Winter 2012
Features
When Words Fail
The Decade of Vaccines Collaboration
The Art of Making Vaccines More Affordable
Fighting Syphilis and HIV in Women and Children: Lessons from Uganda and Zambia
Vaccines: A Top Priority for Global Health
Vaccination Week in the Americas Goes Global
On the Brink of a Watershed Moment for HIV Vaccine R&D
Reflections of a Lifetime Dedicated to Public Health Advocacy - In Memory of Beth Waters
Online Exclusives
Field Notes
Global Immunizations at the Tipping Point
Screenshots
People Vaccinated During Vaccination Week in the Americas
Measles and DTP3 Immunization Coverage
Fall 2011
This issue of GLOBAL HEALTH magazine highlights the mounting global epidemic of non-communicable diseases (NCDs), such as heart diseases, cancers, chronic lung diseases and diabetes. Collectively, NCDs and their common risk factors of tobacco use, physical inactivity, abuse of alcohol and unhealthy diet are rising on the political agenda. Indeed, senior government officials will gather this month at the United Nations for the two-day High Level Meeting of the General Assembly to focus international attention on the prevention and control of NCDs.
NCDs arguably pose one of the greatest development challenges of the coming century. Though the success of the high level meeting will be judged largely by government commitments made in the political declaration, the meeting in and of itself can already count many achievements. It has served as a focal point to congregate stakeholders, provoke policy dialogue, and question fundamental approaches to global health. Coalitions and partnerships have emerged. A “health” challenge is being discussed based on non-health factors and determinants. Solutions are being viewed as systemic approaches, considering issues of sustainability and interaction with other components of global, national and local development systems. These issues and others defined by the uncertain political and economic environment constrain solutions, but also provide an opportunity to foster innovation in policy, advocacy, program implementation and development cooperation.
The scale and economic toll posed by NCDs is increasingly clear, requiring urgent action. The burden of NCDs is only projected to worsen, particularly among countries least able to respond. Solutions must come from a variety of fronts, and future social and economic progress will undoubtedly be shaped by how the global community understands, prioritizes and responds to NCDs.
Features
NCDs: It’s Time for a Change
Leveraging Existing Health Platforms to Expand NCD Services
Putting a Face on Cancer and Other NCDs
Grappling with the Tensions around NCDs
NCDs in the Developing World: Looking for Solutions
India: The Private Sector Takes Action on NCDs
Brazil: Getting a Move on NCDs
Partnering for Change: The Role of the Private Sector
Online Exclusives
Dim Sum
A collection of film picks, book reviews, and other items of note
Field Notes
East Africa: As Refugee Numbers Increase, so Does the Risk of Gender-Based Violence
Screenshots
Estimated New Cancer Cases and Deaths
Raised Blood Pressure
Trends in Overweight Infants and Young Children
Summer 2011
Securing a Healthier Future in a Changing World
This issue of GLOBAL HEALTH Magazine is checking the pulse of the international health community in a changing world. In her article, World Health Organization Director-General Dr. Margaret Chan discusses the challenges in global health. We have to tackle the dual burdens of infectious and non-communicable diseases, as well as those of obesity and malnutrition. There is also the need for increased access to services, sustainable programs, more research and better health equity.
Daniel Cotlear and Phillip Hay discuss the consequences of a shifting Latin American demographic as its population grows and ages. We need to address the health worker crisis as well as the opportunity that young professionals provide to the global health sector.
Change can also be a sign of progress. Richard Brennan and Jacob Hughes offer the story of Liberia as it revives its health sector from the ruins of war to post-conflict development. Multi-sectoral partnerships provide opportunities to facilitate better health outcomes. Awa Marie Coll-Seck notes the gains in malaria, but at the same time, notes the need to assist those with fewer resources.
For the world’s poor, the so-called shifting burden of disease is, perhaps, better characterized as the added burden of disease. But how do we finance a future that provides greater access to health to the world’s poor?
Features
Securing a Healthier Future in a Changing World
Is Latin America Ready for its Aging Revolution?
Post-Conflict Liberia
The Stopgap Midwife
NCD Prevention Begins in the Womb
Paying for a Healthier Future
A Malaria-Free World is Within Reach
Opening the Door to Global Health Talent
Online Exclusives
Dim Sum
A collection of film picks, book reviews, and other items of note
Field Notes
Victory Over Violence: Overcoming SGBV in DR Congo
Screenshots
Does Country Wealth Determine Cause of Death?
