{"id":603,"date":"2012-03-26T08:53:24","date_gmt":"2012-03-26T08:53:24","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=603"},"modified":"2012-03-23T20:54:19","modified_gmt":"2012-03-23T20:54:19","slug":"desperation-over-withdrawn-hiv-program-funding-in-myanmar","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2012\/03\/26\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\/","title":{"rendered":"Desperation over withdrawn HIV program funding in Myanmar"},"content":{"rendered":"

At\u00a0 120,000 cases in a population of 42m, the prevalence of HIV in Myanmar is not enormous by global standards.\u00a0 Yet with ART coverage among the lowest in the world, the death rate from HIV is estimated at 15,000-20,000 per year.\u00a0 Add to this an epidemic of multi-drug resistant (MDR) TB of three times the global average, considerably exacerbated by this HIV, and one can understand the sense of urgency with which a recent report by M\u00e9decins Sans Fronti\u00e8res (MSF) pleads the case for additional funding for HIV and TB programs in Myanmar.<\/p>\n

For all these depressing figures, some considerable progress has been made thanks to the recommencement, following a five-year absence, of financial support (Round 9) from the Global Fund to Fight AIDS, Tuberculosis and Malaria. This has enabled levels of enrolment for ART to reach 29,000 as of 2012. Expected funding from Round 11 of Global Fund support was to have paid for 46,500 additional patients ART, helping to bring the coverage to 100,000 by 2018.<\/p>\n

Sadly, Round 11 never arrived.\u00a0 In an unprecedented move by the Global Fund, it was cancelled when donor countries failed to contribute at the replenishment conference of 2010 even to the level of the lowest scenario.<\/p>\n

The report describes the predicament of MSF workers who must refuse ART to patients whose CD4 count has yet to fall below 150.\u00a0 It also conveys a sharp sense of the opportunity that will be missed, if the resources are not made available for scale-up.\u00a0 With low-ish HIV prevalence and a related MDR TB epidemic, the arguments for a prompt intervention seem overwhelming.\u00a0 Furthermore, recognition of these needs is now reflected in the encouraging efforts of the Myanmar government to increase its health budget.\u00a0 There is \u201dacknowledgement, willingness and commitment for scale-up\u201d in the country.\u00a0 Yet tragically the financial carpet is in the process of being drawn from under the feet of program providers.<\/p>\n

In the light of this MSF pleads for increased funding by international donors for HIV and TB programs in Myanmar, and, above all, for adequate additional funding of the Global Fund in 2012.<\/p>\n

M\u00e9decins Sans Fronti\u00e8res, Lives in the Balance: the Urgent Need for HIV and TB Treatment in Myanmar<\/em>, 22nd<\/sup> Febrary, 2012<\/p>\n

http:\/\/www.msf.org\/msf\/articles\/2012\/02\/lives-in-the-balance-the-urgent-need-for-hiv-and-tb-treatment-in-myanmar.cfm<\/a><\/p>\n

 <\/p>\n

OF RELATED INTEREST from our journal:<\/p>\n

M.J. Toole, N. Chanlivong et al., “Understanding male sexual behaviour in planning HIV prevention programmes: lessons from Laos, a low prevalence country”,\u00a0Sex Transm Infect<\/abbr><\/em>\u00a02006;82:135-138\u00a0doi:10.1136\/sti.2005.016923<\/p>\n

http:\/\/sti.bmj.com\/content\/82\/2\/135.full?sid=ede79323-e743-4a05-907e-d4f33c483b98<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

At\u00a0 120,000 cases in a population of 42m, the prevalence of HIV in Myanmar is not enormous by global standards.\u00a0 Yet with ART coverage among the lowest in the world, the death rate from HIV is estimated at 15,000-20,000 per year.\u00a0 Add to this an epidemic of multi-drug resistant (MDR) TB of three times the […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":152,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2012],"tags":[],"class_list":["post-603","post","type-post","status-publish","format-standard","hentry","category-hiv-infection"],"yoast_head":"\nDesperation over withdrawn HIV program funding in Myanmar - Sexually Transmitted Infections<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/sti\/2012\/03\/26\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Desperation over withdrawn HIV program funding in Myanmar - Sexually Transmitted Infections\" \/>\n<meta property=\"og:description\" content=\"At\u00a0 120,000 cases in a population of 42m, the prevalence of HIV in Myanmar is not enormous by global standards.\u00a0 Yet with ART coverage among the lowest in the world, the death rate from HIV is estimated at 15,000-20,000 per year.\u00a0 Add to this an epidemic of multi-drug resistant (MDR) TB of three times the [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/sti\/2012\/03\/26\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\/\" \/>\n<meta property=\"og:site_name\" content=\"Sexually Transmitted Infections\" \/>\n<meta property=\"article:published_time\" content=\"2012-03-26T08:53:24+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2012\\\/03\\\/26\\\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2012\\\/03\\\/26\\\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Desperation over withdrawn HIV program funding in Myanmar\",\"datePublished\":\"2012-03-26T08:53:24+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2012\\\/03\\\/26\\\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\\\/\"},\"wordCount\":430,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#organization\"},\"articleSection\":[\"HIV infection\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2012\\\/03\\\/26\\\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2012\\\/03\\\/26\\\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2012\\\/03\\\/26\\\/desperation-over-withdrawn-hiv-program-funding-in-myanmar\\\/\",\"name\":\"Desperation over withdrawn HIV program funding in Myanmar - 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