by Raynard Jackson

Whenever the U.S. government enters into a state of fiscal austerity, politicians always look for budget cuts from programs they deem to be less important or have little or no constituency. Foreign policy budgets, especially those directed towards Africa seem to always show up near the top of that list.

The left will blame it on the "mean" Republicans who don't care about Africa. The truth is that Africa seems to benefit more from Republican control of Congress/White House than from Democratic control. Isn't it amazing that former President George W. Bush did more for Africa than any president in the history of the U.S.? But, yet, he gets little or no credit for his policies towards Africa.

It was the Bush administration that first labeled what was going on in the Sudan as genocide (made by then Secretary of State, Colin Powell before the Senate Foreign Relations Committee). Bush played a critical role in helping to end the civil war in the Sudan.

Under the Bush administration, development aid to Africa quadrupled from $ 1.3 billion in 2001 to more than $ 5 billion in 2008. The Millennium Challenge Corporation (MCC) was created by Bush. Africa has received in excess of $ 3.5 billion from the fund so far. The MCC was established to reward poor countries that encouraged economic growth, good governance, and social services for its citizens.

The Africa Growth and Opportunity Act (AGOA) was created in 2000 and expanded under Bush in 2004. The bill provides trade benefits with the U.S. for 40 African countries that have implemented reforms in their countries to encourage economic growth.

The President's Emergency Plan for AIDS Relief (PEPFAR) was created by Bush and had $ 15 billion appropriated over five years (2003-2008). I find it amazing that the program has been cut by the Obama administration (though Obama pledged to increase it by $ 1 billion annually during his presidential campaign).

Along with PEPFAR, Bush established the U.S. Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (or the Global AIDS Act) established the State Department Office of the Global AIDS Coordinator to oversee all international AIDS funding and programming

Bush's policies are credited with saving the lives of millions of Africans.

The political right would argue that America just can't afford to continue some of these programs. They don't question the merits of the programs, just the financial ability of the U.S. to continue to fund them.

I put the blame for this type of myopic thinking on two groups. The first is U.S. supporters of these programs (this includes, politicians, faith based groups, American citizens, etc.). America must do a better job in explaining why and how these programs impact the U.S. If we don't spend the money on the front end (for prevention), we will spend the money on the back end (for treatment, humanitarian intervention, nation building, etc.).

I would put most of the responsibility on the second group

How many African diplomats can pick up the phone right now and get Congressman Chris Smith (at home, on his cell, or in his office)? Smith represents New Jersey's 4th congressional district and is one of the biggest supporters of Africa that most people have never heard of. He also happens to be a member of the House's Committee on Foreign Affairs and chairs the Subcommittee on Africa, Global Health, and Human Rights.

African diplomats constantly complain about what the U.S. is not doing for them or their country's interests. They hire high powered lobbyist who have little ability to translate their needs into a language that is understood in the political arena. They rarely engage the American people as to why their country is important to the U.S and why they should care. They have no media strategy, no advocate within the halls of the U.S. Congress, and they lack the "friends in high places."

Africans must understand that it is important to engage the American people whether there is a crisis going on in their country or not; whether there is an adverse policy percolating through Congress or not.

The new Congress convened in January and there are many new members in both the House and the Senate who are new to their respective African committees. African diplomats have made little, if any, effort to establish relations with these new members beyond any perfunctory meet and greet.

There will most definitely be across the board budget cuts for the foreseeable future. How deep they are relative to Africa will depend on how well the African diplomatic community communicates their country's importance to the American people and relevant members of both the House and the Senate.

Based on my private conversations with members of Congress, the White House, members of civil society, and NGOs, Africa doesn't make the cut in terms of understanding how to make things happen in the U.S.

Raynard Jackson is president & CEO of Raynard Jackson & Associates, LLC., a D.C.-public relations/government affairs firm. He is also a contributing editor for ExcellStyle Magazine (www.excellstyle.com <http://www.excellstyle.com> ) & U.S. Africa Magazine (www.usafricaonline.com). —African heads of state and their designated U.S. ambassadors! African leaders and their ambassadors show very little understanding of how to get things done through our political process here in Washington, DC. Most African ambassadors have no relations with relevant members of Congress on the African committees of the U.S. Senate and House of Representatives.

Touchdown in Guyana

Apr 20 2011

by Orville Bignall, MD
Meharry Medical College
Georgetown, Guyana

orville bignall operating

This is my first post. I want this journal to be exciting, insightful, and encouraging. Most of all, I want to share the resilient spirit of these families, and encourage you to help better the lives of children around the block and around the world. 

