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Europe and Eurasia Region Overview of Overview of Budget Resources for Health Budget Resources for Health In the E&E Region In the E&E Region

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Europe and Eurasia Region. Overview of Budget Resources for Health In the E&E Region. Role of Congress. Congressional earmarks and directives =/= White House priorities. What is the 150 Account?. USAID programs are part of the “150” or “International Affairs” account =

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Page 1: Europe and Eurasia Region

Europe and Eurasia Region

Overview of Overview of

Budget Resources for Health Budget Resources for Health

In the E&E Region In the E&E Region

Page 2: Europe and Eurasia Region

Role of Congress

Congressional earmarks and directives

=/=

White House priorities

Page 3: Europe and Eurasia Region

What is the 150 Account?

USAID programs are part of the “150” or “International Affairs” account = <1% budget

Other 150 programs include State, Peace Corps, multilaterals, military assistance USAID manages only 37.5 % of 150 Acct.

Page 4: Europe and Eurasia Region

Accounts Managed by USAID

Development Assistance (DA) (included family planning and reproductive health through 2001)

Child Survival and Diseases (CSD) Child Survival & Health (CSH) in 2002 & 2003 (includes

family planning and reproductive health) “Other Accounts”, such as

AEEB (Assistance to Eastern Europe & the Baltic States) FSA (Freedom Support Act, ex.-Soviet Union) International Disaster Assistance P.L. 480 Title III sales proceeds Economic Support Funds (ESF)

Operating Expenses Development Credit Authority

Page 5: Europe and Eurasia Region

FSA Eurasia

AEEB Europe

Page 6: Europe and Eurasia Region

Who Sets Funding Levels?

State Coordinator

Congress

Influenced by the Ambassador

Page 7: Europe and Eurasia Region

Funding Trends for PHN

0

100

200

300

400

500

600

700

95 96 97 98 99 00 01 02 03

Fiscal Year

$ M

illio

ns

Family Planning Reproductive Health Child Survival

HIV/AIDS Infectious Diseases

Page 8: Europe and Eurasia Region

Lessons Learned

Social Sector

Democracy

Economy

Page 9: Europe and Eurasia Region

0

100,000

200,000

300,000

400,000

500,000

FY 98 FY 99 FY 00 FY 01 FY 02

AFRANELACE&E

PHN Funding by Region (in US $000’s)

Page 10: Europe and Eurasia Region

Cumulative USAID Budget Support

FY - 1989 to FY - 2002

Central and Eastern Europe

Economic Restructuring

42%

Democracy 18%

Humanitarian Assistance

35%

Social Sectors5%

Eurasia

Economic Restructuring

61%

Democracy 15%

Humanitarian Assistance

13%

Social Sectors11%

Page 11: Europe and Eurasia Region

USAID Budget Support FY02 Request

Europe

Economic Restructuring

42%

Democracy42%

Social Sectors 8%Hummanitarian

Assistance8%

Eurasia

Economic Restructuring

52%

Democracy24%

Hummanitarian Assistance

6%

Social Sectors 18%

Page 12: Europe and Eurasia Region

FY02 EARMARK/DIRECTIVES AFFECTING E&E BUREAU

FY SUBJECT AEEB FSA TOTAL OTH ACCTS

2002        

  Health: CS; RH; Env. Hlth; ID;   $49 million  

  HIV/AIDS; others, related      

         

  FP/ReproHlth $10 million $15 million $78 million

         

  HIV/AIDS <---------------$15 million ----------> $25 million

         

  Tuberculosis <---------------$10 million ----------> $79 M from all accts

         

  Vulnerable Children Bosnia, Romania Russia  

         

  Iodine Deficiency Disorder <------------$2.225 million ---------->  

         

  Carelift   $7 M over 3 years  

Page 13: Europe and Eurasia Region

E&E - PROJECTED FY2002 ATTRIBUTIONS: HEALTH & HA, incl Uzb Supplemental (Mission communications & AIHA Attributions)

$ Repro.Hlth / FP $ChildSurv/Maternal Vulnerable $HIV / AIDS $Other Infectious Disease $ Other TotalTotal of w=AIHA Children & Total of w=AIHA TB Total AIHA = Other ID Health

NIS Orphans TB+OIDRUS 4,040 1,235 749 2,000 3,807 212 1,864 290 251 1,804 14,515

UKR 1,944 1,044 370 1,311 315 885 210 175 810 5,496BLR 0MLD 204 204 3 0 753 15 12 128 1,100

ARM 2,918 930 426 1,118 500 135 15 120 105 3,500 8,581AZR 1,468 0 916 916 0 0 0 3,300GEO 1,217 97 376 0 1,500 42 40 867 4,000

