The U.S. Government Accountability Office (GAO) released a report titled “Ensuring Drug Quality in Global Health Programs”, which “examined (1) the regulatory and policy requirements intended to ensure the quality of drugs procured with U.S. aid funds and (2) the systems in place to monitor drug quality in supply chains used by programs receiving U.S. foreign aid funds.” The GAO did not make any recommendations in this report.
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).
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
The President’s Malaria Initiative (PMI) released the FY 2013 Malaria Operational Plans (MOPs), which provide an overview of current malaria control and prevention efforts, identify challenges to meeting PMI goals, and summarize FY 2013 planned activities.
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.
- Area: Congress
- Information Type: House Bills
- Organization/Initiative: USAID, State Dept.
- Issue/Condition: Tuberculosis, HIV/AIDS, Nutrition/Food Security, Foreign Aid Reform, Water, Family Planning/Reproductive Health, Maternal & Child Health, Malaria, Neglected Tropical Diseases (NTDs), Non-communicable Diseases (NCDs)
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 Fundâ€™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 Africaâ€™s Development. In his remarks, Ambassador Barton summarized U.S. efforts to address malaria through the Presidentâ€™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. â€œwelcome(s) the UNâ€™s efforts improve monitoring mechanisms for Africaâ€™s development and its focus on results rather than inputs.â€
The President’s Malaria Initiative (PMI) announced that the Democratic Republic of Congo (DRC) has joined as the 16th focus country in the initiative’s efforts to combat malaria.
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).”
- Area: Congress, Budget
- Information Type: Reports & Factsheets
- Organization/Initiative: GHI, PEPFAR, USAID, MCC, State Dept., Peace Corps, USDA, CRS
- Issue/Condition: Tuberculosis, HIV/AIDS, Nutrition/Food Security, Water, Family Planning/Reproductive Health, Maternal & Child Health, Malaria, Pandemic Influenza
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
- Area: Administration, Budget
- Information Type: Reports & Factsheets
- Organization/Initiative: GHI, PEPFAR, USAID, MCC, State Dept., White House, The Global Fund, HHS, NIH, DoD, CDC
- Issue/Condition: Tuberculosis, HIV/AIDS, Nutrition/Food Security, Family Planning/Reproductive Health, Maternal & Child Health, Malaria, Neglected Tropical Diseases (NTDs), Pandemic Influenza