USAID was funding health data systems for service delivery - HIV - there hasn’t been up-to-date data about how service delivery was affected.
No clear timeline of when data will resume.
Givewell is working on funding the data on “health systems strengthening”. It used to be that USAID program grants would broadly always have this embedded funding going to surrounding overhead and supply chain management.
malaria: indications that treatment will be prioritized over prophylactic interventions
malaria prevention was badly affected; us gov was a major procurement
givewell campaign to reach 2 million children were paused because of percieved gaps that may occur later in the year.
USAID - many of the gaps givewell did not materialize because funding was restored
grant to embed technical support in 6 government to
“literally just identifying what was going on”
Global Funding Program operates on a 3-year “replenishment” cycle.
US Gov was biggest funder in HIV and family planning (5 billion / 600 million).
Health workers in developing countries just took on more duties
HIV - health impacts just aren’t immediate, will be seen later
“The general sense of uncertainty shouldn’t get in the way of making decisions” - Dilhan Perera
“in feb, the question was, to what degree do we need to upend our whole… the way we work”.
givewell’s webinars are great in a practical sense. they seem well scripted but they still feel fluid.
“thinking about ways to get mosquito nets to people besides though campaigns - take advantage of existing systems, natal visits etc”
new hiv prevention drug lenacapavir