The House Appropriations State and Foreign Operations subcommittee on Tuesday released a draft (.pdf) of its FY 2013 appropriations bill, Devex reports (Mungcal, 5/8). “The bill, to be marked up by the subcommittee Wednesday morning, would provide $40.1 billion for the base budget of the State Department, USAID, and international affairs programs in other agencies, in addition to $8.2 billion for diplomatic and development programs related to the ongoing wars in Afghanistan, Iraq, and Pakistan in what’s known as the Overseas Contingency Operations (OCO) account,” Foreign Policy’s “The Cable” writes, noting, “If enacted, the legislation would represent a 12 percent cut from the administration’s $54.71 billion budget request” (Rogin, 5/8).
Programs, Funding & Financing
U.S. Ambassador to Nigeria Terence McCulley on Tuesday in Abuja, Nigeria, launched a five-year, $224 million USAID program, titled Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS), that aims to “increas[e] access to high-quality comprehensive HIV/AIDS and tuberculosis prevention, treatment, care and related services through improved efficiencies in service delivery,” the Daily Trust reports (Odeyemi/Odafor, 5/8).
The Globe and Mail examines the sustainability of Sierra Leone’s free health care system, writing, “The reform has been hugely successful and the death rate has dropped sharply. … [But t]he country’s hospitals are overwhelmed with new patients, the drug supply can’t keep up, the medical staff are overloaded, and it’s unclear if the $36-million program would survive without foreign donations.” According to the newspaper, “The principle of free health care is a sharp break from earlier ideology” that supported “‘cost recovery’ — a system of user fees in hospitals” — which leaders thought “would generate money to fix their badly underfunded health systems.” However, the user fees “were widely criticized, they failed to solve the funding problems, and they created a new barrier to health care” for many without the means to pay, the Globe and Mail writes.
The National Institutes of Health’s (NIH) National Center for Advancing Translational Science (NCATS) — a new plan to help speed drug development by making abandoned experimental drugs available to researchers who can look for alternative uses — “is an indication that the Obama administration and the medical research enterprise are thinking out of the box,” Michael Manganiello, a partner at HCM Strategists, writes in a Huffington Post “Politics Blog” opinion piece. Manganiello — who says the drug AZT, which originally was developed to treat cancer, helped him live long enough to reap the benefits of new drugs developed in the mid-1990s to treat HIV infection — joined HHS Secretary Kathleen Sebelius and NIH Director Francis Collins this week in launching the initiative, which he says “is a step in the right direction and it is critical that industry collaborate with patient groups and their constituents.”
“The United States should be more selective about where and how it spends foreign assistance,” according to a new report (.pdf), titled “Engagement Amid Austerity: A Bipartisan Approach to Reorienting the International Affairs Budget,” co-authored by John Norris of the Center for American Progress and Connie Veillette of the Center for Global Development (CGD), the CGD website notes. The report “identifies four flagship reforms that would help U.S. foreign affairs institutions to better reflect national interests and reduce ineffective spending,” including “[a]ccelerat[ing] cost-sharing arrangements with upper middle income recipients of” PEPFAR and “[o]verhaul[ing] U.S. food aid laws and regulations,” according to the website (5/8).
In this post in PSI’s “Healthy Lives” blog, Deputy Editor Tom Murphy examines routine vaccination solutions in Nigeria, where “[t]he Decade of Vaccines Economics projects 90 percent vaccine coverage against Hib, pneumococcal disease, rotavirus, measles and pertussis can save 600,000 lives and $17 billion in Nigeria over the next 10 years.” Murphy highlights a “new report [.pdf] by the International Vaccine Access Center (IVAC) at Johns Hopkins University [that] identifies the challenges and solutions to increasing routine vaccinations in” the country, noting it also “identifies supply, human resource and demand solutions to increasing vaccination access” (5/8).
In this opinion piece in the Kansas City Star’s “As I See It,” Nancy Lindborg, USAID assistant administrator for democracy, conflict and humanitarian assistance and a guest speaker at this week’s International Food Aid and Development Conference in Kansas City, discusses food aid and highlights USAID’s response to last year’s food crisis in the Horn of Africa. She writes, “None of this would have been possible without the hard work and generosity of the American public, and especially the farmers, manufacturers and shippers that I am honored to meet with again this week in Kansas City.”
Leading up to Mother’s Day on May 13, the Huffington Post’s “Global Motherhood” section, in partnership with Mothers Day Every Day, an initiative of the White Ribbon Alliance and CARE, is publishing opinion pieces from a diverse group of people. The following are summaries of two of those opinion pieces.
UNAIDS on Tuesday launched a new campaign “aimed at ending new HIV infections among children by 2015 and ensuring mothers living with HIV remain healthy,” Xinhua reports (5/8). “The campaign, ‘Believe it. Do it.,’ is part of a global plan of action that was adopted last year at the U.N. High Level Meeting on AIDS, when world leaders committed to end new HIV infections among children by 2015,” the U.N. News Centre writes (5/8). “Each year, about 390,000 children become newly infected with HIV and as many as 42,000 women living with HIV die from complications relating to HIV and pregnancy,” according to a UNAIDS press release (5/8).
International Community, U.S. Should Increase Resources, Mandate For Fighting NCDs In Developing World
In this Foreign Affairs essay, Thomas Bollyky, a senior fellow for global health, economics and development at the Council on Foreign Relations, examines the increase of non-communicable diseases (NCDs) in the developing world, writing, “When most people in developed countries think of the biggest health challenges confronting the developing world, they envision a small boy in a rural, dusty village beset by an exotic parasite or bacterial blight,” but “NCDs in developing countries are occurring more rapidly, arising in younger people, and leading to far worse health outcomes than ever seen in developed countries.” He notes, “According to the World Economic Forum’s 2010 Global Risks report, these diseases pose a greater threat to global economic development than fiscal crises, natural disasters, corruption, or infectious disease.”