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USAID releases “Striving for a Healthy Future: Global Health and Child Survival – Fiscal Year 2009 Report to Congress”

The United States Agency for International Development (USAID) released “Striving for a Healthy Future: Global Health and Child Survival – Fiscal Year 2009 Report to Congress.” The report summarizes the agency’s FY 2009 “global health strategies, interventions, and achievements in fighting infectious diseases and HIV/AIDS; protecting maternal and child health; supporting voluntary family planning; assisting programs for orphans and vulnerable children; building health systems capacity; and supporting cutting-edge technologies and research.”

White House releases FY 2012 Budget Request

The White House released the FY 2012 budget request, which included the following funding totals for the U.S. Global Health Initiative (GHI) and other global health and related activities:

b>Global Health Initiative (GHI) total: $9.8 billion, including

- $8.7155 billion from State & Foreign Operations Global Health & Child Survival (GHCS) account, and

- Over $1.0693 billion from HHS, DoD, and other State & Foreign Operations accounts.

- PEPFAR: Included in the GHI total is $7.154 billion for PEPFAR of which $1.3 billion is for the Global Fund ($1.0 billion 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 the global health:

- Global Health & Child Survival (GHCS): $8.7155 billion

  • USAID: $3.0736 billion
    • Maternal & Child Health: $846.0 million
    • Nutrition: $150.0
    • Vulnerable Children: $15.0 million
    • HIV/AIDS: $350.0 million
    • Family Planning/Reproductive Health: $625.6 million
    • Malaria: $691.0 million
    • Tuberculosis: $236.0 million
    • Neglected Tropical Diseases (NTDs): $100.0 million,
    • Pandemic Influenza and Other Emerging Threats: $60 million
  • Department of State: $5.6419 billion
    • HIV/AIDS: $5.6419 billion (includes $1.0 billion for the Global Fund)

Millennium Challenge Corporation: $1.125 billion

  • Health and Human Services (HHS) funding for global health:
    • National Institutes of Health (NIH):
      • HIV/AIDS Research: $489.4 million
      • Malaria Research: $110.2 million
      • Global Fund: $300.0 million
    • Centers for Disease Control and Prevention (CDC) ($ total): $381.2 million
      • Global AIDS Program: $118.0 million
      • Global Immunization Program: $163.6 million
      • Global Disease Detection & Emergency Response: $44.2 million
      • Parasitic Diseases & Malaria: $19.6 million
        • Malaria: $9.2 million
      • Global Public Health Capacity Development: $35.8 million
  • Fogarty International: $71.3 million
FY 2011 full-year Continuing Appropriations Act (H.R. 1) introduced in the House includes reductions in global health funding compared to FY 2010 totals

Representative Harold Rogers (R-KY, 5th) introduced the “Full-Year Continuing Appropriations Act, 2011” (H.R. 1) authorizing appropriations for the remaining seven months of FY 2011 (the first 5 months of FY 2011 were funded under FY 2010 level). The proposed reductions in global health funding (when compared to FY 2010 totals) included in this appropriations bill are provided in the table below.

Timeline of the bill:

- Introduced and referred to the House Committee on Appropriations and the House Committee on the Budget on February 11, 2011.

- Passed by the House (235-189) on February 19, 2011.

- The Senate Committee on Appropriations introduced an amended full-year Continuing Appropriations Act on March 4, 2011. Learn more about the Senate version here.

- The Congressional Budget Office (CBO) released a cost estimate of the Senate version on March 8, 2011.

Congressional letter to Appropriations Committees calls for “robust” funding of FY 2012 global health programs

Approximately 100 members of Congress signed a letter calling on the Chair and Ranking Member of the Subcommittee on State and Foreign Operations in both the House and Senate Appropriations Committees to support the Senate proposed funding level for FY 2012 global health programs.

