As is true with each new presidential administration the global health community hangs in the balance. According to KFF.org the US global health funding was set at $11 billion in FY 2019 and in 2020 the funding was significantly decreased. This funding goes towards programs in more than 70 countries for HIV, malaria, maternal and child health among other health challenges. But now with the Biden administration the global health imperative is back on the table with increased funding and a dedication to countries’ health. Here are four reasons why.
At the start of the last administration the lamentations were heard around the world about the reinstatement of the Mexico City Policy or the Global Gage Rule, that cut overseas funding from advocating for the legalization of abortions, provide abortions, mention the word, or even refer women to health practionioners that provide safe, legal abortions. Biden has already revoked the Mexico City Policy, but according to Time magazine the Trump effect may take some time to undo.
The Trump administration also withdrew from the World Health Organization (WHO), something that seemed unfathomable, but was a stark wakeup call for the global health community. Biden stopped the United States’ official withdrawal from the WHO. This is important as the US provides significant funding for global health and by re-entering the worldwide health community, the US will help stabilize the global COVID-19 response.
Not only did the Trump administration withdraw from the World Health Organization, it also withdrew from The Paris Climate Agreement signed in 2015. Make no mistake, while the Agreement sets conditions and milestones for countries to reach to stave off and prevent further climate extremes it is very much a health agreement. Again, Biden rejoined The Paris Agreement, putting the United States back on a solid footing on climate change initiatives.
Biden’s nominee for administrator of USAID is Samantha Power. With years of global health and administration experience under her belt, Power is the former US ambassador to the United Nations under Obama. Additionally, Power served as Special Assistant to the President and Senior Director for Multilateral Affairs and Human Rights at the National Security Council. Power will certainly raise the profile of USAID and usher a renewed sense of the United States’ responsibility to global health and security.
In the first few weeks of Biden’s administration there have been several notable changes in how the United States approaches global health. This is especially imperative with the COVID-19 pandemic still raging out of control with new variants and a backed-up vaccine rollout. Now, there is a plan in place not only for the United States, but also for global distribution of the vaccine where the vast majority of the vaccines have gone to high-income countries according to Duke Univeristy’s Global Health Instutute.
The United Nations has, at long last, accepted some responsibility that it played a part in a cholera epidemic that broke out in Haiti in 2010 and has since killed at least 9,200 people and infected nearly a million people.
This is the first time that the UN has acknowledged that it bears a duty towards the victims. It is a significant step forward in the quest for accountability and justice.
Haiti is one of the poorest countries in the world. It is frequently devastated by disasters – both natural and man-made. Yet cholera was not one of its problems before 2010. Then a group of UN peacekeepers was sent to help after an earthquake.
At the end of one of the largest summits at the United Nations headquarters in New York, government representatives from all over the world will sign a commitment to new global development goals. These will replace the millennium development goals, setting objectives for bringing peace and prosperity, and reducing the impact of climate change.
UN member states have agreed on a list of 17 broad goals and 169 more specific targets. These goals are not legally binding but they will be important. They are aimed at eradicating hunger and poverty, while at the same time promoting peace, prosperity, health and education and combating climate change.
Today the United Nations released their final assessment (PDF) on the eight Millennium Development Goals that were adopted fifteen years ago. Some of the goals have achieved greater global impact than others. However, the fact remains that more people are not living in poverty, less mothers and infants are losing their lives during childbirth, more people have access to water and sanitation, and more children are living past the age of five as quick examples of the MDGs success.
“The report confirms that the global efforts to achieve the Goals have saved millions of lives and improved conditions for millions more around the world,” Secretary-General Ban Ki-moon said at the launch of the report in Oslo, Norway.
“These successes should be celebrated throughout our global community. At the same time, we are keenly aware of where we have come up short,” he added.
Those eight goals are slated to expire in September and an entirely new set of goals will be voted upon and adopted during the United Nations General Assembly. Now, there are 17 Sustainable Development Goals (SDGs) and 169 targets on the table that need to be not only understood by civil society and governments and worked toward, but also financed.
What is particularly important about the SDGs is that an open working group with the input of seven million people helped create the framework for the new goals as opposed to a few select experts and member states that created and adopted the MDGs. This is partly why the new SDGs are so far-reaching in their outlook and ambitions. The 17 global goals for sustainable development can be found at globalgoals.org.