Morning Breakouts

Latest KFF Health News Stories

Female Presidents Of Liberia, Malawi Pledge To Address Gender Equality, Improve Women’s Health

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“The only two female heads of state in Africa, Liberian President Ellen Johnson Sirleaf and Malawian President Joyce Banda, have just committed to using their positions to improve the lives of women across the continent,” Inter Press Service reports. The article describes the presidents’ comments at a recent women’s right event in Monrovia, Liberia, and says, “[T]he challenges before them are great. Using the United Nations Millennium Development Goals (MDGs) as a barometer, Liberia and Malawi generally score low in the areas of gender equality and women’s empowerment, education for girls, and maternal health.”

Foreign Aid For Health Services Not Significantly Displaced, Analysis Says

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In an article published in the May 8 edition of PLoS Medicine, Rajaie Batniji, an affiliate of the Center on Democracy, Development, and the Rule of Law at the Freeman Spogli Institute for International Studies (FSI), and Eran Bendavid of FSI’s Stanford Health Policy, found that a 2010 Lancet study by researchers at the University of Washington that “concluded that about half the money given to international governments for providing health care services isn’t used as intended” is “flawed” and “should not be used to guide decisions about how much money to give and who should get it,” according to a Stanford University news story. “Once Batniji and Bendavid excluded conflicting and outlying data, such as huge discrepancies between WHO and [International Monetary Fund] estimates and information about countries that were getting very small amounts of money from other countries, ‘There was no significant displacement of foreign aid,’ Bendavid said,” the article states (Gorlick, 5/8).

Policy Responses Needed To Address Global Water Security

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In his Council on Foreign Relations (CFR) blog “The Internationalist,” Stewart Patrick, senior fellow and director of the CFR Program on International Institutions and Global Governance, writes about the first U.S. Intelligence Community Assessment of Global Water Security (.pdf), which “predicts that by 2030 humanity’s ‘annual global water requirements’ will exceed ‘current sustainable water supplies’ by 40 percent.” According to Patrick, the document says “[a]bsent major policy interventions, water insecurity will generate widespread social and political instability and could even contribute to state failure in regions important to U.S. national security.” He describes several factors that are pushing a “combination of surging global demand for increasingly scarce fresh water in certain volatile regions of poor governance.” Though “the intelligence community has performed a great service” with this report, “the policy response to date has been just a drop in the bucket,” Patrick concludes (5/8).

Opinion Piece, Editorial Address Results From Millennium Villages Project

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The Millennium Villages Project (MVP), established in Africa to determine what improvements can be made when programs addressing health, education, agriculture, and other development needs are implemented simultaneously, published its first results in the Lancet on Tuesday. The following opinion piece and editorial address the findings.

First Edition: May 10, 2012

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Today’s early morning highlights from the major news organizations, including reports about Capitol Hill’s guns vs. butter budget battles as well as news about Medicaid physician payments.

House Appropriations Subcommittee Releases FY 2013 State And Foreign Operations Appropriations Bill

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The House Appropriations State and Foreign Operations subcommittee on Tuesday released a draft (.pdf) of its FY 2013 appropriations bill, Devex reports (Mungcal, 5/8). “The bill, to be marked up by the subcommittee Wednesday morning, would provide $40.1 billion for the base budget of the State Department, USAID, and international affairs programs in other agencies, in addition to $8.2 billion for diplomatic and development programs related to the ongoing wars in Afghanistan, Iraq, and Pakistan in what’s known as the Overseas Contingency Operations (OCO) account,” Foreign Policy’s “The Cable” writes, noting, “If enacted, the legislation would represent a 12 percent cut from the administration’s $54.71 billion budget request” (Rogin, 5/8).

UNAIDS Launches Campaign Aimed At Ending New HIV Infections Among Children By 2015

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UNAIDS on Tuesday launched a new campaign “aimed at ending new HIV infections among children by 2015 and ensuring mothers living with HIV remain healthy,” Xinhua reports (5/8). “The campaign, ‘Believe it. Do it.,’ is part of a global plan of action that was adopted last year at the U.N. High Level Meeting on AIDS, when world leaders committed to end new HIV infections among children by 2015,” the U.N. News Centre writes (5/8). “Each year, about 390,000 children become newly infected with HIV and as many as 42,000 women living with HIV die from complications relating to HIV and pregnancy,” according to a UNAIDS press release (5/8).

