Dr. Eric Goosby stepped down from his role as U.S. Global AIDS Coordinator this month. As the White House and the State Department consider Dr. Goosby’s replacement, the Council believes there are some qualities that are essential in his successor.
The Council and its member organizations strongly support the President’s Emergency Plan on AIDS Relief (PEPFAR) – not only for health policy reasons, but for the broader reflection of fundamental U.S. values that PEPFAR offers. In that respect, we believe it crucial that PEPFAR programs be fully inclusive of most-at-risk populations, including men who have sex with men (MSM). We are grateful that the Obama Administration has embraced that principle by expanding PEPFAR programming to include MSM – a legacy that, in turn, is elevating the importance of enabling legal environments for MSM prevention and treatment programs.
The nominee for Dr. Goosby’s replacement obviously must reflect experience in, and knowledge of, HIV/AIDS policy. Given the cross-agency nature of our tools to fight HIV/AIDS, however, we believe it critically important that he or she also demonstrate proven abilities to lead a complex and multi-tiered interagency health policy team.
Moreover, the new Coordinator will carry important leadership responsibilities in ensuring the consistency and integrity of PEPFAR programs. This must include clear commitment to meeting the needs of most-at-risk populations, including LGBT individuals, in each country served by PEPFAR. It equally must include persistence in seeking host country understanding of, and shared commitment to, this goal.
The Council remains concerned at indications that some PEPFAR implementers may have inappropriately blurred the distinction between their personal views on homosexuality and their responsibility, as an implementing organization of U.S. policy, not to undercut broad U.S. government policy goals that support both sound HIV/AIDS prevention and LGBT rights. We wish to see a Coordinator who will prioritize the integrity and effectiveness of our programs in this respect, even while respecting First Amendment rights. We, in turn, will join in holding the new Coordinator publicly accountable for effective oversight in investigating and responding to any alleged abuse.
Finally, the person selected as Coordinator has an essential role in communicating to foreign leaders, and indeed to American and foreign publics, the critical importance of PEPFAR’s life-saving programs, and the need for those programs to embrace all populations.
The new Global AIDS Coordinator can anchor a strong legacy not only of humanitarian attention to a critical health challenge, but also to insistence that our global health policies be fully inclusive, in reflection of American values. The Council for Global Equality is hopeful that there will be a speedy announcement of Dr. Goosby’s replacement, and that that announcement will reflect these inclusive values that are critical to the direction in which our PEPFAR programs must go.