AfricaFocus Bulletins with Material on Health
Apr 28, 2008 South Africa: Women, AIDS, and Violence, 2
http://www.africafocus.org/docs08/ai0804b.php
"In the Southern African region the results of a large scale
household survey conducted in eight countries showed that nearly
a fifth of the women interviewed reported being a victim of
partner physical violence in the preceding year. ... South African
based-studies have found that women who experience intimate
partner violence are at long-term increased risk of HIV infection,
particularly where their partners were involved in multiple
concurrent, unprotected sexual relationships." - Amnesty
International
Apr 28, 2008 South Africa: Women, AIDS, and Violence, 1
http://www.africafocus.org/docs08/ai0804a.php
"Despite gradual improvements in the government's response to the
HIV epidemic and the adoption of a widely-welcomed five-year plan,
five and a half million South Africans are HIV-infected - one of
the highest numbers in any country in the world. Fifty-five percent
of them are women. South African women under 25 are three to four
times more likely to be HIV-infected than men in the same age
group. ... the level of new HIV infections amongst women in South
Africa continues to increase, while overall incidence of the
disease has levelled off." - Amnesty International
Mar 27, 2008 Africa: "Diagonal" Health Financing
http://www.africafocus.org/docs08/diag0803.php
The dichotomy between "vertical" financing (aiming for
disease-specific results) and "horizontal" financing (aiming for
improved health systems) of health services in developing
countries is both destructive and unnecessary, argue a team of
health activists and researchers in a new peer-reviewed policy
paper published in the journal Globalization and Health. They
propose expanding a "diagonal" approach that recognizes the
necessary complementarity between disease-specific programs and
improvement in health systems, with costs shared by both
international and domestic funding sources.
Mar 3, 2008 USA/Africa: Health Policy Updates
http://www.africafocus.org/docs08/heal0803.php
The House Foreign Affairs Committee last week approved a commitment
of $50 billion over 5 years for spending on global AIDS and related
diseases, $20 billion more than the President's original proposal.
The bill, which also includes other provisions such as funds for
training of health care workers, and is expected to pass the full
Congress. But health activists note that additional pressure on
U.S. presidential candidates is needed to ensure other measures,
such as ensuring access to essential medicines.
Feb 21, 2008 USA/Africa: Images and Issues
http://www.africafocus.org/docs08/usa0802.php
As President Bush winds up his 5-day trip to Africa, the initial
focus on his legacy in the fight against AIDS and malaria has been
enlivened with debate on the new and highly controversial AFRICOM
military command (See, for example,
http://www.nytimes.com/2008/02/21/world/africa/21prexy.html),
Commentators have also highlighted the contrast between Bush's
itinerary (Benin, Tanzania, Rwanda, Ghana, and Liberia) and
unresolved crises in Kenya and Sudan. But from AIDS to AFRICOM,
coverage of the trip was also revealing for points hardly mentioned
by either Bush boosters or critics.
Feb 5, 2008 USA/Africa: Health Budget Falls Short
http://www.africafocus.org/docs08/pep0802.php
United States President George W. Bush has asked Congress to vote
an U.S. $30 billion for the President's Emergency Plan for Aids
Relief (Pepfar) over the next five years. .. But critics say this
is only maintaining the current funding levels when large
increases are still needed. Physicians for Human Rights, for
example, has called for U.S. $59 billion to fund the fight against
Aids, tuberculosis, malaria and other global health programs. And
Aids-Free World co-director Stephen Lewis has pointed out that the
war in Iraq is taking far more: up to $108 billion a year.
Feb 5, 2008 Africa: Dramatic Anti-Malaria Results
http://www.africafocus.org/docs08/mal0802.php
dramatic results, according to a new World Health Organization
study. The study reported declines in cases in children under five
of 60% in Ethiopia, 64% in Rwanda, 29% in Zambia, and 13% in Ghana,
between the period 2000-2005 and the year 2007. The greater impact
in Ethiopia and Rwanda was clearly associated with massive
campaigns of free distribution of long-lasting insecticidal-treated
bednets.