Report Identifies Challenges, Solutions To Increasing Routine Vaccination In Nigeria

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In this post in PSI’s “Healthy Lives” blog, Deputy Editor Tom Murphy examines routine vaccination solutions in Nigeria, where “[t]he Decade of Vaccines Economics projects 90 percent vaccine coverage against Hib, pneumococcal disease, rotavirus, measles and pertussis can save 600,000 lives and $17 billion in Nigeria over the next 10 years.” Murphy highlights a “new report [.pdf] by the International Vaccine Access Center (IVAC) at Johns Hopkins University [that] identifies the challenges and solutions to increasing routine vaccinations in” the country, noting it also “identifies supply, human resource and demand solutions to increasing vaccination access” (5/8).

Senate Embroiled In Partisan Struggle Over Student Loan Rates

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At issue is how to pay for an extension of the current interest rate. Democrats propose increasing the Social Security and Medicare payroll taxes on high-earning stockholders of some privately owned corporations. Republicans would like to take funds from the health law’s prevention fund.

Examining The Need For WHO Today

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Responding to an opinion piece published in Nature Medicine last week in which Tikki Pang, a visiting professor at the National University of Singapore and former director of research policy and cooperation at the WHO, and Laurie Garrett, a senior fellow for global health at the Council on Foreign Relations, argue the case for reforming and improving the WHO, KPLU’s Tom Paulson writes in a post on KPLU 88.5’s “Humanosphere” blog, “It’s a good overview of what’s wrong with the WHO and what these two think needs to change.” Paulson summarizes an email from Garret in which she says the WHO is the only international agency able to respond to drug resistance, drug safety and integrity, the threat of pandemic flu, health systems metrics development, and drug-resistant malaria (5/8).

HHS Awards 26 Innovation Grants

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The grants, which were created by the 2010 health law, were made to support projects that aim to improve coordination of care and reduce health care costs. News outlets also offer a look at some of the programs that will receive a funding boost.

USAID Launches Five-Year Initiative In Nigeria To Strengthen HIV, TB Services

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U.S. Ambassador to Nigeria Terence McCulley on Tuesday in Abuja, Nigeria, launched a five-year, $224 million USAID program, titled Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS), that aims to “increas[e] access to high-quality comprehensive HIV/AIDS and tuberculosis prevention, treatment, care and related services through improved efficiencies in service delivery,” the Daily Trust reports (Odeyemi/Odafor, 5/8).

Globe And Mail Examines Sustainability Of Sierra Leone’s Free Health Care System

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The Globe and Mail examines the sustainability of Sierra Leone’s free health care system, writing, “The reform has been hugely successful and the death rate has dropped sharply. … [But t]he country’s hospitals are overwhelmed with new patients, the drug supply can’t keep up, the medical staff are overloaded, and it’s unclear if the $36-million program would survive without foreign donations.” According to the newspaper, “The principle of free health care is a sharp break from earlier ideology” that supported “‘cost recovery’ — a system of user fees in hospitals” — which leaders thought “would generate money to fix their badly underfunded health systems.” However, the user fees “were widely criticized, they failed to solve the funding problems, and they created a new barrier to health care” for many without the means to pay, the Globe and Mail writes.

Report Examines Foreign Affairs Budget Reforms In Light Of Austerity

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“The United States should be more selective about where and how it spends foreign assistance,” according to a new report (.pdf), titled “Engagement Amid Austerity: A Bipartisan Approach to Reorienting the International Affairs Budget,” co-authored by John Norris of the Center for American Progress and Connie Veillette of the Center for Global Development (CGD), the CGD website notes. The report “identifies four flagship reforms that would help U.S. foreign affairs institutions to better reflect national interests and reduce ineffective spending,” including “[a]ccelerat[ing] cost-sharing arrangements with upper middle income recipients of” PEPFAR and “[o]verhaul[ing] U.S. food aid laws and regulations,” according to the website (5/8).

