[Senate Hearing 117-]
[From the U.S. Government Publishing Office]
STATE, FOREIGN OPERATIONS, AND RELATED PROGRAMS APPROPRIATIONS FOR
FISCAL YEAR 2022
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U.S. Senate,
Subcommittee of the Committee on Appropriations,
Washington, DC.
NONDEPARTMENTAL WITNESSES
[Clerk's note.--The subcommittee was unable to hold
hearings on nondepartmental witnesses. The statements and
letters of those submitting written testimony are as follows:]
Prepared Statement of the Accountability Counsel
Dear Chairman Coons, Ranking Member Graham, and members of the
subcommittee:
On behalf of Accountability Counsel, thank you for this opportunity
to provide input on the FY 2022 State, Foreign Operations, and Related
Programs (SFOPs) appropriations process. In this written testimony, we
will provide recommendations for the U.S. International Development
Finance Corporation (DFC), the U.S. Agency for International
Development (USAID), the U.S. Export-Import Bank (EXIM), the U.S.
Department of the Treasury (specifically, the U.S. executive directors
at multilateral development institutions), and the U.S. Department of
State (specifically, the U.S. National Contact Point for the OECD
Guidelines).
Accountability Counsel amplifies the voices of communities around
the world to protect their human rights and environment from the
impacts of internationally financed projects, including projects funded
by development agencies and development finance institutions, private
banks, and export credit agencies. Despite good intentions and even
with the best due diligence, projects financed by these actors can
result in harm to the very communities they are meant to benefit. When
negative environmental, social, or labor impacts result from these
projects, the affected communities must be made whole.
Our requests center on ensuring that local communities most
affected by U.S. investments have robust avenues to raise concerns
about any unintended impacts from these investments and receive redress
when harm occurs. Several institutions, including the World Bank and
the Chinese-led Asian Infrastructure Investment Bank, have developed
independent accountability mechanisms (IAMs) \1\ to address
environmental and social concerns from project-affected people. In
addition to addressing grievances, IAMs can provide valuable lessons
learned to their institution for the strengthening of future projects.
The United States has been a strong champion of IAMs at the
multilateral development banks and for its own bilateral foreign
investments, with members of both parties recognizing the benefits of
these feedback channels.
The FY 22 SFOPs bill provides opportunities to further strengthen
accountability for U.S. assistance and international investments. Doing
so will help ensure that U.S. investments meet their mark and address
unintended impacts that can undermine sustainability and lead to
reputational damage for the U.S. government and companies.
In this spirit, we provide the following recommendations:
1. Include bill language to allocate at least $750,000 to resource
the DFC's accountability mechanism.
Section 1415 of the BUILD Act requires DFC to operate an IAM to
address environmental, social, and human rights concerns related to the
DFC's financing. For this mechanism to be effective, it has to have
dedicated resources to carry out its functions. It is a common feature
of IAMs at other international financial institutions to have a
separate budget for the IAM that is controlled by the mechanism. Items
this budget would cover would include the director and staff's
salaries, resources for dispute resolution processes, compliance review
investigations, and advisory notes as well as outreach to project-
affected communities.
2. Include bill language to allocate at least $500,000 to resource
USAID's new accountability mechanism, and enact report language to
ensure that the mechanism contains the key features of an IAM.
In directing USAID to establish an accountability mechanism in the
explanatory statement \2\ to the FY 21 appropriations law, Congress
took an important step to ensure that USAID has an effective avenue to
address unintended negative environmental and social impacts to
communities from USAID's activities. To be effective, USAID's
accountability mechanism must adopt international best practices \3\
and incorporate the standard features of an accountability mechanism,
including dedicated staff and compliance, dispute resolution, and
advisory functions. As with the DFC's mechanism, the new USAID
mechanism will need dedicated resources to operate effectively.
3. Include report language directing EXIM to create an IAM.
Although it is positive that EXIM has taken steps to increase
opportunities for feedback from communities affected by its financing
in recent years, EXIM's current Environmental and Social Project
Information and Concerns complaint process is inadequate. The complaint
process is not independent from management and the lines of EXIM's
operations, which undermines its legitimacy. EXIM should create a fully
independent IAM that follows international best practices. While EXIM
has an Office of the Inspector General (OIG), an IAM would serve a
different function as an IAM can receive complaints related to
environmental and social harm directly from affected communities and
can facilitate a dispute resolution process or conduct a compliance
investigation. In fact, in its 2015 report \4\ on the Sasan Power
Limited project in India, the OIG recommended that EXIM create a formal
complaint process to address community concerns. To ensure that the IAM
is robust and incorporates international best practice, EXIM should
conduct a notice and comment period and public consultation to design
the IAM.
4. Include report language directing the U.S. executive directors
at each multilateral development institution to use the voice and vote
of the United States in the respective institution to provide resources
to remediate unintended negative impacts from the institution's
activities, including those confirmed by the institution's independent
accountability mechanism.
Although the multilateral development institutions have IAMs to
address grievances related to projects, often resources are not
immediately available to facilitate full and effective remediation of
the harms confirmed by the mechanism. Given the U.S. government's
support for strong environmental and social policies and accountability
at the multilateral development institutions, the U.S. should support
initiatives to ensure that remedy is provided for harmed communities.
5. Include report language directing the U.S. National Contact
Point for the OECD Guidelines for Multinational Enterprises to issue a
report to the Committees on Appropriations, Senate Foreign Relations
Committee, and House Foreign Affairs Committee addressing how the
National Contact Point has implemented the recommendations received
during its 2017 Peer Review.
In addition to championing accountability at development and
international financial institutions, the U.S. has also championed
responsible business conduct around the world, including in the
publishing of the first U.S. National Action Plan on Responsible
Business Conduct.\5\ The U.S. National Contact Point for the OECD
Guidelines for Multinational Enterprises (U.S. NCP), housed in the
State Department, is one of the only non-judicial avenues available for
people harmed by U.S. multinational corporations to seek redress and
remedy.
In 2017, the U.S. NCP underwent an OECD peer review process whereby
it received feedback from other countries' national contact points and
various stakeholders, including civil society organizations. Since the
publication of the peer review report \6\ in 2019, there has been
little public information on how the report's recommendations and other
recommendations provided during the peer review have been addressed and
implemented. Given the importance of promoting responsible business
conduct and facilitating remedy when harm occurs, the NCP should
publicly demonstrate how it is incorporating the recommendations to
strengthen its operations.
Thank you for your consideration of our requests. We look forward
to continued engagement with you to ensure that U.S. assistance and
investments respects the rights and voices of local communities and
upholds our national commitment to accountability.
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\1\ Accountability Office FAQs, Accountability Counsel), https://
www.accountabilitycounsel.org/accountability-resources/accountability-
office-faqs/ (last visited June 28, 2021).
\2\ Further Consolidated Appropriations Act, 2021, SFOPS Statement,
https://www.appropriations.senate.gov/imo/media/doc/DivisionK--
SFOPSStatementFY21.pdf--page=94.
\3\ This includes incorporating the UN Guiding Principles on
Business and Human Rights effectiveness criteria for non-judicial
grievance mechanisms--legitimacy, accessibility, predictability,
equitability, transparency rights-compatibility, and serving as a
source of continuous learning. Office of the U.N. High Commissioner for
Human Rights, Guiding Principles on Business and Human Rights:
Implementing the United Nations ``Protect, Respect and Remedy''
Framework, U.N. Doc. HR/PUB/11/04, Principle 31 (2011), http://
www.ohchr.org/Documents/Publications/
GuidingPrinciplesBusinessHR_EN.pdf.
\4\ OFFICE OF INSPECTOR GENERAL EXPORT-IMPORT BANK OF THE UNITED
STATES, REPORT ON THE PROJECT FINANCING OF SASAN POWER LIMITED (2015),
https://www.exim.gov/sites/default/files/oig/reports/FinalSasanReport--
Redacted.pdf--page=44.
\5\ RESPONSIBLE BUSINESS CONDUCT--FIRST NATIONAL ACTION PLAN FOR
THE UNITED STATES OF AMERICA (2016), https://2009-2017.state.gov/
documents/organization/265918.pdf.
\6\ OECD, NATIONAL CONTACT POINT PEER REVIEWS--UNITED STATES
(2019), http://mneguidelines.oecd.org/United-States-NCP-Peer-Review-
2019.pdf.
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[This statement was submitted by Margaux Day, Policy Director, and
Stephanie Amoako, Senior Policy Associate.]
______
Prepared Statement of AIPAC
For FY2022, AIPAC urges the Subcommittee's full support for $3.3
billion in security assistance for our strategic partner Israel as
outlined by the 2016 U.S.-Israel Memorandum of Understanding.
The Middle East is at a crossroads between the current path of
turmoil and the road to a more peaceful future. On the one hand, just
last month Hamas and Palestinian Islamic Jihad targeted millions of
Israeli civilians with over four thousand rockets. On the other, Israel
and four Arab states last fall signed the Abraham Accords, setting
aside outdated hatreds to forge new partnerships based on mutual
acceptance and respect. Despite the pandemic, these states have
undertaken a flurry of activity to cement budding commercial, trade,
cultural, and personal relationships. The region's hope for a brighter
future lies in overcoming rejectionism and embracing normalization with
Israel--our strongest ally and the region's democratic anchor.
Congress' strong bipartisan support for Israel's security not only
helped Israel defend itself last month against the unprecedented rocket
assault from Gaza, but also made the realization of normalization with
key Arab states last year possible. There has simply been no better
return on our foreign assistance dollars than Congress's investment in
Israel.
Moreover, Congress has consistently encouraged Israel's neighbors
to negotiate peace, including key roles securing Israel's peace
treaties with Jordan and Egypt and encouraging Israeli peacemaking
efforts with the Palestinians. As President Biden has said, ``The only
time progress has ever been made in the Middle East is when the Arab
nations have known that there is no daylight between us and Israel.''
America's ironclad support for Israel's ability to defend itself by
itself has enabled the Jewish state to soundly defeat every attack
designed to destroy it. Last year's agreements placed before us the
vision of a Middle East at peace with itself, where Arabs and Israelis
are mutually invested in each other's economies and futures.
Actualization of this vision would strongly secure U.S. national
security interests and make Americans safer at home and abroad. It
would also benefit Palestinians and open new prospects for peace.
Investing in peace through economic partnerships and people-to-people
programs is the model of the Nita Lowey Partnership for Peace Fund.
This fund was established in last year's bill and authorized for a full
five years, and we urge the Subcommittee to provide $50 million this
year. The program enjoys strong bipartisan support and indicates
Congress' belief that peace between peoples is at the heart of a
lasting two-state solution.
israel's growing defense requirements
Beyond Hamas, other dangerous actors seek to escalate tensions and
mire the region in chaos. Foremost among these is Iran, which continues
its aggressive behavior and pursuit of a nuclear weapon's capability.
In fact, Tehran has grown more belligerent over the past several years:
in addition to funding anti-Israel proxies and targeting Israeli-owned
commercial vessels at sea, it has directly challenged U.S. warships in
the Persian Gulf. Iranian forces have repeatedly fired missiles at our
diplomats and troops in Iraq, and Tehran has used its proxies to strike
crucial oil installations of our ally Saudi Arabia. Jerusalem's
contribution to containing Iranian mischief and helping U.S. forces in
the region is more important than ever. As the U.S. looks to reduce its
regional military presence, Israel's actions constraining Iranian
activities in Lebanon, Syria, and Iraq help advance American interests.
Confronting these complex and broad-ranging threats requires Israel
to invest heavily in its own defense, including procurement of a wide
range of advanced technologies and maintenance of a ready force that
can engage in an ongoing low-level ``conflict between wars.'' Spiraling
defense costs have forced Israel to spend about 5 percent of its GDP on
security--more than any other industrialized nation. The actual costs
to the Israeli economy are even higher when considering lost
productivity and the need for reserve duty, internal security, civil
defense, and anti-terrorism spending. And Israel is projecting
significant increases in its defense spending over the next decade.
Apart from its own efforts, Israel clearly relies on critical
support from America--Israel's strategic partner in upholding its
qualitative military edge (QME). In accordance with the President's
budgetary request, AIPAC strongly urges the Subcommittee to approve
$3.3 billion to Israel in security assistance for fiscal year 2022, as
called for in the 2016 U.S.-Israel Memorandum of Understanding, and to
resist attaching political restrictions to that aid. By doing so, this
Subcommittee will both enhance Israel's security and the prospects for
peace.
In addition, AIPAC supports a robust, bipartisan foreign aid
program that ensures America's strong global leadership position. At
just one percent of the federal budget, foreign aid is a relatively
small cost-effective investment supporting critical U.S. interests and
enhancing global stability and economic growth. Foreign aid enables the
United States to support key allies like Israel, spur our job-creating
exports, stem the spread of diseases, and help countries in turmoil
avoid becoming breeding grounds for terrorism.
regional challenges
Israel continues to face unprecedented turmoil on its doorstep.
Beyond the threat it faces from Gaza, Israel must contend with regional
threats emanating from Lebanon, Syria, Libya, Iraq and Yemen. Sub-state
actors often dominate the landscape, and one dangerous state actor,
Iran, is taking full advantage of the changing realities. We urge the
Subcommittee to maintain longstanding provisions in the bill and report
that ensure strict oversight and reporting requirements for policy
affecting Lebanon, Iran, Syria and the Palestinians.
In this new environment, Israel confronts countless challenges. To
the northeast, Iran seeks to establish a permanent military presence in
Syria. Iran's Supreme Leader Khamenei and the IRGC do not conceal that
they seek Israel's destruction. To the north, Hezbollah effectively
dominates Lebanon, exploiting Beirut's ongoing crises to tighten its
hold on the levers of power. With an estimated 150,000 rockets and
missiles--more sophisticated and accurate than ever and located inside
homes, schools, and hospitals--Hezbollah poses a dangerous threat to
Israel. We urge the Subcommittee continue the reporting requirements
addressing Hezbollah's military buildup, including its efforts to
acquire an arsenal of PGMs.
In the Gaza Strip, Hamas- an American and EU-designated terrorist
organization--has demonstrated conclusively its commitment to its
terrorist goals. Rather than help its own population, Hamas has used
its resources to expand its military capabilities and construct an
elaborate terrorist infrastructure-including a broad network of tunnels
-to attack Israeli communities. Six million Israelis live within range
of Hamas' increasingly accurate rocket arsenal, and many of them spent
days in bomb shelters during the recent conflict. Obviously, the
international community must do its utmost to prevent Hamas from
reconstituting this threat. As this Subcommittee considers assistance
for Gaza, it must ensure-as President Biden has directed-that any aid
not go to Hamas or strengthen its terrorist infrastructure.
Further to Israel's south, Iranian-backed Houthis are creating new
concerns for Jerusalem. In early 2021, an IDF spokesperson reported
that Israel had intelligence confirming that Iran was sending ``smart
weapons'' to Yemen that could target Israel.
Israel also needs to prepare for the possibility of a nuclear-armed
Iran. Tehran's recent nuclear brinkmanship signals its continued
nuclear ambitions. In January, Iran announced it had begun enriching
uranium to 20 percent purity at Fordow. In February, Tehran suspended
compliance with the Additional Protocol, triggering a crisis at the
IAEA and forcing the hurried negotiation of an interim understanding
expiring in June. In March, the IAEA confirmed that Iran had started
enriching uranium at its underground Natanz plant with a second type of
advanced centrifuge, the IR-4. Iran has also conducted approximately 20
ballistic missile tests in defiance of U.N. prohibitions, including
long-range missiles capable of delivering a nuclear warhead.
In sum, these threats highlight the unprecedented strategic
challenges Israel faces today. Whereas Israeli military planners used
to confront enemies with conventional weapons and armies, today the
threats to Israel's existence come from a broad array of forces with a
diverse set of weapons -conventional and unconventional, symmetrical
and asymmetrical--that are largely aimed at Israel's civilian
population. It is in America's vital interest for Israel--our sole
reliable democratic ally in the region -to have the military
capabilities it needs to decisively defeat these enemies.
bias against israel in the international community
Israel's security challenges are compounded by challenges it faces
at the United Nations and other international fora, where detractors
have hijacked the process to isolate and demonize the Jewish state.
U.S. support for Israel at multilateral organizations, especially its
longstanding vocal leadership at the UN, has been crucial in pushing
back against an ongoing, systematic attack on Israel. Last month the
Human Rights Council once again demonstrated its pervasive unfairness
toward Israel, creating an open-ended international investigation to
target Israel--this time for defending its civilian population against
indiscriminate attacks by U.S.-designated terrorists. Israel is also
facing an unjust and unfounded case against it at the International
Criminal Court. The toxic anti-Israel environment in these institutions
is nothing new, and it further poisons Israeli-Palestinian relations at
a time when reconciliation is crucial. Strong U.S. support and
continued efforts to promote fairness and fight bias in the
international arena are crucial. U.S. leadership will also be critical
to achieve needed changes at the United Nations Relief and Works
Agency. We urge the U.S. to insist on reforms at UNRWA, especially in
the organization's education curricula that incite violence and hatred
and its approach to refugee status that has exacerbated the human cost
of the protracted conflict.
u.s. assistance helps maintain israel's qualitative military edge
against mutual threats
U.S. support for Israel through annual security aid has helped the
Jewish state maintain its QME, which Congress has defined in
legislation as Israel's ``ability to counter and defeat any credible
conventional military threat from any individual state or possible
coalition of states or from non-state actors.'' This military
superiority has historically prevented war by deterring regional
adversaries from attacking Israel. Due to U.S. support for Israel's
QME, prospective aggressors know they would face a U.S.-backed ally
armed with the world's most advanced weapon systems-both American and
Israeli. At the same time, when deterrence has failed, the American-
made defense hardware provided to the IDF has enabled the Jewish state
to protect itself against the mounting threats. This crucial support
has also helped create the environment for regional Arab-Israeli peace
that we have seen begin to unfold. We believe that continued U.S. aid
to Egypt and Jordan is also important to helping ensure stability in
the region, as is the strong U.S. commitment to the Multinational Force
and Observers mission in the Sinai.
israel: a vital strategic partner
As a long-standing pillar of America's Middle East security
framework, the U.S.-Israel strategic partnership combats common threats
and furthers U.S. policy objectives. These threats include terrorism,
regional aggression and destabilization by armed Iranian proxies,
weapons proliferation, counterfeiting, cyber warfare, and the spread of
extremism. In this context, Israel's military strength and geo-
strategic location provide a strong deterrent to regional actors
opposed to the U.S. Coordination between Israeli and U.S. military
counterparts has expanded considerably as Iran's disruptive behavior
from Syria to Yemen to Iraq and the Arabian Gulf has metastasized since
2015. One portent of even stronger U.S.-Israel cooperation with other
regional allies is the recent transfer of Israel from our military's
European Command area of responsibility to Central Command.
Israel's stable, democratic, and reliably pro-American orientation
ensures that we can consistently rely on our alliance with the Jewish
state. This has been an enduring constant through Republican and
Democratic administrations and across a range of Israeli governments.
For over 30 years, both the U.S. and-Israel have benefitted from
joint military training exercises and joint research and development
against common threats-from high-end weapons and cyber-attacks to
improvised explosive device (IEDs) and terrorist tunnels. Twice each
year, U.S. Marines conduct desert warfare training with their IDF
counterparts, and American soldiers and security officials regularly
visit Israel to study its approach to urban combat. U.S. pilots hold
simulated combat training with the Israeli Air Force. In addition,
Israel and the United States have cooperated on a wide range of
intelligence-sharing programs, including monitoring Iran, Syria, al-
Qaeda, and other terrorist groups and sponsors. In the biennial Juniper
Cobra exercise, U.S. and Israeli forces practice an integrated defense
to counter the growing threat from ballistic missiles and long-range
rockets. Given a U.S. desire to reduce overseas commitments, Israel's
role as a reliable ally in a critical region is more important than
ever.
cooperation produces critical new military, defense and civilian
technologies
With America's support, Israel has developed an advanced, multi-
layered missile defense shield protecting Israel's population centers
and providing a degree of protection to deployed American forces. The
$500 million in annual U.S. missile defense funding support outlined in
the current MOU is matched by Israel's own investments and in-kind
contributions for Iron Dome, David's Sling, and Arrow.
AIPAC also strongly supports the expansion of U.S.-Israel civilian
cooperative programs. These programs have made America stronger through
the development and introduction of technologies relating to energy
efficiency, cybersecurity, and water scarcity. Israel has in recent
years also brought some of these technologies to the developing world -
furthering sustainability, helping lift millions out of poverty and
creating enormous possibilities for cooperation between Israel and our
development agencies. We urge continued funding for the $2 million
USAID-Israel international development cooperation program.
conclusion
As Congress considers U.S. priorities for the Middle East, one
thing remains certain: ensuring Israel's security promotes American
values and vital interests. This Subcommittee-headed ably by Chairman
Coons and Ranking Member Graham-deserves great credit for its stalwart
advocacy for the U.S.-Israel relationship and the overall foreign aid
budget over the years. That includes not only reliably providing the
full funding that is so vital to keeping Israel secure and strong, but
also codifying the equally important policy provisions dealing with so
many aspects of U.S. policy in the Middle East. This bipartisan support
will remain even more critical as America and Israel continue to work
together to meet the challenges and opportunities that lie ahead.
[This statement was submitted by Howard Kohr, CEO.]
______
Prepared Statement of the Alliance for International Exchange
As Executive Director of the Alliance for International Exchange, I
appreciate the opportunity to submit testimony supporting funding of
$1.1 billion for educational and cultural exchange programs
administered by the U.S. Department of State's Bureau of Educational
and Cultural Affairs in Fiscal Year 2022.
As the collective public policy voice of the exchange community,
the Alliance comprises nongovernmental organizations representing the
international educational and cultural exchange community in the United
States. We greatly appreciate our productive working relationship with
the Subcommittee and its strong and consistent support for exchange
programs.
This appropriation will allow the U.S. Department of State to
reinvigorate and expand educational and cultural exchange programs, a
cost-effective public diplomacy tool, with unique capacities to adapt
rapidly and effectively to foreign policy and national security
priorities, while building relationships with strategic audiences in
key countries. Exchange programs enable the U.S. to build relationships
with current, emerging, and future leaders, and provide opportunities
for engagement with youth, women and girls, as well as program alumni.
It further allows the U.S. Department of State to provide opportunities
for young Americans to study and research abroad, equipping them with
the skill set they need to succeed in today's global marketplace.
We believe U.S. funding for exchange programs should be balanced
and strategic by reaching a range of people from many different
countries. Our country is very well served by supporting initiatives to
discover and cultivate emerging leaders; language and area studies
programs that prepare U.S. citizens for the workforce; capacity
development for women; youth engagement; exchanges of cultural and
artistic expression; interactions with international athletes; and
virtual exchanges that connect people who are unable to travel. This
comprehensive approach to exchanges has been very effective in
advancing our nation's strategic interests and should be maintained.
supporting u.s. national security
U.S. Department of State exchange programs allow the U.S. to engage
with wide and diverse audiences and emerging leaders from around the
world, many of them from countries key to our national security
interests. American students studying abroad through U.S. Department of
State exchange programs are ambassadors of the next generation of
American leaders, highlighting our most promising young people and
promoting American values around the world. U.S. Department of State
evaluations repeatedly show that international exchange participants
who visit the United States complete their programs with a better
impression of our country, the American people, and our values. U.S.
ambassadors around the world consistently rank exchange programs among
the most useful catalysts for long-term political change and mutual
understanding. One in three current world leaders has participated in a
U.S. Department of State exchange program. Notable exchange program
alumni include 583 current or former heads of government, 84 Nobel
Prize winners, 64 representatives to the United Nations, 31 heads of
international organizations, and 97 members of the U.S. Congress,
according to U.S. Department of State data.
Between the global pandemic, rising nationalism, challenges to
democracy, climate change, increasing distrust between people, and the
weaponization of disinformation, it is more important than ever to
acknowledge the value of exchange programs in supporting national
security. This educational and cultural exchange programs appropriation
would help further our foreign policy objectives through more
initiatives like the following: a youth program connecting U.S.
community colleges with peers in Jordanian and Iraqi institutions to
co-develop solutions for sustainability challenges faced by businesses;
the 2020 Elections Virtual Reporting Tour which convened 214
journalists from 114 different countries and enabled international
journalists to generate more than 1,200 media products with credible
reporting; and, a Virtual Alumni Reunion of the Pan-Africa Youth
Leadership Program (PAYLP) which engaged over 300 participants from 30
countries across sub-Saharan Africa and encouraged participants to
recommit themselves to their community.
Given the myriad global challenges, it is critical that the U.S.
both rebuild and construct anew the human networks needed to
successfully tackle these and future challenges. Building and
maintaining networks is important for creating sustained connections
and is also a cost-effective way to enhance the impact of exchanges.
This appropriation would allow for: rebuilding volunteer and community
networks which have eroded from the Covid-19 pandemic; providing
financial incentives for communities and organizations to support
exchanges once again; and supporting alumni networks through events,
programs, and administrative costs.
strengthening the u.s. economy
U.S. Department of State exchange programs are a cost-effective
investment that not only enhance America's long-term competitiveness
but also provide significant and immediate economic impact in
communities across the country. Most of the U.S. Department of State
exchanges budget is spent either on Americans, American businesses and
organizations, or in the United States. The 430+ EducationUSA Advising
Centers supported by the exchange program appropriation facilitated
1,075,496 international students coming to the U.S. in the 2019-2020
academic year. These students who were enrolled at U.S. colleges and
universities across the U.S. contributed $38.7 billion to the U.S.
economy and supported 415,996 jobs, according to NAFSA: Association of
International Educators. U.S. Department of State exchange programs
provide opportunities for Americans to build international experience
and connections, expand their global perspective, and gain foreign
language and cross-cultural skills that are critical to business and
national security.
increasing mutual understanding
Exchange programs have a proven track record of building respect
and increasing mutual understanding between Americans and citizens of
countries around the world. For example, 94% of exchange students from
Muslim-majority countries reported having a deeper, more favorable view
of the American culture after their stay in the United States,
according to a U.S. Department of State evaluation of the Kennedy-Lugar
Youth Exchange and Study (YES) Program.
Support from Congress allows the U.S. Department of State to
strategically align its programs with key U.S. foreign policy interests
and to facilitate exchange experiences for more than 55,000 American
and international exchange participants each year, including:
--Bringing emerging and future leaders to the U.S. on programs like
the Kennedy-Lugar Youth Exchange and Study (YES) Program
between the U.S. and countries with significant Muslim
populations; the Future Leaders Exchange (FLEX) Program for
high school students from Eurasia; the Young Leaders
Initiatives in Africa, Southeast Asia, and the Americas; and
the International Visitor Leadership Program (IVLP);
--Expanding opportunities for young Americans to study abroad through
programs like the Benjamin A. Gilman International Scholarship
Program;
--Continuing to engage students and scholars through the renowned
Fulbright Program;
--Engaging and training young professionals through programs such as
the Congress-Bundestag Youth Exchange (CBYX); and
--Broadening engagement with youth, women and girls, as well as
program alumni.
Increasing mutual understanding also requires expanding exchanges
to include new audiences. With this appropriation for educational and
cultural exchange, program sponsors could achieve objectives like the
following: expanding programs that prioritize underserved communities
in the U.S.; expanding domestic outreach and recruitment of host
families and students; and building relationships with other regions of
the world to diversify inbound exchange programs.
Additionally, a critical part of incorporating new audiences is
successfully integrating technology. Learning from the lessons of the
COVID-19 pandemic, program sponsors are continuing to incorporate
virtual elements or fully virtual programs after the pandemic. Although
virtual programming helps reduce costs for participants, it comes with
higher administrative costs for program sponsors who must build
necessary virtual infrastructure, hire and train staff to effectively
use virtual tools, and acquire reliable virtual platforms. This
appropriation should allow for virtual activities to successfully
complement traditional face-to-face exchanges, furthering the reach and
impact of these programs worldwide.
Again, thank you for the opportunity to express our support for
funding of $1.1 billion for U.S. Department of State educational and
cultural exchange programs in Fiscal Year 2022. We look forward to
working with the Subcommittee to ensure that international exchange
programs continue to play a vital role in supporting U.S. national
security, strengthening our economy, and increasing mutual
understanding between the U.S. and countries around the world. Thank
you for your consideration.
[This statement was submitted by Ilir Zherka, Executive Director.]
______
Prepared Statement of the Alliance for Middle East Peace
Chairman Coons, Ranking Member Graham, and Members of the Subcommittee:
First and foremost, I would like to thank the members of this
Subcommittee who have contributed and supported Israeli-Palestinian
peacebuilding projects throughout the years. Your continued leadership
saves lives, alleviates suffering, and furthers American values and
ideas. My name is Avi Meyerstein, and I am the Founder and President of
the Alliance for Middle East Peace (ALLMEP), the region's largest
network of peacebuilding organizations.
On behalf of our coalition of over 150 organizations building
partnerships, cooperation, and peace between Israelis and Palestinians,
I urge this Subcommittee to continue its longstanding support for
critical people-to-people and peacebuilding programming in Israel and
the Palestinian Territories by providing funding of at least
$50,000,000 for the Nita M. Lowey Middle East Partnership for Peace Act
in the Fiscal Year 2022 State, Foreign Operations, and Related Programs
bill, with at least $35,000,000 of this amount provided for the new
People-to-People Partnership for Peace Fund at USAID.
In the last month, Israelis and Palestinians have suffered horrific
violence. Over 200 Palestinians lost their lives, including 6 members
of an ALLMEP staff member's family. More than 3,000 rockets were
launched into Israel, terrorizing Jewish and Palestinian Israeli alike,
and killing over 15 people. In the West Bank, at least 20 have lost
their lives due to unrest. In mixed Jewish-Palestinian cities in
Israel, violence peaked with an unprecedented and disturbing wave of
mob violence, with Arabs and Jews attacking the ``other.'' We saw
communities coming apart at the seams as dehumanization runs rampant.
This wave of violence leads us to one important conclusion: we
cannot allow a return to a familiar and unstable status quo which
repeatedly increases violence and animosity while rendering a final
resolution of the conflict impossible. The ceasefire should not
encourage complacency from the United States Government. All the tinder
that led to this explosion not only remains but is rapidly continuing
to re-accumulate.
We must address this situation head-on, and Congress has the unique
opportunity to support the Administration in creating a new strategy
that takes a long-term approach and tackles realities and attitudes on
the ground that will either determine whether we create the conditions
for peace or else see further bloodshed.
Last year, Congress delivered a game-changing tool that, if fully
implemented and leveraged, has the potential to radically change these
dynamics on the ground: the Nita M. Lowey Middle East Partnership for
Peace Act (MEPPA). ALLMEP would like to thank all the sponsors who
pushed for this pioneering legislation that helps set a new standard
for international support, in terms of both strategy and capacity. In
particular, we would like to commend Congresswoman Nita Lowey, whom the
bill is named after, Congressman Jeff Fortenberry, Senator Lindsey
Graham, Senator Chris Coons, and Senator Tim Kaine for their leadership
in advancing this legislation.
MEPPA offers the one thing that has always stood between proven
civil society initiatives and widespread change: the promise of
sufficient peacebuilding resources to operate at the same scale as the
conflict itself. MEPPA creates the opportunity to do for the Middle
East what the International Fund for Ireland did in Ireland, where the
US and other governments created and funded the IFI to deliver and
sustain peace.
Rigorous analyses and evaluations conclusively and consistently
demonstrate that people-to-people and reconciliation programs work--
creating greater trust; enhanced cooperation; increased ``conflict
resolution values;'' decreased aggression and loneliness; and fewer
hazardous environmental and health conditions between project
participants from opposing sides of the conflict. Equally important,
these projects give participants tangible ways to work toward a better
future, embedding a win-win paradigm that challenges the zero-sum
narrative that risks further destabilization in the region.
In a July 2019 program evaluation by USAID, participants in US-
funded people-to-people activities in Israel and the West Bank had an
increased belief that peace is possible, compared to their peers, and
came away with positive feelings about their counterparts.\1\ The
evaluation also found that a significant percentage of participants
stayed connected with one another despite violence, social stigma, and
the challenges of meeting in person regularly.\2\
In 2014, researchers evaluated the impact of the Parents Circle
Families Forum Dual Narrative Project, History through the Human Eye.
The program was designed for bereaved Palestinian and Israeli families
to attend multiple dialogue sessions, where they share their own
stories, as well as get the opportunity to hear the firsthand
experience of Holocaust survivors and Palestinian refugees. The program
concludes with an exercise that challenges the other to ``stand in the
other's shoes'' and represent the other's stories with empathy. 77% of
participants reported an increased belief in the possibility of
reconciliation, 71% reported improved trust and empathy for the other,
and 68% reported increased levels of acknowledgment and knowledge of
their counterpart's narrative.\3,4\
A similar study was conducted on participants of the Near East
Foundation's Olive Oil Without Borders program. The project consists of
3,400 Israeli and Palestinian olive producers working together to
export 4,500 tons of olive oil from the West Bank to Israel, producing
over $25 million for Palestinian farmers. 90% of participants reported
increased trust in ``the other'' and 77% indicated an intention to
continue cross-border cooperation.\5\
While the case for peacebuilding has been made with the passage of
MEPPA, it is important to return to this data and remember just how
transformative an impact the future could hold. Indeed, the network of
organizations and participants engaged in this work played a critical
role in calming the recent crisis, mobilizing thousands of people--both
Jews and Palestinians--to march together for peace and unity in the
face of unprecedented street violence.
People-to-people peacebuilding is one of the few proven tools for
addressing ethnic and territorial conflict. Especially with a conflict
as deep-seated and mired in mistrust as the Israeli-Palestinian
conflict, it is incumbent on us all to deploy this tool with
seriousness and rigor.
We know it is effective in disrupting some of the most firmly
embedded attitudes mentioned earlier, which conflicts thrive upon.
Repeated studies cited in this testimony, by the United States
Institute of Peace, and by USAID demonstrate that these programs are
effective, and that their results can be transformative and long-
lasting. We see all around us the alumni of these programs being
disproportionately represented as leaders and activists in the
movements and campaigns to end the conflict.
If we know it transforms individuals and families, then we have a
responsibility to work to ensure it can do the same with entire
communities and societies. The single-biggest impediment is the
availability of adequate resources. As such, we urge this Committee to
allocate $50,000,000 towards the Nita M. Lowey Middle East Partnership
for Peace Act. MEPPA offers incredible promise, not only because it
makes the single largest investment ever in Israeli-Palestinian
peacebuilding, but also because it promises to bring a new kind of
investment--one that can take a coordinated, holistic, field-wide view
to deploy resources strategically for maximum impact.
Our entire sector is deeply grateful for Congress's continued
support and leadership in peacebuilding programs. I thank you for all
your previous support for the passage of the Nita M. Lowey Middle East
Partnership Fund for Peace Act and look forward to working together on
the FY22 appropriations package.
---------------------------------------------------------------------------
\1\ Brown Guzman, Danice & Khatiwada, Lila. ``Expanding the Reach
of Impact Evaluations in Peacebuilding: A Retrospective Evaluation of
CMM P2P Activities in Israel/West Bank,'' USAID (United States Agency
for International Development, July 2019), https://pdf.usaid.gov/
pdf_docs/PA00TVV3.pdf, 4.
\2\ Ibid, 20.
\3\ Ned Lazarus. ``A future for Israeli-Palestinian
peacebuilding.'' Britain Israel Communications Research Centre (2017),
48.
\4\ Anat Reisman-Levy & Jamal Atamneh. ``Evaluation Research:
Narrative for Change.'' Parents Circle- Families Forum (2014-2017), 13.
\5\ Charles Benjamin. ``Near East Foundation Annual Report 2016.''
Near East Foundation (2016), 11.
[This statement was submitted by Avi Meyerstein, Founder and
President.]
______
Prepared Statement of the American Bar Association
Chairman Coons, Ranking Member Graham, and Members of the Subcommittee:
My name is Patricia Lee Refo and, as President of the American Bar
Association (ABA), I am pleased to submit this statement on behalf of
the association. Thank you for this opportunity to reiterate the
importance of continuing U.S. leadership and support for the promotion
of democracy, human rights, and the rule of law around the world. The
ABA appreciates that there is wide bipartisan agreement in Congress
that programs to promote the rule of law internationally are valuable
and cost-effective investments of U.S. taxpayer dollars that enhance
both the national security and economic prosperity of our nation.
Support for these programs is also consistent with our values as a
nation. The ABA supports increased funding for Democracy, Human Rights,
and Governance (DRG) programs for Fiscal Year 2022, including no less
than $2.5 billion for Democracy Programs.
Specifically, the ABA supports a renewed commitment to promoting
rule of law programming within the DRG sector. Countries with weak or
deficient respect for the rule of law invariably suffer a variety of
ills, and the lack of rule of law leaves the constituent population
without the tools to address these challenges. Properly understood,
rule of law is akin to an immune system of governance. When it is
healthy and robust, government can systematically address a wide array
of issues-corruption, cybersecurity, terrorism, and climate change to
name a few. When the immune system is compromised, the converse is
true, and the ability of a government to fully utilize foreign
assistance for sustainable development is in doubt. Funding for rule of
law assistance is a force multiplier for the U.S. government because,
when countries increase rule of law, the constituent population is
empowered to enforce their own rights, grow their own economy, and
effectively utilize the assistance they receive.
As a long-time implementer of rule of law programs, the ABA can
attest that the U.S. receives significant returns on this investment.
For more than 30 years and in more than 100 countries, the ABA, through
our Rule of Law Initiative (ABA ROLI), Center for Human Rights (CHR),
and International Law Section (ILS), works to protect human rights, and
promote justice, economic opportunity, and human dignity through the
rule of law. Founded just after the fall of the Berlin Wall, ABA ROLI's
early efforts focused on assisting Eastern European countries to draft
constitutions and laws. The program also helped embolden judges,
prosecutors, lawyers, and legal educators to take the lead in
establishing--or in some cases re-establishing--the rule of law after
decades of communism and repression. The early model of American
lawyers offering pro-bono services to their colleagues in developing
democracies remains at the heart of our global programs. In fact,
lawyers, law firms, and other experts have contributed more than $300
million in pro bono support for our programs.
Through ABA ROLI, CHR, ILS, and other initiatives, the ABA has a
framework in place to respond to requests for assistance from every
region of the world and can provide expertise in virtually every area
of law, including such areas as advancing women's rights, combating
trafficking in persons, fighting corruption, reforming judicial
systems, ensuring access to justice, and defending human rights. Our
programs work in close cooperation with government institutions and
civil society organizations, including bar associations, judicial
training institutes, ministries of justice, law schools, police, United
Nations missions, and an array of non-governmental organizations. In
2020, ABA ROLI executed more than 100 programs in 50 countries in every
region of the world with funding from the U.S. Department of State,
U.S. Agency for International Development, and other multilateral
donors and private foundations.
aba roli in sub-saharan africa
In 2020, ABA ROLI supported 24 programs in nine Sub-Saharan
countries including Burkina Faso, the Central African Republic,
Democratic Republic of Congo, Eswatini, Liberia, Niger, Somalia,
Southern Africa, Tanzania, Uganda, Sudan, Zambia, and the African
Union. Our work in Sub-Saharan Africa seeks to promote accountability
for human rights violations, strengthen justice sector institutions,
and increase access to justice for historically marginalized
populations, particularly the rights of women and the poor. We
emphasize a multi-disciplinary approach to the provision of assistance,
using information and communications technologies to overcome weak or
absent justice infrastructure, and empower individuals and communities
to defend their rights and advocate for their futures.
aba roli in asia and the pacific
In Asia and the Pacific, ABA ROLI implemented country-specific
programs in the Philippines, Pakistan, Sri Lanka, Maldives, Malaysia,
and Vietnam, as well as a South-East Asia regional program to combat
corruption. The division has previously operated country programs in
Afghanistan, Cambodia, China, Fiji, India, Indonesia, Laos, Mongolia,
Nepal, Papua New Guinea, Solomon Islands, Thailand, and Timor-Leste.
The division's programs include substantive areas such as: anti-
corruption, human trafficking, wildlife trafficking, access to justice,
freedom of expression and religion, child rights, business and human
rights, counter-terrorist financing, strengthening law-related
institutions, and improving the skills and cooperation of legal actors
such as prosecutors, judges, and lawyers.
aba roli in europe and eurasia
Originally known as ABA CEELI, the Europe and Eurasia Division has
worked in 28 countries across the region. Today, we implement country-
based and regional programs in Albania, Armenia, Bosnia & Herzegovina,
Belarus, Georgia, Hungary, Kosovo, Macedonia, Moldova, Kazakhstan,
Kyrgyzstan, Romania, Russia, Serbia, Tajikistan, and Ukraine. These
programs have: increased access to justice and transparency of the
judicial process; educated populations about their rights and
responsibilities; supported efforts to combat trafficking in persons,
cybercrime, drug trafficking, and other transnational crimes; and
strengthened legislation and legal institutions in countries seeking
European Union accession.
aba roli in latin america and the caribbean
ABA ROLI's Latin America and the Caribbean Division operates
programs in El Salvador, Mexico, Peru, and a regional program covering
El Salvador and Guatemala. Our work in the region includes a wide array
of rule of law thematic areas: strengthening LGBTQ organizations;
supporting legal education in transitions to accusatorial criminal
justice systems; strengthening the investigation and prosecution of
transnational organized crime, corruption, illegal gold mining and
related crimes, money laundering and drug trafficking, hate crimes,
feminicide and trafficking in persons; assisting institutions to
strengthen judicial oversight; bolstering the capacity of forensic
laboratories and of justice institutions to use forensic evidence in
criminal cases; and providing technical support to legislative and
policy reform in substantive areas.
aba roli in the middle east and north africa
Currently, the Middle East and North Africa Division maintains
offices or operates bilateral programs in Jordan, Lebanon, Morocco,
Libya, and Tunisia. It also conducts regional programs involving other
MENA countries. These programs focus on judicial development, women's
rights, the role of women in the legal and judicial profession, legal
education reform, legal profession reform, human rights and access to
justice, governance, and anticorruption. Since initiating work in the
region in 2004, ABA ROLI has conducted nearly 150 programs in 17
countries, including dozens of assessments of legal systems and related
issues.
aba roli's global thematic programs
Two of ABA ROLI's global thematic programs include the Criminal
Justice Collaboration and Partnership (CJ-CAP) and the International
Justice Sector Education and Training (IJET) programs, both funded by
the Department of State's Bureau of International Narcotics and Law
Enforcement Affairs. CJ-CAP empowers small groups of criminal justice
actors to develop a coordinated, interagency approach to tackling
cross-cutting criminal justice problems that cannot be addressed by one
agency alone. The IJET program brings small groups of justice-sector
professionals to the U.S. for month-long fellowships to empower them to
implement strategic reform in their home country's justice sector. Each
IJET fellowship includes a combination of seminars and training, peer-
to-peer exchange, institutional visits, and an embedded mentorship with
a leading U.S. professional. Following the IJET fellows' return to
their country, ABA ROLI and their mentors continue to support the
implementation of their change plans by providing expertise and
material resources.
Focused on enhancing collaboration and strengthening evidence-based
programming among justice sector practitioners in the U.S. government
and beyond, JusTRAC+ fosters opportunities for information sharing and
dialogue and supports learning by improving access to evidence-based
practices. In 2020, ABA ROLI coordinated the efforts of the JusTRAC+
thematic communities of practice on Justice Sector Measurement and the
Nexus of Transnational Organized Crime and Corruption to develop two
knowledge products. Both tailored as practical guides for practitioners
in the field, one focused on court performance measurement, and the
other focused on countering corruption-enabled transnational crime. The
JusTRAC+ Knowledge Portal (www.justracportal.org/) being built by ABA
ROLI's team, which features curated resources and discussion boards,
will be debuted in 2021.
Women and Girls Empowered (WAGE) is a global consortium to advance
the status of women and girls, led by ABA ROLI in close partnership
with the Center for International Private Enterprise, Grameen
Foundation, and Search for Common Ground. WAGE works to strengthen the
capacity of CSOs, private sector and semi-private sector organizations,
including micro finance institutions in target countries to: 1) improve
the prevention of and response to gender-based violence; 2) advance the
women, peace, and security agenda; and 3) support women's economic
empowerment. In this context, WAGE provides direct assistance to women
and girls, including information, resources, and services they need to
succeed as active and equal participants in the global economy. WAGE
also engages in collaborative research and learning to build a body of
evidence on relevant promising practices in these thematic areas.
the aba center for human rights
The ABA Center for Human Rights, established a decade after ROLI,
promotes and protects human rights worldwide by defending advocates who
face retaliation; rallying thought leaders on crucial issues; and
holding abusive governments accountable under law. Through its Justice
Defenders Program, funded since 2011 by a grant from the Department of
State's Bureau of Democracy, Human Rights, and Labor, CHR supports
lawyers, journalists, and advocates protecting human rights, anywhere
in the world. To date, the program has leveraged more than $2 million
in free legal assistance to more than a thousand advocates worldwide.
CHR recently has enhanced this program with significant funding from
the Clooney Foundation for Justice.
CHR also combats impunity by helping to strengthen U.S. and
international law to ensure that people who commit mass atrocities are
held accountable. CHR also fights modern slavery by working with the
Uniform Law Commission to fortify state law to ensure that human
traffickers find no haven in the U.S., and works to protect LGBTQ
persons, advance global health by shaping a human rights framework for
confronting public health challenges, and improve international
standards to protect human rights from harmful business practices.
modes of delivery and choice of implementing instrument
We urge the Subcommittee to continue to recognize the benefits of
assistance delivered through non-profit NGOs. We note that previous
bill language directs USAID to implement civil society and political
competition and consensus building programs abroad in a manner that
recognizes the unique benefits of grants and cooperative agreements,
and request that the Subcommittee expand the language to include rule
of law programs. Non-profit organizations funded through grants and
cooperative agreements are more likely to develop long-term
relationships that build capacity and allow for sustainable assistance
efforts. In addition, NGOs are more likely to leverage U.S. assistance
dollars through the contributions of volunteers and additional sources
of funding. Independent U.S.-based NGOs are best positioned to work as
true partners with local leaders to make sure the outcomes are owned
locally but are operated under the oversight of experienced
implementers that also serve as fiduciaries of American taxpayer
dollars.
conclusion
The U.S. has been able to play a critical leadership role in the
world because it has, over multiple administrations of both parties,
maintained a values-based foreign policy that advances the conditions
for a peaceful and prosperous world. Failure to sustain and fund that
policy risks ceding our leadership position to those who would remake
the global order in ways that will certainly not serve U.S. interests.
Establishing governments, legal structures and institutions based on
the rule of law are necessary prerequisites to establishing resilient
democratic societies and successful market-based economies. Programs
such as those outlined above are cost-effective means through which to
advance both the interests of individuals in participating countries
and U.S. foreign policy, and we urge you to continue to support them
for Fiscal Year 2022.
[This statement was submitted by Patricia Lee Refo, President.]
______
Prepared Statement of the American Councils for International
Education: ACTR/ACCELS
Mr. Chairman, Thank you for the opportunity to provide testimony to
the Subcommittee on behalf of American Councils for International
Education. I am requesting that the Subcommittee recommend funding in
the fiscal year 2022 State, Foreign Operations bill of at least $1.1
billion for programs under the Department of State's Bureau of
Educational and Cultural Affairs (ECA). Further, I ask that funding
within ECA be provided at the current amount of $113.86 million for
Citizen Exchange Programs and that the Critical Languages Scholarship
program be funded at a level of $15 million. I also ask that funding of
at least $3 million be recommended for Research and Training for
Eastern Europe and the Independent States of the Former Soviet Union
Program.
As President of American Councils for International Education, I
have the privilege of overseeing one of the leading nonprofit
organizations administering U.S. Government and privately funded
exchange and educational development programs in areas critical to U.S.
interests around the globe. I am also the President of the National
Council for Eurasian and East European Research, created in 1978 to
develop and sustain long-term, high-quality programs for post-doctoral
research on the social, political, economic, environmental, and
historical development of Eurasia and Central and Eastern Europe.
American Councils is among the administering organizations for the
State Department's programming to increase mutual understanding between
the U.S. and the world. The past year has posed monumental challenges
to the critical international exchange and educational development
efforts, bringing international mobility to a standstill due to the
COVID-19 pandemic. The ability for organizations like American Councils
to convene in-person activities in the U.S. and countries that are
crucial to our foreign policy objectives was severely impacted.
Although much good and effective work was done on virtual platforms to
promote region-to-region and people-to-people connections that are of
the utmost importance to the United States, valuable time and
opportunities for engagement have been lost.
Creating an increased sense of urgency are the efforts of countries
such as Russia and China to continue promoting competing outreach
initiatives around the world. Significantly, as the implementation of
people-to-people programs between the U.S. and these two countries has
become increasing difficult, Russia and China have stepped up efforts
to build ties in critical areas like Central Asia, Central and South
East Europe, the Middle East, and Africa. It is crucial that the U.S.
strengthen its outreach efforts wherever possible and close the gap
that has been created by the pandemic.
The United States Congress has always played a vital role in
defining our national goals for countries and regions of strategic and
national security importance to the United States, and the Subcommittee
is to be thanked for embracing these activities. Innovative programs in
education, research, and training, as well as activities promoting
critical thinking and media literacy, not only serve national security
interests, but highlight the role of the U.S. as a leader in these
areas and demonstrate the unmatched effectiveness of the U.S. education
system.
No instrument of ``soft power'' is more cost-effective than
American outreach to the rising generation of young leaders and
professionals through congressionally funded programs. They provide a
significant long-term multiplier effect at relatively low cost, as
alumni later rise to increasingly important roles in government, the
private sector, and the NGO community.
It is also important to acknowledge that resources used on
effective public diplomacy reduce the amount of funding required for
defensive action.
Without a doubt, these programs benefit not just the countries on
which they focus; they also benefit the U.S., which must strategically
engage with the global community.
educational and cultural exchange (ece)
To be effective, U.S. public diplomacy must reach beyond the
English-speaking citizens in foreign capitals. The non-Fulbright side
of the State Department exchanges account does precisely this. It
provides for some of the most cost-effective and universally admired
international education programs in public diplomacy today.
The Future Leaders Exchange (FLEX) program for Eastern Europe/
Eurasia and the Youth Exchange and Study (YES) program for nations with
substantial Muslim populations were created by the U.S. Congress and
boast today over 40,000 active alumni, most under the age of 40. Most
recently, American Councils was proud to facilitate the expansion of
the FLEX program into several Central European countries, where the
U.S. needs to maintain a strong voice in the increasingly competitive
global landscape.
Programs like FLEX and YES are critical to U.S. interests, as are
counterpart programs like the Critical Language Scholarship Program and
the National Security Language Initiative for Youth that place similar
numbers of U.S. high school and university students overseas to learn
critical languages like Arabic, Chinese, Korean, and Russian, as well
as less-commonly taught languages like Hindi, Persian, Turkish, and
Urdu.
These programs provide access to students who would not otherwise
have the means to study abroad and, in doing so, help to build national
capacity by preparing a generation of diverse citizens who will be
better able to deal with the economic and cultural complexities of the
21st century. They also deliver professional development support to
early career teachers and researchers in the U.S. and overseas, and
provide vitally important immersion language training, internships, and
field work support for U.S. students and graduate students in a dozen
languages and regions of the world that are deemed critical by the U.S.
government.
For that reason, I ask that the Subcommittee include in this
legislation language in support of the following exchange programs:
Future Leaders Exchange Program (FLEX)
Youth Exchange and Study Program (YES)
Teachers of Critical Languages Program (TCLP)
Professional Fellows Program (PFP)
Young Southeast Asia Leadership Initiative (YSEALI)
Educational Advising Centers (Education USA)
National Security Language Initiative for Youth (NSLI-Y)
Critical Language Scholarships Program (CLS)
eurasia/south east europe programs
The U.S. currently supports a number of relatively new and
unusually important assistance programs in the Eurasia/South East
Europe region, which, based on my own experience, deserve particular
consideration as models of focused U.S. assistance.
Each contributes to meeting the challenges of preparing a new
generation of citizens for the demands of the globalized economy and
the concomitant needs for stronger workforce development, professional
education, reduction of corruption, and greater social cohesion.
These programs include the support of merit-based testing for
university admissions in Ukraine and the support of collaborative
research and language training for U.S. and Eurasian scholars under the
State Department's highly respected Title VIII Program. Without this
support for American scholars, the U.S. risks a future without area
specialists who can help us navigate these complicated relationships.
I ask that the Subcommittee provide support for the following
programs:
Research and Training in East European/Eurasian Regions (Title VIII
program)
Ukraine: Knowledge Transfer Initiative for Ukrainian Public
Diplomacy
Academic Integrity and Quality Initiative (AcademIQ)
conclusion
Mr. Chairman, as you proceed with decisions on the fiscal year 2022
bill, I request that you continue to provide strong funding for the
Department of State's Bureau of Educational and Cultural Affairs and
Foreign Assistance programs, particularly the programs mentioned in
this statement. Thank you very much for your consideration.
[This statement was submitted by Dr. David Patton, President.]
______
Prepared Statement of The American Foreign Service Association (AFSA)
The American Foreign Service Association (AFSA) is grateful that
Congress voted to increase the Fiscal Year (FY) 2021 International
Affairs Budget and, once again, reject proposed cuts to diplomacy and
development funding. In FY22, AFSA hopes to build on the momentum of
FY21's funding increases by increasing the amount of Foreign Service
positions and shifting more positions back to the field. We have
recently seen that field work in action-when Foreign Service members
spearheaded the successful effort to bring more than 100,000 Americans
home during the global COVID-19 pandemic. In the FY22 SFOPS
Appropriations bill, AFSA is seeking: A $30 million increase above the
FY21 enacted level to the State Department's ``Overseas Programs''
account and the following report language that specifies the
restoration of at least 100 mid-level FSO positions from Washington to
posts overseas: ``The Secretary of State shall increase the Department
by at least 100 Foreign Service positions, specifically mid-level
Foreign Service officer positions (grades FS-03, FS-02, and FS-01), at
overseas posts.'' Also, additional funds to the State Department's
``Human Resources'' account for the creation and filling of 1,000 new
Foreign Service positions and additional funds to USAID's ``Operating
Expenses'' account for the creation and filling of 650 new Foreign
Service positions.
AFSA has made the case that maintaining a robust diplomatic
capability is vital to preserving America's global leadership role. Our
leadership was built on a foundation of military might, economic
primacy, good governance, tremendous cultural appeal-and the diplomatic
prowess to channel all that power, hard and soft, into global
leadership that has kept us safe and prosperous at home. A 2019 Chicago
Council on Global Affairs survey found that seven in ten Americans
support an active U.S. role in the world, a record high of the past
five decades.
We would like to partner with our congressional supporters to
ensure that today, and years from now, full teams of U.S. diplomats are
in the field, deployed around the world to promote and protect U.S.
interests. For a tiny percentage of the overall budget, the Foreign
Service builds the relationships that enable Americans to conduct
business all around the world and keep threats at bay, reducing the
need for military action. If the United States retreats diplomatically,
we leave a vacuum that will be filled by others. In the face of more
aggressive competition from China and Russia, the opportunity costs of
leaving American embassies short staffed is rapidly increasing. Doing
so erodes our nation's diplomatic power at our own peril.
Creating and filling 1000 new State Department positions and 650
new USAID positions will accomplish three major things: create a
training float so members of the Foreign Service are better prepared
for their jobs, allow expanded intake from an increasingly diverse U.S.
population, and enable the foreign affairs agencies to meet expanding
mission requirements.
1. Members of the Foreign Service receive quality training on the
front end and on the basics; before they go to their first assignment-
for language training, for certain leadership positions, etc. For
example, a mid-level ranked Public Affairs officer may never take
training on core public diplomacy functions because there is never
time. The officers are usually shuttled between language training and
their next post, without the opportunity to simply study and learn how
to do their jobs better. This training float will enable members of the
Foreign Service to perform higher quality work and provide temporary
duty officers to perform jobs while others attend training.
2. A significant increase in positions also provides the
opportunity to expand representation to traditionally underrepresented
groups. Diversity in foreign affairs agencies is not reflective of the
U.S. population; and general expansion of the Foreign Service while
targeting underrepresented groups will aid in both the recruitment and
retention of a more diverse Foreign Service.
3. Today, the U.S. is facing new threats and issues diplomats did
not have to reckon with 10 years ago. Russia has resurged as a major
national security threat, and U.S. diplomats have reported Russian
foreign policy revolves around simply disrupting liberal democracy.
China now has a larger diplomatic presence than the U.S., having more
posts overseas and outnumbering American diplomats five to one in
African countries. More positions will enable the Foreign Service to
meet its expanded mission requirements to counter any threats to our
global leadership and influence.
Complementing the need for new positions is the need for more
members of the Foreign Service at posts abroad. Members of the Foreign
Service recall being asked during the height of the ``civilian surge''
in Iraq to identify positions U.S. embassies could sacrifice for the
cause of ensuring that every position in Iraq was filled with Foreign
Service volunteers. Well over a decade later, those positions have not
been returned to the overseas posts from which they originally came.
The Foreign Service finds itself struggling in short-staffed sections
at embassies around the world that gave up those same positions 10
years ago.
State's Overseas Staffing Board concluded in its most recent report
that America has too few diplomats in the field. The Overseas Staffing
Model showed a deficit of almost 200 overseas positions in ``core
diplomacy,'' (the term used for political and economic officers, as
well as chief of mission positions). Without those core diplomacy
positions, the State Department routinely misses opportunities to bring
business to the U.S., assert the values of democracy, and protect core
foreign policy interests.
Our nation needs a full team of diplomats and development
professionals in the field keeping threats at bay and protecting our
prosperity-combating the conditions that enable terrorism to take root,
protecting against pandemics, and promoting the rule of law and open
systems that allow U.S. companies to compete and thrive. The documented
deficit in overseas core diplomacy positions needs to be addressed as
soon as possible if we are to avoid losing further commercial,
economic, and even political ground to rising great power competitors.
These three requests-a $30 million increase to the ``Overseas
Programs'' account and report language specifying the restoration and
filling of 100 positions in the field, along with 1000 new State
Department positions to fill for general expansion of the Foreign
Service, will enable America to have a full team in the field and at
home.
AFSA also greatly appreciates congressional bipartisan support for
foreign assistance as a critical component of America's national
security. However, long-standing staffing and operational challenges,
including the hiring of career members of the Foreign Service at USAID,
remain. USAID is expected to continue making requests for contractors,
Foreign Service Limited (FSL) appointments, and other non-career staff.
Many of these non-career hires are not competed through USAJobs.gov-
which raises questions of transparency and propriety. The numbers
suggest that USAID headquarters will be comprised primarily of short-
term contractors and limited appointees, while employees abroad will
primarily be career officers.
Therefore, the field-informed perspectives and Civil Service long-
term trained personnel will dwindle in percentage to the non-career
high turnover hires. Over time, this lack of career officers will
seriously reduce the effectiveness and threaten the institutional
knowledge of USAID. Thus, AFSA would like to partner with our
congressional supporters to provide additional ``Operating Expenses''
funding for 650 additional USAID career Foreign Service positions--our
fourth request.
AFSA would also like to point out that career USAID Officers are
both less expensive than short term contractors or FSL appointments,
and long term provide field-driven perspectives and expertise which
enable more effective foreign aid. A clear prioritization and increase
of career Foreign Service positions at USAID, accompanied by a pause of
further FSL appointments, would send the signal to our diplomats that
they will continue to be supported by Congress.
Thank you for your consideration of these requests.
[This statement was submitted by Ambassador Eric Rubin, President.]
______
Prepared Statement of the American Hellenic Institute (AHI)
Chairman Coons, Ranking Member Graham, and Members of the
Subcommittee, I am pleased to submit testimony to the Subcommittee on
behalf of the nationwide membership of the American Hellenic Institute
(AHI) on the Administration's proposed FY2022 foreign aid budget.
The Administration's budget aims to confront 21st century security
challenges. The budget's vision for the United States is to ensure it
``. . . plays a lead role in defending democracy, freedom, and the rule
of law'' by recommending a significant increase in resources to:
``strengthen and defend democracies throughout the world; advance human
rights; fight corruption; and counter authoritarianism.'' \1\
In keeping with the best interests of the United States, AHI
opposes: (1) any proposed foreign aid and assistance to Turkey from the
United States; (2) any proposed reduction in the aid levels for the UN
Peacekeeping Force in Cyprus.
Further, AHI recommends an FY2022 funding level of $1.5 million for
NATO ally Greece's International Military Education and Training (IMET)
program as authorized for appropriation in The Eastern Mediterranean
Security and Energy Partnership Act. The Act also authorized $500,000
for the Republic of Cyprus' IMET program for FY2022, which AHI
recommends. In 2020, the U.S. Department of State provided, for the
first time, IMET program funding for the Republic of Cyprus. AHI
welcomed this policy development, and urges that this policy be
continued.
Finally, AHI recommends robust investment for Foreign Military
Financing (FMF) assistance for Greece, in the amount of at least $10
million, due to its strategic importance to the United States as the
Subcommittee will see presented in this testimony. The East Med Act
authorized appropriations of $3 million for FMF assistance in FY2020.
U. S. Interests in Southeast Europe and the Eastern
Mediterranean.--The U.S. has important interests in southeast Europe
and the eastern Mediterranean. It is in the United States' best
interest for the region to be politically, economically, and socially
stable, and for democratic principles to flourish, including adherence
to the rule of law. Significant commerce and energy sources pass
through the region. With Greece's close cultural, political, and
economic ties to the Mediterranean countries, including Israel; Western
Europe, the Balkans, Eastern Europe, and the Middle East, Greece is
strategically situated in a vital region to be an ideal strategic
partner for the U.S.
America Values Its Alliance with Greece.--Greece is an immensely
valuable link as ``a pillar of stability'' in the region as several
high-level U.S. government officials have noted. The U.S.-Greece
relationship has reached new heights by virtue of an ongoing Strategic
Dialogue, where avenues for cooperation among many sectors, including:
regional cooperation, defense and security, and trade and investment,
among others, are plotted for implementation. Greece is a pivotal and
dependable NATO ally to advance U.S. interests and is a frontline state
against terrorism. The Mutual Defense Cooperation Agreement between the
United States and Greece illustrates the two allies' commitment to
address over a longer term the security challenges in the region. The
Agreement currently is under revision. After it is upgraded, it will
offer more flexibility to deepen cooperation in the defense sector,
according to Greece's Minister of Defense Nikos Panagiotopoulos. For
its part, Greece further demonstrates its commitment to the Alliance as
a top contributor to the defense efforts of NATO. Greece is estimated
to spend 2.68% of its GDP on defense expenditures in 2020 in accordance
with NATO standards despite battling economic challenges. By percentage
of GDP, Greece is second to the U.S.\2\
Greece is also important for the projection of U.S. strategic
interests by being home to the most important U.S. military facility in
the Mediterranean Sea, Souda Bay, Crete. It is a base from where joint
USN/USAF reconnaissance missions and air refueling support for U.S. and
NATO operations were implemented successfully, and it continues to be
immensely important. Military installations located at Souda Bay
include the NATO Maritime Interdiction Operational Training Centre
(NMIOTC) and the NATO Missile Firing Installation (NAMFI). To
illustrate Souda Bay's importance, these figures show the volume of
operations conducted there:
--In 2020, at least 90 U.S. and 40 NATO (total 130) ships made a port
visit at Souda Bay.
It also has been noted by U.S. government officials how Souda Bay
allows United States Navy vessels-especially aircraft carriers-the
ability to dock, make needed repairs and maintenance, and resupply, all
within a couple of weeks and without having to return to Naval Station
Norfolk. According to U.S. Ambassador to Greece, Geoffrey Pyatt, in a
March, 20, 2021 statement: ``Souda Bay is the jewel in the crown of US-
Greece defense cooperation . . . the unique capacities the Souda
provides to support US presence in the strategically dynamic East
Med.'' To further demonstrate that Greece's value extends well beyond
Souda Bay:
--NATO Joint-Command HQ: Thessaloniki hosts a NATO Rapid Deployment
Corps combined with its Third Army Corps for two years.
--Operation Atlantic Resolve: Greece enables a substantial portion of
the U.S. Army's 10th Combat Aviation Brigade to enter the
European theater through the port of Thessaloniki and to depart
through Alexandropoulis. Alexandroupolis is being recognized as
a city with increased geostrategic importance, which can also
contribute to economic development and energy security.
--The 101st Combat Aviation Brigade of the U.S. Army, from October-
November 20, 2020, and from February-Mar 21, 2021, stationed
and trained at Volos and Stefanovikeio.
--The U.S. and Greece held a joint military exercise in May 2021 as
part of a larger ``DEFENDER-Europe'' program, which, according
to the U.S. Army, is ``an annual large-scale U.S. Army-led,
multinational, joint exercise designed to build readiness and
interoperability between U.S., NATO and partner militaries.''
Greece was one of only four participating countries whose port
was used to deploy equipment into Europe and to host a
``DEFENDER-Europe 21'' logistical center.
--USAF temporarily operated MQ-9 Reaper Drones from Greece's Larisa
Air Force Base.
--Increased aircraft and soldier involvement at Stefanovikio Hellenic
Army airbase improves NATO transit capability.
--The trilateral naval exercise ``Noble Dina'' between the U.S.,
Greece, and Israel is held annually off of the coast of Souda
Bay.
Greece is also an active participant in peacekeeping and peace-
building operations conducted by international organizations, including
the UN, NATO, EU, and OSCE. In sum, it is evident Greece contributes
significantly to U.S. interests. AHI strongly contends these actions
justify a robust investment by the U.S. in Foreign Military Financing
assistance to Greece.
Regional Instability.--The successful projection of U.S. interests
in the Eastern Mediterranean depends heavily on the region's stability.
A key to peace and stability in the region is for good neighborly
relations among NATO members and respect for the rule of law.
Therefore, the U.S. has a stake in focusing on the problems that are
detrimental to U.S. interests and to call out those who cause
instability in the region. Turkey is the fundamental cause of
instability in the eastern Mediterranean and broader region:
--Turkey's unilateral claims against sovereign Greek territory in the
Aegean which are in violation of international law, and
Turkey's refusal to refer its unilateral claims to binding
international arbitration.
--Turkey's aggression against Cyprus which includes its continuing
illegal occupation of 37.3 percent of Cyprus.
--Turkey's numerous incursions into Cyprus' Exclusive Economic Zone
(EEZ), illegal drilling in Cyprus' EEZ that were supported by
Turkish warships and drones, and demonstrated ``gunboat
diplomacy.''
--Turkey's continuing violations of Greece's territorial waters and
airspace, numbering over 7,000 violations in 2020, which are in
violation of international and U.S. law, including the Arms
Export Control Act (AECA). There were 4,605 airspace and 3,215
maritime incidents.
--Illegal immigration via Turkey that threatens Greece's economic
development and the peace and stability of Europe.
--The Turkey-Libya Memorandum of Understanding (MoU) on maritime
borders, which has been resoundingly dismissed by the
international community as illegal.
--Turkey's open support for Hamas, and active role in terror
financing, in violation of international and U.S. law,
including the Arms Export Control Act (AECA).
--Turkey's exacerbation of the Nagorno-Karabakh conflict by
encouraging Azerbaijan's aggression against Armenia, including
transiting Syrian mercenaries with ties to jihadist groups to
fight on behalf of Azerbaijan.
Turkey.--Turkey continues to demonstrate it is not a true and
dependable U.S. and NATO ally. The U.S. government, both executive and
legislative branches, rightly sanctioned Turkey for its procurement of
the Russian-made S-400 missile defense system under Countering
America's Adversaries Through Sanctions Act (CAATSA) in December 2020.
Those penalties should be expanded. AHI calls for the continued
inclusion of appropriations language that direct the suspension of
delivery or transfer of F-35 aircraft to Turkey until reports detailing
the impact of Turkey's purchase of the S-400 missile system from Russia
on U.S. weapon systems such as the F-35s are provided to Congress. In
addition, Turkey's support for Hamas has been evident. President
Erdogan has hosted Hamas' top leadership, including individuals
designated as global terrorists. Hamas' recent attack against U.S. ally
Israel only further highlights Turkey's role as a malign regional
influence.
We oppose any foreign aid for Turkey and any other assistance
programs from the United States. This includes most favored nation
trade benefits including textile quotas and the transfer of any nuclear
related assistance which we oppose as not in the best interests of the
U.S. AHI applauded the United States' decision to terminate Turkey's
designation as a beneficiary developing country under the Generalized
System of Preferences (GSP) program, which became effective May 17,
2019. AHI has long argued for this type of action by the U.S.
government, especially in testimony presented to this Subcommittee,
until the following actions are taken: (1) the immediate withdrawal of
all Turkish troops from Cyprus; (2) the prompt return to Turkey of the
over 180,000 illegal Turkish settlers in Cyprus; (3) the Turkish
government's safeguarding the Ecumenical Patriarchate, its status,
personnel and property, reopening the Halki Patriarchal School of
Theology, returning church properties illegally seized, and the
reversal of Hagia Sophia's status, returning it to a UNESCO-designated
museum; (4) the cessation of violations against Greece's territorial
integrity in the Aegean and of its airspace; (5) the cessation of
illegal interference in the exclusive economic zone (EEZ) of the
Republic of Cyprus; (6) Turkey must cease its support and promotion of
a ``two-state'' solution regarding Cyprus, in violation of United
Nations resolutions and the position of the U.S. government; (7) Turkey
must cease its egregious violations of important United States laws, in
particular the Arms Export Control Act & the Countering America's
Adversaries Through Sanctions Act (CAATSA). Of course, Turkey's ongoing
human rights, freedom of speech, and religious freedom violations are
problematic.
