Comments on: PEPFAR Reauthorization in Danger http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/ Just what it says Sun, 29 Nov 2009 22:25:26 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: presaonline http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/comment-page-1/#comment-12662 presaonline Thu, 26 Nov 2009 21:26:56 +0000 http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/#comment-12662 great post ! great post !

]]> By: Newcome http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/comment-page-1/#comment-11915 Newcome Tue, 27 Oct 2009 23:25:03 +0000 http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/#comment-11915 Hello , Thank you very much this beatiful information. Best regards, -plc- Hello ,
Thank you very much this beatiful information.

Best regards,

-plc-

]]> By: Francescon http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/comment-page-1/#comment-11744 Francescon Sat, 10 Oct 2009 06:28:05 +0000 http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/#comment-11744 I thought all of you WordPress fans will find this useful: good instructions on managing the php.ini configuration file. If this file is missing or is placed in a wrong directory, some of your WordPress plugins may not function correctly. Take a look. This may be worth a couple minutes of your time: http://www.krazyworks.com/web-hosting-providers-and-php-ini/ I thought all of you WordPress fans will find this useful: good instructions on managing the php.ini configuration file. If this file is missing or is placed in a wrong directory, some of your WordPress plugins may not function correctly. Take a look. This may be worth a couple minutes of your time: http://www.krazyworks.com/web-hosting-providers-and-php-ini/

]]> By: Gertz http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/comment-page-1/#comment-11611 Gertz Thu, 24 Sep 2009 13:52:34 +0000 http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/#comment-11611 hello, thanks for the interesting blogpost. i?m from germany and i?m always looking for different international blogs to make my own better. its very exciting to read blogposts of all colours to learn. keep on rocking your blog. <a href="http://www.frei-durch-geld.de" rel="nofollow">my own blog</a> hello, thanks for the interesting blogpost. i?m from germany and i?m always looking for different international blogs to make my own better. its very exciting to read blogposts of all colours to learn. keep on rocking your blog. my own blog

]]> By: Wonk Room » Conservatives Demand Wasteful PEPFAR Earmark http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/comment-page-1/#comment-5649 Wonk Room » Conservatives Demand Wasteful PEPFAR Earmark Mon, 14 Jul 2008 17:33:04 +0000 http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/#comment-5649 [...] requirements also wastes aid resources. As Michael Gerson, President Bush’s former speech writer, points out: And because treatment is less expensive than it used to be, PEPFAR is meeting its treatment goal [...] [...] requirements also wastes aid resources. As Michael Gerson, President Bush’s former speech writer, points out: And because treatment is less expensive than it used to be, PEPFAR is meeting its treatment goal [...]

]]> By: Americo Jose Ubisse http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/comment-page-1/#comment-5259 Americo Jose Ubisse Tue, 03 Jun 2008 12:46:32 +0000 http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/#comment-5259 PEPFAR 1 was an incredible very good start towards global efforts in the fight against HIV/AIDS. PEPFAR II will be enlightened by the best practices and success stories already achieved. The way forward has interesting challenges...Its an added value and strategic commitment from the US Government, Congress and senate to keep the PEPFAR alive! PEPFAR 1 was an incredible very good start towards global efforts in the fight against HIV/AIDS. PEPFAR II will be enlightened by the best practices and success stories already achieved. The way forward has interesting challenges…Its an added value and strategic commitment from the US Government, Congress and senate to keep the PEPFAR alive!

]]> By: HIV / AIDS Treatment » Comment on PEPFAR Reauthorization in Danger by Jennie Quick … http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/comment-page-1/#comment-5237 HIV / AIDS Treatment » Comment on PEPFAR Reauthorization in Danger by Jennie Quick … Fri, 30 May 2008 00:32:12 +0000 http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/#comment-5237 [...] Visit original post by Jennie Quick, Population Services International [...] [...] Visit original post by Jennie Quick, Population Services International [...]

