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Andrew Green

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Articles by Andrew Green

Devex CheckUp: Audit raises questions about WHO Foundation disbursements

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By Andrew Green Verified
| Devex
Is the WHO Foundation coming up short? Here's what the foundation had to say about the results of a recent financial audit. Plus, a new analysis finds the Trump administration is still holding back global health funds. Is the WHO Foundation coming up short? An audit has called into question whether the foundation is channeling enough of the money it raises back to the agency it was created to support.
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'We're not seeing a rebound': New data shows HIV services not recovering

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By Andrew Green Verified
| Devex
New research from the Clinton Health Access Initiative shows declines in HIV testing and in people accessing oral prevention services. The Clinton Health Access Initiative released new data showing steep declines in HIV services across countries in Africa and Asia following cuts in support from the U.S. government and the Global Fund to Fight AIDS, Tuberculosis and Malaria that began in early 2025.
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Can the new UN political declaration get the HIV response back on track?

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By Andrew Green Verified
| Devex
Early drafts of a new HIV political declaration show U.N. member states attempting to strike a balance between regaining momentum toward ending the epidemic by 2030, while also acknowledging the challenges posed by shifts in global funding.
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Devex CheckUp: Inside the race to contain the Central African Ebola outbreak

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By Andrew Green Verified
| Devex
Red Cross workers walk in a formation as they disinfect a hospital in Mongbwalu, Djugu territory of Ituri province, Democratic Republic of Congo, taken May 24, 2026. Photo by: Gradel Muyisa Mumbere / Reuters It’s all Ebola in today’s CheckUp, beginning with the race to catch up with the outbreak declared nearly two weeks ago in the conflict-torn eastern Democratic Republic of Congo. It’s no surprise to see African leaders stepping into the lead there.
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WHA79 special edition: A new potential candidate to lead WHO emerges

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By Andrew Green Verified
| Devex
Presented by the London School of Hygiene & Tropical Medicine Photo by: © WHO / Antoine Tardy Indonesia’s rock star health minister, Budi Gunadi Sadikin, has not formally announced his candidacy to become the next director-general of the World Health Organization, but conversations are happening. Specifically with Indonesian President Prabowo Subianto, as he tells my colleague Jenny Lei Ravelo.
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Devex CheckUp: The hantavirus cruise ship outbreak reveals a US CDC adrift

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By Andrew Green Verified
| Devex
Presented by The International Federation of Psoriasis Associations (IFPA) A staffer at the U.S. Centers for Disease Control and Prevention places a green ribbon on their shirt in support of top officials who left the agency in August 2025. Photo by: Alyssa Pointer / Reuters The hantavirus outbreak aboard a cruise ship is not the global health crisis some people feared — at least not on the transmission front.
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Devex CheckUp: Even as some bilateral health deals stall, it’s still ‘America First’

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By Andrew Green Verified
| Devex
Presented by London School of Hygiene & Tropical Medicine A scientific officer at work in a research lab at the University of Cape Town’s Institute of Infectious Disease and Molecular Medicine, in Cape Town, South Africa. Photo by: Esa Alexander / Reuters With so much in flux in the world of global health — from shifting funding priorities to a rapidly evolving global health architecture — we’ve decided to publish Devex Checkup twice a week to help you stay on top of the changes that matter most.
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Devex CheckUp: A key resignation calls into question Trump’s approach to HIV financing

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By Andrew Green Verified
| Devex
Presented by Sanofi and Regeneron Sign up to Devex CheckUp today. The word of the week in the global HIV community is “results.” As in, the result of the U.S. State Department tying future health funding to U.S. access to mineral rights (as appears to be the case in Zambia) or other commercial interests is the resignation in protest of a top official from the President’s Emergency Plan for AIDS Relief, or PEPFAR.
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PEPFAR data shows drops in HIV prevention as US claims success

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By Andrew Green Verified, Elissa Miolene
| Devex
The figures are the first to measure the impact of the Trump administration’s shutdown of foreign aid — including its ripple effects on a program known for saving 25 million lives. The latest data on the U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR, tells two very different stories. On paper, the program appears steady — and even resilient, when it comes to top-line numbers.
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Can Trump Export Zambia’s HIV Success?