Cyprus.--The illegal military occupation of the Republic of Cyprus
by 40,000 Turkish troops continues. As long as the Republic of Cyprus
remains under Turkish military occupation, a strong UN peacekeeping
force must be maintained on the island. Congress can assist the
Republic of Cyprus by reaffirming the United States' position that
assistance appropriated for Cyprus should support measures aimed at
solidifying the reunification of Cyprus and the unified government in
Cyprus. It would provide a settlement, should it be achieved, with a
chance to succeed. Therefore, AHI recommends the following language
from Title III of the Consolidated Appropriations Act of 2012 be
included in the FY2022 State, Foreign Operations, and Related Programs
Appropriations bill:
Assistance provided to Cyprus under this Act should foremost
ensure that the United Nations Peacekeeping Force in Cyprus
(UNFICYP) can fully implement its mandate, while remaining
available to also contribute to the creation of a conducive
environment for the settlement talks under the auspices of the
UN Secretary-General's Good Offices. Furthermore, in the event
of reunification, further assistance should be used to
contribute towards the cost of reunification, including towards
monitoring provisions, facilitation for settlement of the
property issue, supporting and underpinning the new federal
structures of a reunified island and assisting with the
construction of a strong unified Cypriot economy able to cope
with the new challenges, and strengthening the contacts between
the two communities as conducive to reunification, in a way
agreed to between the United States and Cyprus.
The last UN-led attempt, which took place in Crans-Montana in 2017,
aimed to achieve a just and viable solution to the near 47-year
division of the Republic of Cyprus, ended without reaching an agreement
because of Turkish intransigence. Instead of helping to provide
stability by promoting a just settlement supported by both Greek
Cypriot and Turkish Cypriot communities, Turkey continued to insist on
antiquated and obstructive stances, such as its insistence to maintain
the Treaty of Guarantee with a right of future unilateral Turkish
military intervention.
More recently, during the latest 5+1 informal meeting in Geneva at
the end of April 2021, aiming to assess whether there was sufficient
common ground for the resumption of the negotiations, Turkey
fundamentally changed its official position on the form of settlement
of the Cyprus problem, insisting on a ``two-state-solution'' to
solidify its occupation of the island, contrary to UN Security Council
resolutions and the stated position of the United States government.
Furthermore, Turkey hinders the humanitarian work of the Committee
on Missing Persons's (a previous recipient of USAID support) by denying
access to areas under its occupation, including Turkish military zones,
in order to excavate for the remains of 996 Cypriots still missing
(including four US citizens) following the Turkish invasion of Cyprus
in 1974.
Congress should call on Ankara to constructively support the
reunification efforts, in accordance with the UN Security Council
Resolutions calling for a bizonal, bicommunal federation, as well as
for a solution that embodies the full respect of the principles and
laws of the European Union, of which Cyprus is a member state. The new
state of affairs ought to safeguard that a reunified Cyprus would have
a single international legal personality, a single sovereignty and a
single citizenship.
AHI is also concerned with energy security. AHI contends the U.S.
must continue to support the sovereign rights of the Republic of Cyprus
to explore and develop the resources within its EEZ free of any third-
party interference. As mentioned, Turkey's threats in Cyprus' EEZ
endanger U.S. companies.
International Military Education & Training (IMET)--Greece and
Cyprus.--AHI recommends FY2022 funding for Greece's IMET program at
$1.5 million and the Republic of Cyprus's IMET program at $500,000. The
recommended funding levels are in line with the authorization of
appropriations passed in The Eastern Mediterranean Security and Energy
Partnership Act. For Greece, the country experienced 11 fiscal years
(FY2006-FY2017) of a steady decline of its IMET funding levels. It
resulted in the drastic decrease in the number of Greek military
students participating in the program. An investment of $1.5 million in
FY22 will help address that 11-year decline in funding, but more
investment is needed to make up for ``lost time.'' For the Republic of
Cyprus, which received its first IMET program funding in FY21, it is
critical to continue this investment in FY22. It will be the next step
in a series of positive developments since the Statement of Intent that
the U.S. and Republic of Cyprus signed in November 2018. Since then,
Cyprus has assigned a defense attache to the Embassy in Washington, the
Cyprus Center for Land, Open-Seas, and Port Security (CYCLOPS), an
innovative security site that has been partially funded by the U.S., is
scheduled to begin operations in January 2022; and the U.S. implemented
a partial lifting of an arms prohibition on Cyprus. The U.S. must fully
and permanently lift its arms prohibition on Cyprus and remove Cyprus
from the list of countries to which arms sales are prohibited under
International Traffic in Arms Regulations (ITAR) and calls for
appropriations language to direct this of the U.S. Department of State.
The IMET program advances the professional military education of
the Greek and Cypriot Armed Forces. It enhances interoperability with
U.S. forces, and in Greece's case, NATO forces. Through the training of
Greek and Cypriot military and noncommissioned officers in a multitude
of professional military education and technical courses in the U.S.,
IMET offers strong U.S.-Greece and U.S.-Republic of Cyprus mil-to-mil
relations. It is an effective and wise investment toward a key
component of U.S. security assistance. It also helps the U.S. because
it contributes toward the strengthening of U.S. security interests in
an important part of the world by training and promoting the
professionalization of the Greek and Cypriot Armed Forces.
Thank you for the opportunity to present them in our written
testimony to the Subcommittee.
---------------------------------------------------------------------------
\1\ ``Budget of the United States Government Fiscal Year 2022,''
https://www.whitehouse.gov/wp-content/uploads/2021/05/budget_fy22.pdf,
pages 22 and 23.
\2\ 2020 estimate. https://www.nato.int/nato_static_fl2014/assets/
pdf/2021/3/pdf/210316-pr-2020-30-en.pdf
---------------------------------------------------------------------------
[This statement was submitted by Nick Larigakis, President.]
______
Prepared Statement of the American Society of Tropical Medicine and
Hygiene
The American Society of Tropical Medicine and Hygiene (ASTMH)-the
largest international scientific organization of experts dedicated to
reducing the worldwide burden of tropical infectious diseases and
improving global health -appreciates the opportunity to submit
testimony to the Senate Appropriations Committee's Subcommittee on
State, Foreign Operations, and Related Programs (SFOPs).
The COVID-19 pandemic has made it all too clear that the U.S. must
invest in research on, treatment for, and surveillance of tropical
diseases and other infectious diseases. When we invest in preventative
measures, we save lives and head off pandemics. These investments in
addition, support strong science and create trusted relationships with
valued colleagues around the world to respond to these challenges.
Congress must provide robust funding for global health efforts.
We respectfully urge you to increase the funding levels proposed in
the President's FY22 budget for global health programs in the FY22
SFOPS appropriations bill. Many global health programs have long been
flat funded and will require additional resources, not only to
reinvigorate programs that have been put on hold due to the pandemic,
but to ramp up innovation and impact. We must end once and for all the
vicious cycle of underinvestment followed by panic.
We would like to highlight two specific USAID programs.
Neglected Tropical Diseases (NTDs): NTDs are a group of 20
infectious diseases and conditions that disproportionately affect poor
and marginalized populations. NTDs coexist with poverty and thrive in
places with limited access to clean water, sanitation, and protection
from the carriers of disease. NTDs remain persistent threats to global
health and economic viability, killing more than 500,000 each year and
causing significant morbidity and mortality in more than 1 billion
people worldwide. Children suffer greatly from NTDs, as NTD infection
leads to malnutrition, cognitive impairment, stunted growth, and the
inability to attend school. Every low-income country is affected by at
least five neglected tropical diseases simultaneously, while there are
149 countries and territories affected by at least one NTD. Over the
past year, COVID-19 has made the successful treatment of these diseases
even more challenging.
While the global challenge of NTDs may seem daunting, the NTD
Program at USAID has made remarkable progress in treating and even
eliminating NTDs. Launched in 2006, the NTD Program as of 2021 has
leveraged roughly $1 billion in federal funding to secure $26 billion
in donated drugs and expand to 32 countries. In total, the program has
distributed 2.8 billion treatments to 1.4 billion people.\1\ The NTD
Program has successfully curbed multiple NTDs, with 315 million people
no longer requiring treatment for lymphatic filariasis (elephantiasis),
151 million people no longer requiring treatment for blinding trachoma,
and 10 million people no longer requiring treatment for onchocerciasis
(river blindness). Eleven countries have eliminated at least one NTD
entirely.
These figures show the tremendous return on investment that federal
funding for NTD treatment achieves. Every $1 invested by the U.S.
government leverages $26 in donated medicines for mass treatment
campaigns. Combined with the low, 50-cent cost of rapid-impact packages
of medication that treat an individual for the five most common NTDs,
NTD treatment is one of the best buys in public health.
These gains cannot go to waste. While other countries debate
drastic cuts to their NTD programs, the U.S. has shown how effective
national NTD programs can be. The U.S. must continue to lead and
encourage its allies to join in these life-saving efforts.
We respectfully join the NTD Roundtable in calling for an increase
to $125 million for FY22 for the USAID NTD program. Funding has been
near level since 2014. Neglected tropical disease (NTD) activities
around the globe were halted at the onset of COVID-19 pandemic. Now,
following World Health Organization (WHO) guidelines, many NTD programs
are resuming worldwide. Costs to implement NTD programs during COVID-19
have increased and we are conducting analysis to determine the full
impact. These costs include infection prevention measures, such as hand
sanitizer & PPE, but also new modes of working to accommodate physical
distancing, such as increased venues and number of days for training
community drug distributors, increasing number of vehicles to transport
teams to allow some distancing, etc.
An increased investment could:
--Advance NTD elimination in priority countries, saving lives and
livelihoods.
--Expand number of treatments in existing areas and add new
geographic areas, potentially those listed by WHO as still
needing support.
--Expand urgently-needed investments in research and development--
including diagnostics and drugs--for NTDs to ensure tools and
strategies are available to overcome emerging challenges.
--Support greater integration with complementary programs necessary
for the success of NTD prevention, control and elimination
efforts, including WASH, nutrition, education, One Health and
vector control.
Estimates show that with the strong support of programs like the
USAID NTD program in the next 5 years, 15 additional countries will
eliminate at least one NTD as a public health problem. This illustrates
the cumulative impact of the U.S. investment. In the last 15 years, 10
countries have eliminated one NTD. This is life changing considering
that these diseases that have been destroying lives for centuries.
Malaria: While we have seen tremendous success as a result of U.S.
funded efforts to eliminate malaria, the disease remains a significant
global health threat. Despite our ability to treat and prevent malaria,
it is still one of the leading causes of death and disease worldwide,
with nearly half the world's population living in the 87 countries and
territories where malaria is endemic.\2\ Malaria poses the most
significant threat to poor women and children, but it is also a major
threat to our military and other travelers to the tropics. In 2019,
there were about 229 million new cases of malaria and an estimated
409,000 deaths.\3\
Thankfully, the President's Malaria Initiative (PMI) has made
remarkable progress since 2005 in lowering these sobering infection
numbers, distributing almost 400 million nets and providing hundreds of
millions of treatments and tests. The 22 PMI focus countries have
successfully lowered child mortality. That said, however, USAID must
continue to strengthen and invest in these programs and in research and
development of new tools to maintain progress, especially as COVID-19
impedes malaria treatment access. Though we have dramatically reduced
the number of cases of malaria, the effort to ultimately eliminate the
disease depends on providing adequate funding for the proven
interventions. In 2019 alone, PMI provided more than 47 million
insecticide treated mosquito nets, more than 79 million antimalarial
treatments, and protected 18.6 million people through indoor residual
spraying.
Furthermore, malaria efforts at PMI, USAID, and the State
Department should work hand-in-hand with the CDC's Center for Global
Health, the NIH, and the malaria research programs funded by the
Department of Defense.
We respectfully request Congress provide $902.5 million for the
President's Malaria Initiative for FY2022. This funding will address
global supply chain disruptions caused by COVID-19 leading to increased
manufacturing and freight costs for malaria commodities, support the
changeover to next generation bed nets necessary to combat insecticide
resistant mosquitoes. The funding will also increase training and
support for community health workers to deliver lifesaving commodities
for malaria and other global health threats including the COVID-19
pandemic.
International Partnerships--ASTMH encourages robust funding and
participation in important international partnerships such as the
Global Fund, vaccine partnerships, and the World Health Organization.
Global Fund--The Global Fund is a 21st-century partnership that
brings together governments, civil society, the private sector, and
people affected by disease in order to accelerate the end of AIDS,
tuberculosis, and malaria as epidemics. Investments in the Global Fund
support local prevention, treatment, and care services that strengthen
overall local health systems and economies. U.S. investments in the
Global Fund have and will continue to save lives and fight diseases--in
endemic countries, where American diplomats and service members are
also stationed, and at home, by preventing the spread of AIDS, TB, and
malaria.
Vaccine Partnerships--U.S. contributions to GAVI, the Vaccine
Alliance, and other vaccine partnerships like the COVAX facility, which
is co-led by GAVI along with the World Health Organization and the
Coalition for Epidemic Preparedness Innovations (?CEPI), multiply the
impact of USAID programs through coordination and increased cost-
effectiveness. The U.S. should lead by example in support of effective
international partnerships of this sort and not back away from its
leadership role.
World Health Organization--ASTMH is thankful that the U.S. will
remain a member and valued partner of the WHO. To protect American
lives, we need the WHO to continue to be on the front line at the next
outbreak and pandemic. International collaboration is central to
research, particularly on diseases and pandemics. The WHO plays a key
role in fostering scientific collaboration. It serves as a surveillance
system as new diseases and outbreaks emerge and supports the sharing of
vital information, data, and clinical samples. The U.S. and global
research community needs this system and the data that is generated to
develop vaccines and treatments.
conclusion
The vast majority of infectious diseases do not emerge in the U.S.;
instead, they thrive elsewhere often long before a catalytic event
occurs that rapidly mobilizes the threat bringing it to the U.S. It is
our lack of urgency and response to address these threats while they
exist as remote tropical diseases that allows their spread and
increases our domestic vulnerabilities. It is not a question of whether
a new infectious disease outbreak will occur, it is a matter of when
and what it will be. For this reason, Congress needs to support
sustainable investments in U.S. global health research and development
to increase our knowledge, understanding, and tools to confront
infectious disease. ASTMH appreciates the opportunity to share its
expertise and we hope you will provide the requested FY22 resources to
the programs identified above that will help improve the lives of
Americans and hundreds of millions worldwide.
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\1\ USAID NTD Fact Sheet. https://www.neglecteddiseases.gov/wp-
content/uploads/2021/02/USAID-NTD-Fact-Sheet.pdf
\2\ CDC, Malaria's Worldwide Impact. https://www.cdc.gov/malaria/
malaria_worldwide/impact.html
\3\ World Malaria Report (2020). https://www.who.int/teams/global-
malaria-programme/reports/world-malaria-report-2020
[This statement was submitted by Julie Jacobson, President.]
______
Prepared Statement of the Animal Welfare Institute
Thank you for the opportunity to submit testimony on Fiscal Year
2022 funding priorities for the U.S. Department of State and to request
report language regarding the Explosive Detection Canine Program.
Dogs dying from parvovirus, heat stroke, and renal failure caused
by tick-borne disease. Dogs infested with fleas and ticks. Emaciated
dogs living in feces-filled kennels and eating off the floor. The
latest puppy mill horror? No. These were the conditions endured by dogs
trained in the United States and given to ``foreign partner nations''
to supplement their antiterrorism efforts-under a program financed by
millions of US tax dollars.
In 2019, the State Department's Office of Inspector General (OIG)
released a report documenting the unconscionable mistreatment of dogs
sent overseas under the Explosive Detection Canine Program (EDCP). This
situation came to light only after a whistleblower-a veterinarian who
had worked for the private contractor that trained the dogs-raised
serious concerns about their health and welfare.
For over 20 years, the State Department has been sending highly
trained explosive detection dogs to foreign countries ``to enhance the
ability of their law enforcement to deter and counter terrorism.'' The
EDCP, however, failed to properly monitor the recipient countries' care
of the dogs. In Jordan alone between 2008 and 2016, 10 dogs died
``while others were living in unhealthy conditions.'' Yet between 2016
and 2019, the United States supplied an additional 66 dogs to that
country.
``The Department conducts health and welfare follow ups
infrequently and inconsistently,'' observed the OIG. The report noted
that the program lacked policies, procedures, and written standards to
ensure the health and welfare of the dogs, and no written documents
were produced ``until after a draft of the report was provided in June
2019.'' No policies were in place for canine adoption or retirement,
and the OIG expressed concern that dogs may be left in kennels at the
end of their working lives. Working conditions and the quality of
nutrition and veterinary care were discovered to be so substandard, in
fact, that the dogs were unable to perform their jobs and ``had lost
the will to work.'' Concern was expressed that, if the dogs were in
such poor physical and psychological health that they could not perform
their duties accurately, were lives being endangered due to missed
explosives?
After the report's release, Sen. Charles Grassley (R-IA), then
chairman of the Finance Committee, and Sen. Mark Warner (D-VA), then
vice-chairman of the Intelligence Committee, wrote to then-Secretary of
State Mike Pompeo expressing deep concerns about the program and asking
the secretary how he planned to remedy the problems.
It is shocking that a program this expensive and supposedly this
critical to antiterrorism efforts has been run so haphazardly. Until it
can be established that all of the recommendations in this report have
been implemented, the program should be suspended and all dogs returned
to the United States. It is time to stop putting highly intelligent,
trained, and, above all, innocent animals into situations where their
lives are in danger, not from the work they do but from the poor care
they receive.
In light of this history and the apparent lack of follow up, AWI
requests the following report language stating that the Committee will
withhold further funding for the program until the State Department
provides the Committee with a report about the EDCP program:
``In September 2019, the State Department's Inspector General
issued a deeply troubling report documenting the unconscionable
mistreatment of dogs sent overseas through the Explosive
Detection Canine Program (EDCP), under which dogs trained in
the United States are given to `foreign partner nations' to
supplement their antiterrorism efforts-financed by millions of
US tax dollars. This situation came to light only after a
whistleblower, a veterinarian who had worked for the private
contractor that trained the dogs, raised serious concerns about
the animals' health and welfare.
``According to the report, the EDCP failed to properly monitor
the recipient countries' care of the dogs. Special concerns
were expressed about Jordan, where between 2008 and 2016, 10
dogs died, while others were living in unhealthy conditions.
`The Department conducts health and welfare follow ups
infrequently and inconsistently,' observed the OIG. The report
noted that the program lacked policies, procedures, and written
standards to ensure the health and welfare of the dogs, and no
written documents were produced `until after a draft of the
report was provided in June 2019.' No policies were in place
for canine adoption or retirement, and the OIG expressed
concern that dogs may be left in kennels at the end of their
working lives. Five recommendations were made `[t]o ensure that
canines provided to foreign nations by the Department under the
Antiterrorism Assistance Program are provided proper care and
treatment . . .'
``After the report was released, Sen. Charles Grassley (R-IA),
and Sen. Mark Warner (D-VA) wrote to then-Secretary of State
Mike Pompeo expressing deep concerns about the program and
asking the secretary how he planned to remedy the problems.
``A second OIG report was issued in December 2019 because `the
Office of Inspector General (OIG) received notice of additional
canine deaths that warrant[ed] immediate Department action.'
``In light of these reports, the Committee will hold further
funding for this program in abeyance until the Department
provides the Committee with a detailed written accounting of
the policies and procedures that have been put in place to
implement the OIG's 2019 recommendations, including an
assessment from the OIG of the success of these policies and
procedures in improving the health, welfare, and retirement
options for dogs used in the EDCP, along with an update on the
status of every dog currently in the EDCP or retired from the
EDCP since June 2019. Moreover, this report should address
allegations of `fraud, cronyism, misuse of government funds,
and whistleblower retaliation' raised in letters to then-
Secretary Pompeo from then-Rep. Trey Gowdy, and the late Rep.
Elijah Cummings and Rep. Katie Porter.''
[This statement was submitted by Nancy Blaney, Director, Government
Affairs.]
______
Prepared Statement of the Armenian Assembly of America
Chairman Christopher Coons, Ranking Member Lindsey Graham, and
distinguished Members of the Subcommittee, the Armenian Assembly of
America (Assembly) welcomes the opportunity to provide the following
testimony regarding U.S. assistance and policy for the South Caucasus
region generally and Armenia and Artsakh (also known as Nagorno-
Karabakh) specifically. Today, Turkey and Azerbaijan are working to
dismember and depopulate Armenia and Artsakh.
ASSISTANCE TO ARMENIA--Despite undertaking an obligation to resolve
the Nagorno Karabakh conflict peacefully through the OSCE Minsk Group,
Azerbaijan launched an unprecedented war against the Armenian people
last Fall. For six weeks (44 days), the Azerbaijani military, with the
full and open support of Turkey, and with the use of over 2,500
jihadist mercenaries transported to and deployed in Azerbaijan,
attacked and targeted the Armenian people. As a result, Armenians,
having already faced a genocide in the 20th century, were forced yet
again to rebuild in the wake of serious human and structural
devastation. All Americans can be proud of President Joe Biden's April
24, 2021 statement reaffirming the U.S. record on the Armenian
Genocide. Upwards of 100,000 people--mainly children, women, and the
elderly--were forcibly displaced from their homes, while hospitals,
schools, and churches were destroyed by missiles, cluster and white
phosphorus munitions, and drone strikes. Given these unprecedented
developments, Senate Foreign Relations Committee Chairman Bob Menendez,
while speaking on the floor of the Senate last November, called for ``a
substantial investment in humanitarian and development assistance along
the lines of $100 million to make a difference for those on the
ground.'' We concur and urge not less than $100 million in FY22 for
Armenia's development and recovery after Azerbaijan's ruthless war,
which continues today with ongoing border incursions in violation of
Armenia's sovereignty.
The Assembly commends the electorate of the Republic of Armenia for
its continued and consistent commitment to democracy and the rule of
law during Armenia's June 20, 2021 parliamentary elections. The
Assembly welcomes the preliminary findings of the International
Election Observer Mission which were found to be ``competitive and
generally well-managed'' and that ``fundamental rights and freedoms
were generally respected,'' as was the freedom of expression, which is
guaranteed by Armenia's constitution. This positive assessment of the
democratic elections and established culture of democracy in Armenia
was shared by the U.S. Department of State: ``The United States is
committed to strengthening our partnership with Armenia based on shared
democratic values. We commend Armenia for the progress it has made with
respect to reforms and anti-corruption efforts and encourage Armenia to
continue along this path, in line with the aspirations of the Armenian
people, as expressed in the spring of 2018.''
ASSISTANCE TO ARTSAKH--The people of Artsakh are facing an ongoing
humanitarian crisis resulting from the unprovoked 44-day war. The
Assembly, therefore, urges not less than $50 million in assistance to
Artsakh. This direct funding, which we strongly encourage USAID to
oversee from Stepanakert, will help empower the people of Artsakh to
reconstruct their communities, rebuild their lives, and resettle in
their homes. It also serves as an opportunity for the U.S. to have a
presence in the region and sends an important message about America's
commitment to democratic governance. The Assembly also welcomes the
initiative by Senators Chris Van Hollen (D-MD) and Todd Young (R-IN)
who, along with 32 of their colleagues, are calling for $2 million to
support demining in Artsakh.
THE PEACE PROCESS--The United States, as a Co-Chair of the OSCE
Minsk Group, has a vested interest in advancing peace in and bringing
stability to the South Caucasus region. The Assembly appreciates the
Administration's recent statement urging all parties to return to
``substantive negotiations under the auspices of the OSCE Minsk Group
Co-Chairs to achieve a long-term political settlement to the Nagorno-
Karabakh conflict.'' The governments of Armenia and Artsakh have
consistently indicated their desire to peacefully resolve the conflict
and have offered confidence-building measures to help reduce tensions
and build trust. Azerbaijan, however, chose a different path--one of
blockade, bellicose rhetoric, and ceasefire violations, leading to the
deadly war it launched last Fall. In the absence of U.S. leadership,
the Armenian people found themselves in a dire situation and its
democratic government was pressured into a one-sided, Russian-brokered
arrangement with the signing of a trilateral (Armenia, Azerbaijan and
Russia) ceasefire statement on November 9, 2020, which negates
America's long-standing role as Co-Chair of the OSCE Minsk Group. In a
clear sign that Azerbaijan is not serious about establishing peace or
respecting international human rights conventions to which it is a
signatory, the Aliyev regime has repeatedly violated the November 9,
2020 ceasefire, including the holding of an estimated 200 prisoners of
war (POWs) and captured civilians. In addition, Aliyev marked Armed
Services Day on June 26, 2021 by saying that: ``Nagorno-Karabakh is the
land of Azerbaijan'' and that ``there is no territorial unit called
Nagorno-Karabakh, there is no concept of the Nagorno-Karabakh conflict
. . . We have destroyed Armenia.'' There is also ample reason to
believe that the ongoing breaches of the November ceasefire statement,
as well as the 44-day war itself, have occurred at the direction of
Turkey's authoritarian President Recep Tayyip Erdogan, whose
destabilizing actions in Cyprus, the Eastern Mediterranean, and with
respect to hostilities in Libya and Syria are well-documented, seeks to
further destabilize the South Caucasus region and circumvent the OSCE
Minsk Group process. The United States should not allow corrupt and
authoritarian regimes to sideline U.S. leadership and leave the world's
first Christian nation and fledgling democracy in peril. The Assembly
urges the U.S. Co- Chair to the OSCE Minsk Group to uphold the
fundamental principles of democracy, the right to self-determination,
and the universal human rights of the people of Artsakh.
SECTION 907 OF THE FREEDOM SUPPORT ACT--In light of the 44-day war,
which included the recruitment, transport, and deployment of thousands
of jihadist mercenaries to Azerbaijan by SADAT, a Turkish private
security firm whose founder, former Turkish brigadier general Adnan
Tanriverdi, is a close confidant of Erdogan, the Assembly urges
Congress to uphold the fundamental tenets of Section 907 of the FREEDOM
Support Act. Congress took a principled stand against Azerbaijani
aggression with the adoption of Section 907 of the FREEDOM Support Act
in 1992, and needs to do so again. Section 907 of the FREEDOM Support
Act states that U.S. funds ``may not be provided to the Government of
Azerbaijan until the President determines and so reports to the
Congress, that the Government of Azerbaijan is taking demonstrable
steps to cease all blockades and other offensive uses of force against
Armenia and Nagorno-Karabakh.'' In the aftermath of the September 11,
2001 terrorist attack on American soil, a national security waiver was
added to Section 907. The exercise of the waiver is valid so long as it
``will not undermine or hamper ongoing efforts to negotiate a peaceful
settlement between Armenia and Azerbaijan or be used for offensive
purposes against Armenia.'' Given last year's 44-day war, which
resulted in a death toll of over 4,000 soldiers and civilians, some
brutally beheaded according to Human Rights Watch and as documented by
Columbia University's Institute for the Study of Human Rights and its
``Project on Atrocities in Artsakh,'' nearly 10,000 wounded soldiers,
upwards of 100,000 Armenians forcibly displaced from their homes, the
destruction of vital infrastructure including hospitals, and the
deliberate erasure of Armenian cultural and religious heritage sites,
providing U.S. assistance to Azerbaijan sends exactly the wrong
message. The recruitment and deployment of jihadist mercenaries, ISIS-
style beheadings and bodily mutilations, the targeting of cultural and
religious sites, and the opening of a ``Military Trophy Park'' in
Azerbaijan's capital, Baku, replete with Armenian mannequins featured
in a dehumanizing manner and an entrance made with helmets of killed
and captured Armenian soldiers, is not acceptable and should not be
rewarded. These are practices that we oppose and must denounce because
they violate the most basic principles upon which civilized nations
stand. We urge that no U.S. taxpayer dollars be used to support
Azerbaijan and that starts with upholding the letter and spirit of
Section 907 of the FREEDOM Support Act, which if done previously would
have saved lives. We further recommend that Congress ensure that no
military assistance be provided to Azerbaijan. In addition, based on
credible reports that Azerbaijani forces committed gross human rights
violations during and after the 44-day war, the application of the
Leahy Law should be seriously considered. Azerbaijan should not be
rewarded for its blatant and ongoing violations against the Armenian
people, including the holding of an estimated 200 prisoners of war
(POWs) and captured civilians. In this regard, the Assembly strongly
supports the inclusion of report language calling for the immediate
release and repatriation of all POWs and captured civilians held by
Azerbaijan.
ARMENIA IS THE ONLY COUNTRY IN THE WORLD FACING DUAL BLOCKADES--A
centuries-old nation, Armenia was the first country to adopt
Christianity as its official state religion in 301 A.D. Throughout the
centuries, Armenians have maintained their faith, even during 70 years
of oppressive Soviet rule. Today, despite the dual blockades imposed by
Turkey and Azerbaijan, Armenia continues to show its resilience.
According to the World Bank, since independence ``Armenia's economy has
undergone a profound transformation'' and ``sustained growth, ambitious
growth, as well as inflows of capital and remittances that have created
a market-oriented environment.'' Imagine the impact of Armenia's
democratic and economic reforms if it was not blockaded by two of its
four neighbors. The United States has spoken clearly about the need for
Turkey to lift its three decades-long blockade of Armenia and establish
diplomatic relations, both of which are also required under
international treaties. The Assembly urges report language requiring a
full accounting of the steps that the Administration is taking and will
take to end the only blockade in the world of a democratic country.
Finally, we believe that the provisions of the Humanitarian Aid
Corridor Act should be broadened to preclude assistance to Turkey and
Azerbaijan as long as they continue to blockade Armenia.
U.S. MILITARY ASSISTANCE--Given Armenia's ongoing support to
America before and after 9/11, including Armenia's participation in
multilateral peacekeeping operations in Afghanistan, Kosovo, Iraq,
Lebanon and Mali, the Assembly supports not less than $10 million in
military assistance to Armenia for FMF and IMET. Such assistance not
only further strengthens Armenia's NATO Partnership for Peace
activities, but also supports NATO interoperability and modernization
of Armenia's Peacekeeping Brigade. NATO Secretary General Jens
Stoltenberg welcomed the partnership between the Alliance and Yerevan
during a meeting at the UN General Assembly and thanked Prime Minister
Pashinyan for Armenia's strong contributions to NATO's training mission
in Afghanistan and peacekeeping mission in Kosovo. The Assembly also
urges Congress to address the significant imbalance in U.S. security
assistance provided to Azerbaijan compared to Armenia (over $100
million in security assistance was provided to Azerbaijan in fiscal
years 2018 and 2019) and prevent any further misuse of U.S. funds.
ASSISTANCE TO MINORITIES AT RISK IN THE MIDDLE EAST--The Assembly
has consistently sounded the alarm on this issue and remains deeply
concerned about the ongoing violence in Syria, Iraq, and across the
region, and its impact on minority populations caught in the middle,
fleeing for their lives, and seeking refuge in new lands. The Assembly
strongly believes that Christian and other minority communities must be
afforded protection and safeguarded wherever they happen to reside. The
specter of another genocide today is a very real concern for the
Armenian people, who were targeted for annihilation in the twentieth
century. In this regard, the Assembly is deeply grateful for the
historic passage of Armenian Genocide resolutions in the House and
Senate in 2019 and President Biden's affirmation of the Armenian
Genocide this April 24, 2021. President Biden's affirmation of the
Armenian Genocide, along with Congress, marks a pivotal milestone in
the arc of history in defense of human rights. By standing firmly
against a century of denial, the President and Congress have charted a
new course. Affirmation of the Armenian Genocide enhances America's
credibility and recommits the United States to the worldwide cause of
genocide prevention. We commend Administration officials for publicly
acknowledging the Armenian Genocide and urge Congress to ensure that no
U.S. funds will be used to deny the Armenian Genocide.
CONCLUSION--Chairman Coons, Ranking Member Graham, and
distinguished Members of the Subcommittee, on behalf of the Armenian
American community, the Assembly would like to express its sincere
gratitude to Congress for its assistance to Armenia and Artsakh.
Armenian Americans gratefully remember the support that the U.S.
provided after the 1988 earthquake in Armenia, as Armenia moved boldly
toward independence in 1991, during Artsakh's struggle for freedom and
democracy, and through America's proud record of humanitarian
intervention during the 1915 Armenian Genocide. The Armenian Assembly
of America greatly appreciates your attention to these policy matters
and looks forward to working with you.
[This statement was submitted by the Armenian Assembly of America.]
______
Prepared Statement of the Armenian National Committee of America (ANCA)
This panel has played a vital role in strengthening Armenia's
independence and fostering bilateral U.S.-Armenia relations, meeting
humanitarian needs, providing technical assistance, supporting
Armenia's aid-to-trade transition, and investing in a durable and
democratic peace between Nagorno Karabakh (Artsakh) and Azerbaijan.
Now, more than ever, Artsakh and Armenia are in need of strong
bilateral relations with the U.S. and a robust aid program to
rehabilitate it from the devastating impact of the war with Azerbaijan
and Turkey and the COVID-19 pandemic. On September 27th, Azerbaijan--
led by corrupt dictator Ilham Aliyev--launched a brutal aerial and
ground attack on the Republic of Artsakh, targeting civilian population
center, churches, hospitals, and schools, resulting in thousands of
deaths and forcing Artsakh's women and children to seek safe-haven in
neighboring Armenia. The 44 day onslaught continued with the military
support of Turkey, which paid radical jihadist mercenaries from Syria
and Libya to fight against Armenians, while supplying Azerbaijan with
military equipment, including U.S. F-16 fighter jets to provide air
cover for their bombing raids and white phosphorus that permanently
destroyed Artsakh's verdant forests.
The illegal use of cluster munitions and white phosphorus are well
documented by international observes as well as our own Department of
State. Turkish Bayraktar drones--which include U.S. parts and
technology--were deployed by Azerbajan in that countless attacks
against churches, hospitals, schools and other civilian infrastructures
to destabilize and depopulate Artsakh.
The joint Azerbaijan and Turkish forces took advantage of the
COVID-19 Pandemic and U.S. Presidential elections in their timing of
the attacks. Now it is time for Congress to engage in efforts to
rehabilitate and prevent another outbreak of war. Thus, our specific
requests related to the FY22 State, Foreign Operations, and Related
Programs bill are for the following three provisions:
1) Nagorno Karabakh
Of the funds appropriated under title III of this Act and prior
Acts making appropriations for the Department of State, foreign
operations, and related programs not less than $250,000,000 shall be
made available for global health, humanitarian, and stabilization
assistance for Artsakh:
Refugee Relief: $100,000,000
Housing: $20,000,000
Food Security: $20,000,000
Water/Sanitation: $25,000,000
Healthcare: $25,000,000
COVID-19: $25,000,000
Rehabilitation: $33,000,000
Demining/UXO: $2,000,000
Since Fiscal Year 1998, direct U.S. aid to Nagorno Karabakh
(Artsakh) has provided the people of Nagorno Karabakh (Artsakh) with
maternal health care, clean drinking water, and life-saving demining by
the HALO Trust.
While the exact percentage of territory requiring clearance remains
uncertain, the HALO has reported that the recent attack on Artsakh has
resulted in enormous levels of contamination by cluster munitions,
rockets, and other explosive ordnance. These hazards are still present
near homes, and litter farms and streets--presenting a grave
humanitarian risk. Further, the removal of explosives is critical to
continuing to rebuild infrastructure decimated during the conflict.
In the wake of last fall's attack on Artsakh, we also encourage the
panel to support funding for refugee relief and rehabilitation efforts.
The war caused over 100,000 refugees to flee from Artsakh to
neighboring Armenia. Approximately 55,000 families have returned to
Artsakh but many have nowhere to return to because their homes were
either bombed or has been taken by Azerbaijani forces. The war has also
left over 1,000 children either orphaned or in a single parent
household. Lastly, the war has injured thousands of soldiers, many
required amputations and now are in need or prosthetic limbs and long-
term rehabilitation.
2) Armenia
Of the funds appropriated by this Act, not less than $100,000,000
shall be made available for assistance for Armenia.
Armenia--a Christian nation deeply rooted in Western democratic
values--has, despite the crushing economic impact of Turkish and
Azerbaijani blockades, stepped forward as an ally and partner for the
United States on a broad array of complex regional challenges. The
Armenian military has been among the highest per capita providers of
peacekeepers to U.S.-led deployments, including those in Afghanistan,
Iraq, Lebanon, Kosovo, and Mali.
We commend the Subcommittee's commitment to American Schools and
Hospitals Abroad, and encourage continued support through this program
for the American University of Armenia and the Armenian American
Wellness Center. We also ask the panel to prioritize supporting
Armenia's role as a regional safe haven for at-risk refugees.
3. Azerbaijan
No funds appropriated or otherwise made available under this Act
may be provided to the Government of Azerbaijan until the President
determines, and so reports to the Congress, that the Government of
Azerbaijan is taking demonstrable steps to cease all blockades and
other offensive uses of force against Armenia and Nagorno-Karabakh.
AND
EUROPE AND EURASIA SEC. 7046. (a) Azerbaijan
INSTRUCTION.--The Secretary of the Treasury shall instruct the
United States executive director of each international
financial institution to vote against any extension by the
respective institution of any loan or grant to the Government
of Azerbaijan, except to meet basic human needs or to promote
democracy, unless the Secretary of State certifies and reports
to the Committees on Appropriations that Armenian Prisoners of
War have been returned home safely and that war crimes,
including but not limited to beheadings of Armenian civilians
and soldiers have been fully investigated by an independent
third party.
We remain troubled that the Administration's waiver of Section 907
of the Freedom Support Act and the $100 million security package to
Baku that adds equipment, tactical abilities, and offensive
capabilities to the Azerbaijani arsenal, while freeing up its own state
resources for renewed cross-border action against Artsakh and Armenia.
The Administration should cease sending military aid to Baku.
As the Subcommittee considers issues related to Azerbaijan, we draw
your attention to how its government has, in the last year, failed key
Congressional tests of its commitment to peace:
1) Azerbaijan launched military war games in late May of 2020 with
the assistance of Turkey, violating the OSCE peace agreements.
2) Following these military exercises, Azerbaijan launched a 3-day
attack on the northern border of Armenia, targeting civilian
infrastructures, including a PPE facility.
3) In September 27, 2021 Azerbaijan, aided by Turkey launched a
surprise offensive attack against Artsakh.
4) On June 3, 2021, Azerbaijan, directly violating the peace
agreement signed between Armenia and Azerbaijan on November 7th invaded
Armenia in the southern border area of Syunik and continues to take
soldiers in that region prisoner, shoot at civilians, and cause injury
and death.
5) Over 7 months after the fighting has ceased, Azerbaijan
continues to illegally hold over 250 known Armenian civilians and
servicemen as prisoners of war, torturing them and killing many of
those who are held captive.
In closing, we would like to emphasize, once again, the necessity
for the U.S. to assist in Armenia and Artsakh's economic and
humanitarian efforts and to immediately stop all military assistance to
Azerbaijan.
The ANCA, as always, thanks you for your leadership and looks
forward to working with the Subcommittee to strengthen the U.S.-Armenia
alliance, promote regional stability, and advance American interests
and our shared democratic values.
[This statement was submitted by Tereza Yerimyan, Government
Affairs Director.]
______
Prepared Statement of The Asia Foundation (TAF)
Chairman Coons, Ranking Member Graham & Members of the Subcommittee:
I am honored to submit this testimony as President of The Asia
Foundation (TAF). We are deeply grateful for the confidence the
Committee has shown in the Foundation. For 67 years, the Asia
Foundation has advanced the interests of the United States in
supporting stable democracies, good governance, the political and
economic rights of women, climate action and free markets in the Indo-
Pacific. Established in 1954, The Asia Foundation is a private, non-
profit, nongovernmental organization headquartered in San Francisco. An
annual appropriation is authorized under The Asia Foundation Act of
1983 (22USC4402). The Act acknowledged the importance of sustained
funding for TAF and endorsed its ongoing value and contributions to
U.S. interests in the Indo-Pacific. We pledge to you that with your
continuing support, the Asia Foundation will sustain its work across
the Indo-Pacific. In order to build on Congress' investment in the
Foundation, The Asia Foundation is asking for $20,000,000 for Fiscal
Year 2022, the same level as enacted in FY2021 and consistent with the
President's FY2022 request. During the COVID-19 pandemic,TAF's work
with governments and local communities proved to be more in demand than
ever. The flexibility of appropriated funding has made it possible to
immediately address needs identified by partners, including combatting
the upsurge in gender based violence, public information campaigns on
Covid-19 with government and civil society groups to address
misinformation and disinformation efforts, and planning for economic
re-birth for many communities affected by unemployment, economic
displacement, challenges to inclusion and other consequences of the
pandemic. During the crisis, most importantly, TAF has found ways to
maintain its ongoing programs and have impact.
In FY2022, TAF will expand new technology driven programs to expand
economic empowerment, and address the future of work in the region,
particularly as it affects women. TAF will also increase its program
activities in Pacific Island nations important to U.S. interests, to
bolster democratic institutions, address disinformation in a post-Covid
period, build civil society and expand opportunities for women. TAF
will also expand climate resilience initiatives in one of the most
vulnerable regions of the world.
TAF operates through 18 country offices in Asia. Through those
offices, we identify and establish relationships with reform-minded
individuals and organizations that merit our help as they seek to
advance shared goals and interests. We believe that those we nurture
today will ensure future security cooperation, development
partnerships, rule of law, and fair trade between the U.S. and vital
nations of the Indo-Pacific.
Appropriated funding is critical to TAF's ability to continue
operating as a unique American asset across the Indo-Pacific region.
TAF is an especially cost-effective investment for the Congress in a
time of budget constraints. TAF's hallmark is its ability to respond
rapidly during unexpected crises. The challenges and opportunities
presented by the COVID-19 pandemic have shown that TAF's close
relations with partners, minimal bureacracy and ability to leverage
funds have enabled it to address immediate needs, especially related to
gender based violence and economic dislocation causes by shutdowns and
curfews throughout Asia. As second and third waves of Covid hit areas
of the Indo-Pacific, TAF remains active and prepared to continue to
move quickly. TAF has conducted a series of rapid assessments on the
impacts of Covid, including specifically on women and in the Pacific.
Making the most of taxpayer dollars, TAF continues to diversify its
funding, raising roughly four dollars from non-USG sources for every
dollar of direct appropriation it has received for the past decade.
Sufficient appropriated funding is essential to maintaining TAF's
strong presence across the Indo-Pacific, specifically in countries of
priority interest to the U.S. No other organization has the long
history and presence of the Asia Foundation in critically important
countries such as Afghanistan, Myanmar, Malaysia, Thailand, Vietnam,
China, Philippines and Indonesia. Trust is built on continuity, and it
is because of TAF's consistent local presence throughout the region
that it has become such a trusted partner to local civil society
organizations and individual reformers in advancing democratic reform
and free markets in the region.
At a time when the U.S. is working to support democracy, human
rights, address climate change and ensure a prosperous, rule-based
order in the Indo-Pacific, TAF's ability to advance these goals on the
ground is more important than ever. New challenges to American
interests in the region and TAF's unique ability to respond to those
challenges justifies the request for an appropriation of $20 million.
how is the asia foundation unique amon g other organizations operating
in asia?
The Asia Foundation is first and foremost a field-based
organization. Through a cost-effective combination of grant-making and
direct program operations managed by our 18 permanent offices in Asia,
TAF maximizes program impact while keeping costs low. Through its
network of offices, TAF undertakes action-based research to inform
activities across the region, including perception surveys, surveys of
conflict and violence and gender equality, economic scorecards and
rapid assessments on the pandemic, natural disaster relief and other
critical issues facing the region. The most well-known is the annual
Survey of the Afghan People, which has been conducted for 15 years.
With this baseline information and evidence based data, TAF delivers
programs to meet local needs, improving the lives of Asia's citizens
and contributing to cooperative U.S.-Asia relations. This has
especially been true during the pandemic, as travel is restricted, but
TAF offices have remained in place.
TAF promotes reform by providing training, technical assistance and
seed funding to hundreds of established and emerging Asian partner
organizations, reform-minded individuals and future leaders. These
longstanding investments in human capital have paid off. TAF has
important relationships with Asian governments and leaders and at the
same time maintains links to local communities built on decades of
trust and ongoing engagement.
As country specialists, TAF country representatives act as a
substantive resource for program partners and implementers. TAF also
acts as a resource on political and economic trends and issues for U.S.
Embassies across Asia, especially as U.S. officials' movements and
outreach have been more circumscribed due to security concerns. TAF
often responds to Embassy requests to provide books for American
Centers through TAF' s flagship Books for Asia program, and sent a
shipment to the U.S. Embassy in Fiji as recently as May 2021. TAF
continues to work with U.S. Embassies in complementary ways on
sensitive issues that cannot be addressed by the USG directly.
how does the asia foundation contribute to u.s. interests in the indo-
pacific region?
The U.S. has vital economic, political and security interests in
the Indo-Pacific. TAF's engagement has led to better governance,
stronger economies, and empowered citizens in many parts of the region.
In turn, these developments have helped deepen economic relationships
and increase security cooperation between Asian countries and the
United States. The core areas of TAF's work directly contribute to
advancing U.S. strategic goals, strengthening democratic institutions
and the rule of law.
TAF programs reinforce U.S interests by improving the business
policy environment in Asian countries through better governance,
procurement practices and transparency. TAF convenes dialogues where
American and Asian policymakers discuss common approaches with emerging
donors in the post-traditional aid environment. TAF works with partners
to examine the conditions facing newly advanced middle-income countries
where countries have progressed beyond development assistance, but
still face governance and other challenges as key economic and security
partners of the U.S., such as Malaysia, Vietnam and Thailand.
Transitions take time, and appropriated dollars allow TAF to make long-
term investments in positive ways.
what would the foundation do with sustained funding?
FY 2022 funding at $20 million would position The Asia Foundation
to maintain and expand programs in countries struggling with
corruption, internal conflicts and weak democratic processes and
institutions. TAF' s programs have deepened over the years to address
the root causes of extremism, and governance at the national and sub-
national level. TAF is harnessing the use of technology to increase
program impact. TAF uses evidence-based approaches by conducting
primary research that is used as a basis for our own programs but is
also shared, valued and used by other donors and governments.
Priorities include promoting inclusive economic growth and
entrepreneurship, especially in marginalized communities, and
addressing governance and women's empowerment issues in the Pacific
Islands, where concerns about outside influences have become stronger.
TAF's goals continue to be:
--Expand community resilience, youth leadership and security in areas
vulnerable to extremist recruitment in Malaysia, Indonesia and
other parts of Southeast Asia;
--Counter corruption and improve public accountability efforts in Sri
Lanka, Timor Leste, Vietnam and Mongolia;
--Strengthen women's empowerment programs throughout Asia, including
developing economic opportunity and entrepreneurship for women,
supporting girls' education through scholarships, combatting
trafficking and gender-based violence;
--Promote engagement of traditional and religious leaders in
community development, women's empowerment, election
observation and education in Indonesia, Afghanistan, and
Bangladesh;
--Sustain TAF's signature initiative, the Books for Asia program,
which has provided over 51.7 million English-language books and
digital content to more than 20 Asian and Pacific Island
countries, and TAF's e-book platform Let's Read, with young
local web developers and authors to create original children's
book content, freely accessible online for download and use in
local schools, libraries and institutions. This digital library
now has over 6,200 new books in English and 42languages,
including minority languages, in nine countries, including
Cambodia, Indonesia, Myanmar, Nepal, Laos, Vietnam, Thailand.
--Renew programs in key Pacific Island countries to improve
governance and services; build capacity for civil society and
government on principles of democracy; protect women's rights
and reduce gender-based violence and; facilitate coordination
in disaster risk management and resilience.
New collaborations with the technology sector include:
--TAF's Resiliency Initiative with Facebook looks to build tolerance,
promote inter-faith and inter-ethnic understanding, and reduce
extremism. The program will support civil society organizations
to devise and run online campaigns. Facebook is the most
popular and widely used social media platform in many countries
in Asia and often the main way to access information online.
--Facilitate the development of the Asia Pacific Information Disorder
Index, an assessment that will take a whole of government
approach to evaluate the capacity of governments to respond to
information disorder threats, initially in PNG, with possible
expansion to Fiji and Vanuatu.
conclusion
Funding at $20 million will allow The Asia Foundation to invest in
innovative programs that have received Congressional encouragement. We
believe TAF's track record demonstrates that we can leverage
appropriated dollars and make efficient use of those funds to advance
U.S. interests in the Indo-Pacific region.
We appreciate the Committee's longstanding trust of and support for
The Asia Foundation. The Congressional appropriation authorized in the
1983 Asia Foundation Act has been and remains invaluable to TAF's
ability to achieve results on the ground and fulfill our shared mission
to maintain U.S. presence and advance U.S. interests in the Indo-
Pacific.We respectfully urge that the Committee support FY2022 funding
for The Asia Foundation at $20 million, consistent with the President's
request.
(A full listing of Asia Foundation programs may be found on our
website at www.asiafoundation.org.)
[This statement was submitted by David D. Arnold, President.]
______
Prepared Statement of the Association of Public and Land-Grant
Universities (APLU)
The Association of Public and Land-grant Universities (APLU)
requests at least $70 million for the Feed the Future Innovation Labs
in FY2022 to provide resources for the Labs to address new food supply
and security needs given the pressures of the COVID-19 economic
downturn. We also respectfully request that the appropriation be made
in the legislation, which has been the practice in most recent years,
rather than the committee report. The 20 Feed the Future Innovation
Labs are led by 13 U.S. universities in partnership with over 40 other
U.S. universities, including seven Minority Serving Institutions. The
research leaders at these universities work with USAID missions and
developing country research institutions on critical issues to advance
global food security and contribute to U.S. economic and national
security.
Over the past decade, the Feed the Future Innovation Labs have
registered notable successes in addressing issues that disrupt the food
supply, including post-harvest losses, food safety and access, and pest
management. For example, researchers at the USAID Innovation Labs
developed:
--19 new sorghum lines resistant to the greenbug aphid in 2018. The
lines were developed using germplasm collected by the sorghum
research program from many parts of the world. Today, many
American sorghum producers plant improved varieties developed
by USAID-supported research.
--13 common bean varieties and 2 blackeye pea varieties were
developed by Feed the Future Innovation Lab researchers,
registered as intellectual property, and have been made
available to growers. Now, these varieties are commercially
grown in the U.S. (beans in Michigan, Minnesota, Nebraska,
North Dakota, and cowpea in California).
--Low-priced grain storage bags that contain an ultrasonic device
capable of monitoring insect activity. The hermetic plastic
bags are designed to kill insects that cause post-harvest
losses. The bags are produced by seven companies, sold annually
to three million farmers in 58 countries, and used to store
many crops including beans, corn, sorghum, rice, and coffee.
The pandemic's disruption of food and agriculture systems is
reducing hard-won gains of reduced poverty and food security. The
Innovation Labs are helping to reverse and buffer against these
setbacks. The economic downturn from COVID-19 is projected to increase
the number of food-insecure people by 22 percent to 844.5 million
people. USAID and Feed the Future Innovation Lab personnel have worked
with governments and development partners to promote a safe and
functioning food system throughout the pandemic. The Labs have
mobilized their extensive networks at multiple levels and across
countries to mitigate pandemic impacts, manage stress in food and
health systems, and reduce risk of rapid spread of COVID19.
International competitors continue to seek to displace the United
States as the agricultural innovation leader by fostering greater ties
with developing nations and in emerging markets. As a result, there has
never been a more important time to maintain an international presence
and demonstrate U.S. institutional excellence to reinforce alliances
that contribute to national security and international well-being.
Graduate student training is one way that the Innovation Labs
contribute to food security and resilience via development and soft
diplomacy. In 2019 alone, they supported 529 students, primarily at the
graduate level from 39 nations. These students are future leaders in
their respective countries.
The requested increase in funding would create opportunities to
avert current and emerging threats related to pests and disease through
new partnerships, to combat the food insecurity impacts COVID19,
address climate change challenges, and build capacity and resilience
against new threats.
about aplu
APLU is a research, policy, and advocacy organization dedicated to
strengthening and advancing the work of public universities in the
U.S., Canada, and Mexico. With a membership of 244 public research
universities, land-grant institutions, state university systems, and
affiliated organizations, APLU's agenda is built on the three pillars
of increasing degree completion and academic success, advancing
scientific research, and expanding engagement. Annually, its 201 U.S.
member campuses enroll 4.2 million undergraduates and 1.2 million
graduate students, award 1.2 million degrees, employ 1.1 million
faculty and staff, and conduct $46.8 billion in university-based
research.
[This statement was submitted by Caron Gala, Director, Governmental
Affairs, Agriculture and International Development.]
______
Prepared Statement of the Basic Education Coalition
Chairman Coons, Ranking Member Graham, and Members of the Subcommittee:
I am pleased to submit testimony on behalf of the Basic Education
Coalition, a group of leading U.S.-based organizations and academic
institutions working together to promote expanded, equitable access to
quality education. My name is Candace Debnam, and I am the Co-Chair of
the Coalition's Board of Directors as well as the Executive Director of
School-to-School International. To enhance U.S. foreign assistance
efforts and improve educational opportunities for children in need, we
urge Congress to provide $1.050 billion for Basic Education in the
Fiscal Year 2022 State, Foreign Operations, and Related Programs bill,
with at least $900 million provided as bilateral U.S. Government
assistance.
Our Coalition is extremely grateful for the Subcommittee's
bipartisan commitment to fighting extreme poverty and improving access
to education for children around the world, and we thank you for
increasing the funding for Basic Education in the Fiscal Year 2021
State, Foreign Operations, and Related Programs appropriations bill.
Funding for Basic Education enables USAID and implementing partner
organizations to work in collaboration in some of the most challenging
contexts around the world, and the increase in Fiscal Year 2021
resources will allow us to expand Basic Education programs to
vulnerable populations, address gaps in education service delivery, and
strengthen international education systems.
The future development of all nations around the world is
predicated upon children and youth acquiring the skills needed to lead
their countries into a more prosperous, equitable, democratic, and
inclusive society. However, COVID-19 disrupted the lives and education
of over 90 percent of the world's children and youth and severely
exacerbated a pre-existing global learning crisis.\1\ The consequences
of protracted school closures around the world are undeniable. In
addition to the loss of instructional time, school closures can
negatively affect children's mental and physical health, nutrition, and
well-being.
For children who have been deprived of access to school and
distance learning during COVID-19, global learning loss poses a
generational threat. Research indicates that a three-month school
closure could cost children over a year's worth of learning and, if
left unaddressed, many children will never catch up.\2\ Those who were
already at a disadvantage prior to the pandemic will fall even further
behind as lack of access to critical learning resources will lead to a
widening of the achievement gap.\3\ This will have real consequences
over time for the United States and our partners abroad as studies show
that lifetime earnings and economic productivity would be drastically
higher on a global scale if all children benefited from a complete
education and full health.\4\
To reaffirm the United States' commitment to the Sustainable
Development Goals, remedy the losses caused by COVID-19, and return all
children and youth to safe learning environments, Congress should
prioritize funding for Basic Education funding in fiscal year 2022 and
seek to expand access to and improve the quality of education in our
partner countries. Domestic education budgets in low- and middle-income
countries will be negatively affected by COVID-19 in the coming years
due to lower economic output and tax revenue, and U.S. foreign
assistance will be more vital than ever during this time to overcome
the educational challenges that have been created and exacerbated by
COVID-19.
Over the past decade, the United States has led international
development efforts to improve the acquisition of literacy skills among
early grade learners. The focus on literacy as the essential building
block to longer-term educational attainment has yielded improved
reading scores, the creation of evidence-based national reading
programs, and greater access to quality teaching and learning materials
for students, teachers, and governments. However, far too many children
still lack access to quality education and are failing to meet
developmental milestones. Prior to COVID-19, 258 million children and
youth were already out of school and more than 600 million learners
were not achieving minimum proficiency levels in reading and
mathematics.\5,6\ United Nations officials warn that an additional 24
million children could now drop out of school due to the pandemic,\7\
tragically reversing a global trend that has seen a decrease of nearly
118 million out-of-school children and youth since 2000.\8\
In response to COVID-19, USAID has mobilized more than $900 million
for education assistance and rapidly adapted programming in more than
50 countries to support continued learning during the pandemic. Despite
widespread school closures, USAID programs employed a variety of in-
person and distance approaches in 2020 to reach more than 24 million
learners from pre-primary through secondary education levels.
To make sustained progress on U.S. economic and foreign policy
goals and achieve a more equitable and prosperous world, access to
safe, quality education must improve in our partner countries. Citizens
of low-income countries need widespread literacy, numeracy, and
critical thinking skills that are acquired in pre-primary, primary, and
secondary school to collectively make social progress and grow their
economies. Basic education lays the foundation for improved health and
nutrition outcomes,\9\ slower population growth,\10\ democracy and
political stability, and promotes greater gender equality,
understanding, tolerance, and hope.\11\ Widespread educational
attainment will also strengthen international efforts to build
resilience to the harmful effects of climate change,\12\ and a
significant increase in global funding is needed to meet the demand for
quality education and make improvements in access to early childhood
education, girls' education, disability-inclusive education, and
education in emergencies.
Early grade reading will continue to be the bedrock for all future
learning and skills acquisition, however, to equip students with a
broad range of skills, schools and wraparound services should offer
holistic support for basic needs and overall well-being. Literacies of
various kinds, a broad base of mathematical conceptual understanding,
science foundations, and social-emotional skills are required for
children to develop into healthy and productive members of their
societies.
In many low- and middle-income countries, too few students arrive
at primary school on track developmentally and ready to learn. An
estimated 250 million children globally fail to meet their
developmental milestones,\13\ meaning nearly one-third of the world's
children are entering elementary grades without the cognitive, social-
emotional, motor, and language skills they need to fulfill their
potential. U.S. foreign assistance needs to expand programs that
improve early childhood care and education, including pre-primary
education and multi-sectoral early childhood development interventions
for children ages 0-8. While inclusion of children with disabilities
and marginalized populations is essential to quality education at all
levels, it is especially important during the early years, as they are
the foundation and gateway to fruitful, lifelong learning.
Children need additional support to make the transition from
primary to secondary school so that the growing youth population has
the opportunity for gainful employment and personal achievement.\14\
Higher-level skills that are acquired in secondary school should
prepare students for participation in the fast-paced, rapidly changing
global economy. Automated technologies will continue to replace low-
skilled labor and employers will increasingly demand technical, social,
and critical-thinking skills. Digital literacy and information
engagement skills, including the ability to identify misinformation,
build emotional resilience to it, and reflect on one's own information
consumption, will be needed for the positive development of children
and youth moving forward.
It is also imperative for U.S. foreign assistance to aim to break
down gender-related barriers to educational attainment in countries
where there is persistent gender disparity in school enrollment and
completion, particularly in secondary school when girls are most likely
to dropout. In many contexts, entrenched social and cultural norms can
limit girls' access to quality learning opportunities, and girls face
risks of child marriage, early pregnancy and motherhood, gender-based
violence, seclusion during menstruation, and greater responsibility for
household labor than boys. To address these barriers, girls' education
programs must promote holistic and multi-sectoral solutions that
prioritize gender equity and broaden support for girls' education at
every level of society.
As COVID-19 has shown, resilience relies on the capability and
ingenuity of people and leadership at the familial, communal, regional,
and national levels. Local leaders and educators can engage families
and communities, respond quickly to changing demands, and innovate in
real time to adaptively meet local needs such as distance learning,
remedial learning, girls' education, and skills development. To ensure
that aid leads to sustainable change, leadership development programs
should be created at the country level in consultation with communal,
regional, and national stakeholders, with the goal of spurring local
innovation and knowledge sharing.
Further developing the education workforce will also be necessary
to sustainably improve a global education system that supports learners
and learning for the future. U.S foreign assistance should seek to
strengthen the education workforce, including through the recruitment
of diverse talent, and address the quality of teacher pre-service and
in-service trainings and certification programs.
Finally, we've learned from COVID-19 that school systems need to be
prepared and resourced to facilitate and support extended periods of
remote learning during a time of crisis. Lack of access to technology,
the internet, toys, books, and other learning materials furthers the
learning equity gap for children living in low-income households, those
from marginalized communities, and those with disabilities, and should
be addressed to ensure that learning can continue for all children in
future emergencies. The U.S. government must make a more concerted and
coordinated effort to include education as part of the immediate
response to an emergency, including by fostering improved collaboration
across U.S. humanitarian and development departments and agencies.
A quality education for all is the bedrock of societal progress,
and the benefits of our investments now will be reaped by generations
to come. A fully resourced USAID will develop innovative solutions to
global challenges and will have the capacity to directly address
country needs. The Basic Education Coalition looks forward to working
with Congress to ensure that quality education remains a pillar of our
foreign assistance and that the U.S. Government Strategy on
International Basic Education is a success. Together, we can help
alleviate poverty, strengthen education systems, foster stability and
security, and spur economic growth, both abroad and here at home.
Thank you for your continued support and for your consideration of
our request.
---------------------------------------------------------------------------
\1\ United Nations Educational, Scientific and Cultural
Organization. ``COVID-19 Impact on Education.'' Accessed October 8,
2020.
\2\ Kaffenberger, Michelle. ``Modeling the Long-Run Learning Impact
of COVID-19 Learning Shock: Actions to (More Than) Mitigate Loss''.
RISE Insight (June 4, 2020).
\3\ DeStefano, Joe, Ben Piper, and Jonathan Stern. ``Calculating
the Educational Impact of COVID-19: Closed Schools, Lost learning,
Unequal Impact.'' RTI SHARED (April 21, 2020).
\4\ The World Bank Group. ``If Countries Act Now, Children Born
Today Could Be Healthier, Wealthier, More Productive.'' (October 11,
2018).
\5\ United Nations Educational, Scientific and Cultural
Organization Institute for Statistics ``New Methodology Shows that 258
Million Children, Adolescents and Youth Are Out of School.'' (September
2019).
\6\ United Nations Educational, Scientific and Cultural
Organization Institute for Statistics. ``More Than One-Half of Children
and Adolescent Are Not Learning Worldwide.'' (September 2017).
\7\ United Nations Educational, Scientific and Cultural
Organization. ``UNESCO COVID-19 Education Response: How Many Students
Are at Risk of Not Returning to School?'' (July 30, 2020).
\8\ Kaffenberger, Michelle. ``Modeling the Long-Run Learning Impact
of COVID-19 Learning Shock: Actions to (More Than) Mitigate Loss''.
RISE Insight (June 4, 2020).
\9\ Mondal, Md Nazrul Islam and Mahendran Shitan. ``Factors
affecting the HIV/AIDS epidemic: an ecological analysis of global
data.'' African Health Sciences (2013): p.: 301-310.
\10\ Murray, Sam. ``How Education Can Moderate Population Growth.''
World Economic Forum (July 27, 2015).
\11\ Sperling, Gene, and Rebecca Winthrop. ``What works in girls'
education.'' The Brookings Institution (2016).
\12\ Striessnig, Erich, Wolfgang. Lutz, and Anthony G. Patt.
``Effects of educational attainment on climate risk vulnerability.''
Ecology and Society (2013)18(1): 16.
\13\ Black, Maureen, Susan Walker, Lia Fernald, et al. ``Early
childhood development coming of age: science through the life course.''
The Lancet (October 4, 2016).
\14\ The International Commission on Financing Global Education
Opportunity. ``The Learning Generation: Investing in Education for a
Changing World.'' (2016).
[This statement was submitted by Candace Debnam, Co-Chair, Basic
Education Coalition and Executive Director, School-to-School
International.]
______
Prepared Statement of the Bethany Christian Services
Chair Coons, Ranking Member Graham, and Members of the Committee:
On behalf of Bethany Christian Services, we are grateful for the
opportunity to provide our outside written testimony and
recommendations for the FY 2022 State Foreign Operations Appropriations
bill.
usaid/children in adversity/vulnerable children programming
We urge the Senate to increase funding levels for programs to
implement the United States Government Advancing Protection and Care
for Children in Adversity (APCCA) and the Global Child Thrive law
within the Children in Adversity Office/Vulnerable Children account at
USAID. Specifically, we request a total funding level of $35 million in
FY 2022 for this account, an increase of $10 million from the FY 2021
enacted level.
This funding request would allow USAID's Children in Adversity team
to begin the process of implementing the Global Child Thrive Act and
further the U.S. government's goals of ensuring that every child has
the conditions for healthy growth, nurturing family-based care,
development and learning, and protection from violence, exploitation,
abuse, and neglect in alignment with the strategy of APCCA, launched in
2019. These funds allow USAID to integrate early childhood
interventions into international programs serving young children and
their families. USAID should be able to plan and budget for activities
that enable children to remain in or return to the care of their
families, or when appropriate, other close family members or foster
families, and decrease the percentage of children living in
institutions.
In addition to our funding request, we would like to make the
following recommendations to help provide for the full implementation
of APCCA and the Global Child Thrive Act.
--USAID's implementation of the United States Government Advancing
Protection and Care for Children in Adversity (APCCA) strategy
should be continued as a whole-of-government approach to
coordinate assistance to orphans and vulnerable children, as
mandated by Public Law 109-95.
--USAID's objectives of building strong beginnings, putting family
care first, and protecting children from violence, abuse, and
neglect deserve Congress's continued support.
--As children are particularly vulnerable to the psychological
impacts of conflict and forced displacement, interventions
should be prioritized to assist children recovering from
trauma, those in fragile contexts, those experiencing
developmental delays or disabilities, children outside of
family care, and children on the move.
--We should also support mental health programs for vulnerable
caregivers and children in emergency assistance programs.
--USAID should be encouraged to partner with organizations of all
sizes, including community and faith-based organizations, that
demonstrate an expertise promoting deinstitutionalization,
permanent family-based care, foster care programs in and
outside of family networks, and preventing unnecessary family
separation.
population, refugees and migration (prm)/migration and refugee
assistance/unaccompanied refugee minors resettlement programming
Bethany urges the Committee to provide robust funding for the
present and future resettlement of unaccompanied refugee minors (URM)
including those who have fled ethnic cleansing and other forms of
persecution. It is our hope that funding provided for FY 2022 refugee
resettlement purposes will continue to support resettlement of
qualifying URM who have been referred to the U.S. from UNHCR or NGOs.
This is necessary to maintain this vital protection avenue for the most
vulnerable refugee children. In addition, it is our hope that the
Bureau of Population, Refugees and Migration (PRM) will ensure
expedited processing for URM who are on the verge of aging-out of URM
program eligibility.
The URM program has provided thousands of children with renewed
hope for the future, yet more than 150,000 children became
unaccompanied or were separated from their families in 2019, a
significant underestimation given the limited number of countries
reporting data. Family reunification may be possible for some of those
children; others, after careful best interest determinations, may be
among those who would greatly benefit from the U.S. URM program.
Increasing conflict and rising inequality are contributing to the mass
displacement of children, including URM, from their homes, endangering
their survival, disrupting their education, and exposing them to severe
protection risks, including trafficking, violence, abuse, neglect, and
exploitation.
At the same time, U.S. support for URM has fallen precipitously. In
FY 2015 the U.S. resettled 294 refugee children, compared to only 116
in FY 2018, 156 in FY 2019, and 101 in FY 2020--a significant decline.
In FY 2020, the COVID-19 pandemic halted processing and travel for most
URMs, resulting in an increased number of youth turning 18 and ``aging
out'' of their chance to enter the URM program. It is vital that this
population of vulnerable children get expedited processing to ensure
that they can access protection.
Approximately 13,000 children have entered the United States
through the URM program since its inception in 1980--from places like
Democratic Republic of the Congo, Eritrea, Burma, and Afghanistan.
While the total number of children resettled through the URM program is
relatively small, the program has a tremendous impact on the children
it serves. The URM program provides culturally and linguistically
appropriate foster care to unaccompanied refugee children and youth.
Through the program, unaccompanied refugees receive care, educational
support, and case management to help the children thrive and achieve
self-sufficiency. The U.S. should commit to increasing the life-saving
refugee resettlement practices in a way that reflects the gravity of
the global refugee crisis. This includes a continued strong commitment
to unaccompanied refugee minors.
child protection in state department/international disaster assistance
and migration and refugees assistance program
Bethany encourages the Committee to recognize the need for
additional protection of displaced children at the Office of Foreign
Disaster Assistance and the Bureau of Population, Refugees, and
Migration. These offices can play an increasing leadership role to
protect children in humanitarian crises and ensuring that protection is
integrated across other humanitarian sectors.
Child protection programming is essential to ensuring child well-
being and survival during and after emergencies and in refugee
contexts. Children represent an outsized percentage of those impacted
by humanitarian emergencies. In times of crisis, children face
increased risk of all forms of violence and exploitation, especially in
developing countries. Emergencies exacerbate pre-existing protection
concerns and create new ones.
