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The Global Fund to Fight AIDS, Tuberculosis and Malaria

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Congressional letter expresses concern and requests clarification on PEPFAR policies, funding and strategy in Africa

In a letter to the U.S. Global AIDS Coordinator Ambassador Eric Goosby, twenty-five members of Congress expressed “concern about several reported policy and funding decisions that have impacted treatment programs supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) in certain countries in African” and requested clarification on the Administration’s “strategy for reaching the goal of providing AIDS treatment to 4 million people.”

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.

House Appropriations Subcommittee completes markup of State and Foreign Operations Appropriations Bill

The House Committee on Appropriations, Subcommittee on State and Foreign Operations completed its markup of the FY 2011 State and Foreign Operations appropriations bill with the following recommendations:

Total Funding for State & Foreign Operations: $52.656 billion ($4 billion below the President’s FY11 request; $3.89 billion above the FY10 enacted level)

Global Health and Child Survival Account (GHCS): $8.25 billion ($263 million below the President’s request; $471 million above the FY10 enacted level) which includes $2.725 billion for USAID and $5.525 billion for the State Department. Funding for specific areas is as follows:
– HIV/AIDS activities and the Global Fund to Fight AIDS, Tuberculosis and Malaria: $5.875 billion
– HIV/AIDS: $5.05 billion

- Global Fund to Fight AIDS, Tuberculosis and Malaria contribution: $825 million
– Malaria: $615 million

- Family Planning and Reproductive Health: $735 million which includes funding from multiple accounts and provides $60 million to the United Nations Population Fund (UNFPA)

Millennium Challenge Corporation: $1.105 billion ($174.7 million below the President’s FY11 request; equal to the FY10 enacted level)

Administrator Shah discusses the Global Health Initiative

At an event hosted by the Center for Strategic and International Studies (CSIS), U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah, provided remarks on the “vision” and “defining features” of the Global Health Initiative (GHI) including “doing more of what works” by improving monitoring and evaluation, “expanding service platforms,” prioritizing innovation, focusing on country ownership, and using a women- and girls-centered approach. During a question and answer session at the conclusion of his remarks, Administrator Shah also discussed, among other things, the President’s Emergency Plan for AIDS Relief (PEPFAR), the Feed the Future Initiative, and procurement reform at USAID.

H.Res. 1155 – Commending the progress made by anti-tuberculosis programs

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.

CRS Report – Centers for Disease Control and Prevention Global Health Programs: FY2001-FY2011

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.”

Deputy Secretary of State Jack Lew discusses U.S. global health policy at release of CSIS report on Smart Global Health Policy

Deputy Secretary of State Jacob “Jack” Lew delivered remarks on U.S. global health policy at the release of the Center for Strategic and International Studies (CSIS) Commission on Smart Global Health Policy’s final report. During his speech, Deputy Secretary Lew summarized the reasons why “the Obama Administration has made global health a central priority of U.S. foreign policy” and outlined the objectives of the Administration’s Global Health Initiative (GHI).

S.Res. 454 – Supporting the goals of World Tuberculosis Day to raise awareness about tuberculosis

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.”

H.Res. 1140 – Commending the progress made by anti-tuberculosis programs

Among other things, the resolution states that the House or Representatives “(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.”

White House releases FY 2011 Budget

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