Raj Shah and America's Development Future
Dec. 17, 2009, 12:12 p.m.
By Bill Frist
Special to Roll Call

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In most years, Senate deliberations over a nomination for administrator of the United States Agency for International Development, which leads American efforts to fight poverty and disease in the developing world, would pass without note.

This year is different. American efforts to improve the lives of the world's poorest people have never been so important. The Senate Foreign Relations Committee voted last week to refer the nomination of Dr. Rajiv Shah for USAID administrator to the floor for a full vote, which is expected soon. Dr. Shah should be confirmed without delay for three key reasons.

First, successful outcomes to our most pressing national security challenges, including the war in Afghanistan and instability in Pakistan, depend just as much on our ability to provide health services and economic opportunity to struggling people as on our combat operations or diplomatic efforts. Both President Barack Obama's new Afghanistan strategy and the Kerry-Lugar-Berman Pakistan aid package make substantial new commitments based on this idea.

Second, the global fights against HIV/AIDS and other deadly diseases have reached a turning point. U.S.-led programs such as former President George W. Bush's Emergency Plan for AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis and Malaria, have helped poor families and communities move from a moment of crisis toward a moment of opportunity. We need to work twice as hard to maintain and build on this progress.

Third, the Obama administration and bipartisan Congressional leaders are in the midst of a transformative debate about how to make U.S. foreign assistance more effective and accountable. The unprecedented momentum in this debate is on the side of those who believe we need a new development strategy and a more efficient foreign assistance system that produces greater returns for recipients and taxpayers alike.

Given the gravity of these issues and the costs of inaction, Dr. Shah's development leadership is needed now. He is a medical doctor and health economist who led the Bill and Melinda Gates Foundation's $1.5 billion vaccine fund and played a key role in launching its global development division, which now disburses hundreds of millions of dollars for agricultural security and financial services for the poor. These experiences, coupled with the fact that he came of age professionally as revolutionary new programs like PEPFAR, the Global Fund, and the Millennium Challenge Corp. drove landmark progress on global poverty and disease, prepare him well to manage America's development future.

If confirmed, Dr. Shah will face resistance from entrenched bureaucrats in USAID and the dozens of other government offices that oversee development programs. With political support from the Obama administration and Congress, he will need to assert himself immediately to gain control of this fragmented system, or risk being swallowed by it. To do so, Dr. Shah should assume a visible leadership role on foreign assistance reform and help drive it to a successful conclusion, but he must also focus on other specific issues.

For example, U.S. support for PEPFAR and the Global Fund has helped create massive new systems for prevention, testing, and treatment of HIV/AIDS, TB and malaria in poor countries. These systems have greatly enhanced the ability of developing countries to meet the needs of their people, and we must figure out whether we can effectively expand them to offer even more life-changing services such as comprehensive family health care, entrepreneurship education and small-business loans. The Obama administration is taking initial steps in this direction through its marquee food security initiative ‹ developed in part with Dr. Shah's leadership at the Agriculture Department ‹ which focuses on linking food security, a development priority, to nutrition, a global health priority. This is a promising sign.

We must also direct our precious development resources to more effective, low-cost health interventions such as vaccines, breast-feeding and increased access to skilled family care in rural communities. And we must invest our development dollars in programs that are showing measurable results, including multilateral efforts such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, the GAVI Fund, and the Alliance for a Green Revolution in Africa.

Changes like these are never easy. But we can't let inertia drag us down at this moment in time ‹ a moment when the future of the world's so-called bottom billion, and our own American future, hangs in the balance. Dr. Shah has what is needed to carry on President Bush's global health legacy and fulfill President Obama's extraordinary development vision. The Senate should confirm him, and the Obama administration should give him the political support and resources he needs to succeed. Millions of lives will be affected by this choice.

Former Senate Majority Leader Bill Frist (R-Tenn.), a heart surgeon, is a member of the Millennium Challenge Corp.'s board of directors.

 

This week one of my prenatal patients that I had been caring for since I first arrived here in Xela had her baby. She was a gestational diabetic, so although she had had her last 5 children at home with a comadrona she agreed to go to the public hospital for the delivery. She borrowed a cell phone from her neighbor to call me when she started went into labor and decided to go to the hospital. I met her there as soon as a finished seeing my patients at the clinic. I couldn't play any major role at the hospital, but I think it was good to see a familiar face; she cried when she saw me at the OB triage station.
Nyamata, Rwanda

The last few weeks I have been leaving the Nyamata Hospital to work in the community health centers. Getting to the centers often entails a few hours of travel in a four-wheel drive over rough, dirt roads. There are 11 centers in the Burgessa district and more than 400 in Rwanda.