Oct 15, 2007 Africa: Health Updates
http://www.africafocus.org/docs07/heal0710.php
"Donors are expected to give the Global Fund [to Fight AIDS, TB,
and Malaria] at least $9.7 billion over the next three years, 57%
more than they gave over the past three years. The pledges made at
last week's Global Fund Replenishment Meeting in Berlin, chaired by
Kofi Annan, constituted the largest single financing exercise for
health that has ever taken place." - Global Fund Observer,
September 30, 2007
Aug 14, 2007 Nigeria: AIDS Advice Available
http://www.africafocus.org/docs07/hiv0708b.php
"We are indeed succeeding in our sensitization and public
enlightenment efforts. ... While we chose to whine and lampoon acts
such as the incident at Covenant University [which decided in June
not to allow HIV-positive students to graduate], the insurance
executive who was fired for testing positive to HIV and many more,
we cannot ignore ... condemnation such acts have attracted
especially through newspaper editorials, columnists, opinion polls
and wait for this - even discussions at amala joints, fast foods
outlets, drinking bars, pepper soup joints, discussions at taxi
parks." - Journalists against AIDS Nigeria
Aug 14, 2007 South Africa: AIDS Action Relapse
http://www.africafocus.org/docs07/hiv0708a.php
"Unlike other African countries, South Africa has the financial
resources and the medical talent to successfully take on its
H.I.V./AIDS epidemic. What it lacks is a president who cares enough
about his people's suffering to provide serious leadership. ..
Unless he finally starts listening to sensible advice on AIDS, he
will leave a tragic legacy of junk science and unnecessary death."
- New York Times, August 14, 2007
Jun 18, 2007 Africa: Two Cheers for G8?
http://www.africafocus.org/docs07/lew0706.php
"In 2005, at its meeting in Gleneagles, Scotland, the [G-8] pledged
to provide 'as close as possible to universal access to treatment'
for all people suffering from AIDS by 2010. That should mean at
least 10 million people in treatment by then ... Yet at the recent
meeting, the G-8 said it was aiming to treat only some five million
patients in Africa by an unspecified date. That sounds like
consigning millions of untreated people to death and disability." -
New York Times
May 23, 2007 Africa: Eyes on the G8
http://www.africafocus.org/docs07/g8_0705.php
The G8 (Group of 8) summit of the world's richest nations is
scheduled to meet June 6-8 on the Baltic coast of Germany, and
activists are demanding action not rhetoric on commitments to
Africa. ActionAid, for example, is calling for at least 8,000
people, the number dying of AIDS every day, to upload images of
their eyes to signal the leaders that the world is watching. Visit
http://eyes.actionaid.org.uk/ to add your eyes and your message.
May 23, 2007 Africa: Medicines without Doctors
http://www.africafocus.org/docs07/gf0705.php
"The World Health Organization estimates that to achieve the
Millennium Development Goals (MDGs), health systems need at least
2.5 health workers per 1,000 people. In Mozambique, ... per 1,000
people there are 0.36 full-time equivalents of health workers (2004
figures).Mozambique's health workforce would have to be multiplied
by seven to achieve the MDGs."
Apr 12, 2007 Africa: "We will hold you to your promises"
http://www.africafocus.org/docs07/heal0704.php
As African Union ministers of health gathered in South Africa this
week to discuss strategies, civil society health activists demanded
that African governments live up to previous commitments to expand
health access. "We will not go back," the activist coalition
statement concluded, "We will be watching you."
Mar 4, 2007 Africa: Global Fund Advances
http://www.africafocus.org/docs07/gf0703.php
The Global Fund to fight AIDS, Tuberculosis, and Malaria has a new
executive director. And the Global Fund Observer reports that the
Fund is in better financial shape to cover the anticipated cost of
Round 7 grants than it was at this stage with any of the three
previous rounds. But the fund still needs to triple its funding
levels to meet the estimated needs for the period 2008-2010.
Jan 25, 2007 Africa: Health Promises, Time to Deliver
http://www.africafocus.org/docs07/heal0701.php
In his State of the Union message this week, U.S. President George
Bush declared "To whom much is given, much is required." He went on
to pledge to "continue to fight HIV/AIDS, especially on the continent
of Africa." But while activists acknowledge the additional
attention given to health in recent years, they say both African
and international leaders are still falling far short of fulfilling
their promises.
Nov 24, 2006 Africa: Water, Health, and Development
http://www.africafocus.org/docs06/hdr0611b.php
"We estimate that the African region loses five per cent of GDP
annually as a result of both women having to walk huge distances to
collect water - which diverts labor, apart from the huge personal
cost that it puts someone in - and the impact of disease on
productivity." - Kevin Watkins, lead author, UN Human Development
Report 2006
Nov 24, 2006 Africa: Global Apartheid Update
http://www.africafocus.org/docs06/hdr0611a.php
Speaking at the global launch of the 2006 Human Development Report
in Cape Town, South African President Thabo Mbeki called for the
world to fight "domestic and global apartheid in terms of access to
water." The report documented high levels of inequality both within
and between nations, with sub-Saharan African countries losing some
five percent of GDP annually as a result of the water and sanitation
crisis, far more than the region receives in international aid.
