Washington, DC (February 12, 2018) — Today the Trump administration released its proposed budget for Fiscal Year (FY) 2019 that contains a 30 percent decrease in the foreign affairs budget, including global health programs, at the U.S. Agency for International Development (USAID) and Department of State. In addition, cuts were recommended for programs at the Department of Health and Human Services that support global health, global health research and development, and global health security. These proposed cuts undermine the impact of previous U.S. investments, as well as the leadership role the United States has in the world.
At a time when we are in sight of achieving an AIDS-free generation, ending preventable child and maternal deaths, and eradicating polio, Global Health Council is deeply concerned that drastic budget cuts would roll back these milestones, as well as slow efforts to strengthening global responses to disease outbreaks such as Zika and Ebola.
“For the second year in a row, the Trump administration has gutted foreign assistance and global health programs, which not only jeopardize the gains we have made in global health, but also our commitments to build stronger, more self-reliant communities around the world,” stated Loyce Pace, President and Executive Director of Global Health Council. “The President’s budget document acknowledges the importance of these programs and the process of transitioning countries from aid to self-reliance, but cuts the very programs that will help to get them there.”
Last year, Congress soundly rejected President Trump’s budget for FY2018. Global Health Council calls on Congress to do the same this year by continuing to support global health and development programs in International Affairs account. Funding these critical accounts that support health, WASH, education, nutrition, and gender programs, as well as humanitarian responses, ultimately strengthens U.S. leadership around the world and fosters a safer, more prosperous America.
Appropriations Budget Table (as of February 2018)
Key accounts (in thousands):
About Global Health Council
Established in 1972, Global Health Council (GHC) is the leading membership organization supporting and connecting advocates, implementers, and stakeholders around global health priorities worldwide. GHC represents the collaborative voice of the community on key issues; we convene stakeholders around key priorities and actively engage with decision makers to influence global health policy. Learn more at www.globalhealth.org. Global Health Council published “Global Health Works: Maximizing U.S. Investments for Healthier and Stronger Communities,” comprehensive consensus recommendations and impact stories available at www.ghbb.globalhealth.org.
Danielle Heiberg, Senior Advocacy Manager
Global Health Council
Washington, DC (February 8, 2018) — Today Global Health Council responds to the Department of State’s recently released 6-month review of the expansion of the Mexico City Policy (renamed to the Protecting Life in Global Health Assistance). The State Department proposed the review to gauge the policy’s impact on U.S. global health programs. Specifically, this review focuses on implementation challenges since the reinstatement of the policy.
“While Global Health Council recognizes the Department of State conducted a review six months after the reinstatement of the policy, we believe that this initial analysis does not offer a complete picture,” stated Loyce Pace, Global Health Council President and Executive Director. “This review is only the first step to understanding the full impact of the expansion. Given the expanded policy has far-reaching effects across a number of programs and beneficiaries, we urge the State Department to prioritize and ensure the full participation of civil society and other stakeholders in the review to be completed in 2018.”
On January 23, 2017, President Trump reinstated and expanded the Mexico City Policy, which requires foreign non-governmental organizations to certify that they will not use their own funds to provide information, referrals, or services for legal abortion or to advocate for access to abortion services in their own country as a condition of receiving U.S. global health assistance. In May, the State Department released guidance on the implementation of the expanded policy and at the time committed to conducting a six-month review of its impact on global health programs.
Last year, Global Health Council released a statement of principles endorsed by over 100 civil society organizations, which provided recommendations for a review that is meaningful and comprehensive, and proposed an annual review to understand how the policy affects U.S. programs and their outcomes long-term.
Global Health Council is concerned that the first review does not fully embrace the recommendations put forth in this statement. Of particular concern is that the policy does not affect programs until a foreign NGO receives new funding, therefore the current review, which covered the period May through September 2017, cannot provide a comprehensive understanding of the impact. Full implementation of the policy could come as late as September 30, 2018. As a result, while initial challenges to implementation were documented, the significant impacts of the policy will not be evident until much later.
Moreover, while the State Department did solicit feedback from civil society organizations, the comment period was less than two weeks and minimal guidance was offered to ensure comprehensive comments were provided.
“Global Health Council remains committed to ensuring that transparent and thorough reviews are conducted each year,” said Pace. “U.S. investments in global health have helped millions of people around the world, and it is critical that we understand the impact of this policy and how we can mitigate harm.”
About Global Health Council
Established in 1972, Global Health Council (GHC) is the leading membership organization supporting and connecting advocates, implementers, and stakeholders around global health priorities worldwide. GHC represents the collaborative voice of the community on key issues; we convene stakeholders around key priorities and actively engage with decision makers to influence global health policy. Learn more at www.globalhealth.org.
Danielle Heiberg, Senior Advocacy Manager
Global Health Council
Washington, DC (October 13, 2017) – On October 10, Global Health Council (GHC) applauded U.S. Representatives David Reichert (R-WA), Betty McCollum (D-MN),Barbara Lee (D-CA), and Daniel Donovan (R-NY), who reintroduced the Reach Every Mother and Child Act (H.R. 4022) in the U.S. House of Representatives. This bipartisan legislation aims to accelerate the reduction of preventable child, newborn, and maternal deaths, putting us within reach of the global commitment to end these deaths within a generation.
