Should AIDS treatment be viewed as a complement to HIV prevention or as an alternative? AIDS activists have strongly argued that HIV prevention is impossible without AIDS treatment, that the two interventions are strong complements. Their principal evidence for this claim is the demonstrable fact that the presence of AIDS treatment increases the demand for HIV testing.
CGD Policy Blogs
Even as the cost of treating HIV/AIDS has fallen dramatically, the number of people newly infected has remained high. What can be done to reverse this trend and finally defeat this disease? This week on the Wonkcast, I’m joined by Mead Over, a senior fellow here at the Center for Global Development and perhaps the world’s leading expert on the economics of HIV/AIDS.
On May 10 the HIV/AIDS Monitor invited key officials from OGAC/PEPFAR, the Global Fund for ATM, and the World Bank, and an expert on performance based funding (PBF) to discuss ways in which AIDS donors could improve the use of data about performance in their funding decisions.
On Sunday the New York Times published four article on the battle against AIDS in Uganda which everyone should read who is interested in the AIDS epidemic, or in the effectiveness of US aid policy in general. The articles, all by the Times’ knowledgeable science reporter and long-time observer of the AIDS epidemic DonMcNeil, include:
The Global Fund Secretariat just released a report looking at gender analysis (or lack thereof) in Round 8 HIV-specific proposals. Guidelines for Round 8 proposals were the first to encourage applicants to have an increased focus on gender issues. This encouragement was reinforced with a fact sheet on gender and a “
Global Health Initiative Could Lead the Way for Broader Foreign Assistance Reform, but Questions Remain
The Global Health Initiative (GHI) seeks to bring U.S. global health efforts under a coordinated, integrated, sustainable, women-centered, and country-owned umbrella of global health foreign assistance. The U.S. is expected to spend $63 billion on global health over six years (2009-2014). Given the size of this effort, the GHI reforms may be the testing ground for any future reforms of U.S. foreign assistance.
Do PEPFAR, the Global Fund, and the World Bank MAP Make Funding Decisions Against Performance? And Why This Matters NOW!
With contributions from David Wendt.
In 2008, international AIDS assistance from the G-8, European Commission, and other donor governments reached its highest level to date--US $8.7 billion—a greater than fivefold increase from 2002 levels. Despite this increase, it is unlikely that this funding trend will continue in the current global economic downturn.
HIV/AIDS Monitor Report: Are Funding Decisions Based on Performance?
CGD Brief: Every Dollar Counts: How Global AIDS Donors Can Better Link Funding Decisions to Performance
As funding becomes more constrained, donors and recipient countries will need to do more and better with the same amount of money—for HIV treatment, prevention and care, health systems strengthening, family planning, maternal and child health and nutrition. This pressure pushes donors to ensure that funding goes only to the most effective programs. How might they do that?
The diligent fight against HIV and AIDS has made tremendous progress: thanks to advances in antiretroviral treatment, increased funding, and reduced costs—people can survive and even thrive despite the illness. Unfortunately, for the two-thirds of people still in need of treatment, HIV/AIDS remains a death sentence.
The January 12th earthquake in Haiti is the most lethal natural disaster of the past 20 years. On February 12th, the Associated Press reported that official Haitian government estimates of the dead had been revised upwards, now reaching 230,000 dead. Furthermore, the number could be much higher, since the government admits they have not yet been able to count all the bodies and they have excluded those buried by families or in private cemeteries. As the figure below shows, this new total surpasses the 225,000 dead in the 2004 Indian Ocean tsunami, and dwarfs the death tolls from recent earthquakes in Pakistan-controlled Kashmir and Sichuan, China.