The global health community is concerned that tuberculosis (TB) continues to disproportionately kill people living with HIV, despite the availability of TB preventive therapy. According to the World Health Organization’s Global Tuberculosis Report 2019, deaths attributed to TB among people living with HIV account for 17 percent of all TB deaths, even though people living with HIV account for only 8.6 percent of overall TB cases.
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The global economic landscape, along with the nature of work, is rapidly changing. More and more people are working outside of a typical office environment and in the gig economy. This is creating new economic opportunities — and challenges. The abilities and aspirations of young people, who now number almost two billion, are often unrealized, especially in the developing world. What is the best way to secure their futures?
We believe that positive youth development interventions can support and empower youth to be more engaged, healthy and productive members of their communities. Meeting young people where they are — whether in person or online — is necessary to build the critical skills and competencies to meet the demands of a growing and evolving economy. Our research shows that positive youth development interventions can facilitate resilience and, when combined with labor market analysis, prepare young people for future employment.
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We know we have to do things differently to achieve the Sustainable Development Goals. We need new ways of seeing old problems, new skills and methods to direct the technological whirlwind disrupting societies and new ways to muster political will to make hard decisions that challenge old orthodoxies.
There is a paradox here: At a time when innovation is creating destabilizing change, the key to future stability lies in our ability to effectively harness innovation. But what does that look like?
Most innovations are spread through traditional commercial channels where one company either develops or purchases the intellectual property or product of another. Commercializing and scaling new products, particularly in the tech sector, has been the driving force in 21st century economic growth. It has improved living standards in many parts of the world, but simultaneously produced growing — and potentially destabilizing — inequality.
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Preventing and resolving violent conflict
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A decade ago, around 80 percent of the international humanitarian budget went to victims of natural disasters. Now, that number has flipped, with about 80 percent of funding going to victims of violent conflict.
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Twenty-two million people in Yemen — roughly 4 out of 5 Yemenis — are in urgent need of humanitarian assistance, making this the largest humanitarian crisis in the world. As the conflict enters its fourth year, with little sign of a peace agreement, this complex emergency demands attention and action from the international community.
In this episode of A Deeper Look, I sit down with my colleague Greg Beck, the Director of Crisis Response and Integrated Development here at FHI 360. Greg has recently been working in Yemen.
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The Determined, Resilient, Empowered, AIDS-free, Mentored and Safe women (DREAMS) partnership aspires to reduce HIV infections among adolescent girls and young women in 10 sub-Saharan African countries. These countries alone accounted for more than half of the HIV infections that occurred among adolescent girls and young women globally in 2015.
DREAMS reaches beyond the health sector to address the direct and indirect factors that increase girls’ HIV risk, such as poverty, gender inequality, sexual violence and inadequate education. Interventions can include paying school fees, providing bicycles to girls who would otherwise walk long distances to school, supplying sanitary napkins for menstrual hygiene management and offering mentoring to help girls avoid early pregnancy, gender-based violence and discrimination. DREAMS is supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Bill & Melinda Gates Foundation, Girl Effect, Johnson & Johnson, Gilead Sciences and ViiV Healthcare.
Two young women who participate in DREAMS projects attended FHI 360’s 2018 Gender 360 Summit and discussed how DREAMS is making a difference in their lives. Here are their stories.
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July 25, 2018
A full version of this article originally appeared in WorldView, a quarterly magazine published by the nonprofit National Peace Corps Association for the greater Peace Corps community. Reposted with permission. Read the entire article here.
Economic and social progress rarely comes fast, making it easy to question whether foreign assistance is effective. Many critiques of foreign aid expose poorly conceived and implemented programs and document bad governance, corruption, and persistent poverty. Some even argue that far from helping, foreign assistance is part of the problem. I suspect there are few self-conscious development workers who don’t ask themselves whether the treasure, sweat and tears really make a difference, especially those of us who have spent years struggling with the day-to-day management problems and frustrations that come with implementing programs in countries where progress has been slow and uneven.
Recently, I visited the rural community in Swaziland where I worked as a Peace Corps Volunteer 30 years ago. Seeing the changes on the homestead where I lived from 1980 to 1983 helped me put into perspective our often-unsatisfactory efforts to describe and measure the value of development work and to answer the question about whether foreign aid makes a difference.
Read the entire article here.
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A version of this post originally appeared on the LINKAGES blog. Reprinted with permission.
The USAID– and PEPFAR-supported LINKAGES project is excited to announce the arrival of a new supplement in the Journal of the International AIDS Society (JIAS) titled Optimizing the Impact of Key Population Programming Across the HIV Cascade.A collaboration among LINKAGES, USAID, CDC, amfAR, and JIAS, this supplement contributes new evidence and data-driven strategies for improving programming with men who have sex with men, sex workers, transgender people and people who inject drugs. It contains 14 original articles that represent a range of multidisciplinary efforts from diverse geographies to advance key population science and practice across the HIV prevention, care and treatment cascade.
As HIV services are scaled up in pursuit of 90-90-90 targets, investments to address the epidemic among key populations must be central to these efforts. Global data indicate that gains made among key populations lag substantially behind those made in the general population. This supplement aims to accelerate progress toward controlling the epidemic by bringing visibility to new evidence and approaches that can make key population programming smarter and more effective.
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A version of this post originally appeared on the LINKAGES blog. Reprinted with permission.
“We will only achieve HIV/AIDS epidemic control if we reach the UNAIDS 90-90-90 targets for all ages, genders, and at-risk groups, including key populations.”
– Ambassador Deborah L. Birx, MD, U.S. Global AIDS Coordinator and U.S. Special Representative for Global Health Diplomacy, June 2018
In 2013, UNAIDS set out to establish new global targets for HIV testing, care and treatment. Stakeholder consultations were conducted at country and regional levels around the world, ultimately resulting in the creation of the ambitious 90-90-90 targets to help bring an end to the AIDS epidemic:
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The focus of the global effort to end the HIV/AIDS epidemic, now 37 years on, is epidemic control, which the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) defines as limiting the annual number of new HIV infections in a country to less than the number of deaths among people living with HIV.
Sub-Saharan Africa, home to 26 million (70 percent) of the global total of 36.9 million people living with HIV, is where the battle must be won. To succeed and sustain the gains achieved in the past 15 years, countries in Africa will need to assume greater responsibility for managing their epidemics.
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Humanitarian response in Nigeria
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More than 1.7 million people are internally displaced, 14 million people in acute need of humanitarian assistance and 26 million people are affected by conflict in Nigeria.