Tuesday, April 10, 2012

VOA News: Americas: Study: Centuries-Old Farming Methods Hold Key to Rainforest Conservation

VOA News: Americas
Americas Voice of America
Study: Centuries-Old Farming Methods Hold Key to Rainforest Conservation
Apr 10th 2012, 23:31

The Amazon region of South America, the largest tropical rainforest and river basin on Earth, is disappearing at a rate of around 800,000 hectares a year, but a new study finds one possible strategy for reversing this trend in ancient Amazonian farming methods.

Analysis of a 1,000-year-old ecological record in the Amazon provides a rare glimpse at early farming practices before European explorers began arriving in the Americas more than 500 years ago.

The study, published in Proceedings of the National Academy of Sciences, finds the ancient farming methods could slow the destruction of the Amazon rainforest.

The rapid expansion of agriculture and cattle ranching, road and dam construction, and illegal logging are the biggest drivers of this massive deforestation.  

Lead author Jose Iriarte, a paleoethnobotonist at the University of Exeter in England, focused on a coastal wetland savanna in present-day French Guyana, on South America's northeastern coast, where ancient farm beds and canals remain, unaltered, on the landscape.  In pre-colonial history, Iriarte says, this was a period when farmers "reclaimed these seasonally flooded savannas into raised-field agricultural landscapes."

A sediment core from the site provided the team with an unusually intact archive of how farmers farmed these fields. It shows pollen, plant species and charcoal before and after the European colonization in the late 15th and 16th centuries.

Geographer Mitchell Power, curator of the Natural History Museum at the University of Utah, studied charcoal in the core. He says while evidence shows that naturally-occurring fires began decreasing globally around 1500 - a period of documented climate cooling - that's not what they saw in the Amazonian record.

"When we went to the French Guyana site to try to understand the record, the most surprising thing to me was that it was the opposite trend.  Fire was very low and then after 1500, fire increased," he said. "That was contrary to what 90 percent of the rest of the records around the world are telling us."<!--IMAGE-LEFT-->

Iriarte says the farmers understood how fire could harm the land and agricultural production.

"We know that fire results in the loss of crucial nutrients for crops, [and that] fallows without fires are most effective in restoring soil organic matter and preserving soil structure," he said. "So we interpreted that they were limiting fires because it was better to grow crops in these raised field systems."

Iriarte says use of this fire-free method by the pre-Columbian farmers helped them transform the seasonally-flooded savanna into productive cropland.

"Raised fields provided better drainage, soil aeration, and also moisture retention during the dry season. These raised fields were constructed mainly with the muck from these seasonally flooded savannahs," he said. "So they are really fertile and they can be recycled every season."

Mitchell Power says this labor-intensive approach ended abruptly when as much as 95 percent of the indigenous population died from a variety of Old-World diseases brought by the European settlers.

"Once the Columbian encounter happens we don't see that type of agriculture any more," he said. "We start to see increased burning and a shift toward dry land farming. So people were then clearing forests and making their raised beds in the forests. And what we think is happening was a huge demographic collapse in this region."

Slash-and-burn agriculture - introduced to the Amazon not by the native farmers but by European colonizers - remains today a major threat to the rainforest. Experts say if such practices continue at the current rate, more than half of the Amazon's tropical rainforest could be gone by 2030.

Iriarte says pre-Columbian farming methods offer a tried-and-true alternative.

"It has the capability to help curb carbon emissions and at the same time provide food security for the more vulnerable and poorest rural populations of rural Amazonia," he said.

The authors say bringing back these labor-intensive but productive farming systems to serve today's - and tomorrow's - food needs will require extensive farmer re-training - and the political will of the region's governments. And they believe that if the Amazon's current stewards can reclaim the wisdom of their ancestors, the damage to the world's greatest rainforest can be slowed.

