Global Health Diplomacy, National Integration, and Regional Development through the Monitoring and Evaluation of HIV/AIDS Programs in Papua New Guinea, Vanuatu, and Samoa

Document Type : Perspective

Authors

1 University of California, San Francisco, CA, USA

2 KPMG Health Advisory Services, Port Moresby, Papua New Guinea

3 Ministry of Health, Port Vila, Vanuatu

4 Ministry of Health, Apia, Samoa

Abstract

The South Pacific countries of Vanuatu, Samoa, and Papua New Guinea have ascended rapidly up the development spectrum in recent years, refining an independent and post-colonial economic and political identity that enhances their recognition on the world stage. All three countries have overcome economic, political and public health challenges in order to stake their claim to sovereignty. In this regard, the contributions of national and international programs for the diagnosis, treatment and prevention of HIV/AIDS, with specific reference to their monitoring and evaluation (M&E) aspects, have contributed not just to public health, but also to broader political and diplomatic goals such as ‘nation-building’. This perspective describes the specific contributions of global health programs to the pursuit of national integration, development, and regional international relations, in Vanuatu, Samoa and Papua New Guinea, respectively, based on in-country M&E activities on behalf of the Global Fund to Fight AIDS, Tuberculosis (TB) and Malaria and the Australian Department of Foreign Affairs and Trade (DFAT) during 2014 and 2015. Key findings include: (1) that global health programs contribute to non-health goals; (2) that HIV/AIDS programs promote international relations, decentralized development, and internal unity; (3) that arguments in favour of the maintenance and augmentation of global health funding may be enhanced on this basis; and (4) that “smart” global health approaches have been successful in South Pacific countries.

