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HHS and PEPFAR announces 5-year, $130 million commitment for partnership aimed at increasing the number of health workers in Africa

A press release from the National Institutes of Health (NIH) announced a 5-year, $130 million commitment by the U.S. Department of Health and Human Services (HHS) and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) for the Medical Education Partnership Initiative (MEPI), an effort originally announced in March 2010 aimed at increasing the number of health care workers in Africa. U.S. Global AIDS Coordinator Ambassador Eric Goosby stated “MEPI will strengthen national plans to improve medical instruction and bolster the overall health care delivery systems.”

GAO Report – Trends in U.S. Spending for Global HIV/AIDS and Other Health Assistance in Fiscal Years 2001-2008

The report analyzes U.S. bilateral funding (in the form of disbursements) for global HIV/AIDS and other health-related programs in FY01-FY08. Additionally, the report provides information on the models used by the Office of the Global AIDS Coordinator (OGAC), the U.S. Agency for International Development (USAID), and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to estimate HIV treatment costs.

PEPFAR releases FY 2010 Operational Plan & an Update to FY 2009 Operational Plan

The United States President’s Emergency Plan for AIDS Relief (PEPFAR) released its FY 2010 Operational Plan and an update to its FY 2009 Operational Plan.

PEPFAR Operational Plans “provide programmatic descriptions and budgetary information for the Emergency Plan. These Operational Plans describe the planned uses of all sources of U.S. government (USG) international HIV/AIDS funding by fiscal year, some of which are described in further detail in congressional justifications and related documents produced by other USG agencies.”

President Obama proclaims December 1, 2010 as World AIDS Day

President Obama proclaimed December 1, 2010 as World AIDS Day. In the proclomation, President Obama summarized the actions taken by his Administration to combat HIV/AIDS including, among other things, elimination of the HIV/AIDS travel ban and the HIV prevention, treatment and care programs supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Health Initiative (GHI).

President Obama discusses U.S.-India’s efforts to address global health issues

In a joint statement, President Obama and Indian Prime Minister Manmohan Singh “celebrated” the signing of a Memorandum of Understanding (MOU) between the two countries to create a Global Disease Detection (GDD) Regional Center in New Delhi aimed at facilitating preparedness against health threats such as pandemic flu.

Additionally, in a speech given to a Joint Session of the Indian Parliament, President Obama stated that the U.S. will “continue to support India’s effort against diseases like tuberculosis and HIV/AIDS, and as global partners, we’ll work to improve global health by preventing the spread of pandemic flu.”

Administration official announces “Women’s Empowerment Initiative in the Pacific Region;” includes global health components

Ambassador-At-Large for Global Women’s Issues Melanne Verveer announced the “Women’s Empowerment Initiative in the Pacific Region,” a collaboration between the U.S. , World Bank, Australia, New Zealand, and Papua New Guinea. As part of the initiative, the U.S. made the following commitments:
– Co-hosting policy dialogues with the partner entities on ways to, among other things, address gender-based violence and improve maternal health;

- Double its HIV/AIDS contribution to Papua New Guinea (PNG) in the next year (subject to Congressional approval); and

- Collaborate with Australia and PNG on an integrated approach to addressing gender-based violence and HIV/AIDS in PNG.

U.S. & Zambia sign PEPFAR Partnership Framework

The United States and Zambia signed a Partnership Framework, which “represents joint collaboration to achieve Zambia’s five-year objective: A nation free from the threat of HIV and AIDS.” The framework “outlines national priorities and roles and responsibilities in the fight.”

Ambassador Goosby discusses HIV prevention approaches through PEPFAR

In a State Department Dipnote blog post titled “A Step Forward in HIV Prevention,” U.S. Global AIDS Coordinator Ambassador Eric Goosby stated “the United States is committed to supporting high-impact, evidence-based, combination prevention approaches” and discussed a series of consultations with prevention experts to discuss the President’s Emergency Plan for AIDS Relief’s HIV prevention programming.

CRS Report – State, Foreign Operations, and Related Programs: FY2010 Budget and Appropriations

From the report summary: “This report analyzes the FY2010 request, recent-year funding trends, and congressional action for FY2010, which includes the July 9 House approval of H.R. 3081, the State-Foreign Operations Appropriations bill for FY2010, July 9 Senate Appropriations Committee passage of its bill (S. 1434), and passage of H.R. 3288, the Consolidated Appropriations Act, 2010, signed into law Dec. 16, 2009 (P.L. 111-117).”

White House releases FY 2011 Budget

The White House released the FY 2011 budget request, which included the following funding totals for the U.S. Global Health Initiative (GHI) and other global health and related activities:

Global Health Initiative (GHI) total: $9.572 billion, including

- $8.513 billion from State & Foreign Operations Global Health & Child Survival (GHCS) account, and

- $1.059 billion from HHS, DoD, and other State & Foreign Operations accounts.

- PEPFAR: Included in the GHI total is $6.990 billion for PEPFAR of which $1 billion is for the Global Fund ($700 million from the State Department and $300 million from HHS).

Additional funding details on the GHI and other global health related accounts:

State and Foreign Operations funding for global health:

- Global Health & Child Survival (GHCS): $8.513 billion
– USAID: $3.013 billion
– Maternal Health & Child Health/Nutrition: $900.0 million
– Maternal & Child Health: $700.0 million

- Nutrition: $200.0
– Vulnerable Children: $15.0 million

- HIV/AIDS: $350.0 million

- Family Planning/Reproductive Health: $590.0 million

- Other Infectious Diseases: $1,158.0 million, which includes
– Malaria: $680.0 million,

- Tuberculosis: $230.0 million ,

- Neglected Tropical Diseases (NTDs): $155.0 million,

- Pandemic Influenza and Other Emerging Threats: $75 million, and

- Other Public Health Threats: $18 million.
– Department of State: $5.500 billion
– HIV/AIDS: $5.500 billion (includes $700 million for the Global Fund)
– Millennium Challenge Corporation: $1.280 billion

Health and Human Services funding for global health:

- CDC ($351.9 total):
– Global AIDS Program: $118.1 million

- Global Immunization Program: $152.8 million

- Global Disease Detection: $37.8 million

- Global Malaria Program: $9.2 million

- Other Global Health: $35.1 million
– Global Fund: $300.0 million

- Fogarty International: $73.0 million