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Global Health and Foreign Policy: The Office of International Health and Biodefense (OES/IHB) Department of State. Rebecca S. Daley Medical Stability Operations Exec Course MHS Conference Jan 2012. How we work.
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Global Health and Foreign Policy: The Office of International Health and Biodefense (OES/IHB)Department of State Rebecca S. Daley Medical Stability Operations Exec Course MHS Conference Jan 2012
How we work Mission: Advance freedom for the benefit of the American people and the international community by helping to build and sustain a more democratic, secure, and prosperous world composed of well-governed states that respond to the needs of their people, reduce widespread poverty, and act responsibly within the international system; Budget: $33 billion (FY08, enacted) Personnel: 6,600 Foreign Service Generalists 4,900 Foreign Service Specialists 8,800 Civil Service Employees 37,000 Foreign Service Nationals (FSNs) 57,300 Total Employees Worldwide
Work of OES/IHB • How can USG use tools of diplomacy to protect health/security of Americans? • How can diplomatic outreach raise awareness of links between health and economic development and promote attention to health as a means to enhance development? • How can addressing the major causes of mortality from a humanitarian perspective foster good will and political alliances among countries?
Work of Bureau of Conflict and Stabilization Operations (CSO) • Vision: Help countries and people find the road away from conflict and toward peace • Mission: CSO drives U.S. conflict prevention, crisis response and stability promotion in priority states, using field-based analysis and integrated strategies to focus resources and programming.
Health Implements in the Foreign Policy Toolbox • Public-Private Partnerships • Awareness -raising • Fundraising • Information-sharing • Interagency coordination (work with DoD,HHS, CDC, NIH, USAID, EPA, DHS, USDA, DOI) • Multilateral, inter-regional processes
Global Alliance for Clean Cookstoves • Indoor Air Pollution from cooking responsible for appox 2 million deaths a year, with women and children disproportionately affected • Use of improved cookstoves can reduce exposure; can also limit deforestation • Global Alliance for Clean Cookstoves launched at CGI • State promotes gov’t membership/awareness and USG coordination
International Network to Promote Household Water Treatment and Safe Storage • 1.6 M diarrhea-related deaths / year (90%+ are children under age of 5) • POU water treatment enables households without access to safe drinking water a way to treat and safely store it • Filtration, solar disinfection, chlorine, etc. • Network includes govt’s, NGOs, research units, etc.
Awareness-Raising • World Health Day – cable, climate change and health fact sheet • World Malaria Day – cable to draw attention to USG PMI and other efforts • World Tb Day – toolkit for journalists, PA officers • Int’l Year of Sanitation - AWASH
Advocacy/Fundraising Polio Eradication Initiative • Public-private partnership • Close funding gap • Encourage gov’t action in still-endemic countries (Afghanistan, India, Pakistan, Nigeria) to prevent spread • Days of tranquility • Maintain donor support
Information-Sharing • Int’l Health Regulations (2005) – transparency in disease surveillance; capacity building efforts • Countries to report Public Health Emergencies of International Concern (SARS, Avian Influenza, Ebola, smallpox, etc.) • Help countries develop/exercise preparedness plans • Offer to share what USG is doing with other countries
Summits, Ministerials • G-8 process – neglected tropical diseases, health workers, focus on health, development, accountability • APEC – Health Working Group (HIV/AIDS, Avian and Pandemic influenza, dengue fever) • World Health Assembly– high-level global focus on health
“To stop disease that spreads across borders, we must strengthen our systems of public health. We will continue the fight against HIV/AIDS, tuberculosis and malaria. We will focus on the health of mothers and children. And we must come together to prevent, detect, and fight every kind of biological danger – whether it is a pandemic like H1N1, a terrorist threat, or a treatable disease.” President Obama Address United Nations General Assembly September 22, 2011