julian harris julianharris81googlemailcom picked textplain multipartalternative hey thought might interest list httpwwwbdafricacomindexphpoptioncom_contenttaskviewid9148itemid5821 time dismantle unaids business daily kenya august 4 2008 biennial international aids industry conference gathers 25000 delegates mexico wind change blowing unaids uns aids advocacy body stands accused exaggerating threat aids wasting billions preventing epidemics never going happen undermining basic healthcare africa diverting everlarger funds hivaids impending change leadership unaids provides opportunity fresh thinking candidate position platform dismantle organisation constructively help ensure hiv spending balanced equally pressing diseases stronger primary health care one denying hivaids serious problem hit subsaharan african countries hard particularly south africa globally however impact less severe annual two million deaths hiv number underfives die india easily preventable diseases like pneumonia hiv causes 37 per cent global mortality receives 25 per cent health aid plus big chunk domestic expenditure worst subsaharan africa hivaids constitutes less 20 per cent disease burden average skewed upwards south africas high prevalence yet globally hivaids receives 40 per cent health aid 46bn 2006 rising hivaids aid often exceeds total domestic health budgets years activists justified disproportionate spending claiming hivaids exceptional disease poverty developmental catastrophe emergency demanding wideranging un intervention claims demolished new data africa show prevalence highest among middle classes educated although hiv tip households poverty constrain national development serious diseases accidents prevalence africa peaked rates asia far lower projected unaids unaids claim hiv potential threat survival wellbeing people worldwide sensationalist world health organisations head hiv stated last month unlikely heterosexual epidemic outside subsaharan africa success unaids advocacy constraining improvement basic health services poorest countries excessive hiv funding created twotier health systems kind medical apartheid hiv patients receive treatment free nonhiv patients pay substandard services hiv funding also bypasses countries institutions creating parallel financing employment systems thus entrenching bad management creating duplication waste usa particular fault hiv programme pepfar flooded 15 countries hivdedicated resources attracting staff skills away needs global fund fight aids tb malaria far behind although unaids reduced world hiv estimates 395 million 332 million still calling huge increases annual spending 9 billion today 42 billion 2010 54 billion 2015 flooding worlds poorest countries foreign currency scale would cause inflation push interest rates de facto tax poor advocacy body hardly surprising unaids wants money demands look increasingly absurd industry grows aids industry grows fatter primary healthcare poorest countries crisis mozambiques health minister paulo ivo garrido wrote last year reality many countries funds needed specifically aids tuberculosis malaria funds firstly mostly needed strengthen national health systems range diseases health conditions managed effectively time unaids un agency hiv pneumonia diabetes kills people unaids dismantled rapidly singleissue campaigning distorting global health spending betraying worlds poor useful monitoring function transferred world health organisation resisted strongly worldwide hiv industry become monster many vested interests reputations stake many singleissue ngos many rock stars aids support fashion accessory mozambique 100 times ngos devoted hivaids maternal child health unaids dismantled international donors concentrate strengthening health systems providing sustained predictable funding good poor people hivaids england chairman health systems workshop independent thinktank promoting health systems reform _______________________________________________ iphealth mailing list iphealthlistsessentialorg httplistsessentialorgmailmanlistinfoiphealth thu 07 aug 2008 142518 0100 iphealth false threat epidemics