Thursday, April 26, 2012

[EQ] USAID - The Global Health Strategic Framework

The Global Health Strategic Framework

USAID’s Global Health Strategic Framework set their direction of the global health sector for FY 2012-2016.

U.S. Agency for International Development - USAID

Washington, DC USA

Available online [PDF 56p.] at:

“…………...With prospects for ending preventable child and maternal deaths, creating an AIDS-free generation, and developing the foundations for universal health coverage, future generations will look back at this period as a turning point in the history of global health.

Our new chapter in global health builds on this success and adapts to a changing world.As we did 50 years ago, we now face seminal challenges and opportunities. The child survival revolution is not over. More than 7 million children still die every year from mostly preventable or treatable conditions, and demographic and epidemiologic transitions are leading to aging of populations and the rise of conditions such as cardiovascular disease, cancer, chronic lung diseases, and diabetes in lower- and middle-income countries (LMICs).

Despite the economic slowdown in Organization for Economic Cooperation and Development countries, many LMICs are in the midst of an unprecedented economic expansion driven by better governance, globalization of trade and technology, and the demographic dividend. We have seen this scenario unfolding in Latin America and, more recently, Asia; it is now taking hold in Africa. Brazil, China, India, Indonesia, Mexico, Russia, South Africa, and Turkey, and other countries are joining the donor community.

When economies expand, total health spending tends to grow even faster than a country’s gross domestic product (GDP).5 By the end of the decade, domestic health spending may double in many of USAID’s partner countries, marking a significant economic transition for health along the development ladder.

Without proper policies, this growth of the health sector tends to be an expansion of unregulated private health care provision and individual out-of-pocket payments, which now account for 40–70 percent of total health spending in Africa and Asia.6 This leads to system inefficiency, inequitable access, and catastrophic health expenditures.

Every year, 100 million people are pushed into poverty because of it; in some countries, 5 percent of the population is forced into poverty annually because they have to pay for health services when they fall seriously ill.

This cannot be the future of health as countries’ development succeeds.A systems approach, new institutional capacity, and excellence in implementation science (the development and use of an evidence base for practically executing programs) are needed for countries to steer this transformation toward modern health systems while scaling up and sustaining public health interventions……”


Introduction from Administrator - Rajiv Shah

Message from the Assistant Administrator - Ariel Pablos-Méndez

Executive Summary

The Global Health

The Context for USAID’s Global Health Strategic Framework

USAID’s Global Health Vision and Mission Statement

Core Global Health Priorities

• Saving mothers

• Child survival

• Fostering an AIDS-free generation

• Fighting infectious diseases

• Family planning and reproductive health

• Health system strengthening .

Key Strategic Approaches to Global Health Challenging Ourselves and Challenging the World

• Providing technical leadership in responding to new global health challenges

• Partnering strategically with a wide range of actor

• Accelerating the development and application of innovation, science, and technology

• Scaling up evidence-based, equitable, and locally-adapted health solutions

• Strengthening local health system capacity to support partner

• countries’ leadership of health policies, strategies, and actions

• Promoting gender equality and women’s empowerment

• Working efficiently and being effective stewards of public trust and resources

Annex I: USAID Health Components

• Avian influenza and other emerging threats

• Child health

• Family planning and reproductive health.


• Malaria .

• Maternal health
• Neglected tropical disease .

• Nutrition

• Tuberculosis

• Water, sanitation, and hygiene

• Health systems strengthening

• Coordination of programs for highly vulnerable children

Annex II: Administrator Shah’s Barmes Lecture at the National Institutes of Health, February 2011



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