Nov 15, 2006 Africa: Global Fund as Legacy of Innovation
http://www.africafocus.org/docs06/gf0611.php
After more than 20 hours of deliberations early this month, the
board of the Global Fund to Fight AIDS, Tuberculosis and Malaria
was unable to agree on a new executive director. Despite the resulting delay,
some observers say the failure actually indicates how seriously the
Fund is taking its mandate to build a consensus between developed
and developing countries.
Sep 30, 2006 Africa: Innovative Financing
http://www.africafocus.org/docs06/aid0609b.php
Beginning in July, international air travelers from France have
been paying a 4 euro tax on an economy ticket and 40 euros on a
first-class ticket, with proceeds going to pay for treatment of
children with AIDS, tuberculosis, and malaria. Eighteen other
countries have pledged to implement the tax, including Brazil, the
United Kingdom, Norway, Mali, and South Korea.
Sep 30, 2006 Africa: Making Aid Multilateral
http://www.africafocus.org/docs06/aid0609a.php
The current international aid system, says a new UN report, is
chaotic, and suffers from high transaction costs, politicization,
lack of transparency, incoherence, and unpredictability. What is
needed, says the report, is a shift to a multilateral model similar
to the Marshall Plan and to the European Community's regional
funds.
Sep 23, 2006 Africa: Girl Power
http://www.africafocus.org/docs06/educ0609.php
"Girls who complete secondary school are up to five time less
likely to contract HIV than girls with no education," according to
a new ActionAid review of over 600 research studies. But in Africa,
an estimated 22 million girls have never been to primary school.
Aug 18, 2006 Africa: Too Little for Too Few
http://www.africafocus.org/docs06/msf0608.php
Ten times more people in Africa are getting life-saving HIV drugs
than three years ago, reported Reuters this week from the XVI
International AIDS Conference in Toronto, but most still get no
treatment and the pandemic continues to spread worldwide. Fewer
than ten percent of HIV-infected pregnant women in low- and middle-income
countries get treatment to protect their newborn from infection.
Jul 1, 2006 Africa: AIDS Treatment Progress Reports
http://www.africafocus.org/docs06/aids0606.php
Newly-compiled performance results show that as of end April,
544,000 people have begun antiretroviral (ARV) treatment through
Global Fund-supported programs - up from 384,000 six months ago.
And despite the pressures for competition between the U.S.
bilateral PEFPAR program and the Global Fund, reports from
implementing agencies say the stress on operational level is on how
to use resources from both programs to maximize action against
AIDS. But sustainability of funding is a looming obstacle, with
the projected overall funding gap for this year at some $5 billion.
Jun 3, 2006 Africa: Backsliding on AIDS Commitments
http://www.africafocus.org/docs06/hiv0606b.php
"U.N. Strengthens Call for a Global Battle against AIDS," reads the
headline in the New York Times. But AIDS activist groups that
demonstrated and lobbied for specific commitments and strong
language at the UN meeting on AIDS disagreed. Instead, they accused
governments of backsliding and failing to adopt specific targets
against which they could be held accountable.
Jun 3, 2006 Africa: AIDS Epidemic Update
http://www.africafocus.org/docs06/hiv0606a.php
"Sub-Saharan Africa remains the worst-affected region in the world.
... Overall, HIV prevalence in this region appears to be levelling
off, albeit at exceptionally high levels in southern Africa. Such
apparent 'stabilization' of the epidemic reflects situations where
the numbers of people being newly infected with HIV roughly match
the numbers of people dying of AIDS-related illnesses." - 2006
Report on the Global AIDS Epidemic
Apr 28, 2006 Africa: Keeping Health Commitments
http://www.africafocus.org/docs06/hiv0604.php
The Global Fund to Fight AIDS, Tuberculosis and Malaria has
announced a sixth round of grant proposals for this year, despite
fears that the global effort could falter for lack of sufficient
funds. But the momentum of global health efforts is still in doubt,
with crucial evaluation meetings coming up in Abuja, Nigeria and in
New York this month.
