Season’s greetings to all, I hope everyone has some time outside of the hospital to spend with friends and family.
This blog post from a Boston Children’s fellow working in Rwanda with IMB/PIH neatly captures what global health is ideally about – seeing progress made in the health of people. Not that all, or even most, projects will accomplish this, and certainly not to say that this intervention has reached the level that its managers would like. But it’s good to see what can happen, and to take inspiration from this.
This somewhat wonkish piece dives into a discussion around USAID’s proposed shift to spending 30% of budgets locally – an attempt to improve on very valid complaints that much of aid money is spent on hiring consultants and buying materials from with high income countries, leaving relatively little to “trickle down” to the purposed recipients. While other countries have done this to various degrees, this piece notes the difficulties in shifting more complicated tasks to local organizations. Not necessarily a reason to avoid this shift – organizations learn by striving and at times failing – but a reasonable concern to raise.
The big news of World AIDS Day was the new WHO guidelines recommending treatment for all HIV+ patients at diagnosis.
An interesting argument from Horton of the Lancet proposing that the WHO work to a prime mover in bringing piece to the fore of international discussions. It’s an intriguing argument, but I must admit, one that I don’t quite buy. War and violence have a huge impact on health, and are certainly something we as health providers should comment on, but I don’t think that health providers will lead us out of conflicts.
Brief Lancet article discussing the COP21 climate accords, which have an obvious impact on global development as well as global health. General excitement on the accords appears to be warranted, though only time will tell how well the nations actually follow through on what they have claimed they will do.