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January 22, 2009
Council on Foreign Relations
As the world economic crisis threatens to undermine strides made in combating poverty since the 1960s, a new report calls on the U.S. government to, "at a minimum, stay the course in its commitments to global health and development" and to ideally increase its foreign assistance spending.
The author of the report, CFR Senior Fellow for Global Health Laurie Garrett, writes that even before the onset of the global economic crisis, worldwide foreign assistance had declined, dropping 4.7 percent in 2006 and 8.4 percent in 2007. She warns that, "as the costs and risks of doing the business of humanitarian aid in the world increase, so must U.S. financial support" and urges President Obama to fulfill his promise to double U.S. official development assistance to $44 billion in FY09.
The report, The Future of Foreign Assistance Amid Global Economic and Financial Crisis: Advancing Global Health in the U.S. Development Agenda, focuses on global health as a part of the broader foreign assistance program. It argues that "it has long been acknowledged that no question of disease, survival, or longevity can be separated entirely from larger development issues, food security, or humanitarian crises." It offers recommendations for reforming the U.S. foreign assistance program, which were developed during meetings with government officials, Congressional staff, policy analysts, members of the religious, health, and NGO sectors, and others. These recommendations include the following:
The report also calls for reforms more specifically related to global health development assistance, including:
This initiative was made possible through the generous support of the Bill and Melinda Gates Foundation, CFR's Program on International Institutions and Global Governance, Merck & Co., Inc., the Robina Foundation, and the Rockefeller Foundation.
For full text of the report, visit www.cfr.org/future_of_foreign_assistance/
Laurie A. Garrett is senior fellow for global health at the Council on Foreign Relations. Garrett was the president of the National Association of Science Writers during the mid-1990s. She is the only writer ever to have been awarded all three of the Big ‘‘Ps'' of journalism: the Peabody, the Polk, and the Pulitzer, and she has been honored with two doctorates in humane letters honoris causa, from Weslayan Illinois University and the University of Massachusetts, Lowell. Her expertise includes global health systems, chronic and infectious diseases, and bioterrorism. Ms. Garrett is the best-selling author of The Coming Plague: Newly Emerging Diseases in a World Out of Balance and Betrayal of Trust: The Collapse of Global Public Health. She is also author of the recent CFR Working Paper Food Failures and Futures. She lives in Brooklyn, New York.
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