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GAO releases report on drug quality in global health programs

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.

Resolution supporting goals and ideals of World Malaria Day passed in Senate

The Senate passed by voice vote a resolution (S. Res. 429) introduced by Senator Roger Wicker (R-MS) supporting the goals and ideals of World Malaria Day. Among other things, the resolution commends efforts by the President’s Malaria Initiative (PMI) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and “supports continued leadership by the United States in bilateral, multilateral, and private sector efforts to combat malaria as a critical part of the President’s Global Health Initiative.”

CDC releases "CDC Global Health Strategy 2012-2015"

The Centers for Disease Control and Prevention (CDC) released “CDC Global Health Strategy 2012-2015,” which outlines how the CDC plans to work towards four specific goals: improving the health and well-being of people around the world, improving capabilities for preparing and responding to infectious diseases and emerging health threats, building country public health capacity, and maximizing organizational capacity.

CRS releases report on U.S. response to global malaria threat

The Congressional Research Service (CRS) released a report titled “U.S. Response to the Global Threat of Malaria: Basic Facts.” According to the summary, “[t]his report outlines basic facts related to global malaria, including characteristics of the epidemic and U.S. legislation, programs, funding, and partnerships related to the global response to malaria.”

Senate Appropriations Committee approves Labor HHS Appropriations Bill

The Senate Committee on Appropriations approved the FY 2013 Labor, Health & Human Services, Education and Related Agencies appropriations bill by a vote of 16-14. A report released by the committee provided the funding levels for global health programs at the Centers for Disease Control and Prevention (CDC), which comprises a portion of the Global Health Initiative (GHI) budget, and the John E. Fogarty International Center. Additional funding for global health programs and research conducted by the National Institutes of Health (NIH) is not yet available.

Area

Part of the GHI*

FY12 Enacted (millions)

FY13 Request (millions)

FY13 Senate (millions)

Difference: Senate – FY12 (millions)

Difference: Senate – Request (millions)

Centers for Disease Control and Prevention (CDC)

Global AIDS Program

X

$117.1

$117.2

$117.1

$0
 (0%)

$0
 (0%)

Global Immunization

 

$160.3

$175.4

$160.3

$0
 (0%)

$-15.1
 (-8.6%)

       Polio

 

$111.3

$126.4

$111.3

$0
 (0%)

$-15.1
 (-11.9%)

       Measles & Other Diseases

 

$49.0

$49.1

$49.0

$0
 (0%)

$-0.1
 (-0.1%)

Disease Detection & Emergency Response

 

$41.6

$41.7

$46.6

$5
 (12%)

$4.9
 (11.9%)

Parasitic Diseases & Malaria

**

$19.4

$19.4

$19.4

$0
 (0%)

$-0.1
 (-0.3%)

Global Public Health Capacity Development

 

$9.2

$9.2

$9.2

$0
 (0%)

$0
 (-0.2%)

National Public Health Institutes

 

$0.0

$0.0

$10.0

-

-

Total CDC Funding

 

$347.6

$362.9

$362.6

$15
 (4.3%)

$-0.3
 (-0.1%)

John E. Fogarty International Center

 

$69.6

$69.8

$70.0

$0.4
 (0.6%)

$0.2
 (0.3%)

*GHI: U.S. Global Health Initiative.      
**CDC funding for malaria is considered to be part of the GHI. The exact amount of malaria funding provided in the Senate Labor-HHS appropriations bill is not yet know.

State Department releases fact sheet titled "The U.S. Global Health Initiative: Saving Lives and Promoting Security"

The State Department released a fact sheet titled “The U.S. Global Health Initiative: Saving Lives and Promoting Security,” which, among other things, details the GHI’s principles and targets.

UPDATED – Senate Appropriations Committee approves FY 2013 State and Foreign Operations Appropriations Bill

The Senate Committee on Appropriations approved the FY 2013 State and Foreign Operations appropriations bill (S. 3241) by a vote of 29-1, and released a bill summary as well as a Committee Report (#112-172). The bill includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of funding for the Global Health Initiative (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available). The Senate bill would provide $8.5 billion to the GHI, $625 million more than the President’s FY13 request ($7.9 billion) and $461 million more than the House FY13 appropriations bill ($8.0 billion). It is also $311 million above the FY12 amount ($8.2 billion).

In addition, the committee approved an amendment introduced by Senator Frank Lautenberg (D-NJ) that would put into place a legislative repeal of the Mexico City Policy (also known as the “Global Gag Rule”).