These health centers are the front line healthcare for most Rwandans. Each center is responsible for a population of roughly 20,000 people. Patients using the public hospitals must start at these community based centers. If the case is complicated, they are transferred to a district hospital like Nyamata. The staff care for sick patients, deliver babies, provide vaccinations, distribute food given from the government and non-governmental organizations. They also have daily classes on topics such as family planning, gardening for nutrition, and proper sanitation and food preparation. These centers are truly the best hope the country has in the areas of disease prevention and early intervention.
Do you remember the story of Olken Foncime? He was the Haitian orphan who had congenital heart disease and received surgery from Dr. Christian Gilbert in October.

We just received a photo and an update. His doctor reports that since the surgery, he has gained 10 lbs. and has a remarkable increase in activity. He's doing really well.

Thanks to Dr. Gilbert for the update!
December 1, 2009

by Jenny Dyer, Ph.D.

Last night, Senator Frist spoke at Vanderbilt University's Student Life Center to over 250 friends, students, faculty, and guests in honor of World AIDS Day. The title of the talk: "Celebrating Life, Mourning Death: Continuing the Fight against Global AIDS" focused on where we've come from and where we're going, especially in terms of policy. Recounting his personal experiences in Africa with the AIDS pandemic and how he was able to use those experiences to shape and inform President Bush's decision to move forward to commit historic funding to fight a single virus, the Senator relayed the beginning of the President's Emergency Plan for AIDS Relief (PEPFAR) in 2003.
Everyone in Xela is getting geared up for Christmas and consequently the patient load throughout the clinic is winding down. This week marks the last week of women's group meetings for the year. They will start again in January. I lead the closing project with the Tierra Colorada Baja group today. We made fertility necklaces out of brown, black, cream and red wooden beads. The placement of the different colors on the necklace indicate when the woman is most fertile and can be used either for family planning or to help conceive. The project was a big hit, but most importantly it sparked some interesting conversation and important questions.
I have now transitioned to working with the physicians. Each physician is responsible for admitted patients on one of the floors and seeing patients in the outpatient consultation area. This change has been eye-opening.

Each morning starts at 7:00 with prayers, singing, and a short sermon. Watching my colleges sing and dance is an incredible way to start the day. By 7:30 we start rounds. There are usually about 40 patients to see and it has to be finished by 9:30 when the outpatient consulting begins.
Belmont University hosted an event today with Senator Bob Corker announcing his co-sponsorship of the Paul Simon Water for the World Act of 2009. Joining Senator Corker included water activists Dan Haseltine and Jars of Clay with Blood: Water Mission, Dave Barnes with Mocha Club, and Bill Hearns of EMI for Healing Water International.

Hope Through Healing Hands (HTHH) and Soles4Souls

Join Forces to Create "Hope4Schools"

Senator-Doctor Bill Frist's Hope Through Healing Hands joins Soles4Souls to provide shoes for

Central American, South American, and Caribbean children living in extreme poverty.

Nashville, TN -- Hope Through Healing Hands (HTHH), a nonprofit founded by former U.S. Senate Majority Leader Bill Frist, M.D., has announced a partnership with Nashville-based Soles4Souls to bring aid children living in extreme poverty in Central America, South America, and the Carribbean. 

Soles4Souls, an international charity that has distributed over 6 million pairs of new and gently worn shoes to people in need, both in the United States and around the world, has set up a website: www.hopeshoes.org to provide more information and to reserve sponsorships for new shoes.

"Shoes are integral to combating neglected tropical diseases, like podoconiosis and other soil-transmitted diseases, which disable, disfigure, and cause death to over 1.4 billion people around the world. Shoes are also necessary as a part of the school uniform in many countries. When a child living in extreme poverty receives a pair of shoes, you are offering her the opportunity for better health and an education," states Dr. Frist.

"We are honored to partner with Hope Through Healing Hands to benefit thousands of needy children in Central and South America," said Wayne Elsey, Founder and CEO of Soles4Souls. "Hope4School is a program that aims to give needy children the attire needed to attend public schools. A pair of new shoes is a simple way to provide access to an education and a better life for so many children," he said.

One out of five people living in the world today survive on less than $1 per day.  Over 20% of our fellow human beings are categorized as living in extreme poverty -- without electricity, running water or adequate clothing.  This includes footwear, which is a luxury item in many parts of the world.

