Kyle Kinner CARE USA November 5, 2007 Assessing Changes in U.S. Funding for International Health.

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Presentation transcript:

Kyle Kinner CARE USA November 5, 2007 Assessing Changes in U.S. Funding for International Health

OUTLINE Health is a critical priority U.S. is spending more …? New funding is concentrated Crucial sectors have lagged Outlook: without policy shift— similar trajectory Recommendations

CONTEXT ODA has increased but … Aid as a percentage of GNI has lagged U.S. commitment is substantial Still a long way to go

Source: OECD

U.S. Source: OECD

Health is a critical priority Population health status affects development Health as a growing dimension of global and U.S. security interests Humanitarian impulse (high levels of preventable mortality/ morbidity worldwide)

SOURCE: World Health Report (WHO); 2007: x.

U.S. is spending more? 4.3x more than FY65 As a % of GDP – a lot less (.47 in FY65,.11 in FY06) Lagged growth rate (Int Asst, -3.6%, versus 0.4%, total outlays, FY65-06 (% of GDP)) Apparent close correlation with domestic discret. expend.

Source: OMB, 2007.

Source: Tarnoff, Knowles. CRS Pub , 2004; 8.

New funding is concentrated Focusing on ‘poverty-fighting’ foreign assistance – we see shift in relative aid composition  Winners: PEPFAR, MCC  Stuck: PKO, IDFA, CSH (w/o AIDS), TI  Losers: ERMA, IOP, Food, MRA, DA, ESF

Source: OMB, 2007.

Crucial sectors have lagged CS/MH SRH/FP EID/AI Basic research PH Infrastructure

Source: OMB, 2007.

Source: Franco, Deitch; Biosec Bioterror. 2007; 5:119.

Source: AAAS, 2007.

Outlook: without policy shift— similar trajectory FY08 President’s Request (OVER FY07: CSH, -9.0%; CS/MH, -3.0%; SRH/FP, -25.4%, PEPFAR, 20.1%) FY08-12 OMB Forecast (Int Asst, -3.9%; total outlays, -1.9% (% OF GDP)) FY08 H/S higher-of number (better, but Presidential veto looming) FY08 Int Aff as a % of GDP versus 0.7 target – long way to go

Source: OMB, 2007.

Recommendations Increase U.S. foreign aid overall All boats should rise – growth convergence Build infrastructure Greater focus on the MDGs Engage underlying drivers that affect vulnerability/health

Contact Info Kyle Kinner CARE USA (202)