Apr 2, 2006 Africa: User Fees
http://www.africafocus.org/docs06/user0604.php
"The government of Zambia today (1 April) introduced free health
care for people living in rural areas, scrapping fees which for
years had made health care inaccessible for millions. The move was
made possible using money from the debt cancellation and aid
increases agreed at the G8 in Gleneagles last July, when Zambia
received $4 billion of debt relief; money it is now investing in
health and education." - Oxfam International
Mar 4, 2006 Africa: Universal Access Initiative
http://www.africafocus.org/docs06/acc0603.php
AIDS activists and observers say the new "universal access by 2010"
initiative is disturbingly vague and short on specific targets,
with at least 4 million people still facing premature death from AIDS
if they do not receive treatment. The "3 by 5" initiative, launched in 2003,
targeted having 3 million people in developing countries on antiretroviral
treatment for AIDS by the end of 2005. The last report, in June 2005, showed
that the number had more than doubled, from 400,000 at the end of 2003 to
approximately 1 million. But the year-end target was missed by at least 1
million, and there is still no detailed report for December 2005.
Feb 16, 2006 South Africa: New AIDS Statistics
http://www.africafocus.org/docs06/aids0602.php
A new study released this month estimates that 4.8 million people,
or approximately 10.8 percent of South Africans over the age of 2,
are now living with HIV/AIDS. The nation-wide survey, carried out
by the Human Sciences Research Council (HSRC), was close to the
estimates produced by the latest Actuarial Society of South Africa
(ASSA) computer model, released in December. Both studies provide
new detailed breakdowns of data, with the HSRC survey showing, for
example, rates of AIDS prevalence as high as 17.6 percent in
informal (slum) residential areas.
Feb 16, 2006 Africa: AIDS Optimism
http://www.africafocus.org/docs06/farm0602.php
"[Four years ago] people like me were sick and tired, already, of
defeatist arguments [about AIDS], which had gone on way too long
already. To ask doctors, nurses, and other providers to give up on
treating the sick because they're too poor to pay was never, ever
acceptable to my co-workers in the field....We're still arguing,
it's true, but we're not arguing about the same things. Instead of
arguing whether or not to treat the poor who suffer from AIDS, or
drug-resistant tuberculosis, or even drug- resistant malaria, we're
arguing about what drugs should be used to treat these diseases." -
Paul Farmer, November 2005
Dec 6, 2005 Africa: Health, Patents Clash
http://www.africafocus.org/docs05/trip0512.php
In 2001, the World Trade Organization (WTO) approved the Doha
Declaration on TRIPS and Public Health which affirms the right of
countries to prioritize access to medicines and public health over
intellectual property rights. However, this statement did not
address the issue of how countries with insufficient manufacturing
capacity can make use of these rights. Now developed countries want
the WTO to extend a complex interim "solution" to the problem that
has not worked.
Nov 28, 2005 USA/Africa: Global Gag Rule Expands
http://www.africafocus.org/docs05/gag0511.php
The "Mexico City Policy," also known as the "Global Gag Rule"
denies U.S. funding to foreign non-governmental organizations that
work on safe abortion issues. It was reimposed by President George
W. Bush in 2001, but in 2003 the administration said that the rule
would not apply to funds for fighting HIV/AIDS. Now, according to
the Center for Health and Gender Equity, the administration is
reversing that policy in a new $193 million program in Kenya.
Nov 20, 2005 Africa: Africanizing Malaria Research
http://www.africafocus.org/docs05/mal0511.php
Research on malaria must increasingly be centered in Africa and be
led by African researchers, stressed participants in the Fourth
Multilateral Initiative on Malaria (MIM) Pan-African Malaria
Conference held last week in Cameroon. In addition to a wide
variety of scientific papers on the latest research, the conference
featured the designation of researcher Genevieve Giny Fouda Amou'ou as
recipient of the Young Malaria Scientist Award, and the
announcement of the move of the MIM secretariat from Stockholm,
Sweden to Dar es Salaam, Tanzania.
Nov 9, 2005 Africa: Stalled Growth at Global Fund
http://www.africafocus.org/docs05/gf0511.php
"I have spent the last four years watching people die." With these
wrenching words, diplomat and humanitarian Stephen Lewis opens his
2005 Massey Lectures. Lewis, who is the special envoy of the UN
Secretary-General for HIV/AIDS in Africa, has been outspoken in his
criticism of African governments and international and bilateral
donors alike for their slow response to AIDS and their neglect of
women in particular.
