U.S. Department of State

Improve health, education, and other social services to help nations create sustainable improvements in the well-being and productivity of their citizens.

I. Public Benefit

Young girl participating in World AIDS Day 2007 in Bhubaneswar, India. AP Photo/Biswaranjan Rout

Disease and lack of education destroy lives, ravage societies, destabilize regions, and cheat future generations of prosperity and participation in democracy. By supporting Presidential Initiatives and numerous programs that integrate economic growth with social development we are extending the basic values American citizens hold dear: good health; access to quality education; and protection for vulnerable populations.

The U.S. Government strives to improve child, maternal, and reproductive health, reduce the risk of infectious disease, and increase access to improved drinking water and sanitation services in developing countries. Critical interventions combat HIV/AIDS, tuberculosis, malaria, polio, pneumonia and diarrhea, which are leading causes of illness and death throughout the developing world. Mothers and children are especially vulnerable and are therefore two special target groups for most of these interventions. As an integral part of health programming, U.S. Government programs strengthen local capacity in disease outbreak detection and response, strengthen delivery of health services, essential drugs and commodities, and support advances in health technology.

II. Summary of Performance

Key Selected Achievements

• Through the President’s Emergency Plan for AIDS Relief (PEPFAR) program, the Department and USAID have aided in the prevention of mother-to-child HIV transmission services for women during nearly 12.7 million pregnancies.
• Working with USAID, more than 22.3 million people benefit from malaria prevention measures, including Insecticide-Treated Nets and/or Indoor Residual Spraying.

III. Performance Analysis and Resources Invested

A total of three strategic priorities are included under Strategic Goal 3. However the Education Strategic Priority and Social Services and Protection for Especially Vulnerable Populations Strategic Priority are USAID strategic priorities and are not addressed in this report. For more information on these priorities please refer to the FY 2008 USAID Annual Performance Report. The following are a few illustrative performance indicators. The complete set of 3 indicators can be found in the Department’s Annual Performance Report at http://www.state.gov/s/d/rm/rls/perfrpt/2008apr/ on page 80.

1. HEALTH: Improve global health, including child, maternal, and reproductive health, and reduce the risk of infectious disease, especially those that are leading causes of illness and death in the developing world.

U.S. activities are designed to help countries develop programs to improve the health of their populations. Major programs have been designed around HIV/AIDS, tuberculosis, malaria, but efforts are also on going in reproductive health, polio, and improving the quality and quantity of safe drinking water.

Analysis: The bulk of HIV/AIDS funding is provided through the President’s Emergency Plan for AIDS Relief (PEPFAR) in 15 Focus Countries that are the most deeply affected by the pandemic and represent 50 percent of HIV infections worldwide. In Focus Countries, the Emergency Plan has three specific five-year goals that are to be reached by 2009: provide treatment for two million people; prevent new infections for seven million people; and deliver care for 10 million people affected by HIV/AIDS, including orphans and vulnerable children.

The following indicator summarizes progress in HIV/AIDS treatment in the 15 Focus Countries.

Performance Indicator Target and Results Summary for 2006-2009

Performance Indicator	2006 Results	2007 Results	2008 Target	2008 Results	2008 Rating	2009 Target
Cumulative Number of People Receiving HIV/AIDS Treatment in the 15 Focus Countries of PEPFAR	822,000	1.35 million	1.7 million	2 million	Above target	2 million
Impact(s): Increased knowledge to determine which countries are facing challenges in scaling up their programs and which countries may have practices that should be replicated elsewhere. PEPFAR-supported treatment has helped to save and extend millions of lives, as well as avoid the orphaning of hundreds of thousands of children whose parents are infected with HIV/AIDS.
Reasons for Exceeding Target: PEPFAR has rapidly scaled up with host nations and has thus accomplished more than the targets established in the previous fiscal year.
Data Source, Verification, and Validation: Semi-Annual and Annual Progress Reports as captured in U.S. Government Country Operational Plan Report Systems (COPR). The 15 focus countries are: Botswana, Cote d’Ivoire, Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Vietnam, and Zambia. Performance data are validated and verified using Data Quality Assessments and must meet five data quality standards of validity, integrity, precision, reliability, and timeliness. Data quality assessments revealed no significant data limitations.

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