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From: PlusNews <[email protected]>
Date: Fri, Nov 30, 2012 at 9:18 PM
Subject: HIV/AIDS: New blueprint charts PEPFAR's future
To: Elisabeth Janaina <[email protected]>


HIV/AIDS: New blueprint charts PEPFAR's future

JOHANNESBURG, 30 November 2012 (PLUSNEWS) - In its newly released
"blueprint," [ http://www.pepfar.gov/documents/organization/201386.pdf
] the US President's Emergency Plan for AIDS Relief (PEPFAR) charts
the next phase of the country's response to the HIV epidemic. In it,
the largest funder of HIV efforts globally will focus on HIV
prevention, new technologies, women and girls, and the most at-risk
populations (MARPs).

This year will be US Secretary of State Hilary Clinton's final year as
head of the US State Department, under which PEPFAR falls. At the
International AIDS Conference in July, Clinton asked PEPFAR head Eric
Goosby to create an action plan for future administrations,
policymakers and implementers.

On 29 November, Goosby and his team presented the result: PEPFAR's new
five-point blueprint. The need for sound and scientific investment is
an overarching theme in the 53-page document, which outlines four
major aims: saving more lives, smart investments, sharing financial
and programmatic responsibility, and driving results with science.

Under this plan, the agency will support medical male circumcision;
targeted services aimed at MARPs such as injecting drug users and sex
workers; and research into technologies such as microbicides, vaccines
and point-of-care tests. In the blueprint, the US government commits
to using diplomatic channels to help create enabling environments to
allow MARPs to access health services. It also prioritizes using
health diplomacy to promote the health and human rights of same-sex
populations and women and to advance gender equality.

The need to fund new scientific innovations in the fight against HIV,
and to address gender inequality, was also echoed at the launch by
former South African health minister and now chairperson of the
African Union Nkososana Dlamini-Zuma. After being elected chairperson
in July, Dlamini-Zuma said that health would be high on her agenda.

"It is encouraging that some of our countries (within the African
Union) are already putting a certain percentage of their budgets aside
for innovation, not only around issues of HIV," she said. "We will
have to work hand-in-hand with partners to empower women because we
can't get to that point of an HIV-free generation without empowering
women to be able to take and make the right decisions."

AIDS-free generation

The blueprint is part of the US push towards an "AIDS-free
generation," which Clinton has defined as one in which almost no
children are born with the virus and in which children grow up at a
reduced risk of contracting HIV later in life. Speaking at the
Washington, DC, release of the blueprint, Clinton stressed that an
AIDS-free generation is now within reach.

"As we continue to drive down the number of new infections and drive
up the number of people on treatment, we will eventually treat more
people than become infected," she said. "That will be the tipping
point when we get ahead of the epidemic and an AIDS-free generation
will be in sight."

HIV activist Florence Ngobeni-Allen spoke of PEPFAR's role bringing
HIV treatment into South Africa. Ngobeni-Allen, who is HIV-positive,
lost her first daughter and husband to AIDS-related illnesses in the
mid-1990s; at the time, HIV treatment was not yet available in South
Africa's public health system.

"I started working as a counsellor at Chris Hani Baragwanath hospital
during the time when there were no drugs," she said. "The worst part
was hearing those screaming babies crying and looking at them and
thinking, 'they are following my daughter.'

"I couldn't give them anything but my hope and my smile," she added.

Now remarried and mother to two HIV-negative sons, Ngobeni-Allen says
her children are part of what she hopes will be an AIDS-free
generation.

Fixing the spend

The blueprint commits PEPFAR to strengthening its supply chains and
business processes and to integrating programming with other donors
and development partners. This may be a response to long-running
criticisms from activists and global health professionals over
inefficiencies in distribution and within recipients.

In April 2012, HIV activists in Kenya took to the streets after about
US$500 million in unspent PEPFAR funds were discovered that had
reportedly been "stuck in the pipeline."
[http://www.plusnews.org/Report/95357/KENYA-Protest-over-500-million-in-unspent-PEPFAR-funds]

In the blueprint, the US also commits to funding the Global Fund to
Fight AIDS, Tuberculosis and Malaria as it approaches its next
replenishment meeting.

llg/kn/rz
[END]

This report online: http://www.plusnews.org/report.aspx?reportID=96946



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