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VOA News: Economy: Health Care Expert Details Ways to Cut Costs

VOA News: Economy
Economy Voice of America
Health Care Expert Details Ways to Cut Costs
Apr 10th 2012, 23:50

<!--AV-->

In late June, the U.S. Supreme Court is expected to rule on the constitutionality of a health care law that would require all Americans to buy health insurance, and for most companies to provide it to their employees.  Americans have been debating the health insurance issue for years, and in the meantime, the costs of medical treatment, as well as the cost of health insurance premiums, have been rising steadily.  At least one expert says part of the debate should be how to reduce costs without reducing the quality of care.

Americans expressed their views on health care in late March as the Supreme Court heard arguments on a law many call "Obamacare." Health care is so expensive that without insurance, many people could not afford it. But health insurance is also expensive. Close to 50 million Americans do not have insurance for health care.

Dr. Donald Berwick is an expert on health care issues who recently retired as the head of US government health programs for the elderly and the poor (Medicare and Medicaid). He's currently a senior fellow at the Center for American Progress, a policy research organization.

"I know that the best way to reduce costs is to improve quality, not to cut back on care," he said.

Dr. Berwick co-authored an article on that topic in the Journal of the American Medical Association. He says following proper procedures can reduce expensive mistakes, mistakes resulting from post-operative complications or dangerous reactions when a patient is given the wrong medicine.  Costs mount, too, when health care is not coordinated, for instance, when a patient sees both a primary care doctor and a specialist and neither knows what medicines or tests the other is prescribing.  

Dr. Berwick says unnecessary treatment also drives up costs.  "For example, getting antibiotics for a viral infection. That doesn't do any good at all, and yet we do it. We do it all the time," he said.

And then there's the bane of every doctor or nurse's job - filling out forms. "Lots of different players in health care add costs by requiring you to jump through hoops if you are a doctor or nurse filling out forms and things like that that don't add any value," said Dr. Berwick.

Dr. Berwick also points to the high cost of diagnostic procedures.  In the United States, MRIs and CT scans cost many times what they cost in other countries.

Researchers says the U.S. spends 17 per cent of its gross domestic product on health care. That number is expected to reach 20 per cent in the next 8 years. "If we don't work on waste and improvement of care as the fundamental agenda for reduction of cost we're headed over a cliff, bad things are going to happen," he said.

However, Dr. Berwick says if costs can be contained, money will available for procedures and medicines that work.  

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VOA News: Economy: Zimbabwe Agriculture Struggles to Meet Demand

VOA News: Economy
Economy Voice of America
Zimbabwe Agriculture Struggles to Meet Demand
Apr 10th 2012, 23:23

Zimbabwe was once southern Africa's breadbasket.

But today it is a basket case, where people depend on handouts for food.

For more than 10 consecutive years since President Robert Mugabe's government embarked on a land reform program targeting white farmers, Zimbabwe has had to import food to avert hunger as its new farmers cannot produce enough.

On Tuesday, Finance Minister Tendai Biti said the treasury had released $20 million to farmers to buy inputs - seeds, fertilizer and other farming materials.  At the same news conference, Minister of Agriculture Joseph Made said a third of the country's planted crop for the 2012 season was a write-off, since farmers did not have irrigation systems and were too poor to buy required inputs on time.

"It is clear if you bring inputs late in the season you cannot take advantage.  Cropping is a function of time," said Made.  "The season does not wait.  I hope in what we are doing are correcting the situation so that never again are the inputs are delayed…. The second point is that when we are talking of agriculture farmers suffer the vagaries of weather. That you cannot control. The best is to assist farmers by development of irrigation."

Zimbabwe had plenty of food until 2000.  Since then it has been a different story since President Mugabe's government launched its land reform program.  Almost all white commercial farmers were replaced by inexperienced farmers, mainly supporters of Mugabe's ZANU-PF party. It is these farmers that Made wants helped in erecting irrigation systems to water their crops.

The deposed white farmers had irrigation systems, but the new farmers mostly destroyed them when they took over the farms, often by force.

"There is a move towards market-related solutions towards agriculture, bearing in mind our incapacity as a state to look fully after our people," said Finance Minister Biti.  "This is a move we are making which reflected in this program we are launching today."

