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Global Health Policy

CGD experts discuss such issues as health financing, drug resistance, clinical trials, vaccine development, HIV/AIDS, and health-related foreign assistance.

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Global Health Policy

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How Does HIV/AIDS Funding Affect a Country’s Health System?

Recently, the American Journal of Tropical Medicine & Hygiene published a paper by Shepard et al. evaluating the impact of HIV/AIDS funding on Rwanda’s health system. The headline of the press release was catchy and assertive: “Six-year Study in Rwanda Finds Influx of HIV/AIDS Funding Does Not Undermine Health Care Services for Other Diseases. Study Addresses Long-standing Debate about Funding Imbalances for Global Diseases.”

A Tale of Two Tipping Points – HIV/AIDS and USG Funding for Global Health

There is no doubt that the United States has shown tremendous leadership and brought about remarkable results in the global fight against AIDS over the past decade. U.S. investments through the Presidents Emergency Plan for AIDS Relief (PEPFAR) have strengthened overall health systems, built and sustained capacity to address HIV and a host of other diseases, and helped scale up treatment to save millions of lives.

Are We Ready to Set Priorities for an AIDS-Free Generation?

Yesterday I attended the USAID and World Bank sponsored debate on “Treatment as Prevention,” where debaters were asked to support or oppose the proposition that countries should spend the majority of flat or declining HIV prevention budgets on “treatment as prevention”, building off the results of the HPTN 052 study which found a relative reduction of 89% in the total number of HIV-1 transmissions resulting from the early initiation of antiretroviral therapy.

Will the HIV/AIDS Pie Grow Again?

I moderated a debate this morning, one in a series on HIV/AIDS issues sponsored by the World Bank and USAID. This was the topic: “Countries should spend a majority of what is likely to be a flat or even declining HIV prevention budget on ‘treatment as prevention.’” The pro and con sides were each represented by two eminent and articulate medical doctor/scientist/researcher/public health experts.

Still No Reason to Stall Male Circumcision, Forget the HIV Vaccine, or Throw Away Your Condoms

What if by taking a pill every day, all 33 million HIV-infected people in the world could not only fend off the deterioration of their own health, but also reduce their chances of infecting uninfected sex partners by 96 %?  This is the prospect that is offered by newly announced results of the HPTN 052 trial.  (See the Kaiser Foundation report here, the UNAIDS announcement here

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