Located on the north coast of South America, Guyana is the only anglophone ("primarily English-speaking") nation on the continent. 83,000 square miles large, only 750,000 people call it home, making Guyana one of the most sparsely populated countries in the western hemisphere. It also has some of the largest, undisturbed tropical rain forests anywhere on earth! The infrastructure is very underdeveloped: power outages are not uncommon, many roads are in disrepair, telecommunications are unreliable, and tapwater is not always safe to drink. The people, however, are some of the most welcoming and kindhearted folks I've ever met; I've been treated well and respected everywhere I go.

I'm stationed at the Georgetown Public Hospital Corporation, the largest health center in the country. If you want to know what it's like, imagine a hospital in the United States... 40 years ago! Large open wards with patients, limited medical supplies and medications, and unreliable air conditioning. I have seen several dramatic traumas, and I've been put to good use so far!

Make no mistake about it: I miss my parents, my sister, Ebony, my friends and my Riverside family intensely! It helps that my mom has been checking in with me faithfully each morning to pray with and for me before I leave for the hospital (Skype = WINNING)! I have so appreciated the prayers and steadfast support of my family; the encouraging Facebook, Skype, and email messages of my friends; and even the unexpected monetary gifts of my church family! I am already "more than a conqueror" (Romans 8:37).

I'm experiencing answers to your prayers daily, so please, keep the prayers, notes, and encouraging words coming! I'll write again soon...

by Shannon Langston, MD
Department of Emergency Medicine
Vanderbilt Medical Center
Georgetown, Guyana

langston surgery pic

Physiologically, people are essentially the same no matter where you go.  Yet, when I first arrived in Guyana, I was surprised at how quickly death came for many.  Infections, head injuries, road accidents, malaria…they all take their toll.  There is no fanfare, drama, or ceremony.  The body is covered and taken away and another patient placed in the bed.  Relatives grieve, but they don't seem surprised.  It is as if the boundaries between life and death are much narrower.  Life seems much more fragile. 

So used to medical technology and medications, the gulf between the living and dead seems large from an American viewpoint.  We take for granted the public safety campaigns that protect the majority of our children from threats ranging from lead poisoning to traffic hazards.  Things we assume are intrinsic knowledge are often due to the foresight and hard work of others.  Critical care units, advanced chemotherapy drugs, nearly unlimited blood supplies, dialysis, we could not imagine not having them at our disposal if ever needed.  Yet, much of the world has no access to these modalities.  Often, in remote villages, people have access only to the most basic of medicines while their contact with nature puts them at increased risk for injury and disease. 

In my short time in Guyana I have seen several people die from snakebites, something I had never before witnessed.  Most of them come from the remote interior region.  They call the deadly snake Labaria, we know it as the Fer-de-lance.  It is well known in Guyana and feared by most people, including myself.  Although effective antivenin for the snakebite is made, it is not always effective or available at the public hospital.  Recently, a young boy came into the hospital complaining of bleeding.  Any place on his body that had a small scrape started to ooze blood.  Nurses had to refrain from drawing blood as it took hours to stop the bleeding from the puncture.  Even his gums were bleeding. He told me that he was stung by a worm, a black hairy worm, that he touched by accident. 

He showed me little red spots on his hand that had mostly faded from view, spots he claimed were caused by touching the worm.   The physicians, myself included, all assumed it was a baby Labaria bite, since he came from the interior where the bites are common. The boy insisted, ”It was a worm.”  Once admitted, they treated the boy with plasma and vitamin K in an effort to stem the bleeding.  A pathologist, interested in the case, did some research.  Sure enough, there is a caterpillar, mostly found in Brazil, that is known to have one of the most potent toxins known to man.  Simply brushing against the caterpillar is enough to cause bleeding and death.  When I questioned the boy’s mother, she recalled a neighbor that died of something similar the previous year after touching an insect.  Being rare in Guyana, and being present for only three months per year in caterpillar form before it turns into a moth, most people are not aware to be cautious of the deadly caterpillar.  It lurks, unassuming, on a tree branch. 

