[In response to this recent blog from Health GAP's Matthew Kavanagh.]
2016 Calls for a different kind of PEPFAR response—less technical assistance and mentoring and more front-line interventions to implement Test & Start this year
What portion of funds from the President’s Emergency Plan for AIDS Relief for “treatment” goes to address the major front-line barriers keeping people living with HIV from getting on treatment and achieving viral suppression? In most countries major investments are made in ARVs and other drugs, front line health workers, and core costs to keep facilities going. In some countries significant investment is also made outside the clinic in community-based health workers and systems to support the ART program—and here and there some funding goes to accountability work. In Malawi and Zimbabwe, however, more focus is needed on front-line needs—more of the funding needs to directly reach people living with HIV. The countries have different needs, yet there are some similarities in the PEPFAR programs that should be addressed for 2016.Read more
It used to be that when the U.S. wanted to exert its influence or extend the imperial power of its businesses in Latin America, it would resort to gunships. In the old days, the raw use of naked armed power needed little justification. In the more modern era of proxy wars, the U.S. Is more likely to send money and arms, as it has done consistently with Colombia for its War on Drugs. The latest tranche of funding for Colombia, designed to enable peace talks – if you will, a cease-fire in the War on Drugs – is the $450 million Paz Colombia proposal before Congress.Read more
On UMICs United Nations Secretary General should be ashamed...
The current UNSG’s report includes a table that calls for a dramatic pullout of international funding from upper-middle income countries (p17/31). As I wrote here, it also includes ridiculous estimates that low- and lower-middle income countries will increase their funding by 400-500%.
Kenya has the fourth highest HIV burden in the world - and international donors currently fund 70% of the AIDS response in the country. The majority of this donor funding is from the U.S. funded President’s Emergency Plan for AIDS Relief (PEPFAR), which provides $500 million USD a year. As the largest funder, PEPFAR plays a key role in the HIV response in our country - as it does throughout most of Sub-Saharan Africa. It is crucial that the voices of activists are heard by PEPFAR when they decide how funding is used.Read more