Arata Kochi: shaking up the malaria world

Sarah Boseley | 17 Jun 2006 | The Lancet

Dr. Arata Kochi, new head of the WHO's malaria control work, is making many positive changes to help the fight against malaria.

Sick at the World Bank

Amir Attaran & Roger Bate | 19 May 2006 | Examiner

The World Bank is failing miserably on malaria, like it failed on HIV/AIDS before. Although it has a $20 billion budget that, deployed intelligently, could lower sickness and accelerate economic growth, the World Bank is instead making a mess of its reputation and costing patients their lives through its unwise medical judgments. Along with 11 academic colleagues, we overcame stringent peer-review at the world's top medical journal, The Lancet, to publish what we describe here.

The World Bank and Disease Control: a Bad Combination

Roger Bate | 03 May 2006 | World Bank

For the lack of decent sanitation and health care thousands of the poorest children die unnecessarily every day. While their governments have primary responsibility for them, the international agencies, notably the World Health Organization (WHO) and World Bank, are not as effective at improving survival rates as they should be because they do not stick to their respective missions nor fulfill them. The WHO has disease expertise but poor management and has weakened its disease-control programs by becoming involved in health-care delivery. The Bank, with expertise in health systems development and health financing, has become involved in disease control where it has little institutional knowledge. The result of this bilateral mission creep is overlapping authority, lack of focus and accountability.

Sickening Incompetence

Philip Coticelli & Justin Schwab | 27 Apr 2006 | National Review Online

The World Bank is publishing inaccurate data to save face rather than face up to its failure to control malaria. Worse still, it is promoting ineffective treatments in India, resulting in the death of an unknown number of children. The Bank is incapable of disease control work and it should leave the field to more competent agencies.

Europe Hinders War on Malaria

Richard Tren | 24 Apr 2006 | Business Day (South Africa)

Another year has passed and Africa Malaria Day has come around again. Tomorrow, April 25, marks the day we are supposed to assess our successes and failures and renew the political will to tackle the disease.

The Unhealthy World Bank

Roger Bate | 24 Feb 2006 | TCS Daily

Paul Wolfowitz is trying to improve the World Bank's performance as co-sponsor of the Roll Back Malaria campaign, a coalition of multilateral health and aid agencies, including WHO and UNICEF that aims to combat the malaria burden in Africa. Improving RBM has been a long time coming. And as a director of Africa Fighting Malaria, a health NGO, I add my hearty welcome to this news, especially since, as far as anyone can tell, worldwide malaria rates are rising. However, in delving into operations in this one program, the former Deputy Defense Secretary may discover a far larger problem -- the Bank simply does not have appropriate skills amongst its staff to undertake its core mission.

Low Sierra

Roger Bate | 14 Feb 2006 | TCS Daily

There are few things more distressing than aid intended to help the poorest actually causing them harm. For example, it is a sad irony that aid for HIV care is actually displacing far more valuable child immunization work in the wretched West African country of Sierra Leone. Rather than adding to capacity, the few competent staff are simply drawn away from these basic but vital services toward the high-profile, higher-paying HIV program. An integrated approach to aid giving must occur or more will die needlessly from good intentions.

Fighting Malaria

Roger Bate | 09 Jan 2006 | Examiner

The fight against malaria has scored a major victory. The U.S. Agency for International Development has elected to use nearly half of its budget to buy proven interventions against the disease, which affects 500 million people and kills more than a million children around the world each year. USAID has promised $15 million expressly for insecticides, recognizing their unique effectiveness in reducing the burden of malaria. The agency has opted to streamline more funding to fewer countries in order to improve accountability and focus on results.

WHO's Striking

Roger Bate | 30 Nov 2005 | National Review Online

Roger Bate discusses the potential stirke by the World Health Organization's staff in Geneva.

Deadly Mosquito Standoff

Roger Bate | 21 Oct 2005 | Washington Times

Roger Bate promotes the Kill Malaria Mosquitoes Now! declaration, which called upon USAID to devote two thirds of its budget to the purchase of effective malaria control tools.