Global Health Ideas

Finding global health solutions through innovation and technology

Archive for February 2009

Moyo to Bono: Africa Needs U like a Fish Needs a Bicycle

Economist Dambisa Moyo is on the interview circuit promoting her new book (Dead Aid). Dr. Moyo is at odds with celebrity spokespeople (the title is a play on lyrics from a U2 song). Fantastic set of quotes below from a couple of interviews. Her criticism of Bono might be a bit harsh, for another take, see MinneAfrica which discusses some of the limitations of Moyo’s thinking.

NY Times, Questions for Dambisa Moyo – The Anti-Bono Feb 19, 2009
NYT: As a native of Zambia with advanced degrees in public policy and economics from Harvard and Oxford, you are about to publish an attack on Western aid to Africa and its recent glamorization by celebrities. ‘‘Dead Aid,’’ as your book is called, is particularly hard on rock stars. Have you met Bono?

MOYO: I have, yes, at the World Economic Forum in Davos, Switzerland, last year. It was at a party to raise money for Africans, and there were no Africans in the room, except for me.

NYT: You argue in your book that Western aid to Africa has not only perpetuated poverty but also worsened it, and you are perhaps the first African to request in book form that all development aid be halted within five years.

MOYO: Think about it this way — China has 1.3 billion people, only 300 million of whom live like us, if you will, with Western living standards. There are a billion Chinese who are living in substandard conditions. Do you know anybody who feels sorry for China? Nobody.

Financial Times
“She is venturing into a debate that has to date been colonised by white men – be they rock stars such as Bono, politicians such as Tony Blair or the academics Jeffrey Sachs and Bill Easterly…”

FT: So what of the rock and Hollywood stars, who have appointed themselves advocates of making poverty history? She is withering:

MOYO: “Most Brits would be irritated if Michael Jackson started offering advice on how to resolve the credit crisis. Americans would be put out if Amy Winehouse went to tell them how to end the housing crisis. I don’t see why Africans shouldn’t be perturbed for the same reasons”…


Written by Aman

February 26, 2009 at 9:22 pm

Posted in Food for thought

Global Health at the Oscars part II: Global Slums – The Places We Live

Purely as entertainment I enjoyed Slum Dog Millionaire and because of the Oscar victory people have become more curious about global slums. How do I know this? The hits on this blog have increased in the past two days with people specifically drawn to a previous post we did: Dharavi: Mumbai’s Shadow City. Take the following with a grain of salt, but note the increase in interest:

“Movies have a powerful ability to evoke a sense of the exotica about the locations in which they are filmed. They are widely acknowledged to inspire travel to those destinations….According to Expedia sources, post ‘Slumdog Millionaire’, Mumbai now tops the chart of global tourist destination.” Source Yahoo News

Additionally, OneWorld Health has decided to explicitly use the movie as a avenue to educate people more about global health needs:

The Institute for OneWorld Health, the non-profit pharmaceutical company that develops drugs for people with neglected infectious diseases, announced it is launching a new awareness campaign inspired by the highly acclaimed Oscar-winning film, Slumdog Millionaire…OneWorld Health is running a full-page ad in the New York Times on Monday, Feb. 23. Slumdog Millionaire, an underdog story about poverty, love and hope, won eight Oscars at last night’s Academy Awards ceremony, including Best Picture. For the full story see OWH here.

A by product of Slum Dog is that tens of millions of people who previous had very little knowledge about global poverty got a little glimpse into that world. Picking up on this curiosity, another place to learn more is a fantastic multimedia project by Magnum Photos that is well worth your time (hat tip to TinkuB) :

Other Perspectives:
Does Hollywood spotlight risk slumsploitation? The Business of Giving
A Hollow Message of Social Justice. RaceWire

Written by Aman

February 25, 2009 at 5:23 am

Global Health at the Oscars

Sunday night there were two films related to global health and poverty that were nominated for an Academy Award in the best short documentary category. Smile Pinki took the award in the short’s category this year. The other film was The Final Inch (about polio eradication efforts, see the link below):

  • Smile Pinki: Pinki, a girl in rural India whose cleft lip has made her a social outcast, has a chance for a new life when she meets a dedicated social worker.
  • The Final Inch: Contributing to the global efforts to eradicate polio worldwide, dedicated individuals in India travel throughout the country urging parents to vaccinate their children against the disease.

Oscar’s past have been given to other global health related films –Born into Brothels which one the best overall documentary in 2004 – and it is good to see this continue. Megan Mylan, a UC Berkeley graduate, who also did the Lost Boys of Sudan, directed Smile Pinki, below are excerpts of an interview with her:
IDA: What inspired you to make Smile Pinki?
Mylan: As a filmmaker who focuses on social issue documentaries, it’s rare that I get into a film knowing we’re likely to have a happy ending. I was excited to tell the story of this beautiful hospital and a team of doctors and social workers treating their patients with such compassion and quality care and making a positive impact. I continue to be inspired by the simple idea that the better we know each other, the better this world is, and I hope people come away from my documentaries feeling like they better understand the life of someone living a very different reality.

IDA: What were some of the challenges and obstacles in making this film, and how did you overcome them?
The biggest challenge for me was communicating and finding common ground with the patients and families in the film. Like many of the patients, Pinki’s parents are illiterate dirt-farmers. They had never seen a movie or met a foreigner. I really wanted them to understand my motivation for making the film and gain their trust. I worked with a great field producer, Nandini Rajwade, who along with Pankaj Kumar, one of the social workers in the film, patiently translated my conversations from English to Hindi to the family’s dialect and back, but it was still hard to know through the levels of translation that I was being respectful and clear. I chose to trust the sensitivity of my team and rely on eye contact and instinct.

