U.S. Funding for International Maternal & Child Health

Issue Brief
  1. IHME. Financing Global Health 2014: Shifts in Funding as the MDG Era Closes; 2015.

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  2. Arregoces, L. et al., Countdown to 2015: changes in official development assistance to reproductive, maternal, newborn, and child health, and assessment of progress between 2003 and 2012, The Lancet Global Health, Volume 3, Issue 7, 410 – 421.

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  3. U.S. immunization totals include funding provided through the CDC’s Global Immunization program, USAID funding for polio, and the U.S. contribution to Gavi. U.S. funding for UNICEF that may, in turn, be used to support immunization efforts, is not included. As such, the immunization funding totals presented in this analysis should be considered a conservative estimate.

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  4. USAID estimates that, in addition to funding for polio and Gavi, approximately $20 million in bilateral MCH funding is provided for immunization activities annually. However, since these activities are funded at the country level as components of integrated health systems strengthening or health service delivery activities within the larger MCH portfolio, specific per year funding totals are not available.

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  5. With the exception of FY16 and FY17, all funding totals in this analysis represent the final funding level for that fiscal year. This includes both base and supplemental appropriations for bilateral MCH activities as well as U.S. contributions for UNICEF and Gavi. FY16 represents the enacted level and FY17 represents the President’s budget request.

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  6. USAID. Maternal and Child Health; March 2016.

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  7. USAID. Ending Preventable Maternal Mortality: USAID Maternal Health Vision for Action; June 2014.

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  8. Prior to FY10, funding for MCH programs included support for nutrition activities. For comparison purposes, MCH funding prior to FY10 is not included.

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  9. Includes both base and supplemental funding. In recent years, bilateral funding for MCH activities is provided through the Global Health Programs (GHP) and Economic Support Fund (ESF) accounts at USAID, and historically, funding has also been provide through the Assistance for Europe, Eurasia and Central Asia (AEECA) and Development Assistance (DA) accounts at USAID. Does not include funding provided through Food for Peace (FFP) due to the unique nature of the program, in FY15 the U.S. provided $3 million for MCH activities through FFP.

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  10. FY16 is based on funding provided in the “Consolidated Appropriations Act, 2016” (P.L. 114-113) and is a preliminary estimate.

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  11. Gavi, Gavi’s mission, available at: http://www.gavi.org/about/mission/.

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  12. KFF. The U.S. & Gavi, the Vaccine Alliance; March 2015.

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