The boy was given fifteen units of fresh frozen plasma (at my last count) and some vitamin K, which eventually stopped the bleeding.  Thanks to an interested pathologist, aggressive care, and a good dose of luck, the boy was saved.  Living in a place where the odds can be stacked against you, something so beautiful as a caterpillar can be deadly.

by Steve Badger, M.D.
Vanderbilt International Anesthesiology
Kijabe, Kenya

badger kijabe 2

As my brief time at Kijabe hospital has come to an end, I'm amazed at all that I have been able to experience over the past 4 weeks. I wasn't sure what to expect when I arrived, but I found a resourceful medical center in a beautiful rural town, full of hardworking, enthusiastic and selfless individuals, with the primary goal of providing the best possible health care to the people of East Africa. The hospital is short on funding, resources and supplies when compared to American standards, but the incredible work they are able to accomplish with the little that they have is truly remarkable.

Kijabe hospital runs 8 very busy operating rooms, where tireless surgeons, nurses, and anesthetists work endlessly to care for a vast array of patients with very complicated surgical problems. The OR's are staffed by a mix of foreign missionaries and locally trained African surgeons, with a number of surgical residents who are being trained by these individuals to provide high quality surgical care for remote corners of the country. The hospital has an innovative anesthetist-training program where nurses come from all over the country to train in the provision of anesthesia. When they are finished, they are expected to return to their home community and deliver a safe anesthetic – often being the only anesthesia provider in the area.

Much of my work at Kijabe Hospital was in educating and training the group of anesthetists – from giving morning lectures to instructing and supervising in the OR. Every Tuesday and Thursday we held continuing medical education conferences where we would discuss how to manage important medical conditions in patients undergoing anesthesia. Topics included common conditions such as diabetes, renal failure, liver failure, pre-eclampsia, and many others. These lectures were very rewarding in that the anesthetists would quickly and enthusiastically put into practice what they were learning. I was impressed by the deep fund of knowledge that they had obtained through the quality education provided at Kijabe hospital – not only do they work hard, but they also study very hard and are well prepared to care for sick patients.

I also spent time working in the intensive care unit, a five-bed unit reserved for the five sickest patients in the hospital. Most of them had very complicated medical issues and were on circulatory and ventilatory support, and were a challenge to care for. It was a rewarding experience to work with and teach the interns, student anesthetists and nurses in the unit – hopefully they are better prepared to care for critically ill patients.

Kijabe hospital is truly an amazing place. What it lacks in resources it more than makes up for with dedicated, hardworking, charismatic individuals who, despite their own challenges in life, are tirelessly caring for the ill and less fortunate among them. I am incredibly lucky to have been able to spend time with these wonderful people and will never forget my experience. I am a better physician and a better human being for having spent time at Kijabe Hospital.

by Senator Bill Frist, M.D.

If you are a health professional, what can you do to influence global health? How can you get involved in health care around the world? What does health diplomacy mean?

This short video serves as an introduction to a lecture on health diplomacy and global health for those who currently serve in medicine in the United States. We invite you to watch and let us know what you think.

By Brett Bechtel, MD
Department of Emergency Medicine
Vanderbilt University Medical Center 
Georgetown, Guyana

bechtel and patient

I have learned a lot from my time in Guyana. It is amazing to see how long patients will wait patiently to be seen. Crowded onto benches for hours just waiting their turn.

The "asthma room" as it is termed is one of my favorite areas of A&E. Patients magically appear there from the waiting room and are started on breathing treatments. All doctors have heard the term "all that wheezes is not asthma." So daily I would make my way through the group placed in the asthma room searching for the one who didn't have asthma but some other process. I found one elderly lady in heart failure and another baby who had a murmur and heart issue as well. Largely though the asthma room works as it gets those who need breathing treatments quickly the medicine they need. Teaching the residents at GPHC to be cautious about those other kind of wheezers was enjoyable and they will be on the lookout in the future as well.

Sadly I saw a few deaths this month including a few being pediatric. Death is much more accepted, as resources aren't as abundant here like they are in the US. I also saw some patients persevere and do well with diseases and ailments I would never have expected people to survive let alone be functional with. There is a saying here that "God is Guyanese." Essentially these people are looked after by a higher power. One man who was stabbed in the belly made it to the our A&E a full day after his wounds from deep inside the interior of Guyana after a trek through the jungle to a landing strip and then by plane to Georgetown. He remarkably ended up doing ok after surgery to his intestines.

The team working here is amazing. They all are very friendly and dedicated. We had young man come in shot in the abdomen one evening. We quickly had the whole staff helping to resuscitate and care for him. He was taken to the OR in record time but succumbed to his injuries as the bullet had hit the great vessels as well as the liver. He had the best chance to survive due to their quick action and the surgeons being ready as well. Unfortunately where he was shot he wouldn't have lived even at the best US trauma center either.

