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U.S. Department of State

Diplomacy in Action

Strategic Goal 3 - Public Benefit & Summary of Performance and Resources

Bureau of the Comptroller and Global Financial Services
February 15, 2013


Public Benefit

Photo showing staff members at the Buge Health Center, SNNPR, Ethiopia. USAID works with the Ministry of Health to strengthen services at health centers around the country to prevent maternal and infant deaths.

Staff members at the Buge Health Center, SNNPR, Ethiopia. USAID works with the Ministry of Health to strengthen services at health centers around the country to prevent maternal and infant deaths. USAID

Investments in global health demonstrate our compassion and serve our interests. When we help fight global killers, such as malaria and HIV/AIDS, we strengthen social and regional stability, advancing our own security. When we immunize millions of children against deadly diseases, we help support productive, healthy populations and energize the economy. And when we help a mother give birth to a healthy child, we are advancing values that unite us as Americans: compassion, equality, and a belief in the potential of every individual. While recent decades have witnessed dramatic progress in global health, preventable disease and premature death continue to plague much of the developing world, particularly affecting women and children and other vulnerable populations.

Through the President's Global Health Initiative (GHI), the Department of State and USAID are leading the effort to build on country-owned health platforms as well as the President's Emergency Plan for AIDS Relief, the President's Malaria Initiative (PMI) and earlier investments in fighting tuberculosis and promoting maternal and child health, including family planning, to foster sustainable, effective, efficient and country-led public health systems that deliver essential health care and improve health outcomes. To maximize the impact of GHI, the Department and USAID target their efforts to improve the health of women, newborns, and children by focusing on safe births and family planning, child health, infectious disease, clean water, nutrition, and neglected tropical diseases.

The Department of State and USAID also recognize that investments in education are foundational to human development and critical to broad-based economic growth and poverty reduction. Together, our education programs are working to reduce illiteracy, provide safe spaces and learning opportunities for the most vulnerable children and strengthen higher education institutions and workforce development programs to support country development goals.

Summary of Performance and Resources

Pie chart summarizing the FY 2012 resources invested for Strategic Goal 3. Values are as follows: State Operations: $0.368 billion. Foreign Operations: $10.470 billion. Total resources invested: $10.838 billion.The Department and USAID allocated $10.838 billion toward this Strategic Goal in FY 2012, which is 20 percent of the total State-USAID budget supporting all strategic goals. The performance of the illustrative indicators is provided in the following section.

Key Selected Achievements

  • Through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the U.S. Government continues to make unparalleled investments to combat HIV/AIDs, treating more than 50 million adults and children in 34 targeted countries with Antiretroviral Therapy, HIV/AIDs testing, counseling, and other services.
  • The President's Malaria Initiative (PMI) has dramatically increased the coverage of malaria control measures and reduced related child mortality levels. During the past six years, 11 PMI countries-Angola, Madagascar, Ghana, Kenya, Malawi, Mali, Rwanda, Senegal, Tanzania, Uganda, and Zambia-have reported an increase in household ownership of one or more Insecticide Treated Nets (ITNs) from an average of 31 to 60 percent.
  • Through training of health care workers, USAID's Global Health Initiative has helped to increase the percentage of births attended by skilled doctors, nurses or midwives from 41 percent in FY 2008 to 45 percent in FY 2012, in 23 targeted countries in sub-Saharan Africa, and Asia.
  • U.S. assistance efforts helped to increase the percentage of households using an improved sanitation facility to 26 percent in eight priority countries, nearly double the 14 percent target. Use of an improved sanitation facility by households is strongly linked to decreases in the incidence of waterborne disease among household members, especially among children under age five. Diarrhea remains the second leading cause of child deaths worldwide.


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