As described in the 2012 Minimum Standards for Child Protection
Humanitarian Action, the range of protection concerns faced by children
in humanitarian contexts comprises: Lack of access to asylum
procedures; separation from parents and caregivers; sexual violence and
sexual exploitation; mental disorders and psychosocial distress; forced
recruitment into armed forces and armed groups; early marriage;
trafficking, smuggling, sale and illegal adoption, inappropriate
adoption; physical violence and harmful practices; unexploded
ordinances and landmines; child labor; and detention. These categories
are not discreet but interconnected and compounding.
An estimated 50 million children are on the move. More than half of
these children, 28 million in total, have fled violence and insecurity.
Increasing conflict and rising inequality are contributing to a mass
displacement of children from their homes, endangering their survival,
disrupting their education, and exposing them to severe protection
risks, including violence, abuse, neglect, and exploitation. Currently,
nearly one in every 200 children globally is a child refugee. Between
2005 and 2015, the number of child refugees under the United Nations
High Commissioner for Refugees' (UNHCR) mandate more than doubled.
According to the Alliance for Child Protection in Humanitarian
Action, child protection in conflict and crisis settings has been
deprioritized in recent years and evidenced by statistics on funding.
Protection in emergencies activities is underfunded, typically
receiving approximately one third of the total amount requested and
proportionately less than the overall humanitarian response.
Child protection in humanitarian action saves lives. The committee
agreed with this as demonstrated by the inclusion of language
consistent with the requested in previous committee reports.
Thank you for the opportunity to present the priorities for Bethany
Christian Services for the FY 2022 State-Foreign Operations
Appropriations bill. Please do not hesitate to contact us with any
questions.
about bethany christian services
Bethany Christian Services (Bethany) is an international nonprofit
organization headquartered in Grand Rapids, Michigan. With a presence
in more than 30 states and in several countries, Bethany offers a wide
array of services with a common mission: to serve vulnerable children
and families and help them thrive. Through services in the U.S. and
around the world, Bethany impacts hundreds of thousands of lives every
year.
For over 45 years, Bethany has served displaced people, caring for
refugee children who have lost their families and homes, supporting
asylum-seeking families through alternative to detention case
management services, and helping refugee families resettled in the
United States thrive.
[This statement was submitted by Chris Palusky, President and CEO
and Tawnya Brown, Senior Vice President.]
______
Prepared Statement of the Better World Campaign
Chairman Coons, Ranking Member Graham, Members of the Subcommittee-
thank you for the opportunity to provide written testimony in support
of a robust foreign affairs budget in FY 2022. The accounts funded by
this legislation support U.S. assessed and voluntary contributions to
the United Nations. Specifically, we recommend $2.701 billion for the
Contributions for International Peacekeeping Activities (CIPA) account,
which funds U.S. assessments for UN peacekeeping missions, and $548
million for the Peacekeeping Operations (PKO) account, which funds
voluntary contributions to regional peacekeeping initiatives and
assessments for UN activities in Somalia. We also support the inclusion
of language that enables us to pay our contributions to UN peacekeeping
at the full assessed rate. In addition to peacekeeping-related funding,
we request $1.662 billion for the Contributions to International
Organizations (CIO) account, which funds U.S. assessments for the UN
Regular Budget and a host of UN specialized agencies, including the
World Health Organization (WHO). In addition, we ask that you provide
robust funding for UN relief activities in Yemen, Syria, Venezuela, and
other humanitarian emergencies, including $646.5 million for the
International Organizations and Programs (IO&P) account. We hope you
will also consider funding important bilateral and multilateral
programs, including family planning programs ($1.74 billion), the
President's Malaria Initiative ($770 million), the Global Fund for
AIDS, Tuberculosis and Malaria ($1.56 billion), Gavi, the Vaccine
Alliance ($290 million), and USAID's polio program ($61 million). These
important bilateral and multilateral programs are partner with and are
amplified by the UN's work and are critical bipartisan U.S. foreign
policy priorities.
The UN: Supporting Robust Investments in a Critical Force-Multiplier
for the U.S.
While the world has changed significantly since the UN's founding
in 1945, its role as a force-multiplier for the U.S.-a key forum for
multilateral diplomacy to mitigate conflict, and a mechanism to address
challenges that no country can resolve alone-remains as vital as ever.
The last year in particular has dramatically underscored the maxim that
``if the UN did not exist, we would have to invent it.'' For example:
--The World Health Organization (WHO) has played a central role in
addressing the COVID-19 pandemic, distributing diagnostic kits
and millions of items of PPE to dozens of countries with weaker
health systems; carrying out public awareness campaigns in
dozens of languages in 149 countries; and disseminating
technical guidance to local health authorities. WHO is also at
the center of a cooperative effort, along with the UN
Children's Fund (UNICEF) and other partners, to equitably
distribute COVID-19 vaccines worldwide, launching a facility,
known as COVAX, that aims to distribute 2 billion vaccine doses
to low and middle-income countries this year.
--UN humanitarian agencies have scaled up operations to respond to
humanitarian needs that have been exacerbated by the pandemic
and its global economic shocks, providing food, shelter, clean
water, medical care, educational support, and other life-
sustaining services to tens of millions of people around the
world. The importance of the UN's work in this arena is felt
particularly strongly in countries like Yemen, where years of
brutal conflict have left more than 80% of the population in
need of humanitarian assistance.
--UN peacekeepers have continued working to protect civilians and
promote stability in hotspots and fragile states across three
continents. In Mali, for example, UN peacekeepers are
supporting U.S. counterterrorism objectives, working with
French and African partners to help prevent extremist groups
linked to al-Qaeda and ISIS from gaining and holding territory.
The U.S. has long been one of the organization's most powerful
member states, using its position and influence to drive the UN's
agenda and work in a direction that promotes our core foreign policy
and national security interests. The U.S. also benefits from the
burden-sharing aspects of the UN's work: with regards to peacekeeping,
we provide just several dozen uniformed personnel out of a force that
totals more than 75,000. Additionally, the GAO has repeatedly
determined that UN peacekeeping missions are eight times cheaper than
deploying U.S. forces, making them a relative bargain for American
taxpayers.
Despite this, the U.S. has not always lived up to its commitments.
Since FY17, we have accrued more than $1.1 billion in arrears on our
assessments for UN peacekeeping, due to Congressional enforcement of an
arbitrary statutory cap that prevents us from contributing more than
25% of mission budgets. This cap has remained in place since the mid-
1990s, despite the fact that our assessment rate for peacekeeping has
shrunk from a high of 32% when the cap was first enacted to the 27.89%
rate in effect today, as well as the fact that our contributions to the
UN regular budget are subject to a ceiling of 22%, below what we would
be paying if our share of the global economy and per capita income were
the only criteria.
Continuing to enforce the cap and accrue arrears is harmful for
several reasons. First, the UN does not have a standing army, and
depends on voluntary contributions of troops, police, and essential
equipment from member states. The UN's top contributors of uniformed
personnel are generally low and middle-income countries like
Bangladesh, Rwanda, Senegal, and Jordan, who possess fewer financial
resources and depend on reimbursement payments to sustain complex and
often hazardous peacekeeping deployments. Unfortunately, U.S.
arrearages have contributed to a significant cash crunch at the UN,
which means that the UN is perpetually delayed in making these
payments, sometimes by as much as 6-12 months. If these shortfalls are
allowed to fester and grow, it would affect the willingness and ability
of countries to participate in UN peacekeeping, potentially leaving
operations that the U.S. has repeatedly voted to support on the
Security Council with significant personnel and equipment shortages.
Second, accruing arrears undermines our ability to push for
necessary reforms at the UN. During the Obama Administration, the U.S.
and UN worked together to adopt a number of measures, cutting the cost
per peacekeeper by 18% and reducing the number of support staff on
missions to lower administrative costs. The UN also undertook important
efforts to combat sexual exploitation and abuse by UN personnel,
adopting policies that shortened the timeline of investigations,
increased public reporting and transparency about suspects and the
status of investigations, provided legal aid and other forms of support
to victims, and took action against contingents from troop-contributing
countries with a history of abuse allegations. All of this was done at
a time when the U.S. was not enforcing the cap. By contrast, failing to
pay our dues in full alienates likeminded countries, sends the message
that we are more interested in punishing the UN than improving it, and
makes it less likely that future U.S. entreaties around cost,
efficiency, and accountability will be taken seriously. As the U.S.
approaches assessment rate negotiations this year and seeks to maintain
UN budget discipline and support full implementation of the Secretary-
General's reform agenda, payment of our arrears will be essential to
lining up support from other UN member states.
Finally, our financial delinquency is a gift to our strategic
competitors, who are more than happy to fill the vacuum when we step
back at the UN. For example, China has significantly expanded its role
at the UN in recent years: it is now the second largest financial
contributor to both the UN peacekeeping and regular budgets, the ninth
largest troop-contributor to UN peacekeeping operations, and has helped
place Chinese nationals in key positions, including the top posts at 4
of the organization's 15 specialized agencies. With increased financial
contributions and engagement comes more leverage, and Chinese diplomats
have increasingly sought to use this dynamic to call out the U.S. for
being the UN's ``largest debtor'' while simultaneously working to
undermine the UN's human rights work, including as part of peacekeeping
missions. The U.S. has long supported efforts by UN peacekeeping
operations to monitor and promote human rights in their areas of
operation, protect civilians, and address gender-based violence. These
essential activities could increasingly be in jeopardy if the U.S. does
not meet its financial obligations.
For this reason, my organization is encouraged by the President's
FY 2022 request, which includes funds sufficient to fully pay our
anticipated peacekeeping dues, $300 million to help pay down our
arrears, a call to lift the peacekeeping cap, and a commitment to fully
pay back our arrears in 2 years. My organization's own request numbers
for the CIPA and PKO accounts include lifting the peacekeeping cap and
funding to pay our FY22 dues and our arrears in-full in one year,
similar to what was done in 2009.
We also hope that you will fund the CIO account-which provides U.S.
assessed contributions to the UN regular budget and dozens of other
organizations-at the level called for in the President's request. We
also request language requiring the State Department to fund UN
assessments earlier in the calendar year. The practice of waiting until
the end of the fiscal year to pay our regular budget dues has led to
repeated liquidity crises at the UN, harming the organization's ability
to deliver vital programs and services.
The UN regular budget funds numerous activities, including special
political missions deployed to support peace processes and facilitate
democratic transitions in countries that have undergone conflict. Just
recently, in Libya, the UN helped negotiate a permanent ceasefire and
secured adoption of a political roadmap calling for the formation of a
unity government and the holding of national elections in December
2021. If these efforts at political reconciliation are successful, they
could end a civil war that has drawn in outside powers and negatively
impacted stability in the Mediterranean region. In addition, the role
of the UN as a conduit for international assistance and technical
expertise will take on an even greater role as the U.S. withdraws the
last of its military forces from Afghanistan this year. Meeting our
financial obligations to these and other programs under the CIO account
is therefore critical to supporting many of our nation's broader
national security objectives.
Global Health: Immunizations, Malaria and Family Planning
As COVID-19 has shown us over the last year, health systems around
the world can be threatened in the time it takes for a plane to round
the globe. U.S. investment in the Global Polio Eradication Initiative
(GPEI) has strengthened country health systems and provided vital
tools, infrastructure, and skilled workers capable of not only
eradicating polio but also fighting other vaccine-preventable diseases,
like measles and yellow fever. This network of assets, spearheaded by
the WHO, will be essential to ensuring equitable and timely
distribution of a COVID-19 vaccine. Pivoting polio resources to the
pandemic was vital to many countries' ability to respond to the
pandemic threat, but it has come at a cost. Polio vaccination campaigns
were paused during the summer, and at least 60 million children were
not vaccinated. Pakistan alone has identified a staggering 800,000
high-risk children under the age of five in the country's most
vulnerable districts. Now is the time for continued political
commitment to realize what will be one of the greatest public health
achievements in history and ensure that all children live polio-free
forever. Supporting the State and Foreign Operations contributions to
GPEI at $61 million will be important to ending polio.
Since its founding in 2000, Gavi, the Vaccine Alliance, has played
a vital role in the purchase and delivery of life-saving vaccines for
children in the world's poorest countries. During the pandemic, Gavi is
co-leading a global solution to accelerate the development and
manufacture of COVID-19 vaccines, as part of a broader effort that also
includes diagnostics and treatments for the virus. The facility, called
COVAX, will also guarantee rapid, fair, and equitable access to safe
and effective COVID-19 vaccines for people in all countries. This
collaboration already boasts the engagement of over two-thirds of the
world's countries and operates by pooling the purchasing power of
participating countries. Ensuring Gavi is properly funded at $290
million will help it respond to COVID-19 and support its core
operations.
COVID and malaria share 7 of 10 primary symptoms, including most
notably fever. During the onset of the pandemic, several international
analyses, including reports from the WHO and the Lancet Commission,
indicated that delays in intervention delivery could result in a
staggering increase in deaths from malaria. Studies estimated malaria
death rates could double this year alone. Programs like the President's
Malaria Initiative (PMI) and the Global Fund to Fight HIV,
Tuberculosis, and Malaria have had to respond quickly through updated
guidance on service delivery and resource mobilization to avoid
disruptions in intervention campaigns and ensure the fight to eliminate
malaria stays on track.
Malaria already places a strain on health care systems throughout
sub-Saharan Africa: the disease accounts for 40-60% of all inpatient
and outpatient cases in the region. Continued strong support of the
Global Fund at $1.56 billion will lower preventable deaths and
strengthen health systems. PMI currently operates in 27 focus countries
in sub-Saharan Africa and the Greater Mekong Subregion in Asia, working
alongside national malaria control programs to optimize and scale up
proven, cost-effective interventions such as long-lasting insecticide-
treated bed nets, anti-malarials, and rapid diagnostic tests. Funding
PMI at $770 million will help to end malaria, which will lower health
care costs, increase productivity, improve capacity to respond to
disease outbreaks, promote economic security and stability, and serve
as a blueprint that could be used against other diseases of poverty.
COVID-19 has been particularly hard on women and girls. The UN and
our bilateral family planning and gender empowerment programs are
critically important for women and girls around the world. The UN
Population Fund (UNFPA) has also played an important role in combatting
COVID-19, including providing needed PPE in countries and helping
victims of gender-based violence, which spike in humanitarian
emergencies. Unfortunately, more than 303,000 women die from largely
preventable complications related to pregnancy and childbirth each
year. 214 million women would like to delay or avoid pregnancy but do
not have access to or aren't using modern methods of contraception.
With access to contraceptives, unintended pregnancies would drop by
70%, maternal deaths would drop by 67%, and newborn deaths would drop
by 77%. To meet the unmet need, the U.S. share of international
reproductive health and family planning funding would be $1.74 billion
(including $116 million for UNFPA).
UNFPA operates in places like Syria and Yemen or after humanitarian
disasters in Nepal to ensure that every pregnancy is wanted, every
birth is safe, and every young person's potential is fulfilled. They
provide safe birthing and dignity kits after disasters, help install
solar lighting in refugee camps, and provide contraceptives in more
than 150 countries to prevent maternal mortality and improve the status
of women.
UN Women plays an important role in creating policies to eliminate
discrimination against women and girls, empower women, and achieve
gender equality. We believe the Subcommittee should support UN Women at
$17 million in FY'22 in the IO&P account. Further robust funding should
be made available to promote gender equality in U.S. government
diplomatic and development efforts through programs promoting women's
political leadership, implementation of a multiyear strategy to respond
to gender-based violence, and supporting the execution and monitoring
of the Women, Peace and Security Act.
[This statement was submitted by Peter Yeo, President.]
______
Prepared Statement of the Bread for the World
Before I begin, I would like to thank Chairman Coons and Ranking
Member Graham for your leadership on this subcommittee in championing
poverty-focused programs. Amid the converging crises of COVID-19,
climate change, and ongoing conflicts around the world, the work of
this committee--at this moment--could not be more critical. Thank you
for your leadership philosophy that emphasizes considering all who are
affected, including people in the most vulnerable and at-risk
communities.
Members of the committee, thank you for this opportunity. I am Rev.
Eugene Cho, President and CEO of Bread for the World. We are a
grassroots collective Christian voice urging our nation's leaders to
end hunger at home and abroad. Bread for the World is committed to
promoting and supporting the dignity of those affected by extreme
poverty, food insecurity, conflict, and marginalization around the
world.
On behalf of our network of 250,000 members, churches, and
partners, thank you for your ongoing bipartisan support for robust
funding levels of poverty-focused international affairs budget accounts
over the last few years. We applaud the inclusion of funding for the
international response to COVID-19 in both the FY 2021 Omnibus
Appropriations bill and emergency COVID-19 legislation, as well as in
the American Rescue Plan Act. As COVID-19 has exacerbated existing
disparities around the world, adding significant international
humanitarian, global health, and poverty-focused aid to our response
means saving more lives.
Over the last 30 years, we have seen incredible progress in
reducing global hunger. In 1991, 25 percent of the world's population
experienced hunger. That fell to just under 10 percent in 2019. This
translates to more than 100 million people who did not suffer from
hunger or malnutrition in 2019, but who would have 30 years before.
Such an accomplishment would not have been possible without the U.S.
government-and specifically this committee-investing in people around
the world.
But the challenges we now face threaten to reverse this hard-won
progress.
Before COVID-19 struck, more than 1 in 5 of the world's children
younger than 5 suffered from stunting (i.e., being far too short for
their age) because they were chronically malnourished. Nearly 7 percent
of children worldwide were affected by wasting (severe acute
malnutrition). The number of children affected by one or both of these
forms of malnutrition are likely to not only have already increased
significantly, but also to continue to rise today, because of the
global pandemic. Public health measures, while necessary to slow
transmission of the virus, imposed constraints on children's access to
nutritious foods and essential nutrition services. It may be years
before the full impact on children is known.
If we genuinely want to eradicate poverty and malnutrition in all
its forms once and for all, we must take immediate and courageous
action to advance poverty-focused development assistance. Genesis 1:27
reminds us, as people of faith, that every person is created in God's
image and that God longs for every person to live a life of dignity and
good health. As COVID-19 has exposed and exacerbated existing global
inequalities, it is essential to respond by providing robust
international humanitarian, global health, and poverty-focused
assistance. This will save the lives of millions of people and help
advance well=being.
We urge increased investment in programs that respond to the urgent
needs of our most vulnerable neighbors. As you move forward with the FY
2022 appropriations process, we especially urge you to continue to fund
critical hunger, malnutrition, and poverty-focused programs.
All poverty-focused development and humanitarian assistance funding
is crucial for achieving our shared global goals, including the 2030
Sustainable Development Goals. For the greatest impact on ending
hunger, Bread for the World urges Congress to prioritize funding in the
following appropriation accounts:
--$300 million for Nutrition in Global Health Programs at USAID.
These programs at USAID focus on evidence-based interventions
that affect the very foundations of children's survival and
their physical and cognitive development. The modest funding
increases of recent years simply do not begin to keep pace with
rising malnutrition, particularly since the COVID-19 pandemic
began.
--$1.2 billion for Feed the Future. Feed the Future is the U.S.
government's primary global hunger and food security
initiative. With 12 target countries spanning the globe, Feed
the Future has helped more than 23 million people escape
poverty and more than 5 million families live free from hunger.
--$46.8 million for the International Fund for Agricultural
Development. IFAD programs strengthen resilience, improve food
security, and help reduce poverty. Households reached by IFAD
have increased their agricultural production by 44 percent.
--$5.27 billion for International Disaster Assistance. The
International Disaster Assistance account allocates
humanitarian assistance to countries experiencing the impact of
natural disasters, conflicts, and other crises, including
funding for treatment of acute malnutrition.
--$1.43 billion for the International Development Association at the
World Bank. IDA is one of the largest sources of assistance for
the world's 74 lowest-income countries, and it has tripled its
financing for food security since 2008.
--$224.2 million for the African Development Fund. In the last three
years, AfDF has increased financial support 17-fold to Africa's
least developed countries. In 2019, the African Development
Bank Group's Feed Africa initiative reached 20.3 million people
on the continent with agricultural programs.
--$89.9 million for the Asian Development Fund. The AsDF provides
grants to the Asian Development Bank Group's 15 lower-income
member countries to help reduce poverty and improve quality of
life. Between 2017 and 2019, AsDF worked with more than 150,000
farmers to enable them to gain access to quality farm inputs.
--$2 billion for the Green Climate Fund. GCF works in developing
countries to lower greenhouse gas emissions and build
resilience in the face of climate change impacts. This includes
support for smallholder farmers through climate-smart
agriculture. The fund has approved $8.4 billion for 173
projects in 190 countries.
--$202.5 million for Sustainable Landscapes. Sustainable landscapes
programs at USAID use investments in forestry, agriculture, and
land usage to reduce greenhouse gas emissions while increasing
productivity and reducing rural poverty. Improving soil health,
which is crucial to food security and nutrition, is an example
of a sustainable landscape project.
--$480 million for Biodiversity. Biodiversity programs help to
conserve ecosystems through activities such as protecting
watersheds and preserving tropical forests. USAID has helped
1.5 million people get jobs and improve their incomes through
natural resource management. Biodiversity is necessary for food
production; many crops and livestock that humans depend on for
food are threatened with extinction by decreasing biodiversity.
--$158.92 million for the Global Environment Facility. GEF helps
communities begin to reverse environmental degradation that
threatens local livelihoods, including in agriculture and
fisheries. The Resilient Food Systems program has invested $1.2
billion in strengthening food security by improving the use and
management of 3.2 million hectares (8 million acres) of land.
We also request that you fund these critical programs within the
Agriculture Appropriations bill:
--$2 billion for Food for Peace. The Food for Peace program at USAID
is the U.S. government's largest provider of overseas food
assistance. In the 50-plus years since it was established, Food
for Peace has directly benefited more than 3 billion people in
150 countries.
--$264 million for McGovern-Dole, including $25 million for Local and
Regional Procurement. The McGovern-Dole International Food for
Education and Child Nutrition Program supports education, child
development, and food security in low-income countries. Since
2003, the program has provided school meals to more than 40
million children in 40 countries.
Funding for these important appropriations accounts saves lives and
enables children to thrive. Specifically, increasing the existing
global nutrition account to $300 million would prevent stunting in more
than 550,000 children, treat more than 3 million children with wasting
(severe malnutrition), prevent anemia in up to 12 million new mothers,
and ultimately save the lives of 160,000 children.
In addition to the moral imperative to assist our neighbors, we
know that this small investment of less than 1 percent of our federal
budget provides a strong return on investment (ROI). Studies show that,
for every dollar invested in nutrition, a country can generate a $16
ROI as a result of lower healthcare costs and increased worker
productivity. Nutrition programs help equip low-income countries for
long-term economic success, reduce the risk of conflict, and promote
longer-term health benefits for their populations.
We also know that these types of foreign aid are popular with the
American public. A 2017 poll by the University of Maryland Program for
Public Consultation found that 8 in 10 respondents favored humanitarian
assistance, and two-thirds of respondents favored aid that helps
countries in need develop their economies, agreeing that this is in the
economic interest of the United States.
At Bread for the World, we believe God's love in Jesus Christ
compels us to perform actions that show how we love our neighbors as
ourselves. Whatever your personal and faith motivations, I hope that
you continue to expand your legacy of promoting human rights,
addressing the needs of the most vulnerable, partnering with countries
for shared goals of prosperity, and investing in people around the
world. Now more than ever, the world needs U.S. commitment to poverty-
and nutrition-focused development.
Thank you for your continued support. May God continue to bless
your work.
[This statement was submitted by Rev. Eugene Cho, President and
CEO.]
______
Prepared Statement of Catholic Relief Services
Chairman Coons, Ranking Member Graham: On behalf of Catholic Relief
Services (CRS), the international relief and development agency of the
Catholic community in the U.S, I respectfully request that you increase
poverty-reducing humanitarian and development assistance in Fiscal Year
2022 (FY22) appropriations. To address unprecedented global challenges,
we urge Congress to increase the international affairs budget to $71.6
billion to allow for more poverty-reducing assistance. We urge you to
prioritize the accounts below to at least the levels indicated.
------------------------------------------------------------------------
------------------------------------------------------------------------
Maternal and Child Health (USAID)................... 879,000,000
Nutrition (USAID)................................... 150,000,000
Vulnerable Children (USAID)......................... 35,000,000
HIV/AIDS (USAID).................................... 330,000,000
Malaria (USAID)..................................... 785,000,000
Tuberculosis (USAID)................................ 325,000,000
Neglected Tropical Diseases (USAID)................. 102,500,000
Global Health Security (USAID)...................... 995,000,000
PEPFAR/Global Fund (DOS)............................ 5,930,000,000
Development Assistance (USAID)...................... 4,075,097,000
International Disaster Assistance (USAID/BHA)....... 4,682,362,000
Migration and Refugee Assistance (DOS/PRM).......... 3,981,331,000
Emergency Refugee and Migration Assistance (DOS/PRM) 1,000,000
Complex Crises Fund (USAID)......................... 60,000,000
Millennium Challenge Account (MCC).................. 912,000,000
Atrocities Prevention Board (DOS)................... 5,000,000
Contributions for International Peacekeeping 1,928,614,000
Activities (DOS/IO)................................
Peacekeeping Operations (DOS/IO).................... 469,459,000
Green Climate Fund (Treasury)....................... 1,250,000,000
U.S. Institute of Peace............................. 45,000,000
Anti-Trafficking in Persons (USAID and DOS)......... 99,000,000
------------------------------------------------------------------------
CRS works with 1,915 partners to serve more than 140 million people
in 115 countries. Grounded in our belief in the dignity of every human
person, we will continue to work until all of God's children can
fulfill their human potential. Our work overseas is complemented by our
movement building in the United States. We invite Catholics and people
of good will to stand in solidarity with poor and vulnerable
communities and to advocate in support of U.S. leadership around the
world. Our experience affirms that the U.S. can play a constructive
role in advancing peace, justice, and wellbeing. Numerous global
challenges demand a strong U.S. response. U.S. leadership will be
critical to end the COVID-19 pandemic and prepare for future health
crises; care for our common home and address climate change; mitigate
human suffering and address the root causes of instability; and
strengthen local capacity to bring about transformational change.
i. end covid-19 and prevent development backsliding
Strong FY22 appropriations will be essential to help end the COVID-
19 pandemic, prepare for future health crises, prevent further
development backsliding, and foster a sustainable recovery. The United
States must lead a global effort to distribute vaccines equitably and
efficiently. Manufacturing adequate supply, delivering vaccines from
ports into peoples' arms, and overcoming vaccine hesitancy within
communities will be significant challenges. We recognize the generous
appropriation Congress allocated to GAVI last year. To help overcome
vaccine hesitancy, we urge the Committee to recommend utilizing faith-
based organizations and faith leaders to disseminate positive messaging
for vaccine acceptance and to counter mis-and dis-information. Faith-
based organizations and faith leaders have a rich history of responding
to health crises, including well documented successes such as promoting
vaccinations against Polio in Nigeria in the early 2000s. To help
prepare for future health crises, Congress must continue to support
strengthening health systems, including programs that treat, prevent,
and control malaria and fight HIV and AIDS. Lastly, the Committee must
prevent development backsliding and foster a sustainable and inclusive
recovery. The World Bank estimates that the health, economic, and
social impacts of COVID-19 will increase the number of those living in
poverty between 143 and 163 million people in 2021. Food insecurity and
malnutrition, displacement, and gender-based violence are all on the
rise. Educational achievement is falling. We also urge attention to the
disturbing increase of violence against children due to the pandemic
and urge increased attention to child protection and support for
vulnerable families.
We appreciate recent increases to health, development, and
humanitarian accounts as well as supplemental resources to prevent,
prepare for, and respond to COVID-19. To achieve long-term human
development goals, we need to do more. We strongly recommend Congress
increase appropriations to life-saving Global Health accounts,
Development Assistance, and Economic Support Funds that achieve the
goals of poverty reduction and integral human development.
ii. care for our common home and address climate change
The health and wellbeing of each person will also depend on how we
care for the environment and our common home. CRS is committed to
ensuring all people achieve dignified and resilient livelihoods in
flourishing landscapes. Everywhere we work, communities tell us that
the climate is changing and that storms are more intense. Urgent action
is needed to help communities adapt to stronger and more regular
climate events that disproportionately impact and displace poor and
vulnerable communities. Therefore, Congress must increase investments
in the Green Climate Fund and other multilateral and bilateral
development accounts that support adaptation, clean energy, and
sustainable landscapes alongside agriculture and WASH.
Investments in disaster risk reduction, land restoration, and water
and climate-smart agriculture can make a measurable difference in the
lives of those most impacted by climate change. Our experience informs
this position. In Sierra Leone, CRS helped improve water security in
urban Freetown by increasing the capacity of watershed management
structures; utilizing natural infrastructure and climate change
adaptation strategies to reduce storm water runoff; and establishing
the business case for a Western Area Peninsula Water Fund, which will
serve as a governance and financing mechanism for nature- and
community-based water catchment conservation and development. In
Lesotho, CRS helps communities to better manage their water and soil,
revitalizing farmland pastureland, preventing erosion, and restoring
ground water and springs. Keeping soil healthy can also mitigate
climate change by sequestering carbon in soils at the same time as it
supports increases in crop production. And in Ethiopia, CRS trains
farmers and producers in food storage and preservation to minimize crop
losses, and water harvesting techniques to increase water availability
for crops and livestock. In addition to increased funding, we urge the
Committee to engage with USAID as they renew a climate change strategy.
The Committee should encourage the agency to expand restoration efforts
to include revitalizing ecosystems across multiple landscapes,
including agriculture lands; to support just solutions for those
communities most impacted by climate change; and to integrate
peacebuilding into natural resource management and land tenure issues.
iii. end human suffering and address the root causes of conflict and
instability
Conflict and instability remain the largest driver of forced
displacement and create the greatest need for humanitarian aid. More
than 80 million people are displaced from their homes, and an estimated
272 million people are at risk of becoming severely food insecure by
the end of 2021. The United States has been a global leader in
providing lifesaving humanitarian assistance and protection to people
in need, but we must do more to end human suffering, foster peace, and
address the root causes of conflict and instability.
The Horn of Africa continues to face the desert locust reinvasion,
increased droughts and floods, political crises, and ongoing conflict.
COVID-19 and violence have also increased vulnerability and insecurity
in the West Bank and Gaza. Political and economic instability in
Venezuela have led more than 5 million people to flee. To respond to
these and other humanitarian crises, the Committee should urge the
Administration to depoliticize humanitarian aid and improve
humanitarian access. The Committee should also increase allocations to
International Disaster Assistance, Migration and Refugee Assistance,
and Emergency Refugee and Migration Assistance. We recognize that these
social, economic, and political crises require more than humanitarian
aid. We must leverage diplomatic and peacebuilding tools to prevent
conflict and promote good governance. Congress must increase
investments in the Complex Crisis Fund and provide strong funding for
peacekeeping, atrocities prevention, and the U.S. Institute of Peace.
Moreover, Congress must increase resources to Development
Assistance and direct Economic Support Funds to address the root causes
of human suffering that contribute to forced displacement. For example,
our brothers and sisters in El Salvador, Guatemala, and Honduras face
numerous challenges to survive and thrive in their home communities.
Evidence generated from CRS programs and a recent CRS migration study
demonstrate that poverty-reducing development assistance addresses the
push factors of migration and promotes rootedness in communities. As
the Committee works with the Administration to address the root causes
of migration from Central America, we urge it to prioritize programs
that (1) grow formal job opportunities and support job-relevant
education and training; (2) create more equitable decision-making
spaces between women and men; (3) improve climate adapted agricultural
practices; and (4) target vulnerable families and marginalized
populations, including women, indigenous communities, and youth.
iv. strengthen local capacity and empower local leadership
Ending COVID-19, caring for our common home, and addressing
conflict and instability will not be sustained without strengthened
local capacity and empowered local leadership. Local actors and the
international aid community are demanding locally owned and led
humanitarian and development assistance, which when done well produces
more effective and sustainable results. For CRS, local leadership
extends beyond direct or prime funding to sharing capacity and shifting
power dynamics. From 2016-2018, CRS implemented the Preparing to Excel
in Emergency Response (PEER) project, a privately funded program aimed
to strengthen the emergency response capacity of local faith
organizations in India, Indonesia, Jordan, and Lebanon. In 2020, as
these organizations rushed to serve millions of people in response to
COVID-19, CRS conducted a study to understand if capacity strengthening
investments made during PEER were sustained and utilized during COVID-
19 response. All 22 partners interviewed for this study felt their
organization applied lessons learned from participating in PEER and
were working with improved systems, which enabled a more effective
emergency response. These findings illustrate how local actors can lead
critical emergency response efforts and provide examples of how
investments made in their capacity can advance localization of
humanitarian response.
Bipartisan momentum exists to advance local leadership. From the
Bush Administration's implementation of PEPFAR to the Obama
Administration's USAID Forward and from the Trump Administration's
Journey to Self-Reliance to the multilateral Grand Bargain, bipartisan
initiatives have highlighted the importance of local leadership. While
some components of these initiatives have been more successful than
others, none have been able to shift prioritization adequately and
systemically. We urge the Committee to recognize that local and
national nongovernmental leadership is critical for effective and
sustainable assistance. Further, we urge the Committee to direct the
USAID Administrator to prioritize making funds available to local and
national nongovernmental entities and invest in holistic capacity
strengthening for local leadership and sustainable self-reliance. We
also urge more transparency on how and where funds are made available
to local entities.
v. aspire for greater change
In Pope Francis' recent Encyclical, Fratelli Tutti, he wrote,
``What we need in fact are states and civil institutions that are
present and active, that look beyond the free and efficient working of
certain economic, political or ideological systems, and are primarily
concerned with individuals and the common good.'' We applaud Congress
for their strong bipartisan support for the above accounts, but the
human needs call us to forge a deeper commitment to increase resources
and strengthen tools that can tackle the urgent crises of our times and
allow every person to reach their God-given human potential. We urge
the Committee to work with the Administration to commit to doubling
international poverty-reducing humanitarian and development assistance
by 2025.
While we continue to aspire for transformational change, we have
grave concerns about providing taxpayer funding for activities
inconsistent with the Catholic faith and basic human rights. Therefore,
we strongly urge Congress to maintain the Helms Amendment in FY22.
Moreover, efforts to integrate areas of programs that not all agree are
morally acceptable is not in the best interest of the U.S. as it is
important to preserve a diversity of providers that have strong
legitimacy and credibility with local partners. Chairman Coons, Ranking
Member Graham, thank you again for your leadership. We look forward to
working with you to be more present and active forces for the common
good.
[This statement was submitted by Sean Callahan, President and CEO.]
______
Prepared Statement of the Committee on International Justice and Peace
United States Conference of Catholic Bishops (USCCB)
On behalf of the Committee on International Justice and Peace of
the United States Conference of Catholic Bishops (USCCB), I thank the
Subcommittee on State, Foreign Operations, and Related Programs for
this opportunity to submit testimony on appropriations for FY 2022.
Together with Catholic Relief Services, our overseas relief and
development agency, we urge you to increase funding for the
international poverty-reducing humanitarian, development, and
peacebuilding accounts specified in the table below.
------------------------------------------------------------------------
Appropriations
Agency Account Amount in $,000
------------------------------------------------------------------------
USAID............................ Maternal Health and $879,000
Child Survival.
USAID............................ Nutrition.......... $150,000
USAID............................ Vulnerable Children $35,000
(orphans and
displaced).
USAID............................ HIV/AIDS (USAID $330,000
Programs).
USAID............................ Malaria, TB, Global $2,207,500
Health Security &
other NTDs.
DOS/PEPFAR....................... HIV/AIDS (State $5,930,000
Funding/PEPFAR).
USAID............................ Development $4,075,097
Assistance
(including water,
education).
USAID/OFDA....................... International $4,682,362
Disaster
Assistance.
DOS/PRM.......................... Migration and $3,981,331
Refugee Assistance.
DOS/PRM.......................... Emergency Refugee $1000
and Migration
Assistance.
USAID............................ Complex Crises Fund $65,000
and Atrocities
Prevention Board.
MCC.............................. Millennium $912,000
Challenge
Corporation.
DOS/IO........................... Contributions to $1,928,614
International
Peacekeeping
Activities.
DOS/IO........................... Peacekeeping $469,459
Operations and
Peace.
DOS/IO........................... U.S. Institute of $45,000
Peace.
DOS/IO........................... Green Climate Fund. $1,2500,000
DOS/IO........................... Combatting $99,000
Trafficking in
Persons.
------------------------------------------------------------------------
In his 2020 encyclical on fraternity and social friendship,
Fratelli Tutti, Pope Francis teaches, ``The decision to include or
exclude those lying wounded along the roadside can serve as a criterion
for judging every economic, political, social and religious project.
Each day we have to decide whether to be Good Samaritans or indifferent
bystanders . . . .'' (#69). Such aid is proof of our nation's
compassion and gives life to our values as a nation and as a world
leader.
Our assistance cannot stop there. Pope Francis stated in his 2013
apostolic exhortation, Evangelii Gaudium (Joy of the Gospel), ``The
need to resolve the structural causes of poverty cannot be delayed . .
. Inequality is the root of social ills'' (#202). He adds that the
growing inequality in the world ``eventually engenders a violence which
recourse to arms cannot and never will be able to resolve'' (#60).
At a time when the United States continues in its response to the
COVID-19 pandemic, it is important that we show our compassion to a
world struggling to survive this pandemic, conflict, hunger, and
massive displacement. We would like to offer our strategic
recommendations on how the United States can rebalance and refocus its
international assistance to better align with the problems and threats
that our world faces. As the pandemic continues with no end in sight,
we strongly urge the United States to:
1. Global Servant Leadership to a World Confronting Existential Global
Threats
The COVID-19 pandemic is the latest human-made global issue in what
some researchers have called the `Anthropocene' where human activity is
now the dominant force affecting our entire planet. Our place in the
world demands enlightened global unifying leadership to resolve
conflict and promote the common good of humanity. Issues like climate
change; sea and air pollution; disappearing flora and fauna; COVID-19
and future pandemics; conflict; cyber security; autonomous weapons;
migration and refugees; and trafficking of people, arms, and drugs
threaten all of humanity.
The U.S. should lead the United Nations Security Council and the G-
20 towards solutions. The State Department will need increased
resources and skilled statesmen to do this. USAID will need greater
resources from Treasury in the Green Climate Fund to help low-income
countries adapt to and mitigate the effects of climate change. The
United States will also need to invest more in global health programs
to deal with future pandemics and provide funding to manage the cross-
border migration of people and trafficking of illicit goods.
Although the United States and China have serious disagreements
over international treaties, democratic norms, and China's threats to
neighboring countries, the United States will need to find ways to
challenge China where we must on issues of human rights and justice,
but also push towards cooperation where needed to protect humanity from
the serious threats above.
2. Move Towards a More Just Balance Between Defense, Diplomacy, and
Development
After 20 years of war in Afghanistan and 18 in Iraq the U.S. has
moved from endless war towards dialogue and negotiations that will
allow stakeholders in both conflicts to determine their own future. The
only pathway to guarantee peace and prosperity in Afghanistan and Iraq
and eventually in Syria and Yemen must come from sustained, open, and
inclusive dialogue and negotiations between legitimate political
leaders from all sides of the conflicts in these countries. As a party
to these conflicts, the United States needs to shift significant
resources to its diplomats, regional strategists, and civil society
builders to facilitate and support these negotiations. Leaders and
stakeholders must come to realize that a just peace can only come from
a new shared social contract that creates a legitimate, democratic,
accountable government, public administration, military, and police;
and promotes a free and vibrant populace living in a society that
guarantees their full civil and human rights.
Despite this, State Department's budget is historically low in
comparison to that of defense. In 1950, State's budget was around half
the size of defense. Today State receives only 10% of what the Defense
Department is allocated. Since 9/11 most of the increases to State's
budget went to improve physical security at overseas posts. Recently,
many observers argued that the State Department's role, its staff, and
resources have been diminished, leaving many seasoned diplomats
disempowered while others have left. One plan taking shape in the
Senate is to increase funding to State Department by $12 billion, or a
21% increase.
James Stavridis, a retired U.S. Navy admiral and former NATO
supreme commander, argues that the United States urgently needs to
deploy skilled diplomats, thinkers, and strategists who can imagine the
future of conflict and reverse engineer its causes to avoid it. He
quotes Sun Tsu, ``The greatest victory is that which requires no
battle.'' The Church has understood this imperative for years. In
Fratelli Tutti Pope Francis says, `` . . . it is very difficult
nowadays to invoke the rational criteria elaborated in earlier
centuries to speak of the possibility of a ``just war''. Never again
war!'' (#258).
3. Address State Fragility and Conflict in the Most Vulnerable
Countries
After the 9/11 attacks our Bishops' conference warned, ``Our nation
must join with others in addressing policies and problems that provide
fertile ground in which terrorism can thrive.'' We urge our political
leaders to look beyond a focus on counterterrorism to address the
poverty and powerlessness that make some people easy recruits for
violence and terror.
Over the last few years, the U.S. Congress and successive
Administrations have passed the Elie Wiesel Global Atrocities
Prevention Act. It affirmed the Atrocities Prevention Board (now called
the Atrocities Early Warning Task Force) efforts to coordinate all
relevant Federal Government agencies to address fragility and prevent
conflict. The Obama Administration created the Complex Crisis Fund to
finance short term efforts to head off conflict before it breaks out.
The U.S. Bishops also supported the Global Fragility and Violence
Reduction Act passed in December 2019 to develop and adopt best
practices and strategies in six pilot countries. These bills elevated
the mandate for U.S. policy to strengthen fragile states-to help them
build resilience against the alarming growth of violent extremism,
rebel insurgencies, social violence, and repression in their own
societies.
The bills were designed to prioritize non `strategic' countries
like Somalia, Nigeria, Mali, Burkina Faso, Niger and, Mozambique where
terrorist groups have found ungoverned spaces to set up shop. Of the 30
most fragile countries in the 2020 Fragile State Index created by the
Fund for Peace, 20 are in Africa. Of the 54 conflicts in the world, the
2019 Upsala Conflict Data Program estimates that 25 are in Africa. If
Africa is the center of conflict in the world, it is also ground zero
in terms of extreme poverty. The Brookings Institution estimates that
by 2030 31 countries will be home to 80% of people living in extreme
poverty. Africa now accounts for 66% of the world's extreme poor and
could reach 90% by 2030. (WB-9 Oct 2020)
In these countries, the presence of terror groups is really the
last symptom of a massive failure of the state to govern with justice
towards the common good, allowing a fragile state to become a failed
state. Concentrating only on armed responses to the terrorist presence
in such a country is equivalent to giving an aspirin to treat the
headache of a man dying of malaria.
Fragility and conflict also exist in the absence of terrorists in
the Central African Republic, Cameroon, South Sudan, and Burundi where
local insurgents operate causing enormous suffering. Here conflict is
the result of poor governance, group grievances, mismanagement of
latent conflict, repression, human rights violations, and crushing
poverty. In still other countries such as Rwanda, Uganda, Chad, Togo,
Congo, Brazzaville, and Zimbabwe, people live under conditions of
repression and corruption where the seeds of violence have been
planted, but violent conflict is still latent. In these countries
conflict prevention is urgent if people are to escape the ravages of
violence. In addition, we are deeply concerned about the early warning
signs of new violence resulting from the impacts of the COVID-19
pandemic. Already data modeling show that as a result of the pandemic,
13 more countries will likely experience conflict over the next two
years, nearly doubling the pre-pandemic prediction.
While fragile countries in Africa currently account for two thirds
of the world's people living in extreme poverty and the world's
conflicts, they receive less than one quarter of total programmable aid
from the Organization for Economic Cooperation and Development
countries. We urge Congress and the Administration to focus on and
invest more State and USAID resources in reducing fragility and
preventing violent conflict in the most vulnerable countries in our
world. The U.S. should increase the capacity of the State Department
Bureau of Conflict and Stabilization Operations, expanding their
peacebuilding, reconciliation and social cohesion efforts and
integrating them into humanitarian and development programs; increase
funding to the Atrocities Prevention Fund; and allocate $200 million
for the Prevention and Stabilization Fund.
4. Place a Greater Priority on Empowering Civil Society and Faith-Based
Groups
One commonality in all fragile countries is the economic and
political dominance of government institutions and private, for-profit
corporations, while a vast and varied array of private, independent
civil society associations struggle to protect civil rights, fight
corruption, and promote free and fair elections and justice.
Often faith-based institutions are some of the few civil society
institutions remaining with enough credibility, authority, and
institutional cohesiveness to stand up to corrupt and repressive
governments. Across Africa, Latin America, the Middle East, and Asia,
the Catholic Church, along with other Christian and Muslim
denominations have echoed the prophets of old and denounced modern-day
corruption, repression, defrauded elections, state violence and
insurgencies, often at the risk of their own personal and institutional
peril. They have organized peace and justice institutions, electoral
monitoring teams, political mediation efforts, and negotiations between
armed groups and the government. Their efforts are courageous, but
often too small and underfunded. Peacebuilding experts know it requires
a generation or more to transform conflict. We urge you to make a
generational commitment to greatly increase funding to local civil
society organizations' efforts to defend the human and civil rights of
people struggling to survive repression and violence. This funding must
be long-term, flexible, and nimble while ensuring accountability and
impact. This can be done through three-way strategic partnerships
between USAID, American civil society institutions like Catholic Relief
Services, and their local civil society and faith-based partners.
In closing we must also be clear that the U.S. Bishops strongly
opposes any expansion of taxpayer funding of abortion as part of this
appropriations legislation. The longstanding, bipartisan, and life-
saving Helms Amendment policy must be included before this bill moves
forward. Legislation that fails to include this longstanding bipartisan
policy directly threatens human life and dignity and should be opposed
until this fundamental problem is remedied.
[This statement was submitted by Bishop David J. Malloy, Chairman.]
______
Prepared Statement of Edesia Nutrition
Edesia appreciates the opportunity to submit testimony to the
Senate Appropriations Subcommittee on State, Foreign Operations, and
Related Programs. Since 2010, Edesia has worked in partnership with the
U.S. government to promote life-saving interventions for beneficiaries
and greater global stability and national security for Americans by
supplying evidence-based nutritional support to vulnerable children
worldwide. We request that the Subcommittee fund International Disaster
Assistance (IDA) at a level of $5.27 billion, and the Nutrition in
Global Health at a level of $300 million.
The IDA account provides critical food, shelter, and medical
assistance to those facing humanitarian crises, both natural and
manmade. A portion of IDA funds go toward Emergency Food Security
Programming Nutrition (Title III) in the Global Health Account support
technical assistance to introduce and increase nutrition activities in
priority USAID countries, including nutrition education and delivery of
services such as micronutrient supplementation. Funds for these
programs support the critical work of the private and non-profit sector
alike to further America's mission of peace and security aboard. As the
world faces unprecedented challenges brought on by the Coronavirus
pandemic, including food supply chain and market disruption, it is
imperative that these accounts are fully supported by Congress to help
the most vulnerable populations.
As of April 2021, the World Food Program (WFP) estimates that 296
million people in the 35 countries where it works are without
sufficient food-111 million more people than in April 2020. In addition
to tackling the Coronavirus, the world is currently in the midst of
several humanitarian disasters--both conflict and climate-related--that
have exacerbated malnutrition. In 2019, 77 million people in 22
countries experienced hunger due to armed violence and insecurity.
South Sudan, Nigeria, Yemen, and Somalia are experiencing extreme need,
intensified by conflict. For the fourth year in a row, gains against
hunger and malnutrition have stalled. Extreme climatic events drove
almost 34 million people into food crisis in 25 countries in 2019, 77
percent of them in Africa. The number of people pushed into food crisis
by economic shocks more than doubled because of the Coronavirus
pandemic. Unless action is taken, these numbers will only worsen as an
estimated 33 percent of global soils have degraded endangering food
productions and forecasters are predicting a 55 percent change in
climate conditions this year due to La Nina affecting crop yields.
Continued financial support of food aid and humanitarian assistance
leadership from the United States is needed now more than ever.
Humanitarian aid is life-changing for recipients, and provides benefits
to citizens of the United States, by creating both jobs and economic
opportunities in agriculture and manufacturing, future trading partners
abroad, and improved worldwide security.
While serving those in need globally, current food assistance
programs simultaneously provide benefits for Edesia in Rhode Island, as
well as our suppliers from other states (including Iowa, Wisconsin, New
York, Georgia, North Carolina). Edesia is a Rhode Island-based non-
profit manufacturer of high quality, peanut-based ready-to-use
therapeutic and supplementary foods that are used to treat malnutrition
in children around the globe. Through innovative manufacturing, we have
reached over 14 million children in 55 countries with our products
since 2010. This includes over 50,000 metric tons of Ready-to-Use Food
products (RUTF and RUSF) made from U.S. agricultural goods for programs
supported by the USAID and the USDA--equivalent to providing over 6
million acutely malnourished children with lifesaving treatments. We
are proud of the part we play in helping to save the lives of children
around the world--children who would not be reached without the
generosity of the American people and the hard work of USAID, USDA and
the United States' Congress. Saving these lives also helps to build
safer world--healthy children have the ability to grow and reach their
full potential.
As an American manufacturing company, we recognize the important
part that U.S.-manufactured in-kind food assistance plays around the
world. Our partnerships with the U.S. government not only allow us to
reach children in need, but also allow us to create economic growth at
home. Since our opening in 2010, we have gone from a company of 20, to
today having a team of over 100. In 2016, we expanded into a new 83,000
square foot facility that can produce over 20,000 MT of nutrient-dense
food aid products per year, made from high-quality, U.S.-sourced
ingredients (e.g., peanuts, soy, dairy, sugar) that support U.S.
farmers, U.S. transportation companies and the U.S. economy. Annually,
we purchase over $30 million of high-quality, U.S. sourced raw
materials. Our country's lifesaving assistance abroad allows us to
create opportunities here at home.
Edesia is an industry leader in innovation and has been a critical
partner of the U.S. government to ensure that United States remains a
leader in fighting world hunger. Our work supports the second UN
Sustainable Development Goal (SDG) of ``Zero Hunger'' with a target of
ending all forms of malnutrition by 2030. An emphasis on nutrition
security and aid that is fit-for-purpose, such as specialty nutritional
products for treating and preventing malnutrition, will be increasingly
important in order to reach the SDG goals for 2030.
Thank you for providing Edesia the opportunity to submit testimony.
As funding for international food aid programs are reviewed by your
Subcommittee, we hope you will use us as a resource; we are highly
experienced in the area of specialized food aid, and as a non-profit
business, we understand the economics while also remaining committed to
the goals. Please do not hesitate to contact us if the Subcommittee has
any questions or would like further information.
[This statement was submitted by Navyn Salem, Founder & CEO, and
Maria Kasparian, Executive Director.]
______
Prepared Statement of the Elizabeth Glaser Pediatric AIDS Foundation
Chairman Coons, Ranking Member Graham, and distinguished Members of
the Subcommittee, thank you for the opportunity to submit testimony in
strong support of the foreign affairs budget, in particular the
President's Emergency Plan for AIDS Relief (PEPFAR) and the
international organizations and partners critical to its success.
My name is Charles Lyons, and I am the President and CEO of the
Elizabeth Glaser Pediatric AIDS Foundation (EGPAF). Founded over 30
years ago through a mother's determination, EGPAF is committed to a
comprehensive response to the global fight to end HIV and AIDS through
research, global advocacy, strengthening of local health care systems,
and growing the capacity of governments and communities in the world's
most affected regions to respond to urgent needs. I am proud to be
leading a mission-driven organization, working closely with families,
communities, countries, and donors fighting for an AIDS-free
generation. I am asking you today to not only continue robust funding
to end the global HIV/AIDS epidemic, but also to ensure that children
are at the forefront of the U.S. global AIDS response. Additionally, I
ask that U.S. global health investments are leveraged to address the
COVID-19 pandemic and set countries on the right path for long term
success and sustainability.
This June, we marked the 40th anniversary of AIDS.\i\ This is a
particularly meaningful anniversary for EGPAF, as it has also been 40
years since Elizabeth Glaser became HIV-positive and unknowingly passed
HIV to her daughter, Ariel. At EGPAF, we work to keep Elizabeth and
Ariel's spirits alive through our efforts to reach women, children, and
families affected by HIV around the world.
Much has changed over the last 40 years. When AIDS was first
documented in 1981, children were not even part of the conversation,
and the epidemic would go on to ravage African countries and
communities for almost another two decades before the U.S. interceded.
However, we did know something 40 years ago that remains extremely
relevant today: the global movement to end AIDS can and will evolve,
innovate, leverage, and grow in order to meet any obstacle keeping us
from realizing the end of AIDS. Now as the U.S. and the world work to
address the advent of a new epidemic, we know that the unprecedented
and sustained bipartisan support that has driven progress against HIV
will be needed to win the fight against the coronavirus but also the
new challenges created by the convergence of HIV and COVID-19.
As a long-time PEPFAR implementing partner, EGPAF has not just
watched the progression of the global AIDS response, we have evolved in
tandem. Since we began working internationally, in collaboration with
PEPFAR and other partners, EGPAF has reached over 32 million pregnant
women worldwide with services to prevent transmission of HIV to their
babies, including nearly 88,000 in the last year. Over the last twenty
years, we have averted nearly 400,000 new infections in children. EGPAF
is currently supporting more than 1.8 million men, women, and children
on treatment, including nearly 90,000 children, so they can live long,
healthy, and productive lives.\ii\
Since our inception in 1988, there has been a 95 percent decline in
new pediatric HIV infections in the United States.\iii\ Globally, new
pediatric infections have been reduced by more than half since the year
2000.\iv\ This year, the 3 millionth infection will be averted in
children due to support from the PEPFAR program.\v\ However, progress
reaching pregnant and breastfeeding women has stalled, and our efforts
need increased focused attention.
While nearly four decades have past since Elizabeth fought for
Ariel to have access to the same HIV medicines as adults, still only
slightly more than half of children living with HIV are on the
treatment they need to survive and thrive. This is especially
concerning due to the rapid progression of the disease in children.
Without treatment, 50 percent of children living with HIV will die by
the age of two and 80 percent will die by the age of five.\vi\ This
inequity is only increasing, with the gap between adult and pediatric
treatment coverage rates growing each year.\vii\ The lag is so severe
that while children only make up 5 percent of all HIV infections, they
represent 14 percent of AIDS-related deaths.\viii\
These 2019 statistics are all the more worrying, as they do not
represent the impacts of COVID-19 related disruptions. Countries are
reporting decreases of 25 percent or more in prevention of mother to
child transmission (PMTCT) services, including HIV testing and
treatment initiation of pregnant women.\ix\ Nearly 12 million women
across 115 countries have lost access to family planning and unintended
pregnancies have risen--which is correlated to increases in HIV
infections in pregnant women and transmissions to children.\x\ In a
majority of priority countries, pediatric and adolescent treatment has
dropped over the last year, with one third of countries reporting a
decrease of greater than 10 percent.\xi\ These HIV service disruptions
illustrate that the lasting impacts of COVID-19 will be felt for years
to come, especially for children. This is the first time in
approximately 20 years where there could actually be an increase in new
HIV infections and AIDS related deaths in children.\xii\
Ten years ago, we were anticipating an ``AIDS-free generation'',
today we are working to keep progress from slipping away. Children were
absent from the most recent PEPFAR strategy--it would be unconscionable
if the next five years of the PEPFAR program does not prioritize ending
AIDS for all people, not just the easiest to reach adults.\xiii\ We
respectfully ask you to use your considerable influence to express to
the Office of the Global AIDS Coordinator that Congress insists
children are prioritized within the PEPFAR program.
The COVID-19 pandemic has substantially affected how we reach
people at risk for and living with HIV, especially pregnant women and
children who need additional interactions with the health system. As
African countries have cycled through lockdowns, the ability of our
programs to provide in-person, face-to-face, patient-centered care has
ebbed and flowed, and like many of the partners working in communities
impacted by HIV and COVID-19, we have had to constantly adapt to
determine the best practices to meet the challenges of any particular
day.
In many ways, responding to COVID-19 felt like returning to the
start of the HIV epidemic--trying to understand the best way to reach
patients with minimal information, but a lot of determination. One key
difference, however, is that now we have significantly more tools in
our response tool box, thanks to the long-term U.S. investments in
health systems through PEPFAR and other global health programs. These
critical investments have trained and supported hundreds of thousands
of healthcare workers, built a complex laboratory infrastructure, and
most importantly, established deep ties to the community.
Because EGPAF's global footprint spans 17 countries, we were able
to quickly share information and best practices across country programs
and could troubleshoot difficulties as they arose. Some adaptations
included quickly scaling up multi-month dispensing of antiretroviral
therapy to ensure HIV clients could reduce visits to crowded health
facilities, moving the dispensing of ART and other commodities from
clinics to communities, and establishing text or phone-based counseling
and support services, including important adherence support for
adolescents most at risk of falling out of treatment.
However, our programs cannot be successful if the system in which
we are working collapses. Through our experience, we know that
frontline healthcare workers form the foundation of any health system
and have faced innumerable challenges over the past year. In order to
bolster healthcare workers, EGPAF supported ministries of health across
multiple countries to provide psychosocial support for frontline
workers. Additionally, we were able to communicate across our country
programs and with USAID, CDC and the Office of the Global AIDS
Coordinator to ensure challenges and lessons we were learning to assist
workers and deliver services were shared expediently.
These agile programmatic shifts meant early dire predictions of the
impact of COVID-19 on the HIV epidemic have not been fully realized,
but adjustments came at a cost.\xiv\ Modifications to keep healthcare
workers and clients safe are often more expensive and left gaping holes
in programming, most notably for prevention services which have been
dramatically reduced. As vaccines begin to slowly roll out in the
communities where we work, there will need to be a recovery agenda to
regain the progress we have lost.
The word often used to describe PEPFAR's response to COVID-19 is
``resilience.'' While HIV and related services are still significantly
impacted each day, the strong footprint of the program ensures that the
global HIV response has not broken down. Instead, the program's
investments form a key component of the global COVID response,
especially in countries deeply affected by HIV. As an organization who
takes our responsibility to steward tax dollars very seriously, we feel
it would be unfortunate if the two decades of global AIDS investments
and assets were not capitalized for the COVID-19 response, while
concurrently accelerating HIV programming. The fact of the matter is,
HIV programming cannot ignore the other global pandemic in our midst,
and both responses much be intertwined. By leveraging the PEPFAR
platform, the U.S. government can ensure global health dollars are
being efficiently used to accelerate vaccine distribution and begin the
global recovery.
The last year of the PEPFAR program has been marked by resilience,
but its future should not just be based on its ability to withstand
tremendous pressure. Rather, we must ensure PEPFAR is properly
resourced to finish the job that a bipartisan Congress and Presidential
Administrations have supported for 18 years--ending AIDS. The PEPFAR
program has been essentially flat funded for 10 years. Innovations and
efficiencies have led to growth of the program, but increased resources
are necessary as the program responds to COVID-19, charts a recovery
agenda, and accelerates towards HIV goals and targets. A recent UNAIDS
analysis shows that money invested in the fight against HIV is money
well spent--each additional US$1 invested in the HIV responses of low-
and middle-income countries will yield a return of more than US$7 in
health benefits.\xv\ Furthermore, additional funds are essential for
addressing the widening gap between pediatric and adult HIV outcomes. I
ask today that you remember the vision Congress had those years ago at
PEPFAR's inception and increase funding for the PEPFAR program.
I want to also express support for our global partners--the Global
Fund to Fight AIDS, Tuberculosis and Malaria, the World Health
Organization (WHO), the Joint United Nations Programme on HIV and AIDS
(UNAIDS) and the United Nations Children's Fund (UNICEF). I am very
concerned about proposals to reduce or eliminate funding to these
organizations. PEPFAR's success is due in large part to the
collaboration of countries, communities, related U.S. supported
programming, and international partners. The prospect of ending AIDS in
children will be jeopardized without their programming, expertise and
commitment.
2020 and 2021 have felt like years characterized by numbers--days
in lockdown, COVID-19 cases and deaths, vaccines administered. We see
the same tendency in the HIV epidemic, the urge to condense complex
epidemics into discrete data points that are easier to grapple with and
absorb. But it is vital to remember that each of those numbers
represents an individual, a person with a family whose life matters.
People like Yasinta, a Masai woman living in Tanzania who was recently
diagnosed with HIV. After a PEPFAR-supported community health worker
reached her at her home, administered an HIV test and enrolled her on
treatment, her health began to rapidly improve. And as Yasinta said,
``This program gave me a second chance.'' \xvi\
---------------------------------------------------------------------------
\i\ CDC, Morbidity and Mortality Weekly Report, Pneumocystic
Pneumonia--Los Angeles. June 5, 1981.
\ii\ EGPAF Global Data Dashboard.
\iii\ CDC, HIV Surveillance Report. Diagnoses of HIV Infection in
the United States and Dependent Areas, 2019. May 2021.
\iv\ Start Free Stay Free AIDS Free-2020 report.
\v\ PEPFAR, Latest Global Results. January 20, 2021.
\vi\ UNICEF, Women: At the Heart of the HIV Response for Children.
July 2018.
\vii\ UNAIDS, AIDSinfo.
\viii\ UNAIDS, End Inequalities. End AIDS. Global AIDS Strategy
2021-2026.
\ix\ UNAIDS, Prevailing Against Pandemics by Putting People at the
Centre. 2020.
\x\ UNFPA, Impact of COVID-19 on Family Planning: What we know one
year into the pandemic. March 2021.
\xi\ UNICEF, Reimagining a resilient HIV response for children,
adolescent and pregnant women living with HIV. November 2020.
\xii\ UNAIDS, AIDSinfo.
\xiii\ PEPFAR, Strategy for Accelerating HIV/AIDS Epidemic Control
(2017-2020). September 2017.
\xiv\ Lesosky, M. and Myer, L. Modelling the impact of COVID-19 on
HIV. August 2020.
\xv\ UNAIDS, Global Commitments, Local Actions. June 2021.
\xvi\ EGPAF, ``This Project Gave Me a Second Chance.'' December
2020.
[This statement was submitted by Charles Lyons, President and CEO.]
______
Prepared Statement of The END Fund
Dear Subcommittee on State, Foreign Operations, and Related Programs:
We write to you in our capacities as Chair of the Board and CEO of
the END Fund, a private philanthropic initiative dedicated to ending
neglected tropical diseases (NTDs) such as blinding trachoma,
elephantiasis, and intestinal worms that affect over 1.7 billion people
globally. The END Fund is made up of thousands of supporters from
across the globe and has been a proud and long-time collaborator with
the USAID NTD Program, co-funding programs to fast-track disease
elimination efforts and collaborating on technical innovation across
dozens of countries.
The success of our partnership has been largely built on
coordination with the United Kingdom through its Foreign, Commonwealth
& Development Office (FCDO). However, significant budget cuts made
recently by the FCDO have had a devastating effect on global NTD
programming and put much of our collective progress at risk. Until
recently, the FCDO and USAID coordinated to support 37 national NTD
programs and co-invested in 15 of those, many of which were expected to
eliminate at least one NTD in the next five years. Unless we are able
to figure out a Plan B, many of these milestones will not be met and
over 200 million people across 24 countries will not receive the
treatment they need.
The END Fund is doing its part to reach out to every private
philanthropic donor in our network in an attempt to raise funds and
ensure these people aren't left behind. But private philanthropy won't
be enough. Over $1 billion of donated medicines from pharmaceutical
companies like Merck, Pfizer, and J&J are at risk of going to waste if
we can't identify funds to deliver them. We understand that the next FY
USAID annual budget is currently under review, and would love to
encourage you and the whole team involved in setting the USAID budget
to consider an increase from the approximately $100 million annual
budget from previous years to at least $125 million per year, and
ideally even more if possible. This would make a huge difference to
ensuring disease elimination efforts stay on track and vulnerable
people don't further suffer from disability, blindness, stunted growth
and missed school days caused by NTDs.
While simultaneously working to mobilize emergency resources, the
African members of the END Fund board--along with a coalition of
hundreds of partners across Africa--are launching an African NTD
Leadership Initiative to step up local leadership and sustainable
solutions to long-term implementation of NTD programs. We recognize
that aid and philanthropy aren't the long-term solutions to the health
problems in developing countries. But this transition will take time,
and we look forward to collaborating with USAID and the other global
funders and supporters of NTDs to ensure that no one misses out on the
treatment they need in the short-term.
We would be honored to provide you with an in-depth briefing on the
current situation and share more with you about how the END Fund can
support the critical work of USAID's NTD Program. We thank you so much
for your consideration of an increased USAID budget for NTDs this
coming year.
Sincerely,
William Campbell
Board Chair, The END Fund
[email protected]
Ellen Agler
CEO, The END Fund
[email protected]
the end fund represents a private sector perspective on the value of
usaid's ntd program
The END Fund represents the dedication and commitment of a broad
donor base, which in the U.S. is composed of approximately 4,000
private philanthropists, companies, high-net-worth individuals, and
foundations spanning all 50 states who have collectively helped the END
Fund to raise hundreds of millions of dollars since 2012 to tackle
NTDs. There are several reasons why continued U.S. leadership
incentivizes our donor base, detailed below:
--Momentum among a growing group of U.S.-based activist
philanthropists. Inspired by the Giving Pledge community, a
number of whom have contributed to the END Fund, our board of
directors and leading donors represent a group of deeply
committed activist philanthropists who continuously invest
their time, professional network, expertise, and finances into
tackling NTDs. This group is spearheaded by our Board Chair,
William I. Campbell, who served as a Senior Advisor to the
Chairman and CEO of JPMorgan Chase from 2008 until 2012, and
has held numerous leadership positions in major U.S.
corporations for over two decades.
--Cost-effectiveness and a public-private partnership at a grand
scale. At the 2012 London Declaration on NTDs, leading
pharmaceutical companies collectively pledged as many NTD
treatments as the world had the capacity to deliver at the
time. Companies such as Bristol-Myers Squibb, Gilead, GSK,
Johnson & Johnson, Merck & Co., Inc., and Pfizer continue to
pledge billions of dollars of donated drugs per year that is
leveraged by the program delivery investments by USAID and its
partners in private philanthropy through the END Fund. This
unprecedented investment from the U.S. pharmaceutical industry
is matched only in the ambition of those partners supporting
the drug delivery (including USAID and the END Fund), and that
of our partners in governments where these treatments are
needed most. The scale and scope of the opportunity to continue
to impact the world through this partnership remains hugely
significant.
--De-risking private investment. Due to the substantial NTD funding
from USAID to date, the END Fund's private philanthropic donors
feel more comfortable making higher risk investments, pushing
boundaries, and investing in innovation in the NTD sector,
ultimately catalyzing the kind of progress needed to provide
over 1.7 billion at-risk people with the treatment and support
they deserve.
--Efficiency and collaboration. The END Fund participates in regular
global donor meetings with USAID among others to ensure we are
effectively coordinating investments across geographies and
time, such that the whole impact of our partnership is greater
than the sum of its parts due to the synergies from this
collaboration. The END Fund works to ensure that our
investments are complementary to USAID investments, often
covering geographies where USAID is not present or covering
aspects of programming that may not be included in USAID
budget.
--A legacy of partnership. In 2012, USAID directly contacted the END
Fund after a coup in Mali as USAID was no longer able to
support the NTD program under a new, non-democratically elected
government. USAID wanted to ensure Mali's national NTD program
was not compromised as a result of political upheaval and its
funding withdrawal, and requested support from the private
capital represented by the END Fund. We were proud to put
private capital to work quickly and nimbly and step in with two
years of support for Mali's national NTD program in order to
sustain the gains made through years of support from USAID.
This is just one of now many examples of how the END Fund and
USAID have ensured our work is complementary.
--Labor productivity and employability. Due to the aforementioned
drug donation program, the cost-effectiveness of NTD program
investments in achieving health and education outcomes is
second to none. For example, we know from the work of a recent
Nobel laureate in economics, Michael Kremer, adults who are
dewormed as children will earn 20% more than those who were
not, and receiving annual deworming treatments can reduce
school absenteeism by up to 25%. We also know from studies that
the world can avert several hundred million disability adjusted
life years and gain several hundred billion dollars' worth of
productivity gains if current goals for NTD control and
elimination are met. The knock-on impact of such investments
has significant influence on the education level, skill level,
and ultimately economic participation and productivity of any
country's workforce.
[This statement was submitted by Ellen Agler, CEO, and William
Campbell, Board Chair.]
______
Prepared Statement of the Friends Committee on National Legislation
Chairman Coons, Ranking Member Graham, and Distinguished Members of
the Committee, thank you for allowing me to testify in support of
robust funding for peacebuilding in the FY2022 State, Foreign
Operations, and Related Programs Appropriations bill. The Friends
Committee on National Legislation, or FCNL, was founded in 1943 by
members of the Religious Society of Friends, also known as Quakers.
From our early days--amid the Second World War--until today, we have
advocated for peace and sought a world free of war and the threat of
war. In pursuit of these ends, we strongly support robust funding for
accounts that prevent and reduce violent conflict in the FY 2022 SFOPs
appropriations bill, including $60 million for the Complex Crises Fund
at the U.S. Agency for International Development (USAID), $25 million
for the Atrocities Prevention Fund at the State Department, and
$500,000 for Atrocities Prevention Training at the State Department and
USAID.
The challenges the United States faces around the world today
cannot be resolved with bullets and bombs. In order to draw down and
end our country's endless wars, FCNL urges an increased investment in
peacebuilding, development, and diplomacy.