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By Andrew Green Verified
| Foreign Policy Magazine Verified
U.S. State Department Health United States LIVINGSTONE, Zambia—Violet Simakala feared that U.S. President Donald Trump had taken away her access to HIV treatment. Since being diagnosed in 2007, Simakala has gotten the lifesaving medication from the Mahatma Gandhi Memorial Clinic, a government-run facility that has received significant support from the U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR.
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Devex CheckUp: The inside story of USAID’s final days

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By Andrew Green Verified
| Devex
Sign up to Devex CheckUp today. In the frantic days after the Trump administration began dismantling the U.S. Agency for International Development, Nicholas Enrich was instructed to fly to Kenya and somehow gain access to 27,000 sets of personal protective equipment stored in a World Health Organization warehouse. By this point, the administration had cut ties with WHO.
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Devex CheckUp: The war against Iran is affecting everyone’s health

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By Andrew Green Verified
| Devex
Presented by Gates Foundation Sign up to Devex CheckUp today. The war that Israel and the United States launched against Iran a month ago is now a threat to people’s health in nearly every corner of the world. In the Middle Eastern countries most immediately affected by the violence, the World Health Organization is warning of a spike in communicable diseases, including chickenpox, shigella, and influenza, as well as conditions such as watery diarrhea and respiratory illnesses.
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Devex CheckUp: Why is the State Department ‘choking off’ PEPFAR?

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By Andrew Green Verified
| Devex
Sign up to Devex CheckUp today. HIV programs funded by the U.S. Centers for Disease Control and Prevention and serving tens of thousands of people globally were getting ready to shut down at the end of this month. With the United States striking agreements to give money for global health services directly to partner governments, the CDC-funded programs had been told their services were no longer needed.
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Is PEPFAR about to run out of money?

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By Andrew Green Verified
| Devex
After previously being told to shut down at the end of this month, HIV programs funded by the U.S. Centers for Disease Control and Prevention that assist tens of thousands of people globally can now continue to operate through June. But they will do so without new funding. Instead, the programs, which are operating under the President’s Emergency Plan for AIDS Relief, or PEPFAR, will rely on funds that were previously set aside for contingencies, according to a CDC spokesperson.
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Will antimicrobial resistance outpace research?

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By Andrew Green Verified
| Devex
In the five years since the Access to Medicines Foundation released its last antimicrobial resistance benchmark, the pipeline for new projects in development has shrunk by 35% within large research-based companies. In a new benchmark, the foundation continues to track the actions pharmaceutical companies are taking to combat the rise of antimicrobial resistance, or AMR, including the development of new products.
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Devex CheckUp: Washington’s chosen faith-based org

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By Andrew Green Verified
| Devex
Presented by Operation Smile Sign up to Devex CheckUp today. Washington is shaking up who gets its global health funding. That starts with its “America First” global health strategy. Rather than channeling money to NGOs, the administration wants to fund partner governments directly. The document spells out a few exceptions, though, including for private partners and faith-based organizations.
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Are faith-based organizations the future of the AIDS response?

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By Andrew Green Verified
| Devex
The new America First Global Health Strategy cuts off U.S. support to local organizations to fight HIV, except for faith-based organizations. But what happens to services for the communities faith groups cannot access? Set within a bright confusion of churches, shops, and noisy bars, it’s easy to miss Circle of Hope’s community post in George, a neighborhood in Zambia’s capital, Lusaka.
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How Novo Nordisk’s profits are reshaping global health funding

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By Andrew Green Verified
| Devex
The Novo Nordisk Foundation is drawing new scrutiny as it emerges as a major global health player. The Novo Nordisk Foundation is throwing its weight around. The world’s wealthiest philanthropic foundation, NNF, holds the controlling interest in the pharmaceutical company, Novo Nordisk A/S, which has built a fortune on diabetes and weight-loss drugs. That allowed the Denmark-based foundation to increase its grantmaking from almost 3.9 billion Danish krone in 2018 to nearly DKK10.1 billion in 2024.
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Devex CheckUp: The cost of falling out of favor with Washington

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By Andrew Green Verified
| Devex
Presented by RADIAN Sign up to Devex CheckUp today. Across Africa, countries are still contending with U.S. foreign aid cuts initiated more than a year ago — but nowhere more than South Africa. The country not only suffered under the dismantling of the U.S. Agency for International Development and the termination of many of its programs, but also a countrywide block on foreign assistance implemented by the Trump administration and high U.S. import tariffs.
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Devex CheckUp: WHO’s next leader might need to be a unicorn