]]> By: Jennie Quick, Population Services International http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/comment-page-1/#comment-5229 Jennie Quick, Population Services International Wed, 28 May 2008 18:42:27 +0000 http://blogs.law.harvard.edu/politicshiv/2008/05/14/pepfar-reauthorization-in-danger/#comment-5229 I agree that the current congressionally-mandated earmarks for specific PEPFAR activities are arbitrary. Earmarking PEPFAR funds has limited host countries' flexibility to respond to the particular nature of their epidemics, and in its 2007 review of PEPFAR, which was required by law, the Institute of Medicine recommended replacing the earmarks with a more flexible mechanism. When PEPFAR was originally authorized in 2003, it was in response to an "emergency," as the program's name suggests. Virtually no funding was being spent on HIV/AIDS treatment abroad, because of a lack of commitment by donors and concerns that it was unfeasible to dramatically scale up access to anti-retroviral drugs in developing country settings. Making ARV drugs accessible to so many people living with HIV/AIDS has been a huge PEPFAR success story. But we have come a long way since 2003. Skeptics about treatment's feasibility have been proved wrong, and policymakers and donors now recognize the value of providing treatment. Having made great gains in addressing the emergency, we need to refocus energy and resources on making our fight against HIV/AIDS sustainable--and as the blog entry notes, this means greater attention to prevention. With the $50 billion that would be authorized by the pending legislation, PEPFAR will be able to scale up prevention without neglecting treatment. Additionally, there are new or newly recognized prevention tools at our disposal that should greatly benefit those at risk of contracting HIV in the years ahead. For example, in the past few years, there has been a growing understanding that concurrent sexual relationships play an important role in the spread of HIV, leading to a recognition of the importance of interventions to encourage partner reduction. As another example, less than two years ago, studies provided strong evidence that male circumcision can reduce a man's risk of HIV infection through heterosexual sex by as much as 60 percent, demonstrating the importance of making safe male circumcision services and related education widely available. Over the next five years, additional new evidence about how best to respond to HIV/AIDS may come to light. It is evidence, and not earmarks, that should guide how PEPFAR resources are applied. I agree that the current congressionally-mandated earmarks for specific PEPFAR activities are arbitrary. Earmarking PEPFAR funds has limited host countries’ flexibility to respond to the particular nature of their epidemics, and in its 2007 review of PEPFAR, which was required by law, the Institute of Medicine recommended replacing the earmarks with a more flexible mechanism.

When PEPFAR was originally authorized in 2003, it was in response to an “emergency,” as the program’s name suggests. Virtually no funding was being spent on HIV/AIDS treatment abroad, because of a lack of commitment by donors and concerns that it was unfeasible to dramatically scale up access to anti-retroviral drugs in developing country settings. Making ARV drugs accessible to so many people living with HIV/AIDS has been a huge PEPFAR success story.

But we have come a long way since 2003. Skeptics about treatment’s feasibility have been proved wrong, and policymakers and donors now recognize the value of providing treatment. Having made great gains in addressing the emergency, we need to refocus energy and resources on making our fight against HIV/AIDS sustainable–and as the blog entry notes, this means greater attention to prevention. With the $50 billion that would be authorized by the pending legislation, PEPFAR will be able to scale up prevention without neglecting treatment.

Additionally, there are new or newly recognized prevention tools at our disposal that should greatly benefit those at risk of contracting HIV in the years ahead. For example, in the past few years, there has been a growing understanding that concurrent sexual relationships play an important role in the spread of HIV, leading to a recognition of the importance of interventions to encourage partner reduction. As another example, less than two years ago, studies provided strong evidence that male circumcision can reduce a man’s risk of HIV infection through heterosexual sex by as much as 60 percent, demonstrating the importance of making safe male circumcision services and related education widely available.

Over the next five years, additional new evidence about how best to respond to HIV/AIDS may come to light. It is evidence, and not earmarks, that should guide how PEPFAR resources are applied.

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