Does Country Wealth Determine Age of Death?
Does Country Wealth Determine Inactivity?
Spring_2011
Changing the Paradigm for Women and Girls
Did you know that 25,000 girls are married each day? That’s about 750,000 girls each month, about 9.1 million girls each year. These are not numbers that are often discussed, even in global health circles. The question is, why not?
As the title of John Donnelly’s article suggests, there have been big advances in the health of women and girls, yet significant work has yet to be done. As a whole, maternal mortality rates have declined, girls are given more opportunities for education, and greater prospects for better health. But in many parts of the world, childbirth is still dangerous, women are subject to sexual violence, and girls are married off at 16.
How do we change the paradigm for women and girls?
This issue of GLOBAL HEALTH highlights a number of ways, including: access to knowledge, better nutrition, empowerment and the ability to make their own choices. The role of community health workers and other caregivers in providing accessible services of high quality cannot be overstated. We are indebted to the legions of (primarily) women who dedicate their time to providing access to care even in the most remote corners of the world.
In closing, I invite you to view the more than 550 photographs on from around the globe via Flickr as part of the Women and Girls in a Changing World Photo Contest.
Tina Flores
Executive Editor, GLOBAL HEALTH
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Features
Women and Girls’ Health
Big Advances, Big Needs Remain
Ending Child Marriage With This Generation
A Smart Decision
Community Health Workers
Key Agents for Reducing Child Mortality
What Happens After Women Come Through the Door?
Maternal and Child Undernutrition: Translating Evidence and Rhetoric into Action
Moving Toward Gender Equitable Health Organizations
Young People Need Evidenced-Based Information Too
Women and Girls in a Changing World Photography Contest
Disrespectful and Abusive Treatment of Women During Childbirth
Online Exclusives
Dim Sum
A collection of film picks, book reviews, and other items of note
Field Notes
Victory Over Violence: Overcoming SGBV in DR Congo
Screenshots
Estimated Prevalence of Female Genital Mutilation in Girls and Women
How Many Men for Every 100 Women
Child Marriage
Winter 2011
What are the gaps in global health research? What further knowledge can be gleaned to improve the lives of the world’s 2 billion poorest people living on less than $2 a day?
Robert Eiss and Roger Glass of the Fogarty International Center at the NIH outline the broad picture of what needs to be done - from R&D to capacity building, genes to technology - noting that, “The challenges are considerable.” Indeed, the other articles in this edition of GLOBAL HEALTH reflect the spectrum of challenges yet to overcome: How do we eliminate pediatric AIDS? How do men influence the health of their families? How can we address the issue of MDR-TB in resource-poor settings? How do we tackle stigma and mental health?
A recurring theme throughout the magazine is the need for greater implementation research. How do we efficiently and effectively scale up programs? David Nicholas, who directs the Translating Research into Action Project, USAID’s new implementation research program, offers a primer on it.
The Bill & Melinda Gates Foundation has embraced unanswered questions with the Grand Challenges in Global Health program. The foundation is catalyzing scientific discovery while fostering new ideas and largely unknown talent. The magazine and its blog features essays by Bill Gates, Chris Wilson, director of the foundation’s Global Health Discovery Program, and three grant recipients.
We hope you enjoy this issue of GLOBAL HEALTH. As always, we welcome your comments and invite your engagement.
Tina Flores
Executive Editor, GLOBAL HEALTH
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Features
Implementation Research: A Primer
Scaling up projects more effectively
Stigma Research to Build Better Mental Health
Breaking down the barriers to treatment
Why We Need Men to Save Lives
The role of men in women's health
Moldova: What Happens to MDR-TB Patients?
Struggling with one of the highest rates of MDR-TB
Despite Great Strides, More is Needed in Pediatric AIDS Research
Ensuring the well-being of HIV+ children
Gaps in Research
What are the key issues that need to be addressed to move the global health field forward?
2011 Photo Contest: Women & Girls in a Changing World
GLOBAL HEALTH magazine's photo contest
Bill Gates: Great Ideas from Unexpected Places
Bold thinking for breakthroughs in global health solutions
Online Exclusives
Field Notes
A Day in the Life of a Health Worker: Francine Uwimana, Rwanda
Dim Sum
Family Secrets, AIDS - Taking a Long Term View, Snapshots from Southern Sudan
Screenshots
Tariffs on Anti-Malaria Commodities in Africa
The Projected Effect of an Intensified HIV Prevention & Treatment Program
Fall 2010
Vaccine Redux
Vaccine Redux
We know they are an effective intervention. We know that investing in immunizations, pays long-term dividends in the form of a reduced disease burden and economic advantages of a healthier population.
