In a speech titled “Embracing Enlightened Capitalism” given at the U.S. Agency for International Development (USAID) Public-Private Partnership Forum, USAID Administrator Dr. Rajiv Shah summarized the role of public-private partnerships in meeting development objectives and highlighted how USAID is currently partnering with the private sector to meet its goals in, among other things, the areas of health and food security.
During remarks titled “Turning Impossible Challenges into Solvable Problems,” given at the University of North Carolina’s Water Institute, U.S. Agency for International Development (USAID) Global Water Coordinator Christian Holmes outlined global water, sanitation, and hygiene (WASH) challenges and summarized U.S. efforts to address these challenges through programs under the Water for the Poor Act (WfP), Feed the Future (FtF) Initiative, the Global Health Initiative (GHI), the Global Climate Change Initiative (GCCI), and through public-private partnerships.
UPDATE: The President signed the bill into law (Public Law #112-74) on December 23, 2011 after the Conference Agreement passed the House (296-121) on December 16, 2011 and the Senate (67-32) on December 17, 2011. Additionally, the Senate voted against (43-56) a resolution (H.Con.Res. 94) that would have applied a 1.83% across-the-board rescission to all FY 2012 appropriations except the Department of Defense (DoD), Military Construction, and Veterans Affairs.
Representative Hal Rogers (R-KY, 5th; Chairman House Committee on Appropriations) released a statement announcing that a joint House-Senate Conference Committee had reached agreement on final FY 2012 Appropriations legislation (H.R. 2055), which includes funding for global health programs through the State Department, U.S. Agency for International Development (USAID), the Department of Health and Human Services (HHS), and the Department of Defense (DoD). While total funding for the Global Health Initiative (GHI) is not yet available, the appropriations detailed in this agreement totaled $8.3 billion.
Directs that no FY 2012 global health funds may be used for needle exchange programs;
Includes additional Congressional oversight before the Administration makes a multi-year funding pledge;
Requires the Administration to report back to Congress with an analysis of the potential costs/savings of transitioning the Office of the Global AIDS Coordinator (OGAC) into USAID; and
Requires the Administration to report back to Congress with an analysis of transitioning the leadership of the Global Health Initiative (GHI) to USAID as outlined in the Quadrennial Diplomacy and Development Review (QDDR).
Global health appropriations as provided in the Conference Report (House Report 112-331) and Joint Statement of Managers are summarized as follows:
Representative Hal Rogers (R-KY, 5th; Chairman House Committee on Appropriations) introduced the “Consolidated Appropriations Act, 2012” (H.R. 3671), which includes funding for global health programs through the State Department, U.S. Agency for International Development (USAID), and the Department of Health and Human Services (HHS). Chairman Rogers also introduced a resolution (H.Con.Res. 94) that would apply a 1.83% across the board rescission to all FY 2012 appropriations except the Department of Defense (DoD), Military Construction, and Veterans Affairs.
“Directs that no HIV/AIDS funding be provided for needle exchange programs”;
“Requires additional congressional oversight before the Administration makes public announcements of multi-year funding pledges”;
Requires that the Administration report back to Congress with an analysis of the potential costs (including savings and increases) of transitioning the Office of the Global AIDS Coordinator (OGAC) into USAID; and
Requires that the Administration report back to Congress with an analysis of transitioning the leadership of the Global Health Initiative (GHI) to USAID as outlined in the Quadrennial Diplomacy and Development Review (QDDR).
Global health appropriations included in the bill are as follows:
Department / Agency
Part of the GHI*
FY11 Enacted (millions)
FY12 Request (millions)
FY12 House Bill (H.R. 3671) (millions)**
House – FY11
House – Request
State & Foreign Operations
of which GF
of which UNFPA
Water (all acounts)
Health and Human Services (HHS)
CDC Global Health
of which HIV
NIH – Global Fund
NIH – Fogarty International Center
Department of Defense (DoD)
The Global Health Initiative
Total GHI (known amounts)****
*GHI: U.S. Global Health Initiative.
**The FY 2012 Consolidated Appropriations Act included an across-the-board 0.189% rescission to all funding provided through the Labor-HHS portion of the bill.
***The FY 2012 Consolidated Appropriations Act states that “not less than $575,000,000 should be made available for family planning/reproductive health” through all bilateral accounts, but does not delineate this amount by account. UNFPA funding is in addition to the bilateral funding and is provided through the International Organizations and Programs (IO&P) account.
****Total funding for the GHI is not currently available as some funding provided through SFOPS, HHS, and DoD were not delineated in the FY 2012 appropriations bills.
Representatives Earl Blumenauer (D-OR, 3rd) and Ted Poe (R-TX, 2nd) introduced the “Senator Paul Simon Water for the World Act of 2012” (H.R. 3658). The stated purpose of the act “is to strengthen implementation of the Senator Paul Simon Water for the Poor Act of 2005 (Public Law 109–121) by: (1) improving coordination and oversight of water, sanitation, and hygiene programs within and between United States Government agencies; (2) increasing the sustainability of United States Government-supported water, sanitation, and hygiene programs; (3) enhancing water, sanitation, and hygiene expertise within the United States Agency for International Development; and (4) integrating water and sanitation into programs and strategies for food security, global health, environment, education, and gender equality.”
Among other things, the act would create water focused positions at both USAID (Global Water Coordinator) and the State Department (Special Advisor for Water Resources) and would require USAID to develop a “Safe Water, Sanitation, and Hygiene Strategy” every four years.
The Administration released “The United States Global Health Initiative: Strategy Document,” which includes information on the operational plan, targets, and implementation of the Global Health Initiative (GHI).
In commemoration of World Water Day, Secretary of State Hillary Clinton signed a Memorandum of Understanding (MOU) with the World Bank with the aim of â€œleverage[ing] the considerable expertise and assets of the two partners to help developing countries achieve water security and improve water quality.” During the ceremony, Secretary Clinton, Under Secretary for Democracy and Global Affairs Maria Otero, and U.S. Agency for International Development Deputy Administrator (USAID) Don Steinberg provided remarks on U.S. global water efforts. The State Department and USAID also highlighted its efforts to address water and sanitation issues through multiple blog posts, press releases, and fact sheets.
In advance of World Water Day, Under Secretary Otero participated in a State Department video discussion titled “Conversations With America: Global Water Issues.”
U.S. Global AIDS Coordinator Ambassador Eric Goosby and U.S. Agency for International Development (USAID) Deputy Assistant Administrator for Global Health Amie Batson testified before the House Committee on Appropriations, Subcommittee on State, Foreign Operations, and Related Programs on the FY 2012 budget request for global health and HIV/AIDS.
The resolution highlights health related impacts associated with the lack of safe drinking water and adequate sanitation facilities around the world and declares March 11, 2011 as “World Plumbing Day”.
The stated purpose of the proposed bill is “(1) to enable first-time access to safe water and sanitation, on a sustainable basis, for 100,000,000 people in high priority countries . . . within 6 years of the date of enactment of this Act through direct funding, development activities, and partnerships; and (2) to enhance the capacity of the United States Government to fully implement the Senator Paul Simon Water for the Poor Act of 2005.” Among other things, the proposed bill would create water related positions at both the U.S. Agency for International Development (USAID) and the State Department and authorizes specific water and sanitation related activities aimed at fulfilling the goals of the bill.