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PEPFAR

President’s Emergency Plan for AIDS Relief

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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.”

GAO releases report on PEPFAR evaluation activities

The U.S. Government Accountability Office (GAO) released a report titled “President’s Emergency Plan for AIDS Relief: Agencies Can Enhance Evaluation Quality, Planning, and Dissemination,” which details its review of “PEPFAR evaluation activities, . . . the extent to which evaluation findings, conclusions, and recommendations were supported, and . . . the extent to which PEPFAR policies and procedures adhere to established general evaluation principles.”

Based on its analysis, the GAO recommended “that State work with CDC and USAID to (1) improve adherence to common evaluation standards, (2) develop PEPFAR evaluation plans, (3) provide guidance for assessing and documenting evaluators’ independence and qualifications, and (4) increase online accessibility of evaluation results.”

House Appropriations Committee releases FY 2013 State and Foreign Operations Appropriations Bill

The House Committee on Appropriations released the FY 2013 State and Foreign Operations Appropriations bill, which included funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of funding for the Global Health Initiative (total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available). Funding through the appropriations bill for the GHI at USAID and State would be $164 million (2%) greater than the President’s request.

With the exception of family planning and reproductive health (FP/RH) funding, and funding for PEPFAR at the State Department, the bill did not delineate specific amounts for other programmatic areas (e.g. TB, malaria, etc.).

The bill 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 (according to a press release accompanying the bill)

Department / Agency

FY12 Estimated (millions)

FY13 Request (millions)

FY13 House Bill 
(millions)

Difference (millions)

House – FY12

House – Request

State & Foreign Operations – Global Health Programs (GHP)

USAID

$2,625.0

$2,504.0

$2,474.9

$-150.1
 (-5.7%)

$-29.1
 (-1.2%)

State*

$5,542.9

$5,350.0

$5,542.9

$0
 (0%)

$192.9
 (3.6%)

Total GHI (known amounts)**

$8,167.9

$7,854.0

$8,017.7

$-150.1
 (-1.8%)

$163.7
 (2.1%)

Family Planning & Reproductive Health (FP/RH)

FP/RH***

$661.0

$642.7

$461.0

$-200
 (-30.3%)

$-181.7
 (-28.3%)

       of which UNFPA

$35.0

$39.0

$0.0

$-35
 (-100%)

$-39
 (-100%)

*Represents combined PEPFAR funding (HIV bilateral and Global Fund) at the State Department.
**Total funding for the GHI is not currently available as some funding provided through USAID, HHS, and DoD are not yet available.
***The House FY 2013 State and Foreign Operations bill states that “Of the funds appropriated by this Act, not more than $461,000,000 may be made available for family planning/reproductive health.” 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.

White House releases FY 2013 Budget Request

The White House released the FY 2013 budget request, which included funding for the U.S. Global Health Initiative (GHI) and other global health activities.  Overall, funding for the GHI is down in the FY 2013 request, with most of the reduction coming from HIV/AIDS bilateral amounts.  Most other areas saw decreases as well, except for family planning and funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria and GAVI, which increased.

Area

FY12 Estimate (millions)

FY13 Request (millions)

Difference: FY13 – FY12 (millions)

The Global Health Initiative (GHI)

Total GHI

$8,827.6

$8,524.4

$-303.2
 (-3.4%)

     of which PEPFAR

$6,632.3

$6,418.0

$-214.3
 (-3.2%)

           of which HIV*

$5,082.4

$4,536.0

$-546.4
 (-10.8%)

           of which TB

$249.8

$232.0

$-17.8
 (-7.1%)

           of which Global Fund

$1,300.0

$1,650.0

$350
 (26.9%)


*Total USG bilateral funding for HIV/AIDS programs.

Area

Part of the GHI

FY12 Estimate (millions)

FY13 Request (millions)

Difference: FY13 – FY12 (millions)

U.S. Agency for International Development (USAID)

HIV

X

$350.0

$330.0

$-20
 (-5.7%)

Tuberculosis

X

$249.8

$232.0

$-17.8
 (-7.1%)

       GHP account

X

$236.0

$224.0

$-12
 (-5.1%)

       Other accounts

X

$13.8

$8.0

$-5.8
 (-42.2%)

Malaria

X

$650.0

$619.0

$-31
 (-4.8%)

MCH

X

$605.6

$578.0

$-27.6
 (-4.5%)

       of which GAVI

X

$130.0

$145.0

$15
 (11.5%)

Nutrition

X

$95.0

$90.0

$-5
 (-5.3%)

FP/RH

X

$524.0

$530.0

$6
 (1.2%)

NTDs

X

$89.0

$67.0

$-22
 (-24.7%)

Vulnerable Children

X

$17.5

$13.0

$-4.5
 (-25.7%)