Sep 15, 2005 Africa: Human Development Report
http://www.africafocus.org/docs05/hdr2005.php
Among the many reports issued as world leaders gather in New York
to discuss their commitment to fighting world poverty, the annual
Human Development Report is among the most blunt in concluding that
the "promise to the world's poor is being broken." In addition to
documenting the failures and presenting its annual measurement of
the Human Development Index (HDI) for 177 countries, this year's
report identifies specific actions that could begin to reverse the
trend.
Sep 9, 2005 Africa: Global Fund Progress Report
http://www.africafocus.org/docs05/gf0509.php
"While the latest progress report points to a steady improvement in
results and a persistent trend of a high-performing grant
portfolio, it stresses that the Global Fund needs to sharply
increase the rate of program acceleration in the next four years if
it is to achieve its five-year targets." - Press Release from the
Global Fund to Fight AIDS, Tuberculosis and Malaria, August 23,
2005.
Jun 24, 2005 Africa: Health Resources Shortfall
http://www.africafocus.org/docs05/hr0506.php
"When the G8 industrialized nations gather in Scotland next month,
they should commit to subsidizing the salaries of African health
workers to keep them from leaving their home countries in search of
higher pay and better conditions in wealthier countries. ... All
the well-intentioned efforts [to address AIDS and other health
needs] are limited by the lack of personnel on the ground for both
prevention and treatment programs." - Boston Globe, June 24, 2004
Jun 11, 2005 South Africa: AIDS Treatment Update
http://www.africafocus.org/docs05/tac0506.php
Despite good outcomes in many treatment centers, the message from
reports and demonstrators at the Second South African AIDS
Conference in Durban last week was that the government's 18-month-old
plan for AIDS treatment in the public sector is still falling
far short. Results are very uneven among provinces, few children
are receiving treatment, nutrition programs as well as
antiretroviral (ARV) drugs are failing to reach the majority of
those needing treatment, and there is still no plan to address the
critical shortage of medical personnel.
May 4, 2005 Africa: Rolling Back Malaria?
http://www.africafocus.org/docs05/mal0505.php
The World Malaria Report 2005, a new comprehensive report released
yesterday by the World Health Organization and UNICEF, clearly lays
out the strategies needed to fight malaria, which kills at least
one million people a year. But despite claiming progress in more
widespread adoption of these strategies, the report also
acknowledges that these measures are only beginning to have an
effect. More skeptical observers, such as the medical journal The
Lancet in an April 25 editorial, say that lack of resources and
lack of capacity for implementation have in fact crippled the war
against malaria.
Apr 15, 2005 Africa: AIDS Resources Gaps
http://www.africafocus.org/docs05/aids0504.php
Despite increases in recent years, funding to fight the global AIDS
pandemic is still only approximately half the minimum of more than
$12 billion a year estimated to be needed. But the gaps are not
only financial. Activists are increasingly emphasizing the even
larger gaps in adequate human resources and upgraded health
systems, that are essential for turning small-scale successes into
sustainable larger programs.
Mar 29, 2005 Ghana: Medical Skills Drain
http://www.africafocus.org/docs05/migr0503.php
Among the most daunting barriers to addressing Africa's urgent
health needs is the migration of health professionals to richer
countries. Skilled personnel representing investment by poor
countries end up filling in the gaps for the UK, USA, and other
countries. The problem is widely
acknowledged. But a new paper from Medact, based on the experience
of Ghana and the UK, argues that current policy responses are not
only inadequate but also based on many false assumptions.
Mar 7, 2005 India/Africa: Threat to Generic Drugs
http://www.africafocus.org/docs05/ind0503.php
Proposed changes in Indian patent law being considered by
Parliament this month threaten to limit production of generic
alternatives for newer drugs. Generic drugs from India have played
a key role in lowering the price of antiretroviral treatment to
make it feasible to scale up treatment more rapidly for 3.7 million
Africans with AIDS who do not have access to treatment. But the new
law could add one more obstacle to turning that promise into
reality.
Feb 22, 2005 South Africa: Mortality Statistics, AIDS Action
http://www.africafocus.org/docs05/tac0502.php
Between 1997 and 2002, according to a new report from Stats SA,
South Africa's official statistics agency, the number of recorded annual
deaths in the age group from 20 to 45 more than doubled, from a
little over 100,000 to more than 200,000. Although most deaths
likely to be linked to AIDS are officially recorded as due to
associated diseases such as TB and pneumonia, the age and disease
pattern provides strong evidence of the growing impact of AIDS.
Jan 28, 2005 Africa: AIDS Progress Real but Limited
http://www.africafocus.org/docs05/who0501.php
The number of Africans receiving anti-retroviral treatment more
than doubled from 150,000 to 310,000 in the last six months
of 2004, the World Health Organization (WHO) reported this week.