But as Dr. Adel Mahmoud adeptly expresses in his article, we are at a crossroads. While modern technologies have advanced the development and distribution of vaccines, so too have infectious diseases evolved, like a tricky Darwinian dance. Diseases like dengue, as Hosbach and Feldman say, are cropping up in Northern climates.
But what will it take to get ahead? It will entail more than commitment and resources - although certainly they are essential to this process. Perhaps it is time to take greater risks. Invest in new ideas, new people, new countries.
Beth Waters, to whom this issue is dedicated, took a risk when, at the age of nine, she became a "polio pioneer." Whether it be unlocking the key to the HIV virus in IAVI's New York City laboratory; or finding a way to deliver time-honored immunizations better and more efficiently as PATH does; or reaching out in communities where there is resistance to the idea of vaccinations. We need to continue to find ways to advance the progress of vaccines by putting intelligent hypotheses to work.
Everything we know now about vaccines started as a humble idea brought to fruition. The naissance of modern vaccination was, for all intents and purposes, in a milking shed. Not a laboratory. Smallpox was ferried to the New World, quite literally, by orphans. Not refrigerated containers. Necessity is the mother of invention, as the old adage says. Sometimes, the greater the need, the more acceptable - or understandable - the risk.
So in the race of survival of the fittest, who is winning?
Features
Vaccines at Crossroads
What can be done about the stagnant state of global vaccines?
Dengue Fever - an Escalating Threat
A growing global concern and the need for a vaccine
New Approaches to Immunization Logistics
Using technology to advance vaccine delivery
Resisting Vaccines
Whether it is fighting for funding or distribution, providing immunizations continue to be challenging
In Ancient Culture, New Battle Starts Against TB
Nepal finds an agressive DOTS program with positive results
BUILDING BRIDGES, DISMANTLING WALLS
Unlocking the secret to an AIDS vaccine
Reflections of a Lifetime Dedicated to Public Health Advocacy
A tribute to Beth Waters
Tragedy Brings Faces and Names to TB
Giving voice to those who have been affected by tuberculosis
Online Exclusives
Cool Escapes
Molly McHugh Escapes on a Safari in Tanzania
Field Notes
International Relief & Development battles infectious diseases and the elements in post-flood Pakistan
Dim Sum
GLOBAL HEALTH reviews The Edge of Joy and First Comes Love, Then Comes Malaria
Screenshots
Age of First Use: IDUs in Eastern Europe
Russia: Abandonment of Infants by HIV+ Mothers
Comparison of HIV Prevalence Among MSM and Adults of Reproductive Age
Summer 2010
Climate & Health
It is easy to imagine the effects of global warming – glaciers melting, changing weather patterns – as the thermometer passes the 100°F mark this summer.
After a year of incongruous weather, it is safe to say that few doubt the existence of climate change. Anthony Costello, director of the University College of London’s Institute of Global Health, references a Stanford University study that shows skeptics of global warming comprise at most 3 percent of the community. That said, we are only beginning to discover the lasting impact of our changing climate.
If we reach the high end of climate model predictions, the earth could warm by 7 degrees by 2100, way beyond the heat endurance of humans and mammalians. But even before that, and taking the middle of model predictions, the effects would be profoundly felt: food and water insecurity, heat stress, communicable diseases, population migration, and deaths from extreme climatic events.
But even with this dour look into the future, there is a dearth of hard, measurable evidence to show the health effects of this change. As Onome Akpogheneta notes in her piece, evidence to reflect climate change effects on mosquito-borne diseases has not kept pace. So, too, is the case with climate migration.
And Kathleen Mogelgaard of Population Action International talks about how women are disproportionately vulnerable to climate change, and how we need to address population growth.
Come with us through this summer issue, as we turn the prism on climate change and look at its effects on health. Also, remember, the discussion continues through blogs in the online edition of the magazine at
www.globalhealthmagazine.com.
The Editors
Features
Climate Change: Skeptics Step Aside
Why we should take climate change seriously
Connecting the Dots
Reproductive Health and Solutions to Climate Change
Will Bugs Creep North as Climate Heats?
