Strategic Goal 9: Social and Environmental Issues - Performance Results for Performance Goal 1


FY 2003 Performance and Accountability Report
Bureau of Resource Management
December 2003
Report

VII. Performance Results

PERFORMANCE GOAL 1

Improved global health, including child, maternal, and reproductive health, and the reduction
of abortion and disease, especially HIV/AIDS, malaria, and tuberculosis

 

I/P #1: GLOBAL HEALTH

Improve global health by fighting the global HIV/AIDS pandemic, combating other emerging diseases, and countering bioterrorism.

INPUT INDICATOR

Indicator #1: Status of the Global Health Security Action Group (GHSAG)

FY Results History 2000 N/A
2001 Baseline: The United States, Canada, France, Germany, Italy, Japan, Mexico, and the United Kingdom agreed to cooperative efforts to counter bioterrorism.
2002 General terms of reference for the creation of a pharmaceutical and biotech industry anti-terrorism code of conduct
were developed.
FY 2003
Data		 2003 Results GHSAG has formed technical working groups. In December 2002, GHSAG formed a new technical working group (TWG) on Pandemic Influenza. During the GHSAG working meeting in September 2003 in Ottawa, GHSAG members decided to add SARS to the topic of the Influenza TWG. GHSAG has tested Incident Scale. GHSAG members are prepared to submit Terms of Reference for GHSAG Ministerial Meeting in November 2003.
Target
  1. The GHSAG clarifies its mission and membership considerations.
  2. The GHSAG forms technical working groups on key issues such as risk management, containment/isolation, pandemic influenza and support for a WHO smallpox vaccine reserve.
  3. GHSAG develops a formalized network of laboratories to enhance cooperation and collaboration.
Rating On Target
Impact

GHSAG's TWGs are operational and contributed significantly to running of international smallpox bioterrorism exercise, "Global Mercury." TWG's also made it possible for implement the following activities:

  • The first ever Train-the-Trainers session on Smallpox Outbreak Containment. Pilot will be adapted for replication.
  • Conducted international workshop on Isolation Techniques for Patients with Smallpox and Other Highly Contagious Viral Infections.
  • Conducted workshop on Evaluation of Smallpox Detection Assays.
  • Conducted workshop on Chemical Events.

OUTCOME INDICATOR

Indicator #2: Countries or Regions With Stabilized or Reduced Rates of New HIV Infections
FY Results History 2000 N/A
2001 Baseline: Uganda, Senegal, and Thailand stabilized or reduced rates of new HIV infections.
2002

A total of five countries had stabilized or reduced rates of new HIV infections

  • Uganda, Senegal, Thailand, Zambia and Cambodia.
FY 2003
Data		 2003 Results Tanzania added as sixth country to have stabilized or reduced rates of new HIV infections.
Target A total of six countries stabilize or reduce rates of new HIV infections.
Rating On Target
Impact Stable or declining infection rates for HIV reduces the economic and social costs now and into the future.

OUTPUT INDICATOR

Indicator #3: Status of International Collaboration, and Partnerships to Support Health, Including the Global Fund to Fight AIDS, Tuberculosis, and Malaria
FY Results History 2000 N/A
2001 Baseline: The level of bilateral and multilateral collaboration on global health increased significantly; UN Special General Assembly Session on HIV/AIDS; negotiations completed for the Global Fund.
2002 The Global Fund began work; negotiations continued to put mechanisms in place that guarantee program and financial accountability, set rules for procurement, etc. The Global Fund had multi-year pledges totaling $2.1 billion, with approximately $750 million available for the year; one large contribution was from the private sector.
FY 2003
Data		 2003 Results
  1. All but one of the first round of grant agreements has been signed.
  2. Database has not been established but a survey is evaluating country level mechanisms.
  3. Pledges have increased, with more-in-kind donations from both foundations and commercial enterprises.
Target
  1. Sign the first grant agreements for the Global Fund, which indicate agreement on the monitoring and evaluation framework.
  2. The Global Fund database to track country-level partnerships is in place to ensure that country-level mechanisms are true public-private partnerships.
  3. Funding increases, including funds from one additional foundation and one commercial enterprise.
Rating On Target
Impact The Global Fund is a new financing mechanism in the fight against AIDS, tuberculosis and malaria. With grants in over ninety countries, it has vastly increased the availability of funds to countries in need, so they can take appropriate actions to fight the three diseases.

INPUT INDICATOR

Indicator #4: Number of Bilateral and Multilateral Meetings in Which the U.S. Plays a Leadership Role in Dealing with Health Issues
FY Results History 2000 N/A
2001 N/A
2002 Baseline: As of September, the United States participated in five UN meetings and one bilateral meeting.
FY 2003
Data		 2003 Results
  • The United States participated in at least nine health-related multilateral meetings in FY 2003, (e.g., World Health Organization, Pan American Health Organization, UNAIDS, International Agency for Research on Cancer, and two meetings to negotiate the WHO Framework Convention on Tobacco Control).
  • Bilateral meetings on health held with India, Singapore, and Vietnam.
Target The United States participates in UN meetings dealing with health issues and in two bilateral meetings.
Rating On Target
Impact
  • Active U.S. participation in multilateral and bilateral meetings protects and promotes U.S. policies and interests on health issues.
  • Active U.S. participation is critical in UN meetings dealing with the range of public health issues, such as HIV/AIDS, Severe Acute Respiratory Syndrome (SARS), chronic non-communicable diseases, development of the Framework Convention on Tobacco Control, and other issues.
  • Bilateral meetings contributed to a greater awareness of health issues in partner countries, and increased opportunities for partnership to counter threats such as SARS.
Other Issues Beginning in FY 2004, the Department will no longer report on this indicator because its validity as a measure of the Department efforts and performance in the area of global health is limited.