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By Andrew Green Verified
| Devex
Presented by Operation Smile Sign up to Devex CheckUp today. Leading United Nations global health body seeks politically adroit new leader with the vision to define the agency’s role in this uncertain era and the leadership abilities to restore trust in science on a global level. Must be prepared to work under severe financial constraints. Sounds impossible? Health experts hope not, because that’s exactly what the World Health Organization needs from its next director-general.
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One year after US aid freeze, HIV care in Africa is in retreat

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By Andrew Green Verified
| Devex
David Kamkwamba, director of Malawi’s Network of Journalists Living with HIV, said the sudden aid cuts were damaging, but they also exposed how dependent African countries had become on U.S. funding. Photo by: Andrew Green / Devex One year ago, U.S. President Donald Trump signed an executive order to pause all U.S. foreign assistance, unleashing unprecedented disruption to HIV programs around the world.
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Devex CheckUp: Does the US officially bow out of the World Health Organization today?

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By Andrew Green Verified
| Devex
Presented by Operation Smile Sign up to Devex CheckUp today. The United States is out of the World Health Organization.Except maybe it isn’t? America appears to have met one key condition for withdrawal: President Donald Trump announced his intention to do so a year ago. But it hasn’t fulfilled another: The U.S. government still owes WHO $260 million in dues from 2024 and 2025.
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Devex CheckUp: New faces, but familiar challenges in global health in 2026

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By Andrew Green Verified
| Devex
Presented by AstraZeneca Sign up to Devex CheckUp today. Happy 2026, CheckUp readers. We’re looking forward to another year of keeping you up to date on all of the latest developments in global health. And if you thought 2025 wasn’t disruptive enough, just wait until you consider what we already know this year is going to bring. It starts with some key leadership changes. Peter Sands was supposed to be out of a job in March.
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Opinion: Alberta's new disability benefits program fails the fairness test Original

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By Andrew Green Verified, Thomas Feth, Anna J. Lund, Colton Stevenson
| Edmonton Journal Verified
AISH recipients and supporters rallied outside the Alberta Supports office in northeast Calgary as they protested provincial government changes to disability support programs on Wednesday, Dec. 3, 2025 Photo by Gavin Young /Postmedia The Government of Alberta has created the Alberta Disability Assistance Program (ADAP), a new income-support program with the stated aim of helping people with disabilities to pursue employment.
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Devex CheckUp: Fight over NCD declaration reflects tough year in global health

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By Andrew Green Verified
| Devex
Presented by Sanofi Sign up to Devex CheckUp today. We’re leading off the last Devex CheckUp of 2025 with a story that seems perfectly emblematic of the global health space over this chaotic year. Over the objections of the United States, the United Nations General Assemblyadopted a political declaration on noncommunicable diseases and mental health.
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Battle lines drawn in UK aid sector over sacking of Oxfam CEO

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By Andrew Green Verified
| Devex
What happened to Halima Begum, formerly the head of the prominent NGO? Controversy has erupted following the departure of Oxfam Great Britain head Halima Begum. Begum left the organization over the weekend following allegations by staff members of bullying, which have since been disputed.
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US retreat stalls Botswana’s HIV prevention outreach

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By Andrew Green Verified
| Devex
GABORONE, Botswana—Thatayaone Rampe has lost count of how many thousands of men he has talked into getting circumcised. Rampe, 41, first learned about voluntary medical male circumcision, or VMMC, in the months after an expert panel convened by the World Health Organizationrecommended the procedure to reduce the risk of HIV transmission in 2007.
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Despite 'chaos,' EGPAF maintains focus on ending pediatric AIDS

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By Andrew Green Verified
| Devex
Dr. Doris Machariatook over as President of the Elizabeth Glaser Pediatric AIDS Foundation, or EGPAF, in March, just as the organization was grappling with the “chaos” caused by the Trump administration’s order halting all foreign aid. The 36-year-old organization has been a leader in global efforts to prevent transmission of HIV from mothers to their children and to end pediatric AIDS.
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Trump Administration's PEPFAR Cuts Threaten HIV/AIDS Goals

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By Andrew Green Verified
| Foreign Policy Magazine Verified
U.S. Foreign Policy U.S. State Department Health United States BLANTYRE, Malawi—Earlier this year, McDonald Phiri crashed his bike near his home in southern Malawi. Laid up for months, the 49-year-old relied on an outreach worker to deliver the HIV prevention medicine that he took daily. This service was provided through a specialized clinic run by the Centre for the Development of People (CEDEP), a group that supports gay men, such as Phiri, as well as transgender women.
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Devex CheckUp: US pivots to market-first health approach in Africa

