USAID Impact Photo Credit: USAID and Partners

Archives for In the News

Crafting Economic Empowerment for Women in North Lebanon

On a sunny October morning, I was blinking back tears of pride as 39 women, hailing from poor families, some with Down syndrome, gathered on a terrace to receive certificates celebrating their completion of a handicraft and soap making training workshop supported by USAID. Atayeb el Rif (Rural Delights), a cooperative that specializes in local gourmet foods and delicacies, organized the training as part of a grant it received under the USAID Lebanon Industry Value Chain Development (LIVCD) project to enhance the economic status of women in North Lebanon.

The USAID LIVCD project is a five-year project that provides income-generating opportunities for small businesses while creating jobs for rural populations, in particular women and youth.

The USAID LIVCD project is a five-year project that provides income-generating opportunities for small businesses while creating jobs for rural populations, in particular women and youth. Photo Credit: DAI

North Lebanon, an area that has seen a large influx of Syrian refugees, had already been facing many economic challenges, most notably loss of income due to scarce employment opportunities. USAID has intensified efforts in this region to help Lebanese communities hosting Syrian refugees through targeted assistance. The grant, launched in May 2012, helps provide economic opportunities for women and youth in rural areas, and thereby decrease migration to already over populated urban areas and improve Lebanon’s economic stability. As part of the grant, a six-day training workshop, related to accessories, needle work, soap making, and soap decoration skills, was provided to 120 women in three areas in North Lebanon, Batroun, Koura, and Donnieh. In addition to the training, each woman also received a tool kit containing $150 worth of supplies, tools, beads, molds, and threads to enable them to start their own small production home-based enterprises.

I was impressed by the array of handicrafts on display, ranging from beautifully decorated soaps to beaded fabrics, done with meticulous attention to detail and most of all passion. In fact, it was easy to sense that passion as the women enthusiastically shared their stories with us. “This training opened new opportunities. I will start producing accessories soon, and I hope to be able to open my own little shop to sell them. I also plan to benefit from the project’s assistance in marketing and to attend exhibitions and fairs to display my handicrafts,” commented one of the participants. But it was a 23-year old participant with Down syndrome, whose testimonial touched all attendees as she spoke with courage and pride about the prospects of this opportunity in ensuring a better income for her family.

The USAID Lebanon Industry Value Chain Development continued support to the women after their training graduation by providing ongoing coaching. USAID also facilitated the women’s access to markets by helping them to rent space at holiday events and fairs to sell their products to generate additional income. The USAID LIVCD project is a five-year project that provides income-generating opportunities for small businesses while creating jobs for rural populations, in particular women and youth.

I walked away with a basket of beautiful soap accessories that I can hang around the house for a profusion of scents. But most of all, I walked away inspired by the determination of these women to go beyond their potential in order to be the catalysts for change and growth in their community and country.

Participants receiving their certificate of attendance. Photo Credit: DAI

Participants receiving their certificate of attendance. Photo Credit: DAI

Pounds of Prevention – Focus on Peru

Community members living in high-altitude neighborhoods of Puno map hazards and emergency response actions.

Community members living in high-altitude neighborhoods of Puno map hazards and emergency response actions.

In this next installment in the Pounds of Prevention series, we travel to the southeastern regions of Puno and Cusco in Peru. Here USAID’s Office of U.S. Foreign Disaster Assistance has been working through its partners with the government and the private sector to help communities prepare for future disasters. Villages that never before received local weather information now benefit from daily forecasts as well as early warnings and alerts to severe weather. These same communities received disaster preparedness training and may even one day benefit from the work to design climate-appropriate transitional shelters should the need arise.

Benjamin Franklin is famous for the adage “an ounce of prevention is worth a pound of cure.” Today, we are faced with great challenges brought about by increasing population and urbanization, a changing climate, and a demonstrated increase in the frequency and severity of natural disasters. To continue to tackle these challenges, what has become clear is this: We need more than an ounce of prevention; we need pounds of prevention! Read more >>

Satellite Data for the People: USAID Supports Launch of New Forest Watch Tool

How is the latest U.S. satellite and mobile technology helping 350 million of the world’s poorest people – including 60 million indigenous people – safeguard their homes and livelihoods?

More than 300 development experts heard the answer at today’s launch of the new high-tech Global Forest Watch tropical forest monitoring tool, developed by World Resources Institute with support from USAID, Google, Norway and other partners.

