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Letter To House Foreign Affairs Committee Urging Rapid Passage of Expanded and Improved Global AIDS and Health Programs

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Dear Members of the House Committee on Foreign Affairs,

The undersigned write as members of the worldwide movement of organizations concerned about AIDS and global health. We urge you to support passage of Chair's text of the U.S. Global HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 - a renewed and improved version of the President's Emergency Plan for AIDS Relief (PEPFAR).

This bill continues and builds on the progress made by current U.S. global health initiatives, and affirms U.S. commitments made to achieve universal access to AIDS treatment, prevention and care, as well as meeting targets pledged against tuberculosis and malaria.

In addition to providing improved assistance for prevention of HIV infections, care and treatment for people living with HIV/AIDS, the bill also transitions U.S. global AIDS programs from an emergency phase to a sustainable one with a new focus on country health systems. Impoverished countries must be supported with significant increases in the number of health workers trained and adequately supported so to enable them to do their jobs in their countries of origin. We welcome that bill supports country-led health workforce plans to train and retain the new health workers needed to sustainably achieve good health–and meet the goals the U.S. has already committed to supporting. The U.S.’s one-third share of the health workers UNAIDS projects are necessary to achieve universal access by 2015–five years later than originally promised—is at least 140,000 new health professionals, and we urge you to include this as a hard target.

The bill expands prevention options, increasing flexibility for the U.S. coordinator and enabling more comprehensive and country-specific approaches including vital new activities to address the vulnerabilities of women and children, while deleting budget earmarks that limited flexibility at the country level. We also welcome that the bill maintains that 10% of funds be directed to programs assisting orphans and vulnerable children to provide them with services such as care, education, and adequate nutrition. The bill also supports research for new vaccines, microbicides and prevention technologies, and improves program efficiency by strengthening coordination efforts across U.S. and international agencies fighting AIDS, TB, and malaria. The bill establishes in legislation a U.S. malaria program, continuing and building upon the President's Malaria Initiative that has already contributed greatly to improvements in the fight to eradicate this terrible disease. It also includes assistance for activities aiming to prevent and stop the spread of tuberculosis—a disease that knows no borders, as demonstrated by the MDR-TB case in the U.S. last spring.

There is a continued need to scale up access to treatment and to get powerful new first and second line regimens to more of the people with HIV in immediate clinical need – the people who will die in the near term without the medicine they need to survive. We applaud also that the bill also affirms the U.S. commitment to support the multilateral Global Fund to fight AIDS, Tuberculosis and Malaria, while correcting technical fiscal calendar year issues that have threatened sometime to limit the two-thirds match to U.S. investments.

To achieve the goals in prevention, treatment and care and to ensure a holistic approach to HIV/AIDS, TB, and malaria and the health workforce necessary to keep U.S. commitments, a minimum of $50-to-$59 billion is needed over five years.

To demonstrate continued U.S. commitment to partners in the developing world and to show that Americans intend to sustain work against AIDS worldwide through increased investments and sound policies on global health, we urge that you support passage of this legislation with at least $50-$59 billion over five years, and all of the policies and improved program targets in the current draft bill.
Thank you for your consideration,
 
