AfricaFocus Bulletins with Material on Health - 2005-2006
Jan 9, 2005 Africa: Year of Action for AIDS Treatment?
http://www.africafocus.org/docs05/arv0501.php
"The Indian Ocean tsunami killed 150,000, and triggered a
remarkable global relief effort that has raised $4 billion for the
stricken region. But AIDS, tuberculosis, and malaria alone kill 40
times that number every year, taking no fewer than 6 million lives.
And still, the United Nations must scramble for the $3 billion a
year it needs to combat these diseases." - Toronto Star, January 8,
2005
Jan 28, 2005 Africa: AIDS Progress Real but Limited
http://www.africafocus.org/docs05/who0501.php
The number of Africans receiving anti-retroviral treatment more
than doubled from 150,000 to 310,000 in the last six months
of 2004, the World Health Organization (WHO) reported this week.
For those on treatment, treatment adherence and survival rates were
comparable to or even better than the rates in developed
countries. But there are still more than ten times that many
Africans who need AIDS treatment now but are not receiving it: 3.7
million people in sub-Saharan Africa alone, out of 5.1 million
worldwide.
Feb 22, 2005 South Africa: Mortality Statistics, AIDS Action
http://www.africafocus.org/docs05/tac0502.php
Between 1997 and 2002, according to a new report from Stats SA,
South Africa's official statistics agency, the number of recorded annual
deaths in the age group from 20 to 45 more than doubled, from a
little over 100,000 to more than 200,000. Although most deaths
likely to be linked to AIDS are officially recorded as due to
associated diseases such as TB and pneumonia, the age and disease
pattern provides strong evidence of the growing impact of AIDS.
Mar 7, 2005 India/Africa: Threat to Generic Drugs
http://www.africafocus.org/docs05/ind0503.php
Proposed changes in Indian patent law being considered by
Parliament this month threaten to limit production of generic
alternatives for newer drugs. Generic drugs from India have played
a key role in lowering the price of antiretroviral treatment to
make it feasible to scale up treatment more rapidly for 3.7 million
Africans with AIDS who do not have access to treatment. But the new
law could add one more obstacle to turning that promise into
reality.
Mar 29, 2005 Ghana: Medical Skills Drain
http://www.africafocus.org/docs05/migr0503.php
Among the most daunting barriers to addressing Africa's urgent
health needs is the migration of health professionals to richer
countries. Skilled personnel representing investment by poor
countries end up filling in the gaps for the UK, USA, and other
countries. The problem is widely
acknowledged. But a new paper from Medact, based on the experience
of Ghana and the UK, argues that current policy responses are not
only inadequate but also based on many false assumptions.
Apr 15, 2005 Africa: AIDS Resources Gaps
http://www.africafocus.org/docs05/aids0504.php
Despite increases in recent years, funding to fight the global AIDS
pandemic is still only approximately half the minimum of more than
$12 billion a year estimated to be needed. But the gaps are not
only financial. Activists are increasingly emphasizing the even
larger gaps in adequate human resources and upgraded health
systems, that are essential for turning small-scale successes into
sustainable larger programs.
May 4, 2005 Africa: Rolling Back Malaria?
http://www.africafocus.org/docs05/mal0505.php
The World Malaria Report 2005, a new comprehensive report released
yesterday by the World Health Organization and UNICEF, clearly lays
out the strategies needed to fight malaria, which kills at least
one million people a year. But despite claiming progress in more
widespread adoption of these strategies, the report also
acknowledges that these measures are only beginning to have an
effect. More skeptical observers, such as the medical journal The
Lancet in an April 25 editorial, say that lack of resources and
lack of capacity for implementation have in fact crippled the war
against malaria.
Jun 11, 2005 South Africa: AIDS Treatment Update
http://www.africafocus.org/docs05/tac0506.php
Despite good outcomes in many treatment centers, the message from
reports and demonstrators at the Second South African AIDS
Conference in Durban last week was that the government's 18-month-old
plan for AIDS treatment in the public sector is still falling
far short. Results are very uneven among provinces, few children
are receiving treatment, nutrition programs as well as
antiretroviral (ARV) drugs are failing to reach the majority of
those needing treatment, and there is still no plan to address the
critical shortage of medical personnel.
Jun 24, 2005 Africa: Health Resources Shortfall
http://www.africafocus.org/docs05/hr0506.php
"When the G8 industrialized nations gather in Scotland next month,
they should commit to subsidizing the salaries of African health
workers to keep them from leaving their home countries in search of
higher pay and better conditions in wealthier countries. ... All
the well-intentioned efforts [to address AIDS and other health
needs] are limited by the lack of personnel on the ground for both
prevention and treatment programs." - Boston Globe, June 24, 2004
Sep 9, 2005 Africa: Global Fund Progress Report
http://www.africafocus.org/docs05/gf0509.php
"While the latest progress report points to a steady improvement in
results and a persistent trend of a high-performing grant
portfolio, it stresses that the Global Fund needs to sharply
increase the rate of program acceleration in the next four years if
it is to achieve its five-year targets." - Press Release from the
Global Fund to Fight AIDS, Tuberculosis and Malaria, August 23,
2005.
