The Senate Committee on Appropriations released proposed legislation to provide funding for the remainder of the 2013 Fiscal Year. The proposed legislation would provide funding for global health programs at the State Department and United States Agency for International Development (USAID) under a Continuing Resolution (CR). The proposed resolution calls for…
The Global Fund
The Global Fund to Fight AIDS, Tuberculosis and Malaria
As part of the Third Replenishment of the Global Fund to Fight AIDS, Tuberculosis, and Malaria the Obama Administration announced a 3-year, $4 billion (FY11-FY13) pledge and a “Call to Action” to the Global Fund aimed at “develop[ing] and implement[ing] a set of reforms to maximize the impact of Global Fund grants.” Additionally, a press release from the President’s Emergency Plan for AIDS Relief (PEPFAR) on the new commitment and “Call to Action” states that future U.S. contributions to the Global Fund would be based on a “review of: 1) measurable progress in delivering on an action agenda for improved grant impact, 2) maintaining the Global Fundâ€™s focus on combating the three diseases, and 3) continued financial support from other donors.”
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
- Area: Administration, Budget
- Information Type: Reports & Factsheets
- Organization/Initiative: GHI, PEPFAR, USAID, MCC, State Dept., White House, The Global Fund, HHS, NIH, DoD, CDC
- Issue/Condition: Tuberculosis, HIV/AIDS, Nutrition/Food Security, Family Planning/Reproductive Health, Maternal & Child Health, Malaria, Neglected Tropical Diseases (NTDs), Pandemic Influenza
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).
- Area: Administration
- Information Type: Reports & Factsheets
- Organization/Initiative: GHI, PEPFAR, USAID, FtF, State Dept., The Global Fund, PMI
- Issue/Condition: Tuberculosis, HIV/AIDS, Women & Girls, Nutrition/Food Security, Water, Family Planning/Reproductive Health, Maternal & Child Health, Malaria, Neglected Tropical Diseases (NTDs), Health System Strengthening (HSS)
The Senate Committee on Appropriations released the text of the FY 2011 Omnibus Act with the following funding levels:
Total Funding for State & Foreign Operations: $53.5 billion ($3.1 billion below the Presidentâ€™s FY11 request; $4.7 billion above the FY10 enacted level)
Global Health and Child Survival Account (GHCS): $8.22 billion ($291 million below the Presidentâ€™s request; $443 million above the FY10 enacted level) with funding for specific areas is as follows:
– Maternal and Child Health: $761 million
- Family Planning and Reproductive Health: $710 million which includes funding from multiple accounts and provides $57.5 million to the United Nations Population Fund (UNFPA)
- HIV/AIDS activities and the Global Fund to Fight AIDS, Tuberculosis and Malaria: $5.85 billion:
– HIV/AIDS: $5.025 billion
- Global Fund to Fight AIDS, Tuberculosis and Malaria contribution: $825 million (Note: An additional $300 million is appropriated for the Global Fund through the Department of Health and Human Services bringing total FY11 contribution to $1.125 billion.)
Millennium Challenge Corporation: $1.10 billion ($174.7 million below the Presidentâ€™s FY11 request; equal to the FY10 enacted level)
Food Security and Agricultural Development: $1.4 billion ($244 million below the Presidentâ€™s FY11 request)
The following U.S. government agencies and Administration officials released statements commemorating World AIDS Day:
President Barack Obama:
In a video message delivered at the opening of a White House event commemorating World AIDS Day, President Obama summarized the actions taken by his Administration, both domestically and globally, to address HIV/AIDS and called for a recommitment “to building on the tremendous progress we’ve made both in preventing and treating the disease and ending the stigma and discrimination that too often surround it.”
Secretary of State Hillary Clinton:
Secretary Clinton highlighted recent actions by the Administration that contribute to the fight against HIV/AIDS including, among other things, efforts to address AIDS a central component of the GHI, the multi-year commitment to the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the efforts through PEPFAR to make “smart investments”.
Health and Human Services (HHS) Secretary Kathleen Sebelius:
In a statement and during remarks provided at a White House event commemorating World AIDS Day, Secretary Sebelius highlighted actions by the Administration responding to the HIV epidemic in the U.S. and summarized recent advances in scientific research.
United States Agency for International Development (USAID) Administrator Dr. Rajiv Shah:
Administrator Shah released a statement highlighting recent research efforts focused on HIV prevention and stated that “our goal is to provide proven safe and effective HIV prevention products to the most vulnerable populations as quickly as possible.”
U.S. Global AIDS Coordinator Ambassador Eric Goosby:
In a State Department DipNote blog post titled “Saving Lives Through Smart Investments”, Ambassador Goosby, in response to questions regarding the Administrationâ€™s ability to maintain its commitment to addressing HIV/AIDS during challenging economic times, stated that â€œthrough a range of actions, the Obama Administration is demonstrating that the U.S. commitment remains firm.â€ Ambassador Goosby proceeded to summarize and provide examples of the actions being taken.
U.S. Permanent Representative to the United Nations Ambassador Susan Rice:
Ambassador Rice released a statement highlighting the results of the President’s Emergency Plan for AIDS Relief (PEPFAR) and summarizing how President Obama’s Global Health Initiative (GHI) will build on the efforts of PEPFAR to address the impacts of HIV.
National Institutes of Health (NIH):
A statement from the NIH titled “Building on Success: Step by Step, Researchers Gaining Ground on HIV/AIDS” highlighted past and ongoing research efforts at the agency to address the disease. The statement included comments from NIH Director Francis S. Collins, M.D., Ph.D. and National Institute of Allergy and Infectious Diseases (NIAID) Director Anthony S. Fauci, M.D.
The Peace Corps released a statement highlighting the role that its volunteers have played to address the impacts of the disease.
Among other things, the resolution states that Congress “supports the goals and ideals of World AIDS Day” and “supports continued funding for the President’s Emergency Plan For AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis, and Malaria to provide prevention, care, and treatment to combat HIV/AIDS in developing countries.”
From the report summary: “This report explains the role CDC plays in U.S. global health assistance, highlights how much the agency has spent on global health efforts from FY2001 to FY2010, and discusses how funding to each of its programs has changed during this period.”
Among other things, the resolution states that the House or Representatives “(1) supports the goals of World TB Day to raise awareness about tuberculosis; (2) commends the progress made by anti-tuberculosis programs, including the U.S. Agency for International Development [USAID], the Centers for Disease Control and Prevention [CDC] and the Global Fund to Fight AIDS, Tuberculosis and Malaria; and (3) reaffirms its commitment to global tuberculosis control made through the Lantos-Hyde U.S. Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2008.”
Timeline of the resolution:
- Introduced and referred to the House Foreign Affairs Committee and the House Energy and Commerce Committee on March 10, 2010.
- Approved by a voice vote in the House on May 12, 2010.
Among other things, the resolution states that the House or Representatives â€œ(1) commends the progress made by anti-tuberculosis programs, including the U.S. Agency for International Development [USAID], the Centers for Disease Control and Prevention [CDC] and the Global Fund to Fight AIDS, Tuberculosis and Malaria; and (2) reaffirms its commitment to global tuberculosis control made through the Lantos-Hyde U.S. Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2008.â€