“We are in reach of ending preventable maternal and child deaths—a great accomplishment in part due to U.S. leadership and investments in maternal and child health programs. Although we have drastically reduced the number of maternal, newborn, and child deaths, every day, 800 women die from complications of pregnancy and childbirth and more than 16,000 children still die from preventable causes,” said Loyce Pace, GHC President and Executive Director. “The Reach Every Mother and Child Act is an important step to ensure that we end these preventable deaths within a generation.”
The Reach Act builds upon the success of such global health initiatives as PEPFAR and the President’s Malaria Initiative (PMI), and would enact key reforms that increase the effectiveness and impact of USAID maternal and child survival programs. The U.S. Senate reintroduced the Reach Act in August.
Specifically, the legislation would require a coordinated U.S. government strategy that addresses ending preventable child and maternal deaths, as well as institute reporting requirements to improve efficiency, transparency, accountability, and oversight of maternal and child health programs. In addition, it would establish the position of Child and Maternal Survival Coordinator at USAID and ensure that the return on U.S. investments are maximized through a scale-up of the highest impact, evident-based interventions. The legislation would also allow USAID to explore innovative financing tools.
The Reach Act is supported by more than 50 diverse non-profit and faith-based organizations working to end preventable maternal, newborn, and child mortality at home and abroad.
About Global Health Council
Established in 1972, Global Health Council (GHC) is the leading membership organization supporting and connecting advocates, implementers, and stakeholders around global health priorities worldwide. GHC represents the collaborative voice of the community on key issues; we convene stakeholders around key priorities and actively engage with decision makers to influence global health policy. Learn more at www.globalhealth.org. Follow GHC on Twitter or “Like” us on Facebook for more information.
Communications & Member Engagement Manager
Global Health Council
Download PDF version of statement here.
As organizations that work around the world to ensure healthier, safer lives for all people, we join together to support sustained and strengthened U.S. commitment to global health.
Health is the backbone of strong and stable communities, which makes global health – in addition to humanitarian relief, democracy and governance, disaster assistance, agriculture development, and education – a critical component of how the United States engages with the world. By investing in global health and development, the United States helps to build healthier and more self-reliant communities, which are more economically and politically stable. U.S. leadership in global health is critical to reaching the finish line on bold global health initiatives.
Global health programs also are some of the greatest successes of U.S. foreign assistance, and have contributed to tremendous gains in health around the world, including a halving of preventable child deaths, a 60 percent decrease in deaths from malaria, and a 45 percent reduction in maternal mortality since 1990. They are also some of the most critical, putting the U.S at forefront of fighting future disease threats, building resilient health systems, and promoting global health security. Global health programs play an important role in meeting objectives across other evelopment priorities, as well, including food security and gender equality.
As the Administration considers the organization of the U.S. government, including international development and diplomacy operations, it is critical to recognize and sustain global health functions that support maternal and child health; HIV/AIDs; tuberculosis; malaria; neglected tropical diseases; family planning and reproductive health; water, sanitation, and hygiene; nutrition; noncommunicable diseases; research and development; workforce development; and global health security.
Any reorganization of U.S. foreign aid and diplomacy operations must prioritize:
Distinct and deliberate tracks for development and diplomacy. While development and diplomacy work hand-in- hand to promote our humanitarian and security interests, they offer different and unique perspectives on U.S. global engagement. U.S. global health efforts exemplify this distinction, as programs work to improve health in the most vulnerable populations worldwide, not just in those areas of strategic national interest. Accordingly, agenda-setting, priorities, and budgets for these two areas of foreign policy must remain distinct and deliberate.
Global health as a prominent and distinct feature of U.S. foreign aid and development. Global health is multi- faceted and cross-cutting – and one that is not confined to national borders, low economic or humanitarian development status, or emergency operations. For U.S. humanitarian and strategic objectives, it is just as important for global health efforts to address challenges stemming from a natural disaster as it is to target endemic health issues that may prevent a country from achieving growth and stability. It is critical that any redesign or restructuring of U.S. development and diplomacy programs maintains a prominent and distinct place for global health that recognizes and supports the diverse and cross-functional health challenges facing low- and middle-income countries.
Maintaining and supporting technical expertise in development, including global health. U.S. global health programs have a track record of success and high-impact because they are supported by strong and deep technical expertise at USAID and the State Department. To continue and build upon this legacy of success, it is vital to maintain and support technical experts for the full range of U.S. global health programs and priorities.
Global health is a critical component of U.S. development and diplomatic engagement, and must be sustained. As such, the unique attributes and value-add of global health programs must receive appropriate attention, and be included at the highest levels of strategic discussions on government organization.
We strongly urge any redesign plan to commit to continued U.S. leadership in global health and support and sustain the cross-cutting development and diplomatic initiatives that help people live longer, healthier lives.
Action Against Hunger Advocates for Youth ALIMA USA
American College of Cardiology American Heart Association American Public Health Association AVAC
Center for Health and Gender Equity (CHANGE) CORE Group
Elizabeth Glaser Pediatric AIDS Foundation
Elizabeth R Griffin Research Foundation
Frontline Health Workers Coalition
Fund for Global Health Georgia AIDS Coalition Global Health Council Global Health Strategies
Global Health Technologies Coalition
Health Systems Management Helen Keller International IMA World Health
Infectious Diseases Society of America
IntraHealth International Johns Snow, Inc. (JSI) Millennium Water Alliance MMV
Noncommunicable Disease (NCD) Roundtable
Planned Parenthood Federation of America
Population Council RESULTS Austin SPOON
The American Academy of Pediatrics
The Hunger Project
Uniting to Combat Neglected Tropical Diseases
Washington Global Health Alliance
White Ribbon Alliance