“Global Forest Watch is democratizing information,” USAID Administrator Dr. Rajiv Shah told a full house at the Newseum’s Knight Conference Center in Washington DC. Juan Carlos Jintiach, a leader of Ecuador’s Shuar Nation of peoples, agreed. “Global Forest Watch is a way to share our voices and histories,” he told the crowd.

But Global Forest Watch does much more than share stories. This powerful new tool combines satellite imagery and overlay maps with the latest open data and crowd-sourcing technologies to open up near-real-time information about the state of tropical forests to anyone with an internet connection. Currently, tropical forests are being destroyed at a rate of about 50 field soccer fields per minute.

Dr. Raj Shah voices USAID's support for innovative new technology working to dramatically reduce tropical deforestation

Dr. Raj Shah voices USAID’s support for innovative new technology working to dramatically reduce tropical deforestation. Photo Credit: Ralph Alswang

The loss of tropical forests is a big problem for the earth’s climate, causing up to a fifth of the carbon pollution linked to climate change. It’s also an immediate threat to the health and well-being of an estimated 1 billion people around the world, who depend on forests for food or livelihood activities.

Worse still, for more than 350 million of the world’s very poorest people – those who use forests intensively for subsistence and survival – forest destruction can mean life or death. This number includes some 60 million indigenous people, among them a small number of tribes in the deepest reaches of forest who have yet to be contacted by modern civilization.

Global Forest Watch unites more than 40 government, business and civil society partners to curb forest destruction by putting free and transparent information in the hands of people who care most about forests. Anyone with an internet connection can visit the GFW website and upload information about what is happening in their section of forest. And any government can visit the GFW website and find near-real-time information about what is happening in their forest territory, in near real time, on the ground.

“Now governments and people will have access to the same information [as private companies],” said Felipe Calderon, Mexico’s former president, who spoke at the February 20 GFW launch.

GFW partners and supporters include many of the same partners of the Tropical Forest Alliance 2020, a private-public partnership kicked off by the United States and the Consumer Goods Forum network of more than 400 global businesses in 2012. USAID contributed $5.5 million to GFW, in the process helping to mobilize more than $30 million.

Thinking and Working Politically

A couple of weeks ago, I attended a workshop hosted by the Australia-based Developmental Leadership Program with the fanciful title of Thinking and Working Politically.  This was the second meeting of this ad hoc group of donors, think tankers and implementers. The first meeting took place in New Delhi in November and Oxfam’s Duncan Green enthusiastically blogged about the first meeting and the second meeting, which I attended.

Larry Garber

Larry Garber serves Senior Advisor to the Bureau of Policy, Planning and Learning

The workshop provided a useful forum for sharing perspectives among those advocating a more political orientation to donor development programming and for identifying the challenges that we face in making this effort a reality.  This subject has seen an academic rejuvenation during the past year, inspired by Tom Carothers and Diane De Gramont’s 2013 book, “Development Aid Confronts Politics: The Almost Revolution,” and more recently a book edited by Verena Fritz, Brian Levy and Rachel Ort in 2014, “Problem Driven Political Economy Analysis: The World Bank’s Experience.”

As Carothers and De Gramont describe, many development practitioners implicitly recognize the need to understand the political context of the societies in which they are working, but often shy away from acknowledging that they are operating “politically.” Even at USAID, where we were the first bilateral donor to explicitly embrace political work through the creation of a Center of Excellence for Democracy and Governance in 1994, we debate whether we should substitute the word “contextually” for “politically.” And yet, understanding political context is essential for maximizing the results of our development investments whether our specific objective is increasing economic growth, spreading the availability of water and energy supplies, or improving health and education outcomes.

At USAID, we are seeking to help staff think and work politically through several initiatives.  The new Strategy on Democracy, Human Rights and Governance (DRG) issued in June 2013 emphasizes the importance of applying political economy analysis (PEA) across all of USAID’s programming sectors.  USAID is currently in the process of developing a tool to guide all USAID staff in the conduct of a PEA and will support pilots of the new tool as well as training programs for staff across the Agency.  The Agency is also looking to integrate inclusive growth diagnostics, which seek to prioritize constraints to growth, with PEA into a unified analytic approach for identifying the specific constraints to achieving sustainable development outcomes in particular country settings.

A USAID-funded example of applying a “thinking and working politically” approach is documented in The Asia Foundation’s 2013 publication, “Built on Dreams Grounded in Reality: Economic Policy Reforms in the Philippines.” The book traces the political battles involved in promoting reform in several key sectors including telecommunications, civil aviation and sea transport. According to the authors, USAID-funded activities contributed to several of the positive outcomes by carefully analyzing local political context, relying on local leaders who assume personal responsibility for achieving development outcomes, seizing opportunities as they emerge and exercising perseverance over time.

