House oversight hearing on PEPFAR
Right now, the House Foreign Affairs Committee is holding an oversight hearing entitled “PEPFAR: An Assessment of Progress and Challenges.” PEPFAR is the President’s Emergency Plan for AIDS Relief. It was proposed by Bush in his 2003 State of the Union address and sounded like a good idea. However, over time, bureaucracy and ideology have hindered its ability to provide real relief and hope among the world’s population infected by HIV/AIDS.
PEPFAR is focused only on fifteen countries in sub-Saharan Africa, the Caribbean and Vietnam. It’s main thrust, under the right-wing religious ideology governing the current Administration is abstinence only, even requiring a set amount of funding to go to abstinence programs only. It often cites a model developed in Uganda called ABC, which meant Abstinence, Be faithful and use Condoms. The C part of the program is almost always sidelined in order to push an abstinence and so-called “be faithful” program that encourages heterosexual marriage. Being faithful is often insufficient as married men often have extramarital relations and their wives are more likely to be exposed to HIV/AIDS. A strong condom and sexual education program would be more effective but it goes against the current Administration’s religious policy. Additionally, in the last two or three years, the Ugandan model hasn’t been as effective as it was when it originally was touted as the best model to use in fighting HIV/AIDS. However, Administration ideologues continue to cite out-of-date statistics in order to justify their polemics.
Putting aside religious and conservative ideology, PEPFAR is a bureaucratic waste. It duplicates efforts of multilateral organizations and public-private initiatives like the Global Fund to Fight AIDS Malaria and Tuberculosis. By targeting only 15 countries and focusing primarily on abstinence, PEPFAR wastes the force multiplier effect that US funding and leadership could supply to global HIV/AIDS prevention and treatment.
Testimony today came from U.S. Global AIDS Coordinate Mark R. Dybul, who works at the State Department. You might remember him from his swearing-in ceremony that was officiated by Secretary of State Condeleezza Rice and attended by Laura Bush. In addition to the three of them, Dybul’s domestic partner / husband Jason Claire was present, even holding the bible on which Dybul placed his hand to get sworn-in. Very unusual in an Administration that has been horrendous on gay and lesbian issues due to its right-wing religious ideology.
For more information, see Wikipedia’s PEPFAR page and the Official PEPFAR website. The Global AIDS Alliance has a great resource called the PEPFAR Monitor, which includes a useful Fact Sheet on PEPFAR.