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The Institute of Health Metrics and Evaluation (IHME), the top international agency for global health data collection and analysis, has provided a new report which scores the impact of foreign aid investments made over the past fifteen years.

The study, recently published in the Lancet Medical Journal, determined that between 2000 and 2014, low and middle-income nations invested $133 billion US into child health initiatives. These investments are estimated to have saved the lives of 20 million infants and children.

An additional $73.6 billion US of foreign aid investments provided by donors, both governmental and privatized, accounted for the saving of an additional 14 million infant and child lives, the IHME estimates.

In total, an estimated 34 million children’s lives have been saved in the past 15 years. The report estimates that US foreign aid investments saved the largest number of children under-five, with 3.3 million lives saved. The UK was also noted as a significant factor in this progress and is estimated to have saved 1.7 million lives through their own development funding. The Bill and Melinda Gates Foundation proved to be the largest privatized donor, having saved an estimated 1.5 million lives.

Ray Chambers, the UN Secretary General’s Special Envoy for Financing the Health Millennium Development Goals and Malaria, collaborated with the IHME to produce this report and hopes to use this form of analysis in the future to track the success of the Sustainable Development Goals.

Chambers said in an interview about the new score, “We know that despite the efforts of governments and donors to improve health in low-income and middle-income countries, too many children die before the age of five. Without a way to monitor and publicly share progress regularly, we will miss the opportunity to build on the momentum we have seen since the millennium declaration.”

The IHME estimates that within the most impoverished nations, the cost to save a child’s life is about $4,000 US. The organization stated in its report that within countries such as Tanzania and Haiti, the costs are $4,205. They estimate within nations such as Botswana and Thailand, where economies are more developed, that the costs to save a child’s life are above $10,000 US due to high health care costs.

The Director of the IHME, Dr. Christopher Murray, said in a recent interview, “You can spend $4,000 on many different things, but there are very few places where the money would deliver the kind of impact you get by investing it in child health.” He continued in reasoning, “If you invest in the poorest countries, you will see the biggest impact in child health because the costs of things like nutrition programmes, vaccines and primary care are lower.”

The report analyzed both governmental and privatized donors and included internationally renowned agencies such the Global Fund, World Bank, UNICEF, USAid and Gavi. The study concluded that the efforts and financial support of Gavi, a global non-profit organization focused on vaccination, has saved over 2.2 million lives.

Looking towards future development initiatives such as the Sustainable Development Goals, Dr. Murray said, “We have seen such incredible success in saving children’s lives over the past 15 years. We need to take what we have learned from that experience and push for more progress and more accountability as we enter the era of the Global Goals for Sustainable Development.”

The Sustainable Development Goals were developed at the UN Rio+20 Conference in 2012 and are designed to build upon the progress of the Millennium Development Goals in the coming years.

James Thornton

Sources: The Guardian, News-Medical
Photo: The Guardian

Myanmar HIV AIDS prevention Global Fund
Along both the rural countryside and urban zones of Myanmar, HIV/AIDS ravages many people who are unable to access proper treatment. Fortunately, the Global Fund to Fight AIDS, tuberculosis and malaria will disburse a US$160 million funding package to Myanmar to specifically combat HIV/AIDS. The Global Fund, an organization working towards the eradication of the three major pandemics of our generation-AIDS, tuberculosis (TB), and malaria-will be distributing US$160 million over the course of 2013-2016, according to the Myanmar’s Ministry of Health.

Previously one of the most isolated and oppressive states in the world, Myanmar now has begun reform efforts and started to open up to Western influences. When it was uncooperative with the international community, it received limited funds and relied heavily on organizations like Doctors Without Borders (MSF) to carry out health care treatment and other assumed government functions.

Despite continuing to rely on MSF, Myanmar has been receiving incremental increases in funds, most notably from 2009 onward. A correlation between recent reform efforts and funding as total disbursements can be seen in the jump from over US$10 million in 2009 to more than $47 million in 2010. This increase has risen steadily up to nearly $161 million in the following three years, growing over 16 times its budget from just four years prior. The sudden jump in funding for Myanmar’s HIV victims comes from the Global Fund’s pull-out in 2005 after government restrictions and its resumption in 2010 following an easement on restrictions.

