Columbia International Affairs Online: Working Papers

CIAO DATE: 04/2010

THE FUTURE OF GLOBAL HEALTH: Ingredients for a Bold & Effective U.S. Initiative

October 2009

Africa Policy Information Center


Major accomplishments in global health over the last decade demonstrate that adequately resourced programs, focused on achieving specific results, can improve health outcomes for millions and support economic progress. They also show that distinct public health challenges are closely interconnected and that a comprehensive and integrated strategy is needed to ensure that ambitious health goals are met. The next step forward in US global health must be defined by significantly expanded investments, a bold vision of what U.S. assistance can accomplish, and building on successful programs to increase effectiveness and self-sufficiency at the country level. Based on these lessons learned, the United States, through a Global Health Initiative, should: • Double U.S. aid for global health to approximately $16 billion per year in 2011 and challenge other donors to similarly scale up their investments; • Establish bold U.S. targets for improved health outcomes in each of the six GHI areas and contribute our fair share to reach the healthrelated Millenium Development Goals; and • Ensure that as we invest in programs to scale up health for all, we build on successful programs and fulfill existing commitments.