As the world marks the fifteenth anniversary of the International Conference on Population and Development (ICPD) through events and meetings such as this one, it is important to take stock of the financial and programmatic contributions made by donors and developing countries towards achieving the objectives set forth in the Programme of Action and other international development goals.
The United States remains a global leader in support of the implementation of the ICPD Programme of Action. Through our support to family planning, maternal health, and HIV/AIDS programs, the United States is committed to working in partnership with other donors and developing nations to address the health challenges facing the global community with a particular focus on Millennium Development Goals (MDG).
The United States is the largest bilateral donor for family planning in absolute dollars. In 2009, the United States has allocated $545 million for family planning and reproductive health, and for the first time in seven years, includes a contribution to UNFPA of $50 million as provided in the 2009 Omnibus Appropriations Act.
The United States Agency for International Development’s (USAID) comprehensive family planning program supports voluntary family planning and related health services to more than 50 countries that contribute all the essential elements of an effective family planning effort. These elements include service delivery, contraceptive supplies, training health service personnel, health information materials, strengthening management skills, policy support, and applied research.
Increased funding for family planning is necessary to sustain the progress achieved through past investments by donors and developing countries and to build upon this existing foundation to meet the increasing demand for family planning. Greater financial commitment for family planning will help reduce the estimated 52 million unintended pregnancies and 22 million abortions that take place each year.
The United States’ President’s Emergency Plan for AIDS Relief (PEPFAR) is an initiative like no other. The United States has contributed $18.8 billion in resources to fight the pandemic through PEPFAR, which has become the largest and most comprehensive HIV/AIDS prevention, care, and treatment program in the world.
PEPFAR’s new 10-year goals aim to provide antiretroviral treatment for 3 million people living with HIV/AIDS, to prevent more than 12 million new HIV infections, and to care for more than 12 million people, including 5 million orphans and vulnerable children. Over the next decade, PEPFAR plans to support another $39 billion in funding for HIV/AIDS bilateral programs and U.S. contributions to the Global Fund to Fight AIDS, TB, and Malaria.
The United States is strongly committed to reducing maternal mortality and improving birth outcomes through support for safe pregnancy and delivery programs, emergency obstetric care, and fistula repair. Through the Presidential Malaria Initiative, the United States is also preventing and treating malaria to reduce the burden the disease places on mothers and newborns. We estimate that funding for maternal health activities reached at least $90 million in 2008. In light of recent funding increases, the United States has been able to outline a comprehensive strategy to reduce maternal and child mortality in 30 high burden countries.
Meeting the reproductive and maternal health needs of individuals around the world is vital to improving overall health and reducing poverty - aspirations clearly in line with the Programme of Action and the Millennium Development Goals. The United States’ support for reaching these international development goals remains strong.
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