Independent Agency

Labor

Peace Corps

CDC

HomelandSecurity

Commerce

EPA

The White House

Defense

USDA

NIH

FDA

HRSAPEPFAR

HHSOGHAOPHS

MCC

PMI

Water for Poor

NTD

Avian Influenza

Action Group

Department

Multi-Agency Initiative

Dept. Operating Unit

KEY

CONGRESS

Notes: GHI: Global Health Initiative; PEPFAR: President’s Emergency Plan for AIDS Relief; PMI: President’s Malaria Initiative; NTD: Neglected Tropical Diseases Initiative; MCC: Millennium Challenge Corporation; OGHA: Office of Global Health Affairs; OPHS: Office of Public Health and Science. SOURCES: Kaiser Family Foundation, The U.S. Government’s Global Health Policy Architecture: Structure, Programs, and Funding; April 2009; White House, Statement by the President on Global Health Initiative, May 5, 2009.

GHI

Schematic of the U.S. Government’s Global Health Architecture

StateOGACOES

AmbassadorsMissions

USAIDBureaus for: Global Health;

Economic Growth, Agriculture & Trade; Democracy, Conflict,

Humanitarian Assistance

$1,000 $1,050 $1,000

$5,503 $5,542 $5,739

$177 $243 $251$546 $733 $833$455$525

$590$440

$474$700

$210 $121 $108

FY 2009 FY 2010 FY 2011*

MCH

FP/ RH

NTDs

Nutrition

Malaria

TB

HIV

Global Fund

Other

$9.6b

U.S. Global Health Initiative (GHI), Funding by Sector, FY 2009-FY 2011*

*FY 2011 is President’s Budget Request to Congress. Source: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and White House Statement by the President on Global Health Initiative, May 5, 2009. Also see: Kates J., The U.S. Global Health Initiative: Overview & Budget Analysis, Menlo Park: Kaiser Family Foundation, December 2009.

$8.8b

In Millions

$8.4b

$55

$25$75

$65$155

$200

Major U.S. Government Global Health Programs and Related Initiatives, 2010

1 or 2 Programs3 or 4 Programs5 or 6 Programs7, 8, or 9 Programs

Note: Programs include PEPFAR, TB, PMI, NTDs, MCH, FP, Polio, Water/Sanitation, Nutrition, and MCC.Source: Kaiser Family Foundation analysis of data from the Department of State FY2011 Foreign Operations Congressional Budget Justification, U.S. Agency and Program documents.

Distribution of Bilateral & Multilateral Funding in the U.S. Global Health

Initiative (GHI), FY 2009 – FY 2011*

Bilateral86%

Multilateral14%

*FY 2011 is President’s Budget Request to Congress. Note: Multilateral funding includes the Global Fund, GAVI, IAVI, UNAIDS, Global TB Drug Facility, and Microbicides. Other U.S. contributions to multilateral organizations, such as the WHO, are not currently counted as part of the GHI.Source: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and White House Statement by the President on Global Health Initiative, May 5, 2009. Also see: Kates J., The U.S. Global Health Initiative: Overview & Budget Analysis, Menlo Park: Kaiser Family Foundation, December 2009.