In this week's edition, we lead with a new World Bank report on the impact of road accidents worldwide. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and other content of note. For more, follow us @worldbankhealth.
This week, our Global Health Weekly Links features World TB Day and the end of polio in India. 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.
Our Global Health Links this week highlight content for World Water Day (Mar 22) and World Tuberculosis Day (Mar 24).
« On ne mange pas un bonbon avec son papier ». C’est ainsi que de jeunes Sud-Africains justifient leur refus de porter un préservatif. Malgré les risques élevés d’infection par le VIH, que personne n’ignore ou presque. Une étude récente (a) de la Banque mondiale a ainsi constaté que le préservatif était souvent vécu par les hommes comme une atteinte à leur virilité et que les femmes n’osaient pas insister.
“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.
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.
Amid political statements and declarations of commitment, several sessions at the ongoing International AIDS Conference 2012 have shined a bright light on the future of the pandemic and the global response.
In one session, Dr. Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases (NIAID) at the U.S. National Institutes of Health, gave a keynote address, “Ending the HIV/AIDS Pandemic: From Scientific Advances to Public Health Implementation.”
According to Dr. Fauci, who has been at the forefront of the fight against HIV/AIDS since the discovery of the virus in the early 1980s, the scientific developments in the last three decades that have helped understand, treat and prevent HIV infection bode well for the promise of a world free of AIDS. He noted that the robust arsenal of nearly 30 antiretroviral drugs and scientifically proven interventions now available to treat and prevent HIV infection and improve people’s health and longevity, offer an unprecedented opportunity in the years ahead. However, he was clear in cautioning that this will not be accomplished without sustained global commitment and effort. This means that the international community cannot retreat in the face of the current economic slowdown, but rather build upon those advances, adjusting, adapting and strengthening the response on the basis of accumulated experience and lessons learned from across the world.
If we heed Dr. Fauci’s advice, it should be clear to all of us that while we need international funding from current and new donors to sustain the global effort, developing country governments also can and should step in and prioritize funding and investments to contribute to the fight against HIV/AIDS and for other health priorities. While some people argue that the unprecedented funding for AIDS in the last decades has created imbalances in the global health agenda, we should also remember that in previous decades the underfunding and underdevelopment of health systems in most of the world, and the resulting lack of or limited access to basic health services for the majority of the population, was a common phenomenon that came before the AIDS response.
Now that the XIX International AIDS Conference is in full swing this week in Washington, DC, it’s worth reflecting not only on past achievements but on future challenges.
As recounted by Dr. Peter Piot, the former executive director of UNAIDS, in his recently published memoire, No Time to Lose, after overcoming many obstacles and naysayers, the UN system, with its many organizations and agencies, working together with governments, civil society and religious organizations, groups representing people living with AIDS, and eventually the pharmaceutical industry, came together this past decade to redefine existing HIV/AIDS prevention and treatment paradigms.
There have been landmark political events as well, such as the UN Security Council Session held in January 2000 that for the first time focused on AIDS as a global health challenge, and the UN Special Session on AIDS held in June 2001, which paved the way for establishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria and the U.S. President's Emergency Plan for AIDS Relief (PEPFAR).
Not only was the power of scientific and technological developments leveraged to confront the global epidemic, but an unprecedented commitment of funds helped scale up the international response.
The World Bank’s new President Jim Yong Kim caught the attention of many as the first head of this development institution to speak at the opening of a global conference on HIV/AIDS, where he called for applying the moral energy and practical lessons of the global AIDS movement to the global fight against poverty. Yesterday he returned to the 19th International AIDS Conference now underway in Washington D.C.’s massive Convention Center to join Bill Gates, US Global AIDS Coordinator Eric Goosby, and former Lesotho health minister Mphu Ramatlapeng on a panel that discussed how developing countries can achieve greater effectiveness and efficiency in the fight against HIV/AIDS.
Globally, there has been a lot more money invested in this fight over the past decade than ever before. As a direct result, thousands of lives have been saved and new infections averted, including among newborns whose mothers received treatment. But in today’s challenging financing environment, an increasingly effective and efficient HIV/AIDS response is needed to help countries to sustain their gains, prevent new infections, and continue to get treatment out to people already living with the virus.
President Kim said the Bank's main strengths are its broad involvement across many sectors—spanning health, education, social safety nets, and more—and its close engagement with national policymakers in developing countries, as well as with private sector investors. This breadth of operation positions the Bank to be, as the President said, “a very good partner” in improving health delivery systems that address not only diseases like HIV/AIDS, but also other urgent health needs such as good healthcare for mothers and children.
Speaking ahead of the XIX International AIDS Conference, World Bank Group President Jim Yong Kim says that ending AIDS—an idea that seemed inconceivable only a few years ago—is within our reach thanks to international efforts by activists and communities. Kim, who will address the conference's opening plenary session July 22, says the lessons learned in the fight against AIDS can be used to eradicate poverty.
The World Bank, together with USAID, PEPFAR and The Lancet, will host a debate at 6:30 pm ET on Monday, July 23, on global health funding for HIV/AIDS. Watch the debate webcast, follow the live blog, or follow on Twitter at #WB Live or #AIDS2012.