Tag: Malaria

 

What Works in Malaria Control?

This is the first blog in a series of two. Read the second here. This is a joint post with Miriam Temin. Miriam is coordinating editor for the new edition of Millions Saved.

After a comprehensive literature review, expert consultations, public calls for proposals, and advisory group meetings, we’ve mostly decided on a short list of cases for the new edition of Millions Saved—a book of case studies that document global health successes at scale. Selected interventions range from helmet laws to universal health coverage programs—but one of the most well-known global health efforts of the last decade, malaria control, hasn’t made our list -- at least not yet (for more on what did make the list, check back here in the coming months). 

Global Health Halloween: Sick or Treat?

This is a joint post with Rachel Silverman, consultant and candidate for MPhil in Public Health at the University of Cambridge.

On Halloween, children and adults alike pay tribute to history’s most frightening fictional characters – monsters, witches, super-villains, and the list goes on. But one need not search under beds or deep in closets for spooks and scares. Many of the most terrifying Halloween archetypes have very real counterparts, with very real health consequences:

Setback for Malaria Vaccine: Time for an AMC?

There was bad news in research published yesterday in the New England Journal of Medicine about the effectiveness of what had seemed to be the best prospect for a malaria vaccine, known by the unsexy name of 'RTS,S'.

The study of the phase III trials finds that in babies (aged 6-12 weeks) the vaccine only reduces malaria by less than a third. This is disappointing because this is less than half the effectiveness that had been suggested by the phase II clinical trials.

The Future of AMFm: Making Sense from All the Noise

This is a joint post with Heather Lanthorn.

The Global Fund Board’s decision over the Affordable Medicines Facility – malaria (AMFm) rapidly approaches, and tensions within the malaria community are acute. In her global health blog for The Guardian, Sarah Boseley characterizes the rift as one of

huge arguments and intense passions…[because] it is about the belief on one side that the private sector is the most effective way to get medicines to those who need them – and the certainty on the other side that bolstering the public sector to diagnose and treat people is a fairer and safer way to go. These are not just practical matters, but highly political.”

A Global Health Mystery: What’s Behind the US Government Position on AMFm?

As the Global Fund’s November board meeting approaches – where the future of the Affordable Medicines Facility for Malaria (AMFm) hangs in the balance – there is much anxiety that AMFm will be terminated in 2013. The reason for such anxiety is clear: no donors have pledged funding commitments for after December 2012. But there’s another elephant in the room: the US government’s apparent lack of support, particularly its legislated “opt-in” stance on AMFm: “the Global Fund should not support activities involving the ‘Affordable Medicines Facility-malaria’ or similar entities pending compelling evidence of success from pilot programs as evaluated by the Coordinator of United States Government Activities to Combat Malaria Globally.” (Conversely, an opt-out stance would be to support AMFm unless no compelling evidence is presented.) This very specific and strict provision makes the AMFm’s continued survival all but impossible without an explicit endorsement by US Global Malaria Coordinator (currently Rear Admiral Tim Ziemer) who leads the US President’s Malaria Initiative (PMI) housed in the US Agency for International Development (USAID).

Should UNITAID Rethink Its Raison d’Être?

UNITAID: maybe you’ve heard of it, or maybe not. Launched in 2006, UNITAID has lived in the shadow of its older and bigger global-health siblings (the Global Fund, GAVI, and PEPFAR, to name a few). Perhaps due to its relative obscurity and late entry to a crowded global-health field, UNITAID has proactively worked to differentiate itself through a focus on commodities, market shaping, novel funding sources, and innovation. To wit, UNITAID’s stated mission is “to contribute to scale up access to treatment for HIV/AIDS, malaria and tuberculosis for the people in developing countries by leveraging price reductions of quality drugs and diagnostics, which currently are unaffordable for most developing countries, and to accelerate the pace at which they are made available.”

The Global Fund and Value for Money – Amanda Glassman

In this austere budget climate, generating “value for money” (VFM) is a top concern for global health funding agencies and their donors, who want the biggest bang for their buck in terms of lives saved and diseases controlled. To this end, CGD has convened a working group to help shape the VFM agenda for global health funding agencies, with a particular focus on the Global Fund to Fight AIDS, Tuberculosis and Malaria. Leading these efforts is my guest this week, Amanda Glassman, a senior fellow and director of the global health policy program at the Center for Global Development.

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