Using Research To Shape an Effective Response to HIV/AIDS in Swaziland

A relaxed client undergoes adult male circumcision for HIV prevention in a joint Jerusalem AIDS Project - Family Life Association of Swaziland collaborative initiative, 2007, Dr. Inon Schenker/Jerusalem AIDS Project, Courtesy of Photoshare/ PRNewsFoto/Johns Hopkins Bloomberg School of Public Health Center. [AP File Photo]

About the Author: Makila James serves as U.S. Ambassador to the Kingdom of Swaziland.

World AIDS Day in Swaziland has a particularly profound meaning, as Swaziland has the highest HIV prevalence rate in the world. The recent PEPFAR-supported Swaziland Health Incidence Measurement Survey (SHIMS) — the first such comprehensive survey of its kind on the impact of key HIV prevention programs — indicates that 31 percent of the adult population is living with HIV. It is a staggering number and one that all persons working in the health field in Swaziland has at the forefront of their minds each and every day as they participate in the national fight against the disease. Without a doubt, achieving an AIDS-free generation represents a serious challenge in the Kingdom of Swaziland, but one that we are committed to addressing with our many partners in the country.

The United States government is working… more »

HIV Prevention in Bangladesh

Kajol, a former sex worker and now a HIV prevention counselor at USAID's Modhumita project, works to raise awareness among other commercial sex workers in Dhaka, November 14, 2012. [Photo Courtesy of Fhi360 Bangladesh/ Used by Permission]

About the Authors: Monjur Ahmed serves as Project Management Assistant for Communication in USAID/Bangladesh’s Office of Population, Health, Nutrition and Education, and Linda Quamar serves as Development Outreach and Communication Assistant in the USAID/Bangladesh Program Office.

Kajol, like many other young women from rural Bangladesh, came to Dhaka in search of employment. With the false promise of employment, she was abducted and forced into the sex trade. Later, Kajol came across one of the U.S. Agency for International Development’s (USAID) HIV Prevention peer educators and was encouraged to leave her profession to pursue “a different life which would offer her acceptance and respect in the society.” Presently, Kajol works as a trainer for commercial sex workers (CSW) in USAID’s… more »

Turning the Tide Against AIDS in Zimbabwe

Dan Rutz, former CNN senior medical reporter and current Associate Director of Communication Science Dan Rutz of National Center for Infectious Diseases (NCID), Centers for Disease Control (CDC), poses for a photograph with the Women Journalist Mentoring Program participants during a breakfast session he offered to them while in Zimbabwe on November 6, 2012. [State Department photo/ Public Domain]

About the Author: Megan Petersen servers as the PEPAR Coordinator at the U.S. Embassy in Zimbabwe.

As we approach World AIDS Day, which we mark on December 1, I wanted to share a little bit about how we are carrying out the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) in Zimbabwe.

Every Tuesday morning, the Zimbabwe PEPFAR team gathers. Our meeting consists of colleagues from the Centers for Disease Control (CDC), the U.S. Agency for International Development (USAID), the embassy’s public affairs section, the Global Fund, the Deputy Chief of Mission, and the PEPFAR Coordinator’s office. Our discussions are focused on the state of the world through the lens of HIV/AIDS in Zimbabwe.

I am always impressed every Tuesday by the passion and expertise each of my colleagues brings to the table, the variety of programs we are managing on… more »

Ambassador Verveer Announces Grants to Address Gender-Based Violence as Part of the Global HIV Response

Media Note
Office of the Spokesperson
Washington, DC
November 27, 2012


In recognition of the International Day for the Elimination of Violence Against Women and World AIDS Day, Ambassador-at-large for Global Women’s Issues Melanne Verveer announced today $3 million in small grants awarded to dozens of grassroots organizations working to prevent and respond to gender-based violence (GBV) around the world, with a link to HIV prevention, treatment and care.

These grants are part of a joint initiative between the Secretary’s Office of Global Women’s Issues and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) to address the link between HIV infection and GBV, and will support the work of 35 organizations in 28 countries. These countries include: Barbados, Botswana, Burkina Faso, Burundi, Dominican Republic, El Salvador, Gabon, Ghana, Grenada, Guinea, Guyana, Indonesia, Malawi, Mexico, Namibia, Nicaragua, Niger, Pakistan, Philippines, Russia, Rwanda, Sierra Leone, St. Lucia, Swaziland, Trinidad and Tobago, Ukraine, Zambia, and Zimbabwe. Grants of up to $100,000 per organization will fund innovative programs that link to HIV prevention, treatment and care platforms, including those programs that work to engage community leaders in the fight against GBV and AIDS, strengthen legal and judicial systems to ensure the full enforcement of anti-GBV laws, enhance prevention and response efforts, and work to reduce stigma and harmful practices.

