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PEPFAR

President’s Emergency Plan for AIDS Relief

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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.

Administration statements and actions during the XIX International AIDS Conference

During the XIX International AIDS Conference, held in Washington, DC between July 22 and July 27, the Administration provided numerous resources, including blog posts and factsheets, summarizing the U.S. response to HIV/AIDS. Additionally, numerous Administration officials participated in the Conference including Secretary of state Hillary Clinton, Secretary of Health and Human Services Kathleen Sebelius; U.S. Global AIDS Coordinator Ambassador Eric Goosby; and National Institutes of Health (NIH) Director of the National Institute of Allergy and Infectious Diseases Dr. Anthony Fauci. A summary of Administration resources and speeches is provided below.

White House

President Obama provided a video message welcoming the XIX International AIDS Conference attendees.  The White house also released several fact sheets on HIV/AIDS surrounding the conference.

Fact Sheets:

State

During remarks at the opening session of the XIX International AIDS Conference, Secretary of State Hillary Clinton discussed efforts to shift the Presidents Emergency Plan for AIDS Relief (PEPFAR) from an emergency response to one that builds “sustainable health systems that will help us finally win this fight and deliver an AIDS-free generation.” Secretary Clinton also announced an additional $80 million to address mother to child transmission of HIV and an additional $37 million dedicated to new efforts to reach key populations.

U.S. Global AIDS Coordinator Ambassador Eric Goosby participated in a panel discussion where he discussed efforts to improve aid efficiency and effectiveness in the HIV response.  During a State Department event titled “Turning the Tide for Women and Girls: A Dialogue on Gender and the HIV Response,” Ambassador Eric Goosby announced that $5 million from PEPFAR would be provided to Together for Girls, “a partnership between public, private, UN and U.S. Government agencies that addresses violence against children.”

Fact Sheets:

USAID

USAID participated in various events at the XIX International AIDS Conference including a satellite event that featured discussion of “the challenges and solutions to Voluntary Medical Male Circumcision (VMMC) for HIV prevention in East and Southern Africa.”

HHS

Secretary Kathleen Sebelius provided remarks at the opening session of the XIX International AIDS Conference and announced a series of innovative public-private partnerships to address the HIV/AIDS epidemic.   Secretary Sebelius also provided remarks at a State Department event titled “Turning the Tide for Women and Girls: A Dialogue on Gender and the HIV Response.”

NIH

During a plenary session at the XIX International AIDS Conference, National Institutes of Health (NIH) Director of the National Institute of Allergy and Infectious Diseases Dr. Anthony Fauci discussed the scientific advancements of the HIV/AIDS response.  NIH also presented the latest AIDS research including treatment as prevention and the dapivirine vaginal ring.

Blogs

White House:

State Department:

USAID:

HHS:

CDC:

Department of Labor:

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.”

Concurrent Resolution supporting international cooperation to combat HIV/AIDS introduced in House

Representative Barbara Lee (D-CA, 9th) introduced a concurrent resolution (H.Con.Res. 131) in the House “expressing support for continued international cooperation to combat HIV/AIDS.” Among other things, the resolution states that Congress “urges continued United States leadership in the fight against HIV/AIDS; and calls upon nations to develop and implement effective AIDS strategies [and]. . . provide adequate resources that are targeted appropriately to address the epidemic.”

CBO releases cost estimate of "Donald M. Payne International Food Assistance Improvement Act of 2012"

The Congressional Budget Office (CBO) released a cost estimate of the “Donald M. Payne International Food Assistance Improvement Act of 2012” (H.R. 4141). The CBO “estimates that implementing H.R. 4141 would cost $1 million over the 2013-2017 period, assuming the availability of appropriated funds.”

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.”

White House releases "U.S. Strategy Toward Sub-Saharan Africa"

The White House released the “U.S. Strategy Toward Sub-Saharan Africa” outlining the specific objectives, including global health and food security objectives, the U.S. government will pursue in the region.

Additional Information:

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.”

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 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.