Keywords

Main Subjects

References

  1. Asian Development Bank. Asian Development Outlook 2014: Fiscal Policy for Inclusive Growth. 2014. Available from: http://www.adb.org/sites/default/files/publication/31241/ado2014-south-pacific-economies.pdf
  2. Aldrich R. The Decolonisation of the Pacific Islands. Itinerario 2000; 24: 173-91.
  3. Kevany S, Hatfield A, Workneh N, Aurang Zeb Durrani B, Bekele Y, Khan U, et al. Diplomatic and operational adaptations to global health programs in post-conflict settings: contributions of monitoring and evaluation systems to ‘nation-building’ in South Sudan. Med Confl Surviv 2012; 28: 247-62. doi: 10.1080/13623699.2012.714654
  4. Government of South Africa. What is Social Cohesion and Nation-Building? Department of Arts & Culture Discussion Document. 2014. Available from: https://www.dac.gov.za/sites/default/files/WHATISSOCIALCOHESIONANDNATION (3).pdf
  5. European Commission. Country Strategy and National Indicative Program: Vanuatu. 10th EDF Program of the European Commission (2008-2013). 2008. Available from: http://ec.europa.eu/development/icenter/repository/scanned_vu_csp10_en.pdf
  6. Reuter T. Sharing the Earth, Dividing the Land: Land and Territory in the Austronesian World. Canberra: Australian National University Press; 2006. p. 326.
  7. Hess S. Person and Place: Ideas, Ideals and the Practice of Sociality on Vanua Lava, Vanuatu. Berghahn Books; 2009. p. 115.
  8. World Health Organization (WHO). Health Service Delivery Profile Vanuatu: 2012. WHO WPRO and Ministry of Health, Vanuatu Official Report. 2012. Available from: http://www.wpro.who.int/health_services/service_delivery_profile_vanuatu.pdf
  9. Vanuatu Law Commission. Review of the Dangerous Drugs Act [Cap 12] and the Penal Code [Cap 135]. Issues Paper No. 01 of 2013. 2013. Available from: http://www.lawcommission.gov.vu/images/pdf/dangerous_drugs.pdf
  10. National Institute of Open Schooling (NIOS). National Integration and Secularism. 2014. Available from: http://www.nios.ac.in/media/documents/secsocscicour/english/lesson-24.pdf
  11. Ligo G. Acting Health Director-General removed and replaced. Vanuatu Daily Post, June 27th, 2014. Available from: http://www.dailypost.vu/article_52f059d2-d0db-5840-aeff-a13f78a2141d.html
  12. Garae L. Prime Minister’s Office confirms Tovu as Health’s Acting Director-General. Vanuatu Daily Post, July 1st, 2014. Available from: http://www.dailypost.vu/news/article_109dd656-6127-5a70-8347-632b06533ffc.html
  13. United Nations International Children’s Emergency Fund. Leveraging ICT Effectively to Strengthen HIV/AIDS Treatment & Care. 2010. Available from: http://www.unicef.org/eapro/Unicef_Asia-Pacific_ICT_Assessment_Report_Final_19Jan2011.pdf
  14. Vanuatu Daily Post. A long-term solution for public health challenges[internet]. October 18th, 2014. Available from: http://www.dailypost.vu/news/article_89029f41-a959-557b-a9ab-477125d7eaa1.html
  15. Prasad BC, Kausimae P. Social Policies in Solomon Islands and Vanuatu. Joint Commonwealth Secretariat and United Nations Research Institute for Social Development Report; 2012.
  16. Kalo J. Utilization of Adolescent Reproductive Health Services by Young People in Vanuatu. Ministry of Health and United Nations Population Fund Secretariat of the Pacific Community Joint Report; 2006. Available from: http://countryoffice.unfpa.org/pacific/drive/AdRHS_Vanuatu.pdf
  17. The Global Fund. Pacific Islands Regional Coordinated Country Project on HIV/I AIDS, TB and Malaria[internet]. 2014. Available from: http://portfolio.theglobalfund.org/en/Country/Index/QMJ
  18. Government of the Republic of Vanuatu. Health Sector Strategy 2010 -2016: Moving Health Forward. 2014.Available from: http://www.wpro.who.int/health_services/vanuatu_nationalhealthplan.pdf
  19. Feachem R, Sabot O. A new global malaria eradication strategy. Lancet 2008; 371: 1633-5. doi: 10.1016/s0140-6736(08)60424-9
  20. University of California San Francisco. Country Briefing: Eliminating malaria in Vanuatu;2014.
  21. Australian Department of Foreign Affairs and Trade. Papua New Guinea country brief. 2014. Available from: http://www.dfat.gov.au/geo/png/png_brief.html
  22. United Nations Programme on HIV/AIDS (UNAIDS). HIV/AIDS Stakeholder Mapping in Papua New Guinea. UNAIDS Report. 2004. Available from: http://www.hivpolicy.org/Library/HPP000675.pdf
  23. Commonwealth of Australia. An Effective Aid Program for Australia: Making a real difference - Delivering real results [internet]. 2012. Available from: http://dfat.gov.au/aid/Pages/australias-aid-program.aspx
  24. United Nations Development Program (UNDP). Human Development Report 2014. 2014. Available from: http://hdr.undp.org/sites/default/files/hdr14-report-en-1.pdf
  25. [No authors listed]. Evaluation: the top priority for global health. Lancet 2010; 375: 526. doi: 10.1016/S0140-6736(10)60056-6
  26. The Global Fund. Grant Portfolio: Papua New Guinea [internet]. 2014. Available from: http://portfolio.theglobalfund.org/en/Country/Index/PNG
  27. Australian Department of Foreign Affairs and Trade (DFAT). Papua New Guinea Health System Capacity Development Program. 2014. Available from: www.dfat.gov.au/about-us/.../hhsip-health-system-frameworkl.pdf
  28. Australian Department of Foreign Affairs and Trade (DFAT). Schedule to the Papua New Guinea–Australia Partnership for Development, Priority outcome 2: Health and HIV/AIDS [internet]. 2014. Available from: http://aid.dfat.gov.au/Publications/Pages/2659_5398_4695_6862_4723.aspx
  29. Michaud J, Kates J. Global health diplomacy: Advancing foreign policy and global health interests. Glob Health Sci Pract 2013; 1: 24-8. doi: 10.9745/GHSP-D-12-00048
