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The Global Fund

The Global Fund to Fight AIDS, Tuberculosis and Malaria

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Ambassador Goosby provides an update on PEPFAR programs in Uganda

In a State Department blog post titled “PEPFAR Programs in Uganda: An Update,” U.S. Global AIDS Coordinator Ambassador Eric Goosby summarized recent challenges surrounding HIV treatment in Uganda and outlined some of the actions PEPFAR will take to address these challenges including:
– Strengthen PEPFAR’s linkages, through the Global Health Initiative (GHI), with other U.S.-supported health programs;

- Support treatment scale-up and expansion of access to HIV prevention and care services;

- Provide an immediate infusion of antiretroviral drugs;

- Provide increased short- and medium-term financial assistance;

- Promote best practices and innovations in service delivery;

- Conduct an analysis of treatment expenditures in order to develop a plan that expands access to treatment;

- Accelerate the full functioning of grants from the Global Fund to Fight AIDS, TB and Malaria; and

- “Pursue a new approach to purposeful engagement with the Government of Uganda and civil society” in order to coordination and collaboration.

Resolution supporting goals and ideals of World Malaria Day introduced in Senate

Senator Roger Wicker (R-MS) introduced a resolution (S. Res. 429) supporting the goals and ideals of World Malaria Day. Among other things, the resolution commends efforts by the President’s Malaria Initiative (PMI) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and “supports continued leadership by the United States in bilateral, multilateral, and private sector efforts to combat malaria as a critical part of the President’s Global Health Initiative.”

CRS releases report on FY2013 State and Foreign Operations appropriations

The Congressional Research Service (CRS) released a report titled “State, Foreign Operations, and Related Programs: FY2012 Budget and Appropriations”. According to the summary, “[t]his report analyzes the FY2013 request and congressional action related to FY2013 State-Foreign Operations legislation.”

Resolution supporting goals and ideals of World Malaria Day passed in Senate

The Senate passed by voice vote a resolution (S. Res. 429) introduced by Senator Roger Wicker (R-MS) supporting the goals and ideals of World Malaria Day. Among other things, the resolution commends efforts by the President’s Malaria Initiative (PMI) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and “supports continued leadership by the United States in bilateral, multilateral, and private sector efforts to combat malaria as a critical part of the President’s Global Health Initiative.”

CRS releases report on U.S. response to global threat of HIV/AIDS

The Congressional Research Service (CRS) released a report titled “U.S. Response to the Global Threat of HIV/AIDS: Basic Facts.” According to the summary, “[t]his report outlines basic facts related to global HIV/AIDS, including characteristics of the epidemic and U.S. legislation, programs, funding, and partnerships related to global HIV/AIDS. It concludes with a brief description of some of the major issues that might be considered by the 112th Congress in its response to the disease.”

CRS releases report on U.S. response to global malaria threat

The Congressional Research Service (CRS) released a report titled “U.S. Response to the Global Threat of Malaria: Basic Facts.” According to the summary, “[t]his report outlines basic facts related to global malaria, including characteristics of the epidemic and U.S. legislation, programs, funding, and partnerships related to the global response to malaria.”

CRS releases report on U.S. response to global tuberculosis threat

The Congressional Research Service (CRS) released a report titled “U.S. Response to the Global Threat of Tuberculosis: Basic Facts.” According to the summary, “[t]his report outlines basic facts related to global TB, including characteristics of the epidemic and U.S. legislation, programs, funding, and partnerships related to the global response to TB.”

CRS releases report on the Global Fund to Fight AIDS, Tuberculosis and Malaria

The Congressional Research Service (CRS) released a report titled “The Global Fund to Fight AIDS, Tuberculosis, and Malaria: Issues for Congress and U.S. Contributions from FY2001 to FY2013.” According to the summary, “[t]his report provides background information on the Global Fund, outlines U.S. funding for the Fund, discusses changes the Global Fund has made to improve the efficiency of its programs and address allegations of corruption, and analyzes issues Congress might consider as it debates the appropriate level of U.S support to provide the Fund.”

House Appropriations Committee releases FY 2013 State and Foreign Operations Draft Committee Report

The House Committee on Appropriations released the FY 2013 State and Foreign Operations Draft Committee Report, which provides additional information on funding through the State and Foreign Operations appropriations bill (released May 8, 2012) for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department. This funding comprises a significant portion of the Global Health Initiative budget (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available).

The report also included the following policy provisions:

  • Reinstates the Mexico City Policy (also known as the “Global Gag Rule”)
  • Prohibits funding for the United Nations Population Fund (UNFPA)
  • No funding provided for needle exchange programs

Area

FY12 Estimated (millions)

FY13 Request (millions)

FY13 House Report (millions)

Difference (millions)

Report – FY12

Report – Request

State Department – Global Health Programs (GHP)

HIV/AIDS Bilateral

$4,242.9

$3,700.0

$4,242.9

$0
 (0%)

$542.9
 (14.7%)

Global Fund*

$1,300.0

$1,650.0

$1,300.0

$0
 (0%)

$-350
 (-21.2%)

Total State-GHP

$5,542.9

$5,350.0

$5,542.9

$0
 (0%)

$192.9
 (3.6%)

USAID – Global Health Programs (GHP)

Maternal & Child Health (MCH)

$605.6

$578.0

$605.6

$0
 (0%)

$27.6
 (4.8%)

Nutrition

$95.0

$90.0

$95.0

$0
 (0%)

$5
 (5.6%)

Vulnerable Children

$17.5

$13.0

$17.5

$0
 (0%)

$4.5
 (34.6%)

HIV/AIDS

$350.0

$330.0

$350.0

$0
 (0%)

$20
 (6.1%)

Tuberculosis

$236.0

$224.0

$236.0

$0
 (0%)

$12
 (5.4%)

Malaria

$650.0

$619.0

$650.0

$0
 (0%)

$31
 (5%)

Neglected Tropical Diseases (NTDs)

$89.0

$67.0

Not Yet Available

-

-

Pandemic Preparedness

$58.0

$53.0

Not Yet Available

-

-

Family Planning & Reproductive Health (FP/RH)**

$524.0

$530.0

Not Yet Available

-

-

Total USAID-GHP:

$2,625.0

$2,504.0

$2,474.9

$-150.1
 (-5.7%)

$-29.1
 (-1.2%)

The Global Health Initiative (GHP Account)

Total GHI (known amounts)***

$8,167.9

$7,854.0

$8,017.7

$-150.1
 (-1.8%)

$163.7
 (2.1%)

Total Family Planning & Reproductive Health (FP/RH) – All Accounts**

Total FP/RH**

$661.0

$642.7

$461.0

$-200
 (-30.3%)

$-181.7
 (-28.3%)

       of which GHP Account

$524.0

$530.0

Not Yet Available

-

-

       of which UNFPA

$35.0

$39.0

$0.0

$-35
 (-100%)

$-39
 (-100%)

       of which Other Accounts

$102.0

$73.7

Not Yet Available

-

-

*The FY 2012 enacted amount for the Global Fund was $1.050 billion. The Administration subsequently moved $250 million from the HIV/AIDS bilateral line to the Global Fund, bringing the Global Fund amount up to $1.3 billion.
**The Committee Report “limit[s] the level of funds provided in this Act for family planning to not more than $461,000,000”, but does not delineate this funding by account. FY 2012 FP/RH funding was enacted at “not less than” $610 million; according to ForeignAssistance.gov (accessed 5/16/12), the Administration has planned to provide $661 million for FP/RH in FY 2012.
***Total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available.