INPUT INDICATOR

Indicator #5: Department-Wide Awareness of Global Health Issues and USG Policy
FY Results History 2000 N/A
2001 N/A
2002 Baseline: Briefings for ambassadors and other USG personnel on health issues and USG policy.
FY 2003
Data		 2003 Results Four regional U.S. chiefs of mission conferences on HIV/AIDS held in 2003 in Bangkok, Kiev, Moscow, and Port-of-Spain. Meetings included USG personnel from all relevant agencies, both from Washington and field offices. Briefings on health issues at meetings of regional Environment, Science, Technology and Health officers in Europe, Latin America, and Asia.
Target Briefings for ambassadors and other USG personnel on health issues and USG policy.
Rating Above Target
Impact The meetings allowed Ambassadors and USAID mission directors, among others, to share lessons learned, and do regional action planning. Concrete results have included opinion editorials in the local press, improved programs for Embassy personnel, and ability to help host governments make grant applications and increase their efforts on AIDS.
Other Issues Beginning in FY 2004, the Department will no longer report on this indicator because its validity as a measure of the Department efforts and performance in the area of global health is limited.

OUTCOME INDICATOR

Indicator #6: Status of Maternal Mortality Rate
FY Results History 2000 N/A
2001 N/A
2002 N/A
FY 2003
Data		 2003 Results N/A: No result to report, as the Department did no work in relation to this target in FY 2003.
Target Five countries decrease maternal mortality rate by at least 2 percent.
Rating N/A
Impact N/A
Other Issues This indicator is not an appropriate measure of the Department's international population activities. The Department does not fund programs directly affecting maternal mortality. USAID does support programs directly affecting maternal mortality, and tracks related indicators. Performance planning and reporting on U.S. international population policy will be further coordinated through the joint State-USAID Strategic Plan for FY 2004-2009.

INPUT INDICATOR

Indicator #7: Number of UN Population Fund (UNFPA) Field Monitoring Trips Conducted
FY Results History 2000 N/A
2001 N/A
2002 Baseline: One independent Department team visited China to assess the UNFPA program there.
FY 2003
Data		 2003 Results Department special teams conducted two monitoring trips to China, a UNFPA program country, in FY 2003.
Target Make three monitoring trips to UNFPA program countries.
Rating Slightly Below Target
Impact Monitoring trips provided USG with first hand information on the implementation of Chinese population policies. Along with concurrent bilateral talks, the trips served to build trust between USG and Chinese population officials. In a year, the Chinese government has eliminated some coercive measures in some areas of the country.
Other Issues Beginning in FY 2004, the Department will no longer report on this indicator because it does not effectively measure the Department's efforts and performance in the area of global health.

OUTPUT INDICATOR

Indicator #8: Status of World Health Organization (WHO) International Health Regulations (IHR)
FY Results History 2000 N/A
2001 Baseline: World Health Assembly linked IHR revision process to global health security and bioterrorism.
2002 WHO continued consultation and elaboration of approach and gaining international consensus.
FY 2003
Data		 2003 Results
  • WHO strengthened its activities related to global and national-level disease surveillance and undertook major efforts with governments in limiting and controlling SARS.
  • Work continues on revising the WHO International Health Regulations with the target for adoption in 2005 of revised regulations.
Target Work also continues to ensure surveillance and reporting on man-made as well as natural disease outbreaks.
Rating On Target
Impact WHO actions contributed to an unprecedented global effort against Severe Acute Respiratory Syndrome (SARS). Countries became more aware of the need to report outbreaks and to request international help, when necessary, in containing infectious disease outbreaks, whether natural or man-made.

OUTPUT INDICATOR

Indicator #9: Countries With Smallpox Vaccine and Drug Stockpiles
FY Results History 2000 N/A
2001 N/A
2002 N/A
FY 2003
Data		 2003 Results

Baseline: Several countries now reporting development or expansion of national smallpox vaccine stockpiles.

  • In March 2003, Germany reported a build-up of their smallpox vaccine stockpile. As of March 2003, Germany had amassed 64 million doses, with a target of an eventual 100 million doses. This stockpile will also include Vaccinia Immune Globulin (VIG) and antiviral medications.
  • Italy also reported plans to increase their national stockpile of smallpox vaccine.
  • Japan has 2.5 million doses stockpiled of an attenuated vaccine (LC16M8), with plans for further procurement.
Target Two countries agree to establish stockpiles.
Rating On Target
Impact
  1. As a result, these countries have greater resources for protection against smallpox outbreak. Increased stockpiles decreases dependence on WHO reserve and provides for potential to assist other nations in case of an outbreak worldwide.
  2. In addition, several countries are already moving forward with financial contributions to the WHO existing smallpox reserve.

 

Photo showing members of the Ugandan Watoto Children's Choir, who are orphans of AIDS victims, performing for President Bush.

Members of the Ugandan Watoto Children's Choir, who are orphans of AIDS victims, perform for President Bush at the AIDS Support Organization Center (TASO) in Entebbe, Uganda. President Bush wants Uganda's journey out of the dark scourge of AIDS to serve as a model for his $15 billion global initiative to contain the pandemic. � AP Photo/J. Scott Applewhite

Photo showing child laborers searching for recyclable materials at the La Chureca garbage dump in Managua, Nicaragua.

Child laborers search for recyclable materials at the La Chureca garbage dump in Managua, Nicaragua. The children earn an average of $2 a day by selling paper and glass for recycling. Working in this unhealthy environment has caused many health problems such as parasites, lead poisoning, skin diseases, and respiratory problems. � AP Photo/Esteban Felix



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