One percent of humanity--1 in every 97 people\i\--is now forcibly
displaced from their homes, including over 80 million who were forced
to flee persecution, conflict, violence, and human rights
violations.\ii\ Meanwhile, climate change is worsening resource
scarcity and natural disasters, pushing fragile states beyond their
abilities to cope or adapt. In the past decade, the number of water-
related conflicts and violence has increased by 270 percent.\iii\ Over
the next three decades, an additional 1.5 billion people are expected
to face food insecurity.\iv\
Compounding these issues, the COVID-19 pandemic has spared no
country-large or small, industrialized or developing, resilient or
fragile. The pandemic has exacerbated the drivers of conflict and
fragility around the world, leading to rising violence and decimated
economies that will far outlast the virus itself. In fact, the Bill &
Melinda Gates Foundation found that the COVID-19 pandemic has set back
an important measure of global development by ``about 25 years in about
25 weeks.''\v\
In particular, FCNL is deeply concerned about the early warning
signs of new violence resulting from the impacts of the COVID-19
pandemic. Advanced data modeling by the Josef Korbel School at the
University of Denver shows that as result of the pandemic, 13 more
countries will likely experience conflict over the next two years, a
more than 50 percent increase over their pre-pandemic prediction.\vi\
However, the virus need not be followed by violence.
Right now, peacebuilders are working around the world, on the
frontlines of the pandemic to ensure that the public health responses
are conflict-sensitive and support sustainable peace.\vii\
Peacebuilding provides an indispensable tool in responding to and
recovering from this pandemic by both preventing immediate outbreaks of
violence and healing fractured societies over the long term. With
focused and dedicated assistance, the United States can be a powerful
force for peace and development during this global crisis.
The full list of accounts that support peacebuilding, conflict
prevention and violence reduction efforts is attached below, along with
the levels of funding we recommend. I would like to highlight three of
these accounts.
The Complex Crises Fund (CCF) enables USAID to respond to early
warning signs and escalating crises before violence erupts. It is the
only account designed to fill immediate, short-term needs during
emergent crises. Even before the COVID-19 pandemic struck, the CCF was
in high demand- having directly supported initiatives to prevent
violence and conflict in 29 countries over the last decade.\viii\ The
CCF has enabled urgent peacebuilding programs that have disseminated
essential information, facilitated dialogue, and promoted civic
engagement in order to defuse rising tensions and strengthen
communities' resilience.
Now, with the pandemic further exacerbating conflict drivers, the
flexibility that CCF provides USAID to respond rapidly to escalating
crises is even more essential. As such, we urge that you allocate $60
million to USAID for the Complex Crises Fund.
Additionally, we urge significantly increased support to the
Atrocities Prevention Fund, which is the State Department's only
funding dedicated solely to the prevention of mass atrocities and
genocide.
We know that society-wide crises, such as famines, pandemics, and
political strife, too often become triggers or justifications for mass
violence and atrocities. During such crises marginalized groups,
especially migrants and ethnic or religious minorities, are often
scapegoated and attacked. We have already seen rising levels of such
identity-based violence around the world-including here in the United
States against Asian-Americans.
Genocide is an extreme form of this identity-based violence, and
without urgent and effective prevention efforts, the second order
impacts of the pandemic could take more lives than COVID-19 itself.\ix\
The Atrocities Prevention Fund enables the Department of State to
support critical mass atrocity and genocide prevention efforts and to
implement recommendations of the interagency Atrocity Early Warning
Task Force. Given the increased risk of mass atrocities resulting from
the COVID-19 pandemic, we urge you to appropriate no less than $25
million for the Atrocities Prevention Fund.
In tandem, we urge $500,000 be made available for the State
Department and USAID to conduct Atrocities Prevention Training for
Foreign Service Officers in countries at risk of mass atrocities. As
mandated in the Elie Wiesel Genocide and Atrocities Prevention Act
(P.L. 115-441), the training improves the ability of our diplomatic and
development professionals around the world to recognize and respond to
the early warning signs of mass atrocities.
I know that your committee has previously endorsed more robust
funding for atrocity prevention, and we are deeply appreciative of this
support. Last year you included $10 million for the Atrocity Prevention
Fund as well as $500,000 for the State Department and $250,000 for
USAID for Atrocities Prevention Training, which we hope you will build
upon this year.
Chairman Coons, Ranking Member Graham, and Distinguished Members of
the Subcommittee, thank you for the opportunity to testify on this
important matter.
Genocide, mass atrocities, and other forms of violence against
civilians are not inevitable. But the COVID-19 pandemic has sharply
raised the risk of their occurrence. By supporting peacebuilding,
conflict prevention and violence reduction efforts, the United States
can be a powerful force for the protection of human lives, rights and
dignity.
I thank you for your consideration and for working to build peace
in this time of great tragedy.
FULL LIST OF FCNL RECOMMENDATIONS FOR FY2022 STATE, FOREIGN OPERATIONS,
AND RELATED PROGRAMS APPROPRIATIONS
------------------------------------------------------------------------
FY22 FCNL
Account Name FY21 Enacted Request
------------------------------------------------------------------------
Atrocities Prevention Fund.......... $5,000,000 $25,000,000
Atrocities Prevention Training...... $500,000 $500,000
Complex Crises Fund................. $30,000,000 $60,000,000
Conflict Stabilization Operations... $2,500,000 $14,500,000
Contributions for International $1,456,314,000 $2,701,032,000
Peacekeeping Activities............
Contributions to International $1,505,928,000 $1,595,928,000
Organizations......................
Democracy Fund at USAID............. $100,250,000 $100,250,000
Human Rights and Democracy Fund at $190,450,000 $190,500,000
State..............................
Multi-Donor Global Fragility Fund... $25,000,000 $25,000,000
Prevention and Stabilization Fund... $100,000,000 $200,000,000
Reconciliation Programs............. $25,000,000 $30,000,000
Transition Initiatives.............. $92,043,000 $112,000,000
U.S. Institute of Peace............. $45,000,000 $45,000,000
------------------------------------------------------------------------
---------------------------------------------------------------------------
\i\ United Nations High Commissioner for Refugees. (2020). Global
Trends Forced Displacement in 2019. https://www.unhcr.org/
globaltrends2019/
\ii\ United Nations High Commissioner for Refugees. (2020). Mid-
Year Trends 2020. https://www.unhcr.org/statistics/unhcrstats/
5fc504d44/mid-year-trends-2020.html
\iii\ Institute for Economics & Peace. (2020) Ecological Threat
Register 2020: Understanding Ecological Threats, Resilience and Peace.
https://www.visionofhumanity.org/wp-content/uploads/2020/10/
ETR_2020_web-1.pdf
\iv\ Ibid.
\v\ Bill and Melinda Gates Foundation. (2020). 2020 Goalkeepers
Report. https://www.gatesfoundation.org/goalkeepers/report/2020-report/
\vi\ Moyer, J. D., & Kaplan, O. (2020, July 6). Will the
Coronavirus Fuel Conflict? Foreign Policy. https://foreignpolicy.com/
2020/07/06/coronavirus-pandemic-fuel-conflict-fragile-states-economy-
food-prices/
\vii\ International Alert. (2020). COVID-19 peacebuilding response.
https://www.international-alert.org/covid-19-peacebuilding-response
\viii\ USAID. (2020, Oct. 1). Complex Crises Fund. https://
www.usaid.gov/who-we-are/organization/bureaus/bureau-conflict-
prevention-and-stabilization%20/complex-crisis-fund
\ix\ Ferguson, Dr. K. (2020). Atrocity prevention and Covid-19
Opportunities and responsibilities. Protection Approaches. https://
protectionapproaches.org/ap-and-covid
[This statement was submitted by Diane Randall, General Secretary.]
______
Prepared Statement of the Friends of the Global Fight Against AIDS,
Tuberculosis and Malaria
Thank you, Chairman, and members of the subcommittee, for steadfast
support of America's leadership in the fight against AIDS, tuberculosis
(TB) and malaria. The U.S. investment you have championed has saved
millions of lives and has brought the end of these deadly epidemics
within reach. Your bold support of an increase in fiscal year 2020
funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria
(Global Fund) helped spur the rest of the world to increase investment.
I want to offer my deep appreciation for congressional support for
efforts to respond to the COVID-19 crisis globally, including the
contribution of $3.5 billion to the Global Fund's COVID-19 Response
Mechanism. Future progress against the AIDS, TB and malaria epidemics
depends on ending the new pandemic of COVID-19. Today I am writing to
request sustained U.S. support of the Global Fund at $1.56 billion for
fiscal year 2022 (FY22).
proven lifesaving impact
Since its creation in 2002, the Global Fund partnership has saved
more than 38 million lives. This achievement includes a remarkable 61
percent decline in AIDS-related deaths, a 25 percent decline in TB
deaths and a nearly 50 percent decline in malaria deaths in countries
where the Global Fund operates. In 2019 in countries and regions where
the Global Fund invests, 20.1 million people were on antiretroviral
therapy for HIV, 5.7 million people with TB received treatment and 160
million mosquito nets were distributed. However, these achievements
remain at risk from COVID-19.
FY22 funding will serve as the third and final year of the U.S.
commitment to the Global Fund's sixth Replenishment. Friends of the
Global Fight requests flat funding for the Global Fund at $1.56
billion, consistent with the contributions from the U.S. for the two
previous years of the Replenishment cycle, as well as the president's
FY22 budget request. This level of support in FY20 and FY21 would not
have been possible without the strong bipartisan support in Congress
for the work of the Global Fund.
The U.S. contribution continues the unique matching requirement,
encouraging burden sharing by others. By law, the U.S. can only
contribute up to 33 percent of the Global Fund's standard operating
budget. For every dollar the U.S. contributes, the Global Fund must
secure two dollars from other donors, or risk leaving U.S. money on the
table. The 15.6 percent increase from the U.S. in FY20 encouraged other
major donors to increase their support, including increases of more
than 15 percent from France, Germany, the United Kingdom, the European
Commission, Canada and Italy, just to name a few. The Global Fund won
$1 billion in pledges from the private sector as well.
Since the Global Fund achieved its $14 billion Replenishment
fundraising goal in 2019, the organization was on track to save an
additional 16 million lives; cut the number of deaths from AIDS, TB and
malaria by nearly half; and prevent 234 million infections. However,
COVID-19 could set back progress on those epidemics by a decade if not
addressed (detailed below).
The Global Fund also plays a consequential role in economic growth,
supporting healthier workers and increasing the number of consumers for
U.S. exports, and growing trade partners abroad-all directly benefiting
the American people. The Global Fund projects that it will generate $19
in economic returns and health gains for every $1 invested,
contributing to direct economic benefits for the U.S.
The Global Fund supports non-health interventions to achieve its
mission, consistent with calls from members of Congress in both
parties. Global health aid through the work of the Global Fund has been
key in advancing human rights and economic opportunity, particularly
for women and girls and other key populations at risk of contracting
HIV, TB or malaria. It is supporting adolescent girls to stay in school
to reduce their probability of HIV infection and financing legal
services to marginalized people to reduce the barriers to accessing
health services. We were very pleased to see the Global Fund ranked as
one of the ``12 very high-scoring'' organizations on gender equality in
the Global Health 50/50 Report.
amplifying the impact of bilateral programs
The Global Fund importantly reinforces the impact of U.S. bilateral
global health programs. These include the President's Emergency Plan
for AIDS Relief (PEPFAR), the President's Malaria Initiative (PMI) and
USAID's TB program. Friends encourages increased appropriations for
these highly effective programs. U.S. bilateral programs and the Global
Fund work closely together to maximize the results from U.S.
investments in global health.
Moreover, the Global Fund adds value to U.S. bilateral programs by
making long-term country-ownership more viable. The Global Fund
requires that affected populations, civil society, faith and private
sector voices be included in local implementation and on its own board.
A 2019 study determined Global Fund support advances key areas of good
governance.
global fund response to threats from covid-19
COVID-19 has led to serious impacts on fragile health systems in
many low- and middle-income countries. Congressional leadership has
been crucial in helping these countries respond to the pandemic. I
especially want to thank the members of this subcommittee for their
support of the Global Fund's work to respond to COVID-19. The inclusion
of $3.5 billion in the America Rescue Plan for the Global Fund's COVID-
19 Response Mechanism, as well as contributions to other Access to
COVID-19 Tools Accelerator pillars, will be instrumental for vaccine
delivery, protecting health workers, scaling tests and treatment, and
bringing this pandemic to an end.
The Global Fund created the Response Mechanism to help countries
fight COVID-19 and mitigate its impact on AIDS, TB and malaria
programs. The Global Fund's advantage is that it can rapidly deliver
funding to existing local partners in more than 120 countries--with all
of the same accountability and transparency present in normal Global
Fund operations. In 2020, the Global Fund's COVID-19 Response Mechanism
distributed nearly $1 billion in desperately needed aid to assist low-
and middle-income countries. An audit by the Global Fund's independent
Inspector General in April 2021 found this first phase well-managed,
effective and accountable.
It is important to note that by establishing the COVID-19 Response
Mechanism the Global Fund is not straying from its core mandate.
Indeed, if it does not address the grave challenges presented by COVID-
19, the Global Fund, its donors and their partners risk losing the
progress on AIDS, TB and malaria that they have worked so hard to
achieve.
On March 30, 2021, the Global Fund Board--on which the U.S. sits-
unanimously approved phase two of the mechanism. Lack of funding had
put the COVID-19 support on hold for several months, with no other
international institution filling the void. Now, strong support from
the United States and other major donors makes this lifesaving work
possible. Thank you.
To complement the efforts of COVAX and U.S. bilateral and
multilateral investments in combating COVID-19, the Global Fund's
COVID-19 aid will focus on:
--Essential non-vaccine elements of the COVID-19 response which help
to distribute vaccines, including scaling up diagnostics,
treatment and PPE
--Adaptations to HIV, TB and malaria programs to mitigate the
pandemic's indirect impacts
--Urgent health system enhancements to support the two points above,
such as lab strengthening, community-led interventions to
support transmission reduction, reinforcement of clinical care
and enhanced disease surveillance
Funding proposals to the COVID-19 Response Mechanism will be
developed by Global Fund Country Coordinating Mechanisms. The Global
Fund will continue to leverage technical expertise when reviewing these
requests by using current Global Fund structures. The Global Fund has
also established a new technical advisory group to review the COVID-19
related aspects of countries' funding requests.
We will keep you abreast of how the contribution from the U.S. to
the COVID-19 Response Mechanism is deployed in the coming months, as
well as contributions from other donors. A second contribution from
Germany of 140 million euros was recently announced, which follows 150
million euros from Germany last June. We are encouraged that the Biden
Administration has helped with diplomatic outreach to other donors.
global fund contributions to pandemic preparedness and response
As COVID-19 has shown, future pandemics are inevitable--and the
world must address the drivers of new pandemics as well as be prepared
to respond quickly and effectively once new threats arise. We were
pleased to see the introduction of the International Pandemic
Preparedness and COVID-19 Response Act from Senators Risch and
Menendez, which would require a formal strategy to prepare for
pandemics. That bill, along with legislation developed in the House,
calls for plans to improve the global health architecture in support of
pandemic prevention, preparedness and response. As the Senate--and this
subcommittee--considers such plans and the funding they may require,
the United States and other countries should turn to the Global Fund to
play a central role in any new pandemic preparedness and response
structure.
The Global Fund is capable of playing an expanded role in several
areas of pandemic preparedness, building on investments it already
makes responding to AIDS, TB, malaria and COVID-19. A January 2021
study published in the Lancet determined that Global Fund-supported
programming is actively engaged in multiple aspects of health security
and over one third of its investments promote health security.
The Global Fund is already one of the largest sources of
international funding for global health security and is in the process
of considering a range of options as it develops its next six-year
strategy. The Global Fund must continue its focus on AIDS, TB and
malaria, but it could embed expanded global health security programming
in its ongoing work to strengthen health systems.
The Global Fund is ready to deliver funds with its proven speed,
accountability and transparency, ensuring that pandemic preparedness
resources build on platforms used to fight existing diseases and
strengthen local health systems. Using the Global Fund would bring more
coherence--rather than fragmentation or silos--to any new plans.
conclusion
Friends thanks the Appropriations Committee for your leadership in
the battle against the world's most deadly epidemics, and we ask the
Committee to maintain funding for the Global Fund at $1.56 billion in
FY22, the final installment in the sixth Replenishment. We also support
increased allocations to PEPFAR, PMI, TB at USAID, and the overall
foreign assistance budget. We again express our profound thanks for the
U.S. contribution to the Global Fund's COVID-19 Response Mechanism and
look forward to ongoing conversation on the best ways to deliver
healthcare access for the poor, marginalized and stigmatized. We
welcome dialogue on fully leveraging the Global Fund as a key asset on
pandemic preparedness and response.
The U.S. should be proud that it played such an instrumental role
in building the capacity of the Global Fund to be ready to rise to an
unprecedented global challenge. With its nearly two decades of
experience fighting major infectious disease killers and building
procurement and supply chain capabilities, the Global Fund has scaled
up a substantial response to fight COVID-19 and protect our long-term
investments in AIDS, TB and malaria programs.
We ask Congress to once again set an example for the world and
invest in defeating AIDS, TB and malaria and helping vulnerable
countries respond forcefully to COVID-19 and future pandemics.
[This statement was submitted by Chris Collins, President and CEO.]
______
Prepared Statement of Fundacion para la Democracia Panamericana
The President and Congress should make no unilateral concessions,
but rather ask Cuba to make irreversible steps toward the recognition
of fundamental human rights. These steps should include: the
unconditional release of all political prisoners; the end of
repression; respect in law and in practice of freedom of expression,
association-including independent political parties-, public assembly
and economic freedom. In the past, policies of concessions to the
leaders of the Cuban one-party totalitarian state have exacerbated
threats to US national security, precipitated migration crises and
emboldened the Cuban military to increase its foreign interference\1\.
As long as Cuba remains a dictatorship that acts with impunity, the
United States is undermining our own interests and those of our allies
in the hemisphere. Therefore, our foundation recommends a robust
development budget supporting democracy and human rights namely to
advance the national security objectives and foster peace and
prosperity in the region.
In this document, we -the Fundacion para la Democracia Panamericana
or FDP- present to the Appropriations Subcommittee on State, Foreign
Operations and Related Subcommittee a summary of the current situation
on the island as well as the challenges that the operations of the
Havana regime constitute for national security, democratic stability,
and peace in our hemisphere.
island
The Cuban regime has lost international sympathy and does not have
internal popular support. Families are suffering a deep humanitarian
crisis caused by the corrupt state management and the communist
policies now aggravated by the Covid-19 pandemic. It is clear that
authorities have not been able to control the pandemic. Furthermore,
the sanitary crisis is accompanied by large outbreaks of other
infectious diseases--such as scabies--related to the poor hygienic
conditions to which Cubans are subjected due to the failure of the
health care system and the economic crisis. At the same time, citizens
do not enjoy basic freedoms, including the right to the redress of
grievances, or even to receive international humanitarian aid. Control
over the population is maintained through increased repression;
nevertheless, more and more Cubans are expressing their discontent in
social networks and by protesting in the streets\2\.
It is necessary to contextualize what happened during the year 2020
and the first 5 months of 2021 in numbers: The Center for Incident
Reporting at FDP has registered 496 arbitrary detentions since the
beginning of the pandemic. This figure is lower than the actual number
and must be supplemented with research made by other independent
organizations. The arrests increased after the imposition of the
Additional Specific Sanitary Provisions of May 2020 and the declaration
of national emergency announced on August 28, 20203. More than 810
victims suffered harassment from agents of the Ministry of the
Interior. These agents conduct surveillance at activist's places of
residence, as well as employ other intimidation mechanisms. At least
219 of these victims reported that these agents prevented them from
leaving their homes due to their activism and several continue to be
shut in by these agents or suffer these instances frequently.
Furthermore, 490 people reported direct harassment. The Center for
Incident Reporting at the Fundacion para la Democracia Panamericana
also documented 249 acts of repudiation conducted by repressive agents
to threaten and intimidate activists and independent journalists. Some
of these attacks put entire households at risk; in fact, in response to
our request, the Inter-American Commission on Human Rights (IACHR)
ruled in favor of granting a precautionary measure of protection for
several families, which the regime has completely ignored. We also
registered at least 101 cases of torture and other cruel, inhumane or
degrading treatment wherein violations to the physical integrity of the
victims occurred during: arrests, interrogations, in prison and public
roads. On June 28th, 2021, the Center received a testimony from an
independent journalist, stating that he was violated sexually while he
was detained.
At a time when the pandemic is reaching record numbers across the
Island, from the FDP Center for Incident Reporting, we express grave
concern about the systemic application of these and other patterns of
human rights violations, and their drastic consequences amid the
humanitarian crisis Cuban families are living in. It is evident that as
peaceful protests increase (more than 1000 public protests have been
registered thus far in 2021), along with the mobilization in favor of
democratic change in Cuba, acts of terror from the regime against
citizens increase as well. The deliberate use of coercion and violence
against specific groups to instill fear in the population is the
definition of terrorism and the dictatorship practices it daily in
Cuba. The regime exercises State terrorism against the Cuban people.
Consequently, we respectfully request your commitment and support
to the right to have human rights that the Cuban people is demanding.
US-Cuba relations should be defined by clear principles focused on
human rights and take lessons from historical success cases such as the
global campaign to end apartheid in South Africa.
threats
On Exodus
In light of the situation, it is important to let you know that we
believe that the Cuban regime is discretely encouraging an exodus that
will escalate. The intention behind this would be to pressure the
United States government to have to sit at the negotiation table using
the migration issues as leverage. In other words, to obtain unilateral
concessions that could allow the regime to remain in power longer. This
last item is corroborated by some people inside Cuba who state that
Cuban police agents sometimes tell people that ``the United States is
now more prone to welcoming Cubans who leave the Island because there
is a new administration in power''. Actually, there are already
thousands of Cubans migrants stranded on the southern border. Reports
from, Caibarien, Villa Clara, also make reference to the relaxation of
Cuban coast guard surveillance. We suggest that the US government warn
the Cuban regime of the serious consequences that such malicious
conduct entails.
There is a new silent, but increasing, exodus of Cuban rafters.
Since Oct. 1, 2020, Coast Guard crews have interdicted 465 Cubans, that
is more than 9 times the number of Cuban migrants in Fiscal Year 2020
and far exceeded the total number of intercepted in fiscal year
2019.\3\
We alert the United States government because of the human cost and
the national security threat that a massive exodus represents. This
situation enables criminals to engage in human trafficking. In some
cases, we suspect the Cuban regime has been involved in trafficking of
migrants as well, while seeking additional sources of income. At the
same time Cuban people's call for human rights rises and a reality
emerges with increasing clarity: that demand for democratization of
Cuba's political and economic system is the only solution for ensuring
stability in the region and sustainable long-term relations between the
United States and Cuba. The United States must avoid falling into the
trap of yielding to the pressures of the dictatorship and support the
Cuban people in their desire to carry out an orderly and peaceful
transition to democracy. This is the only way to guarantee that the
motivation of the exodus is stopped.
On Interference
The 62-year tolerance towards totalitarianism in Cuba demonstrated
by the world's democracies has impeded the stability of democracy in
our continent and caused serious threats to the national security of
several states. As has been widely documented, the Cuban intelligence
apparatus of the Castro regime (G2), infiltrated the entire hemisphere
from social movements to guerrillas and criminal organizations. During
these years, Cuba has served as a center for the dissemination of
authoritarian models, such as the so-called 21st century socialism, as
a sanctuary for terrorists from around the world and as an accomplice
to the enemies of the free world.
During 2019, the attacks on democratic regimes in Latin America
have been especially intense, according to the allegations of the OAS
General Secretariat, an entity that was forced to make itself available
to ``the member states in their efforts to make against the
destabilization efforts organized by the Venezuelan and Cuban
dictatorship.'' On January 16, 2021, the cover of SEMANA magazine
reveals a secret dossier entitled ``Cuban Interference Strategy in
Colombia's Independence and Sovereignty Issues.'' There it is stated
verbatim: ``Cuba executes a strategy of interference in Colombia
through the orientation of Cubans with diplomatic cover in solidarity
social organizations, the infiltration of cooperation programs with
local authorities and their financing through the ELN\4\.''
The installation and maintenance of the dictatorship in Venezuela
have been advised and directed until today by the Cuban regime, with
the terrible effects that this has had for the region, including the
massive exodus of Venezuelans. The CASLA Institute has exposed that the
Cuban militia with DGCIM credentials have committed crimes against
humanity. Meanwhile, the Cuban regime still receives oil barrels from
Venezuela on a daily basis that they sell at market price.
On attacks
What the Cuban people need now and what the American people need
now is the same: leaders who will speak up and act often about the
Cuban Government's role as a trojan horse, allowing access to global
actors like Russia, China and Iran who threaten the peace and stability
of our hemisphere. There is a real danger to the US in under
prioritizing this threat. This threat was confirmed by the episodes of
the so-called ``sonic attacks'' against US and Canadian diplomats that
occurred for the first time in Havana and that have already affected at
least 130 US federal employees around the world. Events such as those
that caused the Havana Syndrome can only have taken place in Cuba with
the knowledge and participation of the Cuban regime's intelligence
services. Once again, the only way to close the door to the dire
consequences that these global actors produce is to support Cuban
citizens in their right to have human rights and to move towards
democracy.
recommendations
Cuban people have the will and the right to ascend to human rights
and build a democracy that helps strengthen the much-needed stability
in our hemisphere. We recommend a robust democracy promotion budget for
Cuba to advance the national security and democratic stability
objectives in our whole hemisphere.
Independently, taking into consideration all the proposals received
by members of civil society during this Pasos de Cambio, an initiative
that has worked this year towards the development of joint proposals on
the themes of foreign relations with Cuba, citizen mobilization, and
transition, we maintain that the US government should consider the
following path in its policies pertaining to Cuba:
1. Base on rights.--The President and Congress should make no
unilateral concessions, but rather ask Cuba to make irreversible steps
toward the recognition of fundamental human rights. We urge the
Administration to recognize the members of the opposition and civil
society in Cuba and in the diaspora as valid interlocutors.
2. Humanitarian Assistance--Manifest solidarity with the people.
Publicly announce the desire of the United States to promote
humanitarian aid from the American people to the Cuban people. It is
important that this support be directed only toward the Cuban people,
directly to the citizens, preventing any kind of intervention by or
benefits to the regime.
3. Commit to the empowerment of the Cuban people, exclude the
oppressors.--Continuing to shut down the dictator's sources of funding,
which are used to sustain the Cuban military and the Ministry of the
Interior, the regime's oppression apparatus. Many of these companies
are already on the United States Department of State's list of
restricted entities and sub-entities associated with Cuba, updated on
January 8, 2021. The individuals from the regime involved in narco-
terrorist activities should also be sanctioned.
--Targeting sanctions. Imposing individual political, financial and
diplomatic sanctions \3/4\ and consider utilizing the
Global Magnitsky Act \3/4\ to the heads of the regime
involved in serious human rights abuses.
--Using all available tools to influence those in positions to make
the decisions necessary to accept the people's call for a
transition to democracy.
--Sullivan Principles: Using the South African experience, require
US companies still doing business with Cuba to mandatorily
embrace social responsibility principles based on the
Sullivan Principles\5\, so companies do not engage in
enriching the rulers at the expense of exploiting/
discriminating nationals.
4. Hemispheric leadership for peace.--The United States can and
should ally with Latin American countries to support the Cuban people.
Invite the sister Republics of our hemisphere to take similar steps to
support democratic change in Cuba. Utilize all the tools of the inter-
American system, with the help of the OAS, the IDB, and other
hemispheric institutions, to implement a comprehensive strategy of
maximum influence on hemispheric dictators, for them to submit to the
will of their peoples and give way to democratic multiparty systems.
Specifically, there should be no reward for malevolent behavior, no
invitations to the Summits of the Americas, no ``normalizing'' the
Cuban regime as it is. The regime should continue to be excluded from
the hemispheric community of nations until it complies with the
articles of the Inter-American Democratic Charter.
---------------------------------------------------------------------------
\1\ Refer to the Mariel boatlift, 1980; the Cuban Rafters Crisis,
1994; the shooting down of the Brothers to the Rescue's airplanes in
international waters, 1996; the crisis of Cuban migrants stranded on
the southern border of Nicaragua, 2015; and the expansion of the
influence and interference of the Castro regime in Venezuela and the
rest of Latin America.
\2\ At least 1000 public protests were registered since January 1,
2021.
\3\ Officially instated via publication in official gazette No. 44
of August 31, 2020.
\4\ Cuba: el dosier secreto https://www.semana.com/nacion/articulo/
cuba-el-dosier-secreto/202146/.
\5\ Reference Movimiento Democracia position in regard to Sulivan
Principles.
[This statement was submitted by Dr. Angel Omar Vento, President.]
______
Prepared Statement of the Girls Not Brides USA
Chairman Coons, Ranking Member Graham, and members of the
Subcommittee, we are submitting this testimony for your consideration
on behalf of Girls Not Brides, a global partnership of more than 1,300
civil society organizations from over 100 countries committed to ending
child marriage and enabling girls to fulfill their potential.
Girls Not Brides USA became the first official Girls Not Brides
National Partnership in 2012. Before then, the group was known as the
U.S. Child Marriage Coalition, and currently is comprised of 60 civil
society organizations all working to end child marriage and respond to
the needs of already married girls across the globe. Girls Not Brides
USA is not a recipient of U.S. foreign assistance, but is co-chaired by
and comprised of many organizations that receive U.S. funds for global
development work.
Over the last year, we have focused on supporting the advancement
of legislation critical to addressing the root cause and drivers of
child marriage, including the Keeping Girls in School Act and the Girls
Leadership, Engagement, Agency, and Development Act (S. 634/HR 1661).
We have also been actively engaging in budget and appropriations-
related efforts to ensure that ending child marriage is funded as a
priority across the U.S. government's foreign assistance efforts.
As such, we were pleased to see a 12% increase in funding to the
State Department in the President's FY22 discretionary request.
However, we were disappointed at the lack of reference to global
spending to address child marriage through foreign assistance. We hope
that the funding appropriated by this committee will include more
robust funding for combatting child marriage and investing in
adolescent girls worldwide. We request no less than $30,000,000 for
projects, programs, and initiatives to reduce the incidence of child
marriage and address the needs of married girls consistent with section
1207 of Public Law 113-4. We recommend $5,000,000 of this funding be
dedicated as a new US commitment to the joint UNICEF and UNFPA Global
Program to End Child Marriage.
Child marriage is a human rights abuse and a form of gender-based
violence. It occurs across cultures and contexts all over the globe.
Girls who are married as children are frequently deprived of their
rights to health, education, and safety. For example, they are at
higher risk of experiencing dangerous complications in pregnancy and
childbirth. Childbirth and pregnancy related complications is the
leading cause of death for adolescent girls globally- and critically,
90% of births to adolescent girls occur within a marriage.
Girls who are married as children are also more likely to never
finish their education. They are more likely to face food insecurity
and malnutrition, and experience other forms of violence throughout
their lives. Child marriage drives cycles of poverty, poor health,
illiteracy, and gender-based violence that have negative impacts on
overall sustainable development and global peace and security.
Significantly, the World Bank estimates that global gains from ending
child marriage could reach more than $500 billion per year.
With the global spread of COVID-19, Girls Not Brides USA members
are seeing dramatic increases in child marriage due to the socio-
economic impacts of COVID-19 and related containment measures. For
example, anecdotal data from World Vision's global programs revealed
that child marriages more than doubled between March-December 2020,
compared to 2019. Education disruptions, food and economic insecurity,
restrictions on movement, and disruptions to essential protection and
health services for girls, are all increasing both the incident and
risks of child marriage.
Experts have predicted 10 million additional child marriages over
the next 10 years if we do not act quickly. This is in addition to the
already projected 12 million child marriages that occur each year,
representing the biggest increase in child marriage rates since 1995.
We urge Congress and the Administration to make bold commitments to
a gender-sensitive approach to COVID-19 response and recovery globally.
All policy and programs in response to the crisis across sectors should
be shaped by a gender analysis and programming to prevent and respond
to child marriage must be prioritized and robustly funded. The impacts
for girls are dire and the risks urgent.
Programming to prevent and respond to child marriage must be
holistic, as the drivers and impacts cut across key sectors. Such
programming should include, for example, safe, quality education,
mental health and psychosocial support, and programming designed to
support girls' leadership skills building, so that they are empowered
to make decisions about their own lives across policy-making spaces.
Evidence has shown that the most impactful efforts to prevent child
marriage and address the needs of already married girls require a
holistic and multisectoral approach. And such an approach must be
coordinated across government agencies and the White House.
Given the extreme needs and risks for adolescent girls around the
world, we urge Congress and the Administration to commit to
prioritizing adolescent girls through US foreign policy and assistance.
In addition to robust foreign assistance, we recommend leveraging key
upcoming global moments like the Generation Equality Forum in June for
an announcement demonstrating United States leadership and commitment
to adolescent girls' rights and ending child marriage across the globe.
A public commitment to adolescent girls at such major global moments
will ensure adolescent girls get the political attention needed to
drive concrete action and funding, and to mobilize the global community
to eradicate child marriage under the 2030 sustainable development
goals' target 5.3.
Thank you for this opportunity to offer testimony to the
Subcommittee and for your bipartisan leadership in supporting a strong
foreign assistance budget.
[This statement was submitted by Whitney Groves and Aria
Grabowski.]
______
Prepared Statement of the Global AIDS Policy Partnership
The Global AIDS Policy Partnership (GAPP), a coalition of more than
70 advocacy and implementing organizations committed to ending AIDS for
the next generation by expanding and improving global HIV programming
and outcomes, asks Congress to increase funding levels for global HIV/
AIDS programs by $750M in the Fiscal Year 2022 State and Foreign
Operations Appropriations legislation.
Significant progress, realized through U.S. investments, has been
made in controlling the HIV/AIDS pandemic globally. In the absence of a
vaccine or cure for HIV, the global community, including the
President's Emergency Plan for AIDS Relief (PEPFAR), has made
meaningful and measurable strides towards ending the pandemic as a
public health threat by bringing new infections and deaths down through
evidence-based, community-responsive interventions.
However, there are still 1.7 million new infections each year and
38 million people living with the disease. By the end of 2019, 81% of
people living with HIV knew their HIV status, over two-thirds were
accessing antiretroviral therapy, and 59% were virally suppressed. By
June 2020, an estimated 26 million people living with HIV were
accessing treatment, falling short of the 30 million target set for
2020. There remains a wide gap in treatment coverage between adults and
children, with only 53% of children having access to life-saving
critical care compared to 68% of adults. Furthermore disparities are
equally felt along gender lines. In Sub-Saharan Africa, 67 percent--or
an estimated 280,000--of annual new HIV infections in young people
occur in adolescent girls and young women.
However, a decline in resources over the past few years, and,
recently, the impact of COVID-19, have put a significant strain on HIV
programming, resulting in the world missing the 2020 targets. While
there has been intensive action and progress against HIV in some places
and among some populations, others including men who have sex with men,
transgender individuals, sex workers, people who inject drugs (PWID),
and people in prisons and other closed settings have borne the largest
burden of the pandemic.
With the onset of the COVID-19 pandemic, many HIV services,
particularly prevention services, stalled. HIV testing fell 41% in 2020
and tuberculosis referrals fell 59%. Voluntary medical male
circumcision ground to a halt in a number of countries. In addition to
the direct effect on HIV services, 50% of facilities surveyed in Africa
and 37% of those surveyed in Asia recorded COVID-19 infections among
their staff. These infections, and sometimes deaths, take health
workers out of the rotation in countries where there is already a
severe shortage of staff, and it decreases morale for those that
remain. Facilities made the adaptations that they could--moving staff
around, increasing overtime hours, increasing the amount of a
medication that could be obtained in one-visit, transferring to
telehealth visits where appropriate--but prevention work requires in-
person contact. Many of these community relationships need to be
rebuilt, and it's impossible to know how many new HIV infections could
have been prevented.
The good news is that these gaps can be closed. With the political
will to transform systems, we can reach the most vulnerable and not
only save lives, but ensure the quality of those lives. We know what
works, and have demonstrated that U.S.-funded interventions can be
life-changing. By 2019, more than 40 countries had surpassed or were
within reach of the key epidemiological milestone towards ending AIDS.
New HIV infections declined by 23% globally between 2010 and 2019, with
some countries having tremendous success--in Swaziland, HIV incidence
declined by 50% in five years, with new infections falling at a rate of
1,000 per year. Among the 15 countries implementing the DREAMS
initiative, the latest results show a 25% or greater decline in new HIV
diagnoses among adolescent girls and young women in nearly all of the
regions implementing DREAMS across 10 high-burden African countries.
These strategies, paired with new and promising innovations, can end
HIV by 2030 if given the necessary support and resources to do so.
PEPFAR has shown it is a responsible shepherd of U.S. dollars,
using evidence and data to allocate funds with increased effectiveness
and efficiency. With essentially flat funding for over ten years,
PEPFAR has increased the number of people it directly or indirectly
supports from 6.7 million people at the end of FY 2013 to 17.2 million
people today. PEPFAR also increased its support of voluntary medical
male circumcision procedures in Eastern and Southern Africa to reduce
the risk of HIV transmission from 4.7 million men at the end of FY 2013
to 25.3 million men at the end of FY 2019. In FY2019, PEPFAR supported
17.2 million people on antiretroviral treatment (ART). Since the
program's inception, 2.8 million babies have been born HIV-free to
pregnant women living with HIV through prevention of mother-to-child
transmission (PMTCT) programs funded by PEPFAR. The Global Fund, which
provides more than 20 percent of all international financing for HIV/
AIDS, has saved 38 million lives since its inception in 2002. Overall,
the number of deaths caused by AIDS, tuberculosis (TB), and malaria
each year has been reduced by nearly one-half since 2002 in countries
where the Global Fund invests.
In addition to the direct effects on HIV incidence, PEPFAR
countries also see greater overall health outcomes, increased country
capacity, increased gender equality, and increased economic
development. Investments in HIV programming act as effective diplomacy,
strengthening partnership with national governments and improving ties
with partners. U.S. leadership in the fight against HIV and other
leading infectious disease killers worldwide is a moral imperative, a
public health imperative, a human rights imperative, and a security
imperative.
Global resources to fight HIV and AIDS have decreased since 2017,
leaving a 30 percent shortfall for what is needed to fully respond to
the pandemic. According to UNAIDS, increases in resources for HIV
responses in low- and middle-income countries stalled in 2017, and
funding decreased by 7 percent between 2017 and 2019. We expect that
funding will face even more cuts this year as governments grapple with
their response to COVID-19. While domestic contributions make up 57
percent of all resources available, global financial support is still a
critical element of success. Increasing PEPFAR funding by $750 million
in this fiscal year would show the U.S.'s commitment to ending AIDS as
a public health threat, making a significant down payment in the fight
to end AIDS and motivating other funders to step up.
Twenty years into the program, PEPFAR continues to show the world
the United States' compassion and effectively addresses the challenges
of HIV/AIDS through prevention, care, and treatment programs and
policies that are grounded in science and respect human rights. This
program improves and saves lives around the world and continues to
advance the U.S.'s development goals and national security. However,
continuing to do more with less eventually reaches a point of
diminishing returns. A dollar can only move so far. Without increased
resources and support coupled with sound policy and a commitment to
civil society consultation at all levels, we cannot reach the goals
that we have been chasing for over four decades-an end to the HIV
pandemic. Closing that chapter of history and continuing our legacy of
helping end pandemics would put one of the greatest human achievements
on the U.S. ledger.
[This statement was submitted by Kevin Fisher.]
______
Prepared Statement of the Global Campaign for Education--United States
As the Executive Director of the Global Campaign for Education-US
(GCE-US), I represent a diverse coalition of more than 80 international
nonprofit organizations, faith-based groups, and advocates dedicated to
ensuring quality, universal education for all children and youth. We
urge you to support effective investments in education globally by
allocating at least $1.1 billion to the Basic Education account,
including at least $150 million for the Global Partnership for
Education (GPE) and at least $50 million for Education Cannot Wait
(ECW), both of which complement U.S. bilateral education efforts. This
funding will ensure that the United States (U.S.) Government,
particularly through the Department of State and the United States
Agency for International Development (USAID), continues to play a
leadership role in critical efforts to achieve universal quality,
inclusive education, which is more important than ever, in light of the
impacts of the COVID-19 pandemic around the world.
The power of education is clear--brighter futures, healthier
communities, and increased economic growth for individuals and
countries. Education increases security and stability, spurs economic
growth, and provides proven results across development sectors. As
outlined in USAID's Education Strategy, ``the U.S. Government
recognizes that its investments in international education serve as a
force multiplier for all of its work in international development.''
Addressing education means more than just addressing learning:
education support is also vital to creating positive outcomes for
stopping the spread of disease\i\ and reducing gender disparities.\ii\
The COVID-19 pandemic and ongoing humanitarian emergencies have
rendered bilateral and multilateral investments in education all the
more critical. School closures during the COVID-19 pandemic have
impacted over 91% of the world's school-aged children and youth. When
children and youth are out of school, they may be exposed to the
results of education loss, including regression in foundational
knowledge, increased exposure to health and well-being risks (both
psychosocial and physical), and increased risk of not completing
school.\iii\ Additionally, World Vision estimates that, because of the
pandemic, an additional 85 million children worldwide may be exposed to
physical, sexual, and emotional violence.\iv\ The risks are even higher
for girls and children with disabilities. For example, teenage girls
experience a 65% increased risk of pregnancy when schools are closed
during a crisis, which is estimated to result in one million girls not
returning to school in sub-Saharan Africa after the pandemic and a $10
billion loss for the region.\v\ Underlying health conditions can make
children and youth with disabilities more vulnerable to the
consequences of the pandemic. They face additional barriers to
accessing remote learning strategies and enrollment or re-enrollment
efforts when schools reopen.\vi\ Schools often deliver key health,
nutrition, water, sanitation, and hygiene supports, like ECW has via
schools in Cameroon, Mali, Chad, and Burkina Faso.\vii,viii\
Failing to act now to address this monumental gap could result in a
lost generation--a generation without education and with severely
limited opportunities for economic prosperity, in addition to its
impact on health, poverty reduction, and climate change. According to a
World Bank study\ix\ and numerous experts, educating girls is a key
aspect to fighting climate change.\x\ The Malala Fund estimates that in
2021 climate-related events will prevent at least four million girls in
low- and lower-middle-income countries from completing their education:
If current trends continue, by 2025 climate change will be a
contributing factor in preventing at least 12.5 million girls from
completing their education each year. Schooling provides skills to
overcome climate-related shocks, including the critical thinking
capabilities needed to process and act on the risk of weather reports.
Countries that have invested in girls' education have suffered far
fewer deaths from droughts and floods than countries with lower levels
of girls' education.\xi\
Despite the challenges of COVID-19, USAID and multilateral partners
have found effective solutions to address evolving education needs.
USAID programs reached more than 24 million learners in 2020 from pre-
primary through secondary levels through a variety of in-person and
distance approaches in order to navigate school closures.\xii\
Complementing these bilateral programs, GPE and ECW are making
significant strides to build more resilient, national public education
systems and education in emergencies, including during the COVID-19
pandemic. In the first year of the pandemic, ECW has mobilized $45.4
million across 27 countries and reached over 9 million vulnerable boys
and girls.\xiii,xiv\ GPE mobilized over $500 million across 66
countries, reaching 355 million children.\xv\
GPE is a unique, multi-stakeholder partnership, and the largest
global fund solely dedicated to transforming education in lower-income
countries. It brings together developing country partner governments,
donors, international organizations, and civil society to pursue the
shared objective of equitable, quality education for all, providing
financial and technical support to ensure educational opportunities in
developing countries. GPE focuses on leveraging more and better
domestic financing as the most significant and sustainable form of
funding for education. To receive GPE funding, governments must commit
to making significant domestic investments in education. GPE supports
educational continuity and helps partners keep their education systems
functioning through wars, displacement, crises, climate disasters and
health emergencies, including the ongoing COVID-19 pandemic.
ECW brings together governments, humanitarian and development
actors, donors, and civil society to deliver a collaborative and rapid
response to the educational needs of children and youth affected by
crises, emergencies, and conflicts. ECW ensures that education and
learning are central components of humanitarian response efforts, and
that emergencies and crises do not disrupt a child's right to
education. ECW's investments have reached children and youth in some of
the most challenging crisis settings: ongoing armed conflicts, forced
displacement, refugee exodus, and climate-related emergencies. When the
pandemic hit, ECW mobilized quickly with almost half of the $45.4
million used in the COVID-19 response targeting refugees and people who
were internally displaced.\xvi\
With the implementation of the U.S. Government Education Strategy,
the development of the Advancing Protection and Care for Children in
Adversity strategy, and the Global Child Thrive Act, USAID and its
partners have a solid foundation to improve the lives and futures of
children and youth around the world. These strategies seek to address
the needs of the world's most at-risk and to intervene when children
and youth need it most, providing nurturing environments to keep
children safe, fostering their early development, and engaging them in
quality, inclusive education from the early years. While these
strategies are eloquent on paper, they must be backed by sufficient
financial resources to be effective, particularly in light of the
resulting impacts of the COVID-19 pandemic. Robust funding can address
the education needs that existed prior to the pandemic and give us the
chance to build back better, supporting Sustainable Development Goal 4
to ``ensure inclusive and equitable quality education and promote
lifelong learning opportunities for all.'' \xvii\ For FY2022, we
recommend funding the Vulnerable Children account with at least $35
million to support implementation and reporting as mandated by the
Global Child Thrive law, which was enacted into law in January 2021.
The COVID-19 pandemic has made it more imperative to fund effective
humanitarian and development assistance, which is why we urge that this
funding not come at the expense of other development or humanitarian
accounts. We strongly support sustained funding for the entirety of
poverty-focused development accounts, which work together to serve the
common goal of building a safer and more prosperous world.
Recognizing that global education is a force multiplier for all our
work in international development, it is vital that the U.S. provides
at least $1.1 billion for the Basic Education account in the FY2022
State and Foreign Operations Bill, including at least $150 million for
GPE and at least $50 million for ECW.
---------------------------------------------------------------------------
\i\ https://www.eccnetwork.net/sites/default/files/media/file/
EducationInEbola_JointAdvocayBrief.pdf
\ii\ https://www.edu-links.org/topics/gender-and-girls-education
\iii\ https://www.educationcannotwait.org/covid-19/
\iv\ https://www.wvi.org/stories/ghana/covid-19-could-put-85-
million-children-risk-physical-sexual-and-emotional-violence
\v\ https://www.wvi.org/sites/default/files/2020-08/
Covid19%20Aftershocks_Access%20Denied_small.pdf
\vi\ https://thedocs.worldbank.org/en/doc/147471595907235497-
0090022020/original/
IEIIssuesPaperDisabilityInclusiveEducationFINALACCESSIBLE.pdf
\vii\ https://reliefweb.int/report/cameroon/ecw-announces-us1-
million-grant-ensure-access-education-newly-arrived-refugees
\viii\ https://www.unhcr.org/5ea7eb134.pdf
\ix\ https://documents1.worldbank.org/curated/en/
328491468340475205/pdf/WPS5342.pdf
\x\ https://gemreportunesco.wordpress.com/2015/12/02/education-a-
powerful-response-to-climate-change/
\xi\ https://openknowledge.worldbank.org/handle/10986/3827?-
show=full
\xii\ https://www.usaid.gov/sites/default/files/documents/
USAID_Covid_factsheet_v5c-508.pdf
\xiii\ https://www.educationcannotwait.org/tag/covid19/
\xiv\ https://www.educationcannotwait.org/education-cannot-wait-
investments-reach-refugee-and-other-vulnerable-children-and-youth-in-
response-to-covid-19-pandemic/
\xv\ https://www.globalpartnership.org/covid19
\xvi\ https://s30755.pcdn.co/wp-content/uploads/2021/05/
ECW2021CFI_web.pdf
\xvii\ https://sdgs.un.org/goals/goal4
[This statement was submitted by Jennifer Rigg, Executive
Director.]
______
Prepared Statement of the Global Health Council
Global Health Council (GHC) is the leading membership organization
for nonprofits, businesses, universities, and individuals dedicated to
saving lives and improving the health of people worldwide. GHC thanks
the Subcommittee for the opportunity to share this testimony in support
of the Global Health Programs account within the International Affairs
Account (Function 150). For Fiscal Year (FY) 2022, GHC urges continued
support for global health at a minimum of FY21 levels enacted by
Congress. However, we must caution, that in order to achieve U.S.
global health goals and meet our commitments, we ask that you support a
greater investment in global health programs for FY22, which includes
at least $15,151,500,000 for global health programs at the Department
of State and for the U.S. Agency for International Development; $540
million for water in all accounts, and $134 million for UNICEF. These
investments yield positive outcomes that support U.S. interests and
leadership abroad.
Global health funding supports maternal and child health, including
the U.S. contribution to Gavi, the Vaccine Alliance; nutrition; HIV/
AIDS; malaria; tuberculosis; family planning; neglected tropical
diseases; and vulnerable children. Continued funding for global health
is critical to reaching the finish line on the bold global health
initiatives to which countries around the world, including the United
States, have committed resources. These targets include: achieving the
first AIDS-free generation; ending preventable child and maternal
deaths; and eradicating polio, measles, and malaria. U.S. investments
draw attention to and prioritize solutions that address non-
communicable and other neglected health threats that are increasingly
affecting the economies of key trading partners. These investments work
well beyond their intended targets by helping to protect the health of
Americans by strengthening countries' capacity to better prevent,
detect, and respond to infectious disease outbreaks.
We know these programs work and have secured their place as some of
the most critical and cost-effective forms of U.S. foreign assistance.
These are a critical component of how the United States engages with
the world. By investing in global health and development, the U.S. can
build healthier and more self-reliant communities, which ultimately
become economically and politically stable. A reduction in these
investments would roll back the progress already made and undermine
U.S. foreign policy. In recent years, we have seen practitioners and
U.S. agencies working harder than ever to integrate global health
programs and services in a way that leverages and maximizes investments
while increasing the efficiency and effectiveness of these programs
worldwide.
The past year has shown that existing U.S. global health programs
helped to detect, treat, and respond to the COVID-19 pandemic as it
spreads. Without the infrastructure in place from existing programs,
the outcomes for many COVID-19 patients may have been far more
devastating. The strain placed on these programs in light of the
pandemic has threatened our long-term goals and drastically reduced the
number of people seeking preventive care, medication, and treatment,
for other illnesses. We have not yet seen the full effect of the
pandemic across health systems globally. As a result of the effects we
have already seen of the pandemic, GHC recommends that Congress
consider the establishment of a Global Pandemic Preparedness Fund to
help the United States better detect and respond to emerging threats. A
dedicated, disease-agnostic, multilateral financing mechanism would
rapidly accelerate pandemic preparedness by providing new funding and
technical assistance to partner countries to develop and accelerate
health security action plans, close gaps in preparedness, and promote
compliance with the International Health Regulations.
By maintaining U.S. investment in global health, we will continue
to build upon the hard work and achievements of the past to ensure a
healthier future for the entire world. Moreover, Americans consistently
support global health and development assistance funding. Especially in
a moment where cooperation is needed to bolster health systems and
preparedness worldwide, the U.S. must support critical investments in
global health.
Global Health Council thanks the Subcommittee for the opportunity
to submit written testimony. For more information on our
recommendations for U.S. investments in global health, visit http://
ghbb.globalhealth.org.
[This statement was submitted by Kiki Kalkstein, Director of
Advocacy & Engagement.]
______
Prepared Statement of the Global Health Technologies Coalition
On behalf of the Global Health Technologies Coalition (GHTC), a
group of 37 nonprofit organizations, academic institutions, and aligned
businesses advancing policies to accelerate the creation of new drugs,
vaccines, diagnostics, and other tools that bring healthy lives within
reach for all people, I am providing testimony on fiscal year (FY) 2022
appropriations for global health programs at the US Agency for
International Development (USAID). These recommendations reflect the
needs expressed by our members working across the globe to develop new
and improved technologies for the world's most pressing health issues.
We appreciate the Committee's support for global health, particularly
for continued research and development (R&D) to advance new drugs,
vaccines, diagnostics, and other tools for longstanding and emerging
health challenges, including COVID-19. To this end, we strongly urge
the Committee to continue its established support for global health R&D
by robustly funding the global health accounts at USAID and the State
Department, at or above the levels included in the President's budget
request; instructing USAID to prioritize R&D within each of the disease
and condition areas under the Global Health Programs account and to
consider setting minimum funding targets for innovation activities in
each health area from future increases to the account; and instructing
USAID to develop and publicly release a new five-year strategy on
health-related R&D detailing how USAID will work across programs to
implement a holistic global health R&D strategy-developed with input
from program leads within the Global Health Bureau, consultations with
nonprofit and private-sector partners, and leadership of other relevant
federal departments and agencies.
US investment in the development of new vaccines, drugs, devices,
diagnostics, and other health technologies is essential to addressing
some of the world's most pressing health challenges-achieving an AIDS-
free generation; curbing the spread of malaria, tuberculosis (TB), and
neglected tropical diseases (NTDs); addressing antimicrobial
resistance; and ending preventable child deaths. Over the past year,
the importance of strong investment in global health R&D has become
clearer than ever before as scientists raced to develop the tools
desperately needed to diagnose, treat, and prevent COVID-19. We have
watched with awe as scientists have shattered speed records for vaccine
development, forged unique collaborations to advance science across
borders, and deployed an unprecedented amount of energy and resources
from a range of health areas to tackle this global foe-upending
assumptions about how science works, and how fast. Now, well over a
year into the official declaration of the COVID-19 global pandemic, we
have a robust set of tools to defeat this threat in high-income
countries but still lack the tools needed to meet the unique needs of
patients and health workers in low-resource settings, where basic
resources like electricity, laboratory capacity, and reliable cold
chain storage cannot be taken for granted. This is the next frontier of
R&D for COVID-19: ensuring that we have the right tools to defeat this
pandemic in every corner of the globe, which is ultimately essential
for securing America against this historic threat.
We are grateful for the Committee's ongoing support for global
health R&D and recognize that you face difficult decisions in balancing
many priorities for annual appropriations and the allocation and use of
emergency appropriations for unprecedented R&D and public health needs
over the past year. We welcome the recent allocations of emergency
funding for Gavi, the Vaccine Alliance; Global Health Programs at
USAID; the President's Emergency Plan for AIDS Relief (PEPFAR); and the
Global Fund to Fight AIDS, Tuberculosis and Malaria in the last two
COVID-19 relief packages-however, we note that critical needs remain
unmet, including funding to support the development and deployment of
COVID-19 products designed for use in low-resource settings, and that
USAID has yet to allocate the contribution to the Coalition for
Epidemic Preparedness Innovations (CEPI) included in the American
Rescue Plan Act. New global health tools and technologies hold promise
to dramatically improve the lives of those living in the poorest
countries around the world both to extinguish the COVID-19 pandemic and
tackle long-standing global health challenges, and even as we work to
scale up delivery of existing tools, we ask for your support for
continued innovation in FY22.
Critical Need for New Global Health Tools.--While we have made
tremendous gains in global health over the past fifteen years, millions
of people around the world are still threatened by HIV/AIDS, TB,
malaria, and other neglected diseases and health conditions. In 2019,
TB killed 1.4 million people, more than any other infectious disease at
that time, while 1.7 million people were newly diagnosed with HIV.
Nearly half of the global population remains at risk for malaria, with
drug-resistant strains growing. Women and children remain the most
vulnerable. Around 68% of all global maternal and child deaths
occurring in sub-Saharan Africa, with 1 out of every 13 children in the
region dying before the age of 5-often from vaccine-preventable or
other communicable diseases. These figures highlight the tremendous
global health challenges that remain and the need for sustained
investment in global health research to deliver new tools to combat
endemic and emerging threats.
New tools and technologies are critical, both to address unmet
global health needs and to address challenges of drug resistance,
outdated and toxic treatments, and difficulty administering current
health technologies in poor, remote, and unstable settings. We must
also continue investing in the next generation of tools to prepare for
emerging threats. The COVID-19 pandemic has again demonstrated that we
do not have all the tools needed to prevent, diagnose, and treat many
neglected and emerging infectious diseases-a reality foreshadowed by
the recent Zika and Ebola epidemics. The life-saving effects of the
COVID-19 vaccines demonstrate the power of having the right tools to
respond to a health emergency. These new vaccines, developed with
critical funding the US government, are highly effective and built upon
past global health research advances. Notably, the Johnson & Johnson
vaccine is based on technology used in its Ebola vaccine and Zika,
respiratory syncytial virus, and HIV/AIDS vaccine candidates and the
Moderna-National Institute of Allergy and Infectious Diseases (NIAID)
vaccine platform was previously being used to develop vaccines against
other respiratory viruses and the chikungunya virus. This demonstrates
how strong, sustained investment in R&D allows us to tackle today's
health threats and prepare for those of the future. It is critical we
keep investing in the development of next-generation tools to fight
existing and emerging disease threats so that we have tools ready to go
when we need them.
USAID Contributions to Global Health R&D.--USAID is the only US
agency with a mandate to focus on global health and development. For
that reason, the agency is uniquely positioned to support the end-to-
end development of new global health technologies-from defining a
global health challenge, designing a tool to address it, developing
that tool through clinical trials, and delivering that tool to
communities most in need-in a way that is not replicated elsewhere in
the US government, particularly for late-stage research and product
development. USAID's global presence and unique understanding of the
needs of patients in different settings and contexts is key to
developing health innovations that are transformative on the ground. We
applaud the efforts that USAID has made in fostering innovation in
health technologies, including:
--Partnering across government agencies and among private-sector
partners to identify breakthrough innovations to combat
infectious disease epidemics in response to recent outbreaks of
Ebola and Zika. USAID's Fighting Ebola Grand Challenge
identified 1,500 innovative technologies to advance the fight
against Ebola and advanced 14, including a low-cost, battery-
operated tool used during both the Ebola and COVID-19 responses
that manages the flow rate of intravenous treatments with a
simple gravity system, replacing the need for expensive,
difficult-to-use infusion pumps. The Combating Zika and Future
Threats Grand Challenge received over 900 crowdsourced
technology proposals and selected 26 projects to fund, which
cut across vector control, vector and disease surveillance,
diagnostics, and other interventions. In March of 2020, USAID
issued a request for information for proposals for low-cost,
scalable innovations that could support the international
COVID-19 response, including new products and service delivery
approaches. It received hundreds of proposals for potentially
game-changing innovations, but funding is urgently needed to
advance and scale them, potentially through the launch of a
Grand Challenge focused on COVID-19 and global health security.
--Establishing a five-year partnership with CEPI to advance the
development of vaccines against priority emerging infectious
diseases including Lassa fever, Middle East Respiratory
Syndrome (MERS), Nipah, Chikungunya, Rift Valley Fever, and
Ebola.
--Supporting research to develop safe, effective, and accessible
tools to prevent HIV in the developing world-including HIV
vaccines and microbicides, which have tremendous potential to
prevent HIV infection in women-and a low-cost, rapid,
disposable HIV/AIDS diagnostic test designed for infants.
--Supporting the development of vaccines, antimalarials,
insecticides, and novel vector control tools against malaria,
including a promising single-dose cure.
--Playing a key role in the global effort to fight TB by supporting
research to develop innovative, new drug regimens and
diagnostics for drug-susceptible and drug-resistant TB,
including the world's first child-friendly TB medicines,
developed with critical seed funding from USAID and introduced
in 2015, and a new all-oral treatment regimen that reduces the
time it takes to treat drug-susceptible TB from six months to
four months. USAID expertise on implementation and scale-up of
these innovations is a critical piece of the product
development cycle and ought to be appropriately prioritized.
--Developing interventions to help women and children during
childbirth in low-resource settings where there may not be
electricity, refrigeration, or trained health workers.
--Developing new drugs and diagnostics for a select group of
neglected tropical diseases (NTDs), including tools to fight
dengue and other mosquito-borne diseases that have been
deployed from Indonesia to the Florida Keys with promising
results.
Global Health R&D Funding at USAID-Addressing Critical Gaps.--USAID
is an important partner in global health product development, and it is
critical for the agency to bolster this function of its global health
programming. This means that global health programs within USAID
require robust funding to ensure they have appropriate resources, both
for ongoing programs and forward-looking R&D efforts.
For the vast majority of USAID's global health programming, there
are no dedicated funding streams or programs expressly supporting
global health R&D. This means that decisions on USAID's investments in
developing new global health technologies-the tools needed to make
programming more successful and efficient and to further the agency's
global health mission-are made at the program level, based on overall
funding allocations for each disease or population-specific health
area. To ensure research is appropriately prioritized, global health
programs need appropriate resources. GHTC strongly supports increasing
funding for USAID Global Health Programs at or above the levels
proposed in the President's FY22 budget request to allow for
transformative investments in the new drugs, vaccines, diagnostics, and
other tools to accelerate global health gains while sustaining current
programming needs.
While some areas of USAID's global health portfolio are leading the
way in R&D, there are other areas where a lack of resources and
prioritization are acute. For example, USAID does not currently
incorporate research for new vaccines for TB into its programming, and
has made limited investments in new preventative technologies, despite
TB being the world's greatest infectious disease killer prior to COVID-
19. USAID could also advance its role in R&D for NTDs. While the agency
does important work to provide treatments for five of the most
prevalent NTDs, new tools are needed to reach the end game for these
diseases, including more sensitive diagnostics to ensure that
elimination goals have been met-which, in addition to meeting clear
epidemiological needs, would improve resource allocation and ensure
that US investments have the desired results. Relatively small
investments in R&D for new NTD tools could have an incredible return
for both public health and our historic investment in the effort to end
NTDs.
USAID recognizes the value of global health R&D, but this
recognition is not always clearly articulated in the many strategic
documents and frameworks that guide the agency's work. Congress has an
important opportunity to correct this by requesting a new five-year
strategy on health-related R&D from USAID detailing how the agency will
work across programs to achieve global health R&D goals. The strategy-
vital to ensuring that innovation fuels USAID's global health mission
and R&D is appropriately prioritized-should be developed with input
from program leads within the Global Health Bureau, consultations with
external nonprofit and private-sector partners, and leadership of other
relevant federal departments and agencies. The strategy should detail
how USAID coordinates with stakeholders to support innovative global
health product development to address critical gaps, particularly for
late-stage research and product introduction; include specific
investment and target outcomes for research and product development
across disease areas and crosscutting challenges like global health
security and antimicrobial resistance; and detail where additional
USAID investment in innovation could accelerate progress towards global
health goals. Once developed and released, detailed annual reporting on
this strategy-which should be made promptly available on the USAID
website-would be vital for appropriate congressional oversight.
GHTC stresses the need for USAID to continue to prioritize science,
technology, and innovation to advance its global health and development
mission. GHTC urges the Committee to continue to direct USAID Global
Health Programs to include and expand R&D for new tools, allocate
sufficient resources to support this work, and encourage detailed,
public annual R&D reporting by USAID, which provides the only insight
policymakers and advocates have into the agency's R&D decision-making
processes.
Collaboration Across the US Government.--In addition to USAID,
support for global health R&D in the US government comes from the
Department of Defense (DoD), the Department of Health and Human
Services (HHS), the Centers for Disease Control and Prevention (CDC),
the Food and Drug Administration (FDA), the Biological Advanced
Research and Development Authority (BARDA), and the National Institutes
of Health (NIH). Each of these agencies play a unique and essential
role in moving new global health technologies from concept to reality,
and strong interagency collaboration is essential to leverage limited
US government resources and ensure taxpayer dollars are used most
effectively. To this end, we urge the Committee to encourage USAID to
work with CDC, DoD, FDA, NIH, HHS, and BARDA to develop a whole-of-
government strategy for global health R&D to coordinate priorities and
resources and streamline operations.
Investing in Global Health R&D as a Strategic National Security and
Economic Decision.--Global health R&D is important for delivering
lifesaving tools to those who need them most. However, US government
investments in R&D-through USAID and other agencies- yield benefits in
addition to humanitarian and development goals. As COVID-19 has
dramatically demonstrated, health crises abroad can become health
crises at home, and it is imperative that we sustainably invest in R&D
for a broad range of neglected infectious diseases so that we
understand emerging disease threats and have tools ready for them.
Additionally, global health R&D is a smart economic investment in the
United States, where it drives job creation, spurs business activity,
and engages academic institutions. In fact, 89 cents of every US dollar
invested in global health R&D benefits US-based researchers, many of
whom conduct their research at US universities. US government
investment in global health R&D between 2007 and 2015 generated an
estimated 200,000 new jobs and $33 billion in economic growth.
Global health research that improves the lives of people around the
world-while also promoting global health security, creating jobs, and
spurring economic growth at home-is a win-win investment. Recognizing
this, GHTC respectfully requests that the Committee sustain and
increase US investment in global health research and product
development by robustly funding the global health accounts at USAID and
the State Department, at or above the levels included in the
President's budget request; instruct USAID -in collaboration with other
agencies involved in global health-to prioritize R&D within each of the
disease and condition areas under USAID's Global Health Programs
account; and direct USAID to develop and publicly release a new five-
year strategy on health-related R&D detailing how USAID will work
across programs to implement a holistic global health R&D strategy.
These steps are vital to sustaining the life-saving global health
innovation work led by USAID which is fundamental to the achievement of
the United States' broader global health goals-which we all understand
more clearly than ever are inseparable from our health and prosperity
here at home.
[This statement was submitted by Jamie Bay Nishi, Director.]
______
Prepared Statement of the Global Partnership For Education
Mr. Chairman and members of the Subcommittee, thank you for the
opportunity to bring you up to date regarding the work of the Global
Partnership for Education (GPE) and its 76 developing country partners
as the COVID 19 pandemic continues to unfold in many of these
countries. On behalf of our partners, I respectfully ask the
Subcommittee to recommend at least $150 million, under the United
States Agency for International Development's Development Assistance
account, as the US Government's fiscal year 2022 contribution to the
Global Partnership for Education. I also request that the Subcommittee
recommend at least $1.1 billion from various accounts in the bill for
overall basic education funding, including $50 million from accounts in
the bill for Education Cannot Wait.
Thanks to support from the US and other partners, the GPE has
delivered impressive results over the past decade: 160 million more
children are in school in our partner countries and double the number
of girls are on the path to gender equality in these countries. Tens of
millions of teachers have been trained and await return to the
classroom once schools, many of them only just built over the last
decade, are re-opened. Sixty-seven million more students now have
access to professionally trained teachers.
COVID 19 remains the overwhelming context and challenge for
education throughout the developing world. Although the US and other
wealthy nations have seen their vaccination rates climb steadily over
the past eight months, most of our developing country partners are only
just beginning to receive COVID vaccines, with schools remaining closed
for hundreds of millions of children and illness and death rates
continuing to climb. According to the World Health Organization,
vaccination rates in sub-Saharan Africa are currently barely over 1
percent of the population. At its height, the pandemic forced some 1
billion children out of school for the bulk of an academic year--today
in mid-2021 hundreds of millions remain out of school. The Global
Partnership for Education remains concerned that continued school
closures are impacting girls in particular and will lead to an increase
in early marriages, domestic abuse and drop-out rates. Many of these
girls and other marginalized children will never return to school.
GPE responded quickly to the pandemic last spring as it was
unfolding and re-directed over $500 million in less than six months to
help 66 countries respond to the COVID crisis and ensure distance
learning occurred, while also preparing for a safe return to school.
GPE resources continue to support low tech distance learning
programs targeted toward the most vulnerable and disadvantaged
children, including girls, children with special needs and
disabilities, and no-tech programs for children without access to
electricity or internet connectivity.
For example:
In Niger, the focus of the COVID response program funded by GPE is
on the most vulnerable children, including those living in rural areas,
girls, and refugee and internally displaced children. The program is
supporting the continuity of learning outside schools and adaptation of
school curricula to new ways of learning, and preparation for the safe
reopening of schools. It also provides for crosscutting activities,
including needs assessment, capacity building, monitoring and
evaluation of learning, and production of knowledge that will serve to
both enhance the performance of the education system and strengthen its
resilience.
In Tanzania-Zanzibar the online lessons developed have been
uploaded on the Ministry of Education's website and YouTube and the
installation of water and sanitation facilities in needy schools has
very much enhanced student attendance. Furthermore, supporting teachers
to teach remedial classes to cover the loss of time during school
closure has very much motivated their performance in the classrooms.
In Ghana, a learning management system has been developed and was
launched during the National Education Week. It provides a platform for
online-learning and on-going communication and teacher between
students, parents, and teachers. This has provided needed support to
remote-learning during the school closures. The platform will be
integrated with all distance learning modules and will be available on
laptops, tablets, and smartphones.
the global partnership for education (gpe)
The Global Partnership for Education is a public-private
partnership of donor and developing country governments, UNICEF, UNHCR,
the World Bank and other international organizations, civil society,
teachers' associations, and the private sector and foundations all
working together to ensure a more effective and efficient response to
the global education challenge.
GPE provides financial and technical support to 76 partner
countries where the great majority of out of school children reside and
where the national education systems require the most urgent support.
USAID and other donor governments are often engaged in the local
education groups that bring partners together at country level, support
the confirmation of the highest priorities and help monitor progress.
