Ethiopia / ILRI / Kenya / Official

Ebola vaccinations in DRC, gender equality’s income impact, PEPFAR at 15: This week in development

 

May 31, 2018
THIS WEEK’S MUST-READ DEVELOPMENT STORIES
Ebola vaccinations in DRC, gender equality’s income impact, PEPFAR at 15: This week in development
By Anne Paisley @devex
Group of 7 development and finance ministers meet to discuss innovative financing and women’s economic empowerment, Ebola vaccinations begin in the Democratic Republic of Congo, and PEPFAR celebrates 15 years with an eye to the future. This week in development.

The G-7 development and finance ministerial kicked off Wednesday in Whistler, British Columbia, where representatives from the world’s seven largest economies are discussing innovative financing and women’s economic empowerment for the first time. It’s also the first time since 2010 that the country holding the G-7 presidency — Canada — has convened a development ministerial. Canada is taking the opportunity to shine the spotlight on its feminist foreign policy agenda, which aims to put women and girls at the center of everything it does to help achieve the Sustainable Development Goals and eradicate poverty. “We strongly think that [local women’s organizations] know what the problems are, they know what the solutions are, they know how to do it, and we want to give them a voice and the power to make these changes,” Canada’s Minister of International Development Marie-Claude Bibeau told Devex. The main G-7 summit will kick off on June 8 in Quebec.

This week marks the 15th anniversary of PEPFAR, the largest-ever investment in a single disease in U.S. history. The President’s Emergency Plan for AIDS Relief was a unique initiative from the start, combining an ambitious treatment agenda with a focus on results and accountability — and massive sums of money. It has provided antiretroviral medications to more than 14 million people and staved off an epidemic that threatened to consume entire countries and cripple their economies. But to end the epidemic, or even to continue to make progress, the flagship HIV/AIDS program will have to go even further. “Complacency is a risk. It is not headline grabbing, it is not an emergency crisis, but still tackling a disease of this magnitude is just an all-out effort. Political leadership and recognition have to be in it for long term,” former U.S. Ambassador to Uganda Jimmy Kolker told Devex. The initiative still enjoys bipartisan support in the U.S. Congress, but advocates fear budget pressure could jeopardize its future success. PEPFAR launched a new strategy last September focused on 13 countries that have shown an ability to achieve epidemic control by 2020. While it will continue investing in the 50 countries where it operates, PEPFAR’s narrower focus begs the question of what might happen in non-focus countries, particularly Nigeria and South Africa, which have high disease burdens. Devex reporters Adva Saldinger and Michael Igoe explore how 15 years later, PEPFAR is still at war with a global epidemic.

Officials began vaccinating health workers and others against Ebola on Monday in Bikoro in the western part of the Democratic Republic of the Congo, where an outbreak of the disease was declared on May 8. The “ring vaccination” strategy, which relies on teams to trace all contacts and contacts of contacts, is attempting to vaccinate an estimated 1,000 people who could possibly be carriers of the virus. Response efforts are facing logistical challenges: underdeveloped health systems, remote and forested terrain, and most notably, strict ethical protocol requirements since the vaccine is not yet licensed. Individual informed consent is needed from every person who is volunteering to take the vaccine, but CNN reports that so far, “the vaccine is proving to be a very acceptable intervention to the community in Mbandaka.” As of Tuesday, there were “no reports of refusal of the vaccination” and more than 90 percent of eligible people were vaccinated.

Gender inequality could be costing the global economy an estimated $160.2 trillion — or about twice the value of the global gross domestic product, according to a World Bank report. The report measured lifetime earnings across 141 countries and found that human capital wealth could increase by nearly 22 percent globally, and total wealth by 14 percent, if there is gender equality in earnings, assuming women would earn as much as men. Globally, women account for only 38 percent of human capital wealth; that drops to one-third, or less, in low- and lower-middle income countries. To close this gap, the report recommends investments during childhood through schools to help young people build job-relevant skills, efforts to encourage entrepreneurship and innovation later in life, and policies that ensure equal access to opportunities and resources.

