The document summarizes ASTMH's advocacy activities from May to November 2013. It discusses their efforts to advocate for sustained funding for global health research at agencies like NIH, CDC, DoD, and USAID. It provides details on submitted testimonies and letters in support of these agencies. ASTMH also held advocacy events on Capitol Hill, including a briefing on neglected tropical diseases and a reception on Chagas disease. Their first "Hill Day" in November brought ASTMH members to meet with Congressional representatives. Looking ahead, ASTMH plans to continue advocating their message and engaging members in advocacy through increased participation in events like Hill Days.
India is rapidly becoming urbanised. By 2030, around 40% of the country's population will live in urban areas. The extent to which India's health system can provide for this large and growing city-based population will determine the country's success in achieving universal health coverage and improved national health indices. In The Lancet Global Health, Sundeep Salvi and colleagues1 offer a glimpse into India's urban health situation by reporting on the medical symptoms and diagnoses and the characteristics of patients who sought treatment from qualified primary health-care practitioners across 880 cities and towns on one day in 2011.
Presentation delivered by ASTMH Executive Director Karen A. Goraleski for the National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Lecture Series at the Centers for Disease Control and Prevention
The report examines the steep and historic expansion of U.S. health engagement in Africa, principally through the President’s Emergency Plan for AIDS Relief (PEPFAR) and the President’s Malaria Initiative (PMI), in the past decade. This dramatic shift in U.S. foreign assistance—spurred by the “exceptionalism” of HIV/AIDS—has rested on a consensus that substantial U.S. investments in health in Africa do indeed advance U.S. interests. They fulfill American humanitarian values by saving and enhancing lives; they strengthen health security against common and emerging threats; and they promote the stability and long-term development of vulnerable communities in low-income countries. Despite the achievements of U.S. global health programs over the past decade, challenges remain.
India is rapidly becoming urbanised. By 2030, around 40% of the country's population will live in urban areas. The extent to which India's health system can provide for this large and growing city-based population will determine the country's success in achieving universal health coverage and improved national health indices. In The Lancet Global Health, Sundeep Salvi and colleagues1 offer a glimpse into India's urban health situation by reporting on the medical symptoms and diagnoses and the characteristics of patients who sought treatment from qualified primary health-care practitioners across 880 cities and towns on one day in 2011.
Presentation delivered by ASTMH Executive Director Karen A. Goraleski for the National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Lecture Series at the Centers for Disease Control and Prevention
The report examines the steep and historic expansion of U.S. health engagement in Africa, principally through the President’s Emergency Plan for AIDS Relief (PEPFAR) and the President’s Malaria Initiative (PMI), in the past decade. This dramatic shift in U.S. foreign assistance—spurred by the “exceptionalism” of HIV/AIDS—has rested on a consensus that substantial U.S. investments in health in Africa do indeed advance U.S. interests. They fulfill American humanitarian values by saving and enhancing lives; they strengthen health security against common and emerging threats; and they promote the stability and long-term development of vulnerable communities in low-income countries. Despite the achievements of U.S. global health programs over the past decade, challenges remain.
Rural and Frontier Counties worked to improve public health for jurisdictions of every size...public health for everyone...How two public health nurses effected positive change in Montana
Sustaining the HIV and AIDS Response in St. Kitts and Nevis: Investment Case ...HFG Project
The HIV/AIDS program in St. Kitts and Nevis is at a turning point, facing both opportunities to expand and target its efforts and threats of decreasing funding. As its National HIV/AIDS Strategic Plan expires in 2014, the country must consider whether and how to revise strategic priorities related to controlling and mitigating the effects of the epidemic. Critical decisions must be made about programming and budgeting for the HIV response in the coming years.
This brief provides analytic inputs to help St. Kitts and Nevis develop an “investment case” for its HIV/AIDS program. UNAIDS and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) have encouraged the small-island countries of the eastern Caribbean to develop HIV investment cases – reports that aim to help program leaders target investments on the interventions and populations where they will have maximum impact, given limited resources (UNAIDS 2012).
