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Bureau for Global Health

The Challenge

Bureau for Global Health (GH) central programs support the joint State and USAID performance goal: “Improved global health, including child, maternal, and reproductive health, and the reduction of abortion and disease, especially HIV/AIDS, malaria, and tuberculosis.” As a pillar bureau, GH strengthens field operations, develops technical and program innovations, and provides technical leadership on behalf of the Agency. New technical emphases center on the President’s Malaria Initiative (PMI) and avian influenza. New major HIV/AIDS programs include the Supply Chain Management System which began in FY 2005, and the New Partners Initiative to start in FY 2006. The advantages of GH’s mechanisms to support field missions include pre-positioned contracts and agreements; reduced contracting burden for missions; increased access to world-class expertise; and improved surge capacity to cope with unanticipated needs, such as rapid implementation of the PMI and response to avian influenza.

Objectives, Sectors and Workforce

Definitions of Information Contained in the Country Profile Tables Please note: All linked documents below are in PDF format Program Budget (Appropriations by Objective) FY 2004 ($000) FY 2005 ($000) FY 2006 ($000) FY 2007 ($000) Percent Change FY 04-07 2005 SO Performance Score Direct SO Admin. Cost Ratio 936-001  Family Planning and Reproductive Health  130,200 120,000 108,648 84,637 -35.0% 1.01 Met 0.12 936-002 Maternal Health  14,000 15,082 15,332 20,000 42.9% 1.00 Met 0.09 936-003 Child Health and Nutrition  54,796 52,120 54,064 49,568 -9.5% 1.06 Met 0.15 936-004 AIDS Prevention and Control  144,317 222,432 180,495 180,495 25.1% 1.42 Exceeded 0.06 936-005 Infectious Disease Program  65,460 68,717 55,889 69,769 6.6% 0.97 Met 0.15 Country Total  408,773 478,351 414,428 404,469 -1.1% Mission Profile Program Summary Tables Complete USAID/Afghanistan Program

Assistant Administrator: Kent R. Hill

Bilateral: The United States is by far the leading bilateral donor in the health sector, followed by the United Kingdom, Germany, Canada, and the Netherlands. USAID also works particularly closely with the Japanese Government, including the Ministry of Foreign Affairs and the Japan International Cooperation Agency (JICA). In FY 2005, USAID collaborated with the United Kingdom to create a task force on HIV/AIDS. USAID also has collaborations with Japan, particularly in the areas of polio and health systems support. USAID has a long-standing personnel exchange with JICA and a more recent exchange with the United Kingdom's Department for International Development.

Multilateral: USAID shares many priority interests with multilateral donors such as the World Bank and the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund). GH participates on behalf of USAID in the U.S. Government delegations to the executive bodies of international organizations; USAID also coordinates programmatic activities with international organizations including the U.N. Children’s Fund (UNICEF), the World Health Organization (WHO), the Joint U.N. Program on HIV/AIDS (UNAIDS), and the World Bank. For example, the GH Infectious Diseases Division Chief currently serves as the Chair of the STOP TB Partnership Coordinating Board. GH also assumed a leadership position in the new inter-agency Child Survival Partnership, joining UNICEF, the WHO, the World Bank, the Canadian International Development Agency, the Bill and Melinda Gates Foundation, and governments of developing countries themselves. In countries including Ethiopia and Cambodia, this Partnership carried out joint high-level visits that engaged political and religious leaders in the possibility of saving more children’s lives from hunger and disease. In each partnership country, GH programs are strengthening coordination with other partners to achieve maximum impact with available resources. GH also plays a leadership role on behalf of USAID in numerous public-private partnerships including the Global Fund; the Global Alliance for Vaccines and Immunization (GAVI); the Global Alliance for Improved Nutrition (GAIN); the Child Survival Partnership; the Global Polio Eradication Initiative; Stop TB; and Roll Back Malaria (RBM). GH also coordinates its activities with major foundations including the Bill and Melinda Gates Foundation.

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