At a satellite session on Sunday, a striking statistic was reported by the humanitarian organization Medecins Sans Frontieres: in one of its ARV treatment programs, 60 percent of project costs are going toward the treatment of 10 percent of patients. Why? After several years on standard ARV treatment regminens, many patients will inevitably develop resistance to the drugs and require newer ones.
CGD Policy Blogs
Fred Bergsten of Institute for International Economics is pushing for creation of a Free Trade Area of the Asia-Pacific Region (FTAAP) -- a plan B to get the world back on track given the faltering Doha Round (See today's Financial Times column.) An FTAAP with the U.S., Japan, and China and the 18 other current members of
The World Health Organization has launched a new report, Taking Stock: Health worker shortages and the response to AIDS (.pdf), which states that the "reasons for the health workforce shortage include poor pay and conditions, lack of training and migration." Among other things the report praises "ethical recruitment" -- a euphemism for "rich countries should not tell African women about the lucrative nursi
The MCC is in final negotiations with El Salvador, one of two lower middle income countries (LMICs) deemed eligible in FY2006. Over the last year, we've heard bits and pieces of feedback from NGOs on the ground. Together with a review of the actual proposed compact (pdf), here's what I think is worth watching and discussing:
After four days of official speak, diplomatic handshakes and business card swaps at the International AIDS Conference in Toronto, I decided to take a stroll through the Global Village, the open-to-public forum for exchange of information about AIDS as it really affects people.
International AIDS Conferences are known for their dramatic protests. Tommy Thompson was booed off the stage in Barcelona. Randall Tobias, then head of PEPFAR, silently fumed at the podium for 45 minutes in Barcelona before protesters quieted enough for him to speak. The Prime Minister of Thailand was embarrassed at the Bangkok opening ceremony. AIDS activists, following the tradition of ACT UP! are known for their vocal presence -- and for pushing for real dialogue and action.
I attended a packed satellite session on Sunday on South Asia sponsored by the World Bank at the International AIDS Conference in Toronto, in anticipation of a new report released Monday.
Today's Washington Post highlights several AIDS prevention programs in Africa which are using the ABC approach without much success. Programs in both Botswana and Kenya failed to change participants' behavior while another program in Nigeria increased condom use but not fidelity or abstinence rates. The lack of results would make you think that funders would be hesitant to expand ABC programs, wouldn't it? Unfortunately, the opposite may be true.
It's both energizing and exhausting to be at this largest ever AIDS Conference in Toronto. With 25,000+ delegates and an impressive line-up of global, national and community leaders attending this conference, the message is very clear: it isn't just time to deliver, but rather it is Time to Deliver NOW! With 25 years behind us, billions of dollars spent, millions of deaths and millions more being infected there is no time and money to waste.
That was the question at the International AIDS Conference session on "HIV Testing the Era of Treatment Scale Up." As ARVs become more widely available, more people need to take HIV tests to get started in treatment programs. But should Voluntary Counseling and Testing (VCT) be replaced by "Routine Offer" or "Routine Testing" programs? Routine Offer refers to testing programs where all clinic visitors, or those meeting certain risk guidelines, are offered a test.