-cost, high-quality essential medicines. The May 22
resolution endorsed the drug prequalification program, which
includes generic fixed-dose-combination antiretroviral drugs. According to
Agence France-Press, the United States did not oppose the
resolution, although it has not endorsed the WHO program.
Jul 17, 2004 Africa: AIDS Conference Reports
http://www.africafocus.org/docs04/acc0407a.php
At the International AIDS Conference just concluded in Bangkok, the
U.S. AIDS program came in for sustained criticism on several
fronts. In an interview with the BBC, UN Secretary-General Kofi
Annan chided the U.S. in particular for failing to keep its
promises to support the international war against AIDS.
Jul 17, 2004 Africa: Health Policy Reports
http://www.africafocus.org/docs04/acc0407b.php
Health systems in Africa are being drained by an exodus of health
personnel to wealthy countries, even as the need for professionals
to implement new AIDS programs and reconstruct battered health
systems grows ever more urgent. A new report from Physicians for
Human Rights proposes new measures by both rich and poor countries
to address this crisis, including compensation by rich countries
for the immigrant professionals they are using to bolster their own
health personnel shortages.
Aug 9, 2004 South Africa: AIDS Treatment Update
http://www.africafocus.org/docs04/tac0408.php
"Not more than 10,000 people are receiving anti-retroviral
treatment in South Africa at public health facilities. Of these,
many are funded by donor agencies. At this rate, the Plan will fall
far short of the target announced by President Mbeki of 53,000
people on treatment by March 31, 2005. a target that is already
more than 100,000 people less than that proposed in the Plan." -
Treatment Action Campaign
Sep 27, 2004 Africa: Blocking Progress
http://www.africafocus.org/docs04/act0409.php
If the international community did come up with the funds required
for adequate support to fight HIV/AIDS, spending the money could
still be blocked by International Monetary Fund (IMF) guidelines
designed to limit government spending in the affected countries. A
new report by ActionAid International USA and three other
Washington-based groups, excerpted in this AfricaFocus Bulletin,
argues that this outcome is both unacceptable and unnecessary.
Oct 18, 2004 Africa: AIDS Time Bomb
http://www.africafocus.org/docs04/hiv0410.php
"If we think we are seeing an impact today, we have to brace
ourselves because it is set to get very much worse." Alan Whiteside
of the United Nations Commission on HIV/AIDS and Governance in
Africa (CHGA) issued this warning last week at a meeting of the
commission in Addis Ababa. Scaling up of treatment is now on the
continental and global agenda. But the pace is still far short of
that needed to stem the drop in life expectancies and catastrophic
damage to all sectors of societies.
Nov 5, 2004 Africa: Obstacles to AIDS Treatment
http://www.africafocus.org/docs04/acc0411.php
There is now a wide international consensus that providing AIDS
treatment to all in need of it is essential, along with prevention.
But the obstacles are substantial, including lack of resources but
also flawed policies and lack of political will. Among particular
barriers are the failure to make full use of generic drugs and the
policy of user fees that further restricts access.
Nov 11, 2004 Africa: Global Fund Action Call
http://www.africafocus.org/docs04/gf0411.php
The board of the Global Fund to Fight AIDS, Tuberculosis and
Malaria is holding its first meeting to take place in Africa next
week in Arusha, Tanzania. Ironically, one of its decisions may be
to postpone announcement of a fifth round of funding, as donors led
by the United States press to reduce expectations and pressure for
future funding commitments. Activists in Africa and around the
world are calling for mobilization to demand that the Fund stick to
its original vision and continue to increase resources to fight the
three diseases.
Dec 3, 2004 Southern Africa: Gender and AIDS
http://www.africafocus.org/docs04/hiv0412b.php
"If we can stop the spread of HIV among women and girls in southern
Africa, we can turn the epidemic around. ... gender inequality
fuels HIV infection because many women and girls cannot negotiate
safer sex or turn down unwanted sex. ... HIV/AIDS deepens and
exacerbates women's poverty and inequality because it requires them
to do more domestic labour as they care for the sick, the dying and
the orphaned." - United Nations Secretary General's Task Force on
Women, Girls and HIV/AIDS in Southern Africa
Dec 3, 2004 Africa: AIDS Report
http://www.africafocus.org/docs04/hiv0412a.php
Despite over 3 million deaths from AIDS worldwide this year, the
number estimated to be living with HIV continued to climb to an
all-time high of 39.4 million people around the world. Almost two thirds
of those infected (25.4 million), and almost 75 percent of
the deaths (2.3 million) were in Sub-Saharan Africa.
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