Category Archives: U.S. Policy and Funding

CDC, State Department urge Congress to take action on Zika funding before summer break

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In February, when the Obama Administration proposed a $1.9 billion package to respond to the Zika outbreak, Centers for Disease Control and Prevention Director Tom Frieden heard it might take three months for Congress to approve it, and he was shocked. Five months later, with the Zika supplemental bill still mired in bipartisan gridlock while […]

With TB now No. 1 global infectious disease killer, USAID justifies cuts to global TB funding

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When House Appropriations Committee members in 2014 asked then USAID Administrator Raj Shah how the U.S. could combat tuberculosis globally with 19 percent less money, he said not to worry. The Global Fund to Fight AIDS, TB and Malaria, and the President’s Emergency Plan for AIDS Relief would fill the gap, he said. Two years […]

Spending bill draft: House to maintain global AIDS, TB funds

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The House Appropriations Subcommittee on State, Foreign Operations and Related Programs is scheduled to approve a draft bill Wednesday that rejects the Obama administration’s proposed cuts to HIV and TB spending for fiscal year 2016. The bill contains $250 million above the President’s fiscal year 2016 request for the Global Fund to Fight AIDS, TB […]

Questions about suspended contractor’s HIV work meet USAID culture of silence and stalling

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When a multi-billion dollar nonprofit with PEPFAR contracts spends millions of tax dollars on stratospheric salaries, parties, presents, and perks, USAID has no answers on what happened to AIDS responses How does a faith-based nonprofit launched by a minister, his wife and his daughter in 1998 become the recipient of more grants and working agreements […]

USAID’s 50 Years of Global Health charts changing priorities, offers history in progress and “catalogue of lessons”

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In the decade that the United States Agency for International Development began its work in global health, life expectancy in low-income countries averaged about 43 years, about 240 of every thousand children died before the age of five, and no records existed of maternal mortality rates. HIV was unheard of. A half century later, with […]

Global health donor proliferation without coordination raises questions of redundancy, inefficiency, burdens to hosts — and impact

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In basic numbers, this is some of what the last decade of donor awakening has totaled up to across the global health landscape: 37 donors responding to HIV in 143 countries; 22 donors responding to tuberculosis in 109 countries; 27 donors responding to malaria in 86 countries; 36 donors responding to family planning and reproductive […]

Murdered gay rights/HIV advocate and journalist documented deadly conditions

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At the end of a Senate briefing last week offering updates on science’s strides against HIV and AIDS worldwide, Dr. Chris Beyrer of John Hopkins University, and president-elect of the International AIDS Society offered a sobering counterpoint to the news of encouraging advances. “We’re not really there yet, for a group of people who are […]

Legislators to Shah: Really? Cuts to TB, HIV efforts aren’t a problem?

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In the budget-cutting environment that characterizes the current Congress, it is not often you will see legislators from both parties urging a foreign aid director to voice the need for more funds, but that is what happened last week. While members of Congress emphasized during hearings last week the importance of robust U.S. support for […]

Ambitious endgames, continued challenges assessed at global health briefing book launch

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Deaths from AIDS were peaking in Zambia in 1998, when Robert Clay arrived there. The epidemic there had been recorded for more than a decade, but the antiretroviral treatment that was saving livesfor the last two years in affluent countries, remained unavailable to Zambians. The house where Clay lived was on the road to the […]

Prison condition improvement bill seeks to address health and human rights abuses hidden behind walls

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In the golden era of global health, prisons have long occupied a hidden parallel world, a big dirty secret, so to speak, where in cells so overcrowded that inmates sleep standing, diseases are inescapable, medical care and nutrition are far beyond reach, sanitation is nonexistent and justice is a dream. “Most people know little if […]