We are collecting other real-world examples of USAID consciously applying a “thinking and working politically” approach and invite readers of this blog to comment on their experiences.  Moreover, as we pursue this agenda within USAID, we are mindful that other donors have been considering these issues for several years and we will continue to participate in donor gatherings where we can learn from others while sharing our experiences and perspectives.

Business Students Tackle Childhood Pneumonia in Uganda

A collaboration between USAID’s Center for Accelerating Innovation and Impact (CII) in the Global Health Bureau and the Kellogg School of Management at Northwestern University led to teams of business students from around the world competing on ways to reduce child deaths from pneumonia in Uganda.

The 11th annual Kellogg Biotech and Healthcare Case Competition brought together eleven teams representing nine business schools from the US, Canada, UK, and Mexico on January 25th in Chicago. This year’s winning team was from the Haas School of Business at the University of California, Berkeley and the runner-up from the University of Chicago Booth School of Business.

The winning team from the Haas School of Business, University of California, Berkeley.

The winning team from the Haas School of Business, University of California, Berkeley. Credit: Jason Brown

Thirty-two teams applied to participate from twelve different schools around the world. The teams invited to compete had impressive credentials; many of the participants worked at global healthcare companies and several had medical degrees.

Judges of the event were pharmaceutical executives who evaluated the teams’ business-minded supply and demand solutions. Pneumonia is the largest killer of children in the developing world and can lead to death if not correctly and quickly diagnosed and treated appropriately.

“This is business education at its finest,” observed Tim Calkins, clinical professor of marketing at Kellogg and one of the directors of the case competition. “In this competition we have teams of students working to address a major global health issue. In the process, they are learning an enormous about global health, team dynamics and the power of business concepts.”

The case was developed over the course of several months by students and professors at Kellogg in close collaboration with CII. Students performed research and interviews throughout Uganda.

Professor Calkins and Kara Palamountain, Director of the Global Health Initiative at Kellogg, then wrote the case outlining the many barriers to increasing the use of antibiotics in a country with limited resources. At the end of the case students are asked to propose solutions from several options within a given budget to maximize lives saved.

“This case forced students to think both analytically and creatively. The challenges are significant; it isn’t a case with a simple answer,” said Calkins.

CII actively looks to support the already strong work across USAID’s Global Health Bureau by engaging a range of new thinkers and perspectives, many from the private sector. This event demonstrated the value of seeking out these new perspectives; many of the teams proposed promising, well-structured, and feasible solutions based on frameworks and analysis from their business school curricula. Some of the teams will be invited to present their proposals to the Pneumonia Working Group based at UNICEF to inform ongoing global scale-up efforts.

Kellogg Professor Tim Calkins discusses the case following the competition

Kellogg Professor Tim Calkins discusses the case following the competition

Exposing business students to the challenges and opportunities in these developing markets now will likely benefit them in their future healthcare careers. Many countries in Africa and South East Asia are among the fastest growing pharmaceutical markets in the world. Calkins noted, “I was delighted to use a pharmaceutical related case from Africa, since this is where some of the greatest needs and opportunities will be found in the healthcare world.”

In addition to this competition, the case will be a permanent teaching tool in a global health course at Kellogg.

Schools represented include:

  • Carlson School of Management, University of Minnesota
  • Desautels Faculty of Management, McGill University (Canada)
  • Haas School of Business, University of California, Berkeley
  • IPADE Business School (Mexico)
  • Judge Business School, University of Cambridge (UK)
  • Kellogg School of Management, Northwestern University
  • Rutgers Business School
  • Stephen M. Ross School of Business, University of Michigan
  • University of Chicago Booth School of Business

Defending Civil Society Organizations in Egypt

While Egypt’s civil society plays an important role in defending civilian rights and promoting development, civil society organizations frequently find themselves under criticism. Our contributions are belittled. Our work is obstructed. Our motivations are called into question.

To counter these ongoing distortions, my organization, the Egyptian Center for Public Policy Studies, launched a community advocacy campaign, in cooperation with the United States Agency for International Development (USAID) and its implementing partner The International Center for Not-for-Profit Law (ICNL) to raise awareness about the need to defend freedom of association and lift the restrictions on civil society.