The new GPE now features a ``compact"-based operating model that
strengthens the link between development of national sector plans,
reforms of the system and their implementation. Additionally, the GPE
model continues to place strong emphasis on domestic resource
mobilization for education and more effective use of those resources.
gpe's impact over the last 20 years
Access to education.--Since 2002, up until the COVID pandemic
developed, 160 million more children were in school in GPE partner
countries. This included 82 million additional girls in school in GPE
partner countries--double the number compared to 2002. As an example,
in Mauritania, girls' secondary enrollment in six rural areas tripled
when GPE funded additional schools.
Learning Outcomes and Improving Quality of Education.--To improve
education and learning outcomes, GPE has trained an average of 350,000
teachers each year. In Ghana, GPE has supported the government to raise
primary school completion to 100% in less than 10 years.
Fragile and/or Conflict-Affected Countries--Responsive Support.--
Almost 30 of GPE's 76 partner countries are classified as fragile and/
or conflict affected due to a natural disaster, such as an earthquake
or protracted conflict. 76% of GPE implementation grants were allocated
to partner countries affected by fragility and conflict in 2019
compared to 44% in 2012.
--Prior to the COVID pandemic, much of the world's out of school
children resided in such countries. GPE has developed new
flexible, accelerated and responsive funding policies that
enable swift and flexible support when crises unfold and create
extensive challenges to education systems. For example, GPE is
the largest donor supporting the continuity of education in
Yemen, representing over $70 million over the past 4 years.
--Additionally, as noted previously, GPE support also addresses the
needs of refugees in partner countries. In Bangladesh and the
Central African Republic, GPE will provide $14.6 million in
emergency funding to support the education of tens of thousands
of children displaced by conflict and violence.
Gender Equality. Ensuring that girls have access to education has
been a top priority of the GPE since inception and much progress has
been achieved in many partner countries. However, much more needs to be
done to ensure gender equality. GPE has hard-wired gender equality into
its operating model and has created a new $250 million Girls Education
``Accelerator'' Fund to target support to very poor countries which
have much progress to make on gender equality.
gpe's fourth replenishment: a new case for investment
GPE launched a new Case for Investment in October of 2020 which
sets out an ambitious objective for the five-year period between 2021
and 2025--the transformation of education systems in scores of
developing countries so that every boy and girl can get 12 years of
quality education and one year of pre-school. The financing campaign is
being co-led by UK Prime Minister Boris Johnson and Kenyan President
Uhuru Kenyatta, who are actively reaching out to all donor and
developing country governments, the private sector and foundations, and
civil society to mobilize the $5 billion required from all sources over
the next five years to deliver the following key results:
Enabling of 175 million girls and boys to learn;
140 million students with access to professionally trained
teachers;
88 million more children, of which 48 million will be girls, in
school;
Lifting 18 million people out of poverty;
And saving 2 million girls from child marriage.
As the UK Government holds the presidency of the G7 Summit later
this June, Prime Minister Johnson has advised all G7 members that
global and girls' education will feature as key global priorities at
the Summit. Additionally, PM Johnson and President Kenyatta will co-
chair the Global Education Summit: Financing GPE 2021-2025 in late
July, which is designed to assess the progress achieved over the past
three years, consider the ambitious agenda ahead and secure the new
financing commitments needed to transform education in scores of
countries over the next five years.
the us is a key gpe partner
The United States, through USAID, is an active participant on GPE's
Board, a member of the executive committee and is closely engaged at a
technical level on the development of GPE's policies and strengthening
of its funding and operational models. USAID also often serves as a
member of the local education group in many partner countries, a key
priority setting and program monitoring body in all countries. USAID
missions also work with ministries of education in GPE-supported
countries on the formulation of national plans and applications for GPE
support.
fiscal year 2022 united states support for gpe and basic education
Mr. Chairman, I urge the Subcommittee to recommend a fiscal year
2022 U.S. contribution to the Global Partnership for Education of $150
million. I also urge you to support an overall fiscal year 2022 level
for basic education of at least $1.1 billion, $50 million from various
accounts to support Education Cannot Wait, and $134 million for our
close partner UNICEF, which serves as a grant agent for GPE in many
crisis and conflict countries.
Thank you for your consideration.
[This statement was submitted by Alice Albright, Chief Executive
Officer.]
______
Prepared Statement of the Global Policy and Advocacy, International
Rescue Committee (IRC)
Chairman Coons, Ranking Member Graham, and members of the
subcommittee, on behalf of the International Rescue Committee, a global
humanitarian aid organization that offers emergency aid and long-term
assistance to people in crisis in over 40 countries and helps refugees
and other displaced people integrate into their new communities across
dozens of cities in Europe and the Americas, thank you for this
opportunity to testify on the needs of people fleeing conflict,
violence, persecution, and disaster. The following testimony strongly
urges increased funding levels for International Disaster Assistance
($5.27 billion); Emergency Refugee and Migrant Assistance ($50
million); Migration and Refugee Assistance ($4.12 billion); Basic
Education ($1.1 billion); Malnutrition ($300 million); Vulnerable
Children ($35 million); and for a three-fold increase in funding for
gender-based violence. In an era in which humanitarian need is vastly
outstripping humanitarian financing, it also asks Congress to introduce
novel language to improve the effectiveness, transparency and
accountability of humanitarian financing. Finally, it supports the
allocation of 20,000 additional Special Immigrant Visas for U.S.-
affiliated Afghans.
increasing capacity to respond to crises and fragile contexts
The compounding challenges of COVID-19, climate change, and
conflict are driving unprecedented humanitarian need and attendant
instability: this year, 235.4 million people--1 in every 33 people--are
in need of humanitarian assistance, 40% more than in 2020. These needs
are vastly outpacing humanitarian funding. Humanitarian Response Plans
(HRPs) continue to be underfunded by nearly 40%. The greatest gaps in
response remain in fragile, conflict-affected states that drive the
majority of displacement, and where impacts of the pandemic are
reversing decades of hard-won progress to protect women and girls,
increase access to education, and reduce poverty, hunger, and disease.
As the IRC's 2021 Watchlist reveals, 20 countries, representing just
10% of the global population, account for 85% of humanitarian need, 84%
of all refugees, and 88% of populations internally displaced. The US
must focus and scale up humanitarian financing and programming in these
contexts to help reverse these trends. We urge Congress to ensure that
at least 50% of bilateral and multilateral economic and humanitarian
assistance goes to these to these fragile and conflict affected states,
to address urgent needs and their root causes. We further urge Congress
to:
--Increase International Disaster Assistance (IDA) to $5.27 billion,
$588 million higher than the FY22 Presidential Budget Request,
to support direct disaster and emergency relief,
rehabilitation, reconstruction, and the ability to address root
causes of conflict at scale, including in Northern Central
American, where increasing numbers of those internally
displaced by violence are overwhelming communities of first
refuge.
--Double funding for nutrition programming to $300 million to respond
to rising malnutrition. The number of food-insecure people
worldwide increased by 82% in 2020 as a result of the pandemic.
To meet rising needs, we recommend Congress direct a portion of
these funds for the rapid scale-up of a simplified protocol for
testing and treating acute malnutrition with the help of
community health workers, which could significantly expand the
reach of existing nutrition programming.
--Bridge global gaps in education and early childhood development
interventions for refugee and conflict-affected children by
appropriating $1.1 billion for Basic Education--compared to
$682M requested in FY22--with at least $150 million dedicated
to education programs in conflict zones and settings with high
rates of displacement; and $35 million for the Vulnerable
Children program. Prior to the pandemic, refugee children were
already five times more likely to not be in school than their
peers. Now, more than half of refugee girls may not return as
schools reopen. Despite rising need, less than 3% of
humanitarian aid is allocated toward education. This is no time
to retreat from education funding. Further, 71 million children
under the age of five have lived in conflict areas for their
entire lifetimes, leaving them without access to the necessary
foundations of healthy human development. Yet just 3% of
development assistance and 2% of humanitarian assistance
globally is for Early Childhood Development. In order to
support successful implementation of the 2021 Global Child
Thrive Act, we further recommend that USAID and the Department
of State conduct a pilot program in up to three crisis contexts
to jointly provide the full range of early childhood
development interventions to displaced populations.
--Triple funding for the prevention of and response to gender-based
violence (GBV). Less than 1% of global humanitarian assistance
is allocated to GBV programming despite disproportionate
impacts of conflict and crises on women and girls. These
impacts accelerated with the pandemic, with an estimated 15
million additional cases of GBV for every three months of
pandemic lockdown.
restoring us global leadership on refugee protection and resettlement
Violent conflict has increased 75% over the last decade;
accordingly, the number of people forcibly displaced has nearly doubled
since 2010, with over 80 million people now forcibly displaced and the
number of refugees increasing by 8 million just over the last four
years. There are now over 26 million refugees worldwide, with nearly
90% of them hosted in low- and middle-income countries straining to
provide support. On average over the last decade, fewer than 1% of
refugees have been resettled and fewer than 3% have been able to return
home. Against this backdrop, humanitarian leadership from wealthy
nations has been in retreat, with humanitarian aid levels stagnating
and global resettlement slots offered by wealthier nations dropping
more than 50% over the last four years, while over 1.4 million refugees
await resettlement. Urgent and expansive US financing and leadership is
needed to support refugees overseas and incentivize host countries to
provide access to jobs, education, and other pathways to self-reliance
for refugees; and to rebuild, anchored by US resettlement commitments,
global resettlement commitments. We urge Congress to:
--Increase Migration and Refugee Assistance (MRA) to $4.12 billion to
respond to emerging, growing, and protracted refugee crises,
including in the Western Hemisphere, and to rapidly restore the
US Refugee Admissions Program. The previous administration
issued four consecutive, all-time low, annual refugee
admissions goals; reduced arrivals by 86%; and dismantled the
US global refugee referral and processing infrastructure. To
meet the President's ambitious and necessary goal of admitting
125,000 refugees next fiscal year, the Bureau of Population,
Refugees and Migration must be equipped to support capacity
building, program expansion, and innovation, including
expanding resettlement and protection programming in the
Americas, where needs rose by 489% from 2020 to 2021--more than
any other region in the world.
--Fund Emergency Refugee and Migration Assistance (ERMA) to at least
$50 million to support rapid response to unforeseen and
emerging refugee and migrant needs. The President recently drew
down $46 million from this account for the purpose of meeting
humanitarian needs of vulnerable refugees and migrants in
Central America and the President's Budget Request estimates
that there will be a $50 million drawdown on this account next
fiscal year. We further recommend that the authorized funding
level be raised to $200 million and that the Secretary of State
be authorized to draw down ERMA funds.
--Ensure emergency protection for US-Affiliated Afghans jeopardized
by the US military withdrawal. The US withdrawal from
Afghanistan will leave tens of thousands of Afghans under
mortal threat as a direct consequence of their affiliation with
the US mission. The US must be prepared to meet its commitment
and moral obligation to help its allies escape violent
retribution for their critical assistance. We urge the
allocation of 20,000 additional visas in the FY22 State,
Foreign Operations, and Related Programs bill. We also
recommend that the Committee include report language directing
the protection of surviving spouses and children of SIV
applicants who are killed before receiving their visas. We
further urge the Committee to direct the Department of State to
designate US-affiliated Afghans for Priority 2 status under the
US Refugee Admissions Program, a measure that will provide a
critical pathway to protection and family reunification in the
long-term; and to request that the Biden-Harris
administration's inter-agency review of SIV processing and
vetting, as directed in President Biden's Executive Order
14013, be shared with Congress.
improving the effectiveness, transparency and accountability of
financing
We thank Congress for appropriating nearly $20 billion in
supplemental funding to fight the COVID-19 pandemic and its impacts
globally, including $11 billion in the American Rescue Plan relief
bill. What is needed now is to ensure this funding as well as funding
to be allocated in FY22 is effective, transparent and achieves outcomes
in the lives of the most vulnerable. We urge Congress to:
--Increase the volume of funds to frontline responders. Frontline
NGOs and community-based organizations are uniquely situated to
quickly scale COVID-19 prevention and mitigation measures,
including last-mile vaccine delivery in complex humanitarian
contexts. In some contexts, where governments either cannot or
will not respond, they are already delivering 80% of health
services. In addition, frontline NGOs-including international,
national, and community-based NGOs that have built trust with
communities over years of delivering services-are critical when
responding to a complex crisis like a pandemic. However, in
recent years, almost two-thirds of global humanitarian
assistance has gone through multilateral agencies, including
80% of funding for the COVID-19 global appeal--even though
funding can take up to 8 months to reach frontline actors.
--Support multi-year planning for protracted humanitarian crises. Of
the IRC's 20 Watchlist countries, 13 crises are protracted,
with humanitarian response plans averaging 15 years. However,
humanitarian grants remain about one year in length on average,
hampering strategies to support the development and self-
sufficiency of long-term displaced populations, and introducing
program inefficiencies. A comparative analysis of two IRC cash
programs in Somalia found that the longer-term program cost 44%
less in delivery costs for every dollar transferred. These
crises require multi-year programming and thus multi-year
financing to implementing partners to better meet the immediate
and long-term needs of crisis-affected populations. We
recommend USAID and the Department of State commit to jointly
develop multi-year humanitarian strategies for protracted
crises and agree on a target for increasing the number of
multi-year humanitarian awards, contingent on available funds,
to help ensure that long-term needs are met and people caught
in crisis can move from dependency to self-reliance.
--Increase transparency on humanitarian financing flows and program
results. Humanitarian financing is not routinely or completely
reported to public systems, like the Financial Tracking Service
(FTS). The FTS shows funding flows from donor governments to
immediate recipients, but not the secondary recipients of that
funding. For example, there is no transparency on where 80% of
funding for the Global Humanitarian Response Plan (GHRP) has
gone past first-level recipients because these recipients-
including UN agencies-generally do not publicly report to FTS
the pass-through of their financing to frontline implementers,
including international, national, and community-based NGOs.
Moreover, there is no consistent framework for reporting
results, miring implementing agencies in multiple and
duplicative reporting requirements, while failing to provide
comprehensive-and comparable-information on outcomes achieved.
USAID and the Department of State should develop and adopt (1)
a single standard for financial reporting and transparency,
requiring implementing partners to report the speed, amount and
grant length of passed-through funds, and the recipients of
funding through the full transaction chain to frontline
implementers; and (2) a single outcome and indicators framework
for the health, safety, education, and economic well-being of
crisis-affected populations, disaggregated by population status
and gender. By taking these steps, the US can lead the way for
a reformed humanitarian system.
Thank you for your long-standing commitment to humanitarian action.
Proliferating humanitarian crises are robbing generations of their
human potential and exacerbating instability and insecurity, from the
Middle East to Africa to Central and South Asia and Latin America, with
direct consequences for US interests. Urgent and expansive US
humanitarian leadership can reverse these trends, galvanize others to
do more, and restore America's reputation for protecting the most
vulnerable.
[This statement was submitted by Nazanin Ash, Vice President.]
______
Prepared Statement of the Global Water 2020
Imagine giving birth in a healthcare facility where the midwife is
unable to wash her hands, or being a young girl who can't attend school
because you have to collect water for your family's daily needs. For
millions of people around the world this is the daily reality--the
inability to access safe drinking water and proper sanitation and
hygiene in their homes, schools, and communities. Through the water and
sanitation account at the U.S. Agency for International Development
(USAID), U.S. investments help countries to provide safe water,
sanitation and hygiene, or WASH, and to properly manage water
resources. These programs ensure that girls can safely use the toilet
at school, that newborns are less likely to die of preventable
diarrhea, and that patients in a hospital will not acquire an infection
while at the facility. To that end, Global Water 2020 recommends for
Fiscal Year (FY) 2022 no less than $540 million for water and
sanitation programs at USAID to accelerate access to safe WASH in some
of the poorest regions of the world.
Since FY 2008, these investments have helped almost 54 million
people gain access to safe drinking water and 38 million people gain
access to sanitation. In FY 2018-2019 alone, that's over 11 million
people with water and over 10 million people with sanitation. Investing
in WASH also reduces morbidity and mortality from WASH-related
illnesses, such as typhoid and cholera, and other infections. In
addition, funding for WASH helps countries build water infrastructure
and support water service providers that can sustainably provide
services to a growing customer base. This foundation strengthens
governance and finance, as well as self-reliance, in partner countries.
Improving access to WASH directly contributes to the achievement of
other U.S. global health priorities including improving child nutrition
and reducing acute malnutrition, ending preventable child and maternal
deaths, containing the spread of infectious diseases such as the flu
and coronaviruses, and controlling and eliminating neglected tropical
diseases. Resilient and sustainable WASH programs also support economic
development and progress across other development sectors such as
education, food and nutrition security, agriculture, women's
empowerment, environmental conservation, and poverty alleviation.
The COVID-19 pandemic has raised awareness of how the simple act of
washing one's hands could help to slow the spread the coronavirus, but
at the same time presented a challenge to the over 3 billion people who
are unable to wash their hands at home. WASH, along with handwashing,
also means accessing adequate sanitation and ensuring supply chains for
soap and cleaning supplies for healthcare facilities, markets, schools
and other high-trafficked places. These are some of the defenses
against the spread of the coronavirus and its variants, as well as
other infectious diseases such as the flu, diarrheal diseases, and
Ebola.
Investing in sustainable WASH now helps to continue the fight
against COVID-19, but also puts the global community ahead of the next
pandemic--whether it be another coronavirus, Ebola outbreak, or the yet
to be identified disease X and perhaps prevent billion-dollar emergency
supplementals in the future.
An FY 2022 appropriation of $540 million for water security,
sanitation, and hygiene could:
--Help support long-term water service continuity and prevent future
utility disruption with loans and financial tools in areas
where economic challenges from COVID-19 threaten consistent
service provision;
--Provide resilient and sustainable safe drinking water services to
an additional 900,000 people in Africa, Asia, and Latin America
from the previous fiscal year;
--Promote school attendance of girls and children with disabilities
with accessible and/or separate sanitary facilities;
--Scale-up evidence collection, analysis, and learning to support the
expansion of proven WASH interventions to enhance resilience,
sustainability and self-reliance by building local, long-term
capacity; strengthening institutions and the rule of law; and
sharing best practices and lessons learned;
--Contribute to the goal of universal WASH access, which would
prevent 9.1% of the global disease burden and up to 6.3% of all
deaths, including the prevention of nearly 830,000 deaths from
diarrheal diseases;
--Provide WASH to often-overlooked healthcare facilities and schools,
thereby strengthening resilience to disease outbreaks and
improving pandemic preparedness that protects Americans at
home; and
--Support cross-sectoral work USAID has underway in other areas
impacted by WASH, including maternal and child health; food
security, livelihoods, and nutrition; Neglected Tropical
Diseases; and economic development programming. This
multisectoral approach to development is more effective and
resilient if WASH is prioritized.
It is also important to note that U.S. leadership has directly
spurred partners across the fifty states such as civic groups, faith
communities, foundations, universities, schoolchildren, corporations,
nonprofits, and others to substantially increase their own efforts to
provide safe drinking water and sanitation, resulting in many more
diseases prevented and lives saved. This leadership has led to stronger
partnerships among the State Department, USAID, and American citizens
(e.g. Rotary's partnership with USAID).
Access to safe WASH underpins the stability and health outcomes of
communities around the world. These investments help to ensure that
newborns get a healthy start in life, that girls stay in school, and
that healthcare workers are able to provide quality care in a safe
environment. Global Water 2020 thanks Congress for its longstanding
bipartisan support for this important work, and looks forward to
continued U.S. leadership in WASH.
[This statement was submitted by John Oldfield, Principal.]
______
Prepared Statement of The HALO Trust (USA)
the department of state conventional weapons destruction program
As the world's largest humanitarian demining NGO, The HALO Trust
submits this testimony as a partner of the U.S. Government in
addressing threats to peace, security, and human lives posed by
improvised explosive devices (IEDs), landmines, unexploded ordnance
(UXO), and insecure weapons stockpiles. The HALO Trust is an
independent partner of the Department of State's Conventional Weapons
Destruction (CWD) program. We are helping to save lives and restore
livelihoods in more than 25 countries and territories.
State Department humanitarian demining programs play a leading
international role in preventing casualties, allowing displaced
families to return to their livelihoods, supporting economic
development, ensuring post-conflict stabilization, and promoting safety
through securing weapons and explosive materials that could fall into
terrorist hands.
Our presence in remote locations across the globe has also
positioned U.S. implementing partners to provide emergency relief when
we are needed--whether we are called upon to provide immediate support
in the wake of a natural disaster or prevent the spread of COVID-19.
Given the importance of global demining and weapons security
programs, we respectfully ask that you include the following requests
in the FY 2022 SFOPS budget:
1. $262.85 million for the State Department's Conventional Weapons
Destruction program;
2. Specific allocations for Conventional Weapons Destruction
Programs in Laos, Vietnam, and Cambodia ($75 million), Sri Lanka ($10
million), Angola ($10 million), Zimbabwe ($4 million), Afghanistan ($30
million), and Nagorno Karabakh ($2 million).
3. Of funds allocated to Conventional Weapons Destruction
activities in Afghanistan, $5 million should be directed to support the
clearance of improvised explosive devices (IEDs) in Afghanistan.
the state department conventional weapons destruction (cwd) program
The State Department CWD program has many benefits, but serves
three primary goals: 1) To enhance regional security by destroying and
securing weapons, at risk of diversion to terrorists, insurgents, and
other violent non-state actors; 2) To improve stability and prosperity
by clearing landmines and unexploded ordnance (UXO) contamination,
thereby returning land to safe and productive use; and 3) To promote US
foreign policy.\i\
Saving lives
The most obvious benefit of CWD programs is saving lives. The
Landmine Monitor recorded more than 130,000 casualties between 1999 and
2018, and with at least 5,554 killed or injured by a landmine or
cluster bomb in 2019 alone. Most casualties were civilians, not
military forces. And, tragically, 43% of the victims in 2019 were
children.\ii\
Landmines continue to affect families and communities long after
conflict has ended, threatening lives and disrupting livelihoods. No
parent should fear that their child might suffer a fatal injury simply
by walking to school or playing outside. Landmines kill
indiscriminately, and we must continue to eliminate these threats.
Economic Development
CWD activities also promote economic development that can transform
communities after conflict. Within weeks of mine clearance, displaced
families can return home and plant crops. Communities can build roads,
schools, hospitals, and vital infrastructure.
In Sri Lanka, a woman named Jeysurajan returned to her community
with her family after being displaced by conflict for almost ten years.
Upon returning, Jeysurajan and her family were able to build a small
home and decided to plant crops to earn an income. However, on the
first day of planting Jeysurajan discovered a landmine, and then
continued to unearth more around her home. Fearing for her children's
lives, Jeysurajan and her family had to leave their home once again.
The land around the family's home is currently being cleared, and
Jeysurajan hopes to soon return home and grow crops to support her
family.
Security and Stability in Fragile States
The explosion of explosive precursor chemicals in Beirut earlier
this year brought the importance of explosive and ammunition management
into sharp focus. Weapons security management programs funded by the
CWD account support security objectives, through ammunition storage
training and the destruction of insecure weapons, such as shoulder-
launched missiles capable of downing aircraft. Since 1973, over 60
civilian airliners have been hit with these types of air defense
systems.\iii\ State Department partners have secured over 41,000
shoulder-launched missiles, ensuring that these deadly weapons cannot
fall into the hands of arms traffickers and violent extremists.\iv\ In
the Northern Triangle, weapons and ammunition security management
programs also help to combat the illicit flow of black-market weapons
that fuel violence and emigration.
Countering Malign Chinese Influence
The State Department's CWD program helps counter Chinese influence
by providing local jobs and serving as a highly visible form of popular
U.S. assistance. While China uses debt trap financing to seize control
of national assets in Africa, Southeast Asia, and elsewhere, US
demining programs work in these same regions to take land that is
currently too dangerous to use and transform it into an economic asset
available to impoverished local populations. Every day, thousands of
deminers with U.S. flags on their chests provide an unquestionably
positive service to communities.
supporting cwd programs in laos, vietnam, cambodia, sri lanka,
afghanistan, angola, zimbabwe, and nagorno karabakh
Laos, Vietnam, Cambodia
Laos remains heavily impacted by U.S. cluster bomblets as the most
heavily bombed country in history. Funding is needed to support the
removal of U.S.-origin UXO, as well as capacity-building, survey,
clearance, victim assistance, and risk education programs to reduce the
impact of UXO on school children and communities. Clearance of U.S.
legacy ordnance in Vietnam has significantly contributed to our growing
strategic partnership, in addition to preventing casualties. Increased
funding will expedite the removal of ordnance, eliminating these
explosive hazards that still contaminate an estimated 25,500 square
miles of land in Vietnam. Cambodia continues to suffer the impacts of
significant landmine contamination from U.S. cluster bomblets and other
explosive hazards. Additional resources are needed to remove U.S.
legacy ordnance and support risk education programs to minimize the
deadly impact of UXO on communities. Funding at a level of $75 million
for these three countries combined will allow the U.S. to demonstrate
its commitment to removing the deadly remnants of its war arsenal,
while providing the State Department with flexibility to spend CWD
funds within this region to maximize impact.
Sri Lanka
Since the end of Sri Lanka's decades-long civil war in 2009, U.S.
demining assistance has been critical to allowing thousands of families
displaced by the war to return to their homes in northern and eastern
provinces. U.S. demining efforts have also enabled the reopening of
schools and hospitals, the reconstruction of thousands of homes, as
well as the reconstruction of the Jaffna railway--enabling access to
Sri Lanka's northern ports. Hundreds of thousands of mines have already
been destroyed, and an allocation of $10 million will keep Sri Lanka on
track to be mine-impact free in the near future.
Angola
Landmines in Angola have injured more than 80,000 people since they
were first used in its civil war, but with the help of U.S. foreign
aid, nearly 100,000 landmines have been destroyed. Demining must
continue, especially in the rural areas of Angola, where some
communities have been waiting decades for assistance. Funding at a
level of $10 million for demining in Angola is also necessary for the
U.S. to implement The DELTA Act, legislation passed in December 2018 in
support of wilderness management in the Okavango Delta region. In
southeast Angola, landmines near the headwaters of the Okavango Delta
kill elephants and other wildlife, hamper efforts to conduct
biodiversity research, and interfere with anti-poaching initiatives.
The Angolan Government has already provided $18 million last year to
support demining in two national parks in this area, as part of its $60
million pledge for demining in the region. This sizeable investment
presents a unique opportunity for the U.S. and Angola to strengthen
their partnership while supporting human safety and the development of
a conservation economy in Angola.
Zimbabwe
Zimbabwe possesses very dense, unfenced minefields close to houses,
schools, and clinics that kill livestock weekly and separate
communities from viable sources of water. Over 1,600 casualties\v\ have
occurred due to explosive hazard accidents. Due to the predictable
mine-laying patterns along the Zimbabwean borders, demining teams in
Zimbabwe have one of the highest mine-destruction rates of any global
program. Supporting $4 million for CWD programs in Zimbabwe will allow
the country to achieve mine-free status as quickly as possible.
Afghanistan
In Afghanistan, the demining sector has the capacity to support
security by clearing massive amounts of landmine and other explosive
contamination that threaten civilians, aid workers, and the Afghan
National Defense and Security Forces (ANDSF). Funding at a level of $30
million can also support stability through reintegration efforts. The
demining sector has successfully employed former-Afghan local police
and demobilized ex-combatants as deminers, thus removing incentives for
people to return to the fight.
The presence of IEDs in Afghanistan has presented a particular
danger to civilians and military personnel. Afghanistan contains over
5,400 acres of known IED contamination, and, IEDs have caused nearly
80% of civilian casualties from explosive devices in the past 10 years.
Currently, U.S. humanitarian demining funding does not directly support
the clearance of IEDs in Afghanistan, though these items continue to
represent a greater humanitarian threat as compared to other explosive
contamination in the country. An allocation of $5 million of CWD funds
allocated to Afghanistan focused on the clearance of IEDs would further
support safety in the country.
Nagorno Karabakh
In Nagorno Karabakh, a territory located between Armenia and
Azerbaijan, residents have suffered from the threat of landmines for
almost 30 years. The recent conflict in Nagorno Karabakh resulted in
massive levels of contamination by cluster munitions, rockets, and
other explosive ordnance. These hazards continue to present a grave
humanitarian risk as explosives are still present near homes, farms and
streets. In addition, these remnants of war remain an obstacle to
rebuilding critical infrastructure decimated during conflict. U.S.
funding for demining in Nagorno Karabakh ended in March 2020 and no
funding is currently planned. An allocation of $2 million in FY22 will
allow ordnance removal activities to scale up and ensure families can
return to their livelihoods without fear of explosive threats.
conclusion
Since 1993, the U.S. has led global demining efforts, providing
more than $4 billion in assistance to more than 100 countries for CWD
activities.\vi\ With U.S. support, over 15 previously mined countries
and territories around the world are now mine-free. We hope to see many
more countries soon join this list.
U.S. demining and weapons security programs save lives, enable
stabilization and rebuilding after countries have been ripped apart by
conflict, enhance security, and promote U.S. interests while making a
tangible difference in the lives of communities worldwide.
For these reasons, we hope the subcommittee will support strong
funding for the State Department CWD program, for CWD programs in Laos,
Vietnam, Cambodia, Sri Lanka, Angola, Zimbabwe, Afghanistan, and
Nagorno Karabakh.
Thank you for your consideration.
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\i\ U.S.A., Department of State, Office of Weapons Removal and
Abatement in the Bureau of Political-Military Affairs. (2020). The
United States' Commitment to Conventional Weapons Destruction (19th
ed., January-December 2019, p.5). Waynesboro, VA: McClung Companies.
\ii\ International Campaign to Ban Landmines. (2020, November 12).
Landmine Monitor 2020: Major Findings. Retrieved from http://www.the-
monitor.org/en-gb/reports/2020/landmine-monitor-2020/major-
findings.aspx
\iii\ U.S.A., Department of State, Office of Weapons Removal and
Abatement in the Bureau of Political-Military Affairs. (2020). The
Interagency MANPADS Task Force: Building Partnerships to Protect
Civilian Aviation (19th ed., January-December 2019, p.62). Waynesboro,
VA: McClung Companies.
\iv\ Ibid.
\v\ Zimbabwe. (2017, January 2). Retrieved from http://www.the-
monitor.org/en-gb/reports/2019/zimbabwe/casualties.aspx
\vi\ U.S.A., Department of State, Office of Weapons Removal and
Abatement in the Bureau of Political-Military Affairs. (2021). A
Message from Assistant Secretary Timothy Alan Betts (20th ed., January-
December 2020, p.3). Waynesboro, VA: McClung Companies.
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[This statement was submitted by Chris Whatley, Executive
Director.]
______
Prepared Statement of the Helen Keller International
Mr. Chairman:
I am Kathy Spahn, President and Chief Executive Officer of Helen
Keller International, and it is a pleasure to provide testimony to the
Committee on critical programs in global health. I urge the Committee
to recommend in fiscal year 2022, under the U.S. Agency for
International Development's (USAID) Global Health Programs and
Development Assistance accounts, at least $4.5 million for blind
children; at least $22.5 million for vitamin A supplementation; $200
million for nutrition; and $984 million for the Maternal and Child
Health account. I also urge the Committee to support increased funding
of at least $25 million over the fiscal year 2021 appropriated level of
$102.5 million for the control and elimination of Neglected Tropical
Diseases. Finally, under the Development Assistance account, I request
that the Committee continue strong support for nutrition and
agriculture, and support for women farmers.
For more than a century, Helen Keller International has saved the
sight and lives of millions. Today, we are as determined as ever to
accomplish even more on behalf of children and adults in developing
countries, especially given the COVID-19 pandemic and its devastating
secondary impact on nutrition and healthcare. Helen Keller
International has programs in 19 countries in Africa and Asia, as well
as here in the United States. Co-founded in 1915 by the deaf-blind
advocate for the poor and marginalized, Helen Keller, Helen Keller
International is a leading nonprofit organization that helps the most
vulnerable people in the world to achieve their true potential. We
fulfill this mission by designing and implementing programs, based on
science and local collaboration, that save lives, improve sight, and
improve nutrition for over 300 million people each year.
But the need is still enormous.
helen keller international response covid-19
In many parts of the world, the coronavirus pandemic has
overwhelmed clinical services and brought economies to a standstill.
Helen Keller International provides sight and life-saving preventive
health services to tens of millions of people in Africa and Asia. Our
services are focused on people who are most vulnerable: young children,
pregnant women and nursing mothers, subsistence farmers, and
communities suffering from diseases of poverty, including preventable
blindness and malnutrition.
Our work is already being affected by the COVID-19 pandemic:
approximately 60 percent of programming has been paused or slowed. For
example, campaigns to treat neglected tropical diseases and provide
vitamin A supplementation were postponed in Africa in 2020. In short,
the pandemic is not only creating new problems and risks--it is also
exacerbating existing ones.
Helen Keller is currently focused on addressing three imminent
dangers posed by the pandemic: the COVID-19 disease itself, other
diseases, and hunger.
We are communicating with millions of people in communities
throughout Africa and Asia about steps that individuals and households
can take to minimize their risk of contracting the coronavirus and
other communicable diseases. Where possible, we are doing so through a
vast network of community health workers. For example, in Nepal, a
country with high rates of mobile phone ownership, we are using phone
calls, texts, and social media to reach more than 600,000 people.
Helen Keller is also supporting the provision of basic water
infrastructure. People cannot take measures to wash their hands
frequently if they do not have the means to do so. In seeking to
address this basic need, Helen Keller helped to install thousands of
handwashing stands and provided soap in Mali, Niger, and Senegal.
We have continued our longstanding commitment to vitamin A
supplementation (VAS), an intervention that Helen Keller International
pioneered, and that has saved millions of lives over the past 40 years.
To protect populations from the potentially catastrophic impact of
exposure to COVID-19, we had to minimize large gatherings and close
contact, therefore, mass vitamin A supplementation campaigns were
postponed until the second half of 2020. This disruption put hundreds
of thousands of already vulnerable children at even greater risk for
disease, but we have successfully adopted revised VAS distribution
protocols to minimize COVID-19 risk while maximizing vitamin A's life-
saving benefit. We have achieved this by delivering VAS house-to-house,
employing COVID-risk mitigation measures including social distancing,
masking, use of hand sanitizers and, where possible, virtual training
of health workers.
The coronavirus outbreak is already impacting the economic well-
being and food supply of millions of people in countries where we work.
Helen Keller is taking a diverse, comprehensive range of actions,
adapted to each context. In Cameroon and Bangladesh, we are
distributing food and cash vouchers. In Senegal, we are expanding an
existing program that targets malnutrition among children to serve
entire communities with locally produced enriched foods. In Mozambique,
we are providing farmers with seeds and training so they can increase
their food supply. Like many of our partners, we recognize the need to
simultaneously contain the virus and address its economic, health, and
nutritional consequences.
neglected tropical diseases (ntds)
I am deeply concerned about the recently announced decision by the
U.K. Foreign, Commonwealth, and Development Office (FCDO) to withdraw
UK support to global Neglected Tropical Disease programs as part of
drastic cuts to their overall development assistance.
Neglected Tropical Diseases impact the world's most vulnerable
people. This group of diseases blind, disfigure, and disable people in
the poorest areas of the world--keeping them in a cycle of poverty.
The US and UK have had a strong and highly successful partnership
since 2012 in the global effort to eliminate Neglected Tropical
Diseases. The UK cut of approximately $114 million USD for the
elimination and control of the highest burden NTDs threatens the
tremendous progress made to date--especially the global elimination of
trachoma, a disease that causes chronic suffering and irreversible
blindness.
FCDO was co-investing with USAID to support NTD programs in 15
countries. This abrupt cut (of approximately $114 million USD) will
result in immediate gaps and will threaten the achievement of USAID-
supported control and elimination goals. FCDO funding in 2021/22 was
targeted to provide:
--Over 270 million NTD treatments
--50,000 surgeries to prevent blindness from trachoma
--35,000 corrective surgeries for hydrocele (caused by lymphatic
filariasis)
Now more than ever, I urge the Committee to continue the leadership
of the United States in tackling Neglected Tropical Diseases by
supporting increased funding of at least $25 million over the fiscal
year 2021 appropriated level of $102.5 million for NTDs. This
additional investment will not cover the gaps left by the UK
withdrawal, but will serve to protect the US investments made to date,
particularly those for the elimination of lymphatic filariasis,
blinding trachoma, and onchocerciasis (River Blindness).
blind children
Your Committee has consistently supported a program for blind
children in developing countries. In partnership with USAID, the
program has helped to save the sight of hundreds of thousands of
children. Blind and visually impaired children who live in poverty in
developing countries must depend on their families-many of whom can
barely afford to feed themselves-and on government health systems
which, in most cases, cannot provide much help. These children are at
grave risk of being in ill health, poorly educated and less productive
if they lack access to critical eye health and rehabilitation services.
Most of these children do not need to become blind or visually
impaired since highly effective preventive and curative measures are
available to combat visual impairment in children. For example, we can
prevent blindness from vitamin A deficiency for pennies a child. We can
also help students to see a blackboard clearly for the first time and
to fulfill their educational potential by establishing systems for
school-based vision screening and the provision of sight restoring
eyeglasses. We request the Committee recommend at least $4.5 million in
funding for programming to addressing blindness and visual impairment
in children.
vitamin a deficiency
With the past support of USAID, Helen Keller has become a
recognized leader in distributing vitamin A capsules to children in
countries across the world. Vitamin A is essential for healthy eyesight
and the optimal functioning of the immune system protecting children
from life-threatening diseases. Providing vitamin A to children between
the ages of six months and five years reduces the risk of mortality by
up to 23 percent overall and helps prevent disease, visual impairment
and blindness.
While vitamin A supplementation saves the lives of millions of
children each year, considerable need remains unaddressed. Continued
support is needed to address the more than 100,000 child deaths that
still occur annually due to vitamin A deficiency. Vitamin A programs
are a proven and cost-effective way to prevent visual impairment and
blindness in children and to save lives, therefore we request that the
Committee recommend at least $22.5 million for vitamin A
supplementation.
food security, nutrition and maternal and child health
Malnutrition remains a major public health crisis globally. It
results from not only having enough food, but not having enough of the
right food. Nearly 145 million children's growth is underdeveloped due
to chronic malnutrition, and this often has lifelong consequences
including stunted growth, being more prone to infection and premature
death, performing worse in school, being less productive, and earning
less than their non-stunted peers.
Helen Keller International supports the continuation and expansion
of nutrition programs to support infants, young children and women of
reproductive age. I ask that the Committee recommend $200 million under
the nutrition-specific account within global health programs for fiscal
year 2022. With this forward-looking commitment, the United States will
continue to be a valued global leader in combating the scourge of
malnutrition. By doing so, the United States will also, as it has in
the past, spur additional essential investments by other countries and
donors.
I urge the Committee to continue its support and Committee report
language on a food security and agricultural strategy that includes
improvements in nutrition (with measurable outcomes) as a central
objective, and specifically focuses on supporting smallholder families,
particularly women farmers and other vulnerable populations. These
investments in agriculture can increase food availability and access,
improve food security, increase dietary quality, raise incomes, and
empower women. It will go a long way to mitigating the impact of COVID-
19 on a generation of young children.
Over the past 50 years, thanks in part to programs financed under
the USAID Maternal and Child Health account (MCH), the global child
mortality rate has been cut in half. However, every year more than six
million children under five years old (more than 15,000 each day)
continue to die from mostly preventable causes. Funding under the MCH
account is essential to reach and save more of those children and their
mothers.
Thank you for your consideration of my testimony and
recommendations for support.
[This statement was submitted by Kathy Spahn, President and Chief
Executive Officer.]
______
Prepared Statement of the Institute of International Education
On behalf of the Institute of International Education, I am pleased
to submit testimony in support of the Fulbright Program ($304 million)
and the Benjamin A. Gilman International Scholarship Program ($16
million), both of which are funded by the Department of State,
Educational and Cultural Exchange Programs, and implemented by the
Institute of International Education. I am also pleased to submit
testimony on the IIE-Scholar Rescue Fund.
The Fulbright Program, operating continuously for 75 years, is the
flagship U.S. government sponsored international exchange program--
supporting Americans to study, conduct research, and teach English
overseas, and foreign students and scholars who contribute to U.S.
universities and communities, while furthering their scholarship. No
program reaches as many corners of the world or the United States as
the Fulbright Program does. We are seeking the Committee's support for
a total funding level of $304 million in FY2022.
The Fulbright Program has demonstrated its unique capacity to adapt
quickly to global challenges, while engaging diverse audiences in the
U.S. and 160 countries around the world. Even in the midst of a
pandemic, we know the Fulbright Program is resilient. While most
international mobility has been paused, Fulbright continues to operate
in person enabling future leaders the opportunity to make the global
connections needed to solve problems.
Increased funding of $30 million would support up to 1,000
additional grant opportunities, to engage more Americans, more U.S.
colleges and universities, and more diverse communities at a time when
re-engagement with the post-pandemic world is critical. Over the past
year, the number of applicants for both the U.S. Student and Scholar
Programs has increased by more than 10%. A funding increase of roughly
10% could help meet this pent-up demand and enable Fulbright to expand
into priority areas.
Additional funding would allow the U.S. to build upon proven models
of the Fulbright Program to address pressing issues like climate
change, democracy building, and countering disinformation and undue
foreign influence. The Program operates where others cannot, fostering
goodwill toward America, and establishing a scholarly network where
research and development can flourish.
Last year, 95% of Fulbright Scholars (Visiting and U.S.) felt their
participation in the Fulbright Program promoted international
cooperation and strengthened global ties, while 96% of Fulbright
Visiting Scholars felt more positively about the U.S. Similarly, 90% of
Fulbright Students (Foreign and U.S.) believed that the Fulbright
Program helped strengthen relations between the U.S. and its partner
nations, and 98% of Fulbright Students shared their experience with
others in their home or professional community.
The Fulbright Program advances U.S. diplomatic and national
security interests, builds bilateral ties and brings in resources from
foreign governments and the private sector that significantly leverages
this appropriation. Over 80 foreign governments contribute nearly $100
million annually, with 30 foreign governments matching or exceeding the
U.S. government's annual contribution. Increasing U.S. contributions to
the Fulbright Program will only compound this unique bilateral
financing model and lead other donors to increase their contributions
proportionally, substantially increasing the impact of program.
The Fulbright Program has a significant benefit to U.S. citizens
and our economy. Today's Fulbright Program includes students and
scholars from all U.S. states and territories. Nearly 1,300 U.S. higher
education institutions--half of which are public and over 125 of which
are minority-serving institutions--are both hosting and/or sending
Fulbright students and scholars. Through a Fulbright experience,
thousands of Americans each year, including many first-generation
college students, gain skills and global knowledge that advance their
careers.
The Program provides U.S. Embassies with a platform for positive
engagement with government and civil leaders and acts as a catalyst to
attract foreign students to study in the U.S. at colleges and
universities in all 50 states--topping one million students since 2015.
Funding for foreign Fulbright students and scholars is spent inside our
borders, bringing significant revenue to American colleges and
universities and to their local communities. Some 4,000 visiting
Fulbright students and scholars were on their grants during the spring
semester of 2020 and remained in the US for the remainder of the
academic year. Including foreign Fulbrighters, international students
studying in the United States spend approximately $40 billion on U.S.
goods and services annually and created over 400,000 U.S.-based jobs
last academic year.
Fulbright alumni, totaling nearly 400,000, have become leaders and
contributed greatly to society--including 37 current or former heads of
state or government, 60 Nobel Laureates, 88 Pulitzer Prize winners, 75
MacArthur Foundation Fellows, 16 Presidential Medal of Freedom
recipients, and thousands of leaders across the private, public and
nonprofit sectors. The Fulbright Program creates an unparalleled sphere
of influence--future leaders who benefited from U.S. higher education
and gained understanding of American communities and our people.
This past year, due to COVID-19, the US Scholar Peer Review and US
Student National Screening Committees, which represent all institution
types and a range of backgrounds in a variety of disciplines, pivoted
to a virtual review format and hosted over 315 committees with nearly
1,000 reviewers participating from over 400 institutions. Foreign
applicants are among the most highly vetted students and scholars
coming to the United States. These students are reviewed and nominated
by a bi-national U.S.-foreign government Fulbright board or U.S.
Embassy, approved by the presidentially appointed Fulbright Foreign
Scholarship Board, meet rigorous academic requirements for admission by
a host U.S. university, and undergo the U.S. State Department's
standard consular visa screening.
Fulbright's sustained commitment to increased institutional
diversity makes the Program more inclusive and accessible to
nontraditional applicants. The HBCU Institutional Leaders Initiative
recognizes HBCUs that have demonstrated support for Fulbright Program
opportunities on campus. The commitment to diversity and inclusion is
also highlighted in the expansion of the network of Fulbright Student
and Scholar campus representatives at U.S. colleges and universities to
serve diverse populations underrepresented in education abroad and
competitive fellowships, and in the prioritization of outreach to
Minority-Serving Institutions (MSIs), community colleges, higher
education institutions in rural and economically disadvantaged areas,
and military academies. Currently, over 1,700 U.S. higher education
institutions have a Fulbright campus representative, including more
than 350 MSIs and 300 Community Colleges.
Fulbright takes steps to ensure that the Program's diverse
participants have successful and rewarding exchange experiences. The
Program has made an investment in initiatives and structures to support
diverse participants' inclusion, safety, and security while on program,
which includes the hiring of regional diversity and inclusion liaisons,
stationed abroad, as well as support for various internal and alumni
working groups. This whole of program alignment helps to bolster the
diversity of people interested in international careers, such as the
U.S. diplomatic corps.
In FY19, Congress expanded the Program's commitment to American
national security by creating the John McCain Fulbright Scholar in
Residence Fellowship for international faculty in national security
fields in selected countries to be placed at Federal Service Academies
and think tanks. The United States Naval Academy will host two
Fulbright McCain Scholars-in-Residence who will contribute to the
Academy's internationalization efforts, bringing expertise in the
Baltics and the Indo-Pacific.
From its inception, the Fulbright Program has benefited from
bipartisan Congressional support. During the last several years of
pressure on the Federal budget, Fulbright has proven its value to the
U.S. and our relationships internationally. While there are many
competing demands and worthwhile investments for the Federal
government, Congress has the opportunity this year to expand the
Fulbright Program into priority areas to further connect the next
generation of leaders from around the world, such as making Fulbright
more inclusive by reaching more diverse participants, building on
initiatives in priority regions that relate to combatting climate
change, and securing the 75-year legacy of this important foreign
policy tool.
The Benjamin A. Gilman International Scholarship Program enables
undergraduate students of limited financial means to study or intern
abroad, thereby gaining skills critical to our national security and
economic competitiveness. The award is solely reserved for American
undergraduate students who are eligible for a Federal Pell Grant.
Since the program's inception in 2001, more than 33,000
undergraduate students from 1,335 universities across the nation have
received a Gilman scholarship to study in more than 150 countries. More
than 12,000 applications are received annually for less than 4,000
scholarships. By supporting undergraduate students who have high
financial need, the program has been successful in supporting students
who have been historically underrepresented in education abroad and
expanding access throughout the country.
In light of the pandemic, the Gilman Program supported alternative,
credit-bearing virtual study abroad programming while in-person travel
was unavailable and offered increased flexibility to defer or change
their programs, supporting students' continued international engagement
and academic progress.
Gilman Scholars are more diverse than the national study abroad
population. Sixty-nine percent of Gilman Scholars represented racial or
ethnic minority groups, compared to a 30% national average for study
abroad. Gilman scholars represent more than 1,300 U.S. higher education
institutions. Twenty-two percent of recipients are from HBCUs, other
minority-serving institutions or community colleges. Further, 57% of
recipients are first-generation college students. The Gilman Program is
critical to our national security and economic competitiveness. Of
Gilman recipients, 29% are studying STEM subjects, and 56% study a
language--35% study Critical Need Languages.
The Gilman Program continues to demonstrate a commitment to our
Armed Services. Preference is given to Veteran applicants, who have
been awarded scholarships at twice the rate of total applicants for the
Program. With the support of the U.S. Congress, the Gilman-McCain
Scholarship supports undergraduate child dependents of active-duty
service members to study or intern abroad on credit-bearing programs.
In addition, Gilman Scholars positively impact their communities
while carrying out follow-on service projects that aim to inform and
encourage more American students to study and intern abroad. They serve
as influential role models by their exemplary achievement through their
international exchange experience, and many continue to pursue advanced
degrees and are active in seeking solutions to global challenges. This
makes it all the more urgent that Congress invest in our national
security and economic prosperity by fully funding the Benjamin A.
Gilman International Scholarship Program. We support maintaining the
FY21 funding level of $16 million to continue to make study abroad
available to more Americans.
iie's scholar rescue fund
Protecting the lives and work of threatened scholars has always
been at the core of IIE's mission. This legacy dates to 1920, when the
leaders of the newly founded IIE created the Russian Student and
Scholar Fund to provide emergency assistance to hundreds of university
students and scholars caught in the crossfire of the Bolshevik
Revolution and Stalinism. Since then, IIE has led special efforts to
support academics in need during every decade.
In 2002, IIE established the Scholar Rescue Fund (IIE-SRF) to
ensure that emergency support and academic opportunities would always
be available to academics whenever and wherever they may be in danger.
Nearly 20 years later, IIE-SRF remains the only global program that
arranges and funds fellowships for threatened and displaced scholars at
partnering higher education institutions worldwide. It has saved the
lives and scholarship of over 900 scholars from 60 countries in
partnership with more than 430 hosting institutions in 50 countries.
Despite the devastating impact of the COVID-19 pandemic on higher
education institutions and communities worldwide, IIE was able to
continue assisting vulnerable scholars throughout 2020 and the initial
months of 2021. During the period of April 1, 2020, through March 31,
2021, IIE-SRF supported more than 100 scholars from 22 countries to
resume their academic work in safety on host campuses in 23 countries
across five continents. These scholars have exhibited remarkable
resilience throughout the pandemic as they continue to share their
expertise, advance scientific knowledge, and struggle for more just
societies. IIE-SRF's university partners have also demonstrated their
ongoing commitment to providing critical practical support to
threatened academics across the globe, despite budget cuts and other
challenges.
The work of IIE-SRF is more pertinent today than ever before. In
diverse contexts across the globe, professors and researchers are
living amidst the world's worst conflicts and repressive regimes,
resulting in threats to their physical security, the indefinite
interruption of their scholarly work, and the endangerment of entire
disciplines in particular countries. In 2020, IIE-SRF received more
requests for support than any year in its history. These applications
reflect an alarming number of threats to scholars in such diverse
contexts as Afghanistan, Belarus, Burma/Myanmar, Cameroon, China,
Ethiopia, Iran, Syria, Turkey, Venezuela, and Yemen, among other
countries.
Yemen faces the world's most urgent higher education crisis, with
widespread violence, disease, and instability threatening university
professors and making education and scientific research unattainable.
Nearly half of all applications to IIE-SRF in 2020 came from Yemeni
academics. The program responded by awarding more fellowships to
scholars from Yemen than the next three countries combined. By keeping
these scholars safe and productive in academic roles across the globe,
IIE-SRF is preserving and enhancing Yemen's intellectual capital--the
``brain save'' of the country's best and most promising professors and
scientists until it is safe for them to return. If these scholars do
not receive support now, many lifetimes of work--and potentially the
entire Yemeni academy--will be lost, with a catastrophic impact on
generations to come.
When sectarian and other violence in Iraq was at its worst in
recent years, IIE-SRF launched the Iraq Scholar Rescue Project (ISRP),
a public-private partnership, funded in part through the Department of
State, which saved the lives of hundreds of Iraqi scholars.
Devastatingly, IIE-SRF is preparing for an Iraq-style avalanche of
applications from threatened scholars in Afghanistan, which is likely
to become the world's next higher education emergency. With the
scheduled withdrawal of U.S. troops in September 2021, experts predict
that countless Afghan university students and scholars will face severe
threats from the Taliban. This is particularly true of scholars
connected to U.S. institutions and alumni of U.S. government-funded
exchange programs, religious minorities, democracy and human rights
advocates, and especially women. Drawing on the success of the ISRP,
there is already an established program that has the global networks,
tested model, and reliable track record to respond to a looming crisis
of this scale.
The impact of IIE's work to rescue scholars extends well beyond the
immediate lives saved. There are many examples, historical and current.
During the 1930s, IIE's Emergency Committee in Aid of Displaced Foreign
Scholars supported Dr. Felix Bloch, a physicist who had fled Nazi
Germany, to continue his scientific research at Stanford University.
Bloch's research on nuclear magnetic resonance would later be applied
to develop the MRI and earned him the Nobel Prize. More recently, IIE-
SRF partnered with institutions in South Africa and Kenya to provide
safe haven and research opportunities to Nigerian virologist Dr.
Marycelin Baba during the height of the Boko Haram attacks on
Maiduguri, Nigeria. When the situation in Maiduguri improved, Baba
returned to direct her home university's World Health Organization-
accredited Polio lab. She has played a direct role in eradicating the
disease in Nigeria.
In April 2021, IIE published a study documenting the achievements
and impacts of more than 200 IIE-SRF alumni from 38 countries on their
home countries, host communities, and academic disciplines. To Rescue
Scholars is to Rescue the Future: An Impact Study of the IIE Scholar
Rescue Fund (2002-2020) offers concrete evidence of the enduring
influence of the IIE-SRF fellowship on these scholars' lives and
careers, as well as the sizeable impacts they have made in their
classrooms, laboratories and beyond.
Thank you for the opportunity to submit testimony before this
committee.
[This statement was submitted by Allan E. Goodman, President and
CEO.]
______
Prepared Statement of the Interaction
Chairman Coons, Ranking Member Graham, Members of the subcommittee,
thank you for receiving my testimony concerning the FY 2022 State,
Foreign Operations, and Related Programs bill. My name is Sam
Worthington, and I represent InterAction, where I am CEO. On behalf of
the InterAction coalition, I thank the subcommittee for its leadership
and support for foreign assistance programs. In my testimony, I will
highlight the challenges we are facing and the importance of
investments in development, humanitarian, and democracy programs. We
recommend increases above the FY 2021 enacted levels for 46 accounts in
the State, Foreign Operations bill, which are too numerous to list
here, but I have included in a table at the end of my testimony.\1\
InterAction is the largest alliance of international NGOs and
partners in the United States. Our members work to eliminate extreme
poverty, strengthen human rights and citizen participation, safeguard a
sustainable planet, promote peace, and ensure dignity for all people.
Since 1984, InterAction has helped mobilize hundreds of international
NGOs to think and act collectively, enabling a collective NGO voice to
promote more principled and effective development policies and
humanitarian action.
Choose to Invest, a product created by InterAction and its members,
provides the Administration, Congress, and other interested
stakeholders with funding recommendations and justifications for 52
programs covering development, democracy building, health, and
humanitarian assistance-46 of which are funded in the State, Foreign
Operations bill. I will highlight a few critical challenges facing the
world right now and the importance of investment in these areas.
Every day, InterAction members see how U.S. foreign aid saves
lives. American foreign assistance helps communities around the world
as they work to end extreme poverty, assist refugees and internally
displaced people, support the advancement of human rights, promote
resilient democratic societies, and spur inclusive economic growth.
Foreign assistance builds economies, supports peace, and advances
American values.
Investing in foreign assistance is a strategic and moral imperative
for the United States. With forced displacements consistently rising,
democracy backsliding, and inequality growing, investment in this
critical foreign policy pillar did not keep pace with global need even
before the pandemic. COVID-19 then triggered the deepest global
recession since the 1930s, exacerbating these trends and setting back
global poverty reduction efforts-communities around the world will be
grappling with setbacks for years to come.
InterAction appreciates the supplemental funding Congress provided
to fight COVID-19 internationally. However, the United States needs to
investment more to speed the end of the COVID-19 pandemic, minimize its
indirect impacts, and make up for insufficient funding for global needs
in the past. To address these issues and the rising challenges facing
the world, InterAction is recommending significant funding increases
above the FY 2021 enacted levels and the President's Request in many
accounts. This year we are especially focused on accounts related to
COVID-19, displaced people, climate change, and democracy.
Development. The need for increased funding for Development
Assistance and the Economic Support Fund has never been greater. As the
subcommittee knows, COVID-19 created an economic shock that has ruined
livelihoods, intensified food insecurity, disrupted education,
increased vulnerability for women and children, and exacerbated
inequality. The World Bank estimates that nearly 40 to 60 million
people have been pushed into extreme poverty because of COVID-19,
undermining decades of progress. It is estimated that half of the
world's 3.3 billion global workforce are at risk of losing their
livelihood. People who work in the informal economy have been the most
vulnerable as many do not have access to social protection or quality
health care.
Global Food Security Strategy programs, including Feed the Future,
have strategically adapted to meet new and existing needs in the
context of COVID-19. However, there is still significant unmet need and
the number of people living in hunger continues to rise. Water,
sanitation, and hygiene (WASH) programs are significantly underfunded
given their importance in overall health, nutrition, and political
stability. Nearly 2.2 billion people still do not have safe sanitation
access, while about 2 billion do not have access to a safely managed
water source. The pandemic has only compounded access issues and
reinforced the need to improve global WASH access.
Increased support for Basic Education will provide children in
marginalized communities with safe and equitable access to quality,
inclusive education. Due to COVID-19, many education systems will also
need assistance in designing and instituting remedial education
programs to address school closure-related learning loss. In addition,
more than 1.5 billion students and youth have been impacted by school
closures, and at least 463 million schoolchildren cannot be reached by
digital and broadcast remote learning programs.
Increased funding for Democracy, Human Rights, and Governance is
critical to ensure countries are equipped to handle the challenges of
maintaining sustained development, particularly with marginalized
groups in light of COVID-19. Without strong political institutions and
governments responsive to its citizens' needs, efforts to maintain
other areas of development and growth of civil society are at a greater
risk of failure. On average, countries undertaking the process of
democratization experience a 20% increase in GDP over a 25-year period.
In addition, democracy can better ensure the rights and participation
of largely disenfranchised groups within society--critical as countries
adapt to climate change. The condition of human rights and democracy
has worsened in 80 countries since the pandemic began. In the wake of
COVID-19, disinformation can spread, crackdowns on civil society have
persisted, democratic backsliding increased, and autocratically minded
leaders continue to undermine democratic norms.
It is vital that Congress increases funding for vulnerable
populations. For LGBTQI+ people around the globe, violence, stigma, and
discrimination undermine access to services, and nearly 70 countries
continue to criminalize same-sex relationships. Increased funding for
the State Department's Global Equality Fund and USAID's Protection of
LGBTQI+ Persons will promote global LGBTQI+ rights and support
decriminalization efforts, build the capacity of LGBTQI+ civil society,
and provide safety and security grants to LGBTQI+ human rights
defenders.
Global Health. Increased investment in all areas of Global Health
is needed to combat not only COVID-19, but also the impacts of the
pandemic on overburdened, fragile health systems and the people they
serve. The pandemic has disrupted and damaged routine medical care
around the world. Attention to traditional ongoing global health
issues, including tuberculosis, HIV/AIDS, nutrition programs, malaria,
neglected tropical diseases, and maternal and child healthcare has in
many cases fallen by the wayside in the wake of the pandemic as already
overburdened healthcare systems struggle to keep the spread of disease
under control.
Due to COVID-19 related disruptions, an additional 124,000 children
are projected to be infected with HIV and acute child malnutrition may
increase by 50% for children living in poverty. UNICEF has estimated
that an additional 1.2 million children will die of preventable causes.
Increased funding for international family planning and reproductive
health will support broader access to contraceptives and reduce the
rates of unintended pregnancies, unsafe abortions, and maternal deaths.
It is estimated that more than 218 million women in low- and middle-
income countries want to avoid pregnancy and have an unmet need for
modern contraceptives.
Investment in Global Health Security programs support the
prevention and detection of-and rapid response to-emerging disease
threats like Ebola and COVID-19 to stop outbreaks from spreading.
Increased funding is needed to build and strengthen emergency operation
centers, improve systems that monitor and track outbreaks worldwide,
and bolster the health workforce in affected countries.
Humanitarian Assistance. Funding increases for all the humanitarian
accounts, including International Disaster Assistance and Migration and
Refugee Assistance are necessary to meet the increasing needs caused by
COVID-19 and persistent conflict. COVID-19 magnified the threats faced
by nearly 168 million vulnerable people in need of humanitarian
assistance and protection around the world. The pandemic overwhelmed
health systems as health impacts combined with conflict, political, and
economic instability. The continued spread of COVID-19 exacerbates
existing humanitarian crises in countries like Syria and Yemen and is
made worse by chronic shortages of life-saving health and hygiene
interventions, as well as hunger and economic collapse.
Border closures, trade restrictions, and confinement measures have
prevented farmers from accessing markets and harvesting crops. The most
marginalized people in low-income countries, including small-scale
famers and indigenous peoples, have been the hardest hit. 270 million
people could require food assistance in 2021 as the threat of famine
looms over multiple countries, including Ethiopia. Violence against
women and marginalized groups in humanitarian settings has been another
effect of the pandemic requiring additional attention.
Climate Change. Climate change is an existential threat that
exacerbates inequality and poverty. It must be funded accordingly. An
estimated 120 million people will slip back into extreme poverty by
2030 if we fail to tackle climate change. Left unaddressed, nearly 200
million people could require humanitarian assistance for climate-
related disasters by 2050, roughly double those in need today. Nearly
90% of those who fall ill due to climate change are children under
five, and by 2040, almost 600 million children will live in areas with
extremely limited water resources. The world's most vulnerable people
have been the first and hardest hit by climate change, are least
responsible for the crisis, yet bear an enormous cost to address it.
COVID-19 has both compounded these challenges in addition to revealing
opportunities for progress.
Increases in both bilateral and multilateral climate channels are
sorely needed. Specific programming and increases directed at
Adaptation are necessary to help communities prepare for environmental
degradation that threatens their security and livelihoods. Increases
are also needed in Sustainable Landscapes, Renewable Energy, and
Biodiversity.
Bold investment in the Green Climate Fund and the Climate
Investment Funds will send a strong signal to the world that the U.S.
will lead and follow through on its climate commitments.
Multilateral Development Banks. Investment in the multilateral
development banks is also an investment in climate finance.
Approximately 1/3 of funds to International Development Association
(IDA) support climate programming. Additionally, increased funds to
clear arrears at IDA and the African Development Fund, and the Asian
Development Fund will be used in the same manner as ordinary resources
to fund poverty reduction and climate programming, while restoring
leadership at those institutions.
Prior to the COVID-19 pandemic, investment in critical foreign
assistance did not meet global needs, despite foreign assistance being
a strategic and moral imperative for the United States. Preexisting
needs coupled with COVID-19 and the secondary impacts of the pandemic
as well as the looming threat of other crises makes the criticality of
increased investment in foreign assistance accounts even greater. The
United States needs to do its part as a global leader to invest in
helping the people and communities around the world that will be
grappling with these development and humanitarian setbacks for years to
come.
------------------------------------------------------------------------
ACCOUNT ($ in thousands) Recommended
------------------------------------------------------------------------
USAID Operating Expenses 1,456,981
U.S. Dpt of State Diplomatic Programs 9,628,514
U.S. Institute of Peace 47,250
Millennium Challenge Corporation 957,600
Development Finance Corporation 833,677
Development Assistance 4,200,000
Economic Support Fund 4,021,547
Microfinance 278,250
Global Food Security Strategy 1,202,614
Basic Education 1,092,500
Adaptation 265,500
Renewable Energy 268,500
Sustainable Landscapes 202,500
Biodiversity 480,000
Water and Sanitation 540,000
Democracy, Rights & Governance 2,537,850
Sec. 7059, 7046 Gender 525,700
Reconciliation Programs 40,000
Conflict and Stabilization Operations 5,000
National Endowment for Democracy 320,000
Transition Initiatives 112,043
Complex Crisis Fund 33,000
Prevention and Stabilization Fund 200,000
International Disaster Assistance 5,274,434
Migration and Refugee Assistance 4,118,400
Emergency Refugee & Migration 50,000
Assistance
Maternal and Child Health 983,825
Nutrition 240,000
Vulnerable Children 30,000
HIV/AIDS (USAID) 379,500
HIV/AIDS (State) 5,025,500
Global Fund AIDS, TB & Malaria 1,560,000
Family Planning and Reproductive 750,000
Health
Global Health Security 275,000
Neglected Tropical Diseases 117,875
Malaria 885,500
Tuberculosis 366,850
Int'l Peacekeeping Activities 2,701,000
Peacekeeping Operations 548,000
International Organizations and 646,500
Programs
International Development Association 1,299,769
African Development Fund 224,232
Asian Development Fund 89,986
International Fund for Agricultural 46,800
Development
Global Environment Facility 158,920
Clean Technology Fund 200,000
Green Climate Fund 1,000,000
------------------------------------------------------------------------
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\1\ A more comprehensive list of InterAction's recommendations can
be found in Choose to Invest at https://www.interaction.org/choose-to-
invest-fy-2022/and in the table on the final page of my testimony.
[This statement was submitted by Samuel A. Worthington, CEO.]
______
Prepared Statement of the International Fund for Animal Welfare
Chairman Coons, Ranking Member Graham, and Members of the
Subcommittee: Thank you for the opportunity to offer testimony on the
FY 2022 State, Foreign Operations, and Related Programs (SFOPS)
Appropriations Act. The International Fund for Animal Welfare (IFAW)
has 15 offices globally and works in more than 40 countries around the
world. IFAW takes a holistic approach to innovating solutions for tough
conservation challenges like conflicts between humans and wildlife, and
illegal wildlife trafficking. Recognizing the unbreakable connections
between the health and well-being of animals and people, we support and
empower communities to coexist with and value native wildlife and help
those communities develop tools to protect their wild heritage. IFAW
appreciates this Subcommittee's support in the current fiscal year (FY
2021) in providing funding for many important conservation programs,
and requests your continued support for the U.S. Agency for
International Development (USAID) Biodiversity Programs ($500 million),
the USAID sustainable landscapes programs ($200 million), Tropical
Forest and Coral Reefs Conservation Act (TFCRCA) implementation ($20
million), the Global Environment Facility (GEF) ($149.3 million), and
the U.S. State Department and USAID combating wildlife trafficking
programs ($200 million) in the FY 2022 SFOPS Appropriations Bill. We
also request support for a new fund: a new Fund for Global Health
Security and Pandemic Preparedness through the CDC Global Public Health
Protection USAID's Global Health Security accounts ($2.5 billion).
The year 2020 was marked, as was the year before it, by ever-more
disturbing news about the state of our natural world. It was the second
hottest year on record, knocking 2019 to the third hottest year in
Earth's history.\1\ Changing climate conditions spurred storms and
other natural disasters of increased frequency and severity:
hurricanes, cyclones, flash floods, and wildfires wreaked havoc in
communities around the world with deadly results.\2\ Trafficking in
wildlife and wildlife parts remained the fourth most lucrative criminal
enterprise worldwide with an estimated annual revenue of $20 billion-
add in illegal logging and fishing, and that number skyrockets to $1
trillion or more.\3\ And we all suffered the effects as a deadly
zoonotic pandemic caused by human interference with wildlife, COVID-19,
forced world-wide lockdowns, sickening more than 175 million people to
date, and causing millions of deaths around the globe.\4\
The environmental, biodiversity, and pandemic crises we continue to
face are not the product of bad luck; they are the direct results of
human activities. On June 10, 2021, a report on Biodiversity and
Climate Change was released on a workshop co-sponsored by the
Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem
Services (IPBES) and the Intergovernmental Panel on Climate Change
(IPCC)--the first ever collaborative workshop co-sponsored by the two
organizations.\5\ This peer reviewed report warns that ``changes in
climate and biodiversity, driven by human activities, have combined and
increasingly threaten nature, human lives, livelihoods and well-being
around the world. Biodiversity loss and climate change are both driven
by human economic activities and mutually reinforce each other. Neither
will be successfully resolved unless both are tackled together.'' \6\
Fortunately, as we have been the architects of our current crises,
it is within our power to change our shared trajectory, and this
Subcommittee has jurisdiction over critical programs that can help to
do just that. Given the severity of the challenges we face, IFAW
respectfully asks the Subcommittee to exert its leadership in order to
reverse the alarming and interrelated climate and biodiversity
emergencies by making substantial increases in funding for the
important conservation programs within your purview. Doing so will help
to protect biodiversity, and will in turn have significant protective
effects against future wildlife-borne diseases entering the human
population, promote healthy ecosystems, fight climate change, improve
climate resilience, and safeguard human health and wellbeing in
communities around the globe--including here in the United States. It
will also demonstrate the United States' continued conservation
leadership, and signal to the international community the importance of
investing in conservation.
USAID Biodiversity Programs support conservation efforts in more
than 50 countries in partnership with foreign governments, non-
governmental organizations, private sector companies, and local
communities. Biodiversity loss, habitat destruction, and trade in
wildlife are all linked to zoonotic spillover--the jump of diseases
from animals into human populations--as we've seen with the COVID-19,
SARS, Ebola, and other viral outbreaks. Because they protect ecosystem
and wildlife health, USAID Biodiversity Programs help to shield us from
spillover events. USAID Biodiversity Programs tackle threats to
wildlife and ecosystems through direct actions to restore habitat and
conserve species, as well as by strengthening educational programs
focused on One Health. They also address underlying issues that lead to
the loss of biodiversity, including improved livelihoods, countering
corruption, and social and gender inequality. Because biodiversity loss
exacerbates land degradation, food insecurity and poverty, it can
contribute to social unrest. These USAID programs are always critical
to our national security interests, economic prosperity, global
stability, and global health. In the wake of economic aftershocks of
the COVID-19 pandemic, they are more important than ever, and require
more support to ensure past gains are not lost due to current extreme
pressures. IFAW has looked at the increased need these programs face in
the wake of COVID-19, the biodiversity crisis, and climate change. For
FY22 we request $500 million for the USAID Biodiversity Conservation
and natural resource management programs.
