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H.R. 2144 – 21st Century Global Health Technology Act

Representative Albio Sires (D-NJ, 13th) introduced the bill, H.R. 2144 – 21st Century Global Health Technology Act.  The proposed bill would codify the “Health Technology Program” at the United States Agency for International Development (USAID) and direct the program to “develop, advance, and introduce affordable, available, and appropriate and primarily late-stage technologies specifically designed to: (a) improve the health and nutrition of populations in developing countries; (b) reduce maternal, newborn, and child mortality in such countries; and (c) improve the diagnosis, prevention, and reduction of disease, especially HIV/AIDS, malaria, tuberculosis, and other infectious diseases, in such countries.” The bill requires that the USAID Administrator provide an annual report to Congress on the progress of the program.

Additional Information:

  • Access Representative Sires’ press release about the bill. 
Secretary Clinton’s statements and actions on global health issues during diplomatic trip to Zambia, Tanzania, and Ethiopia

During a seven day (June 8th – June 14th) diplomatic trip to United Arab Emirates (U.A.E.), Zambia, Tanzania, and Ethiopia, Secretary of State Hillary Clinton discussed U.S. efforts to combat food security through the Feed the Future (FtF) initiative, HIV/AIDS and gender-based violence (GBV) through the President’s Emergency Plan for AIDS Relief (PEPFAR), the U.S. Global Health Initiative (GHI), and the 1,000 Days Initiative. Secretary Clinton also announced increased funding for agricultural development and food security as well as nutritional programs in Tanzania, and an additional $15 million in PEPFAR funding for Zambia.

Additional Information:


  • Read Secretary Clinton’s remarks with Zambian President Rupiah Banda where she discusses mother-to-child transmission of HIV. (June 10, 2011)
  • Read Secretary Clinton’s remarks at the University Teaching Hospital Paediatric Centre of Excellence where she announces additional PEPFAR funding. (June 11, 2011)


  • Read a State Department background briefing en route to Tanzania. (June 11, 2011)
  • Read Secretary Clinton’s announcement of food security and nutrition funding for Tanzania through FtF. (June 12, 2011)
  • Read Secretary Clinton’s remarks with Tanzanian Prime Minister Mizengo Pinda and Irish Deputy Prime Minister Tanaiste Eamon Gilmore at the High-Level Meeting on Nutrition and 1,000 Days Initiative. (June 12, 2011)
  • Read a State Department press release about Secretary Clinton’s remarks during a visit to Buguruni Health Center where she discusses PEPFAR, GBV, and the GHI. (June 12, 2011)
  • Read a State Department Dipnote blog post titled “Travel Diary: Secretary Clinton Visits Tanzania.” (June 12, 2011)
  • Read Secretary Clinton’s remarks with Tanzanian President Jakaya Kikwete where she discusses the U.S. commitment to address nutrition and food security, maternal and child health, HIV/AIDS, and sustainable development. (June 13, 2011) 
  • Read a State Department Dipnote blog post titled “Planting the Seeds To Feed the Future.” (June 14, 2011)
  • Read a State Department Dipnote blog post by U.S. Global AIDS Coordinator Ambassador Eric Goosby, titled “Secretary Clinton Highlights U.S. Partnership in Fighting AIDS.” (June 16, 2011)


  • Read Secretary Clinton’s remarks at the African Union where she discusses FtF and PEPFAR. (June 13, 2011)
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).

USAID releases “Fiscal Year 2009 Report to Congress: Building Partnerships to Control Tuberculosis”

The United States Agency for International Development (USAID) released “Fiscal Year 2009 Report to Congress: Building Partnerships to Control Tuberculosis.” The report provides an overview of U.S. assistance for TB country including country-level activities, contributions to health systems, research, and global partnerships.

President Obama discusses U.S.-India’s efforts to address global health issues

In a joint statement, President Obama and Indian Prime Minister Manmohan Singh “celebrated” the signing of a Memorandum of Understanding (MOU) between the two countries to create a Global Disease Detection (GDD) Regional Center in New Delhi aimed at facilitating preparedness against health threats such as pandemic flu.

Additionally, in a speech given to a Joint Session of the Indian Parliament, President Obama stated that the U.S. will “continue to support India’s effort against diseases like tuberculosis and HIV/AIDS, and as global partners, we’ll work to improve global health by preventing the spread of pandemic flu.”

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

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.