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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.

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).

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 December 16, 2009 (P.L. 111-117).

Senate letter encourages the President to meet authorized funding levels for HIV/AIDS, Tuberculosis, and Malaria in the FY2011 budget

In a letter to President Obama, eight Senators encouraged the President “to meet the authorized funding levels of the ‘Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008’” stating that “the success of our HIV/AIDS program is potentially compromised by a proposed slow-down in the pace of funding.” Additionally, the Senators welcomed the President’s “leadership in expanding the United States’ commitment to other global health priorities such as neglected diseases and maternal and child health under the Global Health Initiative,” while also stating that “we must be mindful that these important programs do not come at the expense of commitments made under the Lantos-Hyde Act.”

H.R. 3288 – Consolidated Appropriations Act, 2010

Originally introduced as the “Transportation, and Housing and Urban Development, and Related Agencies Appropriations Act, 2010,” H.R. 3288 was reported out of a Joint House-Senate Conference Committee on December 8, 2009 as a consolidated appropriations act that included the “Department of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2010” and the “Department of State, Foreign Operations, and Related Programs Appropriations Act, 2010”.

Health and Human Services funding for global health:

- CDC ($328 total):
– Global AIDS Program: $119.0 million

- Global Immunization Program: $153.7 million

- Global Disease Detection: $37.8 million

- Global Malaria Program: $9.4 million

- Other Global Health: $8.5 million
– Global Fund: $300.0 million

- Fogarty International: $70.1 million

- Pandemic Flu (includes the Office of the Secretary and CDC): $432.3 million

State and Foreign Operations funding for global health:

- Global Health & Child Survival: $7.779 billion
– USAID:
– Child Survival and Maternal Health: $549.0 million

- Vulnerable Children: $15.0 million

- HIV/AIDS: $350.0 million

- Family Planning/Reproductive Health: $525.0 million

- Other Infectious Diseases: $981.0 million (includes $585.0 million for malaria, $225.0 million for tuberculosis, and $65.0 million for neglected tropical diseases)
– Department of State:
– HIV/AIDS: $5.359 billion (includes $750 million for the Global Fund)
– Agriculture and Food Security: $1.170 billion

- Water and Sanitation: $315 million

- Millennium Challenge Corporation: $1.105 billion

Timeline of the bill:

- Introduced as the “Transportation, and Housing and Urban Development, and Related Agencies Appropriations Act, 2010” and reported out of the House Committee on Appropriations on July 22, 2009.

- Passed a vote in the House (256-168) on July 23, 2009.

- Reported out of the Senate Committee on Appropriations with an amendment on August 5, 2009.

- Passed a vote in the Senate (73-25) on September 17, 2009.

- Reported out of a joint House-Senate Committee as the “Consolidated Appropriations Act, 2010” on December 8, 2009.

- The joint House-Senate Conference Committee report passed a vote in the House (221-202) on December 10, 2009.

- The joint House-Senate Conference Committee report passed a vote in the Senate (57-35) on December 13, 2009.

- The President signed the bill into law on December 16, 2009.

Bipartisan Congressional letter to the President expresses support for “robust” FY 2011 International Affairs Budget

Congressman Berman sent a letter signed by 189 members of Congress expressing to the President “strong support for a robust International Affairs Budget” for FY 2011 stating that programs funded through the International Affairs budget support interventions for those “who live under oppressive poverty, face starvation, battle HIV/AIDS, malaria and other diseases and suffer the consequences of conflict and insecurity.”

PEPFAR Launches Five-Year Strategy

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) launched a five-year strategy outlining “the high-level direction of the program for its next phase.”

The strategy states that “PEPFAR will:

· Transition from an emergency response to promotion of sustainable country programs;

· Strengthen partner government capacity to lead the response to this epidemic and other health demands;

· Expand prevention, care, and treatment in both concentrated and generalized epidemics;

· Integrate and coordinate HIV/AIDS programs with broader global health and development programs to maximize impact on health systems; and

· Invest in innovation and operations research to evaluate impact, improve service delivery and maximize outcomes.”