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The number of HIV-related deaths each year is falling globally, treatment is becoming more effective and cheaper, yet the rate of new infections is still too high to reach the UN’s goal of less than 500,000 new infections per year by 2020. CGD’s work on the economics of HIV introduced the concept of the AIDS transition—the point in time when the number of people living with the disease begins to fall. Our work also models the effects and implications of policies to reduce new infections and expand treatment.
U.S. global AIDS spending is helping to prolong the lives of more than a million people, yet this success contains the seeds of a future crisis. Escalating treatment costs coupled with neglected prevention measures mean that AIDS spending is growing so rapidly that it threatens to squeeze out U.S. spending on other global health needs, even to the point of consuming half of the entire U.S. foreign assistance budget by 2016. Mead Over argues that AIDS treatment spending could quickly become a global entitlement since withdrawing funding for life-saving drugs would mean death for the beneficiaries. He offers suggestions for avoiding a ballooning AIDS treatment entitlement, including greatly stepped-up prevention efforts.
Millions Saved: Proven Success in Global Health details 17 cases in which large-scale efforts to improve health in developing countries have succeeded, saving millions of lives and preserving the livelihoods and social fabric of entire communities.
It’s quite the buzz phrase: results-based development. But what is actually meant by "results"? Dr. Raj Shah, former Administrator of USAID under President Obama, and Michael Gerson, former presidential speechwriter and Assistant for Policy and Strategic Planning under George W. Bush, have reached across a generational and political divide to share their expertise.
Zimbabwe has experienced a precipitous collapse in its economy over the past five years. The government blames its economic problems on external forces and drought. We assess these claims, but find that the economic crisis has cost the government far more in key budget resources than has the donor pullout. We show that low rainfall cannot account for the shock either. This leaves economic misrule as the only plausible cause of Zimbabwe’s economic regression, the decline in welfare, and unnecessary deaths of its children.
This Brief is based on the CGD book Millions Saved: Proven Successes in Global Health. The book book features 17 success stories. These cases describe some large-scale efforts to improve health in developing countries that have succeeded - saving millions of lives and preserving the livelihoods and social fabric of entire communities.