Secretary Clinton gives speech on “Creating an AIDS-Free Generation”

In a speech titled “Creating an AIDS-Free Generation” given at the National Institutes of Health (NIH), Secretary of State Hillary Clinton highlighted three interventions guiding the U.S. government’s efforts to achieve the goal of an “AIDS-Free Generation”: prevention of mother-to-child transmission, voluntary medical male circumcision, and the use of antiretroviral drugs.   Secretary Clinton also described three U.S. HIV/AIDS policy priorities: using scientifically proven results to inform U.S. policy, an increasing emphasis on country ownership, and “calling on other donor nations to do their part, including by supporting and strengthening the Global Fund.”

Additional Information:

Secretary Clinton announces public-private partnership to combat cervical and breast cancer

During a speech given at the Summit to Save Lives, Secretary of State Hillary Clinton announced the Pink Ribbon Red Ribbon Partnership, a public-private partnership to combat cervical and breast cancer in Sub-Saharan Africa and Latin America. Secretary Clinton also announced a $10 million U.S. commitment to the partnership, which is led by the George W. Bush Institute, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Susan G. Komen for the Cure, and the Joint United Nations Programme on HIV/AIDS (UNAIDS). The partnership will “leverage the platform and resources of PEPFAR” to achieve the following goals outlined in a State Department fact sheet:

  • “Reduce deaths from cervical cancer by an estimated 25% among women screened and treated through the initiative;”
  • “Significantly increase access to breast and cervical cancer prevention, screening and treatment; and”
  • “Create innovative models that can be scaled up and used globally.”

In a blog post, U.S. Global Health Initiative (GHI) Executive Director Lois Quam discussed the role of the GHI in the new Pink Ribbon Red Ribbon Partnership.

Congressional HIVAIDS Caucus Launched

Representative Barbara Lee (D-CA, 9th), Representative Jim McDermott (D-WA, 7th), and Representative Trent Franks (R-AZ, 2nd) announced the launch of the new Congressional HIV/AIDS Caucus “to examine methods by which the United States can maintain global leadership in the response to the epidemic in the U.S. and around the world.” Representatives Lee, McDermott, and Franks are co-chairs of the newly formed caucus.

Ambassador Goosby to host second PEPFAR Scientific Advisory Board Meeting

U.S. Global AIDS Coordinator Ambassador Eric Goosby will host the second meeting of the Scientific Advisory Board of the President’s Emergency Plan for AIDS Relief (PEPFAR).  The meeting will “include an update on PEPFAR-funded evaluations, discussion about policy related to the recent studies treatment for prevention, and recommendations to the Ambassador on the future direction of evaluation and research within PEPFAR.”

The meeting will be held from 9:00 AM to 5:00 PM on September 14th and 9:00 AM to 3:00 PM on September 15th at the House of Sweden Event Center, 2900 K Street NW, Washington, DC.  Register for the event here.

Senate Appropriations Committee approves the State and Foreign Operations Appropriations Bill, FY 2012

The Senate Committee on Appropriations released a summary of the FY 2012 State and Foreign Operations Appropriations bill (S.1601, Committee Report) as approved by the full Committee on September 21, 2011.  The proposed bill includes funding for the U.S. Global Health Initiative (GHI) of approximately $7.9 billion from the Global Health and Child Survival (GHCS) Account, which is $810.5 million below the President’s FY 2012 budget request of $8.7 billion and $75.69 million above FY 2011 levels of $7.8 billion for the GHCS (additional funding for the GHI is provided through other spending bills).  Funding from GHCS for specific areas is as follows:

  • Maternal & Child Health (MCH): $595 million, of which $35 million is for polio eradication
  • Neglected Tropical Diseases (NTDs): $89 million
  • Malaria: $642 million
  • Tuberculosis: $225 million
  • HIV/AIDS: $4,850 million
  • Global Fund: $750 million

The proposed bill also provides for the following:

  • Family Planning/Reproductive Health: $700 million from all accounts (including the GHCS account), of which $40 million is for the United Nations Population Fund (UNFPA)
  • Millennium Challenge Corporation (MCC): $898.2 million
  • Global Agricultural and Food Security Program: $200 million

*These funding amounts are preliminary only and will be updated as more information becomes available.