Still from ICNL's video on funding for civil society organizations. Click to view video (in Arabic)

Still from ICNL’s video on funding for civil society organizations. Click to view video (in Arabic)

Specifically, we developed two short films about the role of civil society and the benefits it provides to regular citizens. The first film addresses the question of “What is Civil Society?” by summarizing the role civil society organizations play in modern day Egypt, and highlighting several examples of our impact in education, health, and promoting civic freedoms and rights.

The second film addresses funding for civil society organizations, particularly contributions from international donors. This issue has generated a heated debate over the past few years, and many have tried to cast doubt on our work by highlighting our partnership with international donors. We tackled this issue by discussing the reasons why international donors provide funding for Egyptian civil society, what types of activities and services they provide, and how these activities contribute to the development of society and the economy.

To supplement these films, we produced two research papers: the first provided answers to questions about the funding of civil society, and the second pointed out several flaws in an Egyptian law which, which regulates our activities and constrains our ability to effectively serve our communities.

As a result of this campaign, the general public and the media began to pay attention. A dialogue was launched about the role of civil society and the campaign against our work. In particular, Dream TV, an Egyptian TV station, aired portions of our videos and provided a platform for two of our representatives to explain the purpose of civil society and the concept of foreign funding to the Egyptian public. In addition, several newspapers and online websites reported on our campaign and films.

While many challenges remain for organizations like mine in Egypt and around the region, we are hopeful that our efforts help expand the role that civil society can play in the democratic transitions underway and increase the role for citizen voices. Our work to promote freedom of association in Egypt and lift the restrictions imposed on Egyptian civil society will continue. Over the past few years we have learned that the united voice of citizens cannot be ignored. By making citizens more aware of the important role civil society plays, we are helping our democratic transitions succeed.

A U.S.-African Union

Every year, heads of state and cabinet officials from across Africa gather in Addis Ababa to meet with political, civil society, and business leaders at the annual African Union Summit.  Last week, I was honored to lead the USAID delegation to my first AU Summit. The AU’s role is critical to the future of Africa.

Mark Feierstein, Associate Administrator, USAID

Mark Feierstein, Associate Administrator, USAID

Established in 2001, the African Union’s vision is to support “an integrated, prosperous, and peaceful Africa, driven by its own people and representing a dynamic force in the global arena.”  As President Obama’s Strategy toward Sub-Saharan Africa indicates, the United States is committed to achieving that same goal, which is why our decade of partnership with the African Union has been indispensable to USAID’s work.

The African Union named 2014 the Year of Agriculture and Food Security—a pillar of USAID’s strategy on the continent because of its enormous potential to lift communities out of extreme poverty. Through our Feed the Future initiative, we provide support to the AU’s Comprehensive Africa Agriculture Development Program, an African-owned and -led initiative to boost agricultural productivity.  CAADP turns 10 this year, and so far more than 20 countries have developed collaborative investment plans.  While these plans are country-specific, they have been created through the African Union’s regional leadership, and their shared principles allow for the peer review, cooperation, and shared experiences that improve the quality of the individual plans—and their results.

But agriculture is the focus of just one of USAID’s collaborations with the African Union.  Together, we’ve strengthened democracy and governance by training electoral observers.  We’ve joined with the African Union Commission to reduce maternal mortality and increase youth employment and volunteerism.  We are also partners in supporting the UN Climate for Development in Africa program, providing data, adaptation planning, analysis, policy planning, and strategy development for climate change in Africa.

A highlight of my visit was sitting down at the AU headquarters with 50 young women from 15 African countries who were participating in the 2014 Young Women Forum.  These young leaders led a high-level discussion that included topics like how to create more agribusiness, land ownership and financing opportunities for women in their countries.  They also advocated for increased access to sexual and reproductive health and opportunities for higher education.  Talking with these young women, I was inspired by their deep knowledge and dedication to improving their communities, their countries and their continent.  Hearing about the gains we’ve made in our partnership with the AU and listening to the ideas of these young African leaders, I left the Summit with great optimism for the future of Africa.

Why support efforts to abandon Female Genital Mutilation/Cutting?

February 6th marks the International Day of Zero Tolerance to Female Genital Mutilation/Cutting.

I am often asked why the Office of Population and Reproductive Health at the U.S. Agency for International Development (USAID) is engaged in programming that will eliminate female genital mutilation/cutting (FGM/C). “What is the connection with family planning?” I’m asked.

“Nothing… and a lot,” is my answer.