I did a grand rounds type talk to the Emergency Medicine residents, staff nurses and other doctors on one day. They don't have any Neurologists in the country and I saw many, many seizures of all sorts of etiologies. So after a week of seeing what they had to treat seizures and the kinds that were coming in. I lectured on strategies to manage the seizures using their pharmacological armamentarium. The power of course went out in the room I was lecturing in so it became more of a discussion and me using my computer and its battery as the projector wouldn't work. Overall though it was a great experience and the nurses and doctors were very interactive.

I also did lots of bedside teaching. Many of the doctors in the ED itself are relatively new and have just completed medical school training mostly in either Guyana or Cuba. They are eager to learn and fun to work with. They routinely stop me and ask questions about what I would do with different patient presentations. I would definitely like to return here some day.

Hope Through Healing Hands Announces The Water=Hope Campaign’s Continued Partnership with The Brad Paisley H2O II: Wetter & Wilder World Tour

Nashville, TN --Today on World Water Day, a day to draw attention to the one out of eight people around the world who lacks access to safe drinking water, Hope Through Healing Hands (HTHH) announces The Water=Hope Campaign's continued partnership with CMA Entertainer of the Year Brad Paisley and his H2O II: Wetter & Wilder World Tour presented by Chevy.

Hope Through Healing Hands (HTHH) is excited to partner again with the Brad Paisley's H2O Tour in 2011 with a campaign for clean, safe water. The Water=Hope Campaign will promote awareness and advocacy for safe water, adequate sanitation, and improved hygiene, especially in low-income countries. At each U.S. show, HTHH will have a booth to distribute literature and encourage people to learn more about how they can get involved. Prior to the show, fans will have the opportunity to text "H2O" to 25383 to donate $10 to support clean water initiatives around the globe.

Last year, HTHH built three wells in Liberia, Uganda, and Ethiopia and installed water purification systems in homes lacking access to water in Appalachia. This year, we hope to build more wells and service more homes for families to have clean, safe water at home and around the world.

H2O II: Wetter & Wilder World Tour will bring back the very popular and fan favorite "Water World Plaza," turning every city into a water festival. Focal point in the Plaza area will be the "Water World Plaza Stage" featuring emerging new stars Brent Anderson, Edens Edge and Sunny Sweeney. Special guests on the tour will be Blake Shelton and Jerrod Niemann. The tour extravaganza will open each day at 4:00pm with music starting at 5:00pm. In addition to the music stage there will be multiple water-themed activities – including a Chevy H2O FLW fishing simulator, dunking booth, slip n slide, The Water=Hope Campaign booth and more.

For concert date volunteer opportunities with The Water=Hope Campaign, visit www.WaterEqualsHope.com/volunteer.

About Hope Through Healing Hands:

Hope Through Healing Hands is a Nashville-based 501(c) (3) that promotes improved quality of life for citizens and communities around the world using health as a currency for peace. HTHH supports health students and residents to do service and training in underserved clinics around the world. For more information, go to www.HopeThroughHealingHands.org.

About Brad Paisley:

CMA Entertainer of the Year and Grand Ole Opry member Brad Paisley is a consummate singer, songwriter, guitarist and entertainer, which has earned him three GRAMMY's, 14 Country Music Association Awards and 13 Academy of Country Music Awards. He has 18 #1 singles and has released nine critically acclaimed studio albums, the most recent Hits Alive which is a two disc release of original studio hits as well as live performances from concerts. Paisley's innovative and entertaining H20 World Tour played to over 879,000 fans in 2010 and placed #1 country tour for attendance by Pollstar. Paisley's current single "This Is Country Music" is the title track from his next album which will be in-stores May 24.

H2O II: Wetter & Wilder World Tour dates:

*Paisley only shows.

