Of Goats and Chickens: Village Leaders Champion HIV Self-Testing in Malawi

By Sabrina Sidhu, Writer, UNITAID Malicious gossip can spread faster than wildfire. Traditional leaders in rural Neno District, Malawi, are only too aware of its destructive nature. In May this year, they grew worried that rumours could jeopardize HIV self-testing, a new health service that relies on strict confidentiality for its success. HIV self-testing allows

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Men HIV

#EndAIDS: Let’s Not Forget About Men

By Karin Hatzold, Project Director, PSI/UNITAID/HIV Self Test AfRica Almost universally, men interact with health systems far less than women. In sub-Saharan Africa and in countries with high HIV burden, the  consequences are real: men are less likely to know their HIV status; are diagnosed later in the course of infection and less likely to

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PSI Ambassador Debra Messing Promotes AIDS Awareness and Treatment

Last week, PSI Global Ambassador and actress Debra Messing visited Washington, DC, to lend her voice to the growing call to end the AIDS epidemic and help fund programs that address the increased risk of HIV infections in women and girls in developing countries. Ms. Messing first spoke at the State Department on Monday. She

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PSI Ambassador Debra Messing Inspires Others to Raise Awareness and Help Stop HIV

By Margaret Cohen, Online Engagement and Fundraising, PSI   “I just wanted to share a little story about someone I met who had AIDS,” begins Teri, a former medical technician remembering the day in 1982 the first AIDS patient walked through the doors of her suburban Minneapolis hospital. She is warmed by the gratitude he

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What’s Scarier than a Shark? These 3 Global Health Problems

By Jenny Tolep and Etiti Ayeni, External Relations and Communications There is no question that this summer has been jam-packed with shark scares. From professional surfer, Mick Fanning’s close encounter to the numerous shark bites in North Carolina’s unusually warm waters, it is not surprising that people are nervous about getting in the ocean. Sharks

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HIV in Cambodia

The Story Behind the Story: Innovative Program Brings HIV Testing to Cambodian Communities

By Anna Dirksen, PSI Consultant Earlier this month, The Diplomat — one of the leading international news outlets for Asia-Pacific — published an article on a community-based HIV testing program in Cambodia, calling it “the first of its kind in the region”. The article describes the incredible battle Cambodians are waging against HIV, with an

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Global Fund Results Show Strong Progress Against HIV, TB and Malaria

As world leaders met in Addis Ababa to discuss financing for the Sustainable Development Goals, the Global Fund announced mid-year results that demonstrate strong progress against HIV, tuberculosis and malaria. The results show that 8.1 million people are receiving antiretroviral treatment for HIV through programs supported by Global Fund grants, a 22% increase since the

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Nina Hasen

Introducing PSI’s New Director of HIV and TB: Q & A with Nina Hasen

Nina Hasen recently joined PSI as the Director of HIV and Tuberculosis. Coming to us from the Office of the Global AIDS Coordinator (OGAC), which oversees the President’s Emergency Response for AIDS Relief (PEPFAR), Nina brings not only expertise in HIV and AIDS programming and policy, but also a strong scientific and academic background through

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Transgender Thailand

Beyond Caitlyn Jenner: The Reality for Most Transgender People

By Anna Dirksen, PSI Consultant America was buzzing this week with talk about the 22-page Vanity Fair spread on Caitlyn Jenner that dropped onto newsstands June 9th. Caitlyn, who first became famous winning the gold medal in the men’s decathlon event at the 1976 Summer Olympics, talks openly in the article about how difficult it was for her to come

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Innovation is challenging the status quo, creating solutions from the ground-up

TopBarriertoInnovation

 

Q&A with Duncan Blair, Director of Public Health Initiatives, Alere, Inc.

Impact: How do you define innovation? What do you think are some of the most important factors driving innovation in global health?

