During remarks titled “Turning Impossible Challenges into Solvable Problems,” given at the University of North Carolina’s Water Institute, U.S. Agency for International Development (USAID) Global Water Coordinator Christian Holmes outlined global water, sanitation, and hygiene (WASH) challenges and summarized U.S. efforts to address these challenges through programs under the Water for the Poor Act (WfP), Feed the Future (FtF) Initiative, the Global Health Initiative (GHI), the Global Climate Change Initiative (GCCI), and through public-private partnerships.
The U.S. Agency for International Development (USAID) and Kimberly-Clark announced a new partnership “to improve maternal and child health [MCH] in the Andean region” by linking the U.S. Global Health Initiative (GHI) and the Feed the Future (FtF) initiative to Kimberly-Clark’s existing MCH programs.
President Barack Obama provided remarks at a World AIDS Day event hosted by ONE and (RED) at the George Washington University and issued a presidential proclamation to commemorate World AIDS Day. During his remarks, President Obama announced new treatment and prevention goals of “providing anti-retroviral drugs to more than 1.5 million HIV-positive pregnant women over the next two years . . . [and] helping 6 million people get treatment by the end of 2013” – an increase of 2 million over the prior target, and called on countries to fulfill their commitments to The Global Fund to Fight AIDS, Tuberculosis and Malaria.
The White House also released a fact sheet titled “The Beginning of the End of AIDS” summarizing efforts to combat HIV/AIDS through the President’s Emergency Plan for AIDS Relief (PEPFAR).
Statement from HHS Secretary Kathleen Sebelius on World AIDS Day. Secretary Sebelius also announced the appointment of Nancy Mahon, Executive Director of the MAC AIDS Fund, as the Chair of the Presidential Advisory Council on HIV/AIDS (PACHA).
Statement by National Institutes of Health (NIH) Director Dr. Francis Collins, NIH Office of AIDS Research Dr. Jack Whitescarver, and NIAID Director Dr. Anthony Fauci.
U.S. Agency for International Development (USAID):
USAID Administrator Shah writes USAID Impact Blog post titled “World AIDS Day: New Advances Are Critical to Achieving the Vision of an AIDS-free Generation”.
UPDATE: The President signed the bill into law (Public Law #112-74) on December 23, 2011 after the Conference Agreement passed the House (296-121) on December 16, 2011 and the Senate (67-32) on December 17, 2011. Additionally, the Senate voted against (43-56) a resolution (H.Con.Res. 94) that would have applied a 1.83% across-the-board rescission to all FY 2012 appropriations except the Department of Defense (DoD), Military Construction, and Veterans Affairs.
Representative Hal Rogers (R-KY, 5th; Chairman House Committee on Appropriations) released a statement announcing that a joint House-Senate Conference Committee had reached agreement on final FY 2012 Appropriations legislation (H.R. 2055), which includes funding for global health programs through the State Department, U.S. Agency for International Development (USAID), the Department of Health and Human Services (HHS), and the Department of Defense (DoD). While total funding for the Global Health Initiative (GHI) is not yet available, the appropriations detailed in this agreement totaled $8.3 billion.
Directs that no FY 2012 global health funds may be used for needle exchange programs;
Includes additional Congressional oversight before the Administration makes a multi-year funding pledge;
Requires the Administration to report back to Congress with an analysis of the potential costs/savings of transitioning the Office of the Global AIDS Coordinator (OGAC) into USAID; and
Requires the Administration to report back to Congress with an analysis of transitioning the leadership of the Global Health Initiative (GHI) to USAID as outlined in the Quadrennial Diplomacy and Development Review (QDDR).