  30. AusAid. Mid-Term Review (MTR) of Evaluation Capacity Building Program (Indonesia). 2013. Available from: http://www.ode.dfat.gov.au/publications/documents/indonesia-evaluation-capacity-building-program-mtr-man-resp.pdf
  31. United Nations Economic and Social Council. Trends in South-South and Triangular Development Cooperation. Background Study for the Development Cooperation Forum. 2008. Available from: http://www.un.org/en/ecosoc/docs/pdfs/south-south_cooperation.pdf
  32. The Guardian. Bill Gates and Dambisa Moyo spat obscures the real aid debate [internet]. 2015. Available from: http://www.theguardian.com/global-development/poverty-matters/2013/may/31/bill-gates-dambisa-moyo-aid
  33. Australian Government. Overview of Global Health Initiatives. 2014. Available from: http://aid.dfat.gov.au/aidissues/health/Pages/home.aspx#initiatives
  34. Winning D. Japan Steps Up Interest in Papua New Guinea’s Gas Riches [internet]. The Wall Street Journal; May 23rd, 2013. Available from: http://blogs.wsj.com/moneybeat/2013/05/23/japan-steps-up-interest-in-papua-new-guineas-gas-riches/
  35. World Health Organization (WHO). From Honiara to Apia: Report on Progress and Challenges. 10th International Pacific Health Ministers Meeting. 2013. Available from: http://www.wpro.who.int/southpacific/pic_meeting/2013/documents/PHMM_PIC10_4_Progress_Report.pdf
  36. World Health Organization (WHO) Pacific Regional Office. Samoa National Health Plan - WHO Western Pacific Region.2007. Available from: http://www.wpro.who.int/health_services/samoa_nationalhealthplan.pdf
  37. Scott A. Global Health Security Under Threat? Progress in implementing the International Health Regulations. Health Diplomacy Monitor; 2012. Available from: http://www.academia.edu/1241479/Global_Health_Security_Under_Threat_                Progress_in_implementing_the_International_Health_Regulations_2005_
  38. Leng D. A decentralized primary healthcare model based upon a cost-effective patient data system that includes remote districts and villages in Samoa. Samoan Medical Journal 2010; 2: 35-7.
  39. The World Bank. Increasing access to effective, efficient and quality health services in Samoa [internet]. World Bank South Pacific Development Report. 2013. Available from: http://web.worldbank.org/WBSITE/EXTERNAL/NEWS/0,,contentMDK:22517640                ~menuPK:141310~pagePK:34370~piPK:34424~theSitePK:4607,00.html
  40. World Health Organization (WHO). WHO Country Cooperation Strategy for Samoa 2013-2017. 2012. Available from: http://www.who.int/countryfocus/cooperation_strategy/ccs_wsm_en.pdf
  41. World Health Organization (WHO). CSU’s Global Fund - related work. 2013. Available from: http://www.wpro.who.int/entity/country_focus/global_health_initiatives/globalfund/en/
  42. United Nations Programme on HIV/AIDS (UNAIDS). Oceania Fact Sheet. 2014. Available from: http://www.unaids.org/sites/default/files/en/media/unaids/contentassets/                documents/epidemiology/2012/gr2012/2012_FS_regional_asia_pacific_en.pdf
  43. United Nations Programme on HIV/AIDS (UNAIDS). Samoan Global AIDS Reporting Progress Report 2013. Reporting Period: January – December 2013; Report submitted on 31st March 2014. Available from: http://www.unaids.org/sites/default/files/en/dataanalysis/knowyourresponse/                countryprogressreports/2014countries/WSM_narrative_report_2014.pdf
  44. United Nations Programme on HIV/AIDS (UNAIDS). Global AIDS Country Progress Report: Samoa. UNAIDS Report. 2012. Available from: http://www.unaids.org/sites/default/files/en/dataanalysis/knowyourresponse/                countryprogressreports/2012countries/ce_WS_Narrative_Report[1].pdf
  45. Samoan Red Cross Society. HIV/AIDS in Samoa [internet]. 2014. Available from: http://www.redcross.org.ws/Whatwedo/Health/HIV/tabid/6588/language/en-US/Default.aspx
  46. Buchanan-Aruwafu H. Youth Vulnerability to HIV/AIDS in the Pacific. 2014. Available from: http://www.apcom.org/tl_files/resources/HIV-PacificYOUTHVULNERABILITY.pdf
  47. Cote JE. A social history of youth in Samoa: religion, capitalism, and cultural disenfranchisement. Int J Comp Sociol 1997; 38: 217-34.
  48. Kevany S, Khumalo-Sakutukwa G, Murima O, Chingono A, Modiba P, Gray G, et al. Health diplomacy and adapting global health interventions to local needs in sub-Saharan Africa and Thailand: evaluating findings from Project Accept. BMC Public Health 2012: 12: 459. doi: 10.1186/1471-2458-12-459
  49. Secretariat of the Pacific Community. Principal Recipient Annual Report: January to December 2009 [internet]. 2009 Available from: https://www.spc.int/frp/index2.php?option=com_docman&task=doc_view&gid=173&Itemid=33
  50. Fauci A. The expanding global health agenda: a welcome development. Nature Med 2007; 13: 1169-71. doi: 10.1038/nm1646
  51. Center for Strategic and International Studies (CSIS). Final report of the CSIS Commission on smart global health policy. 2010. Available from: http://csis.org/event/rollout-final-report-csis-commission-smart-global-health-policy
  52. International Federation of Red Cross and Red Crescent Societies. Information Bulletin for the Pacific: Tropical Cyclone Pam. 2015. Available from: https://www.ifrc.org/docs/Appeals/15/IBPacificTC130315.pdf
  53. Kevany S. Global Health Diplomacy, ‘Smart Power’, and the New World Order. Glob Public Health 2014; 9: 787-807. doi: 10.1080/17441692.2014.921219

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History

  • Receive Date: 13 March 2015
  • Revise Date: 06 April 2015
  • Accept Date: 18 April 2015
  • First Publish Date: 01 June 2015

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