FY 2011 President’s Budget Request for International Family Planning & Reproductive Health Programs

Bilateral Assistance — U.S. Agency for International Development (USAID)

As spelled out in White House budget document, the FY 2011 request increases funding for the President’s Global Health Initiative and states:

“The Administration will build on its commitment to save millions of lives through increased investments in global health activities. The Budget includes increased funding to combat the HIV/AIDS crisis by: focusing on increasing treatment and prevention; ramping up maternal and child health programming to reduce mortality of mothers and children under five and decrease the prevalence of malnutrition; expanding investments in family planning activities, malaria, tuberculosis, and neglected tropical diseases; and strengthening local health systems to enhance capacity and long-run sustainability of each health program.”

See page 105 of the State Department and international programs section of the budget.

Of the total bilateral funding request, the portion within the Global Health and Child Survival (GHCS) account allocated for FP/RH is slated to increase to $590 million—a $65 million increase above the FY 2010 appropriated level.  According to reliable and well-informed sources, total FP/RH funding from all bilateral accounts—including GHCS and funds designated for politically-important nations (Economic Support Fund—ESF) totaling $65.3 million and assistance to countries in Europe, Eurasia, and Central Asia (AEECA) of $10.5 million, amounting to an additional $76 million—equals $665.7 million (totals do not add due to rounding).

See pages 28-37 and 239-240  of the just-released FY 2011 Congressional Budget Justification (CBJ) for U.S. foreign assistance programs in particular for account and country-level detail on the FP/RH budget request.

Additional detail is also provided on the President’s Global Health Initiative of the GHI including the fact that $20 million of FP/RH funds in the GHCS account are to be allocated to a $200 million GHI Strategic Reserve for use on programs in up to 20 “GHI Plus” countries that “provide significant opportunities for impact, evaluation, and partnership with governments.”

A detailed description of the programs supported by the FP/RH request under GHCS account is to be found on page 57 of the State Department’s “executive budget summary” document, available at the following link — http://www.state.gov/documents/organization/135888.pdf and in the foreign assistance CBJ.

For purposes of comparison, a table on budget requests and appropriated levels for bilateral FP/RH programs follows below:

BILATERAL
INTERNATIONAL FAMILY PLANNING & REPRODUCTIVE HEALTH ASSISTANCE
BUDGET REQUESTS & APPROPRIATED LEVELS
(in millions of dollars)

 

Fiscal Year

FP/RH from GHCS
President’s Request

FP/RH from GHCS
Enacted by Congress

Total FP/RH Bilateral Funding
President’s Request

Total FP/RH Bilateral Funding
Enacted by Congress

FY 2002

368.5

425.0

446.5

FY 2003

368.5

368.5

425.0

446.5

FY 2004

346.0

373.3

425.0

429.5

FY 2005

346.0

371.9

425.0

437.3

FY 2006

346.0

371.3

425.0

435.6

FY 2007

294.0

371.3

357.0

435.6

FY 2008

301.7

391.8

324.8

457.3

FY 2009

301.7

455.0

327.0

495.0

FY 2010

475.0

525.0

543.0

593.5

FY 2011

590.0

pending

665.7

pending

NOTE — Enacted funding levels for  FY 2004 and FY 2005 reflect government-wide across-the-board cuts imposed on all non-defense, non-homeland security discretionary spending totals of 0.59 percent and 0.83 percent respectively.  Enacted levels for FY 2006 reflect an across-the-board cut of all discretionary spending, except veterans’ health benefits and Iraq war costs, of one percent.  Figures used in the FY 2007 enacted columns are those contained in the House-passed FY 2007 continuing resolution (H.J. Res. 20).  Enacted funding levels for FY 2008 reflect an across-the-board rescission on all non-defense, discretionary spending totals of 0.81 percent.

U.S. Contribution to UNFPA

The budget request proposes that $50 million be contributed to UNFPA  in FY 2011 from the State Department-managed International Organizations and Programs (IO&P) account, along with all of the voluntary contributions for other UN agencies such as UNICEF.  The $50 million contribution requested is $5 million less than the amount that Congress earmarked for UNFPA in FY 2010, the sole discouraging aspect of an otherwise favorable budget proposal for international FP/RH programs.

The Obama administration requested an identical $50 million for UNFPA in FY 2010, but Congress ignored the proposed level and bumped the earmarked contribution up by $5 million.  The reduction in the FY 2011 request level for UNFPA may be in large part attributable to the pressure on the IO&P account as whole, which is slated for a $43 million—or 11 percent—cut.  In percentage terms, the proposed reduction in the UNFPA contribution is slightly less severe.

As noted in the State Department’s “executive budget summary” document, the United States resumed funding support for UNFPA in FY 2009 after a seven-year absence, and “contributions to UNFPA will bolster the fund’s continued efforts to reduce poverty, improve the health of women and children, prevent HIV/AIDS, and provide family planning assistance to women in over 150 countries.”  (p. 95)

See the “executive budget summary” document athttp://www.state.gov/documents/organization/135888.pdf and also additional references in the foreign assistance CBJ.

For purposes of comparison, a table on budget requests, appropriated levels, and amounts provided to UNFPA follows below:

 

U.S. CONTRIBUTIONS TO UNFPA
BUDGET REQUEST, APPROPRIATED LEVEL, AND AMOUNT PROVIDED
(in millions of dollars)

 

Fiscal Year

President’s Budget Request

Appropriated Level Enacted by Congress

Amount of U.S. Funds Provided to UNFPA

FY 2001

?

not more than 25

21.5

FY 2002

not more than 25

not more than 34

0

FY 2003

0

not more than 34

0

FY 2004

0

not more than 34

0

FY 2005

0

34

0

FY 2006

up to 25

34

0

FY 2007

up to 25

34

0

FY 2008

up to 25

40

0

FY 2009

up to 25

50

50

FY 2010

50

55

55

FY 2011

50

pending

pending

 

Other Items of Interest

In the international affairs programs section of the detailed budget appendix, the President also proposes specific changes in current appropriations language.  Most of the existing legislative restrictions on the international family planning program related to abortion, coercion, informed consent, “Buy America” for condoms, and natural family planning are included and recommended for continuation.  However, important FP/RH policy and funding language that is routinely included by Congress is not contained in the Obama administration’s recommendations, including:

  • statutory earmark for FP/RH from all bilateral accounts in the general provisions;
  • the entire section on UNFPA in the general provisions, including the designated contribution level and restrictions on funding; and
  • the requirement for a Kemp-Kasten determination within six months of enactment.

The fact that the Obama administration did not recommend the inclusion of this language is probably not reflective of their attitude toward FP/RH programs, but may merely be a reflection of the desire of every administration to not have their hands tied by multiple legislative directives.

You can view the appendix for yourself athttp://www.whitehouse.gov/omb/budget/fy2011/assets/sta.pdf

For information on the broader outlines of the foreign assistance budget request, including the treatment of other development and humanitarian assistance sectors, please visit the websites of the U.S. Global Leadership Campaign and InterAction.

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