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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:

Zambia

  • 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)

Tanzania

  • 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)

Ethiopia

  • Read Secretary Clinton’s remarks at the African Union where she discusses FtF and PEPFAR. (June 13, 2011)
Administration officials testify before Congress on the FY 2012 budget request for Africa

Assistant Secretary of State for African Affairs, Johnnie Carson, U.S. Agency for International Development (USAID) Deputy Assistant Administrator Rajakumari Jandhyala, U.S. Global AIDS Coordinator Ambassador Eric Goosby, and Millennium Challenge Corporation (MCC) Vice President for Compact Implementation Patrick Fine testified before the Senate Committee on Foreign Relations, Subcommittee on African Affairs, on the FY 2012 budget request for Africa.

USAID Administrator Shah and MCC CEO Yohannes testify before Congress on the International Development Budget

U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah and Millennium Challenge Corporation (MCC) CEO Daniel Yohannes testified before the Senate Foreign Relations Committee on the FY 2012 budget requests and international development policy priorities.

Summary of the FY11 Full-Year Continuing Appropriations Act (H.R. 1473)

Representative Harold Rogers (R-KY, 5th) introduced the “Department of Defense and Full-Year Continuing Appropriations Act, 2011” (H.R. 1473) authorizing appropriations for the remaining six months of FY 2011 (the first 6 months of FY 2011 were funded under FY 2010 levels). The proposed funding totals for global health (as compared to FY 2010 totals) included in this appropriations bill are provided in the table below.

Note: The appropriations bill (H.R. 1473) includes an across-the-board rescission of 0.2 percent to all discretionary spending; the global health funding totals for FY 11 (H.R. 1473) listed below include this rescission.

Timeline of the bill:

- Introduced and referred to the House Committee on the Budget and the House Committee on Ways and Means on April 11, 2011.

- Passed by the House (260-167) and the Senate (81-19) on April 14, 2011.

- Signed by the President (Public Law No: 112-10) on April 15, 2011.

USAID Administrator Shah and MCC CEO Yohannes testify before Congress on the FY 2012 Budget Requests

U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah and Millennium Challenge Corporation (MCC) CEO Daniel Yohannes testified before the House Committee on Foreign Affairs on the FY 2012 budget requests and future directions in foreign assistance.

Senate Appropriations Committee introduces Continuing Resolution for the remainder of FY 2011; includes overall increase in global health funding

The Senate Committee on Appropriations introduced a Continuing Resolution (CR) that would authorize appropriations for the remaining seven months of FY 2011 (the first 5 months of FY 2011 were funded under FY 2010 levels). This legislation would replace the full-year appropriations bill (H.R. 1) that was recently passed by the House on February 19, 2011. Unlike H.R. 1, which proposes to cut global health funding, the Senate CR proposes an overall increase in global health funding (see table below). Additionally, the summary of the CR provided by the Senate Committee on Appropriations categorizes State and Foreign Operations funding as part of National Security.

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.

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