1. Current Events:Global Health E Anne Peterson, MD, MPH ANE, E&E SOTA October 7th, 2002

2. THE REORGANIZATION “We are here to support the Missions….and to provide services to the field.” Andrew Natsios

3. Agency Reorganization Objectives Strategic allocation of resources More resources and authority in the field Focus Washington on field needs Streamline the way we do business Rationalize/flatten agency structure

4. Agency Reorganization Objectives Harness/focus the agency’s sectoral work Reduce overlap/redundancy in bureau functions Consolidate agency project portfolio into 3 “program pillars” plus the GDA Technical leadership and responsibility for technical reviews centralized in pillar bureaus

5. PPC With no program monies or interests of its own: –honest broker between bureaus over program funding needs, and staffing; –arbitrates competing technical, regional and country initiatives; –makes program and OE allocation decisions; –makes policy and strategy decisions.

6. Regional Bureaus Primary interface with field missions, governments; Support and advise missions on agency policy and initiatives, strategy development, and programming priorities; Limited regional project management; Recommend regional and country resources requirements.

7. Pillar Bureaus Global technical leadership; Harness/focus agency’s sector work; Sectoral strategic planning; Innovation and research; TA to field: Share lessons learned/cross- fertilization of regional experience; Design/manage field support mechanisms

8. Status of the GH Reorganization 9/9/02 final clearance effective 9/22/02 10/01/02: GH began full implementation Next Steps include: –Physical moves –Recruit new staff –Orient new staff and transfers –Build/strengthen teams within/across offices; –Clarify GH/regional bureau roles and responsibilities

9. Bureau for Global Health AA/DAA Office of Strategic Planning, Budgeting, and Operations Office of Professional Development & Management Support Office of Population & Reproductive Health Office of HIV/AIDS Office of Health, Infectious Diseases & Nutrition Office of Regional & Country Support

10. GH: Features PHN Center upgraded to a Bureau 3 technical, 2support & 1 field office HIV/AIDS Division upgraded to Office Consolidation of technical staff Cross-cutting teams: research, communications

11. GH VISION Field SupportField Support Research & InnovationResearch & Innovation Global LeadershipGlobal Leadership

12. My 03 Priorities:Leadership Reaffirm values set in first year Build reputation of the agency Resurrect science & technical image of GH Resurrect our role as lead in US foreign aid Health as part of development - poverty reduction Broaden “hill” base Data base for policy, program & priorities Keep better balance family & work life

13. New Deputy  Move reorg into reality – space reallocation Staff: number, skill, career options Strategy to move programs & funds to field Travel less! – 1-2 /quarter Senior country advisor for Haiti & S Africa Streamline management Cross bureau virtual teams My 03 Priorities: Management

14. Economics of prevention: prioritizing our tasks and interventions Data base to our major policies Zinc ST – NAS paper Natsios report Partnerships: costs & priorities, new ones: HCD, FBOs, Regular communications internally Some 03 Initiatives

15. GH Strategic Priorities Leadership for Field Programs Forward on the Fundamentals: reinvigoration of health & pop core programs Implementing AIDS Science & technology excellence Partnerships

16. GH Strategic Priorities Professional development Strategic budgeting Effective Management Communication

17. OTHER HOT ISSUES UNFPA Our Relationship to Other Agencies Ambassadors Meetings on HIV/AIDS Presidents MTCT Initiative GFATM MCA