The GEF is an independent international financial facility made up
of 183 countries, private companies, and non-governmental
organizations. The GEF provides grants to address global environmental
issues, including wildlife trafficking, habitat and landscape
preservation, and climate change adaptation. These programs focus on
innovative projects in developing countries that provide real impact,
improve sustainability, and protect our shared global environment. All
GEF projects are closely monitored and evaluated for efficiency and
effectiveness; overall, the GEF leverages more than five dollars for
every one dollar invested by private partners and donor countries. The
U.S. strongly influences GEF strategies and programming, and GEF
projects support many U.S. security and economic priorities. IFAW
requests $149.3 million in FY22 for ongoing support of the GEF, in line
with the President's budget.
USAID Sustainable Landscapes Programs promote sustainable land use,
reducing deforestation, strengthening environmental resilience,
protecting waters, and conserving biodiversity. Programs focus on
target states and regions where land degradation is rampant. USAID
sustainable landscapes programs have leveraged more than $500 million
in investments and partnered with companies with more than $4 trillion
in global sales since 2012 in order to reduce deforestation and forest
degradation around the world.\7\ COVID-19 must serve as a wake-up call:
protecting and restoring ecosystems is an important defense against
zoonotic spillover, and we need to invest in these programs now to
prevent future pandemics. IFAW therefore requests $200 million to fund
the USAID sustainable landscapes programs in FY22.
The TFCRCA was first enacted in 1998 as the Tropical Forest
Conservation Act, and offered eligible countries the opportunity to
reduce the official concessional debt they owed to the U.S. government
while generating funds locally to conserve biological diversity and
protect ecologically and economically vital forest ecosystems. In 2019,
Congress reauthorized the Act and expanded its authorities to include
coral reef ecosystems. This highly successful and innovative ``debt-
for-nature'' program has produced tremendous returns on investment over
the last two decades, and by supporting the long-term protection of
tropical forests in developing countries, it is also contributing to
efforts to address climate change, the prevention of future pandemics
due to zoonotic spillover, and biodiversity loss. For FY22, IFAW
requests $20 million for the TFCRCA.
U.S. Department of State and USAID Wildlife Trafficking Programs
crack down on the illicit trade in live wildlife and wildlife parts and
products, which is among the four most lucrative criminal industries
worldwide. There is clear evidence of an increase in poaching due to
COVID-19--either because of food scarcity, or because of reduced anti-
trafficking capacity in hard-hit areas. Sophisticated multinational
criminal syndicates generate an estimated $20 billion or more annually
from wildlife trafficking. Evidence has demonstrated linkages between
trafficking in wildlife and other criminal enterprises, including
trafficking in arms, drugs, and even terrorist activities. Therefore,
disrupting wildlife trafficking networks can help to combat criminal
endeavors that threaten security and stability. Congress and the
Administration have directed U.S. agencies to take strong steps to
address the transnational organized crime of wildlife poaching and
trafficking through the END Wildlife Trafficking Act and the
Transnational Organized Crime Executive Order. U.S. State Department
Bureau of International Narcotics and Law Enforcement (INL) supports
programs to increase the capacity of wildlife law enforcement to
detect, interdict, and seize illegal wildlife products and enhance
investigative and law enforcement functions of our foreign enforcement
partners, among other goals. USAID supports projects to strengthen
anti-poaching and wildlife law enforcement, strengthen judicial systems
and rule of law, disrupt transit hubs and reduce consumer demand for
illegal wildlife products. These programs are all the more significant
in the wake of COVID-19. For FY22, we request $200 million for USAID/
State Department Wildlife Trafficking Programs; funds as necessary to
support Wildlife Enforcement Networks, particularly in the Horn of
Africa, Southern Africa, .South America, and the Caribbean; provide
support for International Law Enforcement Academies; direct INL to
implement international cybercrime agreements and engage in
international efforts to combat wildlife trafficking online.
Fund for Global Health Security and Pandemic Preparedness.--New
outbreaks of diseases are accelerating nearly exponentially,\8\ driven
by deforestation and trade in wild and domesticated animals. Experts
agree that total annual global investments of as little as $20 billion
annually to prevent and contain outbreaks will avert $31-$50 trillion
in economic losses.\9,10\ Economists estimate the cost of COVID-19
borne by the United States alone to be at least $16 trillion- not
counting government relief expenditures.\11\ Global costs are much
higher. Even the boldest of pandemic prevention plans are modest indeed
when compared to the human and economic devastation we are facing
currently. Such fund is aligned with President Biden's National
Security Directive 1 goal ``to develop a health security financing
mechanism to . . . assist developing countries in preparing for,
preventing, detecting, and responding to COVID-19 and other infectious
disease threats'' and ``creating an enduring international catalytic
financing mechanism for advancing and improving existing bilateral and
multilateral approaches to global health security.'' \12\ Pandemic
prevention and containment is a global responsibility, and the United
States should not bear all the costs. IFAW requests an initial
appropriation of $2.5 billion to create the Fund as a part of the
Global Health Security Agenda to bring other donors to the table in
advance of the UK G7 Summit.\13\
In closing, thank you for the opportunity to share IFAW's priority
requests to promote conservation in the FY22 State, Foreign Operations,
and Related Programs Appropriations Act. Wildlife and their habitats
are more than our national heritage, they are essential to human health
and happiness. We appreciate the continued support of this Subcommittee
for conservation efforts globally and within the United States. With
your support, we look forward to a bright and healthy future for many
generations of Americans and people around the world. Thank you.
---------------------------------------------------------------------------
\1\ https://www.noaa.gov/news/2020-was-earth-s-2nd-hottest-year-
just-behind-2016
\2\ https://www.usnews.com/news/best-countries/slideshows/here-are-
10-of-the-deadliest-natural-disasters-in-2020
\3\ http://pubdocs.worldbank.org/en/482771571323560234/
WBGReport1017Digital.pdf
\4\ https://www.washingtonpost.com/graphics/2020/world/mapping-
spread-new-coronavirus/?itid=sf_coronavirus_sn_mapping-spread-new-
coronavirus_2
\5\ https://ipbes.net/sites/default/files/2021-06/
20210609_workshop_report_embargo_3pm_CEST_10_june_0.pdf
\6\ https://ipbes.net/sites/default/files/2021-06/
20210606%20Media%20Release%20EMBARGO%203pm%20CEST%2010%20June.pdf
\7\ https://www.usaid.gov/climate/sustainable-landscapes
\8\ https://www.wsj.com/articles/a-deadly-coronavirus-was-
inevitable-why-was-no-one-ready-for-covid-11597325213
\9\ https://www.mckinsey.com/industries/public-and-social-sector/
our-insights/not-the-last-pandemic-investing-now-to-reimagine-public-
health-systems
\10\ https://science.sciencemag.org/content/369/6502/379
\11\ https://news.harvard.edu/gazette/story/2020/11/what-might-
covid-cost-the-u-s-experts-eye-16-trillion/
\12\ https://www.whitehouse.gov/briefing-room/statements-releases/
2021/01/21/national-security-directive-united-states-global-leadership-
to-strengthen-the-international-covid-19-response-and-to-advance-
global-health-security-and-biological-preparedness/
\13\ Note that SFOPs funds for GHSA pass through both CDC Global
Public Health Protection, and USAID's Global Health Security accounts.
[This statement was submitted by International Fund for Animal
Welfare.]
______
Prepared Statement of the Internews
I am honored to provide testimony on behalf of Internews to the
Subcommittee on the importance of citizen access to trusted, quality,
and locally relevant news and information. I urge the Committee to
include language in the Committee's fiscal year 2022 report supporting
continued funding under the Department of State and the U.S. Agency for
International Development (USAID) for health information, internet
freedom, independent media, democracy and civil society development
programs.
I am deeply grateful to the committee for its years of leadership
on foreign assistance and democracy issues.
Internews, an international non-profit organization headquartered
in California, has worked to improve the flow of civic-minded, locally
produced news and information for nearly 40 years. Annually, Internews
supports more than 1,000 local partner organizations and institutions
to strengthen the information ecosystems that make it possible for
people everywhere to access quality, trusted, local information.
Internews is proud to work in partnership with USAID and the U.S.
Department of State in advancing our shared vision that functioning,
independent media and access to information saves lives, improves
livelihoods, and holds institutions accountable.
Today, more than a year into the global COVID-19 pandemic, we have
witnessed up close the urgency of access to timely, trusted
information. Support for independent media is most thought of in the
context of advancing democracy. It is indeed the ``fourth estate'' of
democracy. But this past year underscored the critical importance of
independent media in delivering lifesaving information during public
health crises.
I request the Committee:
Expand support for global health, humanitarian, democracy,
human rights and governance projects that support local
independent media to deliver high-quality, contextually
appropriate information to ensure citizens around the globe can
make informed choices for the health of their families,
especially during pandemics.
I am very grateful for the Committee's leadership and support for
programs which advance independent media, internet freedom, and overall
freedom of expression. These programs are both essential for building a
democratic society and are also root solutions to solving the world's
most pressing issues, from pandemics to environmental degradation to
extreme poverty.
independent media as a centerpiece of foreign assistance
Accurate information, delivered by trusted local media, is key to
engaging citizens to heed public health guidance, debunk disinformation
and misinformation, take action on climate change, and participate in
democratic governance:
--COVID-19 & Global Health: Information is the first line of defense
against the spread of communicable diseases such as COVID-19.
It is essential that complex, life-saving information, which is
overwhelmingly produced in English, be interpreted and
localized by science-savvy local journalists in all corners of
the world. To address misinformation that undermines public
health directives and vaccination efforts, research
demonstrates the critical importance of proactively
communicating accurate information through local media, which
command trust in their communities.
--Internet Freedom: Unfettered access to an open, interoperable,
secure, and reliable internet is essential to economic
development, civic participation, health, and education. While
60% of the world's population is now online, anti-democratic
regimes continue to restrict access to quell political
opposition. Greater support is needed to bring digital
connectivity to all corners of the globe, ensure online safety
for women and other marginalized groups, and protect human
rights online.
--Disinformation & Misinformation: Misinformation about COVID-19 and
vaccines undermine efforts to bring the pandemic under control.
Disinformation from bad actors undercuts the legitimacy of
elections, pollutes civic debate, and stokes violence offline.
A comprehensive strategy to address disinformation and
misinformation requires a three-pronged approach: ensure the
production and free flow of quality information; empower
citizens with media literacy skills to recognize falsehoods;
and establish stronger accountability mechanisms for those who
create, propagate, or amplify disinformation.
--Climate Change: To build the global will to meaningfully address
the climate crisis, it is essential that citizens understand
how climate change harms their communities. Local journalists
are key to engaging their communities on the threats posed by
larger and more frequent floods, wildfires, and droughts, as
well as the impacts of climate change on health and
livelihoods. Journalists play an equally critical role in
exposing corruption and holding both the public and private
sectors to account for their role in environmental degradation.
--Democracy Building: Attempts to silence news media or disrupt the
free flow of information on the internet have not garnered the
urgent attention they deserve. Not only is a more forceful
diplomatic response needed, so too is greater support for
digital rights activists, citizen journalists, and independent
media working to hold anti-democratic governments accountable.
conclusion: building healthy information environments
In these challenging times, the United States' commitment to
advancing democracy and bringing COVID-19 under control around the
globe cannot waver. Generous support of independent media around the
world is one important way to deliver on that promise.
I consistently see examples of increased accountability and real
progress in changing lives and empowering people through accurate
information, delivered by trusted local media.
Change does not happen overnight, and the needs are complex. Beyond
simply supporting press freedom and journalist safety, we must invest
in promoting the sustainable business models, legal frameworks, and
technical tools needed to preserve the critical role of news and
information as a cornerstone of democracy.
Local media, internet freedom, citizen media, and civil society
institutions empower and stabilize communities while supporting
American development, diplomacy, and national security goals.
[This statement was submitted by Jeanne Bourgault, President and
Chief Executive Officer.]
______
Prepared Statement of the Jesuit Refugee Service/USA
On behalf of Jesuit Refugee Service/USA (JRS/USA), I appreciate the
opportunity to present our views on the importance of investing in
refugee assistance programs--including refugee education--in the FY22
State & Foreign Operations Appropriations bill. Specifically, we urge
the Subcommittee to include $4.1 billion for Migration & Refugee
Assistance and $1.1 billion for basic education programs, including $50
million in funding for Education Cannot Wait (ECW).
While the COVID-19 pandemic has caused death and disruption across
the globe, it has not diminished the need to provide safety and
assistance for millions of people who have fled war, persecution, and
violence. Systems that provide protection to the forcibly displaced
have been tested over the last year, but we must renew our commitment
to building stronger mechanisms that can withstand public health
emergencies.
Refugees have been at particular risk during the pandemic as they
face lost livelihoods, increased poverty, further isolation, and
insufficient aid. At the same time, conflicts did not cease over the
past year. Violence and persecution in places like the Tigray region of
Ethiopia and Myanmar have resulted in thousands of new refugees and
unspeakable abuses.
U.S. engagement and support for refugee assistance programs has a
direct impact on the well-being of refugees and other displaced people
who are often the most marginalized members of society. Now more than
ever, the U.S. must once again be a leader in helping those who are at
their most vulnerable.
According to the United Nations High Commissioner for Refugees
(UNHCR), there are 82.4 million forcibly displaced worldwide as a
result of persecution, conflict, violence, human rights violations or
events seriously disturbing public order. This number has steadily
increased over recent years as conflict continues in many parts of the
world, factors like climate change increase the vulnerability of those
already forced to flee, and fewer long-term durable solutions are
available to those who have been displaced.\1\
As an organization working with refugees and other forcibly
displaced persons in 57 countries, we at JRS/USA understand the needs
of those we serve. With support from the State Department's Bureau for
Population, Refugees, and Migration (PRM), we can provide life-saving
assistance and help improve their quality of life. In places like
Cameroon, Iraq, and Thailand, the U.S. and JRS/USA are partnering to
provide access to education, livelihoods, and healthcare for refugees
who otherwise would have no place to turn.
critical funding for refugees
The Migration & Refugee Assistance account funds lifesaving
programs and plays a vital role in asserting U.S. leadership and
national interests around the world. U.S. funding--including support
for UNHCR--helps meet the basic needs of displaced persons, including
access to food, water, shelter, healthcare, and education. These
programs assist developing countries that host 86 percent of refugees
as well as countries that have significant populations that are
internally displaced.\2\
Maintaining stable and humane conditions for displaced persons and
host communities during early onset emergencies and protracted crises
is critical for ensuring stability and security. Given that we are
currently facing the worst displacement crisis on record, involving
multiple complex humanitarian emergencies and a global pandemic, it is
critical that support for the Migration & Refugee Assistance account
remains strong.
UNHCR estimates that some 76 percent of all refugees find
themselves in a protracted crisis, defined by UNHCR as one in which
25,000 or more refugees from the same nationality have been in exile
for five consecutive years or more in a given host country.\3\
Protracted refugee situations often receive very little public
attention and ever-decreasing financial support. As a result, refugees
find themselves in hopeless situations lacking opportunities for
advancement and prosperity.
Refugees in protracted refugee situations often face protection and
human rights challenges, such as restricted movement or confinement in
camps, sexual and physical violence, and lack of access to legal
employment, police protection, and systems of justice. Critical support
from the U.S. not only allows them to fulfill basic needs such as food,
water, shelter, education, and health care, but this assistance also
helps them to learn a livelihood and achieve self-reliance.
Cameroon hosts over 300,000 refugees from the Central African
Republic who have fled ongoing violence and instability in their home
country.\4\ In partnership with PRM, JRS is providing both young
refugees and members of the host community with an eight-month
professional training program focused on a range of skill sets
including hotel management, hair and beauty, business administration,
and healthcare assistance.
Students participating in the training program not only learn a
vocational skill, but how to live and work side by side. It has helped
to address discrimination against Central African refugees in the
country and build bridges between communities while supporting young
refugees as they plan their own futures. One student said, ``At the
beginning I was not so sure about the idea of studying with people I
didn't know, but I told myself, we can complement and assist each
other.''
Not only does U.S. leadership on refugee issues send a signal for
other governments to follow our example, but U.S. support for refugee
assistance programs has a clear, tangible impact on people's lives--as
evidenced by this kind of program.
prioritizing refugee education
Providing access to education for refugees and others who are
forcibly displaced provides another vivid example of the impact of U.S.
investment and engagement. Not only does education offer an important
form of protection for children, but education also engenders hope as
it prepares refugees to meet future challenges. Education provides
stability and a sense of normalcy, and acts as a form of vital
psychosocial support to children whose lives have been disrupted by
crisis.
Yet, prior to the pandemic, 48 percent of refugee children were out
of school with 77 percent enrolled in primary school, 31 percent in
secondary school, and only three percent in higher education.\5\ An
even greater number--128 million--conflict-affected children lack
educational services, denying them their right to an education and
making them more vulnerable to violence, trafficking, child labor,
child marriage, and recruitment by armed groups.\6\
One year into the COVID-19 pandemic, close to half the world's
students are still affected by partial or full school closures.\7\
Historically, financial support for refugee education has not been a
priority, but the need is arguably more important now than ever before.
Continued and increased support from the U.S. Government, as well as
multilateral partnerships like Education Cannot Wait and the Global
Partnership for Education, play a critical role in helping forcibly
displaced people build a future for themselves and the communities in
which they live.
In 2019, only 3 percent of humanitarian funding was allocated to
education.\8\ Through robust funding of global education programs, and
by ensuring that education is a core part of humanitarian assistance,
we can ensure that more displaced children are gaining access to a
quality education. This includes encouraging bilateral donors,
multilateral entities, and corporate donors to take part in these
efforts.
The current U.S. Government Strategy on International Basic
Education established important goals to improve measurable learning
outcomes and expand access to high-quality basic education for all,
particularly marginalized and vulnerable populations. In FY19, U.S.
Government education programs reached more than 14.5 million children
and youth in 23 countries affected by crisis and conflict.\9\
Yet, U.S. bilateral assistance cannot tackle this global challenge
alone. Multilateral partnerships play an important role in building the
political will necessary to create sustainable change and help bring a
diverse group of actors to the table to achieve these critical goals.
education cannot wait
Launched in 2016, Education Cannot Wait is the first global
movement and fund dedicated to education in emergencies and protracted
crises. ECW gathers international humanitarian and development aid
actors, along with public and private donors, to help reposition
education as a priority on the humanitarian agenda, usher in a more
collaborative approach among actors on the ground and foster additional
funding to ensure that every crisis-affected child and young person is
in school and learning.
The U.S. Government has played a critical role in ECW's
transformative efforts, contributing a total of $33 million in
financial assistance in addition to $25 million in annual
appropriations in FY20 and FY21. The U.S. also provides technical
support to ECW and its partners and plays a leadership role in ECW's
governance structure. This has been a collaborative effort, with USAID
and PRM working together to contribute resources and share leadership
responsibilities.
To date, ECW has raised over $695 million from 21 donors, including
the private sector. With both rapid response and multi-year funding
platforms, ECW has already supported education in 39 crisis-affected
countries, reaching 3.9 million children and youth and training over
46,000 teachers.\10\ ECW-supported programs span a wide spectrum of
context-specific activities designed to meet education needs for
crisis-affected children and youth aged 3-18 years old, including girls
(48 percent), refugees, and internally displaced children. Programs are
implemented through various grantees, including UN agencies, and
international and national NGOs.
ECW was able to mobilize its Emergency Response Fund early in the
pandemic and has disbursed over $45 million in funding to support
COVID-19 education response efforts. These investments have reached
more than 9.3 million children and over 56,000 teachers by maintaining
continuous access to education through distance, online, and radio
learning; information campaigns on health and hygiene; risk
communication and community engagement; psychosocial and mental health
support; and water and sanitation facility upgrades in schools and
learning centers.
We want to extend our sincere thanks to Chairman Coons, Ranking
Member Graham, and members of the Subcommittee for championing access
to education for the most vulnerable, and for including $25 million for
ECW in the FY20 & FY21 State & Foreign Operations Appropriations bills.
By demonstrating bipartisan Congressional support for ECW and education
in conflict and crisis settings, the U.S. can continue to be a leader
in ensuring that youth can learn and thrive.
post-secondary education for refugees
As mentioned earlier, only 3 percent of refugee youth are enrolled
in some form of post-secondary/higher education. This includes
technical and vocational education and training as well as university
courses and this percentage has remained stagnant year after year. In
its Education 2030: Strategy for Refugee Education, UNHCR established a
goal of increasing the refugee enrollment rate in higher education to
15 percent by 2030.\11\
Through our programs, JRS has found that there is a significant
need for employment, income generation, and satisfying career paths for
young refugees. The opportunity to work, earn a living, and be self-
reliant is one of the most effective ways for refugees to rebuild their
lives. Refugees have their dignity and hope reaffirmed when they
acquire the means to earn their own living and support their families.
The U.S. Government Strategy on International Basic Education notes
that U.S. Government interventions will ``address international
educational needs across the spectrum, from early childhood to primary
and secondary education to workforce development and vocational
training, in both formal and non-formal settings.'' \12\
We urge the Committee to consider report language that highlights
UNHCR's goal to increase refugee enrollment in higher education
programs to 15 percent by 2030. This gesture can help draw attention to
this important issue and galvanize U.S. Government support for
investments in long-term, sustainable programs that will help refugees
build a future for themselves and their families.
conclusion
In a post-pandemic world, how we respond to the millions of
families and children who have been forced to flee their homes impacts
not only their future but the future for all of us. Now is not the time
to turn our backs on helping to meet their most basic needs. We thank
Congress for its past support for these critical programs, including
its longstanding commitment to, and support for, UNCHR, and urge the
Subcommittee to include $4.1 billion for Migration & Refugee Assistance
and $1.1 billion for basic education programs, including $50 million in
funding for Education Cannot Wait in the FY22 State & Foreign
Operations Appropriations bill.
Thank you again for your time and consideration.
---------------------------------------------------------------------------
\1\ UNHCR (2021). Global Trends: Forced Displacement in 2020.
https://www.unhcr.org/60b638e37/unhcr-global-trends-2020
\2\ UNHCR (2021). Global Trends: Forced Displacement in 2020.
https://www.unhcr.org/60b638e37/unhcr-global-trends-2020
\3\ Ibid.
\4\ UNHCR (April 30, 2021). Operational Data Portal. https://
data.unhcr.org/en/situations
\5\ UNHCR (2020). ``Coming Together for Refugee Education.''
https://www.unhcr.org/en-us/publications/education/5f4f9a2b4/coming-
together-refugee-education-education-report-2020.html
\6\ Education Cannot Wait (2021). ``Education Cannot Wait: A Case
for Investment.'' https://www.educationcannotwait.org/cfi/
\7\ UNESCO (2021). ``Education: From disruption to recovery.''
https://en.unesco.org/covid19/educationresponse
\8\ Global Education Monitoring Report (July 2020). ``Policy Paper
41: COVID-19 is a serious threat to aid to education recovery.''
https://reliefweb.int/sites/reliefweb.int/files/resources/373844eng.pdf
\9\ U.S. Government Strategy on International Basic Education.
Report to Congress. April 1, 2019-March 31, 2020. https://www.edu-
links.org/about/strategy
\10\ Education Cannot Wait (June 4, 2021). ``ECW Results
Dashboard.'' https://www.educationcannotwait.org/about-us/
\11\ UNHCR (2019). ``Refugee Education 2030''. https://
www.unhcr.org/5d651da88d7.pdf
\12\ USAID (2018). ``U.S. Government Strategy on International
Basic Education.'' https://www.usaid.gov/education/usg-strategy
[This statement was submitted by Joan Rosenhauer, Executive
Director.]
______
Prepared Statement of the Johnson & Johnson Global Public Health
On behalf of Johnson & Johnson's 134,500 global employees, I am
pleased to provide written testimony to the Senate Appropriations
Subcommittee on State, Foreign Operations, and Related Programs in
support of sustained and increased funding in Fiscal Year (FY) 2022
appropriations related to the global public health activities of the
Department of State and the United States Agency for International
Development (USAID).
In my role as Global Head of Johnson & Johnson Global Public
Health, I am acutely aware of the need for critical U.S. investments in
global public health initiatives to save lives around the world and
protect the American people from the spread of deadly infectious
diseases.
The global reach of the COVID-19 pandemic, and the human and
economic devastation left in its wake, has been a stark reminder that
no country is immune to the impact of infectious disease. Consistent
and robust funding by the U.S. for global preparedness and response is
needed to combat the COVID-19 pandemic, to reduce mortality from other
epidemics such as HIV/AIDS and tuberculosis (TB), and to detect and
respond to new and re-emerging diseases like Ebola in Africa in
February 2021.
This pandemic has also shed light on how nations can be better
prepared for future health emergencies. Advances in science and new
global partnerships can equip countries to prevent, identify, and
respond to such hazards. During the pandemic, the U.S. government has
built on a foundation of earlier investments. U.S. leadership in the
Global Health Security Agenda (GHSA) beginning in 2014 contributed to
enhanced capacity of many countries in their laboratory networks,
surveillance systems, emergency operation centers, and other components
of a public health emergency response. Following the 2014-2016 Ebola
outbreak, the U.S. supported the creation of the Africa Centers for
Disease Control and Prevention which has led much of the COVID-19
public health response in Africa. The U.S. government must continue to
identify and help fill gaps in the global preparedness and response
architecture for public health emergencies.
At Johnson & Johnson, our vision for global health security is to
outsmart epidemics and pandemics by developing vaccines and
therapeutics for diseases such as COVID-19, Ebola, TB, and HIV/AIDS.
Our strategy drives research, development, and access to innovative
products and technologies for people living in lower-income countries.
Public-private partnership with the Biomedical Advanced Research and
Development Authority (BARDA) has been key to the development of our
COVID-19 and Ebola vaccines. We have partnered with the Department of
State, USAID, and the Centers for Disease Control and Prevention (CDC)
to support equitable global access to life-saving vaccines and
therapies.
Equitable access is at the forefront of the Johnson & Johnson
COVID-19 response. Our single-dose vaccine is compatible with standard
vaccine distribution channels and aligns with the World Health
Organization's recommendations for medical interventions in a pandemic
setting, which emphasize ease of distribution, administration and
compliance. Johnson & Johnson has entered into an Advance Purchase
Agreement (APA) to provide up to 400 million doses of vaccine to
African Union member states through 2022, and an APA with Gavi, the
Vaccine Alliance (Gavi) to provide up to 500 million doses of vaccine
to COVAX through 2022, including for 92 low- and lower-middle income
countries.
Our Ebola vaccine regimen received marketing authorization from the
European Commission in July 2020 and World Health Organization
prequalification in April 2021. It has been used in outbreak response
in the Democratic Republic of Congo (DRC) and since 2019, the
government of Rwanda has vaccinated 160,000 people in a campaign near
the border with the DRC.
Building on a 20-year commitment, Johnson & Johnson is a private-
sector leader in the fight to end the global TB epidemic by 2030.
Through partnership with USAID, we have enabled our multidrug-resistant
TB (MDR-TB) treatment to be provided in 145 countries. In 2020, the
pediatric formulation of our MDR-TB medicine received U.S. Food and
Drug Administration (FDA) approval and in March 2021 we launched a
collaboration with USAID in high-burden countries to improve programs
that identify children with drug-resistant TB and provide lifesaving
care.
The funding by the Subcommittee to the Department of State and
USAID is crucial for bilateral and multilateral programs that enhance
global health security, including GHSA; Gavi; the President's Emergency
Plan for AIDS Relief (PEPFAR); the Global Fund to Fight AIDS,
Tuberculosis and Malaria (Global Fund); the Coalition for Epidemic
Preparedness Innovations (CEPI); and health systems strengthening
efforts, among many others. These U.S. investments support vital
research and development and improve the capacity of lower-income
countries to detect and respond to an outbreak before it spreads to
other countries. These are critical resources to fight COVID-19 and
prevent increased deaths from HIV and TB.
The U.S. will not be safe until there is global control of the
COVID-19 pandemic. Johnson & Johnson commends the Committee for
providing $4 billion for Gavi to purchase vaccines for lower-income
countries through COVAX. The U.S. government must continue to play an
important role in the global response through bilateral programs and
support to global initiatives such as Gavi and CEPI.
The emergence of new Ebola outbreaks in Guinea and the DRC earlier
this year was a warning that outbreaks are occurring at an increasing
frequency and affecting more communities. Scientific evidence revealed
that a survivor transmitted the virus five years after the initial
infection, demonstrating longer virus persistence than previously
thought. It is time to shift the public health paradigm from
vaccinating only after an Ebola outbreak to providing vaccines to high-
risk populations before an outbreak. The U.S. government can advance
global health security by supporting expanded Ebola vaccine access for
high-risk populations in Africa.
While combating emerging and re-emerging diseases, the global
community continues to be plagued by the enduring HIV/AIDS and TB
pandemics, which could be worsened by the spread of drug resistance.
The Stop TB Partnership reported significant declines in the number of
people diagnosed and treated for TB during the COVID-19 pandemic,
setting progress back by 12 years. Increased resources for USAID's
global TB program will enable countries to implement public health
measures such as diagnostic testing for both TB and COVID-19. Care for
individuals with HIV/AIDS and HIV/TB co-infection has also been
impacted by quarantines, disrupted supply chains, and the focus of the
community health workforce on COVID-19. Johnson & Johnson commends the
Committee for providing $3.5 billion for the Global Fund to respond to
COVID-19 and protect AIDS, TB, and malaria programs. Sustained U.S.
contributions to PEPFAR and the Global Fund-where U.S. funding
leverages additional donor resources-are critical to ensuring that more
lives are not lost to other diseases while we fight COVID-19.
Johnson & Johnson looks forward to working with the Subcommittee
and our partners at USAID and Department of State to advance our shared
global public health objectives in the months ahead. I thank the
Subcommittee for its work on these important issues and for considering
this perspective.
[This statement was submitted by Martin Fitchet, MD, Global Head.]
______
Prepared Statement of the Kiwanis International and the Kiwanis
Children's Fund
Mr. Chairman, it is an honor to provide testimony to the Committee
on behalf of 550,000 Kiwanis-family members in nearly 16,000 Kiwanis
family clubs, with more than half located within the United States. We
appreciate the opportunity to testify in support of the Kiwanis/UNICEF
program to eliminate maternal and neonatal tetanus. We are seeking the
support of this Committee to recommend $2,000,000 in the FY 2022 bill
for maternal and neonatal tetanus (MNT) and $3,500,000 for iodine
deficiency and iodine nutrition. This funding would come from the U.S.
Agency for International Development's Global Health Programs, Maternal
and Child Health and Nutrition accounts.
While this request is for funding to support our global health
efforts, Kiwanis and its members do so much more. Kiwanis International
clubs around the world have been supporting their local communities
during this pandemic. While COVID-19 has disrupted normal club
activities, it has resulted in more creativity in our service. Our
members have sewn masks and celebrated graduations and school
milestones in new ways. Clubs have prepared and distributed meals,
arranged delivery of food for first responders and collected donations
for servers at local restaurants that normally host Kiwanis meetings.
Additionally, the Kiwanis Children's Fund distributed over $165,000 in
grants to support clubs' targeted efforts in communities in 11
countries. These funds are used for online learning materials and
equipment, hand sanitizer, surgical masks, diapers, vitamins,
toiletries, hygiene kits, food banks and replacement meals for school
lunches.
maternal and neonatal tetanus
For over 10 years, Kiwanis and its members have been working to
eliminate the deadly disease of maternal and neonatal tetanus (MNT).
Kiwanis launched its global campaign The Eliminate Project in 2010, to
help save or protect more than 61 million mothers and newborns from
MNT. Tetanus is a preventable disease that kills one baby every 21
minutes. Participation and funding by the United States is imperative
to the success of eliminating MNT. In many developing countries, women
give birth at home without the support of a healthcare worker and
without a clean, sterile blade to cut the umbilical cord. This, and
other factors, can lead to tetanus poisoning in the newborn baby,
causing severe spasms and an excruciatingly painful death. It is a
terrible disease in which human contact exacerbates the baby's pain; a
mother's touch hurts, leaving the baby to writhe in agony, unheld for
days until he or she dies.
MNT results when tetanus spores, which are present in soil
everywhere, enter the bloodstream. It is mainly caused by a lack of
access to sanitary birthing conditions, unclean instruments used to cut
the umbilical cord and unclean post-partum cord care. MNT is easily
prevented by a series of vaccine doses to women of childbearing age,
who pass the immunity on to their children. The series of vaccines cost
roughly $3.00, which includes the vaccinations, syringes, safe storage,
transportation and more.
Women who are properly vaccinated with the tetanus vaccine will
have immunity through most of their childbearing years and their babies
are protected through the first two months of life. When vaccinated for
tetanus, women learn about maternal health, they become empowered to
take control of their well-being and that of their newborns. We believe
these women matter, they deserve to give birth to healthy babies, and
their babies deserve to achieve their full human potential.
In partnership with UNICEF, Kiwanis committed to and has raised
$110 million to immunize women in countries where MNT is still a major
health threat. More than 6,000 Kiwanis-family members and clubs in the
United States alone have contributed to the fundraising campaign. We
are now tackling the hardest leg of a difficult journey. Twelve
countries remain at risk, with more than 52 million women who still
need to be vaccinated.
Since 2000, MNT has been eliminated in 47 countries, thanks to the
work of national governments, UNICEF and partners. Between 1999 and
2018, more than 161 million women in some of the world's most remote
places were vaccinated against tetanus, saving thousands of newborns
from death due to tetanus every year.
In July 2014, USAID announced that it was joining as a partner with
Kiwanis to help eliminate MNT. Kiwanis has been working in partnership
with USAID to strengthen its programs on MNT and to provide funding
through the UNICEF global effort. Kiwanis' global volunteer network and
strength in reaching communities and leaders, along with UNICEF's field
staff, technical expertise and unbeatable supply chain, are working to
eliminate this cruel, centuries-old disease and pave the way for other
interventions.
iodine deficiency and nutrition
Our other global effort focuses on iodine deficiency, the world's
leading cause of preventable mental impairment, that has been kept
under control through a global movement to iodize edible salt. Iodine,
a micronutrient that naturally occurs in some foods, is an essential
element for normal growth and development in humans. Iodine is not
synthesized by the body and is required to be provided through the
daily diet in the recommended amounts. It is required for proper
functioning of the thyroid gland, which in turn regulates many
biochemical reactions and the proper skeletal and central nervous
system development in fetuses and infants.
While many of the disorders resulting from severe iodine deficiency
in dietary intake have virtually disappeared (goiter, cretinism,
stunting, stillbirth), insufficient iodine during pregnancy leads to
brain damage that can reduce a child's IQ by 8 to 10 points. Even mild-
to-moderate iodine deficiency at school age can reduce IQ by 3 to 5
points. Adequate iodine during early life is critical to children's
ability to reach their full potential. As many as two dozen nations
have been documented as currently showing iodine deficiency while
insufficient data exists for many others.
Thanks to iodized salt, most infants and children of the world have
had correct brain development. Adequate iodine in the diet during
pregnancy and until age 5 will greatly improve a child's healthy brain
development and readiness to learn as he/she enters primary school
grades. Insufficient iodine during pregnancy leads to brain damage that
can reduce a child's IQ by 8 to 10 points. Adequate iodine during early
life is critical to children's ability to reach their full potential.
Kiwanis International first invested in universal salt iodization
to virtually eliminate iodine deficiency disorders in 1994. In
partnership with UNICEF, USAID and several governments, global access
to iodized table salt increased from less than 20% to 88% today.
Kiwanis had raised and invested more than $100 million from its members
and clubs for this effort.
Iodine deficiency disorders (IDD) were a public health problem in
most countries of the world until a few short decades ago. Iodine
deficiency, the world's leading cause of preventable mental impairment,
has been kept under control through a global movement to iodize edible
salt. Universal salt iodization continues to be the most effective way
to introduce iodine into the dietary intake of a deficient population.
The cost of prevention is small--$.05 a year per individual for a
lifetime of protection against iodine deficiency. On average, every
dollar spent on salt iodization yields a $30 return on investment
through improved learning, which leads to greater productivity in later
life that boosts economies of the nations in which these children live.
Recent developments in food fortification, like double fortified salt
(adding iron, zinc, folic acid, etc.), or adding iodized salt to rice,
flour, maize, tea, bouillon cubes, condiments, etc. offer promising
results to extend the efficiency of this very inexpensive health
intervention.
Funds provided through USAID and its public/private partnership
with Kiwanis International, UNICEF, and the Iodine Global Network are
preventing brain damage and other adverse outcomes for millions of
children by supporting new and sustaining existing programs to iodize
salt. USAID funding at the level of $3,500,000 will provide continued
funding to keep global attention to this permanent intervention and to
address the needs of the few countries that are still at risk of iodine
deficiency disorders.
support for partners
We have a very effective partnership with UNICEF and urge you to
support UNICEF in its request for a U.S. fiscal year 2022 contribution
for the UNICEF core resource budget of $134 million. We also support
funding for the Maternal and Child Health account at a level of $984
million.
a personal experience
As the executive director of an organization that has members in
more than 80 nations around the globe, I have had the opportunity to
travel to and experience unique cultures in almost half of those
countries.
I have witnessed firsthand the success of our public-private
partnership to eliminate maternal and neonatal tetanus. For example, in
Madagascar, I was present to see immunization day at several health
clinics in villages seemingly in the middle of nowhere, and I was
amazed to see how many mothers and their young children showed up to
receive a tetanus immunization. That meant for the hundred or so
children that I saw in a single day, approximately five who would not
have survived beyond a fifth birthday were immunized.
Because of the Kiwanis/UNICEF/USAID cooperation, these children had
a much better chance of surviving. Our investment there had brought the
death rate for neonatal tetanus down to less than one death per
thousand live births. Fortunately, Madagascar was validated as being
``tetanus free'' by the World Health Organization, and together we
funded the work that made that outcome possible.
I have been an active member of our organization since my youth. It
is a privilege to now serve in the leadership role of Kiwanis
International and the Kiwanis Children's Fund (the charitable arm of
the Kiwanis organization). More than two-thirds of our global Kiwanis
family membership is American. Our members have been extremely generous
of their personal resources to raise most of the US$100 million to date
to eliminate MNT. We are committed to global elimination.
Today about 68 infants will die from MNT somewhere in the world.
Our commitment is to keep working to reduce that number to zero. We
look forward to continuing our joint effort with UNICEF and USAID.
Thank you for your support in this important work.
conclusion
Mr. Chairman, I ask you to join us in our efforts working to
eliminate MNT and supporting iodine nutrition. Help continue targeting
the last countries to be certified for the elimination of MNT and
protect the lives of hundreds of thousands of children. Help us ensure
that no baby suffers this excruciating seven-day death ever again by
recommending $2,000,000 within the Global Health, Maternal and Child
Health account for the elimination of maternal and neonatal tetanus. It
will help continue targeting the last countries to be certified for the
elimination of MNT and protect the lives of hundreds of thousands of
children.
Funds provided through USAID and its public/private partnership
with Kiwanis International, UNICEF, and the Iodine Global Network are
preventing brain damage and other adverse outcomes for millions of
children by supporting new and sustaining existing programs to iodize
salt. USAID funding at the level of $3,500,000 in the Global Health,
Nutrition account will provide continued funding to keep global
attention to this permanent intervention, and to address the needs of
the few countries that are still at risk of iodine deficiency
disorders.
Thank you for your consideration.
[This statement was submitted by Stanton D. Soderstrom, Executive
Director.]
______
Prepared Statement of the Lions Clubs International (LCI)
Dear Chairman Coons, Ranking Member Graham, and Members of the
Committee:
As the world's largest volunteer service organization with 1.4
million members worldwide and 400,000 members in North America, Lions
Clubs International and its Foundation, Lions Clubs International
Foundation (LCIF), are committed to global health and education
initiatives. We urge the Senate Subcommittee on State, Foreign
Operations to provide robust funding for international programs that
address the burden of cancer in children and promote increased
survivorship for childhood cancer. Specifically, we request that the
Committee continue to support and encourage collaborative efforts
between the private sector, the non-governmental community, the United
Nations, and other relevant multilateral organizations to address
childhood cancer globally. Furthermore, we encourage the Committee to
allow the Department of State and USAID access to funding as is
consistent with the Consolidated Appropriations Act for FY21.
This funding will provide critical support to help establish
sustainable long-term solutions to diagnose and treat pediatric cancer
in sub-Saharan Africa. According to United Nations and World Health
Organization statistics, cancer is a leading cause of death for
children. Additionally:
--There are 300,000 new cases annually
--57% of childhood cancer cases go undiagnosed in many parts of the
world
--Survival rates are 80% in developed countries, and 20% in lesser
developed countries.
Much work needs to be done to improve access to drugs and
treatment, train healthcare providers, improve facilities and
technology, and address socio-cultural barriers to improve global
childhood cancer survival rates.
Lions around the world have been working to increase awareness for
childhood cancer as a ``global signature priority program'' with the
goal of providing community knowledge of potential causes, signs, and
symptoms of childhood cancer, improving rates of early detection and
treatment, and reducing stigma. Lions and LCIF have established a
partnership with Texas Children's Hospital's Global HOPE program and
Baylor's College of Medicine to build long-term capacity in Sub-Saharan
Africa. The program aims to effectively diagnose and treat children
with cancer and blood diseases, and to improve childhood cancer
survival rates.
Launched in 2017, Global HOPE is a transformational initiative that
is improving the standard of care for children with cancer in Sub-
Saharan Africa. Building on the foundation of Baylor College of
Medicine's International Pediatric AIDS Initiative (BIPAI) in treating
childhood AIDS in Africa, and relationships with governments and
National Ministries of Health, Global HOPE has been able to treat
nearly 7,500 children and train over 1,500 African healthcare
professionals in the care of pediatric hematology-oncology.
The LCIF Board of Trustees approved a 2-year strategic partnership
between LCIF and Global HOPE to cooperate in building long-term
capacity in Africa to treat and dramatically improve the prognosis for
children with cancer and blood disorders. This partnership will help
strengthen the local healthcare infrastructure, which includes the
constructions of 3 state-of-the-art clean pharmacies to effectively
provide the multi-disciplinary care necessary to treat children. LCIF's
support will enhance Global HOPE current facilities in Uganda, Malawi,
and Botswana.
Thank you for the opportunity to present the priorities for Lions
Clubs International and our Foundation for the FY 22 State, Foreign
Operations Appropriations bill, and please do not hesitate to contact
me with any question.
about j. frank moore iii, lions clubs executive administrator
J. Frank Moore, of Daleville, Alabama, is Lions Clubs
International's current Executive Administrator and a Past
International President of the organization. He was elected to serve as
president of Lions Clubs International at the association's 84th
International Convention in Indianapolis, Indiana, USA, July 2 through
6, 2001. Past President Moore is an educator by profession and a former
superintendent of education for the Daleville City Schools in
Daleville, Alabama, USA. A member of the Daleville Lions Club since
1975, Past President Moore has held many positions within the
association, including chairperson of the LCI Centennial Action
Committee. He also served as chairperson of the Lions Clubs
International Foundation, international director on the association's
board of directors, and vice chairperson and international coordinator
of Campaign SightFirst II, the most successful fundraising initiative
of Lions Clubs International Foundation and our association. Moore has
received numerous awards in recognition of his service to the
association, including the Friends of Humanity Award presented by Lions
Clubs International Foundation, and the Ambassador of Good Will Award,
the highest honor the association bestows upon its members. He is also
a Progressive Melvin Jones Fellow. In addition to his Lion activities,
he is a member of the Army Aviation Museum Foundation executive
committee, and a former chief executive officer of the Association of
the United States Army.
[This statement was submitted by J. Frank Moore III, Executive
Administrator.]
______
Prepared Statement of the Methane Action and Remineralize the Earth
Chairman Coons, and Members of the Subcommittee: Last week, the
world-renowned former science advisor to the U.K., Sir David King of
Cambridge University, declared we have five years left to solve the
climate crisis and announced a new Climate Crisis Advisory Group to
help reduce emissions, remove greenhouse gases already emitted and
restore the climate to truly healthy temperatures and functioning. See,
https://www.businessgreen.com/news/4033355/reduce-remove-repair-
climate-crisis-advisory-group-sketches-climate-priorities.
In April, Sir David, Michael Mann and Michael McElroy of Penn
State, Rob Jackson of Stanford, Simon Levin of Princeton, Eric Davidson
of the University of Maryland, Frank Keutsch of Harvard, Shaeed Naim
and Duncan Menge of Columbia, William Schlesinger and Stuart Pimm of
Duke, Jennifer Powers of the University of Minnesota, Quinlai Zhuang of
Purdue, Margaret Torn of Berkeley, Deborah Lawrence of the University
of Virginia and William Peterjohn of West Virginia University led a
group of 31 scientists from the U.S., Canada, U.K., Europe and Japan
who signed a letter in advance of the White House Climate Summit
declaring that governments need to expedite 1) the reduction of
emissions, 2) the deployment of methods of removing excess ambient
methane and other greenhouse gases (GHGs) from the atmosphere and 3)
the development of governance capable of ensuring the safe and
effective use of those methods. (See, MethaneAction.org).
Our testimony focuses primarily on how this Subcommittee can help
prepare the U.S. and its allies to develop the global governance called
for by those scientists whose research is bringing to bear potential
solutions unlike any deployed so far. Peer reviewed science and ongoing
laboratory tests indicate that they and their colleagues may be able to
deploy safe and efficient methods that can return and sustain methane
levels from the current concentrations of 1.94 parts per million to the
pre-industrial norm of .8 ppm within this decade, buying time to deal
with the long-term problem of CO2 as methane is 84 times as potent as
CO2 over the 20 year period of its primary impact. Continuing this
research is dependent, however, on at least modest government support,
which we urge you and your colleagues on the Interior and Energy
Subcommittees to consider in the FY22 appropriations process.
This year the United Kingdom announced 23 new major grants to U.K.
entities to develop new CO2 and methane removal technologies but those
grants were based on earlier submissions and did not appear to cover
the latest and most promising methane removal approaches. We believe
it's appropriate and necessary for the U.S. to play a leadership role
in the research, development and deployment of these methods.
We filed complementary testimony on June 24th with the Interior-EPA
Subcommittee and on June 25th with the Energy and Water Subcommittee
urging them to follow suit with specific grants, contracts, and
policies. We ask that you compare notes with those Subcommittees in
order to ensure the best fit for each Subcommittee and recommendation
that you find useful. For example, some of the research would be done
more efficiently in some cases with non-U.S. principal investigators
who are already, with too little funding, working on these approaches.
The overall program should in any case be geared for both international
cooperation and policy coordination with the U.S. playing a strong
role.
First, however, we recommend that you write the Secretary of State
and ask him to assure the Committee that the US will not accept any
limit--whether in the Glasgow COP26 negotiations, the WTO reform set
for this summer, or any other forum on the ability of the US, the EU,
or any jurisdiction to tariff or embargo goods and services the climate
footprint of which is greater than that allowed for comparable domestic
production. Current international trade and environmental law that the
U.S. helped establish provide that nations should not harm the
environment or health of other nations and that they have the right to
support their domestic industries and populations by embargoing or
tariffing imports from countries that do not require comparable
performance especially if such measures are also in support of existing
international conservation efforts. (See, Shrimp and Sea Turtle
Appellate Decisions of the WTO). That series of decisions essentially
reaffirmed the U.S. Congress action in the late 1980's that protected
endangered sea turtles and ensured fair competition for American shrimp
fishermen and women by banning the importation of shrimp from countries
that did not require sea turtle excluder devices.\1\
Given upcoming preparatory meetings, we urge that this letter to
the Secretary of State be sent no later than the first week of July.
From this point on, our testimony will largely be the legislative
language we recommend.
I. Integrate Greenhouse Gas Removal In Policies and Programs.--In
order to reduce greenhouse gases and other climate forcing agents
(GHGs) to historically healthy levels as soon as possible, the
Secretaries of State and Treasury, the Administrator of USAID, the
Chief Executive Officers of the Millennium Challenge Corporation, the
Trade and Development Agency, the U.S. International Development
Finance Corporation and the Export Import Bank, and the other agencies
using funds appropriated in this bill, and using their voice, votes and
leadership accordingly in the International Financial Institutions
including, but not limited to, the World Bank Group and the Strategic
Climate Fund and the Global Environment Facility, shall:
A) In consultation and cooperation with the Special Envoy and
Domestic Advisor on Climate Change, the Administrator of the EPA, and
the appropriate departments and agencies, use their authorities to
facilitate the deployment of methods of limiting emissions of, and
removing from the atmosphere methane, carbon dioxide and other
greenhouse gases, and black carbon (or ``soot'') (hereinafter
``GHGs''); incorporate such methods in their actions, including but not
limited to their foreign assistance, intergovernmental cooperation,
international finance programs, and bilateral and international trade
and other negotiations; and
B) Report to the Committees of jurisdiction and the public on the
plans for, and progress in so doing, within 60 days of enactment and
annually thereafter.
II. Ensure Global Governance of GHG removal methods.--Beginning no
later than one week after the date of enactment and continuing
thereafter, the Secretary of State, in consultation with the Special
Envoy for Climate Change, the US Trade Representative, and the agencies
participating in the affected U.S. delegations, shall propose and
pursue resolutions and agreements, including both existing and new
agreements, for:
a) Supporting the proper assessment, deployment and governance of
methods of reducing the atmospheric presence of GHGs to historic
healthy levels and the current and proposed interventions to reduce
global warming, including but not limited to non-sequestration and non-
GHG removal interventions;
b) Ensuring the sufficient, safe and proper use of technologies for
reducing the emissions of GHGs and/or the climate forcing impact of
them; and
c) Actively removing GHGs from the atmosphere, within or apart from
existing international agreements in a manner that is complementary to
their objectives and not preemptive of conservation and restoration
efforts or the powers of jurisdictions to adopt more assertive or
stricter measures.
The agreements and fora in which the Secretaries shall incorporate
these priorities shall include, but not be limited to, the UNFCCC and
its protocols, accords, and agreements, the London Convention on Marine
Pollution (via the International Maritime Organization), the Vienna
Convention on the Protection of the Ozone Layer and its protocols,
UNECE Convention on Long-range Transboundary Air Pollution, the
Convention on Migratory Species, the Convention on Biological Diversity
and other conservation agreements, the major international and
bilateral trade agreements, the United Nations, and UNEP, FAO, UNDP and
any other relevant subsidiary bodies; There is appropriated for the
above in FY22--$12,000,000.
III. Comprehensively assess atmospheric methane sources, sinks and
solutions and develop a global plan for atmospheric methane
reduction.--The Secretary of State shall by December 1, 2021, in
cooperation with the Administrator of the EPA, commence or commission a
report from the National Academy of Sciences or other capable
institution(s) or group(s), such as Sir David King's Climate Crisis
Advisory Group, to be delivered in draft form by July 1, 2022, and in
final form not less than 6 months later, providing (1) an assessment of
the size and changes occurring in emission and sinks of methane
globally; (2) an analysis of the likely impact of atmospheric methane
on climate change and other problems caused by atmospheric methane; (3)
a review of each major methane emission source and sink to determine
what options are available to affect their impact on atmospheric
methane levels; (4) a review of all possible, and all currently
practicable, technologies, programs, policy and regulatory changes that
could help reduce atmospheric methane levels, whether by abatement
(emissions reduction) or remediation (Greenhouse Gas Removal), and for
each proposed technology or policy change, consideration of their
technological readiness, likelihood of success, barriers hindering
implementation, cost-effectiveness and cost-benefit analysis, and
likely overall impact on atmospheric methane levels; (5) the
development of national and global plans for atmospheric methane
reduction, that provide goals and recommendations, and discuss options
for investment in new technologies, possible regulatory and land
management changes, and other means for reducing atmospheric methane,
and the barriers to implementing them.
The Secretary shall ensure that the report and plan are produced
with the cooperation of appropriate government agencies, including but
not limited to the EPA, EIA, USAID, IEA and those included elsewhere in
this title. The Secretary shall further ensure that authors include a
range of conservation biology, oceanic, agronomy and atmospheric
scientists, among others, as well as economists, engineers, policy
makers, regulatory experts. The Secretary is directed to commission
from his regular budget a report updating the initial report every two
years. There is hereby appropriated for this assessment and report--
$4,000,000.
IV. Integrate Climate Restoration across the Government. The
Secretaries and Administrators funded by this title shall integrate the
policies and priorities of this title into the regular order of
business and carry out within their budget authorities and amounts
appropriated for each of the affected agencies independent of further
appropriations. This section, however, hereby also provides such
authorization as may be necessary to conduct these actions through
FY2028 as well as appropriations for FY2022.
---------------------------------------------------------------------------
\1\ As a freshman in the House, if I recall correctly, in the mid-
1990s current Ranking Subcommittee Member Senator Graham intervened to
help block an amendment to curtail protection of endangered species
overseas. He noted that if timber producers from South Carolina and the
rest of the southeast could conserve the red-cockaded woodpecker and
other listed species then our foreign aid and trade should uphold the
same standards and not help their foreign competitors to undercut them.
That statutory protection of Sec. 7(a) of the Endangered Species Act
remains global but a regulation exempting impacts of U.S. agency
actions in other countries from the process of interagency consultation
with the Fish and Wildlife Service and the National Marine Fisheries
Service unfortunately remains in place. In consultation with EPW you
could correct that in this bill. That should enhance the recovery of
elephants and whales that the IMF now finds worth billions for the GHG
sequestration that their ecological effects bring about. (See, https://
www.imf.org/en/News/Podcasts/All-Podcasts/2020/09/21/Elephants)
[This statement was submitted by John M. Fitzgerald.]
______
Prepared Statement of the Millennium Water Alliance
Chairman Coons, Ranking Member Graham, and Honorable Members of the
Subcommittee:
We write in support of funding of not less than $540 million in
Fiscal Year 2022 for water supply, sanitation, and hygiene (WASH)
programs administered by the U.S. Agency for International Development
under the Sen. Paul Simon Water for the Poor Act of 2005 (P.L. 109-
121), as amended by the 2014 Water for the World Act (P.L. 113-209).
Since Congress enacted the Sen. Paul Simon Water for the Poor Act
of 2005, the House Appropriations Committee has shown sustained support
for investment in WASH through international assistance programs that
have saved millions of lives, transformed USAID's WASH programming and
capacity, and empowered more communities to maintain and operate their
own infrastructure to ensure access to WASH for the next generation.
As you prepare for FY 2022, we seek your continued strong
leadership to fund USAID's important cross-sectoral work under In FY
2019 and FY 2020, enacted funding for these programs has been
maintained at $450 million each year; for the three years prior to
that, it was $400 million per year.
Given the extraordinary circumstances of the past 1-\1/2\ years of
global pandemic, and the very limited application to any water and
sanitation programming by USAID from last year's emergency supplemental
funding, we ask that you appropriate not less than $540 million for
this programming in FY 2022.
Today, almost 2.2 billion people around the globe lack regular
access to safe water, and 4.2 billion lack access to basic sanitation.
Poor sanitation amplifies the venues for many infectious diseases, some
of which can be reduced or eliminated with better sanitation practices
and very basic systems. Sanitation has a massive impact on the
environment, endangers safe food supplies, and in particular affects
children's health.\1\ Each year, more than 297,000 children under five
die from diarrheal diseases, which could be prevented by improved
water, sanitation, and hygiene.\2\
A strong investment in WASH programs helps to safeguard US
strategic interests. Investment in WASH is central to help prevent
pandemic disease; had more developing nations had stronger WASH systems
in place, their response to COVID-19 would have been far more effective
and undoubtedly help stem the spread of the disease. Better WASH also
helps to improve governance in developing nations, opens new markets
for U.S. exports, and ultimately promotes U.S. job creation.
The $90 million increase over the FY 2021 appropriation would:
--Provide long-term, safe drinking water, sanitation, and hygiene
services to an additional half million people in Africa, Asia,
the Middle East, and Latin America;
--Contribute meaningfully to efforts to provide WASH in healthcare
facilities, prevent infectious disease outbreaks, and help end
the transmission of cholera and Neglected Tropical Diseases;
and
--Amplify the impacts of cross-sectoral work USAID is doing in other
areas related to WASH, including food security, livelihoods,
economic development, gender, and nutrition. This work is more
effective and resilient if WASH is addressed.
--Assist USAID in long delayed by much needed data collection and
analysis to increase program efficiency and provide the tools
needed for even longer-term sustainable infrastructure and
governance in the field, essential in building systems to
reduce the impact of future epidemics.
The courageous and consistent leadership of this Subcommittee over
the years has been essential to the progress made since passage of the
2005 Act and remains one of the most demonstratable achievements in the
history of U.S. foreign assistance.
The 20 member organizations of the Millennium Water Alliance work
in more than 90 countries around the world to alleviate poverty, build
democracy, and represent the best of America to millions of grateful
people. On their behalf, we thank you.
the millennium water alliance
Action Against Hunger-US Acacia Water CARE Catholic Relief Services
Desert Research Institute Food for the Hungry Global Communities
HELVETAS
IRC WASH Living Water International Mortenson Center-University of
Colorado Boulder
Pure Water for the World Safe Water Network Save the Children
Water4
WaterAid America Water For People Water Mission World Vision
---------------------------------------------------------------------------
\1\ WASHData.org May 2021
\2\ https://www.unwater.org/water-facts/water-sanitation-and-
hygiene/
---------------------------------------------------------------------------
[This statement was submitted by John Sparks, Director of Advocacy
& Communications.]
______
Prepared Statement of The Nature Conservancy
The Nature Conservancy (TNC) thanks the Subcommittee for its strong
support of global biodiversity conservation and climate change
investments. With over 60 years of experience in pioneering
conservation in coordination and cooperation with private landowners,
businesses, and federal, state, local and tribal governments across the
United States, TNC implements on-the-ground conservation in all 50
states and more than 70 countries and territories around the world. As
the world's largest conservation organization with over one million
members, TNC is committed to finding practical, science-informed,
equitable solutions to address the country's conservation,
environmental and climate challenges to benefit nature and people.
The role of effective development assistance and international
leadership is more critical now than ever before. The ongoing pandemic
has created a humanitarian and global health crisis impacting countries
and communities around the world. Given the critical need to address
the intertwined biodiversity, climate change and public health crises,
investments focused on climate-sensitive, inclusive and sustainable
natural resource management will increase stability and support
economic prosperity while advancing U.S. strategic interests around the
world.
Leadership on biodiversity conservation occupies a special place in
U.S. foreign policy. Foreign assistance has been a cornerstone of U.S.
policy for more than 70 years. Support for such assistance draws upon
many sources, including the innate generosity of the American people in
the face of acute needs in countries with far fewer resources than
those of the United States. Foreign assistance directed to biodiversity
and climate change programs is making a meaningful difference,
particularly at the U.S. Agency for International Development (USAID),
U.S. Departments of State and Treasury, the International Development
Finance Corporation, Millennium Challenge Corporation, U.S. foreign
policy mechanisms, and U.S. investments in natural resources agencies
operating globally and contributions to multilateral financial and
environmental institutions. These collectively help address many
challenges to natural resource management while also strengthening
local livelihoods. But it also reflects a consensus that such
assistance--including the conservation of natural resources--is in the
United States' national security and economic interests.
Prior to the pandemic, several global entities--public and
private--had turned their attention to steep declines in nature that
risks destabilizing the very systems we depend on for our survival.
This trend is expected to continue. According to the most recent
findings of the Inter-governmental Panel on Biodiversity and Ecosystem
Services (IPBES), three-quarters of the world's land and two-thirds of
its marine environment have been significantly altered by human
actions. We have lost half of the world's forests, half of coral reefs,
70 percent of wetlands and dammed two-thirds of the world's main
rivers. Wildlife populations have on average declined by 60 percent
since 1970 and there is the potential for our actions to cause the loss
of 1 million species. This massive loss of nature--species and
ecosystems on land and in the oceans--threatens direct human health and
well-being through impacts like decline in food production and
freshwater availability. The ecological crisis also threatens the
stability of the entire planet through greater alteration of our
climate.
Global leaders are currently negotiating commitments that will not
only shape where and when to conserve biodiversity but how to implement
commitments which would require additional financial resources, as well
as efforts to reduce the need for financial resources by reducing
harmful financial flows. By teaming up with the Paulson Institute and
Cornell University, TNC published the Financing Nature report on how to
meet the world's biodiversity finance needs. The report estimates the
global annual biodiversity financing gap biodiversity at US$700
billion. This can manifest in different ways. For example, U.S.
leadership has inspired the strong commitment made by the G7
recognizing the dual crises of climate change and biodiversity loss as
well as explicitly linking the climate and biodiversity finance issues.
Natural climate solutions represent one of the most cost-effective
methods for large-scale capture of greenhouse gas emissions. Nature-
based solutions support the sustainable management and use of nature to
address critical challenges such as climate change, water and food
insecurity, biodiversity protection, human health and disaster risk
management. They provide several co-benefits for people and nature,
including preserving biodiversity and supporting more resilient
communities and livelihoods by protecting fisheries and improving
farmland. Leading by example, the United States should make deployment
of natural climate solutions a critical component of the pandemic
assistance and recovery effort. This will augment the contributions of
other developed countries and multilateral institutions.
In the face of crises affecting nature and people, doubling down on
U.S. leadership and investment through targeted foreign assistance
could not be more paramount. The future well-being of the United
States, in part, depends on making the world more stable, safe and
secure. By investing in proven international conservation programs that
help less-developed countries better manage their natural resources and
protect their forests, fisheries and wildlife from bad actors and
natural disasters, the United States protects its own national and
economic security. As Congress turns its attention to economic recovery
in the face of COVID-19, including securing U.S. security and trade
interests globally, we urge strengthening existing international
biodiversity and climate change commitments while also addressing
preventing future pandemics at the source and limiting the likelihood
of zoonotic spillovers.
We hope any immediate investment in (a) global health programs, (b)
curbing high-risk wildlife markets that trade in species known to carry
transmissible zoonotic diseases, or (c) mitigating the impacts that a
precipitous loss of revenues from travel and tourism in and around
national parks, protected areas and community-run conservancies, do not
supplant core funding in Fiscal Year 2022 (FY22).
The following programs exemplify the critical role international
conservation efforts play in U.S. foreign policy. Promoting ``natural
security'' boosts America's national security. As such, we respectfully
request the Congress to continue its investments in global biodiversity
conservation through the natural resource agencies of the U.S.
government and, specifically, through the following foreign assistance
mechanisms in FY22:
USAID Biodiversity Conservation Program.--Most U.S. foreign
assistance for on-the-ground conservation is delivered through USAID
and its robust portfolio of conservation programs. USAID is working
with communities, non-governmental organizations (NGOs) and governments
to develop natural resource policies and management practices that
conserve biodiversity and sustain local livelihoods. These programs
help protect some of the largest, most at-risk natural landscapes and
the livelihoods of millions of people who directly depend on natural
resources for their survival and economic growth. For example, the
USAID-funded and TNC-implemented Endangered Ecosystems of Northern
Tanzania program is working to improve coordination, communication and
collaboration between organizations, government and communities towards
a joint vision of a resilient, healthy and connected rangelands across
northern Tanzania. To date, the project has supported improved natural
resource management of over 619,000 hectares of biologically
significant areas and engaged 9,300 community leaders in training.
However, the pandemic is impacting conservation efforts, starting with
a collapse of tourism across Africa and the increased risk that is
posed by this collapse to both biodiversity and local communities.
Private philanthropy and NGOs acting swiftly have been able to mitigate
this challenge. For example, TNC's Africa Wildlife Crisis Fund provided
interim support, and funding to the critical recovery needed for the
communities that depend on this industry. However, the long-term
commitment and stability provided by USAID cannot be underestimated and
will only need to be enhanced to address the pace and scale of
conservation needed to ensure nature and people are resilient. We
request Congress to fund the USAID Biodiversity Conservation Program at
$500 million in FY22, to meet critical development and administrative
priorities such as increasing community resilience and reducing
resource competition and conflict across Africa, and improving natural
resource management and decreasing illegal, unreported and unregulated
fishing in the Indo Pacific region.
USAID Sustainable Landscapes.--Tropical forests continue to be one
of the most threatened ecosystems in the world, but efforts funded in
part by Congress are advancing conservation in these areas. As noted
above, natural climate solutions can be an effective means to reducing
greenhouse gas emissions. REDD+ (Reducing emissions from deforestation
and forest degradation, and the role of conservation, sustainable
management of forests and enhancement of forest carbon stocks)
continues to evolve as a policy framework that incentivizes developing
forest countries to curb deforestation while addressing rural poverty,
good governance, land tenure issues and securing emissions reductions.
We are encouraged by the recognition of natural climate solutions by
the U.S. government in its 2021 Nationally Determined Contribution
(NDC) in both terrestrial and marine environments as a driver in
climate ambition and resilience. The USAID Sustainable Landscapes
Program supports efforts to halt deforestation and forest degradation,
promote sustainable and responsible forestry practices, and prevent
illegal logging in the world's largest, most biologically diverse
forests, including in the Amazon, Central Africa's Congo Basin, and
Southeast Asia. Through this program, the United States has supported
efforts through multilateral funds such as the Forest Carbon
Partnership Facility and the Forest Investment Program to scale up this
framework. This program is augmented by two additional investments by
USAID for Climate Adaptation (funded in FY21 at $177 million) and
Renewable Energy Program (funded in FY21 at 179 million). We request
that the USAID Sustainable Landscapes Program be funded at $200 million
in FY22 and additional investments in climate adaptation and renewable
energy are strengthened.
Global Environment Facility (GEF).--With more than 5,000 projects
in 170 countries, the GEF is the largest single financier of
conservation. For 28 years, with $21.1 billion in strategic
investments, the GEF has leveraged $114 billion in co-financing from
the philanthropic, public and private sectors. As an independent
international financial institution, the GEF unites donor and recipient
countries with U.S. corporations and NGOs by providing grants to
support natural capital and improve management of natural resources.
America's investment in the GEF also yields a very high rate of return.
For every dollar the United States invests in the GEF, it generates
another $40 from other countries and partners. The GEF has supported
the improved cooperation and governance of one-third of the world's
large marine ecosystems. For example, its Common Oceans program--
working with over 60 public and private sector partners to address
overfishing, bycatch and pollution in international waters achieved a
reduction in the number of major tuna stocks experiencing overfishing
from 13 to five and reduced the mortality rate of dolphins, sea turtles
and other marine mammals caught by Pakistani gillnet fisheries in the
northern Arabian sea by 98 percent. The GEF support has also been
critical to placing 12 percent of the world's terrestrial area under
protection, resulting in 3,300 protected areas spanning 2.1 billion
acres containing at least 700 globally threatened species. The GEF has
invested over $1 billion to address land degradation, which affects
over 3.2 billion people, especially rural communities, smallholder
farmers, and the very poor in the drylands of Africa and Asia. Its Food
Systems, Land Use, and Restoration Program promotes sustainable land
management to increase food security for smallholders and communities
that depend on farming for their livelihoods. We request $149.3 million
in FY22, of which $136.5 million be earmarked exclusively for the third
installment of the U.S. contribution to the seventh replenishment of
the GEF.
Tropical Forest and Coral Reef Conservation Act (TFCCA).--Since
first enacted in 1998, the TFCCA has offered eligible countries the
opportunity to reduce their official concessional debt owed to the U.S.
government while generating funds locally to conserve biological
diversity and protect ecologically and economically vital forest
ecosystems. In 2019, the Congress expanded the authorities of TFCCA,
popularly known as the ``debt-for-nature'' program by allowing for
coral reef conservation efforts. TFCCA agreements have saved more than
67 million acres of tropical forests in countries such as Botswana,
Brazil, the Philippines and Indonesia. TNC and our partners have
together contributed an additional $22.5 million to 12 of the 20 total
agreements under the TFCCA, enabling more debt to be treated. In
addition to seeking a longer-term reauthorization for this program with
the inclusion of coral reefs, we request $50 million in FY22 for the
Tropical Forest and Coral Reef Conservation Act.
Science, Finance and International Cooperation.--Two United Nations
conventions-the Intergovernmental Panel on Climate Change (IPCC) and
the United Nations Framework Convention on Climate Change (UNFCCC)-have
received implementation funding from the U.S. government. The IPCC, for
example, has received broad bipartisan support for providing high-
integrity science on climate change since the panel's creation in 1988.
Similarly, the UNFCCC has been the primary space for policymakers to
mount an international effort to tackle these risks. The United States
has won plaudits worldwide for leading on climate action. U.S. foreign
assistance also leverages substantial private investment in energy
efficiency and renewable energy technologies. Continued funding of a
modest budget line will signal that America continues to place an
importance on climate science and wants a place at the table in
negotiations.