Area

FY12 Estimated (millions)

FY13 Request (millions)

FY13 House  (millions)

FY13 Senate  (millions)

Difference (millions)

Senate – FY12

Senate – Request

Senate – House

State Department – Global Health Programs (GHP)

HIV/AIDS Bilateral

$4,242.9

$3,700.0

$4,242.9

$3,900.0

$-342.9
 (-8.1%)

$200
 (5.4%)

$-342.9
 (-8.1%)

       UNAIDS (non-add)

$45.0

$45.0

Not Yet Available

$45.0

$0
 (0%)

$0
 (0%)

-

Global Fund*

$1,300.0

$1,650.0

$1,300.0

$1,650.0

$350
 (26.9%)

$0
 (0%)

$350
 (26.9%)

Total State-GHP

$5,542.9

$5,350.0

$5,542.9

$5,550.0

$7.1
 (0.1%)

$200
 (3.7%)

$7.1
 (0.1%)

USAID – Global Health Programs (GHP)

Maternal & Child Health (MCH)

$605.6

$578.0

$605.6

$679.0

$73.4
 (12.1%)

$101
 (17.5%)

$73.4
 (12.1%)

       Polio (non-add)

$35.0

Not Yet Available

Not Yet Available

$35.5

$0.5
 (1.4%)

-

-

       GAVI (non-add)**

$130.0

$145.0

Not Yet Available

$145.0

$15
 (11.5%)

$0
 (0%)

-

Nutrition

$95.0

$90.0

$95.0

$122.0

$27
 (28.4%)

$32
 (35.6%)

$27
 (28.4%)

Vulnerable Children

$17.5

$13.0

$17.5

$23.0

$5.5
 (31.4%)

$10
 (76.9%)

$5.5
 (31.4%)

HIV/AIDS

$350.0

$330.0

$350.0

$350.0

$0
 (0%)

$20
 (6.1%)

$0
 (0%)

Tuberculosis

$236.0

$224.0

$236.0

$285.0

$49
 (20.8%)

$61
 (27.2%)

$49
 (20.8%)

Malaria

$650.0

$619.0

$650.0

$670.0

$20
 (3.1%)

$51
 (8.2%)

$20
 (3.1%)

Neglected Tropical Diseases (NTDs)

$89.0

$67.0

Not Yet Available

$125.0

$36
 (40.4%)

$58
 (86.6%)

-

Pandemic Preparedness

$58.0

$53.0

Not Yet Available

$75.0

$17
 (29.3%)

$22
 (41.5%)

-

Family Planning & Reproductive Health (FP/RH)***

$524.0

$530.0

Not Yet Available

$600.0

$76.1
 (14.5%)

$70
 (13.2%)

-

Total USAID-GHP:

$2,625.0

$2,504.0

$2,474.9

$2,929.0

$304
 (11.6%)

$425
 (17%)

$454.1
 (18.3%)

The Global Health Initiative

Total GHI (known amounts)****

$8,167.9

$7,854.0

$8,017.7

$8,479.0

$311.1
 (3.8%)

$625
 (8%)

$461.3
 (5.8%)

Total Family Planning & Reproductive Health (FP/RH) – All Accounts***

Total FP/RH***

$661.0

$642.7

$461.0

$744.5

$83.5
 (12.6%)

$101.8
 (15.8%)

$283.5
 (61.5%)

       of which GHP Account

$524.0

$530.0

Not Yet Available

$600.0

$76.1
 (14.5%)

$70
 (13.2%)

-

       of which UNFPA

$35.0

$39.0

$0.0

$44.5

$9.5
 (27.1%)

$5.5
 (14.1%)

$44.5
 (N/A)

       of which Other Accounts

$102.0

$73.7

Not Yet Available

$100.0

$-2
 (-2%)

$26.3
 (35.7%)

-

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.     &nbs

Senate Appropriations Subcommittee releases summary of FY 2013 State and Foreign Operations Appropriations Bill

The Senate Committee on Appropriations, Subcommittee on the Department of State and Foreign Operations and Related Programs approved the FY 2013 State and Foreign Operations appropriations bill and released a bill summary. The bill includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department comprising a significant portion of funding for the Global Health Initiative (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available).

The Senate bill would provide $8.4 billion to the GHI, which is approximately $500 million more than the President’s FY13 request ($7.9 billion) and $400 million more than the House FY13 appropriations bill ($8.0 billion). It is also approximately $200 million above the FY12 amount ($8.2 billion). Of this, the Senate bill would provide the following:

  • HIV/AIDS bilateral: $4.25 billion, which is greater than the President’s Request ($4.0 billion), but below the House bill ($4.6 billion), which maintained the FY12 levels.*
  • Global Fund: $1.65 billion, which is equal to the President’s Request and greater than the House bill ($1.3 billion), which maintained the FY12 levels.*
  • Maternal & Child Health (MCH): $655 million, which is greater than the President’s Request ($578 million) and the House bill ($606 million), which maintained the FY12 levels.
  • Malaria: $650 million, which is greater than the President’s Request ($619 million), but the same as the House bill, which maintained the FY12 levels.
  • Tuberculosis: $265 million, which is greater than the President’s Request ($224 million) and the House bill ($236 million), which maintained the FY12 levels.
  • Pandemic: $75 million, which is greater than the President’s Request ($53 million) and the FY12 amount ($58 million). The House bill did not specify an amount.

