Over the last few months, we have been busy tracking and analyzing a number of notable developments in the global AIDS space. So in commemoration of World AIDS Day, marked annually on December 1st, here is a roundup of what we’ve been talking about, complete with links to our most recent work.
CGD Policy Blogs
The Global Fund to Fight AIDS, TB and Malaria will host its fourth replenishment meeting this week in Washington, DC where it’s hoping to raise $15 billion to support its work for the next three years. On the eve of the replenishment, the BBC will air a 30-minute segment on its show Panorama titled “Where’s Our Aid Money Gone” that – judging by the synopsis – will likely take a more critical view of the Global Fund than much of its recent press (see here, here, and here).
There was lots of cloud and not much silver lining at the climate change meetings which we attended in Warsaw. It was microcosm of many of the problems with our mechanisms for working together to solve shared problems.
Last year, PEPFAR submitted guidelines which encouraged country staff to submit a proposal to conduct an “impact evaluation” (IE) as part of their annual Country Operation Plan (COP). Subsequently, they received four submissions, of which three were funded. But they also learned that many PEPFAR staff – who are mostly program implementers, or the managers of program implementers – didn’t fully understand what they were being asked to do; what does PEPFAR mean by “impact evaluations”?
Earlier this month, Ambassador Goosby officially announced that he was stepping down from his role as Global AIDS Coordinator where he led the President’s Emergency Plan for AIDS Relief for the past four years. As my colleague Amanda blogged in anticipation of Dr. Goosby’s departure, his service will be remembered for strengthening the evidence base behind PEPFAR’s work.
New uncertainties come to the fore now that the global economy, after six years of turmoil, is showing signs of a return to a more normal situation, where real interest rates in the United States turn positive and commodity prices stabilize at a somewhat lower level, due to a cooling of red-hot demand from China. How will Latin America, which has been buoyed by capital inflows seeking higher returns, respond to the return of normal? Will the economic and social progress observed during the past two decades hold?
It’s one thing to measure the quality of AIDS care; it’s another to understand how to improve it. Our last blog showed how the metaphor of the “treatment cascade” can be a useful way to conceptualize and measure the quality of AIDS care and that PEPFAR supported care has room for improvement on this measure (see more on the treatment cascade here). In order to achieve the health benefits that would result from reducing patient attrition over the course of the treatment cascade, PEPFAR and its partners need to learn why some facilities do better than others and what factors contributors to treatment success.
Fans of tropical forests for climate and development received an early holiday present from Warsaw last week at the conclusion of the 19th Convention of the Parties of the United Nations Framework Convention on Climate Change (COP 19).
News from Warsaw on the just-concluded 19th round of global climate talks suggests that there has been little progress towards a binding agreement on either cutting emissions or paying the rising costs of climate change. Nonetheless, even without a global agreement requiring them to cut emissions from power plants, which account for about a third of the problem, 130 countries have set renewable energy targets.