The piece, which also includes an interview with US Global AIDS Coordinator Eric Goosby, delves into the Administration’s plans for building developing-country capacity (and responsibility) for AIDS programs and for integrating US global AIDS efforts with other global health programs. Some details of the Administration’s approach were released on World AIDS Day in these five-year strategy documents.
In the NPR story, Goosby says the current trajectory of US support for combating global AIDS is not sustainable in the long term.
“We are constantly increasing the number of individuals that are alive and continuing to use services,” Goosby tells NPR. “And it is a growing crescendo kind of economic burden that the United States and the countries are learning how to accommodate.”
An AIDS program that is “completely dependent on offshore resources and not embedded in the public system of the country runs the risk of being ephemeral and dependent on how steady and reliable those resources remain,” Goosby adds.
Lubinski, who is also vice president for global health at the Infectious Diseases Society of America, highlights the continuing need for treatment scale up and says that Goosby has been put in a very difficult position.
Goosby is “a man who’s been an amazing advocate and provider of HIV treatment, and now may be faced with telling all of these countries they need to do more with less,” she says. “At the same time, you know, tens of thousands of very sick people are knocking on the door asking for treatment.”
Click here to listen to the whole segment or read the transcript.