Changes in climate will cause an increase in vector-borne diseases
People on the Move as the World Warms
Global warming creating climate refugees
From the Front Lines of the Global AIDS Fight
South Africa's leading HIV/AIDS experts weigh in on the country's status
A Photographer’s Encounter in Kroo Bay
Documenting the slums of Freetown
Online Exclusives
Going Viral
What's the buzz on Twitter, Facebook and other places online
Dim Sum
Books, films and other cultural forays
Field Notes
Community support key to combat TB in Malawi
Cool Escapes
Morgan Roth explores a sleepy seaside gem in Mexico
Screenshots
Cars per 1,000 people
Forest cover as % of land
Carbon Dioxide Emissions
Spring 2010
Tracking Goals
The word implies an achieved and desired outcome, more specifically, the end of a challenge. In global health, our goal is to improve the lives of people around the world primarily by reducing the burden of disease.
The Millennium Development Goals, ICPD, Alma Ata, and other targets have guided much of the work in our community in recent years. While we are nowhere close to reaching them, we carry lessons – the need for vaccines, better delivery systems, newer, less expensive, more portable technologies – that accelerate progress. In addressing the goals, we gain better tools and greater wisdom toward achieving them.
As Linda Fried and Lynn Freedman of the Mailman School of Public Health allude to in their article, goals keep us on track. They enable resources to be mobilized amid decreases in funding and emerging disease threats. But it begs the question, are we finding sustainable solutions?
Robin Gorna of the International AIDS Society reflects in her article, it’s not the goals that are the problem. Rather, it is a lack of commitment to following through with what needs to be done in order to achieve them. But we all know that lip service is not enough. Resources – money, people, knowledge – have to be invested for real gains to be made.
And then there is smallpox eradication – the gold standard in public health achievements. As Dr. D.A. Henderson shows, through ingenuity and plain stubbornness, it has been eradicated. To think that with a single mindset in the late 1960s, and with an international staff that never numbered more than 150 in the field, the World Health Organization provided the framework within which all countries could constructively work, even during the days of the Cold War.
Indeed, there are still many lessons to be learned, and many challenges to be conquered.
The Editors
Features
Is Universal Access for HIV a Realistic Goal?
From my perspective, the problem is not over-promising. It's under-achieving
Chasing goals rather than solving problems?
This is a critical time to be cognizant of the broad changes that are in process
The Death of a Disease
In 1967, 43 countries experienced more than 10 million cases and 2 million deaths
NGOs Seek Seat at Table
With Big $ Behind Them, NGOs Want Haitian Partnership
From the Ground Up
Rebuilding Haiti's Health Structure
A New Angle on Pediatric HIV/AIDS in Swaziland
This child's parents are HIV-positive, and she is HIV-negative
Achieving Maternal Health
MDG 5: Getting Further, Faster
Online Exclusives
Hot Escapes
Tina Flores Explores the Gentile Side of Santo Domingo
Dim Sum
A collection of book reviews, music picks and other cultural forays
Going Viral
What's the buzz on Twitter, YouTube, Facebook and other places online
Field Notes
Cuban-Trained Doctors in Haiti for the Long Haul
Dominican Republic
Tina Flores Explores the Gentile Side of Santo Domingo
Screenshots
Child Nutrition
884 million people not using improved water sources
% of total health spending
Winter 2010
Health Systems
To take up the challenge to address health systems is a little daunting, to say the least. The components are complex and numerous, and the breadth of work to be done enormous. WHO’s building blocks of health systems strengthening are service delivery, health workforce, information, medical products, vaccines and technologies, financing, and leadership and governance. Alone, each piece is a challenging, but necessary component of a greater whole.
On the surface, it would seem that the key to improving health systems might be structures logistics, meeting supply and demand. But as this issue of GLOBAL HEALTH shows, at the core of health systems strengthening is people.
There is a need to foster a cadre of leaders across the globe to catalyze change. Building capacity on the ground to improve the flow of goods, services and information is a crucial component for most developing countries. Newer buildings, fancier equipment and access to information technology are not a panacea for all that ail these crumbling systems. They merely facilitate the work that needs to be done.
Also, perhaps most notably, the global health community needs to address the issues of health care workers – from training to compensation to migration. It has often been a lightning rod for great debate, but the topic of health workers is, perhaps, the most complicated and arguably the most important of all if any system is to be sustainable.
Join the conversation by making a comment.
The Editors
Features
Health Worker Migration: Disease or Symptom?
Do health workers who leave developing countries, and the organizations that hire them, cause death?
Greater than the Sum
Information Technology and Health Systems Strengthening
In-Country Supply Chains
Why are they the weakest link in the health system?
