Among other things, the proposed bill states that it is U.S. policy “to improve public health in the countries of the Americas by – A) implementing the World Health Organization’s International Health Regulations to prevent pandemics and reduce the likelihood of public health emergencies; and B) implementing the Joint United Nations Program on HIV/AIDS.” Additionally, the bill creates the “Social Investment and Economic Development for the Americas” fund and authorizes the President to “provide increased and sustained assistance” directed at “improving health and disease prevention.” Finally, the bill authorizes appropriations for these and other activities described in the bill in the amount of $175 million for 2010, $225 million for 2011, $275 million for 2012, $300 million for 2013, and $325 million for 2014.
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.
Secretary of State Clinton’s statements and actions on global health issues during diplomatic trip to Africa
On August 3, 2009, Secretary of State Clinton began an eleven day diplomatic trip to seven countries in Africa. During her trip Secretary Clinton discussed U.S. foreign assistance policy at the 8th Forum of the African Growth and Opportunity Act, U.S. food security policy during a visit to the Kenya Agricultural Research Institute, attended a PEPFAR event in South Africa, signed an agreement to combat HIV/AIDS with Angola, attended the signing of a Memorandum of Understanding (MOU) between USAID, Chevron, and the Cooperative League of the United States of America (CLUSA) on agricultural development in Angola, and announced $17 million in new funding to address sexual violence in the Democratic Republic of the Congo (DRC).
The report summarizes the recommendations of 14 studies written between 2001 and 2008 on foreign aid reform.
The resolution expresses the sense that the Senate supports World Water Day and urges the State Department and USAID to increase efforts to provide safe sanitation and drinking water.
GAO Report – President’s Emergency Plan For AIDS Relief: Partner Selection and Oversight Follow Accepted Practices but Would Benefit from Enhanced Planning and Accountability
In this report, “GAO examined practices used in (1) selecting organizations to implement PEPFAR activities and (2) overseeing these organizationsâ€™ PEPFAR activities.” Additionally, “GAO recommends that the Secretary of State direct OGAC to take several steps to improve specific processes for selecting PEPFAR implementing partners and strengthen oversight of PEPFAR partners.”
During town hall meetings at both the State Department and USAID, Secretary of State Clinton announced a plan to conduct a Quadrennial Diplomacy and Development Review (QDDR). Secretary Clinton stated that the QDDR will help “the Department and USAID to get ahead of emerging threats and opportunities and to make the case effectively for OMB, the Congress, and the people of our country for the resources we need.” Secretary Clinton also stated that the QDDR will provide the State Department and USAID “with a comprehensive assessment for organizational reform and improvements to our policy, strategy, and planning processes” and is “central to effective coordination between the State Department and USAID.”
The 2010 State and Foreign Operations appropriations bill that was approved by the Senate Committee on Appropriations on July 9, 2009 includes the following funding amounts relevant to global health:
- $7.77 billion total funding for global health and child survival programs;
- $1.5 billion for agricultural assistance and food security; and
- $315 million for water and sanitation programs.
Timeline of the bill:
- Introduced, referred to and reported on favorably by the Senate Committee on Appropriations, and placed on the Senate Legislative Calendar on July 9, 2009.
The purpose of GROWTH Act of 2009 as stated in the bill text is â€œto ensure that the policies of the United States actively promote development and economic opportunities for women.â€ The bill directs the President to â€œpay special attention to the needs of women in developing countriesâ€ by providing, among other things, â€œbasic health and HIV/AIDS education.â€
The State Department released a fact sheet titled “The U.S. Commitment to Development” that summarizes the U.S. commitment â€œto helping the worldâ€™s poor through a broad variety of mechanisms.â€ The fact sheet provides an overview of existing U.S. development programs and initiatives, such as the Millennium Challenge Account and the Presidentâ€™s Global Health Initiative, as well as U.S. involvement in specific issue areas, such as food security, water, and sanitation issues.