For those on treatment, treatment adherence and survival rates were
comparable to or even better than the rates in developed
countries. But there are still more than ten times that many
Africans who need AIDS treatment now but are not receiving it: 3.7
million people in sub-Saharan Africa alone, out of 5.1 million
worldwide.
Jan 9, 2005 Africa: Year of Action for AIDS Treatment?
http://www.africafocus.org/docs05/arv0501.php
"The Indian Ocean tsunami killed 150,000, and triggered a
remarkable global relief effort that has raised $4 billion for the
stricken region. But AIDS, tuberculosis, and malaria alone kill 40
times that number every year, taking no fewer than 6 million lives.
And still, the United Nations must scramble for the $3 billion a
year it needs to combat these diseases." - Toronto Star, January 8,
2005
Dec 3, 2004 Southern Africa: Gender and AIDS
http://www.africafocus.org/docs04/hiv0412b.php
"If we can stop the spread of HIV among women and girls in southern
Africa, we can turn the epidemic around. ... gender inequality
fuels HIV infection because many women and girls cannot negotiate
safer sex or turn down unwanted sex. ... HIV/AIDS deepens and
exacerbates women's poverty and inequality because it requires them
to do more domestic labour as they care for the sick, the dying and
the orphaned." - United Nations Secretary General's Task Force on
Women, Girls and HIV/AIDS in Southern Africa
Dec 3, 2004 Africa: AIDS Report
http://www.africafocus.org/docs04/hiv0412a.php
Despite over 3 million deaths from AIDS worldwide this year, the
number estimated to be living with HIV continued to climb to an
all-time high of 39.4 million people around the world. Almost two thirds
of those infected (25.4 million), and almost 75 percent of
the deaths (2.3 million) were in Sub-Saharan Africa.
Nov 11, 2004 Africa: Global Fund Action Call
http://www.africafocus.org/docs04/gf0411.php
The board of the Global Fund to Fight AIDS, Tuberculosis and
Malaria is holding its first meeting to take place in Africa next
week in Arusha, Tanzania. Ironically, one of its decisions may be
to postpone announcement of a fifth round of funding, as donors led
by the United States press to reduce expectations and pressure for
future funding commitments. Activists in Africa and around the
world are calling for mobilization to demand that the Fund stick to
its original vision and continue to increase resources to fight the
three diseases.
Nov 5, 2004 Africa: Obstacles to AIDS Treatment
http://www.africafocus.org/docs04/acc0411.php
There is now a wide international consensus that providing AIDS
treatment to all in need of it is essential, along with prevention.
But the obstacles are substantial, including lack of resources but
also flawed policies and lack of political will. Among particular
barriers are the failure to make full use of generic drugs and the
policy of user fees that further restricts access.
Oct 18, 2004 Africa: AIDS Time Bomb
http://www.africafocus.org/docs04/hiv0410.php
"If we think we are seeing an impact today, we have to brace
ourselves because it is set to get very much worse." Alan Whiteside
of the United Nations Commission on HIV/AIDS and Governance in
Africa (CHGA) issued this warning last week at a meeting of the
commission in Addis Ababa. Scaling up of treatment is now on the
continental and global agenda. But the pace is still far short of
that needed to stem the drop in life expectancies and catastrophic
damage to all sectors of societies.
Sep 27, 2004 Africa: Blocking Progress
http://www.africafocus.org/docs04/act0409.php
If the international community did come up with the funds required
for adequate support to fight HIV/AIDS, spending the money could
still be blocked by International Monetary Fund (IMF) guidelines
designed to limit government spending in the affected countries. A
new report by ActionAid International USA and three other
Washington-based groups, excerpted in this AfricaFocus Bulletin,
argues that this outcome is both unacceptable and unnecessary.
Aug 9, 2004 South Africa: AIDS Treatment Update
http://www.africafocus.org/docs04/tac0408.php
"Not more than 10,000 people are receiving anti-retroviral
treatment in South Africa at public health facilities. Of these,
many are funded by donor agencies. At this rate, the Plan will fall
far short of the target announced by President Mbeki of 53,000
people on treatment by March 31, 2005. a target that is already
more than 100,000 people less than that proposed in the Plan." -
Treatment Action Campaign
Jul 17, 2004 Africa: AIDS Conference Reports
http://www.africafocus.org/docs04/acc0407a.php
At the International AIDS Conference just concluded in Bangkok, the
U.S. AIDS program came in for sustained criticism on several
fronts. In an interview with the BBC, UN Secretary-General Kofi
Annan chided the U.S. in particular for failing to keep its
promises to support the international war against AIDS.