Increased Investment In Nurses Will Help Strengthen Health Systems Worldwide

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“It is in poor countries and communities, where health needs are greatest and physicians are scarce, that nurses take an even greater role in health care delivery, often serving as the sole providers in rural villages or urban slums,” Sheila Davis, director of global nursing at Partners In Health, writes in a Huffington Post “Impact Blog” opinion piece, noting this is International Nurses Week. “But although nurses deliver 90 percent of all health care services worldwide, they remain largely invisible at decision-making tables in national capitals and international agencies. Their absence constitutes a global health crisis,” Davis continues.

NCATS Initiative To Use Abandoned Experimental Drugs For Other Uses ‘A Step In The Right Direction’

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The National Institutes of Health’s (NIH) National Center for Advancing Translational Science (NCATS) — a new plan to help speed drug development by making abandoned experimental drugs available to researchers who can look for alternative uses — “is an indication that the Obama administration and the medical research enterprise are thinking out of the box,” Michael Manganiello, a partner at HCM Strategists, writes in a Huffington Post “Politics Blog” opinion piece. Manganiello — who says the drug AZT, which originally was developed to treat cancer, helped him live long enough to reap the benefits of new drugs developed in the mid-1990s to treat HIV infection — joined HHS Secretary Kathleen Sebelius and NIH Director Francis Collins this week in launching the initiative, which he says “is a step in the right direction and it is critical that industry collaborate with patient groups and their constituents.”

Leishmaniasis Vaccine Trial Begins In U.S., India

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“A vaccine against one of the most neglected yet fatal tropical diseases is being tested for the first time in a clinical trial in India and the U.S.,” IRIN reports. Visceral leishmaniasis (VL), “also called kala-azar or black fever, infects an estimated half million persons or more annually,” and “[i]t is found most commonly in India, Nepal, Bangladesh, Brazil and Sudan,” the news service notes. “A total of 72 volunteers are participating in the trial, but scientists say it will take years of testing to roll out an affordable vaccine to the 200 million people globally at risk of VL infection,” IRIN writes, adding, “The WHO has warned that VL is spreading to previously unaffected countries due to co-infections of HIV and leishmaniasis, while the Intergovernmental Panel on Climate Change (IPCC) has said climate change can also spur the spread of the disease” (5/9).

International Community, U.S. Should Increase Resources, Mandate For Fighting NCDs In Developing World

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In this Foreign Affairs essay, Thomas Bollyky, a senior fellow for global health, economics and development at the Council on Foreign Relations, examines the increase of non-communicable diseases (NCDs) in the developing world, writing, “When most people in developed countries think of the biggest health challenges confronting the developing world, they envision a small boy in a rural, dusty village beset by an exotic parasite or bacterial blight,” but “NCDs in developing countries are occurring more rapidly, arising in younger people, and leading to far worse health outcomes than ever seen in developed countries.” He notes, “According to the World Economic Forum’s 2010 Global Risks report, these diseases pose a greater threat to global economic development than fiscal crises, natural disasters, corruption, or infectious disease.”

With Teamwork And Partnerships, Successes Experienced In Millennium Villages Can Be Extended Globally

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In this post in the Huffington Post’s “Global Motherhood” blog, Jeffrey Sachs, director of the Earth Institute at Columbia University, Sonia Sachs, director of health at the Millennium Villages Project (MVP), and Prabhjot Singh, assistant professor of international and public affairs at the MVP, respond to a study on the MVP, published in the Lancet on Tuesday, writing, “These results … reinforce the global effort to build effective, low-cost, community-led health care systems that can end millions of deaths of young children and pregnant women each year.” They note, “Together with advances in food production and other related areas in the villages, the MV health system shares credit for the rapid gains reported.”

Huffington Post’s ‘Global Motherhood’ Section Features Opinion Pieces Leading Up To Mother’s Day

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Leading up to Mother’s Day on May 13, the Huffington Post’s “Global Motherhood” section, in partnership with Mothers Day Every Day, an initiative of the White Ribbon Alliance and CARE, is publishing opinion pieces from a diverse group of people. The following are summaries of two of those opinion pieces.