**Paisley, Shelton, Niemann only

*** Paisley, Shelton, Niemann and Darius Rucker

May 28 Heinz Field Pittsburgh, PA ***

June 3 Virginia Beach Amphitheatre Virginia Beach, VA

June 4 Comcast Theatre Hartford, CT

June 11 Progressive Field Cleveland, OH

June 16 Riverbend Music Center Cincinnati, OH

June 17 Verizon Wireless Amphitheatre St. Louis, MO

June 18 Verizon Wireless Music Center Indianapolis, IN

June 24 Wild West Arena-Nebraskaland Days North Platte, NE**

June 25 Tuttle Creek State Park Manhattan, KS**

July 2 Lavell Edwards Stadium Provo, UT*

July 15 PNC Band Arts Center Holmdel, NJ

July 16 Comcast Center Boston, MA

July 17 Scarborough Downs Scarborough, ME

July 22 Toyota Pavilion Scranton, PA

July 23 Darien Lakes PAC Darien Lakes, NY

July 30 Pizza Hut Park Frisco, TX

August 4 WE Fest Detroit Lakes, MN**

August 6 First Midwest Bank Amphitheatre Chicago, IL

August 7 Columbus Crew Stadium Columbus, OH

August 17 O2 Arena London, UK*

August 19 Olympia Theatre Dublin, IRE*

August 24 Cirkus Stockholm, SWE*

August 26 Spektrum Oslo, NOR*

August 27 Lisebergshallen Goteburg, SWE*

August 28 Forum Copenhagen, DEN*

September 9 1-800-ASK-GARY Amphitheatre Tampa, FL

September 10 Cruzan Amphitheatre West Palm Beach, FL

September 23 Susquehanna Bank Center Philadelphia, PA

September 24 Jiffy Lube Live Washington, DC

September 25 Time Warner Cable Music Pavilion Raleigh, NC

###

Contact: Jenny Dyer

615-386-0045

by Rebecca Cook
Vanderbilt School of Medicine
Kijabe, Kenya

cook baby E

These last two weeks at Kijabe I've been working on the pediatric service. I've worked on a fabulous team in pediatrics. My main "partner in crime" is a Kenyan clinical officer who loves kids and has a tremendous fund of knowledge and experience. Between the two of us, we see all the patients every morning in preparation for team rounds, write their daily notes and orders, and see outpatient pediatric consultations and admit patients in the afternoon. Everyday we go on rounds with a short-term family practice volunteer doctor from the US with years of experience, and a brilliant Kenyan pediatrician who trained at the top national hospital in Kenya.

Although I didn't spend much time in the nursery, I also interact with the nursery team: an amazing American pediatrician who has spent the last 15 years working in rural Uganda and a pediatric resident from India with an incredible bedside manner. We round with a nutritionist or a nutrition intern who not only provide great plans in how to get our babies gaining weight, but also spend a lot of time with families, often informally serving as ad hoc social workers/counselors. One of the best aspects about working at Kijabe has been the diversity and richness of the people I get to work with and learn from everyday.

I've had an amazing range of patients from the "bread-and-butter" babies with bronchiolitis and viral gastroenteritis that are fairly easy to admit and care for, to some really sick little babies with multiple serious medical problems and some surgical conditions I may not see twice in my lifetime. These are the ones that you really get to know and worry about. One in particular is Baby E. He's a 7 month old baby who came to the hospital about a week before I started on pediatrics in a coma, severely dehydrated and really sick. My first day, he had just transferred back to our pediatric ward from the ICU and his condition was still tenuous. Baby E is Massai, one of the most traditional people groups in Kenya; his family lives in fairly remote part of Kenya and eeks out a living through raising cows. I cannot even begin to imagine what it is like for his mother to be in the hospital, a day's travel away from her 8 other children for 3 weeks, she definitely had her moments of discouragement, but at the same time she displayed incredible graciousness and generosity to me as her "baby's doctor."

One morning when I came to examine Baby E she said, "I want to give you a Massai blessing," reached out her hand and gently slid a vibrant beaded Massai bracelet onto mine. Baby E was still in the hospital when I left and to be honest, I don't know his long-term prognosis, he has devastating neurologic sequelae. We were very honest with his family about the extent of the damage and that we did not know how much he would recover in the long-term. I internally struggled in caring for baby E with the tension between providing the standard of care for this individual patient and taking into account the tremendous financial and social burden on this family, especially when the ultimate outcome was so uncertain. By advocating that baby E stays in the hospital to get the oxygen and nutrition support to give him the best possible chance of recovery, what am I doing to the 8 other children this family has at home? Their mother is not with them to care for them or feed them and they are accumulating a hospital bill that is possibly even more than a year of this family's average income. These are impossible dilemmas and it was easy to become discouraged. At the same time, I had to keep reminding myself that despite the hardship for the family he is my patient and my greatest obligation is to do what is best for him.

My final afternoon at the hospital I had a glimmer of hope for baby E. I saw a three year old girl in the outpatient pediatric clinic who had been severely ill at 5 months of age with tremendous neurologic damage but who was now not only still living, but was thriving; she had some muscle weakness on one side of her body but she was a happy, playful three-year old . I hope and pray that this will be true for baby E.