Sustaining the HIV and AIDS Response in St. Vincent and the Grenadines: Inves...HFG Project
National surveillance reports estimate that there were about 649 persons living with HIV in St. Vincent and the Grenadines at the end of 2011, which translates to 1.2% of the adult population (15-49 years) or 0.7% of the total population. The epidemic is male-dominant, illustrated by the fact that the cumulative case reporting from 1984-2013 indicates that 60.6% of new cases are reported among males and 38.1% females (1.3% unknown). In response to the growing epidemic, the country quickly scaled up its national HIV/AIDS program in 2004. While care and treatment remains a high priority, St. Vincent and the Grenadines has devoted significant resources to preventative activities, including HIV counseling and rapid testing, education and workplace programs, and other behavioral interventions.
Despite a marked decline in HIV and AIDS cases, significant challenges for the country’s response remain. Close to 20% of persons with advanced HIV infection discontinue treatment within 12 months of initiation, suggesting the need to reinforce adherence and retention to care. The country also faces an imminent decline in donor funding and domestic reprioritization of chronic and non-communicable diseases; without renewed sources of external funding or greater domestic resources allocated to HIV/AIDS, progress made since 2004 could regress.
In response to these challenges, key priorities outlined in the country’s strategic framework (2014-2025) include: 1) institutionalizing HIV education through collaborative programs with different sectors, 2) targeting high risk groups, 3) strengthening HIV testing and counseling, including routine testing for pregnant women and, 4) ensuring access and retention to care and treatment for those with HIV and AIDS and TB. St. Vincent and the Grenadines has also taken steps to integrate HIV and AIDS services into the broader health system and included the HIV and AIDS program as part of the Ministry of Health, Environment and Wellness’ overall health framework. These actions are the beginning of efforts to improve access to care, reduce costs, and improve efficiencies.
Sustaining the HIV/AIDS Response in Antigua and Barbuda: Investment Case BriefHFG Project
Antigua and Barbuda has made great strides in organizing its response to HIV and AIDS in recent years, and has managed to control the growth of the epidemic. The National AIDS Program (NAP) is now at a critical juncture as the country plans to adapt to the changing donor funding landscape, new clinical guidelines, strategic objectives, and changes in policy including greater program integration into primary care, which are designed to increase access and reduce the cost of service delivery.
This document provides analytic inputs that support a case for investment in the Antigua and Barbuda HIV and AIDS response. This report provides a quantitative analysis of trends in the HIV epidemic and the impact of various prevention and treatment efforts to date, along with a projection of possible future programming scenarios, their costs, and their implications for the epidemic. The report describes estimated funding available and gaps in funding that The Goals and Resource Needs models – part of the Spectrum/OneHealth modeling system that estimates the impact and costs of future prevention and treatment interventions – were used for this analysis.
Getting Health’s Slice of the Pie: Domestic Resource Mobilization for HealthHFG Project
Many low- and middle-income countries have experienced strong economic growth in recent years, resulting in increased capacity for social sector spending. Net energy importers have further benefited from falling fossil fuel prices. At the same time donors are preparing to scale back development assistance, including support for global health initiatives. Responding to a lack of practical guidance on how countries can mobilize more domestic resources for the health sector, the Health Finance and Governance (HFG) project organized a series of joint learning workshops to promote knowledge exchange, share new and existing resources, and support countries in a DRM-for-health action planning process.
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Sustaining the HIV and AIDS Response in St. Kitts and Nevis: Investment Case ...HFG Project
The HIV/AIDS program in St. Kitts and Nevis is at a turning point, facing both opportunities to expand and target its efforts and threats of decreasing funding. As its National HIV/AIDS Strategic Plan expires in 2014, the country must consider whether and how to revise strategic priorities related to controlling and mitigating the effects of the epidemic. Critical decisions must be made about programming and budgeting for the HIV response in the coming years.
