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Breaking Down the U.S. Global Health Budget by Program Area

U.S. World Well being Price range: Overview

The U.S. Authorities is the biggest donor to world well being on the planet and consists of help for each illness (HIV, tuberculosis, malaria, and uncared for tropical illnesses) and inhabitants (maternal and little one well being, vitamin, and household planning and reproductive well being) particular actions in addition to world well being safety. Most U.S. funding for world well being is supplied bilaterally (roughly 80%). Of the multilateral share, the bulk is supplied to The World Fund to Struggle AIDS, Tuberculosis and Malaria (World Fund). The U.S. funding in world well being grew considerably within the early 2000s, largely because of the creation of latest initiatives together with the President’s Emergency Plan for AIDS Aid (PEPFAR) and the President’s Malaria Initiative (PMI). Nonetheless, over the past decade, U.S. funding for world well being has remained comparatively flat, with spikes in some years as a result of emergency supplemental funding for Ebola in FY 2015, Zika in FY 2016, and COVID-19 in FY 2020 and FY 2021. In FY 2022, funding for world well being totaled $12.2 billion.

U.S. World Well being Funding: Figures

U.S. World Well being Funding: Desk

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U.S. World Well being Price range: HIV/PEPFAR

The U.S. first supplied funding to handle the worldwide HIV epidemic in 1986. U.S. efforts and funding elevated slowly over time till the launch of the U.S. President’s Emergency Plan for AIDS Aid (PEPFAR) in 2003, which initiated a interval of great will increase and is the biggest effort dedicated to a single illness on the planet. All U.S. funding for world HIV falls beneath PEPFAR. Nearly all of this funding is supplied by way of the Division of State, which is accountable, by way of the Workplace of the World AIDS Coordinator (OGAC), for coordinating all U.S. applications, actions, and funding for world HIV efforts. Different companies that obtain HIV funding embrace the U.S. Company for Worldwide Growth (USAID), Facilities for Illness Management and Prevention (CDC), Nationwide Institutes of Well being (NIH), and Division of Protection (DoD). (Extra U.S. help for HIV actions is supplied by way of its contribution to the World Fund to Struggle AIDS, Tuberculosis and Malaria). Funding rose considerably in PEPFAR’s first decade, and lately, funding has been comparatively flat. Bilateral HIV funding by way of common appropriations has traditionally accounted for the biggest share of the U.S. world well being funds (starting from 45% to 51% from FY 2012 to FY 2022). In FY 2022, bilateral HIV funding totaled $5.5 billion.

U.S. Bilateral HIV Funding: Figures

U.S. Bilateral HIV Funding: Desk

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U.S. World Well being Price range: Tuberculosis (TB)

Since 1998, when the U.S. Company for Worldwide Growth (USAID) started a world tuberculosis (TB) management program, U.S. involvement in world TB efforts has grown and it’s now one of many largest donors to world TB management on the planet. U.S. bilateral TB funding is supplied by way of USAID and consists of U.S. contributions to the TB Drug Facility (extra U.S. help for TB actions is supplied by way of its contribution to the World Fund to Struggle AIDS, Tuberculosis and Malaria). U.S. funding for TB has grown over the previous decade, with a lot of the rise occurring in more moderen years. U.S. funding for TB rose from $256 million in FY 2012 to $381 million in FY 2022, and presently accounts for about 3% of the U.S. world well being funds.

U.S. World TB Funding: Figures

U.S. World TB Funding: Desk

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U.S. World Well being Price range: Malaria/PMI

The U.S. authorities has been concerned in world malaria actions because the Fifties and, as we speak, is the second largest donor to world malaria efforts on the planet (the biggest is the World Fund to Struggle AIDS, Tuberculosis and Malaria). The U.S. response to malaria is pushed by the President’s Malaria Initiative (PMI), an interagency initiative to handle world malaria that’s led by the U.S. Company for Worldwide Growth (USAID), and co-implemented along with the Facilities for Illness Management and Prevention (CDC), with extra actions supplied by the Nationwide Institutes of Well being (NIH) and Division of Protection (DoD). (Along with its bilateral applications, the U.S. additionally helps malaria applications by way of its contribution to the World Fund to Struggle AIDS, Tuberculosis and Malaria). U.S. bilateral funding for malaria elevated over the previous decade from $812 million in FY 2012 to roughly $1 billion in FY 2022; whereas funding elevated over the interval, it has been comparatively flat lately. In FY 2022, malaria accounted for 8% of the U.S. world well being funds.

