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

Selected Strategic Priorities and Analyses

HEALTH: Improve global health, including child, maternal, and reproductive health; prevent and treat infectious diseases; and increase access to better drinking water and sanitation services.

Analysis - Tuberculosis: Twenty-two developing countries account for 80 percent of the world's tuberculosis (TB) cases, and in FY 2010, the disease killed approximately 1.4 million people. The focus of USAID's TB program is to improve the quality of basic TB services as well as to prevent and combat multi-drug-resistant TB (MDR-TB) and extremely drug-resistant TB in 20 Tier 1 priority countries.

In USAID supported countries, the death and prevalence rates from TB have decreased 29 percent and 13 percent, respectively since 1990. In 2012, U.S. efforts helped ensure that 86 percent of registered new smear positive pulmonary TB cases were cured and completed treatment under a directly observed treatment short course strategy in health facilities and communities.

Analysis - Nutrition: Over 130 million children worldwide, or one in every four children, are underweight. Under nutrition contributes to 3.5 million child deaths every year, making it the leading contributor to under-five mortality. The damage caused by insufficient nutrition to physical growth and brain development in pregnancy and early childhood is irreversible. It leads to permanently reduced cognitive function and physical capacity through adulthood. However, this cycle is preventable. Improving nutrition can reduce child and maternal mortality and morbidity as well as chronic diseases later in life, lift families out of poverty, and contribute to long-term economic growth. As part of the GHI, USAID's nutrition programs are becoming integrated with activities under the maternal and child health and family planning/reproductive programs. Nutrition is the lynchpin between the United States' Feed the Future (FtF) Initiative and the GHI. These initiatives helped reduce the percentage of underweight children under five years of age in 17 targeted countries from 27 percent in FY 2009 to 25 percent in FY 2012.

Photo showing students that participate in school programs that provide sanitary practices and health information that help the whole family.

School programs have become particularly useful for students to bring home sanitary practices and health information that end up helping the whole family-messages on HIV/AIDS, reproductive health, personal safety for girls, nutrition, civic education, environment, and hygiene are just some of the topics of education. USAID

Analysis - Water Supply and Sanitation: The U.S. Government is committed to using its foreign assistance resources to help achieve a water-secure world where people and countries have reliable and sustainable access to an acceptable quantity and quality of water to meet human, livelihood, production, and ecosystem needs. The centrality of water for individuals, societies, and the environment also means that water issues intersect with all other aspects of development. The U.S. Government uses a diverse number of approaches to increase access to water, including direct support for small- and large-scale infrastructure development and indirect support through community-based systems, facilitation of private supply of products and services, and financing to ensure long-term sustainability and expansion of access. Through these efforts, the percentage of households using an improved drinking water source increased to 37.5 percent in seven priority countries in FY 2012, well above the 29 percent target.