New Global Alliances

Global Alliance for Vaccines Initiative (GAVI)

Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria

STOP TB Initiative Global Alliance for Improved

Nutrition Rollback Malaria

New Global Alliances

Purpose: Alliances allow agency to leverage additional resources

Partners: governments, donors, development agencies, private sector, media, civil society, research groups

High priority for the Agency Substantial USAID contribution to

Alliances

Mission Role In Global Partnerships

Participate in coordinating committees

Provide assistance in proposal design

Provide assistance, as appropriate, in implementing and monitoring country programs

Child Survival and Family Planning - Cover the basics

CS and FP programs: Rule of thumb: First assure that proven

interventions and approaches are covered

For CS: still large unmet needs for immun, vita suppl, exclusive breastfeeding, ORT, etc.

ARI: Treatment of child pneumonia is a proven intervention and is under-utilized

Even in southern Africa, far more children die of the traditional causes of under-five mortality than from AIDS

Child Survival and Family Planning - Cover the basics

FP still a priority even in high HIV setting (unmet need for HIV- & special needs for HIV+)

Need to replicate successful models in Africa

Proven Interventions: logistics, BCC, accessible services, range of methods

Contracept Security; Post-abortion Care

Vitamin A Supplementation

Program

For all countries with significant Vitamin A deficiency

Priority USAID Initiative: Currently USAID supports VA suppl in 24 countries up from 6 countries in 1999

As a complementary strategy, agency supports food fortification as a cost-effective, sustainable nutrition intervention

Maternal Health and Survival - Key Approaches for Africa

Maternal and neonatal health is the last remaining frontier for MCH

Traditional interventions: BF, TT, IFA combined with newer approaches (postpartum hemorrhage control and newborn resuscitation) can make an impact

Immunization

Cornerstone of USAID’s CS Program Bilateral funding critical to make GAVI

work Introduction of newer vaccines makes

immunization even more important We support measles mortality reduction Interruption of polio transmission critical

in remaining endemic countries

TB Programming

New, highly specialized area for PHN Officers

Congressional scrutiny of our programs Most CAs have limited experience Bad TB program may spread

untreatable MDR TB Critical to consult USAID/W TB team on

implementing TB programs

Malaria

Few countries have appropriate policies for treatment and intermittent preventive therapy for pregnant women

MAC Program is a new global partnership: Seeking to improve national policies and practices related to treatment and pregnancy

Coalition includes CDC, MNH/JHPIEGO, RPM+/MSH, and WHO

Regional expansion of Netmark to reach more countries with affordable nets - $3.50—5.50

HIV/AIDS

Intense Congress/WH interest

Increased funding yields greater scrutiny

USG committed to ambitious global targets

HIV/AIDS

Common indicators to measure impact are set and will be tracked by USAID/W

We need to tell our story - show progress in countries and globally

Appropriate use of CS Funds

New CSH guidance issued Constant audits of the use of CSH funds Use right type of funds for each program CSH are not fungible Commingling of CSH funds okay - but

documentation for the file is required Consultation on use of funds protects us all

Country PHN Strategies- what GH looks for

Do you cover the basics in FP and CS? Optimal use of funds and interventions

for each program area Target populations are substantial

enough for national level impact Are you plugged to key global health

initiatives and other donor programs Consultation with USAID/W on ID and

HIV/AIDS

Bilateralization - Lessons Learned

Protect USAID’s past investments Maintain national level impact for

key programs Continue to support diversity of

development partners Do transition planning Involve USAID/W