PowerPoint Presentation

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Public/Private Partnerships with Goal to Save Lives

Briefing by Tiffany Mensah, Georgia State University MPA Candidate

October 10, 2014

1Global Health Key Points

29,000 children die each day of preventable disease and malnutrition.3 million people die each year of AIDS and another 2.7 were newly infected in 2011.2 million people die each year of tuberculosis. 1 million people, mainly children, die of malaria each year.TB and malaria are preventable, treatable and curable.Almost all those living with HIV (97%) reside in low- and middle-income countries, particularly in sub-Saharan Africa. HIV/AIDS is preventable and treatable, and the use of generic AIDS drugs has brought treatment cost down dramatically in the past year.TB - (Tuberculosis (TB) is second only to HIV/AIDS as the greatest killer worldwide due to a single infectious agent.)

2Global Health Benefits: Key MessagesSources of Global Health Funding

U.S. Global Health FundingGlobal Health InitiativeIn 2009, President Obama launched theGlobal Health Initiative(GHI), which acts as an umbrella "over most but not all existing U.S. global health programs, accounting for more than 80% of the U.S. global health funding investment. These include funding for: HIV/AIDS, tuberculosis (TB), and the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund).Global Health Funding Quick FactsBetween 1990 and 2007, development assistance for global health quadrupled from about $6 billion to nearly $22 billion.

Most of the growth was driven by the U.S. government and U.S.-based private foundations or charitable organizations, Private citizens, corporations and foundations had funded 27 percent of the total in 2007.

HIV/AIDS programs received 23 cents out of every dollar in 2007 with TB and malaria together receiving less than one-third of what AIDS receives even though TB and malaria together represent a greater disease burden than HIV/AIDS.

Some middle-income countries with lower disease burdens received more funding than poor countries with high disease burden.

Global Health Funding Who Funds What?The United States is the largest total spender on global health (6.4 billion in 2010) followed by Norway and Luxembourg when contributions are measured as a share of GDP.

The Global Fund, has been the second largest donor to health since 2006 and in 2010 ($3.0 billion) accounting for nearly half of total multilateral funding ($6.3 billion).

Donor funding, from governments and multilateral organizations, is a major source of aid in low and middle-income countries and has steadily increased in the last 10 years.

Data on the contribution made by private foundations towards international development are relatively limited.

Global Health Funding: Who Funds What?(continued)NOTE: Global Health Initiative (GHI) funding only. While funding for neglected tropical diseases is included as part of the GHI, FY 2011 country level funding for NTD programs is not available at this time and is not included in the total. SOURCE: KFF analysis of data from the State Department, Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov; accessed February 2013.Top 10 Recipient Countries, U.S. Global Health Funding, 2011

In Millions8Overseas Development Assistance (ODA)

International aid flow9Development Assistance CommitteeMeasures resources flows to developing countries.

Includes 24 member states: Australia, Austria, Belgium, Canada, Denmark, European Union, Finland, France, Germany, Greece, Ireland, Japan, Italy, Luxemburg, Netherlands, New Zealand, Norway, Portugal, South Korea, Spain, Sweden, Switzerland, United Kingdom, and United States.

The European Union acts as a full member of the committee. The World Bank, the International Monetary Fund (IMF) and United Nations Development Program (UNDP) also participate as observers.

Top 10 Donors by Country

Overseas Development Assistance

Top Ten Recipients of Bilateral US ODANet disbursements, $US millionsRecipientCY2011CY2012Afghanistan2,9012,773Kenya715818South Sudan707773Ethiopia707733Pakistan1,274625Iraq1,264583Tanzania401569Jordan446557South Africa564505Mozambique311435SOURCE: U.S. Annual Submission to the OECD/DAC via the USAID Foreign Assistance Database (FADB).Prepared by USAID Economic Analysis and Data Services.The Global Fund to Fight AIDS, Tuberculosis and MalariaThe Global Fund to Fight AIDS, Tuberculosis and Malaria was created in 2002 to drastically increase resources for the fight against the three pandemics.Other than the bi-lateral U.S. PEPFAR program for AIDS, the Global Fund is the biggest single donor for all three of these diseases worldwide.A financial mechanism tool, not a governing entity.Partners with countries, governments, communities and private companies to provide research, technology and valuable resources.Does not implement or manage programs but instead rely on local experts.Since 2002, investments in the Global Fund have financed innovative prevention and treatment programs in 150 countries with high burdens of disease.

Other than the bi-lateral U.S. PEPFAR program for AIDS, the Global Fund is the biggest single donor for all three of these diseases worldwide. Between 2011 and 2013, assuming that all donors honor their commitments, the Global Fund will disburse $10 billion. 1314Strategic framework and objectivesVision: A world free of the burden of HIV/AIDS, tuberculosis and malaria with better health for allGlobal Fund purposereduction of infections, illness and deathGlobal Fund core principlesProtect Human Rights Human Rights Consideration

Address barriers to health accessDo not support programs that infringe human rightsStrategic Investment Maximize Funding

Focus on highest impact countries while focusing on global interventionStrategy for Mobilizing ResourcesUtilize investments to protect mothers and their childrenSustainGains for Greater Impact

Increase sustainability and effectiveness of investmentsAddress additional funding from current and future resourcesG l o b a l F u n d s t r a t e g i c o b j e c t i v e s*Multiple strategic measures under this heading14Donor PledgesThe Global Fund has provided antiretroviral treatment to 3.3 million people, detected and treated 8.6 million people with tuberculosis, and provided 230 million bed nets to families to prevent malaria, which have been key to the 20% decline in malaria deaths over the past decade.

The $12 billion represents the largest amount pledged to the Global Fund to date, as shown in the figure below. Although it fell short of the goal of $15 billion, an amount advocates said was needed to continue to make progress against these killers.Questions???