Green Climate Fund (GCF).--The GCF is a multilateral fund
established in 2010 to foster climate-resilient development and zero-
emission investment. It advances its mission by using a range of
financial instruments to support projects and programs that promise the
greatest impact in reducing greenhouse gas emissions and building
climate resilience in developing countries. It also seeks to advance
its mission by mobilizing private sector capital and fostering stronger
policy environments that better address the challenges of a changing
climate. The GCF funds activities across a variety of sectors,
including transport; water and other infrastructure; energy generation
and efficiency; and land use, including agriculture and forestry. As of
March 2021, the GCF has approved 173 projects, using $8.4 billion in
funding and attracting $21.9 billion in co-financing. The United States
made a signed commitment of $3 billion over four years (2014-2018) to
the fund, of which $1 billion has been paid. It is critical for the
U.S. government to regain its leadership role and make meaningful
contributions on the GCF Board. The Global Climate Change Initiative
(GCCI) is the current funding mechanism for the GCF. GCCI helps
countries both mitigate and adapt to climate change through important
multilateral and bilateral engagement with major and emerging
economies. We urge the Congress to support the GCCI, including funding
for the GCF. We request a $2 billion contribution in FY22 towards the
Green Climate Fund to demonstrate clear U.S. commitment and incentivize
developing countries to further reduce their greenhouse gas emissions.
Through collaboration with the U.S. government, TNC is supporting
work which empowers host country governments to safeguard natural
resources, co-develop and deploy nature-based solutions to improve the
resilience of people and critical ecosystems on which all life depends.
Our projects help to strengthen local capacity, leverage private sector
partners and empower women and youth in the improved economic
development of their communities. While a vast majority of these
projects are administered directly through federal agencies furthering
U.S. foreign policy and assistance goals, TNC also supports
strengthening international funding at U.S. natural resources agencies
such as at the U.S. Forest Service (International Program), U.S.
Department of the Interior and U.S. Fish & Wildlife Service
(International Programs, Wildlife Trafficking and Wildlife Without
Borders Programs) and the National Oceanic & Atmospheric Administration
(International Program) by supporting programs and partnerships that
further the United States' foreign policy goals.
We stand ready to partner with and support the U.S. government to
achieve its foreign assistance goals for the wellbeing of our planet
and its people. We urge the Subcommittee to continue investing in our
common security through formidable foreign assistance programs.
[This statement was submitted by Tom Cors, Director of Lands.]
______
Prepared Statement of the Neglected Tropical Diseases (NTD) Support
Center
Thank you for allowing me to provide written remarks on behalf of
the Neglected Tropical Diseases Support Center of the Task Force for
Global Health. The NTD Support Center supports USAID's work on the
elimination and control of Neglected Tropical Diseases (NTDs) with a
focus on operational research to ensure the success of its programs
that target such NTDs as elephantiasis, blinding trachoma, river
blindness, intestinal parasites and schistosomiasis.
I am writing to thank the Committee for its unwavering support for
USAID's NTD portfolio and to urge an increase in this year's
appropriation to $125 million from the current level of $102.5 million.
The Task Force for Global Health, founded in 1984 to advance health
equity, works with partners in more than 150 countries to eliminate
diseases, ensure access to vaccines and essential medicines, and
strengthen health systems to protect vulnerable populations. Our
programs and expertise include polio, influenza, COVID-19, hepatitis,
vaccine safety, distribution and access, and health systems
strengthening, as well as NTDs.
NTDs are parasitic and bacterial infections that affect more than
one billion of the world's poorest people, causing profound sickness
and disability, including blindness, and imposing a devastating
economic and social burden on the communities and countries affected.
Many NTDs can be treated and prevented through annual treatment with
safe and effective drugs.
The NTD Support Center, with co-funding from USAID, UK aid and the
Bill & Melinda Gates Foundation, manages an operational research
portfolio that is concentrated on improving the equity and
effectiveness of NTD programs. Research supported through USAID
includes projects focused on the development and introduction of new
diagnostic tools that enable programs to make better decisions about
when to start and stop treatment as well as testing new strategies to
provide care for patients disabled by elephantiasis. Outcomes from
these research projects are shared with all NTD-endemic countries
through the USAID's implementing partners and the World Health
Organization. The Task Force is also proud to partner with USAID on
this effort through our programs that manage NTD drug donations: the
Mectizan Donation Program, supported by Merck & Co, Inc. and the
International Trachoma Initiative, supported by Pfizer.
The United States has been a longstanding and well-recognized
leader in global efforts to eliminate the transmission of NTDs and to
achieve sustainable development goals. Since its start in 2006, the
USAID NTD program has supported the distribution of 2.8 billion safe
and effective treatments to more than 1.4 billion people in more than
25 countries.
USAID's program targets five of the most common NTDs that have
proven, cost-effective health interventions including Lymphatic
Filariasis (elephantiasis); Blinding Trachoma; Onchocerciasis (river
blindness); Schistosomiasis (snail fever); and Soil-transmitted
Helminths (hookworm, roundworm, whipworm). Its achievements include:
--315 million people no longer requiring treatment for Lymphatic
Filariasis or elephantiasis
--151 million people no longer requiring treatment for Blinding
Trachoma
--10 million people no longer requiring treatment for onchocerciasis
--Ten countries having eliminated at least one NTD as a public health
problem (meaning the levels of infection and disease are now
beneath the threshold set by the World Health Organization)
--15 additional countries estimated to eliminate at least one NTD as
a public health problem within five years
Because medicines that can cure or eliminate these diseases are
made available without cost from their pharmaceutical manufacturers,
the programs working towards the elimination and control of NTDs are
often referred to as the ``best bargain in global health.'' The USAID
program has leveraged more than $26 billion in donated medicines
through an unprecedented public-private partnership with the
pharmaceutical industry. Every $1 invested by the U.S. Government
leverages $26 in donated medicines for mass treatment campaigns.
USAID also funds research leading to exciting innovations including
those for diagnostics, treatments and cures, vaccines, and vector and
biological control tools. Operational research optimizes strategies for
using new tools in the field and has been endorsed by the World Health
Organization in guidance taken up by ministries of health. These
innovations benefit all countries, regardless of whether they receive
U.S. funding or not.
A key pillar of USAID's program is sustainability. Partners are
working with 12 national ministries of health, along with ministries of
education, finance, environment, and water and sanitation, to develop
long-term plans for sustainability and country ownership, reinforcing
national governance and ownership and strengthening health delivery
systems and integration into national health plans. Recognizing the
importance of integration to sustainability, the USAID NTD program
began the scale-up of its cross-sectoral activities in 2018, including
increasing access to safe water and hygiene in schools and communities
in five countries to control and prevent NTDs.
2021 challenges
COVID-19.--The COVID-19 pandemic has brought new challenges. NTD
activities were halted in March 2020 and are now resuming their work.
Costs to implement NTD programs during COVID-19 pandemic have increased
including infection prevention measures, such as hand sanitizer &
personal protective equipment (PPE), and have also required new modes
of working to accommodate physical distancing, such as increasing the
number of distribution venues and number of days for training community
drug distributors, increasing number of vehicles to transport teams to
allow some distancing, etc.
Complementary funding cuts.--Another challenge has resulted from
proposed cuts in NTD funding from the United Kingdom's Foreign,
Commonwealth and Development Office (FCDO, formerly known as DFID). UK
aid support for NTDs is expected to be cut by 90%--a loss of more than
$150M in country support and equal to more than a third of the global
NTD implementation funds. Prior to this, FCDO investments were closely
coordinated with USAID to maximize the reach of NTD programs and their
impact. The FCDO cuts will create a gap in the 15 countries in USAID's
portfolio where there was significant co-investment of USAID and FCDO
funds. Bipartisan discussions are underway to encourage other countries
to help fill the gap. The requested $25 million increase will allow
USAID to ensure that progress toward its most urgent goals is not
sidelined. Because USAID is already operating in these countries, the
institutional mechanisms required to use these additional funds have
already been established and are fully operational. This increased
financial support will protect the US investment to date, stabilizing
and reducing the impact of the FCDO cuts on a highly successful
portfolio. Increased USG support will enable countries to continue the
push towards sustainable NTD programs with reduced future dependence on
external funding.
budget request
Funding for the NTD program has been near-level since 2014. In FY19
its funding increased from $100 million to its current level of $102.5
million. An increase is needed to accelerate progress on high-value
activities.
Accelerating progress:
With this additional funding, USAID and its partners can also
continue and expand upon the excellent progress that has been made and
to ensure that America's leadership and forward momentum continue to
advance NTD elimination in priority countries, leading to stronger
economies, workforces and business partners and saving lives and
livelihoods by:
--Expanding the number of treatments in existing areas
--Adding new geographic areas, potentially those listed by WHO as
still needing support
--Increasing capacity to move from control to elimination of
onchocerciasis in some areas
--Expanding urgently-needed investments in research and development--
including diagnostics, drugs and operational research- for NTDs
to ensure tools and strategies are available to overcome
emerging challenges
--Supporting greater integration with complementary programs
necessary for the success of NTD prevention, control and
elimination efforts, including WASH, nutrition, education, One
Health and vector control
Eliminating NTDs contributes to economic development in these
countries, reducing poverty and building new markers for US businesses.
Looking forward, USAID expects to continue as a major partner
working with the World Health Organization to achieve the ambitious
goals of the newly launched 2021-2030 NTD road map, including 1)
reducing the number of people requiring NTD interventions by 90%; and
2) eliminating at least one NTD in 100 countries. Thanks to your
support, fifteen countries supported by USAID's NTD program are
expected to eliminate at least one NTD in just 5 years.
We appreciate your consideration of this request and are available
to answer any questions you may have and to be a resource for you on
issues related to NTDS.
[This statement was submitted by Patrick J. Lammie, PhD, Director.]
______
Prepared Statement of the Office Of Inspector General, USAID
Mr. Chairman, Ranking Member, and Members of the Subcommittee:
Thank you for the opportunity to provide a statement for the record
on the major management challenges USAID faces in providing development
and humanitarian assistance. The USAID Office of Inspector General's
core mission is to strengthen and safeguard U.S. foreign assistance. We
work across the agencies we oversee-and with oversight partners
worldwide-to promote effectiveness, efficiency, and accountability in
foreign assistance programs and operations and prevent and detect the
fraud, waste, and abuse that can jeopardize their success.
USAID stands out among the agencies we oversee for the scale of its
activities and the challenges it faces in their implementation. In
fiscal year 2020, USAID managed $30 billion in budgetary resources. The
inherent complexity of coordinating and implementing this level of
foreign assistance-especially in areas affected by crisis and conflict-
and the urgency to respond to the COVID-19 pandemic create major
challenges for USAID. As the Agency exercises flexibility to adapt to
different country contexts and ensure beneficiaries receive the
assistance they desperately need, it must maintain strong safeguards
and risk management practices to confront these challenges.
Our independent oversight remains critical to helping USAID advance
U.S. foreign assistance objectives during this challenging time. Our
audits, investigations, and other oversight activities are designed to
promote the overall effectiveness of agency programs and operations.
Our focus on strategic, cross-cutting oversight enables us to drive
actions that get at the root of significant problems affecting USAID's
complex programs and operations. This approach also reflects our
continued focus on emerging priorities. For example, last year we
realigned work to elevate oversight of agency responses to COVID-19.
This year, we have formed a new taskforce within OIG to drive and
inform oversight of aid and assistance programs in the Northern
Triangle countries. We remain committed to addressing these and other
current and emerging priorities and sharing the results of our work
with you and other stakeholders.
Our report on top management challenges facing USAID in fiscal year
2021 demonstrates the impact of our work.\1\ This statement highlights
the top management challenges-including the COVID-19 response and other
key risk areas-that need USAID's attention now and into the foreseeable
future.
oversight of usaid's covid-19 response
The COVID-19 pandemic poses a significant public health crisis.
More than a year after its emergence-and in the wake of 169 million
confirmed cases and almost 3.5 million deaths as of the end of May
2021-COVID-19 has disrupted economies, strained democratic
institutions, and deepened existing humanitarian crises. The pandemic
also emerged in an international environment marked by increasing great
power competition and disinformation campaigns by hostile actors.
USAID was tasked with responding to COVID-19 overseas, receiving
additional appropriations beginning in March 2020 to do so. While the
Agency leveraged its experience responding to other disease outbreaks
such as Ebola and Zika, the rapid spread of COVID-19 worldwide
exacerbated challenges USAID faces, especially in nonpermissive
settings, and increased risks related to monitoring programs and global
health supply chains. USAID had to respond to a multifaceted global
emergency that forced almost all staff to shift to virtual work, while
many overseas staff departed their posts. USAID began to program
significant levels of COVID-19 funding as both implementers and
beneficiaries also faced similar constraints caused by lockdowns,
border closings, supply chain disruptions, and movement restrictions.
The pandemic required a whole-of-government effort. Our past work
has identified interagency coordination, especially related to
responding to public health emergencies, as a challenge for USAID.\2\
Although our work has helped position USAID to better respond to COVID-
19, the scope and scale of the pandemic and its impact have stretched
the Agency, and competing interagency priorities remain a significant
challenge area. For example:
--Our recent audit found that USAID's ventilator donation program
marked a significant departure from the Agency's customary
practices for responding to public health emergencies and its
original pandemic plans.\3\ While USAID initially focused on
preventative measures to thwart the spread of COVID-19, the
National Security Council directed the Agency to spend about
half of its global health funding from the March 2020
supplemental funding on ventilators for the sickest patients.
Directives from the National Security Council specified the
recipient countries, how many ventilators to send, and which
models to use, which did not align with USAID's initial
response planning.
--This audit also found that USAID had limited control over
ventilator donations and that monitoring mechanisms were not in
place at the time of delivery. USAID had limited information
about the location of ventilators within countries. The need to
effectively track ventilators is underscored by the work of OIG
special agents in recovering 191 USAID-procured ventilators
that were stolen in Florida while en route to El Salvador. We
plan to follow up on actions the Agency is taking to locate
ventilators sent overseas and establish an asset management
tracking platform.
When we analyzed the impact COVID-19 has had on USAID's ability to
monitor its programs, we noted challenges to program monitoring
efforts. Such challenges included movement restrictions and technology
challenges that limited the Agency's ability to conduct in-person site
visits, limited in-person verification of data from implementers, and
kept staff from engaging directly with beneficiaries. USAID missions,
nonetheless, adapted their approaches to monitoring and tapped into
related policy flexibilities and guidance designed to help them.
However, the extent to which these approaches and flexibilities have
been effective remains unknown and will likely be seen through
mechanisms such as program evaluations and independent financial and
performance audits.\4\
Looking ahead, OIG remains committed to robust oversight of ongoing
and new USAID pandemic response efforts and funding. Given U.S.
commitments to support the international delivery of COVID-19 vaccines,
we are focused on combatting potential fraud facing this effort and
have forged relationships with oversight counterparts at leading
international organizations involved in vaccine delivery. We are
conducting an evaluation of USAID's efforts to develop and implement a
COVID-19 vaccine strategy, and are planning work on USAID's efforts to
address the second-order effects of COVID-19. This includes identifying
new pandemic threats and preserving gains in the Agency's HIV, malaria,
and tuberculosis programs in the wake of COVID-19.\5\
managing risks inherent to humanitarian assistance and stabilization
activities amid a public health emergency of international concern
In fiscal year 2020, USAID spent approximately $6.6 billion on
humanitarian assistance activities. The United Nations estimated that
235 million people-1 in 33 people worldwide-would need humanitarian
assistance and protection in 2021, the highest figure in decades.\6\
The inherent risks in crisis and conflict settings demand distinct
approaches for planning, implementation, and monitoring that enable
flexible but controlled responses. The flow of billions of dollars in
aid and assistance also creates opportunities for fraud and diversion
of U.S.-funded goods to the illicit market and terrorist or other
sanctioned groups. Further, sexual exploitation and abuse has been a
longstanding problem in the foreign aid sector given the inherent power
imbalance between aid workers and vulnerable beneficiaries. USAID has
taken steps to understand, evaluate, and mitigate risks to help prevent
fraud and other abuses before they occur. Nevertheless, our work
continues to identify vulnerabilities that inhibit USAID assistance
from having the intended impact or reaching those who need it most. For
example:
--USAID guidance and practices do not always encourage transitioning
from humanitarian assistance, as we found in Iraq. Though the
number of internally displaced Iraqis steadily declined
following the territorial defeat of ISIS in 2017, USAID has yet
to ensure transition planning was incorporated into its annual
planning process, conduct forums for coordinating humanitarian
assistance with longer-term stabilization efforts, and ensure
implementers submitted complete transition plans for their
projects when required.\7\
--In crisis settings, USAID often works through public international
organizations (PIOs), like the World Food Program, to reach
beneficiaries. Yet doing so limits USAID's control and
visibility over U.S.-funded humanitarian assistance, and in
turn, limits its ability to identify and mitigate risks.
Our recently completed and ongoing work highlights constraints on
USAID awareness of threats to its programming. For example:
--Prior to making humanitarian assistance awards, USAID follows a
range of due diligence measures to mitigate the risk of
assistance inadvertently falling into hands of terrorist
organizations. However, our work has identified vulnerabilities
in USAID's vetting practices and limitations in accessing and
monitoring national security information.\8\ Certain USAID-
funded implementers have also concealed past ties to designated
terrorist entities when bidding on USAID awards by falsifying a
certification designed to reveal this information.
--USAID may contract third-party monitors-often hired locally, and
who may have fewer access restrictions-to observe on-the-ground
programming on USAID's behalf. Our recent work in Iraq and
Africa's Lake Chad region illustrates how gaps in USAID
management have limited the use and effectiveness of this
monitoring technique.\9\
USAID has similarly faced challenges in managing acute risks
related to fraud and criminal behavior in crisis settings. For example:
--Our multiyear investigation revealed bid rigging, contract
steering, and invoicing schemes that compromised humanitarian
assistance intended for displaced Syrians. As a result of our
work, a major international, nongovernmental organization (NGO)
paid $6.9 million to settle a False Claims Act case related to
grossly inflated invoices submitted to USAID, and an NGO
procurement official was extradited to the United States and
sentenced to 40 months in prison on a related bribery charge.
--A recent audit found that USAID lacked a framework for managing
fraud risks in a humanitarian response. While USAID had taken
initial actions to mitigate related risks in its Syria
response, it did not sustain monitoring of cross-border
activities susceptible to fraud.\10\ Another recent audit on
USAID's response to the Venezuela regional crisis noted that
while USAID's humanitarian assistance operating units had
incorporated practices to manage fraud risks, their guidelines
for implementers lacked risk management requirements.\11\
--While USAID has increased its focus on protecting beneficiaries
from sexual exploitation and abuse (SEA), the Agency still
faces barriers in responding to allegations, preventing
perpetrators from recirculating through the aid sector, and
holding implementers accountable for failing to detect, report,
or respond to allegations. Our audit of USAID's approach to
respond to and prevent SEA noted that the Agency had not built
in consistent pre-award measures and did not monitor
implementers' efforts to prevent SEA or have related guidance
in place to enable staff to effectively perform this function.
USAID also lacked clearly defined roles and responsibilities
and a centralized tracking mechanism for responding to and
managing SEA allegations. The Agency plans to address the
report's nine recommendations to improve USAID's controls for
preventing and responding to SEA.\12\
USAID continues to make progress toward understanding and
mitigating risks in crisis settings. Its recent actions include
establishing three new bureaus to promote coordination and improve
field support, regularly assessing new risks and evaluating approaches
for strategically managing them, issuing new Agency guidance to codify
vetting policies and procedures, and providing training and guidance
for staff and implementers on when and how to use third-party monitors.
To help protect U.S. funding from malevolent actors, we will
continue to prioritize addressing allegations of fraud and misconduct
affecting humanitarian assistance, conduct fraud awareness briefings
for USAID staff and implementers, and leverage new and existing
relationships with oversight counterparts working in humanitarian
assistance and stabilization settings. In addition, we have an audit
underway that focuses on humanitarian response activities in Yemen.
promoting local capacity and improving planning and monitoring to
achieve sustainability of u.s.-funded development
USAID's development programs complement broader U.S. Government
diplomacy and defense efforts to safeguard and advance U.S. national
security and economic interests. USAID has recognized that the long-
term success of international development depends on host country
commitment and capacity to sustain gains. Yet our audits reveal ongoing
challenges to achieving sustainability of U.S. foreign assistance
programs, particularly when the imperative to achieve specific
development outcomes competes with goals to develop local capacity. For
example:
--USAID has recognized the importance of strengthening health systems
to meeting overall health goals and improving countries'
abilities to react to large-scale health emergencies. While
USAID aimed to strengthen countries' overall health systems,
programs instead prioritized gains tied to primary health
goals-like achieving an AIDS-free generation-because of how
those health goals were tracked and received designated
funding.\13\
--Some USAID missions in Africa operated parallel supply chains
alongside host government systems and hired consultants to do
the work of government officials. The Agency took this approach
to ensure global health goals were met and that beneficiaries
had uninterrupted access to critical medicines for malaria,
tuberculosis, and HIV/AIDS, but in doing so, missed
opportunities to build local capacity.\14\
USAID also continues to face challenges in providing effective
oversight and conducting evaluations of the activities it implements.
For example:
--USAID requires operating units to conduct at least one performance
or impact evaluation during each Democracy, Human Rights, and
Governance (DRG) project to help expand the Agency's knowledge
base. However, we found USAID focused primarily on less costly
performance evaluations, with some missions in Europe and the
Middle East lacking substantive impact evaluations.\15\
--Effective monitoring of large awards like USAID's $9.5 billion
award to implement procurement and supply management activities
for the Global Health Supply Chain Program is key to ensuring
that health commodities such as medicines and supplies are
delivered as planned. However, USAID could not determine the
extent to which reported performance metrics of its largest
supply chain project reflected actual improvements in
performance.\16\
--USAID engages with the private sector to help achieve
sustainability. In a recent audit, OIG identified six
engagement approaches that USAID generally used in an effort to
boost private sector investment in foreign development, but
also found that insufficient Agency-wide guidance, data, and
metrics limited USAID's ability to conduct, manage, and oversee
engagement with the private sector.\17\
Our recent and ongoing investigations further illuminate how gaps
in effective oversight and monitoring of activities can result in
shortfalls in USAID programs and fraud, waste, and abuse. For example:
--We found that a Ugandan implementer failed to report fraudulent
activity on a social marketing health project and the
implementer's staff solicited bribes from USAID field staff to
conceal the reporting of nonexistent activities. USAID
terminated the implementer's cooperative agreement based on an
OIG referral and issued a $4.9 million dollar bill of
collection in April 2020.
--Another investigation similarly uncovered systemic mismanagement,
inadequate internal controls, and insufficient financial
accounting by a U.S.-based university, which affected a
development project in Honduras. As a result of our
investigation, USAID issued a $4.4 million bill of collection
to the university in July 2020.
--Lastly, a joint investigation we conducted with the Special
Inspector General for Afghanistan Reconstruction identified a
scheme to defraud the Government of Afghanistan of over $100
million, which USAID had provided to Afghanistan to construct
an electric grid through the country's national power utility.
As a result of our joint investigative work, the individual
responsible for the scheme pleaded guilty to wire fraud.
Despite these issues, USAID continues to take steps to improve
sustainability, increase local capacity, and enhance oversight of its
activities. For example, in response to our related audit
recommendations, USAID revised its vision for strengthening health
systems, outlining how countries can increase the capacity of their
local health systems and shift the focus of investments from specific
functions and disease areas to integrated approaches for strengthening
health systems. USAID also updated country strategies to increase
emphasis on sustainability and self-reliance and increased awards to
local organizations in recipient countries. The Agency is still working
to use data to better manage its engagement with the private sector.
We have numerous audits underway that further our oversight in the
areas of program sustainability and monitoring activities. This
includes audits that will assess how USAID is addressing risks
associated with direction to increase President's Emergency Plan for
AIDS Relief (PEPFAR) funding to local organizations in Africa, and how
USAID missions are using third-party monitoring data to oversee
programs in Asia.
reconciling priorities with external stakeholders to efficiently and
effectively advance u.s. foreign assistance objectives
U.S. foreign assistance involves multiple Government agencies,
donors, and local actors-each having its own priorities and strategies
for advancing shared interests. Achieving development goals around the
world often goes beyond unilateral efforts by USAID, depending on
multilateral efforts where USAID may be the lead agency, a key partner
organization, or a significant financial backer of responses. To
further U.S. foreign policy and national security objectives, USAID
must exercise its role and responsibility as the premier development
agency by effectively navigating the divergent priorities and functions
of multiple stakeholders to achieve complementary but distinct goals.
Doing so is critical to enabling USAID to respond quickly to changing
priorities even when decisions extend beyond its immediate control and
authority.
Our work has examined USAID adaptations to external factors
influencing its operations and work to coordinate with other agencies
and international organizations to advance development objectives.
USAID has frequently had to make strategic adjustments in response to
policy developments outside of its control. For example:
--Decisions made outside of USAID have affected the Agency's staffing
and impacted its ability to monitor programs and ensure their
sustainability. Past quarterly reporting on Iraq has
highlighted the effects of posture adjustments and
deteriorating security conditions on staff levels in Iraq,
bringing USAID expatriate staff levels down by more than 75
percent as USAID's programs in the country grew. In
Afghanistan, we found that while USAID made staffing cuts per
State Department direction, it did not fully assess the risks
that corresponding programming cuts could have on the
sustainability of its investments, or properly prepare staff or
stakeholders for risks associated with these staff
reductions.\18\
--A recent OIG memo on lessons from the fiscal year 2019 budget
process highlighted interagency constraints on budget
execution, describing how outside factors-such as external
reviews and differing opinions on the direction of foreign
assistance programming-affect USAID's ability to obligate
funds.\19\
Our work also addresses challenges USAID has encountered in
coordinating with others to promote effective programming:
--In responding to the Venezuela regional crisis, USAID needed to
coordinate with multiple stakeholders. However, our audit found
USAID faced significant policy, coordination, and strategic
planning challenges in responding to the crisis. Issues we
identified stemmed from not having a process for documenting
directives from the National Security Council, as well as not
having developed joint strategic humanitarian response plans
with the State Department.\20\
--Effective coordination between USAID and the State Department can
help maximize resources and outputs and avoid redundancies in
achieving U.S. foreign policy goals around DRG programs. Our
audit found that this coordination primarily occurs in the
field, but that not all missions had established or maintained
DRG work groups-and therefore, the agencies may miss
opportunities for strengthening DRG coordination in the
field.\21\
--In some cases, legal requirements prevent USAID from supporting
beneficiaries who would otherwise fit the profile of a targeted
population. A recent audit found that this was the case with
USAID's crime and violence prevention program in El Salvador,
where U.S. and local laws prevented USAID from working with
individuals at the highest risk of engaging in criminal and
violent activity, including active gang members and chronic
offenders associated with MS-13. While the Treasury Department
granted USAID a 2-year license to include gang members as
program beneficiaries, the authorization took about 2 years,
delaying programs for the highest risk group.\22\
--USAID frequently relies on PIOs to implement key programs and
activities. We reported in late 2018 that USAID's insufficient
oversight of PIOs put its programming at risk.\23\ This work
prompted USAID to include a standard award provision for PIO
awards with a requirement to report fraud and misconduct
allegations directly to OIG.
Maximizing partnerships with U.N. agencies and multilaterals and
reconciling differences among Federal agencies are important to
effectively and efficiently advance U.S. foreign assistance objectives.
USAID continues to take steps to address challenges in doing so. For
example, USAID now has a dedicated office to provide better oversight
of PIOs.
To ensure USAID's investments are safeguarded to the maximum extent
possible, we coordinate extensively with oversight partners at the
State Department and Defense OIGs on oversight of contingency
operations. We also coordinate with the State Department, Department of
Health and Human Services, and Peace Corps OIGs on oversight of
international HIV/AIDS, malaria, and tuberculosis programs.
Additionally, we worked with DFC OIG in a supporting and advisory role
to assist in establishing that office as it builds internal capacity.
We have established key relationships with counterpart oversight
offices throughout the world-such as the European Anti-Fraud Office,
the Integrity Vice Presidency of the World Bank Group, and Inspectors
General of the World Food Program and the Global Fund-as well as
equivalent units at UNICEF and Gavi, to ensure fraud and corruption
risks are mitigated through joint investigations and information
sharing.
addressing vulnerabilities and implementing needed controls in agency
core management functions
To carry out its mission effectively and efficiently, USAID relies
on a network of support functions for managing Agency awards, finances,
information, and human capital. USAID has made progress in
strengthening its controls over core management functions, but our
recent audits and investigations show that gaps in USAID's controls
remain. These gaps are even more critical to address due to the
additional operational challenges presented by the pandemic.
--Award Management. Our audit of USAID's grant close-out process
identified weaknesses in communication, procedures, award de-
obligation, documentation, and employee training and
certification-along with over $178 million that USAID could de-
obligate from expired awards and put to better use.\24\ Our
audit of USAID's procurement and management of its $9.5 billion
award to implement procurement and supply management activities
for its Global Health Supply Chain Program determined that
weaknesses in planning and evaluation processes hindered
USAID's ability to fully support key decisions made in the
design and award of the contract.\25\
--Financial Management. USAID must comply with financial management
requirements to ensure the Agency maximizes its resources.
While our audit of USAID's financial statements for fiscal
years 2020 and 2019 did not identify any material weaknesses in
USAID internal control over financial reporting, we identified
two significant deficiencies related to recording accrued
expenses and account management.\26\
--Information Management. USAID depends on information systems for
all facets of business. Our audit of USAID's Development
Information Solution system found that although USAID was
making progress in the development and implementation of the
system, its deployment was behind schedule and not on track to
provide the Agency with advanced reporting to improve evidence-
based decision making.\27\ In addition, in the past year, the
Agency's expanded use of telework to protect the health and
safety of staff during the pandemic has increased risks to the
Agency's information systems and calls for additional
diligence. In June 2020, USAID's Chief Information Officer
reported a 400 percent increase in cyberattacks on the Agency
since the start of the pandemic. Our most recent audit of
USAID's information security program identified needed
improvements in risk management, configuration, and identity
and access management; security training; information security
continuous monitoring; and contingency planning.\28\
--Human Capital Management. USAID has faced challenges maintaining an
adequately trained workforce at the staffing levels needed to
accomplish its mission. In the last 10 years, about one-third
of our performance audits identified staffing or training as a
cause of or factor that contributed to reported shortcomings.
While the Agency is making efforts to develop a strategic
workforce plan to align its human capital with current and
future goals, we have an ongoing audit that will look at
USAID's human capital hiring mechanisms.
In addition, whistleblower retaliation against employees of USAID
implementers who report fraud or misconduct in the performance of a
USAID award remains a concern. Between 2018 and 2020, we recorded a 21
percent increase in whistleblower retaliation allegations received by
OIG.
concluding observations about continued oversight
We appreciate your interest in our work and continuing support for
our office's independent oversight mandate. We value opportunities like
this to share our observations and keep Congress fully informed on our
oversight of development and humanitarian assistance programs and
operations.
USAID OIG remains committed to maintaining the highest levels of
accountability, adding value, and ensuring that USAID prudently uses
every dollar it receives. Our fiscal year 2020 audit and investigative
returns amounted to nearly four times the amount we receive to support
our operations. In addition to these financial returns, our
recommendations have triggered foundational changes in policy and
programming around global health and humanitarian assistance, Agency
procurements, and accountability over awards to PIOs. Building on our
recent accomplishments, we look forward to discussing with the
Committee our priorities, plans, and anticipated resource requirements
for ensuring effective oversight in fiscal year 2022. This includes
rapidly responding to emerging oversight requirements, increasing our
capacity to respond to whistleblower retaliation allegations, and
addressing oversight requirements associated with increased investments
in COVID-19 response efforts. We will continue to maximize our impact
by taking a strategic approach to our work and leveraging key
partnerships within the oversight community and with the agencies we
oversee.
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\1\ USAID OIG, ``Top Management Challenges Facing USAID in Fiscal
Year 2021,'' November 13, 2020. As required by statute, we annually
identify and report the top challenges facing the agencies we oversee
and the progress made in managing them. Visit our website to view all
OIG reports referred to in this statement.
\2\ USAID OIG, ``Lessons From USAID's Ebola Response Highlight the
Need for a Public Health Emergency Policy Framework'' (9-000-18-001-P),
January 24, 2018.
\3\ USAID OIG, ``USAID Had Limited Control Over COVID-19 Ventilator
Donations, Differing From Its Customary Response to Public Health
Emergencies'' (4-936-21-002-P), February 24, 2021.
\4\ USAID OIG, ``USAID Adapted To Continue Program Monitoring
During COVID-19, But the Effectiveness of These Efforts Is Still To Be
Determined'' (9-000-21-007-P), May 21, 2021.
\5\ USAID OIG, ``COVID-19 Oversight Plan for Fiscal Years 2021-
2022,'' October 22, 2020.
\6\ United Nations Office for the Coordination of Humanitarian
Affairs, ``Global Humanitarian Overview 2021,'' December 10, 2020.
\7\ USAID OIG, ``Enhanced Guidance and Practices Would Improve
USAID's Transition Planning and Third-Party Monitoring in Iraq'' (9-
266-21-003-P), February 19, 2021.
\8\ USAID OIG, ``Limits in Vetting and Monitoring of National
Security Information Pose Risks for USAID Humanitarian Assistance and
Stabilization Programs,'' Classified Advisory, January 15, 2020.
\9\ USAID OIG, ``Enhanced Guidance and Practices Would Improve
USAID's Transition Planning and Third-Party Monitoring in Iraq'' (9-
266-21-003-P), February 19, 2021; ``USAID Has Gaps in Planning, Risk
Mitigation, and Monitoring of Its Humanitarian Assistance in Africa's
Lake Chad Region'' (4-000-21-001-P), October 15, 2020.
\10\ USAID OIG, ``Weaknesses in Oversight of USAID's Syria Response
Point To the Need for Enhanced Management of Fraud Risks in
Humanitarian Assistance'' (8-000-21-001-P), March 4, 2021.
\11\ USAID OIG, ``Enhanced Processes and Implementer Requirements
Are Needed To Address Challenges and Fraud Risks in USAID's Venezuela
Response'' (9-000-21-005-P), April 16, 2021.
\12\ USAID OIG, ``USAID Should Implement Additional Controls To
Prevent and Respond To Sexual Exploitation and Abuse of Beneficiaries''
(9-000-21-006-P), May 12, 2021.
\13\ USAID OIG, ``More Guidance and Tracking Would Bolster USAID's
Health System Strengthening Efforts" (4-936-20-001-P), October 21,
2019.
\14\ USAID OIG, ``USAID'S Global Health Supply Chain Would Benefit
From More Rigorous Risk Management and Actions To Enhance Local
Ownership'' (4-936-20- 002-P), July 10, 2020.
\15\ USAID OIG, ``Additional Actions Are Needed To Improve USAID's
Democracy, Human Rights, and Governance Programs'' (8-000-20-001-P),
November 26, 2019.
\16\ USAID OIG, ``Award Planning and Oversight Weaknesses Impeded
Performance of USAID's Largest Global Health Supply Chain Project'' (9-
000-21-004-P), March 25, 2021.
\17\ USAID OIG, ``Improved Guidance, Data, and Metrics Would Help
Optimize USAID's Private Sector Engagement'' (5-000-21-001-P), December
9, 2020.
\18\ USAID OIG, ``USAID Needs To Implement a Comprehensive Risk
Management Process and Improve Communication As It Reduces Staff and
Programs in Afghanistan'' (8-306-21-002-P), March 19, 2021.
\19\ USAID OIG, ``Lessons From USAID's FY 2019 Budget Process
Highlight Interagency Constraints and Areas That Require Continued
Attention,'' Memorandum, March 2, 2021.
\20\ USAID OIG, ``Enhanced Processes and Implementer Requirements
Are Needed To Address Challenges and Fraud Risks in USAID's Venezuela
Response'' (9-000-21-005-P), April 16, 2021.
\21\ USAID OIG, ``Additional Actions Are Needed To Improve USAID's
Democracy, Human Rights, and Governance Programs'' (8-000-20-001-P),
November 26, 2019.
\22\ USAID OIG, ``USAID/El Salvador's Crime and Violence Prevention
Programs Need to Focus More on High-Risk Individuals To Advance
Security Goals'' (9-598-21-001-P), November 30, 2020.
\23\ USAID OIG, ``Insufficient Oversight of Public International
Organizations Puts U.S. Foreign Assistance Programs at Risk'' (8-000-
18-003-P), September 25, 2018.
\24\ USAID OIG, ``USAID Complied with the GONE Act but Still Has a
High Risk of Delayed Grant Closeout'' (0-000-20-002-C), March 31, 2020.
\25\ USAID OIG, ``Award Planning and Oversight Weaknesses Impeded
Performance of USAID's Largest Global Health Supply Chain Project'' (9-
000-21-004-P), March 25, 2021.
\26\ USAID OIG, ``Audit of USAID's Financial Statements for Fiscal
Years 2020 and 2019'' (0-000-21-001-C), November 16, 2020.
\27\ USAID OIG, ``USAID Was Not On Track To Achieve Performance and
Cost Savings Goals for the Development Information Solution System''
(A-000-21-001-U), May 6, 2021.
\28\ USAID OIG, ``USAID Generally Implemented an Effective
Information Security Program for Fiscal Year 2020 in Support of FISMA''
(A-000-21-004-C), January 7, 2021.
---------------------------------------------------------------------------
[This statement was submitted by Thomas J. Ullom, Acting Inspector
General, USAID.]
______
Prepared Statement of the Oxfam
On behalf of Oxfam, thank you for the opportunity to submit
testimony on the FY22 State, Foreign Operations and Related Programs
Appropriations bill. Oxfam is a global organization working to end the
injustice of poverty. We help people build better futures for
themselves, hold the powerful accountable, and save lives in disasters.
Our mission is to tackle the root causes of poverty and create lasting
solutions.
U.S. leadership in addressing COVID and new and ongoing
humanitarian challenges has never been more critical. We urge the
Committee to support the Administration's request for $69.1 billion, in
order to restore U.S. leadership in supporting poverty-focused
development, humanitarian assistance programs, and international
organizations.
We believe that in addition to new funding, locally led development
must be at the core of US foreign aid, we urge the Committee to
prioritize country partnerships and domestic resource mobilization. We
appreciate the chance to elevate the following issues: COVID-19 vaccine
access and delivery and highlight our strong support for gender,
climate and multilateral funding.
covid-19 vaccine access & delivery
As our country expands access to COVID-19 vaccines through the
broadest vaccination campaign in U.S. history, the rest of the world is
suffering. Few of the six billion people living in low- and middle-
income countries will be vaccinated against COVID-19 this year and many
may not be vaccinated until 2024, if ever. Virus variants threaten to
make struggles with coronavirus an enduring fact of life. Millions more
people will die, and tens of millions of people will be pushed into
extreme poverty.
The only way to get the pandemic under control is to massively
accelerate global vaccine manufacturing and strengthen health systems
to turn vaccines into vaccinations. We urge the Committee to do
everything in its power to help the world manufacture billions more
doses of COVID-19 vaccine and strengthen global health systems. An
ambitious manufacturing operation and vaccine delivery program would
benefit the world and will help prevent the spread of variants while
reviving economies and reestablishing U.S. leadership.
gender
The COVID-19 global pandemic reversed gains made toward gender
equality. According to the World Economic Forum's ``Gender Gap
Report,'' it will now take nearly 140 years to close the gap between
men and women; before the pandemic, it was estimated to take 100 years.
The UN rang the alarm bell on the ``shadow pandemic'' of spikes in
intimate partner violence over the last year as people were confined to
their homes in the context of mounting anxiety and economic stress
linked to the pandemic. At the peak of the crisis, UNESCO data showed
that over 1.6 billion learners in more than 190 countries were out of
school, pushing women out of the workforce to provide child care. An
estimated 11 million girls may never return to school. Underpaid care
workers-of which over 90 percent are women-at long-term care facilities
for people with disabilities and the elderly were overburdened. The
hospitality, tourism, and food sectors were hit hard and left women
unemployed; Oxfam estimates show that women in formal employment lost
$800 billion in income in 2020. During the pandemic, people in the
LGBTQIA+ community experienced further restriction of their rights by
governments around the world. As the United States Government develops
strategies to address COVID-19's aftermath domestically and globally,
it must recognize that recovery has to center the needs of women and
gender-diverse people, and that by investing in gender equality and
women's empowerment, it has an opportunity to become a leader in the
post-pandemic world.
Given the administration's commitment to a whole-of-government
approach to gender and its prioritization of gender equality in aid and
development assistance, it is imperative that the FY22 budget provide
funding commitments commensurate to the crisis conditions so many women
find themselves in. Instead, the current $1.2 billion request falls
short of the gender requests made each year under the second Obama
administration, including the FY2017 $1.3 billion request. The
government should signal its leadership on gender by committing no less
than $2.1 billion-scaling up funding from the FY2021 $525.7 million
request under the Trump administration-in FY22 to promote gender
equality and women's empowerment in the United States Government's
diplomatic, development, and humanitarian efforts. According to a
McKinsey report on the regressive effects of COVID-19 on women, failing
to take action now to address gender inequality will have significant
consequences on gender parity and slow down global economic growth over
the next decade. Thus, a commitment of at least $2.1 billion will
address the long-lasting effects of the pandemic on gender equality and
help ensure we do not return to a pre-pandemic status quo that left
women and gender-diverse people behind.
To set a path to a gender-equitable recovery in the post-COVID-19
era, across US foreign aid and assistance, programs and policies should
integrate a gender analysis and consider differential gender impacts,
with a commitment to mainstream gender in all projects by 2025 to
ensure 100 percent of funding qualifies as ``Gender Equality/Women's
Empowerment-Secondary''. An additional category for funds to feminist
and women's rights organizations should also be added. We urge the
Committee to commit no less than $270 million to this category for
FY22, and to scale up this commitment in subsequent years. Further,
gender stand-alone programming would strengthen the US' performance to
achieve gender equality globally; we request a commitment to scale up
gender equality and women's empowerment programs within the ``Gender
Equality/Women's Empowerment-Primary'' CBJ category to 20% of
international funding by 2025.
The requested $200 million for the Gender Equity and Equality
Action Fund (GEEA) is important for the global recovery from COVID-19.
However, to sufficiently address the health and economic emergencies
and the subsequent impact these have had on women, the GEEA should be
scaled up beyond the FY21 funding allocated to its predecessor, W-GDP.
The administration's domestic focus on investing in the care economy is
timely as women have suffered disproportionately from economic fallout
of the pandemic in the US and abroad, in part due to their care work
responsibilities; this same focus should be brought to US foreign
assistance programming.
A scaled-up gender investment will enable the United States
Government to follow through on commitments made to gender equality and
women's empowerment, including gender equality prioritization by the US
Development Finance Corporation and the Millennium Challenge
Corporation; the administration's commitment to address the root causes
of irregular migration, including sexual, gender-based, and domestic
violence, from Central America to the United States; support of
LGBTQIA+ rights and advancing inclusion for the community; resumed
funding of the United Nations Population Fund; and support of the
implementation of the Women's Entrepreneurship and Economic Empowerment
Act and the Women, Peace, and Security Act.
climate
Across the world, climate change is causing devastating impacts.
However, it is the world's poorest and most vulnerable communities who
are hit the hardest, suffering from loss of lives and livelihoods,
damaged homes and schools and, at times, being forced to flee their
homes. Despite being hit the hardest by climate change, these
vulnerable communities are the best agents of change to address the
climate crisis, yet they lack the resources to mitigate and adapt to
our changing climate. Developed countries, such as the US, have a
responsibility to help these vulnerable communities in order to reduce
suffering and support a just transition to a net-zero economy in an
effort to keep average global temperatures below 1.5 degrees Celsius.
This is why the US must scale up its international climate finance
commitments after years of neglect and ensure these investments
effectively reach those who need it the most.
We urge the Committee to significantly scale up multilateral and
bilateral international climate finance and provide clear direction
that climate investments must provide meaningful and substantial
support for addressing climate impacts. This starts with fulfilling the
outstanding $2 billion pledge to the Green Climate Fund and a new
investment of $100 million to the Adaptation Fund, a multilateral fund
dedicated to supporting vulnerable communities in adapting to the
impacts of climate change. This also includes taking a food-first
approach to scaling up investments for climate-related and global food
security activities, based on the needs and priorities of a country
driven process, in order to boost food and nutrition security, support
the resilience of agricultural livelihoods in vulnerable communities
and drive mitigation and net-zero efforts that prioritize the rights,
livelihoods and food security of local communities. These investments
are only a start considering the mounting costs of climate-related
disasters, such as hurricanes, floods and droughts, that wreak havoc on
the poorest and most vulnerable. However, the Committee has an
opportunity to send a strong political signal that the US supports the
world's most vulnerable communities while re-establishing US global
leadership in addressing the climate crisis.
In addition to enhancing the quantity of international climate
finance, it is just as important to enhance the quality of these
investments. Multilateral and bilateral climate investments must be
grounded in aid effectiveness principles--such as country and community
ownership, localization, transparency, and accountability in decision
making--in order to ensure US investments leave a sustainable impact
and effectively reach those most in need, particularly women,
marginalized communities and Indigenous peoples. Additionally,
investments in international climate initiatives must not displace
existing Official Development Assistance (ODA), which is critical for
addressing global challenges such as poverty, conflict and food
insecurity.
international organizations
We urge the Committee to fully fund the second installment of the
U.S. contribution to IDA19, as well as additional funds to eliminate
arrears. As the largest source of concessional finance for many
countries, the International Development Association (IDA) provides
significant support for health systems, vaccine acquisition, education,
infrastructure, and other public services that are critical to ending
the pandemic as well as supporting an equitable recovery. For the past
year, IDA has dramatically increased support for low-income countries
facing the unprecedented health and economic crises caused by COVID-19-
committing over half of the resources available for the 3-year IDA19
replenishment period in the first year alone. Fully funding the U.S.
commitment to IDA and addressing arrears will ensure IDA has the
resources it needs to continue supporting low income countries, and
enhance U.S. credibility and influence at the institution.
The Committee should also call for a strong policy package
alongside a robust IDA20 replenishment to ensure IDA resources support
a stable, equitable, climate-just recovery. While the World Bank's
effort to frontload resources in response to COVID-19 was welcome, it
could do much more to provide debt-free financing for vaccines, build
resilient public health and education systems, support governments to
raise taxes fairly, address gender inequality, and increase ambition on
its climate change agenda. Given the urgency of the climate crisis, the
Committee should also call for critically needed reforms to enhance
transparency in the World Bank's climate finance accounting and to end
support for fossil fuels.
[This statement was submitted by Mark Clack, Director of Government
Relations and Public Policy.]
______
Prepared Statement of the Pandemic Action Network
On behalf of the Pandemic Action Network-a network of over 120 non-
governmental organizations that work together to drive collective
action to help bring an end to COVID-19 and ensure the world is
prepared for the next pandemic-I am pleased to offer testimony for
Fiscal Year 2022 State and Foreign Operations Appropriations.
To ensure the United States heeds the lessons learned from COVID-19
and helps ensure the world sustainably prioritizes and invests in
pandemic preparedness, we respectfully urge you to substantially
increase funding for global health security (GHS) through the State
Department and the U.S. Agency for International Development (USAID).
Specifically, Pandemic Action Network urges the Committee to
prioritize:
--No less than $2 billion for a multi-year U.S. contribution for a
new enduring, catalytic, international pandemic preparedness
financing mechanism, as prescribed in National Security
Memorandum 1, Sec. 4;
--No less than $675m for USAID's bilateral Global Health Security
programs, including $200m for the Coalition for Epidemic
Preparedness Innovations (CEPI) and $200m for a new GHS Grand
Challenge initiative to advance health security innovations.
--No less than $300m for USAID's Emergency Response Fund.
The COVID-19 pandemic has laid bare the grave health and socio-
economic consequences of repeated failures to prioritize and invest in
health security and pandemic preparedness both at home and abroad. The
pandemic had already cost over 600,000 lives in the United States and
nearly 4 million around the world, and reversed years of progress in
global health and development. While vaccination efforts have begun to
dramatically reduce COVID-19 transmission in the U.S., the pandemic
continues to spread globally as most of the world's population still
lacks access to vaccines and other lifesaving tools and new variants of
the virus continue to emerge. Until the virus is controlled around the
world, Americans will not be safe and our domestic recovery will
continue to stall.
The COVID-19 pandemic was an avoidable disaster. Infectious disease
experts around the world had been warning for decades of the threat of
a fast-moving respiratory virus pandemic. Yet a persistent culture of
panic and neglect has prevented forward-looking and long-term
investments in global health security. U.S. leadership and
international cooperation is essential both to end this pandemic and to
prepare for the next one. The Pandemic Action Network urges this
committee and Congress to break this dangerous cycle once and for all
and commit to increased ?and sustained ? investments in pandemic
preparedness in Fiscal Year 2022 and beyond.
GHS and Pandemic Preparedness Financing Mechanism.--To help ensure
that the world is better prepared to prevent or rapidly contain the
next pandemic threat, the US should urgently help establish and seed
fund a new multilateral financing mechanism to incentivize global and
national investments in pandemic preparedness, with the focus on
closing critical health security gaps in low- and-middle-income
countries with the weakest health systems. The new financing facility
should be funded with a minimum initial capitalization of $10 billion
from public and private financiers, including a US$2 billion catalytic
contribution from the United States.
The COVID-19 pandemic demonstrates the perennial failure of the
international community to adequately invest in pandemic preparedness-
and we cannot repeat this dangerous mistake. Recent estimates point to
at least an annual $5-10 billion annual global funding gap over the
next 10 years to make the world better prepared for future pandemics;
this figure is likely higher now given the toll COVID-19 has taken on
countries with the weakest health systems. While a growing number of
countries have taken ownership to develop national action plans for
health security, most of these plans lack sufficient funding for
implementation. The need is most acute in low- and- middle-income
countries.
Creating a new multilateral financing mechanism focused on
strengthening country preparedness, in combination with increased
funding for existing U.S. bilateral and multilateral global health
programs, will change this equation. It will help save millions of
lives and trillions in future economic losses by stopping future
outbreaks at their source before they spread and become another deadly
and costly pandemic. Taken together, these investments will incentivize
country ownership of pandemic preparedness, accelerate closing of
critical global health security gaps, and build more resilient health
systems that will strengthen our collective frontline defenses against
emerging pandemic threats before they can spread.
Pandemic Action Network is pleased that President Biden called
``for creating an enduring international catalytic financing mechanism
for advancing and improving existing bilateral and multilateral
approaches to global health security'' in National Security Memorandum
1. Congress should support an initial investment of $2 billion to
jumpstart this new facility through the State Department budget and
urge other donor nations and private funders to join this U.S.-led
effort.
USAID.--USAID's ongoing work in global health security is also
critical to pandemic preparedness and must be upscaled. By taking a
``One Health'' approach, USAID's global health security programs
recognize the links between humans, animals, and environmental health
and work to strengthen partner country capacity to address risks posed
by zoonotic spillover. Coupled with the Agency's Emergency Response
Program, these investments help partner countries build the platforms
to detect, prevent, and respond to urgent infectious disease outbreaks,
which keeps Americans and our partners safe.
But USAID can do even more to advance global pandemic preparedness
with the targeted resources. USAID launched the Grand Challenges to
crowd source and fund needed innovations to combat Ebola and Zika,
which yielded better personal protective equipment and tools
appropriate for use in low-resource settings. A permanent Grand
Challenge for Global Health Security can play a forward-looking role to
incentivize innovations to detect, prevent, and rapidly respond to
emerging infectious disease threats.
CEPI.--Funding for U.S. participation in the Coalition for Epidemic
Preparedness Innovation (CEPI) is also critical. We urge this Committee
to both advance a $200 million commitment for Fiscal Year 2022, and
support CEPI's new five-year plan of action toward the goal of
developing novel vaccines within 100 days of detection of a novel
pathogen that could pose a pandemic threat. CEPI's priority is ensuring
equitable global access to vaccines for diseases with epidemic and
pandemic potential. We are seeing firsthand the impacts of the
inability of low- and middle-income countries around the world to
access COVID-19 vaccines for their populations: continued deaths,
economic emergencies, and risks of reversing hard-won progress against
a novel and changing pathogen. U.S investment in CEPI is vital to
ensure development of vaccines that are appropriate, accessible, and
affordable across all income settings and to develop vaccines and
platform technologies for the next ``Disease X''.
COVID-19 makes evident that a pandemic threat anywhere can quickly
become a pandemic threat everywhere. The case for investment has never
been so clear. Congress should lead and ensure that our global health
and development investments are both increased and leveraged to build a
better prepared international system-and to make COVID-19 the last
pandemic.
[This statement was submitted by Carolyn Reynolds, Co-Founder.]
______
Prepared Statement of the PATH
Chairman Coons, Ranking Member Graham, and members of the
Subcommittee, thank you for the opportunity to submit written testimony
regarding fiscal year (FY) 2022 funding for the US Agency for
International Development (USAID), the Department of State, and related
multilateral public-private partnerships. I am submitting this
testimony on behalf of PATH, a global team of innovators and advocates
working to solve the world's most pressing health challenges so all
people and communities can thrive. We respectfully request that this
Subcommittee allocate no less than $69.1 billion for the FY22 State-
Foreign Operations Appropriations bill. Doing so would restore funding
for the State-Foreign Operations bill to maintain current investments
in critical programs that promote global health security and health
system strengthening, women and children's health, and global health
research and innovation. Sustained funding for foreign assistance is
more critical now than ever. Within SFOPS, we support no less than $984
million for USAID's Maternal and Child Health account, of which $290
million should be for Gavi, the Vaccine Alliance as well as $902.5
million for the President's Malaria Initiative. Lastly, we support the
President's FY22 Budget Request, recommending $745 million for USAID's
global health security programs-out of which we request $200 million be
allocated to Coalition for Epidemic Preparedness Innovations (CEPI)-and
$250 million for the Department of State to establish a new
multilateral health security financing mechanism.
Using cost-effective strategies and bolstering health system
strengthening efforts
As an organization that partners with the public and private
sectors in the US and in nearly 70 countries, PATH sees firsthand the
tremendous impact that US-supported global health and development
programs have with relatively modest investments. These investments are
further maximized through traditional and innovative financing
mechanisms, in tandem with efforts to strengthen countries' overall
health systems toward sustainability and ownership.
USAID programs have supported health system strengthening (HSS)
efforts for more than 30 years with critical resources, technical
expertise, and global leadership to sustain global health gains. Many
of these efforts are supported through the Office of Health Systems and
guided by the renewed Vision for Health System Strengthening 2030 which
articulates a comprehensive approach toward improving health systems to
advance USAID and national health priorities. However, funding
currently available to the USAID Office of Health Systems for direct
awards is insufficient to meet current challenges or strategically
drive programs in the field. We request that this Subcommittee allocate
$100 million to USAID for cross-cutting, health system strengthening
programs, particularly support for health workers who are critical to
continued COVID-19 response efforts, including through administering
immunizations. Such an initiative would provide central level support
to USAID missions, incentivizing them to align programming toward a
common strategic purpose based on USAID's 2030 vision.
Strengthening global health security
USAID plays a critical role in helping strengthen pandemic
preparedness and response through the Global Health Bureau's Global
Health Security Agenda and Emerging Pandemic Threats programs. These
investments support partner countries to reduce transmission of
diseases between animals and humans, strengthen workforce development
and disease surveillance, and enhance collaboration with national and
community stakeholders to monitor viruses with pandemic potential.
USAID's global health security work is further bolstered with
programming in HIV/AIDS, tuberculosis, malaria, maternal and child
health, and neglected tropical diseases, all of which strengthen health
systems to enable them to better detect and respond to a variety of
disease threats.
Congress must dramatically increase support for this critical
health priority which has, until recently, been overlooked and
underfunded. Referencing the President's FY22 budget request, we
support the requested $855 million increase over FY21 enacted funding
to the Department of State and USAID global health programs. We urge
the committee to allocate $745 million for USAID's global health
security programs, including core bilateral programming, replenishing
the Emergency Response Fund, and dedicating $300 million for
contributions to support multilateral initiatives leading the global
COVID-19 response through the Access to COVID-19 Tools (ACT)
Accelerator. We also recommend $250 million for a new multilateral
financing mechanism needed to support pandemic preparedness efforts,
including through incentivizing domestic investments in low- and
middle-income countries.
As we have seen through COVID-19, vaccines play a critical role in
responding to disease outbreaks. Within the funding for multilateral
initiatives allocated to USAID's global health security programs, we
are requesting no less than $200 million to support the COVID-19
related efforts of CEPI to address urgent global manufacturing and
research priorities on the virus variants driving the current wave of
the pandemic. CEPI holds both the mandate and expertise to continue to
accelerate the development of vaccines needed globally and to counter
emerging virus variants contributing to the humanitarian and health
emergencies in India and Brazil. An immediate investment in CEPI is a
key component to increase global production and delivery of COVID-19
vaccines to the world, develop and adapt vaccines to address the
variants, accelerate an end to the acute phase of the pandemic, and get
ahead of the next emerging threat. We are in a race against time; this
investment cannot wait.
Reducing maternal, newborn, and child deaths and leveraging public-
private partnerships Every day, more than 14,000 children die from
preventable or treatable causes, and more than 830 women die due to
complications during pregnancy and childbirth. These preventable deaths
primarily occur in resource-limited settings where women and children
lack access to basic health care services.
There is consensus among scientists and global health experts that
ending such deaths is achievable but will require increased investment
in scaling up interventions that tackle the leading killers of women,
newborns, and children. Many of these are simple and low-cost, such as
promoting healthy practices like breastfeeding and handwashing and
ensuring access to lifesaving drugs for infections. Investments in the
maternal and child health (MCH) account have lifesaving impact. These
investments helped more than 84 million women and children gain access
to essential-and often lifesaving-care in 2019 alone. But COVID-19 has
put this progress at risk. Without additional interventions, years of
progress in reducing maternal, newborn, and child deaths is set to be
reversed. Experts estimate that the severe reductions in coverage of
essential maternal and child health interventions caused by COVID-19
could result in 1.2 million additional child deaths and 57,000
additional maternal deaths every six months during the pandemic. That
signifies a loss of a decade of progress, during which the US
government invested more than $12.36 billion in maternal, newborn, and
child health.
We urge the committee to provide $984 million for global maternal
and child health programs that further enable sustainable development.
USAID has effectively advanced maternal and child health outcomes by
leveraging American bilateral assets with multilateral technical
support and financing to catalyze country commitments. In line with the
new global immunization strategy, Immunization Agenda 2030, USAID has
provided bilateral technical and commodity assistance to more than 100
countries in support of national child immunization programs. This
impact is maximized through USAID's relationship with Gavi, the Vaccine
Alliance, which provides new and under-utilized vaccines to developing
countries. This public-private partnership has enabled the immunization
of 822 million children since 2000, saving an estimated 14 million
lives. In June of 2020, Gavi launched its third replenishment with an
ambitious goal of immunizing an additional 300 million children-saving
8 million lives-by 2025.
Through the passage of H.R. 133 in December of 2020, Congress
committed an additional $4 billion to support global COVID-19
immunization efforts through Gavi. To ensure the greatest impact, this
additional funding must be complemented with additional funding through
the MCH core account to provide the technical support needed to scale-
up and support these new rollouts and enable countries to provide more
equitable access to new vaccines. The bilateral funding that supports
the backbone of these vaccine programs must also meet the moment to
ensure the vaccines become vaccinations.
Fighting to eliminate malaria
Another example of USAID's vital work is the tremendous progress
made in fighting malaria through the President's Malaria Initiative
(PMI). PMI's work to scale up malaria interventions in partner
countries is contributing to global efforts that have helped save an
estimated 7.6 million lives and prevented 1.5 billion malaria
infections since 2000. Yet, close to half the world's population
remains at risk of malaria. In FY20 alone, thanks to bipartisan support
and despite significant challenges caused by COVID-19, PMI invested
$746 million across its portfolio, delivering mosquito nets to 80
million people, and providing 9 million children with preventative
treatment and 63 million people with rapid malaria tests.
An added challenge in tackling malaria is the expansion of drug and
insecticide resistance which threatens the effectiveness of current
interventions. As our current drugs and insecticides are rendered less
and less effective, it is imperative that new tools-whether new drugs
and vector controls tools or entirely new classes of interventions,
such as vaccines-be available to ensure that decades of US investment
to fight malaria are not lost. To this end, PATH has been partnering
with the US government, private sector, and country partners to drive
innovation for new tools and strategies to control and eliminate
malaria, including development of the world's first malaria vaccine for
young children in Africa. This vaccine-RTS,S-is currently in large-
scale pilot introduction in areas of Ghana, Kenya, and Malawi, and
could prove to be an important complementary tool to the existing anti-
malarial toolkit.
Congress should fully fund PMI at $902.5 million, as additional
resources are critical to the success of PMI's country programs.
Disruptions of essential health services due to the COVID- 19 pandemic
are having a catastrophic impact, according to the Global Fund to Fight
AIDS, Tuberculosis, and Malaria, in Africa, malaria diagnosis and
treatment has fallen roughly 15 percent during the pandemic, and more
than 20 percent of facilities have reported stockouts of medicines for
treating children under 5. In Asia, diagnosis and treatment has fallen
almost 60 percent due to COVID-19, and 37 percent of facilities have
reported COVID-19 infections amongst their health workers. Financial
resources are needed to make greater investments in malaria research
and development (R&D) for new tools to accelerate progress, such as
improved diagnostics, novel insecticides, and next-generation vaccines,
as well as in operational research to optimize the impact of tools as
they emerge from development. Finally, Congress should exercise its
oversight of all relevant US agencies that are implementing malaria
programs to ensure that programs are using high-quality data, ensuring
efficiency, cost-effectiveness, and progress toward a world free from
malaria.
Protecting the United States through leadership in global health R&D
We ask that the Subcommittee continue to affirm its support for the
role that USAID plays in advancing innovations to ensure that people in
low-resource settings have access to high-quality health tools. USAID's
innovation-focused initiatives have shown great success in leveraging
US investments, and USAID should continue to look for ways to engage
private-sector expertise and investment. For example, the agency's
Saving Lives at Birth Grand Challenge has leveraged over $150 million
from other donors and created a pipeline of over 100 potentially
lifesaving innovations, like rapid diagnostic tests to detect pre-
eclampsia, new formulas of drugs to stop post-partum hemorrhage, and
wearable technology to prevent hypothermia in newborns.
USAID's investments to increase access to new tools are
complemented by efforts to draw in new private sector resources through
the Development Finance Corporation (DFC). The DFC's Health and
Prosperity Initiative, along with two recent initiatives to expand
vaccine manufacturing in India and Africa in partnership with other
bilateral and multilateral donors, leverage its abilities to crowd in
resources from the private sector to make a significant difference in
the manufacturing capabilities in low- and middle-income countries,
improving the ability to respond to COVID-19 and future pandemics.
Reaching pockets of poverty and overcoming weakness in health systems
demands new technologies, including drugs, vaccines, diagnostics, and
devices, stronger investments in digital health to guide decision
making, and more robust manufacturing capabilities in low- and middle-
income countries which will help ensure adequate global supply of
lifesaving products. We ask the Subcommittee to continue to support the
DFC's efforts to include innovation its health care strategy and
recommend that the subcommittee request a report on how investments in
innovation will drive health development outcomes.
An investment in health, at home and around the world
With strong funding for global health and development programs
within USAID and through public-private partnerships, the US government
is improving access to proven health interventions in the communities
where they are needed most, while also investing in solutions for
tomorrow's challenges. Fully funding the International Affairs account
is a critical opportunity to help countries responding to the current
COVID-19 pandemic and other threats to health and mobilize domestic,
corporate, and other partner resources. Through this investment, the US
can improve the health of populations around the globe and invest in
global economic growth-ensuring that people everywhere can reach their
full potential. We appreciate the Subcommittee's consideration of our
views and urge Members to ensure that the US maintains our position as
a champion for global health and development.
[This statement was submitted by Jenny Blair, Manager.]
______
Prepared Statement of the Planned Parenthood Federation of America
Planned Parenthood Federation of America (``Planned Parenthood'')
is pleased to submit testimony for the record to the Senate
Appropriations State, Foreign Operations and Related Programs
Subcommittee regarding global sexual and reproductive health priorities
for FY 2022. We respectfully request $1.17 billion for international
family planning and reproductive health programs, including $74 million
for the United Nations Population Fund (UNFPA), without onerous and
unnecessary restrictions and the elimination of policies that undermine
the health and rights of people around the world, especially the global
gag rule.
Planned Parenthood is the nation's leading reproductive health care
provider and advocate and a trusted, nonprofit source of primary and
preventive care for people in communities across the U.S. as well as
the nation's largest provider of sex education. As experts in sexual
and reproductive health care, we reach 2.4 million people in our health
centers, 1.1 million people through educational programs, are back by
17 million supporters, and see 198 million visits to our website every
year, the majority of which originate outside of the U.S. People come
to Planned Parenthood for the accurate information and critical
resources they need to stay healthy and reach their life goals. For
many patients, Planned Parenthood is their only source of care--making
Planned Parenthood health centers an irreplaceable part of this
country's health care system. Through our international arm, Planned
Parenthood Global, we provide financial and technical support to nearly
100 innovative partners in nine countries in Africa and Latin America
for service delivery and advocacy to expand access to reproductive
health care and empower people to lead healthier lives.
increasing funding for international family planning and reproductive
health programs
International family planning and reproductive health programs are
essential to empowering women and improving the health and lives of
millions of people. These programs are central to achieving a number of
U.S. global health goals, including reducing rates of unintended
pregnancy, maternal, infant, and child mortality, and mother-to-child
HIV transmission. Globally, 218 million women want to delay or prevent
pregnancy but face barriers to using modern contraceptive methods.\1\
The burden of these challenges falls on Black and Brown women who live
in low and middle income countries and face the most significant
barriers to health care access in countries worldwide due to systems
that are rooted in and reinforce white supremacy, neocolonialism, and
gender inequality. Addressing this unmet need is key to delivering on
global health, development, and foreign policy goals. Current funding
levels make it possible for 27.4 million women and couples to receive
contraceptive services and supplies, averting 12.2 million unintended
pregnancies, 4.1 million unsafe abortions, and 20,000 maternal deaths
\2\ but after 11 years of stagnant funding, more is needed to invest in
women and girls and truly transform communities and achieve gender
equality.
A critical component of U.S. investments in reproductive health is
the U.S. contribution to the United Nations Population Fund (UNFPA),
which works in more than 150 countries worldwide, including many where
USAID does not operate programs. UNFPA promotes human rights standards
and is working to end preventable maternal deaths, unmet need for
modern contraception, and harmful practices like gender-based violence,
female genital mutilation and child marriage. Furthermore, UNFPA is
essential to delivering maternal and reproductive health care in crisis
and humanitarian settings, including in places like Yemen, Syria. and
Venezuela.
The COVID-19 pandemic has exacerbated existing barriers to
accessing sexual and reproductive health care. UNFPA estimates that in
the first year of the pandemic, 12 million women experienced
disruptions in contraceptive access, with disruptions averaging 3.6
months and resulting in 1.4 million unintended pregnancies. Increased
investments for international family planning and reproductive health
programs are necessary to address pandemic-related disruptions and
further bolster access to reproductive health care worldwide.
Planned Parenthood requests a minimum of $1.17 billion for
international family planning and reproductive health programs,
including $74 million for the United Nations Population Fund (UNFPA),
without onerous and unnecessary restrictions. While the President's FY
2022 budget request took an important first step to increasing funding
for these accounts, the Senate State, Foreign Operations and Related
Programs Appropriations bill should go beyond this proposal. The
requested funding increase would put the U.S. government on track to
fund its fair share ($1.74 billion) of the global financial commitment
necessary to address the unmet need for modern contraception by FY2024.
permanently repealing the global gag rule
Under the previous administration, the global gag rule (also known
as the Mexico City Policy) was expanded to an unprecedented level to
apply to all U.S. global health assistance and even resulted in funds
from other donors and governments being gagged. The expanded version of
the policy prohibited foreign organizations from receiving any U.S.
global health assistance if they provide, counsel, refer, or advocate
for legal abortion in their country, even if these activities are
supported solely with non-U.S. funds. This undermined access to many
critical health care services, silenced advocates, and rolled back
years of progress on health care access for communities worldwide.
While the global gag rule is often framed as an issue related to
abortion, the policy affected providers offering a range of health care
services, including family planning, maternal and child health,
nutrition, and HIV/AIDS prevention, care, and treatment. When in place,
the global gag rule restricts the medical information health care
providers may offer, limits free speech by prohibiting local citizens
from participating in public policy debates, and impedes access to
basic health care by cutting off funding for many of the most
experienced health care providers. Under previous versions of the
global gag rule, which more narrowly applied to U.S. international
family planning funding rather than all global health assistance, the
global gag rule resulted in increased unintended and high-risk
pregnancies, unsafe abortions, and maternal deaths. Research published
on August 1, 2019 in the Lancet found that under President George W.
Bush, the global gag rule corresponded with a 14% decrease in access to
modern contraceptives, a 12% increase in pregnancies, and a 40%
increase in abortion rates, many of which were likely to be unsafe,
across 26 impacted countries in sub-Saharan Africa.\3\
Research on the expanded global gag rule, as in effect from 2017-
2020, further demonstrates the policy disrupts the delivery of a range
of health services in areas of the world that are most in need. Loss of
funding led to discontinued programs and reductions in services from
high-quality providers, including those who offer youth-friendly access
to contraception, treat children for malaria and malnutrition, and
support pregnant women with HIV prevention and treatment services.