FROM THE EDITOR
Top picks this week
By Devex @devex
Taking the Pulse
This week, Devex launched a new series on how we can lift the global burden of noncommunicable diseases.

The leading cause of mortality worldwide, NCDs are responsible for 70 percent of global deaths — 80 percent of which occur in low- and middle-income countries. Reducing NCDs is possible, but it will require targeted and strategic action by many different stakeholders. Here’s how to take a sector-wide approach

NCDs are increasingly being diagnosed in young people, with tobacco, harmful use of alcohol, poor diets, and lack of physical exercise exacerbating this growing epidemic. In a space where messaging to young people is saturated by advertisements for junk food and other products, the Pacific Islands are taking on a different approach. Here’s how street art might break down barriers to discuss NCDs with Gen Z

What you need to know from two major annual meetings
71st World Health Assembly roundup
Capitalizing on political commitments and finding new ways to collaborate, including efforts around Taiwan’s membership of WHA, which collapsed after objections from China.African Development Bank’s 53rd Annual Meetings roundup
Cocoa, climate, and quiet conversations about a capital increase. World Bank’s Jim Yong Kim on Africa’s industrialization and disaster insurance premium relief in the form of private sector involvement.
Former UN education boss says he is losing hope of getting all children into school
The Millennium Development Goals were criticized for their sole focus on primary education but Sustainable Development Goal 4 — “free, equitable and quality primary and secondary education” — is too broad to be effective. Former assistant director-general for education at UNESCO, Nicholas Burnett, calls for a dedicated global campaign to ensure we don’t forget the world’s most marginalized children.
7 steps to securing mHealth data in low-resource settings
The upSCALE platform in Mozambique, one of the first mHealth programs to be rolled out nationally in a low-income country, aims to strengthen community health delivery in underserved areas. We look at how the country is edging toward its first legal framework on data protection.
Devex World session: The role of new funding models
In the countdown to Devex World on June 12, in Washington, D.C., we explore the theme of New Funding Models, centered around the new financial instruments in the global development space — the development impact bond, social impact bond, climate bond, and blended finance. Devex Associate Editor Adva Saldinger explains why we’re still talking about them.
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SPECIAL NOTICE
The full Devex World agenda
Devex World 2018 — our flagship event taking place on June 12 in Washington, D.C. — is a unique moment on the global development calendar and will be the epicenter for 1,000 global leaders hailing from across the world in a few weeks. We’ve just revealed the full agenda, including the exciting details of our opening plenary “New Tools For Global Development.” Here’s the full agenda.

Devex World brings together a remarkable and diverse group of leaders — tech disruptors, financial innovators, movement leaders, social intrapreneurs, and purpose-driven executives — to challenge and shape the future of our industry. Make sure you don’t miss this full day of sessions featuring luminaries such as Malcolm Gladwell, Arif Naqvi, Toyin Ojora Saraki, First Lady Rula Ghani, Alex Thier, Miguel McKelvey, and Wendy Kopp. In addition to sessions, you’ll find interactive workshops, a film discussion, a live taping of Vox’s Displaced podcast, and more!

Get your ticket before registration rates increase on May 31.

SPECIAL NOTICE
Stopping the silent killers
They’re the leading cause of death in the world, people often don’t see them coming until it’s too late, and to tackle them can often be financially crippling for patients and their families. From now until September, we’re talking noncommunicable diseases or NCDs.

From heart disease to stroke, cancer, diabetes, mental health disorders, and chronic lung disease we’ll be exploring how the global development community can best tackle them; the impact of NCDs in lower- and middle-income countries and some of the world’s most vulnerable communities; and how to fill the funding gap.

Telling the stories of health workers on the front lines, we’ll be asking how innovation around the provision of health care can help, and exploring the social and economic impacts of chronic diseases among communities, considering possible solutions.

Do you know what it will take to stop the silent killers? Let us know posting your thoughts on Twitter and Facebook using #TakingThePulse and tagging @Devex, and visit our Taking the Pulse site for all our coverage of this topic.

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