US-Based local, national and international organizations
1.    ACT UP New York, NY
2.    ACT UP Philadelphia, Philadelphia, PA
3.    ActionAid International USA, USA 
4.    ActionAIDS, Philadelphia, PA
5.    Advocates for Youth, USA
6.    Africa Action, USA
7.    African Immigrant & Refugee Foundation, DC
8.    African Services Committee, New York, NY
9.    AIDS Action Baltimore, MD
10.    AIDS Action Council, USA
11.    AIDS Foundation Chicago, Chicago, IL
12.    AIDS Institute, USA
13.    AIDS Policy Project, Philadelphia, PA
14.    AIDS Project Los Angeles, CA
15.    AIDS Treatment News, USA
16.    AIDS Vaccine Advocacy Coalition, USA
17.    Allen Rosenfield, Dean, Mailman School of Public Health, Columbia University, New York, NY
18.    American Jewish World Service, USA
19.    American Medical Student Association, USA
20.    American Public Health Association, USA
21.    American Public Health Association's International Health Section, USA
22.    Americans for Informed Democracy, USA
23.    ARENA, NY
24.    Artists for a New South Africa, USA
25.    Association of Nutrition Services Agencies, USA
26.    Brown University AIDS Center, RI
27.    Campaign to End AIDS, USA
28.    Cascade AIDS Project, OR
29.    Center for Health and Gender Equity (CHANGE), USA
30.    Centre for Development & Population Activities (CEDPA),USA
31.    Chicago Women's AIDS Project, IL
32.    Church World Service, Int’l
33.    Comboni Missionary Sisters, MD
34.    Community HIV/AIDS Mobilization Project (CHAMP), USA
35.    Community HIV/Hep. Advocates Iowa Network (CHAIN), IA
36.    DC Fights Back, Washington, DC
37.    Dominican Sisters of Hope, USA
38.    End AIDS Now!, Int’l
39.    Essential Action, USA
40.    FeelGood, VA
41.    Foreign aryia Focus, USA
42.    Foreign Policy In Focus, USA
43.    Gay and Lesbian Latino AIDS Education Initiative (GALAEI), PA
44.    Gays and Lesbians of Zimbabwe (GALZ), Zimbabwe
45.    Global Action for Children, USA
46.    Global AIDS Alliance, USA
47.    Global Campaign for Microbicides, Int’l
48.    Harm Reduction Coalition, USA
49.    Health Alliance International, Int’l
50.    Health Equity Project, USA
51.    Health GAP (Global Access Project), USA
52.    HIVictorious, Madison, WI
53.    HIV Center for Clinical and Behavioral Studies at Columbia University, NY
54.    Housing Works, NY/DC
55.    IFMSA-USA (International Federation of Medical Students' Association), USA
56.    International AIDS Empowerment, TX
57.    International Association of Physicians in AIDS Care (IAPAC), Int’l
58.    International Center for Research on Women, USA
59.    Int’l Community of Women Living w/ HIV/AIDS, Int’l
60.    International Lesbian & Gay Law Association (ILGLaw), Int’l
61.    International Planned Parenthood Federation/Western Hemisphere Region, USA
62.    International Women’s Health Coalition, USA
63.    Iowans for AIDS Action, IA
64.    Jennifer Hirsch, Assoc. Prof. of Sociomedical Sciences, Mailman School of Public Health, Columbia University, NY
65.    John S. James, editor / publisher, AIDS Treatment News
66.    John Snow, Inc, Int’l
67.    Josh Ruxin, Assistant Clinical Professor of Public Health, Columbia University, New York, NY
68.    Jubilee USA Network in Oregon, OR
69.    Jubilee USA Network, USA
70.    June M. Fisher, MD, Director, TDICT Project, Trauma Foundation, San Francisco General Hospital, CA
71.    KAIPPG International
72.    Knowledge Ecology International, Int’l
73.    LA Gay & Lesbian Center, Los Angeles, CA
74.    Lark Lands, MS, PhD, Director, Cofounder of H.O.P.E ,USA
75.    Maryknoll Global Concerns, USA
76.    Mercy Investment Program, USA
77.    Mennonite Central Committee U.S. Washington Office, USA
78.    National Council of Jewish Women, USA
79.    Northwest Coalition for Responsible Investment, WA
80.    NYC AIDS Housing Network (NYCAHN), NY
81.    Office of Justice and Peace, MD
82.    Oxfam America, USA
83.    Partners in Health, International
84.    Pax Christi Denver Group, CO
85.    Philadelphia Area Committee to Defend Healthcare, Philadelphia, PA
86.    Philadelphia FIGHT, PA
87.    Phila. Justice Group, Medical Mission Sisters, USA
88.    Physicians for Human Rights, USA
89.    Positive Health Project, NY
90.    Presbyterian Church (USA), USA
91.    Primer Movimiento Peruano GLBT, NY
92.    Program on Information Justice and Intellectual Property, American University Washington College of Law
93.    Project Inform, USA
94.    Prototypes, CA
95.    Proyecto SOL Filidelfia - Sida Organizacion Latino Lidergazo, PA
96.    RESULTS, USA
97.    Rev. Nancy Wilson, Moderator, Metropolitan Community Churches USA
98.    Rev. Pat Bumgardner, Chair, Moderator’s Global Justice Team, Metropolitan Community Churches, USA
99.    Richard Bail MD, MPH, President, Communities Without Borders, MA
100.    Share International USA, Int’l
101.    SIECUS (Sexuality Inform & Education Council of the U.S.)
102.    Sibusiso, Inc, Int’l
103.    SisterLove, Inc, Atlanta, GA
104.    Sisters of Mercy Regional Community of Detroit, MI
105.    South Carolina Campaign to End AIDS (SC-C2EA), SC
106.    St. Ann's Corner of Harm Reduction, NY 
107.    Street Works, TN
108.    Student Campaign for Child Survival, USA
109.    Students for Equal Health, University of Washington, WA
110.    SGAC, St. Michael’s College, VT
111.    Student Global AIDS Campaign, USA
112.    Women's Center, Montefiore Medical Center, NY
113.    Training for the Development of Innovative Control Technology (TDICT) Project, CA
114.    Treatment Action Group, USA
115.    Ukimwi Orphans Assistance, DC
116.    Union for Reform Judaism, USA
117.    Unitarian Universalist Association of Congregations, USA
118.    United Methodist Church, General Board of Church and Society, USA
119.    Universities Allied for Essential Medicine, USA
120.    University Coalitions for Global Health, USA
121.    Usuline Sisters of Tildonk-U.S. Province, USA
122.    Vermont Global Health Coalition, VT
123.    Who's Positive, State College, PA
124.    WE-ACTx (Women's Equity in Access to Care and Treatment), Int’l
125.    Women of Reform Judaism, USA
126.    National Council of Jewish Women, USA
127.    Women Organized to Respond to Life-threatening Diseases (WORLD), USA
128.    World Conference of Religions for Peace, Int’l
 