FGM/C is a striking example of women’s lack of agency—a graphic illustration of powerlessness to make their own choices about their lives. If a girl cannot make a decision not to be cut, she also likely will not have the right to make her own informed decisions about her health, her education, or decide when and whom she marries, when to start a family, and what size that family will be. The Office of Population and Reproductive Health is engaged in FGM/C because we care about providing girls and women with the ability to decide for themselves how they will live and thrive.

When USAID first began working on the issue in the 1990s, individuals and groups in both the developing and the developed world were starting to look at the issue through the prism of women’s human and reproductive rights, as well as health. International consensus statements and treaties such as the International Commission on Population and Development (1994), the Fourth World Conference on Women (1995) and more recently, the United Nations General Assembly adoption of a resolution banning FGM/C worldwide in 2012, have made strong statements on the need to combat violence against women, including FGM/C, and have called on governments to adopt policies to prohibit the practice and to support community efforts to eliminate the practice.

While FGM/C is clearly a violation of a woman’s rights, it is a health issue as well. Studies conducted by the World Health Organization (WHO) showed negative obstetric outcomes and a 2013 meta-analyses by the Norwegian Knowledge Center for the Health Services showed that prolonged labor, obstetric lacerations, instrumental delivery, obstetric hemorrhage, and difficult delivery are markedly associated with FGM/C. These results can make up the background documentation for health promotion and health care decisions that inform work to reduce the prevalence of FGM/C and improve the quality of services related to the consequences of FGM/C.

Since 1997, when WHO issued a joint statement with the U.N. Children’s Fund (UNICEF) and the United Nations Population Fund (UNFPA) against the practice, international attention and effort has gone into counteracting FGM/C. Of the 28 African countries where FGM/C is practiced, 22 have passed laws or provisions banning it, as have 12 industrialized countries with migrant populations from FGM/C-practicing countries. While prevalence of FGM/C has decreased, for example, from 99 percent to 97 percent in Somalia and 89 percent to 84 percent in Mali, UNICEF reports that the percentage of girls and women who reportedly want FGM/C to continue has remained constant in countries including Guinea, Guinea-Bissau, Senegal and the United Republic of Tanzania. An increasing number of women and men in practicing communities support ending the practice, yet every year millions of girls still undergo this painful and demeaning procedure.

The same elements that will transform a culture from performing FGM/C on its girl children – the values, and norms that inform the expected and accepted ways that people behave in a culture – will also bring increased acceptance for the use of contraception and information on family planning. Our work in FGM/C is as much about empowerment as it is abandonment of a practice. To quote former Secretary of State Hillary Clinton, who spoke on Zero Tolerance Day in 2011, “All women and girls, no matter where they are born or what culture they are raised in, deserve the opportunity to realize their potential.”

Eliminating Female Genital Mutilation/Cutting

February 6th marks the International Day of Zero Tolerance to Female Genital Mutilation/Cutting.

While in Senegal, I had the opportunity to meet “village godmothers” who had endured Female Genital Mutilation/Cutting (FGM/C) as young girls. Each described the raw pain of the excisor cutting her as the worst she’s ever experienced. Today, these women are standing in solidarity to prevent their daughters from being cut and advocating for reproductive health for girls in their village. With them are other activists and the government, who are working together to eliminate FGM/C in Senegal. Since the first Senegalese village publicly rejected FGM/C in 1998, more than 5,500 communities in Senegal have stopped cutting women’s genitals.

Every year, more than three million girls in Africa, Asia, the Middle East and among diaspora communities in the West are at risk of Female Genital Mutilation/Cutting. According to the World Health Organization, as many as 100 to 140 million girls and women worldwide currently live with the consequences of this dangerous practice.

The procedure, which involves the partial or total removal of the external genitalia, is largely performed on infants to girls as old as age 15. As the women I talked to in Senegal testified, it is extremely painful and generally carried out without anesthetics and  using implements ranging from kitchen knives and razor blades to cut glass and sharp rocks. The health risks are great: in the short term, death from blood loss is not uncommon, nor is serious infection that can cause long-term problems. FGM/C may result in infertility, incontinence, pregnancy complications and increased risk of obstetrical problems like fistula and infant death.

Genet, Tsiyon and their friends are the first generation in Kembata, Durame Woreda, Ethiopia, who do not have to undergo FGM/C at their young age. Their mothers are not willing to let them be cut because they have realized the consequences of that practice during their own lifetimes.

Genet, Tsiyon and their friends are the first generation in Kembata, Durame Woreda, Ethiopia, who do not have to undergo FGM/C at their young age. Their mothers are not willing to let them be cut because they have realized the consequences of that practice during their own lifetimes.