Global health could certainly use more in the way of video, film, and other creative outlets that help spread success stories. Check out out previous post on global health video outlets.

Written by Aman

February 24, 2009 at 9:48 pm

Posted in Global Health, Media

Vogue on Melinda Gates

Good read with insight into how Melinda Gates sets priorities for the Gates Foundation, also some fun tidbits with a more personal article, excerpts below (I should mention there has been some recent criticism of Melinda and the data she has cited on antimalarial efforts, see here and here):

Feb 2009, Vogue, Gates of Heaven

  • “without Melinda there would have been no Gates Foundation. She is the reason they focus so heavily on improving the health of the world’s neediest inhabitants.”
  • “You have to be humble in what we are doing, but you also have to be bold,” she says. “You have to ask yourself, Are we going to feed people or sit behind ivory towers and argue about how to do it? I want people to live and to survive, so we will get out there and try something. If it doesn’t work, we will try something else. And we will keep trying until we find something that works.”
  • “the philanthropy’s true power lies in its willingness to apply the merciless principles of the business world to charity.”
  • “There won’t be any Gates Foundation grants for National Public Radio or the Metropolitan Opera. (For that matter, the foundation does not fund research into heart disease, diabetes, or many types of cancer, either, despite the fact that those diseases kill millions of people in the developing world. They also happen to kill millions of people in the developed world, and that means governments and pharmaceutical companies have all the incentive they need to address them.) Instead, Bill and Melinda Gates focus on problems that nobody else seems to care about.”
  • “Melinda has become immersed in the financial-services issue, which she sees as an essential prelude to providing security and equality for women…“When a woman’s husband dies of AIDS in Malawi, she becomes the property of her brother-in-law,” Gates explains. “And he goes to collect all the assets. But they belong to her, and if she has the smart card, he will take it to the bank and demand the money. But the bank will say, ‘This is not your card; it’s not your account, because it’s not your thumbprint.’ He can’t get her money. And these cards,” she adds triumphantly, “have become so popular that they are the number-one wedding gift in the country.”

Written by Aman

February 20, 2009 at 5:52 pm

R&D Funding for Global Health Diseases

1. HIV/AIDS, TB, Malaria Account for 80% of Disease Funding in Developing Countries, Report Says
2. More funds needed for lesser known tropical diseases, Link

The above two headlines on global health funding flows and allocation caught my attention. The original study was published in PLoS Medicine. The article has some great figures (some of which I have reproduced below). A few things immediately stick out – the amount concentrated on HIV/AIDS, TB and malaria is astounding. Second the US is providing 70% of the funding and on the surface one could argue that other countries really could be pitching in more. On that note, the Gates Foundation by itself is out funding the European Commission almost 4 to 1 – if that isn’t embarrassing I don’t know what is. Finally, the US Department of Defense is high on the list (surpassing USAID). Interesting stuff:

“HIV/AIDS, tuberculosis and malaria initiatives accounted for about 80% of the $2.5 billion that was spent on research and drug development for developing countries in 2007… However, pneumonia and diarrheal illness, which are two major causes of mortality in developing countries, received less than 6% of funding.”


Original Sources:

  • PLoS Medicine – Neglected Disease Research and Development: How Much Are We Really Spending? Link
  • WHO Top 10 Causes of Death, Link

Next Trends: Generosity in Tough Times?

For Feb 2009 TrendWatching.Com focuses on “generation G” – the giving, generous generation that they think is baked in due to the ubiquitous development of online culture. I don’t agree with everything they have spotted, but it’s a really interesting piece worth checking out:

GENERATION G | Captures the growing importance of ‘generosity’ as a leading societal and business mindset. As consumers are disgusted with greed and its current dire consequences for the economy—and while that same upheaval has them longing more than ever for institutions that care—the need for more generosity beautifully coincides with the ongoing (and pre-recession) emergence of an online-fueled culture of individuals who share, give, engage, create and collaborate in large numbers.”

In fact, for many, sharing a passion and receiving recognition have replaced ‘taking’ as the new status symbol. Businesses should follow this societal/behavioral shift, however much it may oppose their decades-old devotion to me, myself and I.”

Here is the outline of the piece:

1. Recession and consumer disgust
2. Longing for institutions that care
3. For individuals, giving is already the new taking and sharing is the new giving

8 Ways for corporations to join Generation G: co-donate, eco-generosity, free love… read the rest here.

Additional Commentary:

  • Generation G: Wired to Care, Wired to Share , Link
  • Goodness And Happiness – Why Generosity Is The Future Of Marketing Strategy, Link
  • Generations Generosity, Link

Written by Aman

February 17, 2009 at 10:52 pm

Play it Forward

From Giving in a Digital World, read their full detailed post, excerpt below:
“Play It Forward (named after the movie, presumably) is a start-up that plans to launch a new online giving platform next month, offering individuals or groups of individuals the opportunity to fund specific projects around the world.

Ok. Sounds just like another Global Giving? However, Play It Forward looks like it’s going to have some special aspects to it that could make it stand-out as a distinctive player in the online nonprofit project crowdfunding world…” More here.

Written by Aman

February 16, 2009 at 2:15 pm