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USAID Administrator Shah testifies before House and Senate Committees on FY13 budget request

U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah testified before the House Committee on Appropriations, Subcommittee on State, Foreign Operations and Related Programs and the Senate Committee on Foreign Relations. During testimony before both Committees, Administrator Shah summarized the FY13 budget request for USAID and highlighted efforts through the Feed the Future Initiative and the Global Health Initiative (GHI) including the President’s Emergency Plan for AIDS Relief (PEPFAR) and the President’s Malaria Initiative (PMI).

Additional Information:

House Committee on Appropriations, Subcommittee on State, Foreign Operations and Related Programs

  • Opening remarks by Representative Kay Granger (R-TX, 12th; Chair of the Subcommittee on State, Foreign Operations and Related Programs) asking Administrator Shah to, among other things, “explain whether the proposed reductions [in global health] can be taken without jeopardizing U.S. leadership in important areas like malaria and maternal and child health.”
  • Opening remarks by Representative Nita Lowey (D-NY, 18th) asking Administrator Shah to comment on the proposed reductions in funding for the GHI and USAID’s nutrition programs.

Senate Committee on Foreign Relations

  • Video of the hearing.
  • Press release on the FY 2013 USAID budget from the Chair of the hearing, Senator Ben Cardin (D-MD).
  • Opening remarks by Senator Richard Lugar (R-IN; Ranking Member) posing specific questions to Administrator Shah on the priorities of the GHI.
Foreign assistance reform bill introduced in House

Representative Howard Berman (D-CA, 28th) introduced the “Global Partnership Act of 2012” (H.R. 6644). According to a press release from Representative Berman, the bill would reform the U.S. foreign aid system and replace “both the Foreign Assistance Act of 1961, which covers economic, and development assistance, and the Arms Export Control Act, which deals with arms sales and military aid” The proposed bill includes specific sections addressing maternal and child health, HIV/AIDS, tuberculosis, malaria, neglected tropical diseases, family planning and reproductive health, noncommunicable diseases, water, and food security.

Obama Administration announces 3-year, $4 billion pledge and calls for reforms to the Global Fund

As part of the Third Replenishment of the Global Fund to Fight AIDS, Tuberculosis, and Malaria the Obama Administration announced a 3-year, $4 billion (FY11-FY13) pledge and a “Call to Action” to the Global Fund aimed at “develop[ing] and implement[ing] a set of reforms to maximize the impact of Global Fund grants.” Additionally, a press release from the President’s Emergency Plan for AIDS Relief (PEPFAR) on the new commitment and “Call to Action” states that future U.S. contributions to the Global Fund would be based on a “review of: 1) measurable progress in delivering on an action agenda for improved grant impact, 2) maintaining the Global Fund’s focus on combating the three diseases, and 3) continued financial support from other donors.”

Administration official discusses U.S. efforts to assist Least Developed Countries through the GHI and Feed the Future

In a statement before the Economic and Financial Committee (Second Committee) of the General Assembly of the United Nations, U.S. Deputy Representative to ECOSOC John Sammis summarized U.S. efforts to help reduce poverty and achieve the Millennium Development Goals (MDGs) through initiatives such as the Global Health Initiative (GHI) and Feed the Future (FtF).

Administration official discusses U.S. commitments in support of United Nations efforts aimed at addressing malaria and other development issues in Africa

Ambassador Rick Barton, U.S. Representative to the U.N. Economic and Social Council, commented on, among other things, reports by the U.N. Secretary General on the Decade to Roll Back Malaria, and monitoring mechanisms for Africa’s Development. In his remarks, Ambassador Barton summarized U.S. efforts to address malaria through the President’s Malaria Initiative (PMI) and the Global Health Initiative (GHI) and highlighted U.S. efforts to focus on outputs rather than inputs stating that the U.S. “welcome(s) the UN’s efforts improve monitoring mechanisms for Africa’s development and its focus on results rather than inputs.”

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

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).