PEPFAR transparency, PrEP coverage, a new global development approach . . . we’re reading about time to change, resistance to change and changing times

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NewWWRGovernance and transparency at PEPFAR (or lack thereof . . .) – In addition to having much to brag about, PEPFAR probably records more data on planning, spending, and results than any other aid program on earth, this editorial notes, but is among the least good at sharing information, this Lancet editorial points out. Duplicated, wasteful efforts are one result. Potential for accountability, as well as information that could shed light on best practices are among the casualties. The editorial, by Matthew Kavanagh and Brook Baker, highlights the paucity of information on Country Operational Plans “published many months after the year’s programming has already finished and then with unexplained redactions in nearly all relevant data.” Citing the missed opportunity for Congress to change PEPFAR practice on the plans, the editorial calls for PEPFAR to change itself, and “become a leader in transparency.”

A resisted pill: When the U.S. Food and Drug Administration approved daily doses of Truvada as a strategy to prevent HIV acquisition, it seemed another stride against the spread of the virus. Instead, uptake has been slow, and this article explores the reasons, while another take followed from Slate Blogger Mark Joseph Stern, whose post is headlined: There is a Daily Pill that Prevents HIV. Gay Men Should Take It. ” . . .AIDS activists,” this post concludes, “should do everything they can to get the drug in the hands of those who want it.”

A New Development Framework for Emerging Powers – Global Fund Executive Director Mark Dybul and Harvard School of Public Health Dean Julio Frenk look “beyond the paternalism of the past to a new era of shared responsibility and mutual accountability,” as they portray an approach to development based on genuine partnerships, that benefit all involved. They credit the 2003 Monterrey Consensus with laying the groundwork for the Global Fund to Fight AIDS, Tuberculosis and Malaria and the GAVI Alliance. Now, they say, the time has come to recognize the changes since with a “a new Monterrey Consensus” that defines new roles as countries move from recipients to partners. Current development language and framework, they say, don’t provide roles for countries that have progressed and “have little interest in a framework that viewed them as recipients in need of assistance.”

No time to let up in fight against AIDS – It’s not every day that a major newspaper devotes editorial space to a reminder of AIDS’ worldwide toll, without a commemorative day or news of a discovery to serve as a prop. That in itself is the heartening part of this piece in Friday’s Tampa Bay Times, which practices what it preaches: “We must retell the story of AIDS.”

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