Pandemic Influenza

X

$58.0

$53.0

$-5
 (-8.6%)

State Department

HIV

X

$4,242.9

$3,700.0

$-542.9
 (-12.8%)

Global Fund

X

$1,300.0

$1,650.0

$350
 (26.9%)

UNFPA

 

$35.0

$39.0

$4
 (11.4%)

National Institutes for Health (NIH)

HIV

X

$364.5

$388.9

$24.4
 (6.7%)

Malaria

X

$147.0

$147.0

$0
 (0%)

Centers for Disease Control and Prevention (CDC)

HIV

X

$117.1

$117.2

$0
 (0%)

Malaria

X

$9.3

$9.4

$0.1
 (1.1%)

Department of Defense (DoD)

HIV

X

$8.0

$0.0

$-8
 (-100%)

Malaria

X

$0.0

$0.0

-

Secretary Clinton announces release of “PEPFAR Blueprint: Creating an AIDS-free Generation”

During an event at the State Department commemorating World AIDS Day, Secretary of State Hillary Clinton announced the release of the “PEPFAR Blueprint: Creating an AIDS-free Generation,” which outlines the principles and plans guiding how The President’s Emergency Plan for AIDS Relief (PEPFAR) will work towards the goal of an AIDS-free generation. Additional Information: Complete…

Administration actions and statements commemorating World AIDS Day

The White House released a statement from President Obama commemorating World AIDS Day (December 1, 2012). Additionally, the President signed a Presidential Proclamation recommitting the U.S. “to preventing the spread of this disease, fighting the stigma associated with infection, and ending this pandemic once and for all,” and Secretary of State Hillary Clinton announced…

Administration actions and statements commemorating the International Day for the Elimination of Violence Against Women

In commemoration of the International Day for the Elimination of Violence Against Women, Vice President Joseph Biden released a statement reaffirming the U.S. commitment to eliminating violence against women and girls, Ambassador-at-Large for Global Women’s Issues Melanne Verveer announced $3 million in grants to address the link between HIV and Gender-Based Violence (GBV), and the U.S. Agency for International Development (USAID) released resources in support of the “16 Days of Activism Against Gender Violence” campaign.

Additional Information:

GAO releases report on drug quality in global health programs

The U.S. Government Accountability Office (GAO) released a report titled “Ensuring Drug Quality in Global Health Programs”, which “examined (1) the regulatory and policy requirements intended to ensure the quality of drugs procured with U.S. aid funds and (2) the systems in place to monitor drug quality in supply chains used by programs receiving U.S. foreign aid funds.” The GAO did not make any recommendations in this report.

USAID Administrator Shah testifies before House and Senate Committees on FY13 budget request

U.S. Agency for International Development (USAID) Administrator Dr. Rajiv Shah testified before the House Committee on Appropriations, Subcommittee on State, Foreign Operations and Related Programs and the Senate Committee on Foreign Relations. During testimony before both Committees, Administrator Shah summarized the FY13 budget request for USAID and highlighted efforts through the Feed the Future Initiative and the Global Health Initiative (GHI) including the President’s Emergency Plan for AIDS Relief (PEPFAR) and the President’s Malaria Initiative (PMI).

Additional Information:

House Committee on Appropriations, Subcommittee on State, Foreign Operations and Related Programs

  • Opening remarks by Representative Kay Granger (R-TX, 12th; Chair of the Subcommittee on State, Foreign Operations and Related Programs) asking Administrator Shah to, among other things, “explain whether the proposed reductions [in global health] can be taken without jeopardizing U.S. leadership in important areas like malaria and maternal and child health.”
  • Opening remarks by Representative Nita Lowey (D-NY, 18th) asking Administrator Shah to comment on the proposed reductions in funding for the GHI and USAID’s nutrition programs.

Senate Committee on Foreign Relations

  • Video of the hearing.
  • Press release on the FY 2013 USAID budget from the Chair of the hearing, Senator Ben Cardin (D-MD).
  • Opening remarks by Senator Richard Lugar (R-IN; Ranking Member) posing specific questions to Administrator Shah on the priorities of the GHI.
“International Food Assistance Improvement Act of 2012″ introduced in House

Representative Donald Payne (D-NJ, 10th) introduced the “International Food Assistance Improvement Act of 2012” (H.R. 4141). Among other things, the proposed bill amends the Food for Peace Act and directs the United States Agency for International Development (USAID) Administrator “to improve the nutritional quality of United States food assistance, particularly for vulnerable groups such as pregnant and lactating mothers, children under the age of five, with a focus on the cost-effective 1,000 days between pregnancy and age 2, when appropriate, and beneficiaries under the President’s Emergency Fund for AIDS Relief in Africa (PEPFAR).”