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By Andrew Green Verified
| Devex
Presented by Pivotal When it comes to America’s role in Africa, the Trump administration doesn’t want to focus on responding to emergencies. Instead, it wants to support American companies in introducing innovations to sell to African governments. This is according to State Department official Jeff Graham, speaking at the Global Health Supply Chain Summit in Kigali this week. “We’re not abandoning global health leadership,” Graham said.
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No seat at the table

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By Andrew Green Verified
| Substack
Negotiations about the future of Botswana’s HIV response are underway. Dr. Gaone Makwinja was not invited. As part of its new America First Global Health Strategy, the Trump administration is drafting bilateral deals with African countries to fund global health programs, including HIV services. The team from the State Department arrived yesterday in Botswana to start talks there. Makwinja runs the Tebelopele Wellness Center, which has been a vital part of Botswana’s HIV response.
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Devex CheckUp: What to expect when you’re expecting new global health agreements

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By Andrew Green Verified
| Devex
Presented by Pivotal Negotiations are officially underway. The United States has started discussions with some partner countries on bilateral agreements that will guide America’s health financing beginning as early as next April. These agreements were first introduced in September’s “America First” global health strategy.
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Mercy Mdoka

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By Andrew Green Verified
| Substack
Late on a Wednesday night in mid-August, Mercy Mdoka sat down to draft her will. On a single sheet of paper, she wrote, “Maybe I might die. I’m leaving everything in the hands of my children.” Mdoka, who lives in Malawi’s capital, Lilongwe, had been suffering unbearable pain for months. It was like being stabbed in the heart and in the side over and over again. It started in early February soon after she ran out of her regular HIV medicine.
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Who's on the frontline?

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By Andrew Green Verified
| Substack
Handsome Chale has memories of the time when the high cost of treatment for HIV was essentially a death sentence. Chale, who is now 53, was severely ill when he received his HIV diagnosis in 1990. He only survived because his family scraped together enough money to buy him anti-retroviral therapy, or ART, over years.
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How will America's new global health strategy change PEPFAR?

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By Andrew Green Verified
| Devex
The global AIDS community has been awaiting a plan from the Trump administration beyond more than funding cuts. But the “America First Global Health Strategy,” released last month, is not what many were hoping for. While it prioritizes sector goals, such as greater country ownership, it would also withdraw funding for technical assistance or to monitor program quality.
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Devex CheckUp: ‘America First,’ but what about PEPFAR?

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By Andrew Green Verified
| Devex
Presented by UNICEF The new “America First Global Health Strategy” is a curious document. It begins by heaping praise on the President’s Emergency Plan for AIDS Relief — the flagship U.S. global HIV program that has been credited with saving 26 million lives and preventing millions of infections since its launch in 2003. Then the strategy sets out to completely retool the programit was just celebrating.
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Will America's new global health strategy change PEPFAR?

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By Andrew Green Verified
| Devex
The global AIDS community has been awaiting a plan from the Trump administration beyond more than funding cuts. But the “America First Global Health Strategy,” released last month, is not what many were hoping for. While it prioritizes sector goals, such as greater country ownership, it would also withdraw funding for technical assistance or to monitor program quality.
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Africa inches toward local production of vaccines and more

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By Andrew Green Verified
| Devex
Four years ago, the Africa Centres for Disease Control and Prevention set the continent a goal of having 60% of its vaccines manufactured locally. This spoke to a broader desire for local production in reaction to the lack of access to COVID-19 vaccines the continent experienced during the pandemic.
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The view from Berlin

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By Andrew Green Verified
| Substack
At this year’s World Health Summit, leaders gathered in Berlin to talk around the global health crisis. They spoke of opportunity in emergency. They pressed to preserve multilateralism, while agreeing the global health architecture must shrink. And they called for solidarity, even as no U.S. officials were present at WHS to hear their pleas. It was a relief, then, that leaders from the global south arrived with a firmer idea of exactly how they intend to move forward. It makes sense that they would.
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Special edition: The World Health Summit focuses on opportunity amid a funding crisis

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By Andrew Green Verified
| Devex
Presented by Eleanor Crook Foundation This year’s World Health Summit appeared to draw more people than ever, who gathered to discuss what was missing. An estimated 4,000 people turned up in Berlin eager to think about what the future of the global health response should look like in an era of reduced aid and declining multilateralism. It was actually difficult to keep track of all of the panels on reimagining the global health architecture — and even more difficult to get into them.
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Where does the private sector fit in the Accra Reset?