Leadership and Management
The New Prescription for Health Systems Strengthening?
Health System’s Levers
Global health community shifts focus to health strengthening
The Road Not Taken
The role of transportation in global health systems
The Making of Anatomy of a Pandemic: A PBS Documentary
How was the H1N1 film created?
Online Exclusives
Hot Escapes
Jessica Mack explores Bocas del Toro, Panama
Going Viral
What's the buzz on YouTube, Facebook and other places online
Dim Sum
A collection of film picks, book reviews, and other items of note in the global health field
Field Notes
Laurel Lundstrom on a project providing grants to reduce maternal and infant mortality in Indonesia
Screenshots
Causes of Death in China and India
Natural Disasters
Sexual Violence Among Adolescent Girls
Fall 2009
Chronic Diseases
Heart disease, diabetes, depression – diseases of the rich, yes. But of the poor as well? It’s hard to fathom that in developing countries, which lack even the most basic health interventions, people struggle with the same chronic illnesses that plague their peers in wealthier nations.
While HIV/AIDS, malaria and tuberculosis have taken center stage, chronic diseases such as mental illness, cardiovascular disease and cancers have been sidelined. Yet according to the World Health Organization, developing countries shoulder more than 60 percent of the global burden of coronary heart disease.
As we see in this issue of GLOBAL HEALTH, chronic diseases, much like their communicable counterparts, are overarching conditions that have immense impact on the health of the population. Moreover, developing and transitional economies are less able to address these so-called “diseases of the rich.”
In countries taxed by HIV, infectious diseases, malnutrition and diarrhea, screening for depression, cancer and heart disease might not be priorities. But as the articles in this issue show, it is just as important to address non-communicable diseases if we are to improve the lives of people around the world.
The good news is that we know what to do – eat a healthier diet, increase physical activity, stop smoking. But there are even harder fixes: systems need to be put in place so that there is a greater emphasis on prevention, early screening, and treatment. This cannot happen, of course, without greater investment in strengthening health systems within countries. We need to build capacity in-country to ensure the long-term sustainability of all health interventions.
Features
Probing Health Ministries
John Donnelly on quandaries facing African health ministers
Rapid Changes in Asia Alter Health Landscape
Asia's growth is taxed heavily by urbanization, industrialization
Think Africa’s Disease Burden is HIV? Think Again
Africa acquiring diseases of the wealthy, without the wealth
North American Diseases Go South of the Border
Root causes of chronic disease are more complex than junk food and tobacco
Cancer, Silent but Intense, Threatens Systems
Pandemic tests health systems, social structures
The Killers We Ignore
Chronic illness overtakes infectious diseases
Kiev Diary: TB, AIDS and Junkies
Seeing IDUs through new eyes
Online Exclusives
Cool Escapes
How to take great photos from the field
Going Viral
Dim Sum
A collection of film picks, book reviews, and other items of note
Field Notes
Middle East wrestles with mental health challenges
Screenshots
How Safe Are Aid Workers?
Human Trafficking
# of Hospital Beds for Every 10,000 People
Summer 2009
Infectious Diseases
They are our daily norms - drinking water, a mosquito bite, breathing. All seemingly innocent and unavoidable, but it takes very little to become infected with an infectious disease.
The adage goes, disease respects no borders or socio-economic status. While that is true to some extent, your address and relative wealth (at least on the global scale) determines, in large part, whether or not you will succumb to one of these diseases. If it didn't, why do so many infectious diseases impact those in low-resource settings?
Let's face it. The neglected tropical diseases The Carter Center is fighting to eradicate would not continue to plague millions if they were rampant in Geneva or New York. Most New Yorkers probably can't define lymphatic filariasis, much less spell it. Indeed, many infectious diseases are mere by-products of impoverished circumstances - lack of clean water, living in refugee camps, etc. Rotavirus, discovered 35 years ago, still plagues many communities. And while recent years have seen a relative boom in funding for neglected diseases, as M Moran et al. show, these resources have, in large part, gone to the "big three" - AIDS, TB and malaria.
But relatively recent collaborative efforts, such as the partnerships fostered by sanofi pasteur, as well as the network for TB vaccine researchers in Africa, are expediting the progress being made in treating and preventing diseases. Innovative ideas are likewise being implemented in the disease surveillance side of infectious diseases. Rats indigenous to Africa are being used to detect TB. The Internet giant Google is tracking the spread of disease online.
