Congress Moves to Boost Funding for Global Health Priorities

Recent actions in Congress show growing momentum and support for maternal and child health and family planning, with historic funding increases proposed by both the House of Representatives and the Senate. Equally significant, the Senate Appropriations Committee passed an amendment offered by Senator Frank R. Lautenberg (D-NJ) to legislatively eliminate the Global Gag Rule.

Both the House and Senate called for increased funding for global health in the foreign aid budget for fiscal year (FY) 2010. The House already passed a bill allocating $528 million for maternal and child programs and $648.5 million for family planning, an increase of $100 million for family planning over enacted levels in FY2009.

On the Senate side, a spending bill approved by the Senate Appropriations Committee now awaits a vote by the full Senate. It calls for $628.5 million for family planning and reproductive health programs—$83.5 million above the FY2009 level and $35 million above President Obama’s request. In addition, a total of $555 million for child survival and maternal health was allocated—$31.5 million above President Obama’s request and $60 million above the FY2009 level.

Senator Lautenberg’s amendment to the spending bill would stop the 25-year-long back-and-forth over the Global Gag Rule, with successive presidents instituting and then repealing the policy. Lautenberg proposed an amendment that would prevent a future president from reinstating the policy by executive order.

“It is time to end the dangerous and harmful Global Gag Rule permanently. Health care providers across the globe should be able to care for the health of women and families, without ideological obstacles blocking the way. This amendment will strengthen America’s position as an international leader for women’s rights,” said Lautenberg.

Both houses of Congress are on August recess, but when returning in September, the Senate will be taking up appropriations for foreign aid. Write your senators today and ask them to vote yes and show their support for these global health priorities.

Following the Senate vote, both the bills will go to conference, and the allocations will be finalized. EngenderHealth will keep you informed of new developments.

The Kerry-Lugar amendment passed by unanimous consent!

The Kerry-Lugar amendment just passed in the Senate by unanimous consent! Thank you to everyone who sent your Senators a letter supporting the Kerry-Lugar Amendment. Our collective efforts paid off.

With your help, we can continue to make sure our leaders stay committed to global health. If you have not already done so, please join our 3FOR1 campaign at http://www.3FOR1.org in support of international family planning—watch the video, send the letter to President Obama, and spread the word. Thank you!

If I Had a Billion Dollars...

(This post by Dr. Isaiah Ndong, M.D., M.P.H., is Vice President for Programs at EngenderHealth, recently appeared on Reproductive Health Reality Check.)

If I had a billion dollars, I know exactly how I would spend it: improving women's access to family planning in the world's poorest communities.

Some might think this is an unusual choice. But throughout my 29-year career as a doctor and public health professional working in developing countries, I have seen first-hand how contraception can change women's lives-allowing them and their families to survive, thrive, and plan for better futures.

We need to remember - amidst daily reports about a troubled economy here in the United States - that many of those living on the other side of the world confront daily emergencies of their own: poverty, malnutrition, HIV and AIDS, lack of health care, civil strife, and depleted environmental resources.

There's no doubt that $1 billion is a lot of money. But for what amounts to just .03% of President Obama's proposed federal budget, a $1 billion investment in family planning can help mitigate all of these challenges at once.

Family planning as a global health and development priority does not get the attention it deserves, particularly the direct connection between population and poverty. The chances that you can achieve a better life for your family are diminished when you are struggling just to feed and support your children. But with smaller families, parents can afford more for each child-providing better food, shelter, education, and health care-and can save more. This greatly improves their chances of breaking the cycle of poverty.

With better access to family planning come opportunities to improve social, political, and environmental conditions. When women and couples can decide when to have children, their opportunities outside the home can also expand, and they may contribute more to their communities socially and economically. There is less competition for food, jobs, and housing and more equitable and less harmful use of natural resources. For families in rural areas, this could reduce the need to seek a better life in urban areas, where the daily influx of new migrants strains already limited infrastructure.

Yet right now, millions of women and couples who wish to limit or space their births have no way to access the contraception that would let them do so. Over the last several years, U.S. support for family planning programs has dwindled while the need for it has increased, and few donors have stepped in to fill this gap. So a good portion of a $1 billion investment is needed just to rebuild these programs to the levels they were at several years ago. And across Africa and Asia, high levels of unmet need for contraception are likely to only grow as the largest youth generation in the world's history comes of reproductive age.

These are all compelling reasons to support family planning, but the bottom line for me is that it is a right, and not having access to it is a price paid in women's lives. Maternal mortality continues to devastate families - with more than 500,000 women dying during pregnancy or childbirth every year. Up to one-third of these deaths could be prevented if women had access to contraception. And, family planning reduces deaths from AIDS; it is the most effective way of preventing mother-to-child transmission of HIV.

the coming weeks, President Obama will be making allocations for the fiscal year 2010 federal budget. Please join me in calling on him to raise the United States commitment to international family planning programs to $1 billion in 2010-less than a penny per day per American.

It's sure to be one of our wisest investments.

Visit www.3for1.org or www.engenderhealth.org to send President Obama a letter and join our campaign.

What is 3FOR1? Watch our new video, and join us.

Today, EngenderHealth is launching the 3FOR1 campaign urging President Obama and
Congress to commit $1 billion to international family planning programs
in 2010. We're asking you to join us.

Family planning is a basic right. Yet, there are an estimated 201
million women worldwide who want to use it, but can't--they do not have
access. Changing this reality through increased U.S. investment can
bring significant short- and long-term returns: When women and couples
are able to plan their families, they have the chance to have healthier
and better-educated children and more productive lives, which can lead
to more stable and economically strong communities and countries.

President Obama has stated that he wants to change the way the United
States is viewed around the world. One way to demonstrate this is to
commit to improving women's health and welfare through a stepped-up
investment in family planning.

Right now, the U.S. budget for international family planning is not much
higher than it was in 1974, when adjusted for inflation. To keep up with
the large and growing need for family planning, we call on the
President to increase the U.S. contribution to this global effort to
$1 billion. This represents less than one twentieth of 1% of the
proposed 2010 federal budget--less than a penny per day for every American.

Help us ensure international family planning and reproductive health are
top priorities for the U.S. government. Watch EngenderHealth's new video
and write a letter to President Obama calling for $1 billion to be
dedicated to international family planning.