It remains to be seen if these untrained farmers are able to survive on their own without being assisted by the government, as has been the case since the land reform started.

Critics have said Zimbabwe's government should have trained the farmers before allocating them land to them.  Tuesday, when asked to reveal how farmers had performed and whether Zimbabwe needed to import food in 2012, Agriculture Minister Made said exact figures are still not available, but production will not be what was expected.

"I know you might be looking for [a] specific figure.  You have to wait a little bit.  That has to be briefed to [the] cabinet first. But of the 1.7 million hectares that were planted, 500,000 hectares will be a write off," said Made.

The $20 million in aid to farmers announced Tuesday is meant to increase size of the winter crop, especially wheat.  The southern African country requires 406,000 metric tons of wheat annually to meet local demands.  Made said the funding would result in wheat production increasing to 76,000 metric tons.

The United Nations estimates that at least 1.5 million people need food aid in Zimbabwe. With the latest revelations, the number of people who need food assistance is almost certain to increase.

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VOA News: USA: MSF Alarmed Over Plans to Cut US AIDS Program

VOA News: USA
USA Voice of America
MSF Alarmed Over Plans to Cut US AIDS Program
Apr 10th 2012, 23:22

Medical aid organization Doctors Without Borders is concerned that proposed budget cuts to a U.S. program for HIV treatment around the world threatens the progress being made against the pandemic in Africa.  

On World AIDS Day in December, U.S. President Barack Obama announced that the United States would aim to treat six million people infected with HIV around the world by the end of 2013 - two million more than the previous target.

The organization responsible for the outreach will be the President's Emergency Plan for AIDS Relief, better known by its acronym PEPFAR.

But while Mr. Obama has pledged to expand PEPFAR to include more people, his budget proposal for the fiscal year 2013 cuts more than a half-billion dollars from the program, about 13 percent of its current funding.

Doctors Without Borders, known by its French acronym MSF, has raised the alarm over the proposed cut, saying it will undermine the president's own goals.

Jennifer Cohn, the East Africa policy advisor for the MSF Access Campaign, said she is concerned that countries that receive PEPFAR support may begin scaling back their own treatment programs in anticipation of the cuts.

"In terms of the budget shortfall, I think many problematic things might occur as a result of that, including decreases in treatment, decreases in other sorts of support, and then, sort of a chilling effect on country guidelines themselves," said Cohn.

Budget figures outlined by MSF show some major reductions in Africa, including a nearly 50 percent cut in funding for Kenya and 82 percent for Ethiopia.

In a post on the official State Department blog in February, U.S. Global AIDS Coordinator Eric Goosby wrote that the administration is "freeing up resources by reducing programs in countries with a lower HIV prevalence," specifically mentioning Ethiopia.  He also said the program in Kenya had "matured" and that it was adjusting the country's funding to reflect a new focus on local implementation.

Proposed cuts not final

PEPFAR senior advisor Tom Walsh said all the budget figures being discussed are preliminary and that some of the country figures are certain to change.

Still, he emphasized that PEPFAR has made dramatic gains in efficiency, and that the budget requested for 2013 is the amount needed.

"Over the years, we've gotten the cost of treating an individual person per year with antiretroviral therapy down from about $1,100 in 2004 to $335 in 2011," said Walsh.. "That kind of dramatic gain in efficiency, in reaching more people with the resources available, is what Congress likes to see and we think we're going to make continued progress on that front."

The president's budget proposal needs the approval of the U.S. Congress. Walsh said PEPFAR has always received strong bipartisan support.

MSF is not only concerned about the budget numbers, but also with some of the program's accounting methods.

Cohn said the way PEPFAR counts the number of people receiving treatment can be misleading.

"What we're finding is actually that whereas PEPFAR is not necessarily directly supporting people on treatment in certain countries, they're actually counting those people toward the 6 million people they promise to put on treatment by 2013, so we find that concerning and somewhat disingenuous," said Cohn.

Cohn's concerns are highlighted in a U.S. report from earlier this year on PEPFAR's programming in Malawi.

