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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

Administration releases Global Health Initiative (GHI) Consultation Document

The Administration released “Implementation of the Global Health Initiative: Consultation Document,” which includes specific goals and targets, core principles, and an operational plan for the Global Health Initiative (GHI).

H.Res. 1064 – Expressing the sense of the House of Representatives that the ‘Anti-Homosexuality Bill, 2009′ under consideration by the Parliament of Uganda, that would impose long-term imprisonment and the death penalty for certain acts, threatens the protection of fundamental human rights, and for other purposes

Among other things, the proposed resolution states that the House of Representatives believes “the requirement that individuals report suspected homosexual individuals to the Ugandan Government could undermine Uganda’s efforts to combat HIV/AIDS” and “calls upon the President and the Secretary of State to . . . ensure that resources committed to the global HIV/AIDS response are utilized in a manner that is efficient, effective, and appropriate to the local epidemiology of the disease, including in Uganda.”

HHS Secretary Sebelius announces appointments to the Presidential Advisory Council on HIV/AIDS

Health and Human Services (HHS) Secretary Kathleen Sebelius announced the appointment of 24 members to the Presidential Advisory Council on HIV/AIDS (PACHA). PACHA “provides advice, information, and recommendations to the President through the Secretary of Health and Human Services on domestic and global HIV/AIDS policy issues.”

Ambassador Eric Goosby comments on the role of PEPFAR in the GHI

In a State Department blog post titled “Global Health Initiative: How PEPFAR Fits In,” Ambassador Eric Goosby, the U.S. Global AIDS Coordinator, stated that the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is “a cornerstone of the GHI” (Global Health Initiative). Ambassador Goosby summarized the similar principles of the GHI and those outlined in PEPFAR’s five year strategy including working to improve health systems, enhancing coordination with other U.S. government agencies, focusing on women and girls, and increasing coordination with international partners.

State Department official discusses health and food security in a speech on “Strengthening the United States Relationship with Africa”

In a speech titled “Strengthening the United States Relationship with Africa” given at the Embassy of the Republic of Ghana, Johnnie Carson, Assistant Secretary, Bureau of African Affairs, outlined the areas of focus for U.S. work with African countries including food security and health. During his remarks, Assistant Secretary Carson discussed the Global Hunger and Food Security Initiative (GHFSI), the Obama Administration’s efforts to address health issues through the President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Health Initiative (GHI).

Secretary of State Clinton testifies before Congress on the FY 2011 State Department Budget

Secretary of State Hillary Clinton testified before four congressional committees (see Additional Information) on the FY 2011 State and Foreign Operations budget request, including on the Global Health Initiative (GHI) and the role of the President’s Emergency Plan for AIDS Relief (PEFPAR). Other related topics addressed included the Quadrennial Diplomacy and Development Review (QDDR) to define global needs and properly align U.S. capabilities, increasing the capacity of the State Department and the United States Agency for International Development (USAID), food security, the Millennium Challenge Corporation (MCC), long-term recovery efforts in Haiti, and advancing equality and opportunity for women and girls.

Millennium Challenge Corporation and UN World Food Program sign Memorandum of Understanding

The Millennium Challenge Corporation (MCC) and the UN World Food Program (WFP) signed a Memorandum of Understanding (MOU) aimed at improving global food security through, among other things, “improved access to water, . . . [and by] incorporating nutrition interventions into maternal and child health programs, health education, and HIV programs.”

S. 2982 – International Violence Against Women Act of 2010

Among other things, the proposed bill states that “[v]iolence against women dramatically impedes progress in meeting all of our global health goals, including efforts to stem maternal mortality and the spread of HIV/AIDS.” The bill authorizes funding for efforts coordinated and conducted by an “Ambassador-at-Large for Global Women’s Issues” at the State Department and a “Women’s Development Advisor” at the United States Agency for International Development (USAID) to prevent and address the impacts of violence against women. The bill also requires the creation and implementation of a 5-year international strategy, outlines the types of interventions that U.S. assistance would support, including “enhancing the capacity of the health sector,” and authorizes funding to implement the strategy and interventions.

Timeline of the bill:

- Introduced and referred to the Senate Committee on Foreign Relations on February 4, 2010.

- Reported favorably out of the Senate Committee on Foreign Relations on December 14, 2010.