Each Friday, we share a selection of global health Tweets, infographics, stories, blog posts, videos and other content of note. For more, follow us @worldbankhealth.
Jim Yong Kim knows something about prejudice. When he was growing up Asian American in Iowa, kids would make “kung fu” gestures and hurl racial slurs at him. In an op-ed published in the Washington Post, the World Bank Group president writes that his experiences are “trifling indignities” compared to what gay and lesbian citizens of Uganda and Nigeria are now experiencing, in the wake of new laws making homosexuality a crime punishable by up to life in prison.
Institutionalized discrimination goes far beyond those countries, he notes; 81 other countries also criminalize homosexuality. It also goes beyond sexual orientation to encompass laws that discriminate against women and members of minority groups. And aside from being wrong, Kim writes, “Widespread discrimination is also bad for economies. There is clear evidence that when societies enact laws that prevent productive people from fully participating in the workforce, economies suffer.”
He points out the irony that AIDS activists, many of them gay, fought to ensure access to life-saving drugs for people with AIDS, most of them African. Kim concludes, “Eliminating discrimination is not only the right thing to do; it’s also critical to ensure that we have sustained, balanced, and inclusive economic growth in all societies.”
Read the full op-ed here.
World Press Freedom Index 2014
Reporters Without Borders
The 2014 World Press Freedom Index spotlights the negative impact of conflicts on freedom of information and its protagonists. The ranking of some countries has also been affected by a tendency to interpret national security needs in an overly broad and abusive manner to the detriment of the right to inform and be informed. This trend constitutes a growing threat worldwide and is even endangering freedom of information in countries regarded as democracies. Finland tops the index for the fourth year running, closely followed by Netherlands and Norway, like last year. At the other end of the index, the last three positions are again held by Turkmenistan, North Korea and Eritrea, three countries where freedom of information is non-existent. READ MORE
Throwing the transparency baby out with the development bathwater
In recent weeks, a number of leading voices within the international development movement – including the billionaire philanthropist Bill Gates as well as development economist Chris Blattman and tech-for-development expert Charles Kenny - have come out arguing that corruption and governance efforts in developing countries should be de-prioritized relative to other challenges in health, education, or infrastructure. Their basic argument is that while yes, corruption is ugly, it’s simply another tax in an economic sense and while annoying and inefficient, can be tolerated while we work to improve service delivery to the poor. The reality is more complicated and the policy implications precisely the opposite: corruption’s “long tail” in fact undermines the very same development objectives that Gates, Blattman, and Kenny are advocating for. READ MORE
Building social movements. I often hear about the need to create social movements to tackle a number of entrenched global challenges such as ending extreme poverty, promoting greater income equality, and combatting climate change.
History is full of social movements that have succeeded and failed. The lessons from one ongoing movement that I know well – the fight against AIDS – should be examined closely by those looking to build movements today.
Lesson No. 1 from the AIDS movement is to believe only in the possibility -- not the inevitability -- of success. Opponents will fight and appear immovable. As those of us who lived through the early days of the AIDS fight, it was always far from certain that we would reach our goals.
“You cannot eat a sweet with the wrapping,” young men from South Africa told researchers as part of a recent World Bank study, explaining why they refuse to wear condoms despite a high and well-known risk of HIV. Men often don’t see condoms as manly, and women feel unable to insist.
What does this mean? A 2011 Gallup poll of 19 sub-Saharan African countries, home to more than two-thirds of the world's HIV-infected population, found most adults know how to prevent the spread of HIV. But while 72 percent agreed people should use latex condoms every time they have sex, only 40 percent said they ever had.
Using an AIDS patient's dramatic recovery, Topsy Foundation demonstrates the effect its ARV treatment programme can have on those battling the advanced effects of HIV/Aids. When treated, a person on the verge of death can return to health in a matter of months.
Source: Topsy Foundation
Last week the ONE campaign issued The Beginning of the End?, a report (+ exec sum) on the HIV/AIDS pandemic, with some important findings. They include hitting the global tipping point on AIDS, probably next year; the increasing divergence in performance between African countries, and the fact that over half of global HIV/AIDS spending now comes from developing countries.
Excerpts from the Exec Sum, with a few additions from ONE’s press release, plus a final comment from Oxfam’s top HIV policy wonk:
“The world has achieved a marked acceleration in its progress towards the achievement of the beginning of the end of AIDS (defined as when the total number of people newly infected with HIV in a given year falls below the number of HIV-positive people newly receiving antiretroviral (ARV) treatment). Updated data shows that if current rates of acceleration in both adding individuals to treatment and in reducing new HIV infections continue, we will achieve the beginning of the end of AIDS by 2015 (see chart – click to enlarge).
On this year’s World AIDS Day – 1 December 2013 –the world commemorates remarkable scientific progress against AIDS and the translation of this progress into saving lives: In the last decade, new HIV infections, AIDS deaths and TB-related deaths among people with AIDS have declined by one- third.
In the early 1990s, selling condoms was highly controversial in Vietnam. For so long, condoms had been distributed to each household throughout the country for free for family planning use only. Condoms were not used for promoting safe sex. It was extremely difficult to convince the media to advertise condoms, very hard to convince the government that it was possible to generate revenue from selling condoms. People found it embarrassing to buy condoms in shops or drugs stores.