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Despite a marked decline in HIV and AIDS cases, significant challenges for the country’s response remain. Close to 20% of persons with advanced HIV infection discontinue treatment within 12 months of initiation, suggesting the need to reinforce adherence and retention to care. The country also faces an imminent decline in donor funding and domestic reprioritization of chronic and non-communicable diseases; without renewed sources of external funding or greater domestic resources allocated to HIV/AIDS, progress made since 2004 could regress.
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This document provides analytic inputs that support a case for investment in the Antigua and Barbuda HIV and AIDS response. This report provides a quantitative analysis of trends in the HIV epidemic and the impact of various prevention and treatment efforts to date, along with a projection of possible future programming scenarios, their costs, and their implications for the epidemic. The report describes estimated funding available and gaps in funding that The Goals and Resource Needs models – part of the Spectrum/OneHealth modeling system that estimates the impact and costs of future prevention and treatment interventions – were used for this analysis.
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ASTMH Advocacy Highlights - November 2013
1. ASTMH Council Advocacy Update
Jodie Curtis, Senior Government Relations Director
Erin Will Morton, Senior Government Relations Manager
2. What’s happening now?
Sequestration
- Everyone agrees it is a bad thing
- Many on both sides of the aisle want to get rid of it, but how?
Travel cuts
- Impacted by sequestration but separate and apart from sequestration
Government shutdown
- Negative impact on research
ASTMH 2013 Annual Meeting
2
4. ASTMH Advocacy: NIH
Submitted public testimony in June to the Senate Labor, Health and Human
Services, and Education (LHHS) appropriations subcommittee regarding fiscal
year 2014 requests for NIH
Sent letter to Secretary Sebelius requesting the participation of their employees
at the annual ASTMH meeting
Advocated for sustained global health R&D funding at NIH
ASTMH language about Fogarty Center’s work included Senate Appropriations
Report
ASTMH 2013 Annual Meeting
4
6. ASTMH Advocacy: CDC
Submitted public testimony in June to the Senate Labor, Health and Human
Services, and Education (LHHS) appropriations subcommittee regarding fiscal
year 2014 requests for CDC
Sent letter to Dr. Frieden requesting the participation of their employees at the
annual ASTMH meeting
Participated in coalition efforts to raise awareness of the importance of CDC’s
work in global health and infectious disease
ASTMH 2013 Annual Meeting
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7. ASTMH Advocacy: DoD
Submitted public testimony in July to the Defense appropriations subcommittee
regarding fiscal year 2014 funding for R&D within the DoD
Sent letters to House and Senate Defense legislative assistants in honor of
World Malaria Day and requesting support for MIDRP, WRAIR, and NMRC
Letters to Army and Navy officials, requesting the participation of their
employees at the annual ASTMH meeting in November
Co-chair DoD advocacy working group (inside-the-beltway coalition)
ASTMH 2013 Annual Meeting
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8. FY 14 House Report Language: DoD (in partnership with PATH &
GHTC)
ASTMH 2013 Annual Meeting
8
9. ASTMH Secondary Advocacy: USAID
Endorsed and advocated for H.R. 1515, the 21st Century Global Health
Technology Act
Participated in community advocacy efforts for USAID highlighting the
importance of R&D within each of USAID’s global health programs—especially
NTDs
Submitted report language in partnership with GHTC and DNDi that was
accepted in the FY 2014 Senate Appropriations Report
ASTMH 2013 Annual Meeting
9
10. FY 14 House Report Language: USAID NTD (in partnership with DNDi)
ASTMH 2013 Annual Meeting
10
11. Advocacy Case Study: First-Ever Congressional Hearing on NTDs –
How does an issue get traction?