Jul 17, 2004 Africa: Health Policy Reports
http://www.africafocus.org/docs04/acc0407b.php
Health systems in Africa are being drained by an exodus of health
personnel to wealthy countries, even as the need for professionals
to implement new AIDS programs and reconstruct battered health
systems grows ever more urgent. A new report from Physicians for
Human Rights proposes new measures by both rich and poor countries
to address this crisis, including compensation by rich countries
for the immigrant professionals they are using to bolster their own
health personnel shortages.
May 24, 2004 Africa: AIDS Treatment Update
http://www.africafocus.org/docs04/acc0405.php
The World Health Assembly has unanimously affirmed the continuation
of World Health Organization (WHO) programs to assist countries in
obtaining low-cost, high-quality essential medicines. The May 22
resolution endorsed the drug prequalification program, which
includes generic fixed-dose-combination antiretroviral drugs. According to
Agence France-Press, the United States did not oppose the
resolution, although it has not endorsed the WHO program.
May 4, 2004 Angola: Humanitarian Update
http://www.africafocus.org/docs04/ang0404.php
Two years after the end to war in Angola, a UN analysis reports,
almost all the 3.8 million internally displaced people have
returned home. Nevertheless, "the transition [from war to recovery]
seems to be on hold," says the report, faulting both donors and the
Angolan government for failure to get resources to local
communities.
Apr 30, 2004 Africa: Tragedy and Hope
http://www.africafocus.org/docs04/book0404.php
"Africa eludes us; it is so clearly outlined on the map, and yet so
difficult to define. From afar, Westerners have long fancied it to
be divided into 'black' and 'white,' in the image of their own
societies, and yet observant visitors are more likely to be struck
by Africa's diversity, and by the absence of any sharp dividing
lines."
Apr 27, 2004 Africa: Learning to Survive
http://www.africafocus.org/docs04/educ0404.php
Universal primary education is "the single most effective
preventive weapon against HIV/AIDS," says a new report by Oxfam
International. But donor countries are failing to come up with even
the minimal funds they have pledged to support African countries
under an optimistically named "Fast Track Initiative" to expand
education funding.
Apr 22, 2004 Swaziland: AIDS in Context
http://www.africafocus.org/docs04/sw0404.php
"Swaziland now holds the dubious title of [having] the highest
[HIV] prevalence level in the world. ... [It] is a vivid microcosm
of all the similarly afflicted countries of Southern Africa. At the
grass roots, where it counts, there's a superhuman determination to
bring the pandemic to heel, and to overcome the tremendous assault
on the human condition." - Stephen Lewis, UN Special Envoy for
HIV/AIDS in Africa
Apr 19, 2004 Africa: Malaria Action at Issue
http://www.africafocus.org/docs04/mala0404.php
Malaria kills approximately two million people a year, some 90
percent of them in Africa. These numbers come close to the
estimated three million worldwide dying of AIDS. The two diseases
differ in many ways, but there are deadly similarities. In both
cases, action falls far behind promises, while debates about
strategy are used as excuses for failure to provide resources.
Apr 5, 2004 USA/Africa: Policy Prospects
http://www.africafocus.org/docs04/usaf0404.php
A U.S. election campaign, it seems, has room for one foreign policy
issue at most. That space is fully occupied by Iraq. So it is no
surprise that no African issues - not even the unfulfilled Bush
administration promises on AIDS from January 2003 - have edged
their way into election debates. The difference that this year's
election could make for Africa policy is still largely a matter for
speculation.
Mar 25, 2004 Africa: Generic Drugs under Threat
http://www.africafocus.org/docs04/gen0403.php
One of the most important battles affecting how many people with
AIDS will receive needed anti-retroviral drugs is to take place in
a so-far little publicized conference in Botswana on March 29 and
30. AIDS activists and generic drug manufacturers fear that
pharmaceutical companies and the Bush administration will succeed
in a behind-the-scenes campaign to discredit the most effective
generic treatment, recommended by the World Health Organization, in
favor of more expensive patented drugs approved by the U.S. Food
and Drug Administration.