Sep 15, 2005 Africa: Human Development Report
http://www.africafocus.org/docs05/hdr2005.php
Among the many reports issued as world leaders gather in New York
to discuss their commitment to fighting world poverty, the annual
Human Development Report is among the most blunt in concluding that
the "promise to the world's poor is being broken." In addition to
documenting the failures and presenting its annual measurement of
the Human Development Index (HDI) for 177 countries, this year's
report identifies specific actions that could begin to reverse the
trend.
Nov 9, 2005 Africa: Stalled Growth at Global Fund
http://www.africafocus.org/docs05/gf0511.php
"I have spent the last four years watching people die." With these
wrenching words, diplomat and humanitarian Stephen Lewis opens his
2005 Massey Lectures. Lewis, who is the special envoy of the UN
Secretary-General for HIV/AIDS in Africa, has been outspoken in his
criticism of African governments and international and bilateral
donors alike for their slow response to AIDS and their neglect of
women in particular.
Nov 20, 2005 Africa: Africanizing Malaria Research
http://www.africafocus.org/docs05/mal0511.php
Research on malaria must increasingly be centered in Africa and be
led by African researchers, stressed participants in the Fourth
Multilateral Initiative on Malaria (MIM) Pan-African Malaria
Conference held last week in Cameroon. In addition to a wide
variety of scientific papers on the latest research, the conference
featured the designation of researcher Genevieve Giny Fouda Amou'ou as
recipient of the Young Malaria Scientist Award, and the
announcement of the move of the MIM secretariat from Stockholm,
Sweden to Dar es Salaam, Tanzania.
Nov 28, 2005 USA/Africa: Global Gag Rule Expands
http://www.africafocus.org/docs05/gag0511.php
The "Mexico City Policy," also known as the "Global Gag Rule"
denies U.S. funding to foreign non-governmental organizations that
work on safe abortion issues. It was reimposed by President George
W. Bush in 2001, but in 2003 the administration said that the rule
would not apply to funds for fighting HIV/AIDS. Now, according to
the Center for Health and Gender Equity, the administration is
reversing that policy in a new $193 million program in Kenya.
Dec 6, 2005 Africa: Health, Patents Clash
http://www.africafocus.org/docs05/trip0512.php
In 2001, the World Trade Organization (WTO) approved the Doha
Declaration on TRIPS and Public Health which affirms the right of
countries to prioritize access to medicines and public health over
intellectual property rights. However, this statement did not
address the issue of how countries with insufficient manufacturing
capacity can make use of these rights. Now developed countries want
the WTO to extend a complex interim "solution" to the problem that
has not worked.
Feb 16, 2006 South Africa: New AIDS Statistics
http://www.africafocus.org/docs06/aids0602.php
A new study released this month estimates that 4.8 million people,
or approximately 10.8 percent of South Africans over the age of 2,
are now living with HIV/AIDS. The nation-wide survey, carried out
by the Human Sciences Research Council (HSRC), was close to the
estimates produced by the latest Actuarial Society of South Africa
(ASSA) computer model, released in December. Both studies provide
new detailed breakdowns of data, with the HSRC survey showing, for
example, rates of AIDS prevalence as high as 17.6 percent in
informal (slum) residential areas.
Feb 16, 2006 Africa: AIDS Optimism
http://www.africafocus.org/docs06/farm0602.php
"[Four years ago] people like me were sick and tired, already, of
defeatist arguments [about AIDS], which had gone on way too long
already. To ask doctors, nurses, and other providers to give up on
treating the sick because they're too poor to pay was never, ever
acceptable to my co-workers in the field....We're still arguing,
it's true, but we're not arguing about the same things. Instead of
arguing whether or not to treat the poor who suffer from AIDS, or
drug-resistant tuberculosis, or even drug- resistant malaria, we're
arguing about what drugs should be used to treat these diseases." -
Paul Farmer, November 2005
Mar 4, 2006 Africa: Universal Access Initiative
http://www.africafocus.org/docs06/acc0603.php
AIDS activists and observers say the new "universal access by 2010"
initiative is disturbingly vague and short on specific targets,
with at least 4 million people still facing premature death from AIDS
if they do not receive treatment. The "3 by 5" initiative, launched in 2003,
targeted having 3 million people in developing countries on antiretroviral
treatment for AIDS by the end of 2005. The last report, in June 2005, showed
that the number had more than doubled, from 400,000 at the end of 2003 to
approximately 1 million. But the year-end target was missed by at least 1
million, and there is still no detailed report for December 2005.
