South Africa’s Winnable AIDS Battle

Sign in Zambia, Africa, courtesy of Jonrawlinson /Wikimedia Commons

ERFURT – In the battle against HIV/AIDS, South Africa was for many years the perfect example of what not to do. Until recently, the government’s response to the epidemic, which threatened the country’s very lifeblood, was lackluster and foolish. But rising pressure over the past two decades – from civil-society groups, the media, and more enlightened politicians – is finally showing results. A disease that has inflicted profound social and economic pain, and dramatically reduced life expectancy, appears to be in retreat.

But a new UN report suggests that South Africa’s battle against the virus is far from over. The country has the world’s most severe HIV problem, with some 5.6 million citizens – more than 10% of the population – currently living with the virus. Every year, around 300,000 new infections, and 270,000 AIDS-related deaths, are recorded. HIV/AIDS patients are also prone to other infections: an estimated 70% of South Africans with AIDS also contract tuberculosis, while half of those carrying the HIV virus are expected to do so during their lifetime. Worse, a third of pregnant women – a highly AIDS-prone demographic – have been diagnosed with the virus, which can be passed on to their babies during childbirth.

Food for All

Tetra Pak School Milk in Indonesia, courtesy of Tetra Pak/Wikimedia Commons

LONDON – With food prices having doubled in the past decade, food security is back on the international agenda. How can the world produce more to feed the next billion people? How can agricultural yields be raised? What is the best way to develop aquaculture?

Unfortunately, this focus on the supply side misses half the problem. The world already produces more than twice the number of calories that the human population requires. An estimated one-third of global food production is wasted. In poor countries, food is lost due to inadequate storage and gaps in the supply chain (for example, a lack of refrigeration); in rich countries, food is also wasted in the supply chain, and consumers throw a lot of food away.

Diagnostics for Global Health

Measles Vaccination in Merawi Province, Ethiopia, courtesy of DFID/Flickr

CORVALLIS, OREGON – In developed countries, most people take for granted that when they are sick, they will have access to timely diagnosis and treatment. Indeed, while the diagnostic process – which typically involves sending a sample of blood, urine, or tissue to a laboratory for analysis – may be cumbersome and expensive, health-care providers and sophisticated laboratories remain widely available. As a result, the disease burden in the developed world has declined substantially.

By contrast, in the developing world, millions of people die each year from treatable diseases like malaria, owing to the lack of sophisticated laboratories and alternative diagnostic tests. But there is reason for hope: Advances in the field of microfluidics have the potential to transform health care by allowing “gold standard” laboratory-based testing to be transferred to the point of care (POC).

The Pillars of Peace

Pillars of peace. Image: Institute for Economics and Peace (IEP).
Pillars of peace. Image: Institute for Economics and Peace (IEP).

One of the major challenges facing the peacebuilding and development community today is how to balance short term humanitarian assistance with long term efforts to build capacity and resilience. We see this tension played out in many countries receiving significant overseas development assistance (ODA). Part of the problem is a lack of reliable data which, in turn, affects our ability to understand the effectiveness of the resources that international donors have channeled into peacebuilding efforts. This does not imply that these efforts are failing, but rather that we don’t know enough about their impact and the extent to which they are making progress towards building long-term capacity and resilience.

To help monitor and evaluate the long term progress of countries, the Institute for Economics and Peace (IEP) has developed a framework that analyzes data and attitudinal surveys in conjunction with current thinking about the long term drivers of peace, resilience and conflict. Recently launched in Geneva, the Pillars of Peace report identifies the attitudes and structures that typically underpin peaceful societies. The report shows that countries which tend to be more peaceful have a number of characteristics in common. For instance, peaceful countries are more equitable, have lower levels of corruption and higher levels of human capital. This shows that development assistance needs to look beyond short term efforts to contain violence and instead focus on the slow moving but underlying ‘Pillars’ that support peaceful societies.

New UN Development Agenda Gives Peace a Chance

Darfur: an experiment in African peacekeeping
Darfur: an experiment in African peacekeeping. Photo: Africa Renewal/flickr.

Give peace a chance. This is the message of the High-Level Panel, who singled out peace as a cornerstone of the post-2015 development agenda in their much-anticipated report released yesterday. The report stresses how freedom from conflict and violence are not just a means to an end, but ends in and of themselves. Such freedoms are “fundamental human entitlements” and “essential foundations for peaceful and prosperous societies.” Given simmering violence in the Middle East and across the Sahel, their message could not be more timely.

In putting peace squarely on the post-2015 development agenda, a historical wrong has finally been corrected. When the Millennium Declaration, which gave rise to the Millennium Development Goals (MDGs), was being crafted in the late 1990s, goals and targets on peace and security were quietly dropped from the final text. Now, they are front and center in the discussion. And rightly so. As the panel observes, “without peace, there can be no development.”