In addition, the bill would provide $700 million in funding from all accounts for family planning and reproductive health (FP/RH) including $44.5 million in funding for the United Nations Population Fund (UNFPA). This is greater than the President’s request ($643 million) and the House bill ($461 million). It is also greater than FY12 levels ($661 million).

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.

House Appropriations Committee releases FY 2013 State and Foreign Operations Draft Committee Report

The House Committee on Appropriations released the FY 2013 State and Foreign Operations Draft Committee Report, which provides additional information on funding through the State and Foreign Operations appropriations bill (released May 8, 2012) for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department. This funding comprises a significant portion of the Global Health Initiative budget (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available).

The report also included the following policy provisions:

  • Reinstates the Mexico City Policy (also known as the “Global Gag Rule”)
  • Prohibits funding for the United Nations Population Fund (UNFPA)
  • No funding provided for needle exchange programs

Area

FY12 Estimated (millions)

FY13 Request (millions)

FY13 House Report (millions)

Difference (millions)

Report – FY12

Report – Request

State Department - Global Health Programs (GHP)

HIV/AIDS Bilateral

$4,242.9

$3,700.0

$4,242.9

$0
 (0%)

$542.9
 (14.7%)

Global Fund*

$1,300.0

$1,650.0

$1,300.0

$0
 (0%)

$-350
 (-21.2%)

Total State-GHP

$5,542.9

$5,350.0

$5,542.9

$0
 (0%)

$192.9
 (3.6%)

USAID – Global Health Programs (GHP)

Maternal & Child Health (MCH)

$605.6

$578.0

$605.6

$0
 (0%)

$27.6
 (4.8%)

Nutrition

$95.0

$90.0

$95.0

$0
 (0%)

$5
 (5.6%)

Vulnerable Children

$17.5

$13.0

$17.5

$0
 (0%)

$4.5
 (34.6%)

HIV/AIDS

$350.0

$330.0

$350.0

$0
 (0%)

$20
 (6.1%)

Tuberculosis

$236.0

$224.0

$236.0

$0
 (0%)

$12
 (5.4%)

Malaria

$650.0

$619.0

$650.0

$0
 (0%)

$31
 (5%)

Neglected Tropical Diseases (NTDs)

$89.0

$67.0

Not Yet Available

-

-

Pandemic Preparedness

$58.0

$53.0

Not Yet Available

-

-

Family Planning & Reproductive Health (FP/RH)**

$524.0

$530.0

Not Yet Available

-

-

Total USAID-GHP:

$2,625.0

$2,504.0

$2,474.9

$-150.1
 (-5.7%)

$-29.1
 (-1.2%)

The Global Health Initiative (GHP Account)

Total GHI (known amounts)***

$8,167.9

$7,854.0

$8,017.7

$-150.1
 (-1.8%)

$163.7
 (2.1%)

Total Family Planning & Reproductive Health (FP/RH) – All Accounts**

Total FP/RH**

$661.0

$642.7

$461.0

$-200
 (-30.3%)

$-181.7
 (-28.3%)

       of which GHP Account

$524.0

$530.0

Not Yet Available

-

-

       of which UNFPA

$35.0

$39.0

$0.0

$-35
 (-100%)

$-39
 (-100%)

       of which Other Accounts

$102.0

$73.7

Not Yet Available

-

-

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.
**The Committee Report “limit[s] the level of funds provided in this Act for family planning to not more than $461,000,000”, but does not delineate this funding by account. FY 2012 FP/RH funding was enacted at “not less than” $610 million; according to ForeignAssistance.gov (accessed 5/16/12), the Administration has planned to provide $661 million for FP/RH in FY 2012.
***Total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available.

CRS releases report on the Global Fund to Fight AIDS, Tuberculosis and Malaria

The Congressional Research Service (CRS) released a report titled “The Global Fund to Fight AIDS, Tuberculosis, and Malaria: Issues for Congress and U.S. Contributions from FY2001 to FY2013.” According to the summary, “[t]his report provides background information on the Global Fund, outlines U.S. funding for the Fund, discusses changes the Global Fund has made to improve the efficiency of its programs and address allegations of corruption, and analyzes issues Congress might consider as it debates the appropriate level of U.S support to provide the Fund.”