CO1,100KAZ 814 838 466 22 746 3,136 6,000KGZ 273 84 580 308 16 576 1,263 3,000TJK 239 761 590 15 372 537 2,500TKM 184 169 185 395 20 31 206 1,000UZB 798 3 487 15 381 2,331 4,000UZB Supp 4,000 4,000 1,500 5,500 15,000CAR Reg. 880 0 120 1,000REG 901 838 93 1,091 250 653 279 256 1,498 4,492Total 15,000 4,601 2,936 4,916 3,118 13,953 913 9,416 1,044 3,065 21,580 73,984

CEEALB 3,310 135 350 2 10 8 105 3,775BOS 1,000 1,000BUL 1,200 1,200CRO 100 60 100HUN (a) 500 500 500KOS 500 500 750 150 1,400

ROM 2,755 150 2,810 945 150 214 6,874SERBIA 1,500 1,500REG (b) 235 165 1 413 375 18 18 368 1,409 Baltics 550 350 900Total 10,000 1,450 1 0 3,810 3,108 60 1,027 28 25 687 18,658

G.TOTAL 25,000 6,051 2,937 4,916 6,928 17,061 973 10,443 1,071 3,090 22,267 92,642

(a) Total includes the Partnership Component listed under AIHA column. Sent to PPC/Budg on 5/01/2002(b) Reg + Baltics = Total Europe Regional. Revised 5/31/02

Page 14: Europe and Eurasia Region

12345

6

7891011121314151617181920212223242526272829303132333435

A B C D E F G H I J K L M N

RH/VFP

Primary Causes of

Morbidity & Mortality Polio

Micro-Nutrients DCOF

Other Vul Children

Blind Child.

Orphanges in EE TB Malaria

Antimirobial Resistance

Family Planning Reproductive

Health

FY 2002 - AEEB/SEEDAlbania 3,775Bosnia 1,000Bulgaria 1,200Croatia 100Kosovo 1,400MacedoniaMontenegroRomania 6,874Serbia 1,500Europe Regional 2,809

FY 2002 - FSAArmenia 8,581Azerbaijan 3,300Belarus 0Georgia 4,000Kazakhstan 6,000Kyrgyzstan 3,000Moldova 1,100Russia 14,515Tajikistan 2,500Turkmenistan 1,000Ukraine 5,496Uzbekistan 19,000Caucasus RegionalCAR Regional 1,000Eurasia Regional 4,492

HEALTH PILLAR WORKSHEET FOR FY 2002

(dollars in thousands only)

PILLAR: GLOBAL HEALTH

TOTAL GLOBAL HEALTHHIV/AIDS

Other Infectious DiseasesVulnerable ChildrenChild Survival/Maternal Health

Page 15: Europe and Eurasia Region

FY 03 EARMARK/DIRECTIVES

AFFECTING E&E BUREAUFY SUBJECT AEEB FSA TOTAL OTH ACCTS

2003        

  Health: CS; RH; Env. Hlth; ID;   $60 million  

  HIV/AIDS; others, related      

         

  FP/ReproHlth ?$10 million ?$15 million $50-56.1 million

         

  HIV/AIDS <---------------$13 million ----------> $40 M, incl IDA

         

  Tuberculosis <--------------? $10 million ----------> $85 M from all accts

         

  Vulnerable Children Bosnia, Romania Russia  

         

  Iodine Deficiency Disorder <--------------$1 million ---------->  

         

  Carelift   $0.6 M mortgage  

Page 16: Europe and Eurasia Region

HOW TO PUT MONEY INTO GLOBAL HEALTH PROJECTS?

What? Who? Sent To? Copied to?

Field Support Request Program Office Global Health

Budget Allowance Request Program Office PCS/Budget DGST

Budget Allowance PCS/Budget Mission DGST

Phoenix Action DGST Global Health CTO

Page 17: Europe and Eurasia Region

RESOURCE PEOPLE FOR FIELD SUPPORT

WHO? Where? Phone Number

Tara Lewing Global Health 202-712-0788

Wyman Stone Global Health 202-712-5605

Aldona Affleck DGST 202-712-5828

Mary Ann Micka DGST 202-712-4781

Steve Horneman PCS/Budget-Europe 202-712-4507

NormaJean Freeland PCS/Budget-Eurasia 202-712-1029

Page 18: Europe and Eurasia Region

The Future