In the document, PEPFAR outlines the support it provides in the country, such as funding staff for visits to treatment sites, training service partners and developing an electronic data system. Nowhere does it say the U.S. provides antiretroviral medication (ARVs) for patients.

But, in the "Recommendations" section of the document, the authors suggest that all HIV-infected adults receiving treatment in Malawi's national program should be reported as "directly supported" by the U.S. government.

Tom Walsh for PEPFAR could not confirm that this accounting practice is common, and said the methods vary based on the arrangements in each individual country.

He said the U.S. supports a variety of services, and treating HIV is about more than just providing drugs.

"ARVs are an important part of treatment, but also important is the infrastructure to deliver the drugs, support for the clinics, training for the health providers who do the work," said Walsh. "In every country there's a different combination of resources that it takes to deliver treatment."

Partnering against HIV/AIDS

The United States is increasing its reliance on partners in treatment programs, one of the biggest being the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Walsh points out that responsibilities for HIV programs around the world are divided up between partner organizations.  So, PEPFAR may pay for training and infrastructure, while the Global Fund or the host government buys the medication.

Despite scaling back PEPFAR, President Obama's 2013 budget request includes an increase of $350 million for the Global Fund.

But that increase does not make up for PEPFAR's cuts.  If the budget is approved as is, the net decrease for AIDS funding would be about $213 million.

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VOA News: Economy: Obama Renews Call for Higher Taxes on Millionaires

VOA News: Economy
Economy Voice of America
Obama Renews Call for Higher Taxes on Millionaires
Apr 10th 2012, 22:22

U.S. President Barack Obama on Tuesday renewed his call for Congress to pass the so-called "Buffett Rule," which would raise income taxes on the wealthiest Americans. The president is highlighting his differences with leading Republican presidential hopeful Mitt Romney, in an appeal to middle class voters.

At a university in Florida, Obama said the growing financial divide between rich and middle class Americans needs to be addressed.

"What drags our entire economy down is when the benefits of economic growth and productivity go only to the few, which is what has been happening for over a decade now, and the gap between those at the very, very top and everybody else keeps growing wider and wider and wider and wider," said Obama.

The president again called on the Senate to pass what he calls the "Buffett Rule," named for billionaire investor Warren Buffett, who has said that he pays too little in taxes, while middle class Americans pay too much.

The Democratic-led Senate is expected to vote on the bill in the coming days, but analysts say the legislation likely will not pass the Republican-led House of Representatives.

Republicans say the Buffett Rule would raise taxes on small businesses and discourage job creation. They also say it would do very little to shrink the government's huge budget deficit.

Obama is proposing that people who earn at least $1 million a year should pay at least 30 percent of their income in taxes.

At Florida Atlantic University, the president also campaigned for other parts of his economic plan, including government projects for education and infrastructure.

"They have not been made as some grand scheme to redistribute wealth from one group to another. This is not some socialist dream.  They have been made by Democrats and Republicans for generations because they benefit all of us," he said.

A new Washington Post-ABC News public opinion poll shows that Obama leads likely Republican nominee Mitt Romney, 51 to 43 percent.  But more than half of the voters surveyed say they disapprove of the president's handling of the economy.

Obama is stressing middle class issues, to draw a contrast with the wealthy former Massachusetts governor.

Romney's path to the Republican Party nomination became clearer Tuesday, when his main rival, former Pennsylvania senator Rick Santorum, announced that he was suspending his campaign because his daughter suffers from a rare illness.

In addition to his speech at the university, the president attended three campaign fund-raising events in Florida.

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VOA News: USA: Obama Renews Call for Higher Taxes on Millionaires

VOA News: USA
USA Voice of America
Obama Renews Call for Higher Taxes on Millionaires
Apr 10th 2012, 21:56

U.S. President Barack Obama on Tuesday renewed his call for Congress to pass the so-called "Buffett Rule," which would raise income taxes on the wealthiest Americans. The president is highlighting his differences with leading Republican presidential hopeful Mitt Romney, in an appeal to middle class voters.