Global health appropriations as provided in the Conference Report (House Report 112-331) and Joint Statement of Managers are summarized as follows:
Representative Hal Rogers (R-KY, 5th; Chairman House Committee on Appropriations) introduced the “Consolidated Appropriations Act, 2012” (H.R. 3671), which includes funding for global health programs through the State Department, U.S. Agency for International Development (USAID), and the Department of Health and Human Services (HHS). Chairman Rogers also introduced a resolution (H.Con.Res. 94) that would apply a 1.83% across the board rescission to all FY 2012 appropriations except the Department of Defense (DoD), Military Construction, and Veterans Affairs.
“Directs that no HIV/AIDS funding be provided for needle exchange programs”;
“Requires additional congressional oversight before the Administration makes public announcements of multi-year funding pledges”;
Requires that the Administration report back to Congress with an analysis of the potential costs (including savings and increases) of transitioning the Office of the Global AIDS Coordinator (OGAC) into USAID; and
Requires that the Administration report back to Congress with an analysis of transitioning the leadership of the Global Health Initiative (GHI) to USAID as outlined in the Quadrennial Diplomacy and Development Review (QDDR).
Global health appropriations included in the bill are as follows:
Department / Agency
Part of the GHI*
FY11 Enacted (millions)
FY12 Request (millions)
FY12 House Bill (H.R. 3671) (millions)**
House – FY11
House – Request
State & Foreign Operations
of which GF
of which UNFPA
Water (all acounts)
Health and Human Services (HHS)
CDC Global Health
of which HIV
NIH – Global Fund
NIH – Fogarty International Center
Department of Defense (DoD)
The Global Health Initiative
Total GHI (known amounts)****
*GHI: U.S. Global Health Initiative.
**The FY 2012 Consolidated Appropriations Act included an across-the-board 0.189% rescission to all funding provided through the Labor-HHS portion of the bill.
***The FY 2012 Consolidated Appropriations Act states that “not less than $575,000,000 should be made available for family planning/reproductive health” through all bilateral accounts, but does not delineate this amount by account. UNFPA funding is in addition to the bilateral funding and is provided through the International Organizations and Programs (IO&P) account.
****Total funding for the GHI is not currently available as some funding provided through SFOPS, HHS, and DoD were not delineated in the FY 2012 appropriations bills.
The bill directs the Administrator of USAID to establish an “Office of Volunteers for Prosperity” that will fund and oversee a fellowship program aimed at creating volunteering opportunities abroad. Fellowships would be award to individuals working on projects that address a variety of challenges facing developing countries including: “reducing child mortality and improving maternal health, providing medical and dental health care and prevention, and combating HIV/AIDS, malaria, and other infectious diseases.” The bill authorizes $15 million per year from 2010 to 2012.
In a statement on World Tuberculosis Day, Secretary of State Hillary Clinton listed the ways the U.S. is involved in addressing TB while also stating â€œthere is still much more to be doneâ€ and â€œthe State Department should continue and expand its commitment to reducing the global burden of TB.â€
From the report summary: “This report briefly discusses the legislation (State, Foreign Operations, and Related Programs appropriation legislation) generally and then provides a short description of the various funding accounts as they appear in Division H, ‘Department of State, Foreign Operations, and Related Programs Appropriations Act, 2009,’ of the Omnibus Appropriations Act, 2009 (P.L. 111-8).”
In a letter to President Obama, Senator Kerry and Senator Lugar urged the President to “nominate an Administrator for USAID expeditiously” stating that “efforts to support a bold foreign assistance reform and development agenda are hampered by a leadership vacuum at the U.S. Agency for International Development.”
The proposed bill would establish the “Health Technology Program” within USAID to “develop, advance, and introduce affordable, available, and appropriate technologies specifically designed: a) to improve the health and nutrition of developing country populations; b) to reduce maternal and child mortality; and c) to improve the diagnosis, prevention and reduction of disease, especially HIV/AIDS, malaria, tuberculosis, and other major diseases.” The bill requires that program funding be provided by USAID on a competitive basis and that the USAID Administrator provide an annual report to Congress on the progress and outlook of the program. Finally, the bill authorizes the appropriation of $5 million for each of the fiscal years 2010 through 2014.