USAID submits this report, in coordination with the U.S. Global AIDS Coordinator, pursuant to section 7019(e) of the Department of State, Foreign Operations, and Related Programs Appropriations Act (Division F of Public Law 118-47) (FY 2024 SFOAA), Senate Report 118-71, and House Report 118-146, which states: USAID developed the report in coordination with the Department of State’s Bureau of Global Health Security and Diplomacy/PEPFAR.
Senate Report 118-71
Health Systems Strengthening. —The Committee directs the USAID Administrator and U.S. Global AIDS Coordinator to ensure that for operating units implementing more than one global health program area, not less than 10 percent of each program line in the table under the GHP heading, including HIV/AIDS, is spent on cross-cutting health systems strengthening activities. By strengthening health systems, countries will be better positioned to sustain global health progress, prepare for emerging health threats, provide primary care services, and prevent and address non-communicable diseases. Not later than 90 days after the date of enactment of the act, the USAID Administrator and U.S. Global AIDS Coordinator shall submit an update to the report required under the heading ‘‘Health Systems Report’’ in the explanatory statement accompanying division K of Public Law 117–103.House Report 118-146
Health systems. —The Administrator of USAID and the United States Global AIDS Coordinator shall submit a report to the Committees on Appropriations, not later than 90 days after the date of enactment of this Act, detailing progress on health systems strengthening activities. The report should include a description of how USAID and the Office of the Global AIDS Coordinator (OGAC) are designing efforts by operating unit, including Washington based programming, and the expected result on improved performance of country health systems. In addition, the report should include: (1) a baseline accounting of ongoing systems strengthening contributions from each program line in the table under Global Health Programs; (2) detail on reporting and performance indicators used to track and coordinate such efforts; and (3) a description of steps taken, or planned to be taken, to ensure systems strengthening investments are sustained by host countries. The report should include crosscutting efforts to strengthen local health workforces.
USAID developed this report in coordination with the Department of State’s Bureau of Global Health Security and Diplomacy/PEPFAR.