At a university in Florida, Obama said the growing financial divide between rich and middle class Americans needs to be addressed.

"What drags our entire economy down is when the benefits of economic growth and productivity go only to the few, which is what has been happening for over a decade now, and the gap between those at the very, very top and everybody else keeps growing wider and wider and wider and wider," said Obama.

The president again called on the Senate to pass what he calls the "Buffett Rule," named for billionaire investor Warren Buffett, who has said that he pays too little in taxes, while middle class Americans pay too much.

The Democratic-led Senate is expected to vote on the bill in the coming days, but analysts say the legislation likely will not pass the Republican-led House of Representatives.

Republicans say the Buffett Rule would raise taxes on small businesses and discourage job creation. They also say it would do very little to shrink the government's huge budget deficit.

Obama is proposing that people who earn at least $1 million a year should pay at least 30 percent of their income in taxes.

At Florida Atlantic University, the president also campaigned for other parts of his economic plan, including government projects for education and infrastructure.

"They have not been made as some grand scheme to redistribute wealth from one group to another. This is not some socialist dream.  They have been made by Democrats and Republicans for generations because they benefit all of us," he said.

A new Washington Post-ABC News public opinion poll shows that Obama leads likely Republican nominee Mitt Romney, 51 to 43 percent.  But more than half of the voters surveyed say they disapprove of the president's handling of the economy.

Obama is stressing middle class issues, to draw a contrast with the wealthy former Massachusetts governor.

Romney's path to the Republican Party nomination became clearer Tuesday, when his main rival, former Pennsylvania senator Rick Santorum, announced that he was suspending his campaign because his daughter suffers from a rare illness.

In addition to his speech at the university, the president attended three campaign fund-raising events in Florida.

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VOA News: USA: Rick Santorum Suspends US Presidential Campaign

VOA News: USA
USA Voice of America
Rick Santorum Suspends US Presidential Campaign
Apr 10th 2012, 19:23

U.S. presidential candidate Rick Santorum has announced he is suspending his campaign, but vowed to continue to support the Republican bid for the presidency.

Santorum made the announcement Tuesday in Gettysburg, Pennsylvania, just a day after his daughter Bella was discharged from a hospital where she spent three days being treated for a rare genetic condition known as Trisomy 18. Santorum said her illness caused the family to think about his decision to leave the race. He said the family is looking forward to spending a lot more time with Bella in the future.

<!--IMAGE-RIGHT-->Santorum, a former U.S. senator from Pennsylvania, would have faced a tough primary contest in his home state with the frontrunner for the Republican nomination, Mitt Romney, later this month.

In a variation on his catchphrase, "game on," Santorum assured his supporters Tuesday that "the game is a long, long way from over." He said he plans to continue fighting to ensure that the United States is a "beacon of freedom" around the world.

Santorum was only a marginal candidate last year when a large slate of Republican contenders entered the race for the Republican nomination for the presidency. But his voter support grew as candidates dropped out, and in recent weeks, he had been second only to Romney in the four-person race, which also included former House speaker Newt Gingrich and U.S. Representative Ron Paul.

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VOA News: Africa: Zimbabwe Agriculture Struggles to Meet Demand

VOA News: Africa
Africa Voice of America
Zimbabwe Agriculture Struggles to Meet Demand
Apr 10th 2012, 18:48

Zimbabwe was once southern Africa's breadbasket.

But today it is a basket case, where people depend on handouts for food.

For more than 10 consecutive years since President Robert Mugabe's government embarked on a land reform program targeting white farmers, Zimbabwe has had to import food to avert hunger as its new farmers cannot produce enough.

On Tuesday, Finance Minister Tendai Biti said the treasury had released $20 million to farmers to buy inputs - seeds, fertilizer and other farming materials.  At the same news conference, Minister of Agriculture Joseph Made said a third of the country's planted crop for the 2012 season was a write-off, since farmers did not have irrigation systems and were too poor to buy required inputs on time.