U.S. World Malaria Funding: Figures

U.S. World Malaria Funding: Desk

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U.S. World Well being Price range: The World Fund to Struggle AIDS, Tuberculosis and Malaria

The World Fund to Struggle AIDS, Tuberculosis and Malaria (World Fund) is an impartial, public-private, multilateral establishment which funds HIV, TB, and malaria applications in low- and middle-income nations. The World Fund receives contributions from private and non-private donors and in flip offers funding to nations primarily based on country-defined proposals. The U.S. supplied the World Fund with its founding contribution in 2001 and has since been its largest single donor. U.S. contributions to the World Fund by way of common appropriations rose considerably within the final decade and reached a peak of $1.65 billion in FY 2014; after declining to $1.35 billion in FY 2015, U.S. funding for the World Fund was flat for a number of years earlier than rising to $1.56 billion in FY 2020 and has remained at this stage by way of FY 2022. Along with common appropriations, Congress supplied $3.5 billion in emergency supplemental funding to the World Fund to handle the impacts of COVID-19 on HIV applications in FY 2021. Congress locations various restrictions on U.S. contributions to the World Fund, together with complete U.S. contributions should not exceed 33% of complete contributions from all donors.

U.S. Funding for the World Fund: Figures

U.S. Funding for the World Fund: Desk

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U.S. World Well being Price range: Maternal & Baby Well being (MCH)

The U.S. has been concerned in Maternal & Baby Well being (MCH) efforts because the Sixties (and is the biggest donor authorities to MCH actions on the planet). MCH funding, which incorporates funding for polio and U.S. contributions to Gavi, the Vaccine Alliance (GAVI) and the United Nations Kids’s Fund (UNICEF), is supplied by way of the U.S. Company for Worldwide Growth (USAID), Facilities for Illness Management and Prevention (CDC), and the State Division. U.S. funding for MCH elevated from $1.06 billion in FY 2012 to $1.28 billion in FY 2022. This was primarily pushed by elevated funding to GAVI and polio through the interval. In actual fact, when these are eliminated, bilateral MCH funding has remained comparatively stage for a number of years over the interval. In FY 2022, MCH accounted for the third largest share of U.S. funding for world well being (10%).

U.S. World MCH Funding: Figures

U.S. World MCH Funding: Desk

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U.S. World Well being Price range: Diet

The U.S. has an extended historical past of supporting world efforts to enhance vitamin and is the biggest donor to vitamin efforts on the planet. Traditionally, help for U.S. world vitamin actions was included as a part of broader maternal and little one well being (MCH) funding; beginning in 2010, Congress started to designate funding for vitamin actions, all of which is supplied by way of the U.S. Company for Worldwide Growth (USAID). U.S. funding for vitamin elevated from $97 million in FY 2012 to $158 million in FY 2022 and has accounted for about 1% of the overall U.S. world well being funds over the interval.

U.S. World Diet Funding: Figures

U.S. World Diet Funding: Desk

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U.S. World Well being Price range: Household Planning & Reproductive Well being (FP/RH)

The U.S. has been concerned in Household Planning & Reproductive Well being (FP/RH) efforts because the Sixties and is presently the biggest donor to world FP/RH on the planet. Nearly all of U.S. FP/RH funding is supplied by way of the U.S. Company for Worldwide Growth (USAID) for bilateral actions, with extra funding supplied by way of the State Division for the U.S. contribution to the United Nations Inhabitants Fund (UNFPA). U.S. funding for FP/RH rose steadily in its first twenty years and extra just lately, has remained comparatively flat at nearly $600 million, accounting for about 5-6% of the U.S. world well being funds every year from FY 2012-FY 2022.

U.S. Worldwide FP/RH Funding: Figures

U.S. Worldwide FP/RH Funding: Desk

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U.S. World Well being Price range: World Well being Safety

Because the Nineties, there was rising concern about new infectious illnesses that threaten human well being together with, in more moderen years, the emergence and unfold of threats resembling Ebola, Zika, H1N1 influenza, COVID-19, and antibiotic resistance. U.S. world well being safety efforts intention to scale back the specter of rising infectious illnesses by supporting preparedness, detection, and response capabilities worldwide. Funding designated by Congress for world well being safety by way of each emergency and common appropriations has fluctuated over time, rising largely in response to outbreaks, together with Ebola in FY 2015, Zika in FY 2016, and COVID-19 in FY 2021 and FY 2022. In FY 2022, funding for world well being safety was $1.2 billion and accounted for 10% of the U.S. world well being funds.

U.S. World Well being Safety Funding: Figures

U.S. World Well being Safety Funding: Desk

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U.S. World Well being Price range: Uncared for Tropical Illnesses (NTDs)

NTDs are a gaggle of parasitic, bacterial, and viral infectious illnesses that primarily have an effect on essentially the most impoverished and susceptible populations on the planet. The U.S. Congress first designated funding to handle NTDs in 2006, by way of the U.S. Company for Worldwide Growth (USAID). Funding rose from $89 million in FY 2012 to $100 million in FY 2014 and has remained flat since. Funding for NTDs totaled $108 million in FY 2022 and accounts for a comparatively small share of the U.S. world well being funds (1% in FY 2022).

U.S. World NTDs Funding: Figures

U.S. World NTDs Funding: Desk

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