Despite the numerous challenges in the US health care system and the fact that I have taken care of many patients in America without insurance and with tremendous needs, my time in Kenya has been the time of greatest personal awareness (and anguish) of the limited resources of my individual patients and the impact on their care. I have learned good lessons about being creative and ways to reduce waste; I have also had more personal heartache over my patient's dilemmas that I hope will shape the contributions to individual and population level care I have in the future.

by Rebecca Cook
Vanderbilt School of Medicine
Kijabe, Kenya

I've spent my first 2 weeks at Kijabe Hospital working on the internal medicine team of the men's ward. Inpatient medicine at a tertiary care hospital is a quite a change of pace from rural primary care at Lwala. We have more diagnostic and treatment abilities, but also "sicker" patients. The variety in what I've seen has been tremendous – everything from the "bread and butter" medicine cases I see in the US like COPD, CHF, and diabetes but also lots of infectious diseases (HIV/AIDS, TB infections in every manifestation (brain, lung, abdomen), meningitis). I've taken care of men as old as late 80s and as young as 15 (the cut-off for pediatrics here is 12). I work on a team with a medical officer intern (equivalent of an intern in the US), a clinical officer (equivalent of a nurse practicioner/physician's assistant), along with two family practitioners that come on attending rounds with us once a day and are there for "back-up" if we need it. Besides my amazing patients, my favorite thing about Kijabe is the people I work with. The medical intern and clinical officer on my team are really bright, hardworking, and compassionate Kenyan women; they have tons of experience, especially with physical diagnosis skills and they're a pleasure to work with. The hospital always seems to be at or above capacity, basically our 80-bed men's ward almost always has beds in the hallway. The wards are fairly public with 10 beds in a room. The advantage is that many times when I get stuck with language I have a built in interpreter in the bed next door, or if I'm trying to gauge the progress of one of my patients a brain infection and altered mental status, his neighbors will chime in and tell me how he's doing. They often times really look out for each other. Yet this "built-in" community does also bring the challenge of maintaining confidentiality and privacy for patients; for example when a patient is newly diagnosed with HIV, they often have not yet decided to disclose their infection to their family, much less the stranger in the bed next door.

A few firsts for me this month:

-Being the one to share with a previously healthy 51-year old police officer that he has advanced cancer, follow him and his wife through 10-days in the hospital while stabilizing him from acute kidney failure only to have him pass away while traveling to the national hospital for chemotherapy

-Performing my first lumbar puncture (and second, and third)

-Seeing my first case of rheumatoid lung, TB pericarditis, HIV cardiomyopathy, cryptococcal meningitis, thyrotoxicosis, among others....

Sometimes the limitations in terms of nursing staff, diagnostics, or therapies are frustrating. At the same time, I'm amazed by how much can be done, and how often patients and their families fill the gap in care. Once a week all of the hospital staff gather for a chapel service and I've found this time to be important. It's a time when titles don't matter, when the lab tech and a nursing student may be leading the singing, and we're all just there to renew strength and hope when we reach our own limits.

Senator Bill Frist, M.D. is board member of the Kaiser Family Foundation.

The Kaiser Family Foundation has released a collection of new resources examining global health and HIV/AIDS funding in the Obama Administration’s budget plan for fiscal year 2012.

On global health, a new fact sheet breaks down the $9.8 billion in the budget request for the Administration’s Global Health Initiative (GHI), a proposed six-year, $63 billion effort to develop a comprehensive U.S. government strategy for global health. The fact sheet reviews proposed funding for the initiative, including breakouts by program area (HIV/AIDS, malaria, etc.) and by agency, including trend data where available.  It also examines support for the President’s Emergency Plan for AIDS Relief (PEPFAR).  The Foundation also has updated its Global Health Budget Tracker to reflect the President’s proposed fiscal year 2012 budget; the tracker will be updated to reflect changes as Congress considers and acts on global health appropriations.

A second fact sheet examines the $28.3 billion in proposed funding for HIV/AIDS programs both within the U.S. and overseas.   On the domestic side, the fact sheet breaks out support for programs that provide health care, drugs and other services to people with HIV or AIDS, as well as prevention and research funding.  The global budget examines spending for HIV/AIDS through bi-lateral and multi-lateral efforts.

In addition, the Foundation has updated the relevant Kaiser Slides charts to reflect the President’s budget proposal.  The charts can be downloaded for use in presentations or slide decks.

The Kaiser Family Foundation is a non-profit private operating foundation, based in Menlo Park, California, dedicated to producing and communicating the best possible information and analysis on health issues.

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