FGM/C has no basis in any religion, nor is it done for health benefits. Instead, the practice has been perpetuated for centuries through socio-cultural, psychosexual, chastity, religious and aesthetic or hygienic arguments. Almost all of these are linked to girls’ social status and marriageability and the practice is often seen as a necessary step towards womanhood. In many cultures, girls and women who are not cut are stigmatized and their families can be ostracized. The Sengalese, largely because of work done by the USAID funded non-governmental organization Tostan, created a community education program that has changed social norms. The program, the women tell me, has shown them that despite common perception that FGM/C is a good thing, it is in reality very harmful to their daughters.

USAID has supported FGM/C abandonment efforts since the 1990s, after being approached by many African women who asked why we were doing nothing about this issue. The Agency began programming and introduced an official policy that states the practice is not only a public health issue, but a violation of a woman’s right to bodily integrity. USAID assistance on this area has been a multi-faceted approach, focusing on surveillance, research, and program implementation.

The Agency has collected important information about the distribution and practice of FGM/C at the community level in 16 countries. This information is shared with all partner and donor organizations and used for decision making about program priorities and implementation approaches. A recent USAID-sponsored comparative analysis of data on FGM/C shows that although FGM/C prevalence is decreasing in many countries and among numerous communities, many girls are being cut at earlier ages and the service is increasingly performed in medical settings. To validate and improve interventions, USAID has supported important evaluations of existing programs.

When communities as a whole understand the physical and psychological trauma FGM/C causes, social transformation takes place – and this has proven to be the best way to ensure lasting support and an eventual end to the practice.

Creating an AIDS-Free Generation through Science and Technology

Last year, the United States government provided testing and counseling for more than 57 million people through the President’s Emergency Plan for AIDS Relief (PEPFAR). The program enrolled more than four million men in voluntary medical circumcision programs and supported more than five million orphans and vulnerable children in countries with some of the highest rates of HIV and AIDS. These are just a few of the remarkable achievements that PEPFAR has made over the past decade—a small testament to the hard work of so many who are committed to and work tirelessly every day to achieve an AIDS-free generation. These great achievements, however, would not be possible without inspiring advances in science and technology.

Women can use this ARV-based vaginal gel to protect themselves against HIV. International Partnership for Microbicides

Credit: International Partnership for Microbicides

For the first time, the U.S. Agency for International Development (USAID) – through its Office of Science and Technology - has created an awards program that embodies the agency’s commitment to supporting innovation in science and technology applications. The Pioneers Prize pays tribute to technological advances that offer innovative solutions to critical issues facing global development. By utilizing science, technology and innovation, USAID is working toward its mission to end extreme poverty and promote resilient democratic societies.

As a key implementer of PEPFAR, USAID’s work in HIV and AIDS was well-recognized with this year’s Pioneer Prizes. Awarded three grand prizes, the Office of HIV/AIDS, along with its partners, has been able to share the transformative nature of its work with the rest of the global health and development community.

Among the grand prize winners is the Delivery Team Topping Up (DTTU) program, which uses vendor-managed inventory principles to “top up” supplies, such as condoms and HIV test kits, at public health facilities. To date, the program has serviced 1,800 clinics in Zimbabwe.

The PLACE Method, also a recipient, applies new technologies in HIV and STI testing, spatial mapping, epidemiologic theory and empiric evidence to address the problem of obtaining valid information that can prevent the spread of infections in sex workers and injecting drug users. It targets geographic areas with high rates of infection and the venues where people at high-risk meet. It then uses low-cost GPS receivers and Google Earth to identify gaps in prevention programs.

Finally, Tenofovir gel, a vaginally applied antiretroviral microbicide used to prevent HIV infection, gives women an alternative method to keep themselves safe during unprotected sex. Tested in the CAPRISA 004 trial, Tenofovir gel reduced HIV acquisition by an estimated 39 percent overall and by 54 percent in women with high gel adherence. While still awaiting the results of an ongoing confirmatory trial, regulatory approval, and scale-up, the CAPRISA 004 trial demonstrated for the first time that a microbicide has the potential to drastically reduce HIV infection for women.

With these awarded innovations, it is clear that USAID’s work toward HIV and AIDS prevention through PEPFAR remains essential to achieving our mission of ending extreme poverty. With the commitment, innovative spirit, creativity and hard work of our partners, USAID is continuously using science and technology in unprecedented ways to make great strides toward an AIDS-free generation.

Page 12 of 102:« First« 9 10 11 12 13 14 15 »Last »