This influx of HIV/AIDS funding in Myanmar is more than welcome as only 43 percent of the population that needs treatment received it in 2012. To truly understand how low this is, Myanmar’s regional neighbor, Cambodia, has properly provided antiretroviral therapy (ART) for over 94 percent of its citizens eligible for the treatment. The most effective response, ART, is provided by MSF and other healthcare organizations and consists of a minimum of three antiretroviral medications that will suppress and stop the spread and progression of the HIV virus.

While some claim this funding will help Myanmar treat all of its citizens affected by the virus, the head of MSF’s mission in Myanmar, Peter Paul de Groote views it through a more realistic lens. According to de Groote, despite Global Fund’s money improving financial capabilities, “the overall availability and capacity for enrollment needs to improve – by looking into better treatment models and implementing increased, decentralized care and treatment.”

– Michael Carney

Sources: Al Jazeera, The Global Fund, Medecins Sans Frontieres (MSF)
Photo: Cody Romano

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March 24th will be World TB Day, a day to raise awareness of tuberculosis and the numerous TB deaths each year. As the day of awareness approaches, the World Health Organization, along with The Global Fund, have sent out a plea for more funding into medicine research and distribution.

The WHO claims that $1.3 billion is the annual funding required to effectively combat the disease. In 2011 only $0.5 billion was made available for TB research to find a cure. As TB has historically changed to become vaccine-resistant, it is critical that funding continues to come in and grows in volume. Dr. Margaret Chan, director of the World Health Organization (WHO), is worried by the shortcoming in research funding at a time when the number of medicine-resistant examples of the disease are increasing.

Along with working to increase funding to TB research, the WHO and The Global Fund are trying to make existing TB medications more easily available in the developing countries that are most often effected by the disease. They continue to work with big pharmacy companies like AstraZeneca, Johnson & Johnson, and Otsuka to lower the cost of medications for people who currently can’t afford them. They are also allying with Medicins Sans Frontieres (MSF), also known as Doctors Without Borders, to help address the many issues that surround the efficient distribution of such medicine. Learn more about the efforts of MSF.

– Kevin Sullivan

Source: PM Live
Photo: Top News

Senator Bill Frist Calls For Global InvestmentBill Frist, a former Republican senator and majority leader from Tennessee, recently called on America and Congress to “continue our legacy of saving lives.” Less than 1 percent of the US federal budget goes to improving global health, an investment that results in changing the lives of hundreds of thousands every year. “It’s hard to imagine a better return on investment,” said Frist.

In a lengthy article, he recaps the history and precedent that has made America a global leader in developing, supporting and administering life-saving medicines and healthcare practices. Under President George W. Bush, congress made a founding pledge of $300 million to the international initiative – Global Fund to fight AIDS, Tuberculosis and Malaria. Bush, with bipartisan support from Congress, also established the President’s Emergency Plan for AIDS Relief (PEPFAR), the largest program ever to combat a single disease. President Barack Obama has likewise embraced this program and America’s role in eradicating AIDS/HIV.

2013 is the 10th anniversary of PEPFAR, and since its founding the number of people on life-saving treatment has increased more than twenty-fold. HIV infection rates are down, the number of malaria cases is down by more than 50%, and tuberculosis mortality rates are consistently falling. Working in more than 150 countries, the Global Fund is saving an estimated hundred thousand lives each month.

Frist goes on to say what a critical time we are in right now. He emphasizes the importance of continuing on the path of involvement and aid in order to make sure our gains are not lost. The momentum must not be jeopardized or diseases may spread in new ways, mutate and reclaim the lives of people whom medicines have previously made healthy. Frist stated that investment in global health is “good for national security, economically prudent and – most importantly, is the right thing to do.”

– Mary Purcell
Source: Roll Call
Photo: Fastdarfur.org