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The U.S. Government’s Global Health Initiative

The U.S. Government’s Global Health Initiative. August 2010. History of the Global Health Initiative. January 2010- April 2010 - Release of Consultation Document Establishment of Governance Structure Outreach to stakeholders Release of TB and Malaria Strategies.

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The U.S. Government’s Global Health Initiative

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  1. The U.S. Government’sGlobal Health Initiative August 2010

  2. History of the Global Health Initiative • January 2010- April 2010 • - Release of Consultation Document • Establishment of Governance Structure • Outreach to stakeholders • Release of TB and Malaria Strategies • June 2010 – Fall 2010 • Final GHI implementation • document released • - Additional stakeholder • Outreach • - Increased engagement with • all GHI countries GHI Announced May 2009 June Aug Oct Dec 2009 Feb 2010 Apr June Aug • April 2010 – June 2010 • GHI Plus Countries Selected • GHI Country Visits Begin • June 2009 – January 2010 • - Interagency process defines HQ collaboration • Development of GHI Principles • Release of PEPFAR Five-Year Strategy

  3. Governance Structure SEC of STATE OperationsCommittee Dr. Rajiv Shah USAID Amb. Eric Goosby S/GAC Dr. Tom Frieden CDC Strategic Council Department of State The Strategic Council provides high-level policy support, advice, and guidance on the GHI to the Operations Committee. USAID Department of Health and Human Services Department of Defense Department of Treasury Millennium Challenge Corporation Peace Corps

  4. Initiative Principles • Implement a woman and girl-centered approach to both improve health outcomes for women and recognize that women are central to the health of families and communities. • Support country ownership and invest in country-led plans. • Build sustainability through health systems strengthening. • Strengthen and leverage key multilateral organizations, GH partnerships and private sector engagement because improving health outcomes is a shared responsibility. • Increase impact through strategic coordination and integration for patients and for those involved in providing or paying for services. • Improve metrics, monitoring and evaluation. • Promote research and innovation to identify what works.

  5. Goals of GHI In addition to the GHI targets, the goals of the Initiative include: Achieving improved health outcomes by: • Supporting proven health interventions • Building strong country ownership of health programs (political, financial and health systems) • Building stronger country capacity to deliver, oversee and monitor health programs • Ensuring more efficient and effective • USG support by: • Supporting efficiency gains through • integration of USG-funded programs • Creating an evidence base documenting • what works, what doesn’t, and why

  6. GHI Targets by 2015 The GHI is expected to achieve aggregate goals including: • HIV/AIDS: Support prevention of more than 12 million new infections, provision of care to more than 12 million people, and treatment for more than 4 million people. • Child health: Reduce under-five mortality rates by 35 percent in assisted countries. • Maternal health: Reduce maternal mortality by 30 percent in assisted countries. • Tuberculosis: Reduce TB prevalence by 50 percent, saving approximately 1.3 million lives. • Malaria: Reduce the burden of malaria by 50 percent for 450 million people. • NTDs: Reduce the prevalence of 7 NTDs by 50 percent among 70 percent of the population affected by NTDs. • Family Planning: Prevent 54 million unintended pregnancies. • Nutrition: Reduce child undernutrition by 30 percent in food-insecure countries.

  7. What’s New About the GHI • Serves to connect our “stovepipes of excellence” • Emphasizes partnerships and country-led approaches • Focuses on strengthening health systems through disease- and issue-specific programs • Implements a woman- and girl-centered approach • Incorporates sustainability and capacity building into USG programs

  8. GHI Model • Collaborate for impact – with country governments, other development partners, and across USG. • Do more of what works – and scale up proven interventions for the health challenges of women, newborns, and children and their families and communities. • Build on and expand existing platforms to foster stronger systems and sustainable results – including USG platforms in HIV/AIDS, malaria, maternal health, children’s health, and family planning. • Innovate for results - through introduction and evaluation of new interventions and promising new approaches.

  9. Country Ownership The USG, through the GHI, will provide technical assistance and project level support, while also supporting country capacity building. In the GHI, Country Ownership Means: • Placing countries in the leadership position of defining priorities, coordinating assistance, and managing health and development efforts in the spirit of mutual respect. • Supporting existing country plans and responding to each country’s specific needs to help countries take leadership and establish capacity to eventually assume ultimate responsibility for their own health and development programs. • Working with countries and other partners to develop improved plans. The success of the GHI depends on fully utilizing the diplomatic and development tools at our disposal.

  10. GHI Plus Countries Phase 1: Bangladesh – Ethiopia – Guatemala – Kenya – Malawi – Mali – Nepal – Rwanda A second round of GHI Plus countries will be selected in FY2013 GHI Plus countries will receive: Additional technical and management support to quickly implement GHI’s approach, including integrated programs and investments across the spectrum of infectious diseases, maternal and child health, family planning, and health systems activities. While GHI Plus countries will be areas of focus for intensive monitoring and evaluation, the GHI will be implemented in the approximately 80 countries where the USG provides health assistance.

  11. GHI Learning Agenda A centerpiece of the initiative - for countries and for GHI. Goal: Learn what works in a particular country and share that information within the country and across countries. Each GHI Plus country health team will decide – with guidance from HQ and in coordination with the country government - on the specific GHI research and evaluation plan. Three types of studies: • Evaluate the effectiveness of GHI using uniform methodology across all countries. • Country-specific evaluations of health-related policies, system improvements and service delivery strategies. • Research studies that can add to general knowledge about intervention effectiveness and impact.

  12. Ways to be Involved • Continue to learn about the Global Health Initiative & pass knowledge on to posts. • Ensure that our partners around the world are well-informed about GHI. • Identify opportunities to leverage investments or to partner on policy initiatives – including outside the Ministry of Health.

  13. Thank You • We look forward to continuing our dialogue with you. • ghi_comments@state.gov

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