Feb 24, 2004 Africa: Questions on AIDS Plans
http://www.africafocus.org/docs04/hiv0402c.php
The Bush Administration has formally released a plan for
implementation of the President's Emergency Plan for AIDS Relief,
and announced initial grants that will provide $92 million this
year to four U.S. groups working in 14 "focus countries" in Africa
and the Caribbean. But the plan leaves many questions unanswered,
These include policy on the use of generic drugs, funding levels
for the Global Fund, and how U.S. efforts will be coordinated with
other national and global programs.
Feb 11, 2004 Southern Africa: AIDS Plans Updates
http://www.africafocus.org/docs04/hiv0402b.php
Little more than two months after the announcement of a national
plan for providing AIDS treatment, South
African President Thabo Mbeki and Health Minister Manto Tshabalala-Msimang
have raised new doubts about the commitment of top
political leaders to rapid implementation of the plan. A
statement by the Treatment Action Campaign issued today accuses the
two government leaders of "serious factual misrepresentations"
and "causing confusion in the public and despair among people with
HIV/AIDS and health professionals."
Feb 11, 2004 Africa: AIDS & Financial Abstinence
http://www.africafocus.org/docs04/hiv0402a.php
"You might think that the industrial nations would compensate for
a decade of financial abstinence by embracing the Global Fund as
the obvious vehicle for resource-constrained countries. But that
hasn't been the case. At this moment in time, the Fund is several
hundred million dollars short for this year, and almost three
billion short for next."
Jan 22, 2004 Africa: Davos Report Card
http://www.africafocus.org/docs04/dav0401.php
In his New Year's message for 2004, United Nations Secretary
General Kofi Annan, referring to HIV/AIDS, poverty, and other
global issues, concluded: "We don't need any more promises. We need
to start keeping the promises we already made." A report card
prepared for the World Economic Forum now meeting in Davos,
Switzerland has concluded that the international community is
putting in barely one-third of the effort needed to achieve
internationally agreed goals.
Jan 6, 2004 Africa: Health for All?
http://www.africafocus.org/docs04/whr0312.php
In mid-December, the World Health Organization (WHO) released its
annual World Health Report, the first under the leadership of
Director-General Jong-wook Lee. Building on its earlier
announcement of a
plan to bring AIDS treatment to 3 million people
by the end of 2005,
the WHO called for a return to the goal of "Health for All" adopted
twenty-five years ago. The report calls for strengthening health
systems across the board to address the widening gap between rich
and poor countries, and it stresses that AIDS treatment will not be
sustainable unless it is linked to the strengthening of primary
health systems.
Jan 6, 2004 USA/Africa: Health Unilateralism
http://www.africafocus.org/docs04/hgap0312.php
"As the U.S. government plods slowly towards expanded funding for
its largely bilateral global AIDS initiative (President's
Emergency Plan for AIDS Relief) and as it sends successive waves
of teary-eyed politicians on fact-finding tours to AIDS
orphanages in Africa, it has been working hard behind the scenes
to undercut multilateral AIDS initiatives."
Dec 1, 2003 Africa: AIDS, New World Health Plan
http://www.africafocus.org/docs03/who0312.php
"I feel angry, I feel distressed, I feel helpless ... to live in a
world where we have the means, we have the resources, to be able to
help all these patients - what is lacking is the political will.
... It does indicate a certain incredible callousness that one
would not have expected in the 21st century." - United Nations
Secretary General Kofi Annan.
Dec 1, 2003 Africa: AIDS, Frontline Voices
http://www.africafocus.org/docs03/hiv0312a.php
Leaders of the All Africa Conference of Churches, meeting in
Cameroon last week, pledged to "undertake prophetic advocacy until
anti-retrovirals are available to all who need them; have zero
tolerance for stigma and discrimination against HIV-positive
persons, and do whatever possible to eliminate the isolation,
rejection, fear and oppression of the infected and affected in the
community." Hundreds of the delegates responded to a call to come
forward for testing for HIV.
Nov 23, 2003 South Africa: AIDS Treatment Green Light
http://www.africafocus.org/docs03/tac0311.php
Last week the South African government approved a comprehensive
plan for treatment as well as prevention of HIV and AIDS. The
result of years of pressure by the Treatment Action Campaign (TAC)
and other activists, this step gives the green light for free
public treatment of all those in need of it. Implementing this
decision, however, still requires enormous efforts.
Nov 7, 2003 Africa: New Commitments on AIDS Treatment
http://www.africafocus.org/docs03/hiv0311a.php
Despite footdragging by the Bush administration on full funding
both for its own initiative and for multilateral efforts, there
has been a recent flurry of announcements of new commitments to
treat people with AIDS who lack access to antiretroviral drugs.
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