PEPFAR, Global Fund, and the future of HIV care

PEPFAR, Global Fund, and the future of HIV care

In this week’s edition of This Week in Global Development, we unpack the precarious state of the U.S. President's Emergency Plan for AIDS Relief, or PEPFAR. Despite ongoing congressional support, a significant disconnect between allocated funds and State Department disbursements has left major implementing agencies such as the U.S. Centers for Disease Control and Prevention operating on less than half their usual budget. As bridge funding begins to dry up and transition plans for bilateral health deals stall, the real-world consequences are starting to emerge — from shuttered drop-in centers in Nairobi to drastic service cuts in Uganda — and are putting key populations at immediate risk.

When it comes to on-the-ground implementation, the Global Fund to Fight AIDS, Tuberculosis and Malaria is increasingly expected to fill the vacuum left by the dismantling of USAID projects. This shift toward using the Global Fund’s infrastructure for large-scale health transitions has been fraught with technical hurdles, however, including performance issues with the fund’s wambo.org procurement platform and the looming policy implications of the expanded global gag rule.

To dig into these stories, Editor Rumbi Chakamba sits down with Devex reporters Andrew Green and Jenny Lei Ravelo for the latest episode of our weekly podcast series.

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Episoder(235)

The fight over $7.5B in expiring aid and a rejected State Department grant

The fight over $7.5B in expiring aid and a rejected State Department grant

We recently reported that roughly $7.5 billion in international affairs funding is set to expire by the end of this month. In a letter, more than 100 U.S. lawmakers have urged the State Department to ...

3 Sep 26min

The water sector’s funding challenge and Asia’s philanthropy push

The water sector’s funding challenge and Asia’s philanthropy push

At World Water Week in Stockholm, financing took center stage ahead of the U.N. Water Conference in Abu Dhabi this December. The annual gathering saw around 2,000 participants discuss water governance...

27 Aug 30min

Special edition: Rethinking the housing crisis

Special edition: Rethinking the housing crisis

What if housing finance could help solve today's biggest challenges? In this special episode, Habitat for Humanity’s Jacqueline Innocent reveals why housing is an upstream catalyst for health, educati...

25 Aug 27min

Famine reporting goes dark in 3 crisis zones, and COP31’s critical test

Famine reporting goes dark in 3 crisis zones, and COP31’s critical test

Afghanistan, Somalia, and Yemen, three of the world’s most hunger-prone nations, were removed from the latest reporting by the Famine Early Warning Systems Network — a U.S.-based data and monitoring s...

20 Aug 28min

Inside the State Department’s historic pivot to faith-based organizations

Inside the State Department’s historic pivot to faith-based organizations

In this episode of This Week in Global Development, Business Editor David Ainsworth sits down with Senior Reporters Michael Igoe and Sara Jerving to discuss the U.S. State Department’s announcement to...

13 Aug 29min

Special edition: Are jobs for youth development's silver bullet?

Special edition: Are jobs for youth development's silver bullet?

In this week’s special edition episode of the This Week in Global Development podcast, sponsored by the International Youth Foundation and the Caterpillar Foundation, we examine how shifting labor mar...

12 Aug 41min

Tracking the real-world impacts of US foreign aid cuts

Tracking the real-world impacts of US foreign aid cuts

This week, we discuss The Aid Report, a project supported by a media grant from the Gates Foundation to track the real-world impacts of U.S. foreign aid cuts. Over the past couple of months, the initi...

29 Jul 36min

The new era of US and European foreign assistance

The new era of US and European foreign assistance

This week we look back at the last 18 months of U.S. foreign assistance — a period defined by the dismantling of USAID and the absorption of foreign aid strategy into the State Department. We break do...

22 Jul 30min

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