"It is clear if you bring inputs late in the season you cannot take advantage.  Cropping is a function of time," said Made.  "The season does not wait.  I hope in what we are doing are correcting the situation so that never again are the inputs are delayed…. The second point is that when we are talking of agriculture farmers suffer the vagaries of weather. That you cannot control. The best is to assist farmers by development of irrigation."

Zimbabwe had plenty of food until 2000.  Since then it has been a different story since President Mugabe's government launched its land reform program.  Almost all white commercial farmers were replaced by inexperienced farmers, mainly supporters of Mugabe's ZANU-PF party. It is these farmers that Made wants helped in erecting irrigation systems to water their crops.

The deposed white farmers had irrigation systems, but the new farmers mostly destroyed them when they took over the farms, often by force.

"There is a move towards market-related solutions towards agriculture, bearing in mind our incapacity as a state to look fully after our people," said Finance Minister Biti.  "This is a move we are making which reflected in this program we are launching today."

It remains to be seen if these untrained farmers are able to survive on their own without being assisted by the government, as has been the case since the land reform started.

Critics have said Zimbabwe's government should have trained the farmers before allocating them land to them.  Tuesday, when asked to reveal how farmers had performed and whether Zimbabwe needed to import food in 2012, Agriculture Minister Made said exact figures are still not available, but production will not be what was expected.

"I know you might be looking for [a] specific figure.  You have to wait a little bit.  That has to be briefed to [the] cabinet first. But of the 1.7 million hectares that were planted, 500,000 hectares will be a write off," said Made.

The $20 million in aid to farmers announced Tuesday is meant to increase size of the winter crop, especially wheat.  The southern African country requires 406,000 metric tons of wheat annually to meet local demands.  Made said the funding would result in wheat production increasing to 76,000 metric tons.

The United Nations estimates that at least 1.5 million people need food aid in Zimbabwe. With the latest revelations, the number of people who need food assistance is almost certain to increase.

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VOA News: Africa: MSF Alarmed Over Plans to Cut US AIDS Program

VOA News: Africa
Africa Voice of America
MSF Alarmed Over Plans to Cut US AIDS Program
Apr 10th 2012, 18:38

Medical aid organization Doctors Without Borders is concerned that proposed budget cuts to a U.S. program for HIV treatment around the world threatens the progress being made against the pandemic in Africa.  

On World AIDS Day in December, U.S. President Barack Obama announced that the United States would aim to treat six million people infected with HIV around the world by the end of 2013 - two million more than the previous target.

The organization responsible for the outreach will be the President's Emergency Plan for AIDS Relief, better known by its acronym PEPFAR.

But while Mr. Obama has pledged to expand PEPFAR to include more people, his budget proposal for the fiscal year 2013 cuts more than a half-billion dollars from the program, about 13 percent of its current funding.

Doctors Without Borders, known by its French acronym MSF, has raised the alarm over the proposed cut, saying it will undermine the president's own goals.

Jennifer Cohn, the East Africa policy advisor for the MSF Access Campaign, said she is concerned that countries that receive PEPFAR support may begin scaling back their own treatment programs in anticipation of the cuts.

"In terms of the budget shortfall, I think many problematic things might occur as a result of that, including decreases in treatment, decreases in other sorts of support, and then, sort of a chilling effect on country guidelines themselves," said Cohn.

Budget figures outlined by MSF show some major reductions in Africa, including a nearly 50 percent cut in funding for Kenya and 82 percent for Ethiopia.

In a post on the official State Department blog in February, U.S. Global AIDS Coordinator Eric Goosby wrote that the administration is "freeing up resources by reducing programs in countries with a lower HIV prevalence," specifically mentioning Ethiopia.  He also said the program in Kenya had "matured" and that it was adjusting the country's funding to reflect a new focus on local implementation.

Proposed cuts not final

PEPFAR senior advisor Tom Walsh said all the budget figures being discussed are preliminary and that some of the country figures are certain to change.

Still, he emphasized that PEPFAR has made dramatic gains in efficiency, and that the budget requested for 2013 is the amount needed.