We hope that this issue is a catalyst for discussion.
Features
Leveraging Partnerships
Collaborations are Potent Tool, says CEO of sanofi pasteur
The Allure of Eradication
Dr. Hopkins of the Carter Center on the Holy Grail of Afflictions
Tracking the Flu
Google 'Threat Detectives' Stalk Outbreaks Around World
Neglected Disease Funding Remains Off the Mark
Where is the money going?
Charting Malaria’s Demise
Modern cartology + disease surveillance = better understanding?
Pakistan’s New IDPs
Mental health and diarrhea plague SWAT Valley refugees
Poet Soldiers
Soldiers get personal about HIV/AIDS in the Caribbean
Online Exclusives
Going Viral
Dim Sum
A collection of film picks, book reviews, and other items of note
Cool Escapes
Havana, Cuba. Immerse yourself in the history and hedonism of this island nation
Field Notes
Researchers collaborate on developing first TB vaccine in 100 years
Screenshots
Polio Eradication Progress
Infants Not Immunized With DTP3
% of Women Who Believe It’s OK for Husbands to Hit Them
Spring 2009
Hi Tech Health
Technology is a tool that lets people help themselves, be it finding today’s prices for their fish or crops, reminding them to take their medicine, or surveying the epicenter of the latest outbreak of disease. Never before in history has so much information been available to so many people in the most remote corners of the globe.
To think that this revolution is merely in its infancy is astounding. But with it comes challenges to do it right, be flexible enough for change, and to harness the technology to do what we need it to do, and not what it dictates to us. These are the challenges, but the opportunities are boundless.
Features
Credit Card Know More About You Than Your M.D.?
Lack of information is a big challenge facing health systems
Are Cell Phones Leading the mHealth Revolution?
Mobile phones leapfrog over landlines and lagging Internet
Is Open Source Good for Global Health?
Legal and free, it can be shared, adapted and reused
Low-Tech Saves Lives
Intervention addresses postpartum hemorrhage in low-resource settings
AIDS Hotline for Ethiopian Health-Care Workers
A toll-free telephone service that provides accurate and up-to-date information
The Million Dollar Email
Raising $25 million online by keeping the message simple
Rwanda’s Living Legacy of Violence and Healing
Women of Rwanda, were impregnated by their captors, contracted HIV/AIDS, or both
Online Exclusives
Going Viral
What's hot online
Dim Sum
A collection of film picks, book reviews, and other items of note
Cool Escapes from the Hot Zone
Discovering the dungeons and dragons of Ljubljana, Slovenia
Field Notes
The death of his younger brother spurs a physician to action
Screenshots
World Population by 2050: Top 10 Gainers and Losers
Skilled Health Workers
Youth and Smoking
Winter 2009
Feeding the Hungry
The world food crisis is undermining the promising trends in global health over the past decade. Malnutrition, according to the World Health Organization, is a major threat to public health worldwide, responsible for one-third of child deaths and 10 percent of all diseases. It has negative effects on education, economic growth, productivity and income. As food prices rise due to energy costs and increased population, families will be forced to spend even more than the 75 percent of their disposable income they currently spend on food. In the end, the global community may find it a challenge just to stay even.
Features
Is the U.S. Using Money Wisely?
Critics advocate for a more efficient, development-oriented food program.
How Did We Get Here?
The causes of higher prices are the subject of much analytical and policy debate.
The African Green Revolution
Africa is looking to a new project - The African Green Revolution - as its hope to feed the hungry.
Sustained Fixes for Nutrition?
Nutrition-dense foods are lifesavers but they are not a long-term solution.
Secrets, Taboos and Private Lives in Jamaica
A poet's journey into world of HIV becomes deeply personal
The Financial Crisis and Global Health
Shortfalls in aid and donor revenue may be substantial
Big Pharma Bets on Emerging Economies
Nuanced approach reflects ability to pay in new tradeoff
Online Exclusives
Cool Escapes from the Hot Zone
Explore another part of Kenya, one with beaches, donkeys and history
Going Viral
What’s hot on YouTube, Facebook, LinkedIn and other places online…
Dim Sum
A collection of film picks, book reviews, and other items of note
Field Notes
Female Community Volunteers Save Children from Pneumonia Deaths in Nepal
Screenshots
How People Pay For Health Services
World Bank, World Health Organization survey trends
Where are the Refugees?
Countries most prevalent in hosting displaced people
2.6 Billion Without Toilets
Where improved sanitation is lacking around the globe
