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Faced with many urgent challenges, the next U.S. president may be tempted to let global health issues bubble along on the back burner and simply allow reasonably well-funded programs that garner bipartisan support to continue unchanged. This would be a mistake. Instead, the president should set an ambitious course to improve global health by leveraging the full range of U.S. assets to create a more just and safe world. CGD vice president Ruth Levine shows the way.
Many health improving interventions in low-income countries are extremely good value for money. So why has it often proven difficult to obtain political backing for highly cost-effective interventions such as vaccinations, treatments against diarrhoeal disease in children, and preventive policies such as improved access to clean water, or policies curtailing tobacco consumption?
The South African government is currently discussing various alternative approaches to the further expansion of antiretroviral treatment (ART) in public-sector facilities. Alternatives under consideration include the criteria under which a patient would be eligible for free care, the level of coverage with testing and care, how much of the care will be delivered in small facilities located closer to the patients, and how to assure linkage to care and subsequent adherence by ART patients.