"Over the years, we've gotten the cost of treating an individual person per year with antiretroviral therapy down from about $1,100 in 2004 to $335 in 2011," said Walsh.. "That kind of dramatic gain in efficiency, in reaching more people with the resources available, is what Congress likes to see and we think we're going to make continued progress on that front."

The president's budget proposal needs the approval of the U.S. Congress. Walsh said PEPFAR has always received strong bipartisan support.

MSF is not only concerned about the budget numbers, but also with some of the program's accounting methods.

Cohn said the way PEPFAR counts the number of people receiving treatment can be misleading.

"What we're finding is actually that whereas PEPFAR is not necessarily directly supporting people on treatment in certain countries, they're actually counting those people toward the 6 million people they promise to put on treatment by 2013, so we find that concerning and somewhat disingenuous," said Cohn.

Cohn's concerns are highlighted in a U.S. report from earlier this year on PEPFAR's programming in Malawi.

In the document, PEPFAR outlines the support it provides in the country, such as funding staff for visits to treatment sites, training service partners and developing an electronic data system. Nowhere does it say the U.S. provides antiretroviral medication (ARVs) for patients.

But, in the "Recommendations" section of the document, the authors suggest that all HIV-infected adults receiving treatment in Malawi's national program should be reported as "directly supported" by the U.S. government.

Tom Walsh for PEPFAR could not confirm that this accounting practice is common, and said the methods vary based on the arrangements in each individual country.

He said the U.S. supports a variety of services, and treating HIV is about more than just providing drugs.

"ARVs are an important part of treatment, but also important is the infrastructure to deliver the drugs, support for the clinics, training for the health providers who do the work," said Walsh. "In every country there's a different combination of resources that it takes to deliver treatment."

Partnering against HIV/AIDS

The United States is increasing its reliance on partners in treatment programs, one of the biggest being the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Walsh points out that responsibilities for HIV programs around the world are divided up between partner organizations.  So, PEPFAR may pay for training and infrastructure, while the Global Fund or the host government buys the medication.

Despite scaling back PEPFAR, President Obama's 2013 budget request includes an increase of $350 million for the Global Fund.

But that increase does not make up for PEPFAR's cuts.  If the budget is approved as is, the net decrease for AIDS funding would be about $213 million.

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VOA News: Africa: Mali Speaker to Become Interim President Thursday

VOA News: Africa
Africa Voice of America
Mali Speaker to Become Interim President Thursday
Apr 10th 2012, 18:50

Mali's parliament speaker is expected to be sworn in as interim president on Thursday, taking temporary control of a fractured nation beset by instability.

Assembly leader Dioncounda Traore will have a maximum of 40 days under the constitution to organize a new election.

Mali's constitutional court on Tuesday cleared the way for Traore's swearing in after formally accepting Sunday's resignation of President Amadou Toumani Toure.

Toure was ousted in a March 22 military coup after renegade soldiers accused the president of failing to properly equip them to handle a Tuareg rebellion in the north.

Since then, Tuareg separatists with the help of radical Islamic militants have seized major northern cities from the army.

The United Nations Security Council has expressed "deep concern at the increased terrorist threat" in northern Mali, saying elements of al-Qaida in the Islamic Maghreb and extremist elements are among the Tuareg fighters.

In a statement late Monday, the Security Council demanded an end to all hostilities in the north by rebel groups and said it remains worried about the deteriorating humanitarian situation in Mali.

Meanwhile, the United States has commended the Economic Community of West African States, or ECOWAS, for brokering an agreement with junta leaders and restoring civilian rule.

State Department spokeswoman Victoria Nuland said Monday the deal is a "very good step" for Mali.

"We wanted civilian rule re-established so that dialogue can now commence with the Tuaregs that redresses their grievances within a unified Mali, and real effort can be made to secure the country against the AQ elements that have taken advantage," she said, adding that the United States will monitor the situation in coming days to help decide if non-humanitarian aid cut off last month should be restored.

ECOWAS has pledged to help Mali fight the Tuareg rebels, who have proclaimed the north as an independent state.

Some information for this report was provided by AFP.

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