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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
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.

President Obama, Secretary Clinton, and Secretary Sebelius discuss global health issues during UNGA

President Obama: During remarks to the United Nations General Assembly (UNGA), President Barack Obama stated that “to stop disease that spreads across borders, we must strengthen our system of public health.”  President Obama also stated that the U.S. would continue its efforts to combat HIV/AIDS, tuberculosis, and malaria, would focus on the health of mothers and children, and highlighted the recent agreement between the U.S. and the World Health Organization (WHO) to assist developing nations in meeting the International Health Regulations (IHR). 

Secretary Clinton: Secretary of State Hillary Clinton provided remarks at the High-Level Meeting on Nutrition highlighting U.S. efforts to improve nutrition through global partnerships such as the Scaling Up Nutrition (SUN) movement and the 1,000 Day Partnership.  Secretary Clinton also stated “the United States is firmly committed to our investments in global nutrition, and we believe fervently that improving nutrition for pregnant women and children under two is one of the smartest investments anyone can make.”  At an event prior to the High-Level Meeting titled “Women and Agriculture: A Conversation on Improving Global Food Security,” Secretary Clinton discussed the role of women in improving food security and announced “that the United States is allocating $5 million this year for a new gender program within Feed the Future [FtF].”

Secretary Sebelius: Secretary of Health and Human Services (HHS) Kathleen Sebelius provided remarks at a UNGA High-Level Meeting on Non-communicable Diseases (NCDs), stating the Obama Administration “has made chronic disease a focus in our research and global health programs” and highlighted two soon to be announced efforts aimed at promoting smoke-free workplaces and in support of tobacco cessation efforts.

Additional Information:

White House

  • Read a White House fact sheet outlining, among other things, the U.S. commitment to “Global Health Security.” (September 20, 2011)

State Department


Bill introduced to provide incentives for the development of qualified infectious disease products

Representative Phil Gingrey (R-GA, 11th) introduced H.R. 2182 – Generating Antibiotic Incentives Now Act of 2011.  The bill provides incentives for the development of “antibiotic drug[s] for treating, detecting, preventing, or identifying a qualifying pathogen,” including, among other infectious agents, multi-drug resistant tuberculosis.

Learn more about the Senate companion bill (S. 1734).

CRS releases report on USAID’s global health programs and funding

The Congressional Research Service (CRS) released a report titled “USAID Global Health Programs: FY2001-FY2012 Request.” In addition to providing an overview of USAID’s role in U.S. global health assistance, the report summarizes USAID funding for global health efforts from FY2001 to FY2012, and highlights several budget related policy questions.

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)
CRS releases report on FY2012 State and Foreign Operations appropriations

The Congressional Research Service (CRS) released a report titled “State, Foreign Operations, and Related Programs: FY2012 Budget and Appropriations”. According to the summary, “[t]his report analyzes the FY2012 request, including State Department, international broadcasting, and foreign aid highlights, recent-year funding trends, and congressional action related to FY2012 State-Foreign Operations legislation.”