One in three women worldwide will experience GBV in their lifetime, and in some countries, 70 percent of female populations are affected. Gender-based violence increases women and girls’ overall vulnerability to HIV, with country studies indicating an up to three-fold risk of HIV infection among women who experience violence. Addressing gender inequities and norms is essential to reducing the vulnerability of women and girls to HIV infection. Through this initiative, grassroots organizations will receive support to address the structural drivers of both violence and HIV, contributing to a longer-term effort to create an AIDS-free generation and societies free of violence.

For more information, please contact SGWI_PA@state.gov.

Op-Ed: ‘Saving More Lives Than Ever’

U.S. Secretary of State Hillary Rodham Clinton speaks with participants of the Lower Mekong Initiative Women's event in Siem Reap, Cambodia, on July 13, 2012. [State Department photo by Paul Watzlavick/ Public Domain]

Secretary of State Hillary Rodham Clinton wrote an opinion piece that appeared today on Global, Health, and Diplomacy. The text of the article follows below.

America and our partners have more than doubled the number of people who get AIDS drugs. We’ll soon cut maternal mortality by a quarter. How? The answer may surprise you.

When I became Secretary of State, I asked our diplomats and development experts: “How can we do better?” I could see our strengths, including tens of thousands of public servants who get up every day thinking about how to advance America’s interests and promote our values around the world. At the same time,… more »

U.S. Global AIDS Coordinator Ambassador Eric Goosby, M.D. delivers keynote remarks at a Health Affairs briefing entitled, “Assessing The President’s Emergency Plan For AIDS Relief: Past Achievements And Future Prospects For PEPFAR.” on July 10, 2012. [Go to http://video.state.gov for more video and text transcript.]

Mission to Nigeria Spotlights Progress, Challenges in Preventing Mother-to-Child Transmission of HIV

Nigerian mother, a victim of AIDS, holds her HIV-free daughter, at the Abuja National Hospital in Abuja, Nigeria, July 12, 2003. [AP File Photo]

About the Author: Ambassador Eric Goosby serves as U.S. Global AIDS Coordinator.

Last year PEPFAR and UNAIDS joined with other partners to launch the Global Plan, an initiative to eliminate new HIV infections among children and keep their mothers alive. Last week I was proud to take part in a two-day mission to Nigeria with Michel Sidibe, UNAIDS Executive Director. (As I described in this post last week, our visit was interrupted by the tragic bombings.)

Each year, nearly 400,000 children are born with HIV globally, and prevention of mother to child transmission (PMTCT) is a particular challenge in sub-Saharan Africa, an area characterized by weak health systems. Incredibly, Nigeria alone bears about one-third…more »

President’s Budget Request Reflects Strong Commitment on Global AIDS

PEPFAR-funded AIDS care unit, White River Junction, South Africa, Dec. 15, 2008. [AP File Photo]

About the Author: Ambassador Eric Goosby serves as the United States Global AIDS Coordinator.

On February 13, the Obama Administration issued the President’s budget request for fiscal year (FY) 2013. It demonstrates that the United States remains fully committed to the fight against global AIDS, and will meet the President’s ambitious targets for HIV/AIDS treatment and prevention announced on World AIDS Day 2011. I am so proud that, even in a challenging budget environment with strict budget caps, the Administration has continued to make this work a priority.

This budget will enable PEPFAR to achieve the President’s stated goals for the program, including on prevention and supporting 6 million people on treatment by the end of 2013. As we move towards creating an AIDS-free generation,… more »

Partnering With Business To Eliminate Pediatric AIDS by 2015

A child lights candles in front of a painting that depicts a red ribbon, at an event to mark World AIDS Day in Katmandu, Nepal, Dec. 1, 2011. [AP File Photo]

About the Author: Ambassador Eric Goosby serves as the U.S. Global AIDS Coordinator.

Last week, I was proud to participate in a significant moment in the global AIDS response. I stood with leaders of the private sector at the World Economic Forum in Davos, Switzerland, as they committed to join forces to reach an ambitious, yet achievable, goal — ending pediatric AIDS by 2015.

The launch of two groundbreaking initiatives — the Business Leadership Council and the Social Media Syndicate — will marshal the power of the private sector, converging business acumen, technology, and other assets to support country-led efforts to prevent new infant infections and save mothers’ lives.

This exceptional commitment by the private sector stems from the Global Plan towards the Elimination of New Pediatric Infections and Keeping Mothers Alive, launched last year by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and UNAIDS. The Plan’s… more »

DipNote: The Week in Review

Secretary Clinton meets with farmers in Mlandizi, Tanzania, June 12, 2011. [AP Photo]

About the Author: Luke Forgerson serves as DipNote’s Managing Editor.

Today, Secretary of State Hillary Rodham Clinton is in Tanzania, the third visit of a tripthat also includes stops in the United Arab Emirates (U.A.E.), Zambia, and Ethiopia. During her travel to the U.A.E., Secretary Clinton participated in a meeting of the Libya Contact Group, where she said:

“…Our coalition remains united and committed.… more »