 
International Organizations
 
1.    ACT UP-Paris, France
2.    Action Group for Health, Human Rights, and HIV/AIDS (AGHA), Uganda
3.    Africa-Europe Faith & Justice Network (AEFJN), Belgium/Int’l
4.    Africa Public Health Rights Alliance (APHRA), Int’l
5.    African Forum of Faith-Based Organisations in Reproductive Health and HIV/AIDS, Ethiopia
6.    Afrihealth Information Projects/Afrihealth Optonet Association, Nigeria
7.    Agua Buena Human Rights Association, Costa Rica
8.    AIDES, France/Int’l
9.    AIDS.org, Int’l
10.    AIDS Access Foundation, Thailand
11.    All-Ukrainian Network of People Living w/ HIV/AIDS
12.    BC Persons With AIDS Society, Canada
13.    Beijing Aizhixing Institute, China
14.    Canadian HIV/AIDS Legal Network, Canada
15.    Centennial International Learning School, Philippines
16.    Centre for HIV/AIDS and STD Research, Nigeria
17.    Centro de Promocion y Solidaridad Humana (Ceprosh), Dominican Republic
18.    Charitable Female Foundation, Russia
19.    Christ Soldiers Foundation, Ghana
20.    Coalición ONG SIDA Rep. Dominicana, Dominican Republic
21.    Coalition for Health Promotion and Social Development (HEPS), Uganda
22.    Community Aid Uganda, Uganda
23.    Community Working Group on Health, Zimbabwe
24.    CREAThE O.N.L.U.S, Italy
25.    Delhi Network of Positive People (DNP+), India
26.    European AIDS Treatment Group (EATG), Belgium/Int’l
27.    Fantsuam Foundation, Nigeria
28.    Freedom Foundation, Int’l
29.    FrontAIDS, Russia
30.    Fundación Huellas, Ecuador
31.    German Doctors for Developing Countries, Germany
32.    Health Rights Advocacy Forum (HRAF), Kenya
33.    Intersect Worldwide, International
34.    Italian League for Fighting AIDS, Italy
35.    Joy for Children, Uganda
36.    Kenya AIDS Intervention Prevention Project Group, Kenya
37.    Kenya Consortium to fight AIDS Tuberculosis and Malaria (KECOFATUMA), Kenya
38.    Kenya Treatment Access Treatment-KETAM, Kenya
39.    Life +, Ukraine
40.    Live Alive Foundation, Nigeria
41.    Malawi Health Equity Network, Malawi
42.    Mariya, Russia    
43.    McGill Global AIDS Coalition, Canada
44.    New Light AIDS Control Society, Pakistan
45.    Names Project Philippines, Philippines
46.    Network of Positive Women, Children and Youth, Kenya
47.    Pan African Treatment Access Movement (PATAM), Int’l
48.    People & Planet, United Kingdom
49.    Pinoy Plus Association, Inc, Philippines
50.    Positive Action Foundation, Philippines  
51.    Positive Malaysian Treatment Access & Advocacy Group (MTAAG+), Malaysia
52.    Positive Wave Foundation, Russia
53.    Project “Yasen”, Russia
54.    Public Health Impact Research Center, Nigeria
55.    Red Latinoamericana de Personas vividendo con VIH/SIDA (REDLA+), Uruguay/Int’l
56.    Russian Harm Reduction Network, Russia
57.    Saint Joseph's Matale Youth Organisation (MAYO), Uganda
58.    Southern Africa Treatment Access Movement (SATAMo), Int’l
59.    SIDACTION Int’l, France
60.    Sierra Leone Nurses Association, Sierra Leone
61.    Students And Youth Working on reproductive Health Action Team (SAYWHAT), Zimbabwe
62.    Tanzania National Network of People with HIV/AIDS, Tanzania
63.    Thai Network of People Living with HIV/AIDS, Thailand
64.    Treatment Action Campaign, South Africa
65.    Treatment Advocacy & Literacy Campaign (TALC), Zambia
66.    VSO, United Kingdom
67.    Women Fighting AIDS in Kenya (WOFAK), Kenya
68.    Zambia HIV/AIDS Back on Course Advocacy Team (ZABCAT), Zambia


















































































































































































































































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