What went wrong for Bridge Academies in Uganda? →

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Uganda’s Ministry of Education is set to shutter the 63 schools run by Bridge International Academies, whose pioneering model for low-cost, private education has drawn significant attention — and investments — from major international players, including Bill Gates and Mark Zuckerberg.

Bridge has expanded quickly since opening its first schools in Uganda in February 2015, with more than 12,000 students currently enrolled in its academies across the East African country. According to ministry officials, though, it did so without meeting national standards. Bridge officials refute the allegations, and some education experts cast them as part of a broader international campaign to stop the development of affordable alternatives to underperforming public school systems. Read more.

At last, an HIV prevention tool women can control? →

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There is a need “for self-initiated products that women, especially young women, can and will use consistently. Women need practical and discreet tools that they can use to protect themselves from HIV infection,” said Dr. Flavia Matovu, an epidemiologist and investigator with the Makerere University-Johns Hopkins University Research Collaboration, based in Uganda.
Now, researchers including Matovu hope they may have an option in the vaginal ring, a flexible piece of silicon laced with an antiretroviral medication. Women insert it near their cervix, where it can safely remain for about a month, slowing releasing the drug at the site of a potential infection. The method is being tested in two crucial “open label” extension studies, wherein all willing participants will receive the medicated ring, rather than a placebo.

Read more.

Aid groups grapple with stigmatization in HIV prophylaxis roll-out →

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The success of a promising HIV prevention intervention in sub-Saharan Africa — the region with the highest burden of HIV — will hinge more on the social than the scientific. Researchers and advocates will have to strike a balance in how they market and roll out pre-exposure prophylaxis (PrEP). They have to ensure that it reaches stigmatized populations with high HIV transmission rates, such as MSM and sex workers. But they must ensure it is not perceived as exclusively a treatment for marginalized groups, which will lower its appeal both within those communities but also to other people who could benefit from it. Read more.

Ethiopia's state of emergency silences aid workers →

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The Ethiopian government’s recently imposed state of emergency, which followed months of clashes between political protesters and security forces, has imposed new curfews, limited the movement of civilians and diplomats and outlawed opposition media.

It has also largely silenced the extensive international aid community operating in the country from speaking about what effect the current political dynamic is having on their work. Read more.

How to build on what works to improve health markets →

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Despite the many challenges to developing health markets in low- and middle-income countries, there are programs — often efforts to treat specific illnesses — that have shown enormous success in meeting the needs of some health consumers. Now, to improve markets, innovators in some places are looking to layer additional services onto those systems — and they are pursuing partnerships with a variety of actors in order to do so. Read more.

AIDS funding is in crisis. Who will step up? →

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Scientists say the tools are available to end the AIDS epidemic. But public health interventions are running out of money. And even as officials talk about the approaching end of a pandemic that has killed more than 35 million people, the goal of eradicating AIDS is looking ever further away.

Funding has dropped before, but this time seems different, said Mike Podmore, the director of STOPAIDS. Global fatigue has set in after nearly two decades of funding the AIDS response. Donors are pushing middle-income countries to take on a greater share of funding their HIV/AIDS programs, but health budgets and systems are already stretched. Some costs can be cut by delivering services more efficiently, though that approach is unlikely to bring about the end of AIDS.

All this added up means the indefinite continuation of the world’s deadliest epidemic. Read more.

A new era in digital health →

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More than a decade of experimentation in digital health has seen the rise of a range of innovations that build on the promise that emerging technologies can dramatically improve health care, especially in low- and middle-income settings.

What has also emerged is a range of challenges, as innovators have wrestled with everything from building partnerships to reproducing successful programs in new settings. One of the biggest hurdles has been how to channel the lessons from the proliferation of projects that never grew beyond their pilot stage into scalable interventions. Read more.