The National Institutes of Health (NIH), in collaboration with the Presidentâ€™s Emergency Plan for AIDS Relief (PEPFAR), announced a new program to strengthen medical education and increase the number of health care workers in Sub-Saharan Africa. The program, which is called the Medical Education Partnership Initiative, is a joint effort with The Office of the U.S. Global AIDS Coordinator (OGAC), the Health Resources and Services Administration (HRSA), the Centers for Disease Control and Prevention (CDC), the Department of Defense (DoD).
Centers for Disease Control and Prevention
The resolution states that the Senate supports the goals of World Tuberculosis Day, commends the efforts of the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the Global Fund to Fight AIDS, Tuberculosis and Malaria to address the disease, and “reaffirms its commitment to global tuberculosis control made through the Lantos-Hyde United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2008.”
S. 3686 – An original bill making appropriations for the Department of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2011, and for other purposes.
The Senate Committee on Appropriations approved by a vote of 17-12 the FY 2011 Labor, Health and Human Services, and Education, and related agencies bill with the following recommendations:
Health and Human Services funding for global health:
- CDC (total): $353.3 million
– Global AIDS Program: $118.1 million
- Global Immunization Program: $153.2 million
- Global Disease Detection: $37.8 million
- Global Malaria Program: $9.2 million
- Other Global Health: $35.1 million
– Fogarty International Center (FIC): $72.9 million
- The Global Fund: $300 million
Secretary Clinton delivers speech titled “The Global Health Initiative: The Next Phase of American Leadership in Health Around the World”
In a speech titled “The Global Health Initiative [GHI]: The Next Phase of American Leadership in Health Around the World,” Secretary of State Hillary Clinton discussed the reasons why the U.S. is investing in global health including: to strengthen fragile or failing states; to promote social and economic progress; to protect U.S. security; as a tool of public diplomacy; and as a demonstration of U.S. compassion. Secretary Clinton also outlined how the GHI would work towards achieving its goal “to save the greatest possible number of lives, both by increasing our existing health programs and by building upon them to help countries develop their own capacity to improve the health of their own people.”
During remarks at the Clinton Global Initiative Secretary of State Hillary Clinton announced “the Global Alliance for Clean Cookstoves, a new public-private partnership led by the United Nations Foundation (UNF) to create a thriving global market for clean and efficient household cooking solutions that will save lives, improve livelihoods, empower women, and combat climate change. The Alliance will work to tackle the severe health, economic, and environmental consequences associated with smoke from traditional cook stoves and open fires used by over half the worldâ€™s population.” The U.S. has committed $50.82 million over the next five years to ensure that the Global Alliance for Clean Cookstoves reaches its “goal of 100 million homes adopting new clean stoves and fuels by 2020.”
Administration officials testify at a Congressional hearing titled “PEPFAR: From Emergency to Sustainability and Advances Against HIV/AIDS”
During a House Committee on Foreign Affairs hearing titled “PEPFAR: From Emergency to Sustainability and Advances Against HIV/AIDS,” U.S. Global AIDS Coordinator Ambassador Eric Goosby discussed the successes of the President’s Emergency Plan for AIDS Relief (PEPFAR) and outlined core principles moving forward including PEPFAR’s role in the Global Health Initiative (GHI), addressing gender issues, country ownership and building local capacity, and stronger engagement with multilateral partners such as the Global Fund to Fight AIDS, Tuberculosis and Malaria. Director of the National Institute of Allergy and Infectious Diseases (NIAID) at the National Institutes of Health (NIH) Dr. Anthony Fauci summarized how NIH contributes to the PEPFAR mission through HIV/AIDS research that provides “the tools necessary to diagnose, prevent, and treat HIV.” Center for Disease Control and Prevention (CDC) Director Thomas Frieden discussed the successes of PEPFAR and outlined the guiding principles of CDC’s global health work which include: “strengthen public health capacity; better use data to improve program performance and policy; and maximize sustainable health impact through the use of existing and new systems, cost-efficiencies, partner investments, and scale-up of the highest impact interventions with a focus on populations with the greatest need.”
Prior to testimony from the Administration officials, the hearing was opened with remarks from the Committee Chair, Representative Howard Berman (D-CA, 28th), and Ranking Member, Representative Ileana Ros-Lehtinen (R-FL, 18th).
Representatives Berman and Ros-Lehtinen provide opening remarks at a Congressional hearing on PEPFAR
Representatives Howard Berman (D-CA, 28th â€“ Chair) and Ileana Ros-Lehtinen (R-FL, 18th â€“ Ranking Member) provided opening remarks during a hearing of the House Committee on Foreign Affairs titled “PEPFAR: From Emergency to Sustainability and Advances Against HIV/AIDS.â€ Representatives Berman and Ros-Lehtinen described the successes of the President’s Emergency Plan for AIDS Relief (PEPFAR) to date, the need to continue to focus on treatment as well as prevention, and emphasized the U.S. commitment to combating HIV/AIDS.
After opening remarks, the Committee took testimony from U.S. Global AIDS Coordinator Ambassador Eric Goosby, Director of the National Institute of Allergy and Infectious Diseases (NIAID) at the National Institutes of Health (NIH) Dr. Anthony Fauci, and Center for Disease Control and Prevention (CDC) Director Thomas Frieden.
The U.S. Department of State, through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and in collaboration with the Office of Global Women’s Issues, joined the Together for Girls partnership which aims to end sexual violence against girls by â€œconducting national surveys, using these new data to base country-specific interventions tailored to address sexual violence, and launching public awareness campaigns to motivate changes in social norms and behaviors.â€
Administration statements in response to results from the CAPRISA 004 Microbicide HIV Prevention Study
In response to the results from the Centre for the AIDS Programme of Research in South Africa (CAPRISA) 004 Microbicide HIV Prevention Study, U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah released a statement congratulating the researchers, summarizing USAIDâ€™s involvement in the study, and outlining the next steps required in order to begin integrating the microbicide into U.S. government programs such as the Presidentâ€™s Emergency Plan for AIDS Relief (PEPFAR). Director of the National Institute of Allergy and Infectious Diseases (NIAID), part of the NIH, Dr. Anthony Fauci also released a statement congratulating researchers on the findings from the CAPRISA 004 microbicide study and highlighted NIAIDâ€™s ongoing HIV/AIDS prevention research.
FY 2011 full-year Continuing Appropriations Act (H.R. 1) introduced in the House includes reductions in global health funding compared to FY 2010 totals
Representative Harold Rogers (R-KY, 5th) introduced the “Full-Year Continuing Appropriations Act, 2011” (H.R. 1) authorizing appropriations for the remaining seven months of FY 2011 (the first 5 months of FY 2011 were funded under FY 2010 level). The proposed reductions in global health funding (when compared to FY 2010 totals) included in this appropriations bill are provided in the table below.
Timeline of the bill:
- Introduced and referred to the House Committee on Appropriations and the House Committee on the Budget on February 11, 2011.
- Passed by the House (235-189) on February 19, 2011.
- The Senate Committee on Appropriations introduced an amended full-year Continuing Appropriations Act on March 4, 2011. Learn more about the Senate version here.
- The Congressional Budget Office (CBO) released a cost estimate of the Senate version on March 8, 2011.