USAID and HIV/AIDS diplomacy
By Leo. Nwokoji
Wednesday, August 30, 2006

I am commencing this piece on a premise that a global, synergistic loop is set in motion among nations, whenever a developed country like the United States of America decides to play the big brother to the less developed countries of the world. United States is not a Santa claus, therefore whenever she plays the big brother, she endeavours to confine it to the limits of her strategic economic and security interest, and rightly so.

At the same time, you and I know too well that America is not merely arrogating to herself, a clout they do not possess. She is the contemporary world leader, and as such, is expected to exact that office maximally. It is unfortunate that certain nations refuse to accept this as such. Rather than kick against the pricks by misinterpreting and opposing every move made by USA, nations should rise in support of America’s global leadership. Somebody must police the work, and the Almighty God has endowed USA with all it takes to do this. Somebody must set a model, a pattern of doing certain things better than others and America has been richly endowed with lots of factors that confer a multidimensional comparative advantage on them. Change however, is a constant factor in international politics and it occasions some challenges.

Whenever America takes on a global challenge and initiate on any particular issue, the country is misrepresented. Whenever she fails to lead, she is devided and vilified for being caught napping inspite of their much celebrated progress. Such is the burden of a big brother. Between 2003 and 2005 fiscal years, the Bush administration decided to play a leading role in the line of curbing the invasive incursion into human race by the scourge of HIV/AIDS.

Through the support of his cabinet, he floated a whopping fund base $15 billion, to be applied over five years for this purpose.
For proper implementation of this programme, USAID was made the key partner in the presidents emergency plan for AIDS relief (PEPFAR) USAID had the operating budget of $2.8 bill, for 2005 fiscal year alone.
The law establishing the fund stated the criteria for would-be benefactors of the fund Among the criteria outlined are: that none of the funds made available under the agreement may be used to promote or advocate the legalization or practice of prostitution or sex trafficking; that the above rule should not be understood to preclude the provision to individuals of palliatives, care, treatment, or post-exposure pharmaceutical prophylaxis, and necessary pharmaceuticals and commodities, including test kits, condoms and, when proven effective, microbicides.

A requirement that a foreign recipient of the fund must have a policy explicitly opposing, in its activities outside USA, prostitution and sex trafficking (except some global organizations)
Recipient outside America are required to work with a certified American body, whose goals and objectives does not in any aspect contradict the criteria for benefiting from the fund. There are similar rules checking contracting organization under this PEPFFAR/USAID management.

As at August 2005, USAID is reported to be supporting HIV/AIDS activities in more 50 countries through bilateral programme and an additional 48 countries through seven regional programme.

To my mind, this is laudable programme. Bush administration should be applauded for this noble activities that has touched so many lives. Since it is a programme emanating from America, according to critics, it is shrouded with political undertones a view to which this writer is opposed. Critics have attacked it on the ground that USA chose a unilateral action rather than collaborate with other developed countries to fight the scourge. This is a hollow premise. The same world that have refused to support American world leadership role in other spheres, are now urging USA to lead in bringing them together to fight AIDS. One begins to wonder if this will lessen the suspicision that have trailed similar American initiatives.
I do not think that the requirement that the fund be disbursed through American bodies is enough reason to classify the programme as a political one; it is rather aimed at ensuring the prudent management and application of the fund to achieve the desired objectives within the limit of American vital strategic interests andsecurity. Any other developed country could do the same.

The programme has been equally criticized for restricting the channeling of larger chunk of the fund to sexual abstinence programme. It is criticized that it fails to recognize the prevailing social condition in the developing world. Its refusal to pay for generic HIV/ADIS mediums that the World Health Organization has endorsed and which many countries are already using.

Again, the view of this writer is that reading between the lines, the rules for benefiting from the fund and from the laws establishing the fund, the programm is aimed at preserving posterity for entire mankind not a programme for those who want to continue in sin so that grace will be abound, Romans 6:1.

With average American stretching human right to a fault even to the point of reckless sexy lifestyle, the only sane thing to do is to explore ways of restoring the real noble values of life (that was the core values in the era of Americas founding fathers) rather than promoting the downward drift into moral cesspit. The programme is out to achieve this. America is the leader, a pace setter and go getting nation in the contemporary world. Whatever they leave undone remains undone. Whatever they start revolves around the world. Some may not like their foreign polices.

But in a contemporary world of insecurity at home and abroad, who ever deliberately exposes himself to foreseeable danger? Let him/her stand up for distinction. If no body is standing up, then PEPFAR rules are in order.

The wisdom that developed the rules deserves a salutory attention. It is aimed at nipping the scourge from the bud.

There is however a need, to retouch certain aspects of the rules that indeed failed to recognize the intervening variables in certain developing countries.
For instance, the rule discouraging prostitution refused to recognize polygamous families in certain parts of the world. This is prostitution in Biblical context but not in the Moslem world or amongst African traditionalists. This is not a political affair. It is altogether a moral question. If this is not retouched it then implies that all African and Islamic bodies advocating for rediscovery of cultural roots do not qualify for the fund and yet Africa stands out as the most affected.

Conclusively therefore, the views of this contributor are that this is a carefully thought out programme, which if critiqued with a pure mind, devoid of some bias, will be found worthy of wearing the garb of purely non political programme, though sure to set in motion, a multiple diplomatic reactions, not because it was intended to be so, but only as a logical consequence.

Nwokoji Is on the staff of The Sun.

 


 

 

 

 

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