Multi-year process
Peter Hotez elected ASTMH President and brings more attention of NTDs to policymakers
Council members do Hill visits and include NTDs as a topic
Drinker Biddle continues with Hill visits in DC
ASTMH cosponsors and ASTMH members speak at congressional briefings about NTDs
First-ever Congressional hearing on NTDs
- ASTMH supported House Foreign Affairs hearing on NTDs
- ASTMH advocacy laid the groundwork for hearing
- ASTMH actively engaged with Members of Congress and Hill staff at the hearing
ASTMH 2013 Annual Meeting
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12. ASTMH Council Hill Day: May 6, 2013
Dave Walker
Alan Magill
Dan Bausch
Stephen Dobson
Kayla Laserson
Pat Walker
17 Congressional
Office Visits
12 Senate
5 House
8 Dem
9 Rep
Pete Zimmerman
Karen Goraleski
Jacci Schiff
ASTMH 2013 Annual Meeting
12
14. ASTMH moderated a Capitol Hill
briefing on the cholera epidemic in
Haiti and the Dominican Republic
47 Hill staff attended
ASTMH 2013 Annual Meeting
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16. NTD briefing highlighting the need for USAID
investment in R&D in the current NTD program
Thank you letter to Reps. Bass (D-CA), and
Roybal-Allard (D-CA) for supporting the event
ASTMH 2013 Annual Meeting
16
17. ASTMH Thank-You Letters
Rep. Albio Sires (NJ-8) and Mario Diaz-Albert (FL-25) for introducing H.R. 1515, the ―21st
Century Global Health Technology Act‖
Rep. Christopher Smith (NJ-4) for convening the Subcommittee on Africa, Global Health, Global
Human Rights, and International Organizations’ hearing, ―Addressing the Neglected Diseases
Treatment Gap‖
Rep. Ander Crenshaw (FL-4) for sponsoring House Resolution 35, supporting the goals and
ideals of World Malaria Day and reaffirming US leadership and support for efforts to combat
malaria
Senators Marco Rubio (R-FL), Thad Cochran (R-MS), Ben Cardin (D-MD), Jim Inhofe (R-OK),
Mark Kirk (R-IL), Johnny Isakson (R-GA), Patty Murray (D-WA), Dick Durbin (D-IL), Barbara
Mikulski (D-MD), and Sherrod Brown (D-OH) for co-sponsoring of Senate Resolution 119
regarding World Malaria Day
ASTMH 2013 Annual Meeting
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18. ASTMH Sign-on Letters
Letter to OMB Director thanking the administration for its continued support for
global health research and development programs and asking for funding to be
sustained at HHS, NIH, CDC, FDA, USAID, and DoD in FY 2015
Letter regarding the National Science Foundation’s merit review process and
addressing the concerns of shifting away from "scientific merit" as the ultimate
criteria for determining which science to fund
InterAction Global Health Briefing book sections on malaria and neglected
tropical diseases
ASTMH 2013 Annual Meeting
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23. ASTMH Hill Day: Tuesday, November 12
First ever ASTMH ―Hill Day‖ with
general membership
12 members volunteered time to
advocate on the Hill
Global health community support
Training for advocates
ASTMH 2013 Annual Meeting
23
25. ASTMH Hill Day
17 Hill Meetings
- 11 Senate/6 House
- 12 Democrats/5 Republicans
―I hope you know how great and
important it is that you came to
Capitol Hill to do this. Folks up here
need to hear from real scientists.‖ Eric
in Senator Gillibrand’s (D-NY) office
ASTMH 2013 Annual Meeting
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26. ASTMH Engagement – Next Steps
Increase CapWiz participation
Repeat our message
Continue to engage with the community on global health funding priorities
Advocate R&D message on the Hill and with the community
Hill meetings, testimony, and briefings must continue
Social media and advocacy
Continue to raise advocacy issues in the ASTMH newsletter and blog
Advocacy Webinars
Increase participation in Hill Days
Create a culture of advocacy within the Society
ASTMH 2013 Annual Meeting
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