DB: Innovation is not only about delivering something new but also about delivering something which provides positive outcomes. What you need for innovation really is creative and engaged people — it’s all about people being willing to challenge the status quo. If everybody always thinks the same things, talks the same language and simply tows the party line then that’s not an environment very conducive to innovation. So what you need is people and an environment that fosters and encourages group members to take risks, whether this is an R&D team, a marketing team, a program implementation team, or a policy development team. Without people who are willing to state their opinion and argue their position then you have no innovation.

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HIV/AIDS Fight Needs Innovative Financing Model

More sustained financing is needed to continue global progress against HIV/AIDS. Given the current challenges to global health financing, new solutions are vital to changing the current rate of progress.

“There is a moral obligation to maintain treatment for those who need it, and considerable resources have been implicitly pre-committed to lifelong HIV treatment and care,” say the authors of a recent paper published in the PLoS Medicine journal.

journal.pmed.1001567.g003

More money also needs to be better spent, they argue. HIV work must be linked to health systems strengthening, a move that will both increase the reach of HIV work and support the underlying health problems that contribute to the problem.

Financing the HIV response must also be achieved without damaging investments in health systems more broadly and other development sectors that are essential for social welfare (in turn addressing a number of the barriers to scaling up the HIV response). An HIV programme may have important external benefits for sexual and reproductive health; maternal and child health; or provide the necessary health system platforms for managing chronic conditions. Similarly, investments in strengthening health systems or addressing related co-morbidities that compound HIV vulnerability or worsen treatment outcomes are critically important to individuals living with HIV. Although core HIV interventions have been demonstrated to be cost-effective, total HIV spending in sub-Saharan African countries was an estimated 19.4% of total health spending in 2007 (range: 0.7%–64.4%). This amount exceeds the relative burden of HIV disability-adjusted life years and is at least partly due to the relatively high costs of HIV treatment compared to treatment for other prevalent diseases. There remains a difference between the amount spent on the HIV response across countries with a similar GDP per capita and HIV prevalence, and more work is required to understand the optimal level of domestic resourcing for HIV, given competing health sector priorities.

There are examples of innovative financing schemes, but they face challenges. The authors recognize that overtaxing and a hyper-focus on HIV/AIDS can do more harm than good. A careful approach that applies lessons learned can ensure changes are effective.

Innovative revenue streams are currently being explored in several countries. These schemes can generate significant funds, as seen in Zimbabwe with the 3% AIDS levy deducted from businesses and formal sector workers’ salaries since 2000 [7]. Other options, such as increased “sin taxes” on alcohol, could generate a “double dividend” by simultaneously increasing revenues and decreasing HIV-related risk behaviours [20]. The development of social health insurance could help attract further household resources and may be an important new source of financing in middle-income countries as development assistance scales down

Read the full research paper here.

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Partnerships Help Defeat AIDS in Rwanda

By Dr. Anges Binagwaho, Minister of Health, Rwanda

The op-ed originally appeared in US News and World Report. It is based on an article she co-authored last week in the New England Journal of Medicine on the HRH program together with Paul Farmer, Eric Goosby and others. Available here.

binagwahoOver the past decade, we have made extraordinary gains against the world’s deadliest diseases thanks to the U.S. President’s Emergency Plan for AIDS Relief and The Global Fund to Fight AIDS, Tuberculosis, and Malaria. These initiatives are saving millions of lives every year. In order to make these gains truly sustainable, we must now address a critical challenge in low-income countries: an acute shortage of highly-trained health professionals.

While Sub-Saharan Africa bears 24 percent of the global disease burden, it’s served by only 4 percent of the global health workforce. As the World Health Organization just announced, the global health worker shortage stands at more than 7.2 million today and is expected to grow to 12.9 million by 2035.

A report that my colleagues and I published in the “New England Journal of Medicine” offers compelling new evidence about the power of partnership in helping Rwanda, my country, to overcome this obstacle. The Human Resources for Health program – financed by PEPFAR and The Global Fund – is building health care worker capacity in Rwanda over the next seven years to ensure that we can meet the pressing health challenges facing our people.

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