GHI employs seven core programming principles to instruct how it engages in global health. These core principles are derived from the principles outlined in the Paris Declaration on Aid Effectiveness and are woven throughout U.S. Government global health programming. They ensure that GHI programs not only achieve impacts, but also contribute to sustainable outcomes.
Although it takes time for the effects of programs to have a measurable impact on health outcomes, we see signs that the GHI approach is positively influencing our results. Here are a few select examples:
Strengthen and leverage key multilateral organizations, global health partnerships and private sector engagement: Enhanced donor coordination efforts in Nepal have enabled scale-up of the Community-based Integrated Management of Childhood Illness Programs. The U.S. Government was able to work with the Government of Nepal and seven other bilateral and multilateral donors to establish a Joint Financing Agreement (JFA) to support the Nepal Health Sector Plan – Phase II. The JFA sets out harmonized procedures for performance reviews, financial management, planning, and review exercises. In FY 2011 – the first year under the Joint Financing Agreement – the U.S. Government directly funded the Government of Nepal to implement national health programs and, through a bilateral project, provided technical assistance linked to the on-budget funds using the Government of Nepal’s financial codes. In that same fiscal year, the number of cases of child pneumonia treated with antibiotics by a trained facility or community health worker increased to over 1 million from an expected 875,000.
Increase impact through strategic coordination and integration: In Uganda, interagency efforts under GHI are being leveraged to improve integration between maternal and child health and HIV/AIDS programs. By strengthening antenatal care and coordinating laboratory and health management information systems, more than 20,000 pregnant women have received an integrated package of services in private sector health facilities offering maternal, reproductive health and malaria services in FY 2011.
Research & Innovation: In January 2012, the U.S. Government team in Mali organized a Science, Research & New Technology for Development meeting, hosted by USAID, National Institutes of Health (NIH), and Health and Human Services/U.S. Centers for Disease Control and Prevention. This gathering of international scientists, researchers, and technology experts was the first meeting of its kind to be held in Africa. These scientific and development communities discussed how to align research, technologies, and innovations with Malian health priorities, and how relevant applied research can produce high-impact interventions against public health problems.