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International News

Newsweek Examines Advocates' Views of PEPFAR Under Obama

April 29, 2010

Newsweek examines HIV/AIDS advocates' concerns that the Obama administration's focus on the six-year, $63 billion Global Health Initiative (GHI) is compromising PEPFAR's reach.

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The GHI offers a "more pragmatic approach to U.S. global-health initiatives ... by diversifying the U.S. global-health portfolio beyond the singular orientation of PEPFAR and teaming up with multilateral partnerships, like the Geneva-based Global Fund," the magazine writes. "At the same time, driven by critiques of PEPFAR's sustainability, the plan would cut costs by committing to treat the sickest patients first, shifting resources over to prevention efforts, and putting national governments on the hook for delivering services."

"AIDS advocates are now wondering whether 'pragmatic' is just a euphemism for cheap," the article continues. "In the last year, the number of HIV-positive people that PEPFAR started on treatment was the smallest it has been for four years, even while demand increases as patients live longer and the disease continues to spread unabated. ... At the same time, the decision to slash $50 million from the U.S.'s commitment to the Global Fund has cast doubts on its commitment to multilateralism and partnership."

Advocates say changes to PEPFAR could result in "long-term behavioral patterns that affect the [HIV] pandemic's spread." The piece also notes policymakers' recognition of the challenges of providing treatment to the growing number of patients with HIV/AIDS in the world (Paul, 4/27).

Back to other news for April 2010


This information was reprinted from kff.org with permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Global Health Policy Report, search the archives, and sign up for email delivery. © Henry J. Kaiser Family Foundation. All rights reserved.



  
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This article was provided by Henry J. Kaiser Family Foundation. It is a part of the publication Kaiser Daily Global Health Policy Report. Visit the Kaiser Family Foundation's website to find out more about their activities, publications and services.
 
See Also
Obama Administration Officials Reflect on Details, Implementation of Global Health Initiative
More Viewpoints on U.S. Global HIV/AIDS Relief (PEPFAR)

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