Apr 2, 2006 Africa: User Fees
http://www.africafocus.org/docs06/user0604.php
"The government of Zambia today (1 April) introduced free health
care for people living in rural areas, scrapping fees which for
years had made health care inaccessible for millions. The move was
made possible using money from the debt cancellation and aid
increases agreed at the G8 in Gleneagles last July, when Zambia
received $4 billion of debt relief; money it is now investing in
health and education." - Oxfam International
Apr 28, 2006 Africa: Keeping Health Commitments
http://www.africafocus.org/docs06/hiv0604.php
The Global Fund to Fight AIDS, Tuberculosis and Malaria has
announced a sixth round of grant proposals for this year, despite
fears that the global effort could falter for lack of sufficient
funds. But the momentum of global health efforts is still in doubt,
with crucial evaluation meetings coming up in Abuja, Nigeria and in
New York this month.
Jun 3, 2006 Africa: Backsliding on AIDS Commitments
http://www.africafocus.org/docs06/hiv0606b.php
"U.N. Strengthens Call for a Global Battle against AIDS," reads the
headline in the New York Times. But AIDS activist groups that
demonstrated and lobbied for specific commitments and strong
language at the UN meeting on AIDS disagreed. Instead, they accused
governments of backsliding and failing to adopt specific targets
against which they could be held accountable.
Jun 3, 2006 Africa: AIDS Epidemic Update
http://www.africafocus.org/docs06/hiv0606a.php
"Sub-Saharan Africa remains the worst-affected region in the world.
... Overall, HIV prevalence in this region appears to be levelling
off, albeit at exceptionally high levels in southern Africa. Such
apparent 'stabilization' of the epidemic reflects situations where
the numbers of people being newly infected with HIV roughly match
the numbers of people dying of AIDS-related illnesses." - 2006
Report on the Global AIDS Epidemic
Jul 1, 2006 Africa: AIDS Treatment Progress Reports
http://www.africafocus.org/docs06/aids0606.php
Newly-compiled performance results show that as of end April,
544,000 people have begun antiretroviral (ARV) treatment through
Global Fund-supported programs - up from 384,000 six months ago.
And despite the pressures for competition between the U.S.
bilateral PEFPAR program and the Global Fund, reports from
implementing agencies say the stress on operational level is on how
to use resources from both programs to maximize action against
AIDS. But sustainability of funding is a looming obstacle, with
the projected overall funding gap for this year at some $5 billion.
Aug 18, 2006 Africa: Too Little for Too Few
http://www.africafocus.org/docs06/msf0608.php
Ten times more people in Africa are getting life-saving HIV drugs
than three years ago, reported Reuters this week from the XVI
International AIDS Conference in Toronto, but most still get no
treatment and the pandemic continues to spread worldwide. Fewer
than ten percent of HIV-infected pregnant women in low- and middle-income
countries get treatment to protect their newborn from infection.
Sep 23, 2006 Africa: Girl Power
http://www.africafocus.org/docs06/educ0609.php
"Girls who complete secondary school are up to five time less
likely to contract HIV than girls with no education," according to
a new ActionAid review of over 600 research studies. But in Africa,
an estimated 22 million girls have never been to primary school.
Sep 30, 2006 Africa: Innovative Financing
http://www.africafocus.org/docs06/aid0609b.php
Beginning in July, international air travelers from France have
been paying a 4 euro tax on an economy ticket and 40 euros on a
first-class ticket, with proceeds going to pay for treatment of
children with AIDS, tuberculosis, and malaria. Eighteen other
countries have pledged to implement the tax, including Brazil, the
United Kingdom, Norway, Mali, and South Korea.
Sep 30, 2006 Africa: Making Aid Multilateral
http://www.africafocus.org/docs06/aid0609a.php
The current international aid system, says a new UN report, is
chaotic, and suffers from high transaction costs, politicization,
lack of transparency, incoherence, and unpredictability. What is
needed, says the report, is a shift to a multilateral model similar
to the Marshall Plan and to the European Community's regional
funds.
Nov 15, 2006 Africa: Global Fund as Legacy of Innovation
http://www.africafocus.org/docs06/gf0611.php
After more than 20 hours of deliberations early this month, the
board of the Global Fund to Fight AIDS, Tuberculosis and Malaria
was unable to agree on a new executive director. Despite the resulting delay,
some observers say the failure actually indicates how seriously the
Fund is taking its mandate to build a consensus between developed
and developing countries.
Nov 24, 2006 Africa: Global Apartheid Update
http://www.africafocus.org/docs06/hdr0611a.php
Speaking at the global launch of the 2006 Human Development Report
in Cape Town, South African President Thabo Mbeki called for the
world to fight "domestic and global apartheid in terms of access to
water." The report documented high levels of inequality both within
and between nations, with sub-Saharan African countries losing some
five percent of GDP annually as a result of the water and sanitation
crisis, far more than the region receives in international aid.
Nov 24, 2006 Africa: Water, Health, and Development
http://www.africafocus.org/docs06/hdr0611b.php
"We estimate that the African region loses five per cent of GDP
annually as a result of both women having to walk huge distances to
collect water - which diverts labor, apart from the huge personal
cost that it puts someone in - and the impact of disease on
productivity." - Kevin Watkins, lead author, UN Human Development
Report 2006
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