Many diseases, infections and injuries are caused through cuts, abrasions and bacteria accumulated through the feet.  In many developing nations, the difference between receiving an education or being refused is simply a pair of shoes, the final hurdle to gain access to school because it qualifies the child as having an adequate school uniform.

In this way, a pair of shoes is much more than a covering for one's feet -- they are a ticket to a better future. 

About Hope Through Healing Hands

Hope Through Healing Hands is a Nashville-based 501(c) (3) that promotes improved quality of life for citizens and communities around the world using health as a currency for peace. HTHH supports health students and residents to do service and training in underserved clinics around the world. For more information, go to www.hopethroughhealinghands.org.

About Soles4Souls®

Soles4Souls is a Nashville-based charity that collects shoes from the warehouses of footwear companies and the closets of people like you.  The charity distributes these shoes free of charge to people in need, regardless of race, religion, class, or any other criteria. Since 2005, Soles4Souls has given away over 6 million pairs of new and gently worn shoes (currently distributing one pair every 9 seconds). The shoes have been distributed in 125 countries, including Kenya, Thailand, Nepal and the United States.  Soles4Souls has been featured in Runner's World, Ladies' Home Journal, National Geographic's Green Guide and The New York Times. It has appeared on CBS, ABC, NBC, FOX, BBC, CNN and thousands of regional news outlets across North America. Soles4Souls is a 501(c)(3) recognized by the IRS and donating parties are eligible for tax advantages. Visit www.giveshoes.org to offer help and receive more information.

Contact:

Elizabeth Kirk, Soles4Souls, 615-391-5723, [email protected]

Jenny Dyer, Hope Through Healing Hands, 615-818-5579, [email protected]

 

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Hope Through Healing Hands (HTHH) and Soles4Souls

Partner to Create "Step Up Tennessee"

Senator-Doctor Bill Frist's Hope Through Healing Hands joins Soles4Souls to benefit over 100,000 Tennessee children in need of athletic shoes.

Nashville, TN -- Hope Through Healing Hands (HTHH), a nonprofit founded by former U.S. Senate Majority Leader Bill Frist, M.D., has announced a partnership with Nashville-based Soles4Souls to benefit over 100,000 Tennessee children who are in need of a good pair of athletic shoes. This number, based upon a random sample analysis conducted by the Department of Sociology at Vanderbilt University, represents a need in over 16% of Tennessee children in elementary and middle schools. The study was initiated and funded by both organizations.

Soles4Souls, the international charity that has distributed over 6 million pairs of new and gently worn shoes to people in need worldwide, has set up a fundraising website: www.hopeshoes.org to provide more information and to reserve sponsorships for new shoes.

"Providing shoes for children in need promotes wellness, physical education, and play; all key components for a strong, successful foundation in health and education. Fun exercise is one critical factor in combating childhood obesity and encouraging a healthier lifestyle," says Dr. Frist.

"We are honored to partner with Hope Through Healing Hands and work together to benefit needy children in Tennessee," said Wayne Elsey, Founder and CEO of Soles4Souls.  "Step Up Tennessee is designed to provide a simple yet effective way for people to assist a child right here in our own state.  It's important that we offer real solutions to our neighbors at the same time we are reaching out to people around the world," he said.

A sponsorship of $20 from an individual or company will guarantee that an at-risk child in Tennessee will receive a new pair of athletic shoes.

About Hope Through Healing Hands

Hope Through Healing Hands is a Nashville-based 501(c) (3) that promotes improved quality of life for citizens and communities around the world using health as a currency for peace. HTHH supports health students and residents to do service and training in underserved clinics around the world. For more information, go to www.hopethroughhealinghands.org.

About Soles4Souls®

Soles4Souls is a Nashville-based charity that collects shoes from the warehouses of footwear companies and the closets of people like you.  The charity distributes these shoes free of charge to people in need, regardless of race, religion, class, or any other criteria. Since 2005, Soles4Souls has given away over 6 million pairs of new and gently worn shoes (currently distributing one pair every 9 seconds). The shoes have been distributed in 125 countries, including Kenya, Thailand, Nepal and the United States.  Soles4Souls has been featured in Runner's World, Ladies' Home Journal, National Geographic's Green Guide and The New York Times. It has appeared on CBS, ABC, NBC, FOX, BBC, CNN and thousands of regional news outlets across North America. Soles4Souls is a 501(c)(3) recognized by the IRS and donating parties are eligible for tax advantages. Visit www.giveshoes.org to offer help and receive more information.

Contact:

Elizabeth Kirk, Soles4Souls, 615-391-5723, [email protected]

Jenny Dyer, Hope Through Healing Hands, 615-818-5579, [email protected]

 

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