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By Andrew Green Verified
| Devex
For decades, development partnerships have been defined by donor priorities. The “Accra Reset,” championed by Ghanaian President John Mahama, aims to flip that script — placing sovereignty and self-determination at the core of how the global south tackles its toughest challenges. Governments would invite collaboration with a range of players, from United Nations agencies to multilateral development banks, as they chart their future responses to climate, food systems, and, of course, health.
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Germany commits €1B to Global Fund as aid cuts shape World Health Summit

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By Andrew Green Verified
| Devex
Even as this year’s World Health Summit opened Sunday with a focus on reimagining the global health architecture, some health leaders emphasized the devastation caused by the dramatic aid cuts over the past months. “We’re seeing that aid tumbling very fast and that suddenness is costing lives,” said UNAIDS Executive Director Winnie Byanyima during one session.
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Rush job

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By Andrew Green Verified
| Substack
Joweria Kasiir is doing what she can to avoid integration. Kasiir heads the Kamuli General Hospital’s HIV clinic in central Uganda. She oversees services for two thousand people living with HIV. The clinic is run from a small nook in a remote corner of the hospital. It is always overcrowded, but it offers the patients privacy and dedicated services. The clinic’s services were propped up by about a half-dozen health workers hired by non-governmental organizations.
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Can countries tax their way out of a global health funding crisis?

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By Andrew Green Verified
| Devex
Official development assistance, or ODA, for health is plummeting. Cuts by the United States and European nations have officials at the World Health Organization estimating a 40% drop in ODA for health this year from 2023 levels. That would mean $10 billion gone from the $25 billion donors allocated two years ago.
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Devex CheckUp: Health is the front line of the ‘Accra Reset’

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By Andrew Green Verified
| Devex
Presented by The Bristol Myers Squibb Foundation African leaders have declared an end to the era of development-as-usual. They are attempting to usher in a new period, dubbed the “Accra Reset,”with different governance, business, and financing models to support the response to everything from climate change to food security. How it functions with regard to health will be the first proof of concept, though.
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A new vision

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By Andrew Green Verified
| Substack
There is no place for the Malawi AIDS Counselling and Resource Organization, or MACRO, in the Trump administration’s new global health strategy. Released last week, the document lays out a vision for global health in service of American interests.
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Devex CheckUp: Africa CDC’s growing pains

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By Andrew Green Verified
| Devex
Presented by Saudi Commission for Health Specialties How do you grade the success of the Africa Centres for Disease Control and Prevention more than three years after being granted autonomy from the African Union? The Pan-African public health agency experienced rapid growth as it stepped up to help coordinate the continent’s response to several emergencies, including COVID-19 and the ongoing mpox outbreak.
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Not going back

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By Andrew Green Verified
| Substack
Like every other country that had relied on the United States to support its HIV response, Malawi was left scrambling after President Trump paused American aid in January. The freeze robbed HIV clinics of nurses and outreach workers. It froze most prevention programs. It even locked Malawian officials out of the data systems that PEPFAR had built, leaving health workers with no way of tracking who was due for a refill of lifesaving treatment.
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Rejected

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By Andrew Green Verified
| Substack
The Trump administration’s promise last week to provide two million people with a breakthrough long-acting injectable form of HIV prevention should have come as a relief to someone like Debwe Kambala*. The 39-year-old Malawian struggles to maintain his current prevention method, which requires a costly visit to the clinic every other month. With the new injectable, known as lenacapavir, he would only need to make two visits per year. Except Kambala is bisexual.
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Devex CheckUp: The Trump administration’s war on family planning escalates

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By Andrew Green Verified
| Devex
Presented by Saudi Commission for Health Specialties Is the United States about to destroy $9.7 billion in sexual and reproductive health commodities on dubious grounds? The State Department told Devex in July that it plans to incinerate — at the cost of $167,000 — “certain abortifacient birth control commodities from terminated Biden-era USAID contracts.” Abortifacient is a fancy way of describing a substance that causes abortion.
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