Working DraftLast Modified 9/4/2007 9:23:32 PM Eastern Standard TimePrinted 12/22/2005 3:28:39 PM GMT Standard Time       ...
•   Marshall Plan enacted in 1947 for the purpose of rebuilding    Europe after WWII•   International Cooperation Administ...
A new chapter in Global health history        End of Euro-                  End of the        The Great        colonialism...
Unprecedented economic growth across the globe                                                 4
“The First Law of Health Economics”                                                              9                       L...
The Economic Transition of Health             India - Projected THE/K and Affordability                                   ...
USAID-assisted countries can now/soon buy essential package of health services                                            ...
What are the implications for global health?• Engage developing countries in new ways• Evolve the US development enterpris...
9An AIDS-free Generation
South & SE Asia: new HIV infections and Annual AIDS Deaths
Ending Preventable Child Death"Funeral of First Born" (Rural Russia, 1983). Oil on Canvas by Nicolai Yaroshenko (Russian, ...
Ending Preventable Child Death in a Generation                                                 12
Partners are the Key to Success                      •   Far-reaching networks                      •   Credibility       ...
Thank You!         15
USAID’s Core Global Health PrioritiesUnit of measure  1 Saving Mothers                                            4   Infe...
Despite great progress over the decades, much to be done Unacceptably high levels of morbidity and mortality •7.5 million ...
Default scenario: an explosion of unregulated private provision paidout-of-pocket, an inefficient and regressive form of f...
U.S. Official Development Assistance: Smaller share of total capital flows                                                ...
Conclusion:              20
UNIVERSAL COVERAGE: the new frontier for global                    healthFormal Health Coverage:     95-100%              ...
Strategy for Success       in Global HealthAriel Pablos-Méndez, MD, MPH                    May, 2012
CCIH 2012 Conference, Plenary 3, Dr. Ariel Pablos-Mendez, Voices from the U.S. Government
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CCIH 2012 Conference, Plenary 3, Dr. Ariel Pablos-Mendez, Voices from the U.S. Government

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Dr. Ariel Pablos-Mendez of USAID shares the history of the agency, its successes and challenges, and the strength of faith-based organizations in global health.

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CCIH 2012 Conference, Plenary 3, Dr. Ariel Pablos-Mendez, Voices from the U.S. Government

  1. 1. Working DraftLast Modified 9/4/2007 9:23:32 PM Eastern Standard TimePrinted 12/22/2005 3:28:39 PM GMT Standard Time CONFIDENTIAL Christian Connections for International Health June 9, 2012 Document Date Ariel Pablos-Méndez, MD, MPH Assistant Administrator for Global Health This report is solely for the use of client personnel. No part of it may be circulated, quoted, or reproduced for distribution outside the client organization without prior written approval from McKinsey & Company. This material was used by McKinsey & Company during an oral presentation; it is not a complete record of the discussion.
  2. 2. • Marshall Plan enacted in 1947 for the purpose of rebuilding Europe after WWII• International Cooperation Administration, a forerunner of USAID• President Kennedy extended the hand of the American people through technical, financial, and political support in the developing world• USAID has pioneered many important developments in the fields of health, agriculture, and education• USAID is an important element of foreign policy (Diplomacy, Defense, Development) 2
  3. 3. A new chapter in Global health history End of Euro- End of the The Great colonialism Cold War Recession Tropical International Global A New World Medicine Health Health Health ? 1960s 1990s 2010s 3
  4. 4. Unprecedented economic growth across the globe 4
  5. 5. “The First Law of Health Economics” 9 Log Total Health Expenditures/Capita 8 o e lth x e d r s a itaL gH a E p n itue /c p 7 6 5 N = 178 4 R2 = 94% 3 2 1 4 5 6 7 8 9 10 11 12 Log GDP/capita Source: Jacques van der Gaag; WHO/IMF 2004 5
  6. 6. The Economic Transition of Health India - Projected THE/K and Affordability 6
  7. 7. USAID-assisted countries can now/soon buy essential package of health services 7
  8. 8. What are the implications for global health?• Engage developing countries in new ways• Evolve the US development enterprise• Celebrate success and embrace bold challenges 8
  9. 9. 9An AIDS-free Generation
  10. 10. South & SE Asia: new HIV infections and Annual AIDS Deaths
  11. 11. Ending Preventable Child Death"Funeral of First Born" (Rural Russia, 1983). Oil on Canvas by Nicolai Yaroshenko (Russian, 1846-1898) 11
  12. 12. Ending Preventable Child Death in a Generation 12
  13. 13. Partners are the Key to Success • Far-reaching networks • Credibility • Service • A vision of a healthier world 14
  14. 14. Thank You! 15
  15. 15. USAID’s Core Global Health PrioritiesUnit of measure 1 Saving Mothers 4 Infectious diseases •Focus efforts on the 28 countries that contribute •Malaria – working through PMI, housed at USAID over 77 percent of the maternal deaths worldwide. •TB •NTDs Working Draft - Last Modified 9/4/2007 9:23:32 PM Child Survival •Avian influenza, emerging pandemic threats 2 •USAID focuses its work on 24 countries that account for over 70 percent of child deaths Family planning •We are working to galvanize the global 5 •Already transitioned 21 countries from USAID community around a child survival call to action, family planning support since the 1980’s, over the see below next five years USAID’s global health response will prioritize 24 countries that represent over 50 AIDS-free generation percent of the unmet need for family planning and 3 •prioritizes activities in three key areas that science graduate four more (Nicaragua, Honduras, Peru, Printed 12/22/2005 3:28:39 PM has identified as pivotal: preventing mother-to- and Egypt). child transmission (PMTCT), voluntary medical male circumcision, and treatment as prevention Health systems •Strength country efforts to care for the millions of 6 •During the next five years, USAID’s global health children orphaned and left vulnerable by the AIDS team will take deliberate steps to ensure that pandemic health system strengthening is built into all the work that USAID does * Footnote 16 Source: Source 16
  16. 16. Despite great progress over the decades, much to be done Unacceptably high levels of morbidity and mortality •7.5 million children died in 2010, 2/3 were preventable •One of every three children in developing world suffers stunting due to malnutrition •Women in developing countries are 125 times more likely to die from pregnancy-related complications •215 million women have an unmet need for family planning •8.8 million people were newly identified with Tb and 1.4 million died from TB •HIV/AIDS kill more people in Africa than any other disease. •Neglected Tropical Diseases affect over 1 billion people worldwide. •Rate of pathogen emergency is expected to increase five fold between 2000 and 2030 •Emerging importance of NCDs Barriers to addressing health issues •Poverty, ethnicity, socio-economic status, poor infrastructure, lack of health insurance, low status of women and girls •Lack of capacity and poorly functioning health systems •Limited access to information and knowledge 17
  17. 17. Default scenario: an explosion of unregulated private provision paidout-of-pocket, an inefficient and regressive form of financing 18
  18. 18. U.S. Official Development Assistance: Smaller share of total capital flows 19
  19. 19. Conclusion: 20
  20. 20. UNIVERSAL COVERAGE: the new frontier for global healthFormal Health Coverage: 95-100% Positive 70-95% # countries THE as % Median formal 40-70% GDP coverage 10-40% High income 65 11.2% 100% Middle income Buy SmartDraw!- purchased82% 95 5.4% copies print this 0-10% Negativ document without a watermark . e Low income Visit www.smartdraw.com or call 1-800-768-3729. 49 4.3% 5% No data Source: Lancet 2009 (ILO data 2008; map by R4D.)
  21. 21. Strategy for Success in Global HealthAriel Pablos-Méndez, MD, MPH May, 2012

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