President's budget request boosts global health

February 2010 | Volume 9, Issue 1

President Barack Obama reinforced his commitment to both global health and biomedical research in his 2011 budget proposal. He has also released more details about how he intends to implement his Global Health Initiative (GHI), a plan to invest $63 billion over six years.

Cover of the report Implementation of the Global Health Initiative

Cover of the report, Implementation
of the Global Health Initiative.

For NIH, the budget calls for funding to increase just over 3 percent, up $1 billion, for a total of $32.1 billion. In the detailed breakdown, Fogarty's allocation would rise to about $73 million.

The State Department and USAID would see a nearly 9 percent spending hike for global health under the president's plan, for a total of $8.5 billion.

To coincide with the budget announcement, the administration issued an outline of its strategy for implementing the GHI.

Global Health Initiative Goals

  • HIV/AIDs: prevent 12 million new infections;
    treat 4 million people already infected

  • Malaria: reduce disease burden by 50 percent

  • TB: save 1.3 million lives by reducing
    prevalence by 50 percent

  • Maternal health: save 360,000 lives by
    reducing maternal mortality by 30 percent

  • Child health: save 3 million lives by
    reducing under-5 mortality by 35 percent

  • Nutrition: reduce undernutrition by 30 percent

  • Family planning and reproductive health:
    prevent 54 million unintended pregnancies

  • Neglected tropical diseases: reduce
    prevalence by 50 percent

"The challenge of the next decade and beyond is to take these impressive accomplishments to the next level by helping countries achieve long-term sustainability in their health services," it states. "If we succeed in our efforts, we will help improve the lives of millions, limit the long-term cost to U.S. taxpayers, and contribute to a stronger future for American citizens."

GHI's guiding principles were also detailed in the plan and include, among others, encouraging country ownership and country-led plans; improving metrics, monitoring and evaluation; and promoting research and innovation.

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