Research by amfAR shows the global gag rule resulted in many PEPFAR
implementing partners altering the health services and information they
provide, including non-abortion related services such as contraception
and HIV, and their partnerships.\4\ These disruptions were reported in
31 of the 45 countries surveyed including in areas with high HIV-
prevalence, like South Africa, Eswatini, and Mozambique.\5\ The
research indicates there may be a disproportionate impact on key and
marginalized populations, such as adolescent girls, young women, and
men who have sex with men, who are more reliant on outreach services
and integrated care models that are adversely impacted by the global
gag rule because organizations who provide comprehensive reproductive
health care are also often the ones best able to serve and reach key
and marginalized populations.
We welcome the action of the Biden-Harris administration to rescind
the global gag rule, and call on Congress to take action to protect
against this policy from returning under future administrations by
permanently repealing the global gag rule. The looming threat of
reinstatement of the global gag rule undermines the sustainability of
global health programs and the pace of progress. Long-term partnerships
between the U.S. government and local organizations and the communities
that they serve cannot be built and maintained if there is a change in
U.S. government policy every time the U.S. presidency changes party
control.
Permanent repeal of this policy will help ensure U.S. global health
programs support countries to expand reproductive health care, build
sustainable partnerships, and foster civil society participation to
make lasting and equitable progress on improving health care access and
outcomes. Ending the global gag rule is also supported by 70% of
Americans.\6\
To eliminate the harm of the global gag rule and ensure that
resources can be effectively deployed to qualified providers of
comprehensive care and information, Planned Parenthood requests that
language to permanently repeal the global gag rule be included in the
FY2022 State, Foreign Operations and Related Programs appropriations
bill.
removing barriers that undermine global health programs
The U.S. commitment to global health, including family planning and
reproductive health, should be consistent across all programs. Policy
restrictions that impede human rights and limit the information and
services available to people to make their own informed decisions about
their bodies and their lives are a stark example of neocolonialism,
taking advantage of the uneven relationship between the U.S. and the
countries that receive foreign aid. To ensure that accurate information
about family planning and reproductive health and rights is freely
available and that programs are justly and effectively administered, we
also recommend the following changes to the State, Foreign Operations
and Related Programs appropriations:
--Include language to require the State Department to report on
reproductive rights in their annual country reports on human
rights.
--Require that information provided about the use of all modern
contraceptives--not just condoms--as part of U.S. funded
projects or activities is medically accurate and includes the
public health benefits and failure rates.
--Ensure that funds available in the HIV/AIDS Working Capital Fund
are made available for other global health and child survival
activities to the same extent as HIV/AIDS pharmaceuticals and
other products and not limited to ``child survival, malaria,
tuberculosis, and emerging infectious diseases,'' which would
increase effective procurement without decreasing funding from
any other critical area.
--Exempt family planning and reproductive health programs from a
variety of prohibitions on assistance that can and have been
enforced against country governments, consistent with the
treatment of child survival, HIV/AIDS, and other disease-
specific programs.
Finally, the FY2022 State, Foreign Operations and Related Programs
bill should delete reference to the Helms Amendment, which prohibits
the use of U.S. foreign assistance funds for ``the performance of
abortion as a method of family planning.'' This provision hurts
millions of people around the world who seek access to care from
health, gender-based violence and humanitarian programs supported by
U.S. foreign assistance. It restricts the ability of individuals to
make their own personal medical decisions and access comprehensive
reproductive health care. The Helms Amendment has been in the Foreign
Assistance Act of 1961 since 1973 and has subsequently been reiterated
in two separate sections of the appropriations bill every year for over
30 years. Removing the reiterations of this policy in FY2022
appropriations would be a powerful step toward removing policies which
control the health care and bodily autonomy of Black and Brown people
around the world and ensuring U.S. foreign policy expands access to
quality, comprehensive sexual and reproductive health care services
including safe, legal, and accessible abortion, for all.
Planned Parenthood issues these requests in the hopes that we can
protect and build upon federal investments to make quality sexual and
reproductive health care accessible so that all people, no matter who
they are or where they live, can lead healthier lives.
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\1\ Sully, et al., Adding It Up: Investing in Contraception and
Maternal and Newborn Health, 2019, New York: Guttmacher Institute,
2019.
\2\ Guttmacher Institute. Just the Numbers: The Impact of U.S.
International Family Planning Assistance, 2020. https://
www.guttmacher.org/article/2020/07/just-numbers-impact-us-
international-family-planning-assistance-2020
\3\ Brooks, N., Bedavid, E., & Miller, G. USA aid policy and
induced abortion in sub-Saharan Africa: an analysis of the Mexico City
Policy. The Lancet Global Health. 7.8 (2019):E1046-E1053. [Online].
https://www.thelancet.com/journals/langlo/article/PIIS2214-
109X(19)30267-0/fulltext#seccestitle \10\ 4 Planned Parenthood Global
(2019). Assessing the global gag rule: Harms to health, communities,
and advocacy [Online].
\4\ amfAR. (2018). Impact of Mexico City Policy in PEPFAR [Online].
https://www.amfar.org/pepfar-mexico-city/.
\5\ amfAR. (2019). How Expanded Mexico City Policy Is Disrupting
Global HIV Programs [Online]. https://www.amfar.org/infographic-
expanded-mexico-city-policy/.
\6\ Hart Research Associates. (2020, September 25). Key Findings
from Survey on Global Gag Rule. Retrieved from https://
www.plannedparenthood.org/uploads/filer_public/6c/59/6c5906ef-4022-
4bbc-b209-403eaf413c88/me12884_ggr_memo_release.pdf
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[This statement was submitted by Jacqueline Ayers, Vice President,
Public Policy and Government.]
______
Prepared Statement of the Refugee Council USA
Chair Leahy, Vice Chairman Shelby, and members of the subcommittee,
thank you for the opportunity to submit funding and oversight
recommendations for Fiscal Year (FY) 2022 on behalf of the 29-member
organizations of Refugee Council USA (RCUSA)1 dedicated to refugee
protection, welcome, and integration, and representing the interests of
refugees, refugee families, volunteers, and community members across
the country who support refugees and resettlement. By maintaining
robust funding for international humanitarian assistance for refugees
and other vulnerable populations, the U.S. strengthens national
security, foreign policy, economic, and humanitarian interests. The
U.S. Refugee Admissions Program (USRAP) is a longstanding bipartisan
humanitarian program that enables the United States to provide
lifesaving protection to some of the world's most vulnerable people.
RCUSA recommends the following funding levels for State, Foreign
Operations, and Related Programs (SFOPs) for the following three
accounts: $4,118,400,000 for Migration and Refugee Assistance (MRA);
$5,274,434,000 for International Disaster Assistance (IDA); and
$50,000,000 for the Emergency Refugee and Migration Account (ERMA).
RCUSA also recommends that Congress provide sufficient funding to the
USRAP in order to meet President Biden's commitment to set the annual
refugee admissions ceiling at 125,000 refugees in FY 2022, and to lay
the foundation for further growth.
humanitarian and strategic purposes for assisting refugees and
internally displaced people
The U.S. government invests in lifesaving humanitarian assistance
and permanent solutions for refugees and other forcibly displaced
people in accordance with our national values, international
obligations, and strategic interests. Forcibly displaced people often
lack necessary food, water, shelter, healthcare, education, livelihood
options, and protection. Beyond these grave humanitarian concerns,
large-scale forced displacement is an urgent strategic and security
concern for the countries and regions in which displaced people find
safety. U.S. funding helps to meet the basic human needs of persons
fleeing persecution while they are displaced; supports permanent
solutions to their displacement; and assists the countries hosting
them. By funding these accounts, the U.S. government expresses the
humanitarian values of the American people while pursuing important
strategic interests-supporting key ally countries that host refugees,
relieving pressures that have the potential to destabilize sensitive
regions, and maintaining our international reputation as a country that
protects the oppressed, promotes stability, and contributes to orderly,
safe migration. Under Republican and Democratic administrations alike,
the U.S. has long leveraged its willingness to resettle a small
percentage of the world's refugees. In response, host countries often
provide safe haven, aid, and integration opportunities for the vast
majority of refugees, including access in host countries to education
for refugee children and work visas for refugee adults. The strategic
use of U.S. resettlement and other support to host countries has
prevented further destabilization in fragile regions, providing many
with viable alternatives to onward migration. Key strategic allies
disproportionately affected by forced displacement have benefited, such
as Jordan, Turkey, Thailand, Kenya, and Uganda.
three crucial accounts for refugees and forcibly displaced people
Migration and Refugee Assistance (MRA).--The Migration and Refugee
Assistance (MRA) Account funds the work of the Department of State's
Bureau of Population, Refugees, and Migration (PRM). PRM helps to
ensure that individuals and families fleeing life-threatening
situations can find temporary protection in countries to which they are
displaced, often located near their home countries. This funding also
supports refugees' pursuit of the three durable solutions: voluntary
repatriation back to their home country; integration into a host
country; and third-country resettlement when the first two solutions
are not viable. The crises in Syria and Venezuela continue to escalate
dramatically, and there are similarly serious humanitarian challenges
in Afghanistan, Central African Republic, the Democratic Republic of
Congo, South Sudan, Burma/Myanmar, Iraq, and Central American
countries. This account is critical to ensure that PRM can continue to
service currently displaced populations while responding to numerous
emerging humanitarian crises.
Overseas Refugee Assistance helps maintain humane, stable
conditions for refugees and host communities during the period of
displacement until the refugee crises can be resolved. In a few
situations, it helps maintain safe, humane operation of refugee camps.
In the vast majority of refugee situations, funding facilitates the
host countries' expansion of its community response, builds
infrastructure to accommodate refugees, and invests in refugees'
ability to be resilient, self-sufficient, and contributing members of
the host community's economy. Overseas assistance also covers some
costs related to refugees' pursuit of durable solutions. We are
currently facing the worst displacement crisis on record with more than
80 million displaced persons worldwide, including more than 29.6
million refugees, forty percent of whom are children.
Refugee Admissions helps refugees unable to find safety, security,
and well-being in their home country or a host country to find a new
life in a third country through resettlement. Among the 29.6 million
refugees worldwide, UNHCR estimates that 1.45 million refugees need
resettlement. Actual annual resettlement has amounted to less than 1%
of the global refugee population. Although the number of refugees
resettled is proportionally very small, those who need it have no other
option. They might be from a religious minority, race, nationality, or
member of a social group that is as oppressed and targeted in the host
country as it is in their country of origin.
During the 40-year history of its resettlement program, the U.S.
has been the global leader among resettlement countries, of which there
were 29 as of 2019. The U.S. has chosen to exert its global power by
providing life-saving resettlement to over three million refugees over
the history of the program. This is one of our nation's proudest and
longest-standing traditions, including resettling Jewish refugees
during World War II, Vietnamese refugees in the 1980s, and more
recently refugees from the Sudan, Bosnia, Bhutan, Burma/Myanmar, Iraq,
Afghanistan, Syria, and the Democratic Republic of the Congo. Refugees
undergo rigorous vetting prior to arrival, often lasting eighteen to
twenty-four months, and once resettled, tangibly contribute to American
communities.
Emergency Refugee and Migration Assistance (ERMA).--ERMA, an
emergency Presidential draw-down account, provides an important safety
valve during emergencies, allowing the U.S. to meet rapidly occurring
and unforeseen humanitarian needs. This funding allows the U.S. to
respond quickly and effectively to unanticipated crises, to relieve
human suffering and support regional stability. Examples of how ERMA
has provided lifesaving support in recent years include food, shelter,
health care and/or protection for internally displaced persons (IDPs)
and/or refugees from Mali, Sudan and Ethiopia (2012); from Syria
(2013); and from South Sudan (2014). While the former administration
did not draw down ERMA, the new administration is expected to do so.
RCUSA expects the administration to spend down the ERMA account for the
remainder of FY 2021 and recommends $50 million in funding for FY 2022
to replenish FY 2021 ERMA draw downs. RCUSA further recommends that the
authorized funding level for ERMA be raised to $200 million and that
the Secretary of State be authorized to draw down ERMA funds.
International Disaster Assistance (IDA).--International Disaster
Assistance (IDA) is administered by the USAID Bureau for Humanitarian
Assistance and assists people during natural and human-made disasters.
Such humanitarian crises cause significant internal displacement and
regional pressures throughout the world. IDA helps to save lives,
restore and maintain human dignity, and prevent internally displaced
persons from having to flee their home countries and become refugees.
Given the substantial rise in IDPs served through IDA from 40 million
in 2017 to 45.7 million in 2020, and the number and growing complexity
of forced displacement crises, we urge a substantial increase for IDA
to $5.27 billion.
critical investments in the u.s. refugee admissions program
In light of urgent resettlement needs, President Biden has
committed to restoring the USRAP to allow for the admission of 125,000
refugees in FY 2022. In order to meet this commitment and rebuild the
USRAP after four years of systematic dismantling, funding needs for
refugee resettlement are projected to increase substantially in FY
2022. While the annual refugee admission goal has averaged 95,000 over
the four decades of the program, with the goal exceeding 200,000 under
both Democratic and Republican administrations when U.S. humanitarian
and strategic interests required, the annual goal fell to an all-time
low of 15,000 under the last administration. Refugees, as newcomers to
the United States and as individuals who have lost their country, loved
ones, and virtually all possessions, are in need of transitional
support to gain self-sufficiency. And just like all of us, they share
the vulnerabilities and challenges related to COVID-19. Throughout the
pandemic, however, they have shown their resilience and how they
contribute to their new communities with many of them employed as
essential workers in healthcare and the U.S. food supply chain. It is
critical that the administration and U.S. communities have the capacity
they need to help refugees integrate and thrive.
In addition to funding, RCUSA recommends that Congress direct the
State Department's Bureau of Population, Refugees, and Migration (PRM)
to ensure expedited processing for unaccompanied refugee minors (URM)
who are on the verge of aging-out of URM program eligibility,
particularly in light of USRAP's suspension in admitting URM in the
previous administration. We further recommend that Congress direct PRM
to issue regular, quarterly reports to the Appropriations Committee
about the status of the USRAP and SIV pipelines, ongoing implementation
of Executive Order 14013, changes to refugee processing and
adjudications. We also urge Congress to make permanent the Lautenberg
program, fund the community consultations process, direct PRM to expand
and improve family reunification (P-3 and I-730) processing, and expand
and strengthen the Central American Minors (CAM) program.
an urgent moment to protect u.s.-affiliated persons in afghanistan
Given the withdrawal of U.S. troops in Afghanistan by September
11th, 2021, it is incumbent upon the administration to develop
emergency protection plans for the approximately 17,000 Afghans and
their derivatives who will remain in danger. While the Afghan Special
Immigrant Visa (SIV) program has successfully offered protection to
thousands of Afghan allies from a lifetime of fear or even death, in
its current state, it is insufficient to provide rapid protection in an
evolving emergency situation. The program has long been challenged by
systemic delays and backlogs: despite Congress mandating that
processing take no more than nine months, the State Department
estimates that the process takes an average of almost two years. It is
critical that the administration take steps to ensure that the program
can operate efficiently moving forward. RCUSA urges that Congress
allocate at least 20,000 visas in the FY 2022 SFOPS spending bill or
through another appropriate bill. RCUSA also urges Congress to increase
the annual allotment of visas for the 1059 program from 50 to 150
visas. Congress should also conduct oversight into the administration's
implementation of the President's February Executive Order on
Rebuilding and Enhancing Programs to Resettle Refugees and Planning for
the Impact of Climate Change on Migration, which directed a review of
the SIV program's processes and capacity.
In closing, RCUSA urges Congress to adopt the above funding levels;
fund U.S. refugee resettlement to restore U.S. global leadership on
refugee protection; and approve an additional 20,000 Afghan SIVs and
ensure the protection of at-risk U.S.-affiliated Afghans. Thank you for
your consideration.
FY 2021 Funding Needs for Refugees and Displaced Persons in Department of State Accounts
----------------------------------------------------------------------------------------------------------------
FY 2022
Refugees and Displaced Persons Accounts FY 2021 Enacted President's FY 2022 RCUSA
Request
----------------------------------------------------------------------------------------------------------------
Recommended Migration and Refugee Assistance.............. $3,432,000,000 $3,845,000,000 $4,118,400,000
International Disaster Assistance......................... $4,395,362,000 $4,682,362,000 $5,274,434,000
Emergency Migration and Refugee Assistance................ $100,000 $100,000 $50,000,000
----------------------------------------------------------------------------------------------------------------
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\1\ A list of RCUSA member organizations can be viewed at
RCUSA.org.
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[This statement was submitted by Refugee Council USA.]
______
Prepared Statement of the Results
On behalf of RESULTS and our grassroots advocates across the U.S. I
want to say thank you for the role the Senate SFOPS has played in
including emergency funding for global vaccines in the December 2020
COVID relief package and the inclusion of global aid resources in the
American Rescue Plan Act. We are grateful for the continued U.S.
investments in some of the highest-impact, effective mechanisms and
programs that save lives, improve futures, and help countries to
deliver quality health and education to children and families
experiencing poverty. I urge you to give particular priority to key
global health and education efforts in FY22, including: the Global Fund
to Fight AIDS, TB, and Malaria; bilateral tuberculosis programs;
maternal and child health, including Gavi, the Vaccine Alliance; and
nutrition programs in global health; and Basic Education, particularly
the Global Partnership for Education.
Global Health--Tuberculosis.--This committee's leadership and
support for increased global tuberculosis funding over the past 4
fiscal years must be commended--we have seen and deeply appreciate your
efforts to raise TB into the spotlight and to increase the resources
for the USAID bilateral program.
But unfortunately, for decades before, TB was stuck at the bottom
of political priority lists, which allowed it to climb to the top of
the list of global infectious killers. Every year, TB sickens about 10
million people and causes about 1.4 million deaths. That burden does
not fall evenly. TB disproportionately impacts people who are already
in poverty and otherwise pushed to the margins, largely in countries
facing the consequences of colonialism, resource extraction, and unjust
global lending policies.
And now, more than ever, efforts to get ahead of this dire disease
are critically important for saving lives. As the COVID-19 pandemic
continues to disrupt and destabilize health systems around the world,
this ancient killer has once again found stronger footing. Lockdowns
and fear of COVID-19 stopped many from getting tested and treated for
tuberculosis (TB). Supply chains for TB medicines and diagnostics have
been disrupted. And national TB programs have been pushed to the brink
as staff and funding are pulled to the COVID-19 response.
Global progress against TB was already slow and fragile. And now
data is showing that 12 months of COVID-19 has eliminated 12 years of
TB gains in many countries with high rates of TB.
But this moment of enormous public health challenge is an
opportunity to create a better way of working that can fight both
diseases. We can invest in systems that will not only find and treat
people for both COVID-19 and TB, but that will help prevent future
pandemics.
We must attack the current pandemic and while preparing for the
next one. In many countries, existing TB programs formed the backbone
of national and local COVID responses. Infection control, lab capacity,
respiratory disease expertise, active outreach, and contact tracing
were all capacities built in TB programs.
The challenge is that TB programs were already hugely underfunded,
and COVID further diverted resources. With increased funding and
adequate staffing, resourcing, and testing supplies, these same
programs could instead not only bring an end to TB as a global killer,
but also provide a respiratory disease response platform for future
pandemics.
Domestic country budgets have long been the biggest funders of TB
programs, but now those budgets are stretched thinner due to COVID-19--
even as needs have grown. As an established global leader on TB, USAID
can play a critical role to support locally led TB programs, rapidly
adapt and restore critical TB services during the pandemic, prevent a
dangerous reversal of progress, and strengthen TB programs for the
future.
With an increased annual TB budget of $1 billion, USAID could have
a transformative impact on TB efforts globally while helping build the
systems needed to prevent the next pandemics. We only need to look at
the President's Emergency Plan for AIDS Relief (PEPFAR) or the
President's Malaria Initiative to see that U.S. commitment on a global
health issue can have a massive impact. With this increased TB budget,
USAID could:
--Support local health workers and programs to save more lives from
TB and recover momentum against the disease by expanding access
to treatment for all forms of TB, including MDR-TB, increasing
its support for TB prevention, and making more investments in
TB research and development.
--Expand its list of priority countries, helping even more national
TB programs fight both COVID-19 and TB.
--Expand the integration of TB and COVID-19 testing networks in
priority countries by training staff on bidirectional testing,
ensuring adequate diagnostic equipment and facilities, and
building back up the human resources available to fight both
diseases.
--Channel additional resources to community-based organizations,
which are now even more important for maintaining and improving
TB services.
--Address urgent procurement and supply challenges affecting access
to TB medications, as well as diagnostics needed for both TB
and COVID-19. This relatively modest level of annual investment
could have a transformative impact on TB efforts globally,
while creating health systems that will help prevent future
pandemics.
An allocation of $1 billion for bilateral TB programs in FY2022
would allow for a more aggressive response to finding the missing TB
cases, scale up innovative approaches that reach more people, in more
regions of the world, and invest more in research and delivery for even
better TB diagnostics, vaccines, and medications.
Global Health--Nutrition.--With this committee's bipartisan
support, anti-hunger programs and child survival have been incredible
pillars of the U.S. global health programs since the 1980s--helping to
cut the number of under-five child deaths in half.
But, pre-COVID-19, malnutrition still contributed to about half of
the deaths of children under-five. In projections of the increased
death toll due to COVID-19-related service disruptions, wasting, a form
of severe malnutrition, is the biggest driver of additional child
deaths.
Proper nutrition is critical to healthy growth, laying the building
blocks for cognitive abilities, motor skills, and socio-emotional
development. During the first 1,000 days between pregnancy and a
child's second birthday children's brains grow faster than at any other
stage of life. This window of rapid development is also a time of
extreme vulnerability. If a child is fighting a bout of disease such as
pneumonia or malaria and is already malnourished, the likelihood of
survival is greatly diminished.
The obvious role nutrition plays in a child's life makes it even
more shocking that globally nearly 20 percent of all children under the
age of five are chronically undernourished or ``stunted.'' That's 149
million young children failing to grow well each year because they did
not get the right micronutrients and vitamins needed to thrive-and
that's before the COVID-19 pandemic caused additional economic
pressures and disruptions and stress on health systems.
Overall funding for this crisis has increased, but it remains one
of the least-addressed global public health challenges. 2021 is a
critical moment for building partnerships on global nutrition and U.S.
government leadership is key for gaining the political momentum
necessary to reach the global goals on nutrition. The consequences of
early malnutrition are devastating and permanent, but they are also
entirely preventable.
We cannot afford to press pause on the crisis of child malnutrition
while we fight the COVID-19 pandemic. If we want to reach all children
everywhere, we will need to scale up and accelerate our efforts to
prevent malnutrition, as well as provide new resources to support
partner countries to address the impacts of the COVID-19 pandemic.
An allocation of $300 million for Nutrition within Global Health
would be a key component of our goal of improving the delivery of the
``Power 4''--multiple micronutrient supplements for mothers, supporting
exclusive breast-feeding, scaling up Vitamin A, and expanding
specialized wasting treatment. These resources would provide leading
interventions for reducing stunting, reinforce our other investments in
child survival programs, and set the foundation for improved health and
gains in economic development.
Global Partnership for Education (GPE).--Due to the pandemic, the
number of out-of-school children could grow substantially for the first
time in decades, while stretched national budgets could hinder
education quality. At its peak, the number of children out of school
ballooned to 1.6 billion--about a six-fold increase from the start of
the pandemic. And many more learners are at risk of falling behind or
permanently stopping their education. World Vision released a report
last year estimating 1 million girls may not be able to return to
school because of adolescent pregnancies occurring during the
lockdowns.
The education crisis brought on by COVID-19 threatens the historic
progress made by communities globally to get millions more children in
school that was bolstered by this subcommittee's annual support. The
pandemic only worsens ongoing disparities in global education; decades
of colonialism, resource extraction, and unjust global lending policies
have created enormous barriers to education in dozens of lower-income
countries. Urgent action is needed now to ensure the current education
crisis does not turn into a permanent catastrophe for an entire
generation.
The Global Partnership for Education is on the frontlines of the
current education crisis. As the pandemic wreaks havoc on school
systems around the world, GPE has mobilized its largest-ever emergency
response--becoming the largest provider of education grants in the
COVID-19 response. GPE has distributed $500 million to help partner
countries reopen schools safely or enhance remote learning. As a
result, 355 million children have been able to continue their
education. GPE is also working in countries with the greatest need. In
2019, 76% of GPE funding went to countries affected by conflict and
fragility
In this high-stakes moment for global education, GPE is the right
mechanism for donors like the United States to play their part in
transforming education. This July, the UK government is hosting a
Global Education Summit where GPE must raise at least US$5 billion for
2021-2025 to fund country plans to transform education systems for more
than 1 billion children. U.S. leadership and commitment of a multi-year
pledge will be critical to ensuring this plan is fully realized.
A U.S. contribution of $150 million to the Global Partnership for
Education in FY2022 along with continued strong support of bilateral
education funding would have a powerful impact on the lives of children
worldwide, help leverage both domestic and donor resources, and
demonstrate our government's continued leadership to improving
education for all.
ADDITIONALLY--adding language in the fiscal year 2022 SFOPS bill in
support of GPE's 5-year strategy would send a strong signal to this
administration about the value of GPE's role in reaching under-served
and vulnerable populations with access to quality education.
[This statement was submitted by Crickett Nicovich, Associate
Director, Policy and Government Affairs.]
______
Prepared Statement of the Rotary's Polio Eradication Advocacy Task
Force for the US
Chairman Coons, members of the Subcommittee:
Rotary appreciates the opportunity to encourage continued funding
in FY 2022 to support USAID's Polio Eradication Initiative. These
efforts support the broader Global Polio Eradication Initiative (GPEI),
which is an unprecedented model of cooperation among national
governments, civil society and UN agencies working together to reach
the most vulnerable children through the safe, cost-effective public
health intervention of polio immunization. Rotary appeals to this
Subcommittee for continued support in the amount of $65 million--level
funding--to recover polio eradication progress disrupted by the COVID-
19 pandemic, to support essential polio eradication strategies and
innovations that will support the interruption of polio virus
transmission, and to protect countries which are polio free but which
remain at risk, and ensure the long term sustainability of a polio free
world.
progress in the global program to eradicate polio
Since the launch of the GPEI in 1988, eradication efforts have led
to more than a 99.9% decrease in cases. Thanks to this committee's
support, over 19 million people have been spared disability, and over
900,000 polio-related deaths have been averted. In addition, more than
1.5 million childhood deaths have been prevented, thanks to the
systematic administration of Vitamin A during polio campaigns.
In 2020, the WHO AFRO region was certified wild polio virus-free
after four years without detecting any cases, making it the fifth of
six WHO regions to eliminate the virus. This achievement follows the
certification of the eradication of Type 3 (WPV3) in October 2019 and
wild poliovirus type 2 (WPV2) in September 2015. The eradication of
wild polio virus from regions and eradication of strains of the polio
virus is further proof that a polio-free world is achievable.
Only two countries, Afghanistan and Pakistan, have confirmed cases
of wild polio since August of 2016. As of 3 June 2021, only 2 cases of
wild polio virus have been confirmed--one each in Pakistan and
Afghanistan. Significant reductions in detection of virus transmission
in environmental samples in 2021 are also cause for cautious optimism.
Both countries are working to capitalize on low levels of virus
transmission by working to reach missed children, prioritizing
communities which have had low coverage or which have been resistant to
immunization; and ensuring thorough microplanning of immunization and
other eradication activities. In Afghanistan, there are increased
efforts to target children living in areas which have been
inaccessible. This ongoing work is challenging within the context of
the NATO withdrawal of troops and related insecurity.
Outbreaks of circulating vaccine-derived poliovirus are ongoing in
several countries across Africa and Asia and require continued focus
and attention. These were further exacerbated by COVID-19 pandemic-
related disruptions in immunization campaigns. These outbreaks are not
a failure of the vaccine, but result from a failure to sustain
sufficiently high levels of routine immunization which causes the live,
but weakened form of the virus used in the vaccine to revert over time
to a more virulent, wild-like form. The program has developed a
specific Strategy for the Response to Type 2 Circulating Vaccine-
Derived Poliovirus, including the use of a new, more genetically stable
vaccine, the novel oral polio vaccine type 2 (nOPV2), for outbreak
response.
The COVID-19 pandemic has posed new challenges for global polio
eradication activities. In order to protect communities and staff, the
Global Polio Eradication Initiative paused immunization campaigns and
other essential activities for several months in 2020. In countries
that have successfully resumed activities, the programme has developed
strategies for prevention and control of COVID-19 and is providing
resources such as masks and hand sanitizer to keep frontline health
workers protected while ensuring that campaign elements meet physical
distancing requirements.
As a result of the pause on activities, and also due to the
potential exposure to COVID, the number of vulnerable children has
increased the real threat for wider spread of the virus. UNICEF, WHO
and Gavi estimate that at least 80 million children under the age of
one are at risk due to the COVID-19 related disruption to vaccination
activities. These challenges are further compounded by the
extraordinary economic and financial constraints in both at-risk
countries and from donors which may divert essential political and
financial commitments.
This combination of progress in the midst of ongoing challenges
underscores the urgency of continued focus to protect the vulnerable
gains made toward polio eradication as the COVID-19 pandemic continues
to disrupt polio immunization and eradication activities; and to stop
polio virus transmission in these most complex environments while
sustaining high levels of population immunity in polio free areas.
Continued support for global surveillance is also essential to monitor
and detect cases and virus transmission and provide confidence in the
absence of cases.
usaid's vital role in global polio eradication progress
The United States is the leader among donor nations in the drive to
eradicate polio. Funding provided by Congress contributed ensured
USAID's continued vital programmatic contributions in 2020.
USAID remained steadfast in its support for polio eradication and
adapted to working in a COVID-19 environment despite constraints
resulting from the COVID-19 pandemic as well as changes in US policy
toward the World Health Organization in 2020. USAID continued to
support polio surveillance and the laboratory network through WHO
wherever limited funds were available. These funds were critical for
sustaining surveillance wherever possible and catching up once the
COVID restrictions allowed people and specimens to move as needed.
In addition, USAID concurred with the decision by the Polio
Oversight Board to use human resources and physical infrastructure,
such as surveillance laboratories, to support COVID-19 pandemic
response, at no additional cost to USAID. This has demonstrated the
added-value of sustaining the polio system for diseases of public
health concern and part of USAID's long-term investment approach.
USAID's support for polio immunization campaigns increased as funding
shifted to UNICEF for surge staff and communication activities which
were invaluable polio immunization campaigns and other essential
eradication activities resumed.
USAID's support to the CORE Group (NGO) Polio network continued in
seven of eight countries (India, Nigeria, Ethiopia, Kenya, Somalia,
South Sudan, and Uganda. The Afghanistan program is tailored to that
more restricted environment) throughout the year. These NGOs continue
to promote polio immunization campaigns whenever they are scheduled,
encourage families to seek vaccination even during COVID and minimize
disruptions to routine immunization services, and they were able to
continue their community-based surveillance activities throughout the
pandemic. In addition, the NGOs became role models and advocates for
masking, distancing, and handwashing to mitigate COVID-19 transmission,
they used their long-standing trust in communities to support contact
tracing, while giving reminders about routine immunization.
USAID Support for improved quality
USAID worked to identify and address (as locally appropriate) gaps
or vulnerabilities that may cause setbacks by promoting high quality
immunization campaigns through better planning and feedback,
identifying reasons for missed children through independent monitoring
and post-campaign surveys. USAID also supported tracking of the virus
through enhanced disease surveillance by communities themselves and
through health facilities and expanding environmental surveillance to
reduce the potential for missing low level virus transmission.
USAID staff and Missions
Virtually, USAID staff continued to provide technical support to
USAID Missions, Ministries of Health, and coordinated with other donors
throughout the year. USAID staff reviewed National Emergency Action
Plans, participated in all polio oversight and technical meetings, and
continued to promote and disseminate lessons learned across countries
for overall program improvement. USAID/HQ and Mission staff were
actively engaged in the development of the updated GPEI Strategy--2022-
2026.
fiscal year 2022 budget request
Rotary respectfully requests $65 million in FY 2022 to support
USAID's Polio Eradication Activities; the same level of funding
provided in FY 2021. With Congress' continued support for polio
eradication in FY 2022, USAID will continue its work to stop polio
transmission in the remaining polio endemic countries and protect the
polio-free status of at-risk countries by reaching all children with
vaccine, and effective Acute Flaccid Paralysis (AFP) and environmental
surveillance to support rapid case detection and response.
the role of rotary international
Rotary is a global network of leaders who connect in their
communities and take action to solve pressing problems. Since 1985,
polio eradication has been Rotary's flagship project, with members
donating time and money to help immunize nearly 3 billion children in
122 countries. Rotary's chief roles are fundraising, advocacy
(including resource mobilization and political advocacy), raising
awareness and mobilizing volunteers. There are nearly 300,000 members
throughout the United States who have raised more than US$400 million
of the more than US$2.2 billion Rotary has contributed to the Global
Polio Eradication Initiative. This represents the largest contribution
by an international service organization to a public health initiative
ever. These funds have benefited 122 countries to buy vaccine and the
equipment needed to keep it at the right temperature, and support the
means to ensure it reaches every child. More importantly, tens of
thousands of our volunteers have been mobilized to work together with
their national ministries of health, UNICEF and WHO, and with health
providers at the grassroots level in thousands of communities.
Rotary also plays a key role in encouraging country level
accountability. Rotary has National PolioPlus Committees, in the
endemic countries and over 20 outbreak/at-risk countries. These
national committees work to keep the spotlight on polio eradication
amidst competing priority from the community level to the federal
level.
benefits of polio eradication
Since 1988, tens of thousands of public health workers have been
trained to manage massive immunization programs and investigate cases
of acute flaccid paralysis. These trained community health workers and
the system of national and subnational emergence operations centers
that support coordination of polio eradication activities are often
used to support the response for natural disasters and other diseases,
including the COVID-19 pandemic. Cold chain, transport and
communications systems for immunization have been strengthened. The
global network of 145 laboratories and trained personnel established by
the GPEI also tracks measles, rubella, yellow fever, meningitis, and
other deadly infectious diseases and will do so long after polio is
eradicated. Besides the savings of more than $27 billion in health
costs that has resulted from eradication efforts since 1988, a
sustained polio free world will generate $14 billion in expected
cumulative cost savings by 2050, when compared with the cost countries
will incur for controlling the virus indefinitely. Polio eradication is
a cost-effective public health investment with permanent benefits. On
the other hand, as many as 200,000 children could be paralyzed annually
in the next 10 years if the world fails to capitalize on the more than
$17 billion already invested in eradication. Success will ensure that
the significant investment made by the US, Rotary International, and
many other countries and entities, is protected in perpetuity.
[This statement was submitted by Anne L. Matthews, Chair, State,
Foreign Operations, and Related Programs Appropriation Subcommittee.]
______
Prepared Statement of the Save the Children
Thank you for the opportunity to testify to the significant and
increasing needs facing the most vulnerable children around the world.
Save the Children is a nonprofit, child-focused organization working in
more than 100 countries around the world. We build capacity for
countries to deliver and provide direct support for health, education,
protection, food security, livelihoods, and disaster relief for more
than 197 million children, including 1.1 million here in America.
Save the Children is grateful to this Subcommittee and Congress for
supporting strong funding for the international response to COVID-19 in
multiple bills throughout 2020 and early 2021. These investments are
critical for slowing the spread of the virus, responding to outbreaks,
and addressing life-threatening social and economic impacts, such as
hunger and increased poverty.
The pandemic, however, still rages in many parts of the world, and
we are at a crossroads. The World Bank estimates that up to 124 million
people will be forced into poverty by COVID-19, the first increase in
more than two decades. The continued spread of COVID-19 and its
variants threaten access to essential health services, such as
maternity care for pregnant women and routine immunizations for young
children. According to the World Food Program, 41 million people in 43
countries are on the brink of famine due to the confluence of conflict,
climate change, and increasing food prices and other economic
challenges--many stemming from the secondary effects of the pandemic.
An entire generation of children have had their education disrupted,
and for particularly vulnerable groups like girls and refugees,
millions may never return to the classroom. These converging and
compounding crises imperil progress toward the UN's Sustainable
Development Goals and has shown us all that achievements for the most
vulnerable are hard won, but incredibly fragile.
Current budget levels are not sufficient to meet the demands of the
moment, and Congress must prioritize investments that will promote
global stability and prosperity and protect a generation of children.
We understand that Congress has many difficult choices to make, but the
magnitude of challenges at this time requires us to be bold. The
world's poorest children will pay the highest price of inaction.
To meet increased needs for U.S. global leadership and poverty-
focused health, development and humanitarian assistance, investments of
$69.1 billion in the FY22 Department of State and Foreign Operations
Appropriations bill are required, including:
--$984 million for Maternal and Child Health in Global Health
Programs;
--$240 million for Nutrition in Global Health Programs;
--$5.27 billion for International Disaster Assistance;
--$4.1 billion for Migration and Refugee Assistance;
--$1.2 billion for Global Food Security;
--$1.1 billion for Basic Education, including $150 million for the
Global Partnership for Education and $50 million for Education
Cannot Wait;
--$30 million for Combatting Child Marriage; and
--Support for the President's budget request for USAID Operating
Expenses.
The International Affairs Budget constitutes just one percent of
federal spending, and significant increases can be provided while
maintaining fiscal responsibility. Further, the U.S. can and should
pair increased investments with a diplomatic strategy to encourage
other donor countries sharing our values to increase their foreign aid
contributions, making the most out of American taxpayer dollars.
Maternal and Child Health (FY22 request: $984 million), Nutrition
(FY22 request: $240 million).--Even before the pandemic, increased
focus on ending preventable child and maternal deaths was urgently
needed. The first month after birth carries the highest risk of death
for newborns and their mothers. We know which interventions will save
their lives, such as quality antenatal care and skilled birthing
attendance, yet each year 2.5 million newborns still die, 2.6 million
babies are stillborn, and more than 300,000 women die as a consequence
of pregnancy or childbirth. Adding to these existing challenges, the
emergence of COVID-19 has severely disrupted access to essential health
services, and as a result, fewer women are receiving critical antenatal
care or giving birth at health facilities.
In particular, flexible, bilateral funding for maternal and child
health has remained relatively flat since FY17--despite strong
bipartisan support for these programs--and increased resources are
needed for this category of maternal and child health funding.
Furthermore, U.S. leadership is needed to convene global
stakeholders around the goal of ending preventable child and maternal
deaths. The U.S. should start by undertaking a strategic review of its
Acting on the Call framework, including meaningful consultations with
Congress, civil society, USAID Missions, and local organizations and
stakeholders, and finalize an updated framework that takes into account
current challenges and progress made since 2014. It should also look to
co-host a global maternal and child survival conference as a follow-on
to the 2012 Child Survival Call to Action to galvanize renewed or
accelerated national and global commitments.
Children in Emergency and Conflict Situations (FY22 request: $5.27
billion for International Disaster Assistance and $4.1 billion for
Migration and Refugee Assistance).--Children are the most vulnerable
group within any conflict or emergency. The UN estimated that at the
beginning of 2020, nearly 170 million people needed humanitarian
assistance globally, which was an increase of about 25 percent from
2019. In 2021, this number is expected to increase to 235 million, a 40
percent increase over 2020, with half the disaster-affected population
being children. Before the pandemic, children were already facing a
triple-threat to their rights from conflict, climate change, and acute
food insecurity. International Disaster Assistance (IDA) is vital in
responding to natural and man-made disasters and addressing the needs
of children, who are among those most at-risk in such crises. As noted
earlier, 41 countries are on the brink of famine, including Yemen,
South Sudan, and Nigeria. U.S. estimates find that up to 900,000 people
in Ethiopia's Tigray region now face famine conditions amid a deadly
and worsening conflict.
Today, nearly 80 million people are estimated to be forcibly
displaced worldwide, representing an increase of nearly 10 million
people in just one year, according to UNHCR. Forty percent of those are
believed to be children. Funding for Migration and Refugee Assistance
is vital in supporting the State Department's Bureau for Population,
Refugees, and Migration to provide life-saving assistance to millions
of refugees and displaced persons. With the world currently
experiencing the largest number of forcibly displaced persons since
World War II and the protraction of crises in Venezuela, Myanmar, and
beyond, increasing funding for MRA is critical to preventing the loss
of life and creating stability in volatile regions.
Children are exceptionally vulnerable to violence in humanitarian
settings, and more data is needed to better understand and address
their unique protection needs. Save the Children supports exploration
of a pilot humanitarian Violence Against Children Survey (VACS) in a
well-established internally-displaced persons or refugee settlement
camp. VACS have been carried out in development context to help
illuminate the magnitude, nature, and consequences of violence, which
helps governments and stakeholders better prevent and respond to
violence against children.
Global Food Security (FY22: $1.2 billion).--Feed the Future is a
dynamic whole-of-government approach that tackles global hunger and
malnutrition through high-impact solutions improving agricultural
productivity, expanding markets and trade, preventing child
malnutrition, and strengthening the resilience of vulnerable people
over the long term. It has been highly impactful in lifting millions of
people out of poverty. The program builds on the Food for Peace Title
II emergency program by targeting the next level of vulnerable
populations with high-impact interventions that address chronic hunger
and poverty. Amidst rising food insecurity around the world, funding
will ensure the program protects successful results in the COVID-19
context and continue to reduce poverty and child stunting in Feed the
Future priority countries.
Basic Education (FY22 request: $1.1 billion, including $150 million
for Global Partnership for Education and $50 million for Education
Cannot Wait).--At the height of the pandemic, an estimated 1.6 billion
students globally--91% of the total--were out of school. For the first
time in human history, an entire generation of children globally have
had their education disrupted. Save the Children estimates that up to
9.7 million children are at risk of dropping out of school due to
rising levels of child poverty. We have seen that girls face greater
risks than boys when their schools closed, with many forced into early
marriage. USAID's education programs ensure that students have the
necessary skills to be part of the global workforce, have safe learning
opportunities, and have equitable access to quality education. We also
support the Global Partnership for Education and Education Cannot Wait
multilateral programs.
The Global Partnership for Education (GPE) helps build strong and
resilient education systems so that more children in the poorest
countries, especially girls, get the education they need. G7 leaders
recently endorsed two new global targets to achieve 40 million more
girls in school and 20 million more girls reading by age 10 by 2026,
and GPE is an important vehicle through which this ambitious agenda can
be implemented. Strong U.S. support for GPE is particularly critical
this year, as the partnership kicks off a five-year replenishment cycle
and seeks to address the long-term impacts of the pandemic on
children's learning.
Education Cannot Wait (ECW) is the first global fund dedicated to
children's education in emergency settings, providing much needed
educational support for children who would otherwise be missing out
during times of conflict and natural disasters. We strongly support
additional funding for ECW this year given its fast work to respond to
the education crisis caused by the COVID-19 pandemic.
Combatting Child Marriage (FY22 request: $30 million).--The
Combatting Child Marriage account supports programs that lower rates of
this form of gender-based violence, empower girls, and promote positive
norm change in communities. Evidence shows that child marriage exposes
girls to increased violence throughout their lives, denies them access
to support systems, and perpetuates cycles of poverty and gender
inequality, with both short- and long-term repercussions for girls'
education and health. The economic impacts of COVID-19 are projected to
cause a significant increase in child marriage, on top of the 12
million that occur each year. The World Bank estimates that global
gains from ending child marriage could reach more than $500 billion per
year.
USAID Operating Expenses (FY22: Support President's budget
request).--USAID Operating Expenses are foundational and necessary to
all of the aforementioned program areas. To effectively contribute to
stable societies and project American values overseas, USAID requires
fully funded and trained staff. Funding Operating Expenses facilitates
USAID's efforts to drive innovation, attract and retain skilled
development talent, oversee program implementation, improve
transparency and accountability, evaluate results, and apply a strong
learning agenda for future programming. In addition, local governments
and organizations are the most knowledgeable about the needs in their
communities, and we strongly support USAID efforts to promote locally-
led development.
USAID Operating Expenses also funds key components of the gender
equality agenda. Increased U.S. investment must be made in gender and
age disaggregated data to measure progress towards gender equality.
This account is essential for implementing key provisions of the
Women's Economic Empowerment and Entrepreneurship Act, which requires
the integration of gender equality and female empowerment throughout
USAID programming and that a gender analysis shape all strategies,
projects, and activities of USAID. Full execution of this requirement
must be supported by funding for key gender staff positions.
[This statement was submitted by Christy Gleason, Vice President,
Policy, Advocacy, and Campaigns.]
______
Prepared Statement of Special Olympics
Chairman Coons, Ranking Member Graham, and Members of the Committee:
On behalf of Special Olympics International, we are grateful for
the opportunity to provide our outside written testimony and
recommendations for the FY 2022 State Foreign Operations Appropriations
bill. Specifically, we recommend that the committee allocate
$10,000,000 over four years for the Special Olympics Young Athletes
program through the State Department's Diplomatic Programs/Education
and Cultural Exchange Programs Account.
about special olympics and young athletes
As you may know, the mission of Special Olympics is to provide
year-round sports training and athletic competition in a variety of
Olympic-type sports for children and adults with intellectual
disabilities (ID), giving them continuing opportunities to develop
physical fitness, demonstrate courage, experience joy and participate
in a sharing of gifts, skills and friendship with their families, other
Special Olympics athletes and the community.
Participating in Special Olympics has shown to improve health and
developmental outcomes, inspire joy, improve self-confidence, bolster
family relationships, foster inclusion, and improve parents'
expectations of their children with ID. While this is crucial for
people with ID of all ages, Special Olympics' traditional sports
program is only available to athletes ages eight and over.
To meet the needs of children aged 2 to 7 years old, Special
Olympics created Young Athletes, a play-based early childhood
intervention for children with and without ID, in 2005. Young Athletes
introduces basic sport skills, like running, kicking, and throwing, and
offers families, teachers, caregivers and people from the community the
chance to share the joy of sports with all children.
Young Athletes also provides children of all abilities the same
opportunities to advance in core developmental milestones. Children
learn how to play with others and develop important skills for
learning--such as learning to share, taking turns, following
directions, and understanding different perspectives and abilities.
These skills help children in family, community, and school activities.
The program provides the following benefits as it welcomes children and
their families into the world of Special Olympics:
--Motor skills. Children with ID who took part in Young Athletes
developed motor skills more than twice as fast as others who
did not take part.
--Social, emotional, and behavioral skills. Children in Young
Athletes saw greater increases in social skills and decreases
in challenging behaviors, like tantrums or self-harm, compared
to those who did not participate.
--Expectations. Family members reported significant positive changes
in their own attitudes and expectations towards their child and
those of community members towards their child with ID.
--Sport readiness. Young Athletes helps children develop the
fundamental movement skills that serve as a foundation for
participating in sports when they are older.
--Acceptance. Inclusive play helps children without a disability to
better understand and accept others.
Young Athletes is a fun way for children to become active and
establish healthy habits for the future. It is critical to teach
children healthy lifestyle behaviors while they are young as it can
support children in achieving developmental and educational outcomes,
while also establishing the foundation for a lifetime of physical
activity, friendships, and learning.
the challenge
There are over 200 million children under the age of five in low-
and middle-income countries that are at risk of poor developmental
outcomes, which means they may be delayed in skills like walking,
talking, or reading\1\. Some of these children with delays in
development may also be diagnosed with ID. Unfortunately, the link
between ID and poverty is correlative, and it reinforces vulnerability
and exclusion. Children who live in poverty are more likely to become
disabled due to poor access to healthcare, clean water and basic
sanitation, as well as malnutrition, and dangerous living and working
conditions\2\. Additionally, once a child is disabled, they are more
likely to be denied basic resources that would mitigate or prevent
deepening poverty. Children with ID are destined to perpetuate the
cycle of poverty if they are unable to access, and participate in,
early childhood intervention programs, like Young Athletes.
Throughout the world, public awareness and family education about
intellectual disabilities is inadequate or simply non-existent.
Further, families can face stigma, shame and isolation after their
child is diagnosed with ID. Similarly, children with ID have very
limited access to critical early childhood interventions and services.
Approximately 90% of children with disabilities in developing countries
are not in school\3\. Lack of access, coupled with limiting societal
views--even in the United States--means we are not recognizing the full
potential of children with ID.
expected outcomes: young athletes as a catalyst for change
Over the last 16 years, Young Athletes has expanded to 130
countries across Special Olympics' seven regions. In 2019, the program
offered in-person support to over 575,000 children with and without ID
(including in the United States), along with virtual and at home
support during the COVID-19 pandemic in 2020. While significant, these
numbers represent a small fraction of the approximately 60 million
children with ID under the age of 15 globally. Now more than ever,
there is a dire and urgent need for this type of programming.
Our request for $10,000,000 over four years will support Special
Olympics Young Athletes outside of the United States and would have an
immediate impact on the health and development of children with and
without intellectual disabilities. This funding would significantly
support Special Olympics in building digital and in-person activities
to reach our goal to expand programming to impact 1 million children
with and without ID--a growth of 539,000 children outside of the United
States--by 2025.
With an average cost of $40 per child for 8 weeks of participation
in Young Athletes, reaching our goal will cost nearly $22 million over
the next four fiscal years. A State Department investment of
$10,000,000 over four years, which would be complemented by private
support, would allow Special Olympics to scale Young Athletes quickly
and effectively in order to bring this critical early childhood program
to one of the most underserved populations of children around the
world.
Young Athletes is a standardized, evidenced-based model that is
simple to set up, inexpensive to run, and can be implemented in a
variety of environments. Young Athletes programming takes place in
homes, schools, and communities, led by families, teachers, and
volunteers who are supported by Special Olympics training and
resources. The program follows standardized lessons corresponding to
foundational skills developed through interactive play and uses the
Young Athletes Activity Guide and basic sports equipment, which can be
easily substituted for household items to ensure children in every
community can participate (e.g. substituting a sport cone with a box or
a plastic soda bottle filled with sand).
After two months of participation in Young Athletes, children with
ID gained seven-months in motor skills and saw significant improvements
in social skills.\4\ The advantages children with ID gain by
participating in Young Athletes hold over time. At five and ten month
follow-ups, children who participated in an 8-week program maintained a
four-month advantage in development. Moreover, parents and caregivers
rated their children with ID as having fewer challenging behaviors,
indicating changes not only in child outcomes but in the parent-child
relationship as well. Finally, family members reported significant
positive changes in both their own attitudes towards their child and
those of community members towards their child with ID.\5\ By
addressing both the developmental and attitudinal challenges faced by
families of children with ID, Young Athletes has illustrated the impact
of early interventions on health and development outcomes.
For children like Subah, a five-year old from Pakistan, the impact
of Young Athletes has introduced her to an entirely new world. Subah
was diagnosed with cerebral palsy as a young child and was not able to
walk or even sit without the support of a wheelchair. After just three
months of Young Athletes, Subah is now walking, kicking, and playing
with her friends at school. Her parents are overjoyed with the power of
play.
Young Athletes challenges expectations, forges relationships,
fosters support networks, and builds crucial skills for young children.
Young Athletes' impact has a ripple effect that extends benefits beyond
the participants in the program to the family and community. It
provides a forum for educating families, changes family perceptions on
the value and worth of their child and provides opportunities for
families to come together to share challenges and rewards. In these
critically important ways, Young Athletes can serve as a catalyst
around the world and become an important mechanism to enhance social
inclusion for children--indeed all people--with ID throughout the
world.
Thank you again for the opportunity to testify on the FY SFOPS
FY2022 Appropriations bill. We look forward to working with the
committee and other programs that will have a positive impact on global
health, inclusion, and social acceptance for people with intellectual
disabilities.
about timothy p. shriver, ph.d.
Timothy ``Tim'' Shriver leads the Special Olympics International
Board of Directors, and together with 6 million Special Olympics
athletes in more than 200 countries, promotes health, education, and a
more unified and inclusive world through the joy of sport.
During his time with Special Olympics, which he joined in 1996, the
organization has developed proven programming for all aspects of a
Special Olympics athlete's life: leadership, health, education, and
family support. His commitment to inclusion is evident in the Special
Olympics athletes serving on the international Board of Directors,
hundreds of thousands of health professionals trained in adaptive
health care protocols, partnerships with organizations like the World
Health Organization, and Unified Champion Schools creating a Unified
Generation in which all people are included and accepted.
Shriver drove the largest expansion of Special Olympics, growing
the movement from one million athletes to over six million athletes and
unified partners leading the ``Inclusion Revolution'' around the world.
Shriver has harnessed the power of Hollywood to challenge unconscious
bias and share stories of inspiration, co-producing DreamWorks Studios'
1997 release, Amistad, and Disney Studios' 2000 release, The Loretta
Claiborne Story. He is Executive Producer of The Ringer, a Farrelly
Brothers film, Front of the Class, a Hallmark Hall of Fame television
movie, and The Peanut Butter Falcon released in 2019.
In 2014, Shriver wrote the New York Times bestseller Fully Alive:
Discovering What Matters Most, where he shares the life changing impact
of people with intellectual disabilities and their capacity to inspire
others to see the world in a more meaningful way. Before joining
Special Olympics, he cofounded and currently chairs the Collaborative
for Academic, Social, and Emotional Learning (CASEL). He is a member of
the editorial board of the Disability and Health Journal. Shriver is
Founder of UNITE.US, a member of the Council on Foreign Relations,
President of the Joseph P. Kennedy Jr. Foundation, UNESCO Chair for
``Transforming the Lives of People with Disabilities, their Families
and Communities, Through Physical Education, Sport, Recreation and
Fitness'' at the Institute of Technology, Tralee, Ireland, a member of
the Bank of America Global Advisory Council, and Co-Founder of Lovin'
Scoopful Ice Cream Company.
Shriver earned his undergraduate degree from Yale University, a
master's degree in Religion and Religious Education from Catholic
University, and a Doctorate in Education from the University of
Connecticut. He and his wife Linda Potter live in the Washington, DC
area and have 5 adult children and 3 grandchildren.
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\1\ UNICEF. (2009). Early Childhood Development: A Statistical
Snapshot Building Better Brains and Sustainable Outcomes for Children.
New York, NY.
\2\ Mitra, S., Posarac, A., & Vick, B. (2013). Disability and
Poverty in Developing Countries: A Multidimensional Study. World
Development, 41, 1-18.
\3\ UNICEF. (2014). Global initiative on out-of-school children:
South Asia regional study.
\4\ Favazza, P. C., Siperstein, G. N., Zeisel, S., Odom, S. L., &
Moskowitz, A. L. (2011). Young Athletes intervention: Impact of motor
development. Washington, DC: Special Olympics, Inc.
\5\ Smith, A., Ralston, R., Dubois, L., Anderson, T. (2019). The
impact of Participation in Young Athletes on Families of Children with
Intellectual Disabilities. Poster presented at the 52nd annual
Gatlinburg Conference on Research and Theory in Intellectual and
Developmental Disabilities, San Antonio, TX.
[This statement was submitted by Tim Shriver, Chairman.]
______
Prepared Statement of the TB Alliance
TB Alliance appreciates the opportunity to submit this testimony
for the record to the Senate State and Foreign Operations
Appropriations Subcommittee. TB Alliance is a not-for-profit
organization dedicated to the discovery, development, and delivery of
better, faster-acting, and affordable tuberculosis (TB) drugs that are
available to those who need them. Together with stakeholders in the TB
advocacy community, TB Alliance requests that Congress appropriate $1
billion to the United States Agency for International Development's
(USAID) TB program. TB is the second-highest global infectious disease
killer after COVID-19, causing 1.5 million deaths globally in 2020.
Unfortunately, TB is poised to again become the greatest single global
infectious disease killer now that the COVID-19 pandemic is being
brought under better control. TB, including the rapid spread of drug-
resistant TB, poses a serious health security threat and,
unfortunately, we do not have the tools (vaccines, drugs and
diagnostics) we need to end the pandemic.
The current arsenal of TB drugs, a 100-year-old vaccine, and
diagnostics pale in comparison to what we have learned is possible in
the response to the current COVID-19 pandemic. This is not a science
problem, it is a resource problem. More funding is needed immediately
for USAID's TB program, which is a key investor in late-stage research
and development of new TB breakthrough products.
tb alliance: a tb product development partnership
TB Alliance is a not-for-profit product development partnership
(PDP), based in the United States but with a global reach. PDPs develop
new products for people suffering from diseases and health threats
underserved by traditional markets. TB is an example of this type of
global challenge as it is a disease that, although existing in
virtually every country of the world, primarily impacts poor people
living in the world's poorest countries. PDPs build partnerships
between the public, private, academic, and philanthropic sectors and
play a critical role in developing urgently needed health innovations
that would otherwise not exist. PDPs, like TB Alliance, are critical to
achieving global development and health security goals-unfortunately,
we will not meet the 2030 World Health Organization goals to end TB and
most likely we will never eradicate TB without a significant investment
in new tools. PDPs are proven, prolific engines in product development
and global health progress.
USAID has been a key research and development (R&D) partner for
diseases of poverty, including to TB Alliance. Increased investment in
USAID's TB program-with a portion of this funding being allocated
specifically to R&D-will help to create impactful new TB treatments and
products that will pay for themselves multiple times over and free up
resources for health systems in low- and middle-income countries.
USAID's TB program plays a unique role in supporting late-stage product
development that is not found elsewhere in the US government.
While the National Institutes of Health (NIH) is a more traditional
research partner for many familiar diseases impacting the United States
and other high-income countries, its investments in early-stage
research only advance if the private sector invests in late-stage
clinical trials, product manufacturing, and delivery of the product to
patients. Unfortunately, the private sector is not willing to invest to
any significant degree in poverty related neglected diseases as there
is no commercial market to incentivize that engagement. This is
certainly the case with TB, perhaps the quintessential disease of
poverty that primarily impacts the poorest of the poor in all
countries, but especially in low- and middle-income countries.
The COVID-19 pandemic has underscored the power of science. Amazing
progress can be made in a relatively short period of time when there is
a concerted, well-funded attack on a disease-but even the massive
private sector investment in COVID-19 tools would not have happened
without early investment in research from governments and promises to
purchase vaccines and end products to make them accessible to patients.
This is a prime example of how adequate investment can unleash the
powers of science and technology to conquer a disease. Without enough
political will or resources we cannot and will not be able to end the
TB pandemic.
a success story: a new treatment for drug resistant tb
In 2019, pretomanid, a drug developed by TB Alliance, was approved
by the U.S. Food and Drug Administration (FDA). Since TB must be
treated with a combination of drugs (usually referred to as a regimen),
pretomanid was developed as part of a novel regimen for the treatment
of highly drug-resistant forms of TB, including extensively drug
resistant TB (XDR-TB). With pretomanid, TB Alliance pioneered the
concept of regimen development for TB-instead of developing a single
drug to be added to existing treatments, pretomanid was developed as
part of a specific set of drugs comprising a fixed regimen, in this
case bedaquiline, pretomanid, and linezolid, together referred to as
the ``BPaL'' regimen. This approach can markedly accelerate clinical
development, protect new drugs from developing resistance, and ensure
that there is rigorous clinical evidence for the use of a specific
combination. The regimen development model has since become the gold
standard for TB research and is applicable to developing new therapies
for other diseases that require treatment with multiple agents.
Prior to the BPaL treatment regimen, XDR-TB patients were
traditionally treated with combinations of up to eight antibiotics,
including daily injections for 18 months or longer, with success rates
on the order of 25%. BPaL is a three-drug, six-month, all-oral regimen,
which had a 90% cure rate in the pivotal clinical trial. Pretomanid has
subsequently been approved by other regulatory agencies including the
European Commission and the Drug Controller General of India. It is
only the second drug approved for drug-resistant forms of TB by the FDA
in more than 40 years, the first approved as a part of a set treatment
regimen as well as the first to be registered by a not-for-profit.
TB Alliance initially in-licensed pretomanid in 2002, leading it
through a full pre-clinical and clinical development program; the FDA
submission ultimately detailed data from a total of 19 clinical
studies, of which all but two were fully sponsored by TB Alliance.
Throughout its development, TB Alliance has collaborated with and
received significant support from USAID as well as numerous governments
and philanthropic institutions. Partnerships have included academic and
civil society organizations as well as the private sector. The vast
network of partners is representative of the unique PDP capabilities to
build diverse and effective coalitions to drive global health
innovation.
Coordination with private and public sector partners has continued
since US FDA approval of pretomanid through global commercialization
partnerships with Viatris, Macleods, Lupin and Hongqi pharmaceuticals
to ensure global coverage and affordability. Pretomanid was also added
to the catalog of medicines of the Stop TB Partnership's Global Drug
Facility, making it available to 150 countries which represent the vast
majority of the global TB burden. These efforts ensured that pretomanid
was available around the world as quickly as possible after approval
and that generic competition was in place to help drive affordability
and a stable supply. An independent analysis has concluded that the
savings potential for health systems from the BPaL regimen is between
$700 million and $1.1 billion in U.S. dollars through the next two
years, potentially freeing up resources to treat an additional 220,000
people with TB. The success of pretomanid and the BPaL regimen would
not have been possible without USAID support.
conclusion
The COVID-19 pandemic has shown us what is possible with the
appropriate investments and demonstrates the power of innovation
unleashed by adequate resources. As the Subcommittee considers funding
for FY 2022, we ask that you include $1 billion for USAID and increase
investments into R&D so more life-saving treatments like pretomanid can
be developed and accessed by those who need them most. We look forward
to working with the Subcommittee on global health initiatives and hope
that you will consider TB Alliance as a resource. Thank you in advance
for your time and consideration.
[This statement was submitted by Dr. Mel Spigelman, President and
Chief Executive Officer.]
______
Prepared Statement of the U.S. Global Leadership Coalition
investing to protect american families
Chairman Coons, Ranking Member Graham: On behalf of the U.S. Global
Leadership Coalition--a diverse network of over 500 businesses and NGOs
and bipartisan leaders from across the country--thank you for the
opportunity to testify about the important resources provided in the
State-Foreign Operations Appropriations bill. Today, I ask that you
support a strong and effective International Affairs Budget funded at
$71.6 billion in FY22, including no less than $69.1 billion for the
FY22 State-Foreign Operations Appropriations bill.
The last time I was physically on Capitol Hill was March 12, 2020.
I was testifying before the House State-Foreign Operations
Appropriations Subcommittee in the Rayburn House Office Building just
hours before Congress closed to the public due to growing concerns
about the spread of COVID-19 across this country. While the pandemic
was top of mind, I remember that morning being one of the last
``normal'' moments before cases surged in America and around the world,
irrevocably changing lives from Dover to Dakar and from Columbia to
Chennai.
Since that day--just over a year ago--there is no question that the
world has been upended. The global COVID-19 death toll has exceeded 3.9
million, including more than 600,000 Americans. The pandemic has
severely impacted the global economy and jobs here at home, and is
fueling global crises from conflict to hunger to migration.
I speak for our entire coalition of businesses, NGOs, faith-based
organizations, veterans, mayors, and community leaders across the
country in expressing gratitude for Congress's longstanding bipartisan
support for America's development and diplomacy tools and for your
personal leadership. In recent years, Members on both sides of the
aisle have overwhelmingly rejected calls to dramatically cut
international affairs programs and have worked together to ensure
strong funding for the International Affairs Budget.
As we look to the future, this is a critical inflection point.
America's recovery and our prospects for prosperity and security are at
stake. But the good news is--we know what we are up against, we know
what it will take to get this right, and we know on a deeply personal
level that America's fate is inextricably linked to what happens around
the world. The reality is that the world has dramatically changed since
March 2020. That's why it is imperative for our own recovery and our
future to respond with additional resources for our international
affairs agencies and programs. I urge this Subcommittee and this
Congress to meet the moment by ensuring that our relatively small but
critical investment in development and diplomacy truly reflects the
urgency of America's health and economic recovery.
Unprecedented Global Needs
As the last 15 months have made clear, COVID-19 has dramatically
reshaped the global landscape in new and unforeseen ways with important
consequences for all Americans. Let me highlight a few examples that
illustrate the magnitude of the growing global challenges and their
impact on the lives of Americans here at home.
--The COVID-19 pandemic pushed nearly 100 million more people into
extreme poverty in 2020 compared to before the pandemic,
according to new data from the World Bank. Last year, we saw
the first increase in global poverty since 1998, not only
causing more human suffering, but creating rising migration and
mounting instability in the world.
--The pandemic is expected to cost the global economy over $22
trillion in lost output by 2025, and failure to distribute
COVID-19 vaccines equitably around the world could cost an
additional $9 trillion. America's economic recovery depends on
the recovery of low-income and emerging markets that have been
hardest hit by the pandemic.
--COVID-19 has exacerbated armed conflict and extremism, with
fatalities caused by militant groups in Africa rising by a
third in 2020. Increasing political violence and growing
instability around the world has implications for U.S. national
security.
--Since we now know that it only takes 36 hours for a pathogen to
spread around the globe and that 70% of the world remains
underprepared to prevent, detect, and respond to this type of
public health emergency, Americans won't be safe if the rest of
the world isn't ready--whether it is responding to COVID-19 or
preparing for the next pandemic.
COVID-19 has wreaked havoc in America and across the globe. Decades
of progress has been made in building a more stable and prosperous
world--in Africa, Asia, and Latin America--helping the most vulnerable
while creating opportunities for our own citizens. But we have seen a
reversal of this progress, with backsliding continuing each day this
pandemic goes on. Reversing these trends won't happen overnight and
will require sustained new investments by the U.S. and our partners
around the world.
To better understand the impacts of the COVID-19 pandemic and the
investment levels needed across the International Affairs Budget to
protect the health, safety, and economic interests of Americans, the
USGLC coordinated a strategic Global Needs Assessment with input from a
broad array of national security and foreign policy experts across the
political spectrum.
The needs assessment identifies at least $14 billion in new
resources across the International Affairs Budget for FY22 to advance
U.S. health, security and economic interests and mitigate the global
health and humanitarian impacts of the pandemic. Key investment areas
identified are:
--Improving pandemic preparedness;
--Responding to global health and humanitarian crises; and
--Bolstering American economic competitiveness and helping countries
on their journey to self-reliance.
The Administration's FY22 International Affairs Budget request is a
smart proposal that would get us halfway there, but it's abundantly
clear that more is needed if we are going to keep Americans healthy and
safe.
America's Recovery at Stake
Protecting our Health.--With a majority of American adults fully
vaccinated against COVID-19, life in the United States is slowly
beginning to return to a semblance of normalcy. While this is an
important milestone on the road to recovery here at home, we cannot
forget that this pandemic is far from over around the world and the
threat from variants puts these gains in jeopardy. From India to
Brazil, COVID-19 cases are surging, and death tolls are rapidly rising.
Africa has received less than 2% of COVID-19 vaccines to date according
to the UN, and at the current rate it is expected to take until 2023
for 60-70% of Africa's population to be vaccinated.
The urgency to inoculate the world cannot be understated and
without U.S. leadership it is more likely collective efforts will fall
short. The recent G7 announcements from the U.S. and our allies
pledging 1 billion vaccine doses to those in need is a historic step
forward. Americans want the U.S. to lead. A recent Kaiser Family
Foundation poll revealed that 3 in 4 adults believe the U.S. should
``play at least a major role'' in global vaccine distribution,
especially if it means America can help other countries without
depleting the domestic vaccine supply.
Yet new research shows that additional investments are needed to
ensure the equitable delivery and distribution of COVID-19 vaccines
throughout the developing world, particularly in ``last mile''
communities. Not to mention the reality that Russia and China are
taking advantage of this moment to increase their own global
vaccination efforts to further their own interests abroad, many of
which do not align with ours.
Keeping us Safe.--At a time when global crises were already on the
rise, COVID-19 has increased instability, fueled conflict, and
exacerbated humanitarian emergencies from hunger to poverty to
migration. Political violence increased last year in nearly half of the
world's countries including Yemen and Ukraine, according to the Armed
Conflict Location & Event Data Project, and the UN's counter-terrorism
chief recently warned that terrorist groups are exploiting the pandemic
and appealing to new ``racially, ethnically, and politically motivated
violent extremist groups.''
Tragically, the pandemic has not only disproportionately impacted
the most vulnerable in the developing world but has severely limited
efforts by the U.S. and others to provide much-needed assistance in
places like South Sudan. Humanitarian and development assistance are
cost-effective tools to prevent and reduce conflict--helping to
stabilize weak and fragile states, stem the drivers of extremism, and
keep us safe at home.
Promoting Economic Recovery.--We know that America's road to
economic recovery is tied to the rest of the world, but COVID-19 has
disproportionately impacted emerging markets that are critical for U.S.
businesses to recover and grow. As the world shuttered early in the
pandemic, U.S. exports to countries in the developing world--countries
like Brazil, India, and Mexico--fell by as much as 50%. The cost of
failing to achieve global vaccine equity will hurt advanced economies--
regardless of their own vaccination rates--as much as developing
countries, and recent studies also suggest that this could harm the
U.S. economy by up to $670 billion over the next five years.
We also cannot lose sight of the global competition we faced even
before COVID-19. On the continent of Africa, China had already
surpassed the United States a decade ago as the top exporter to close
to 20 countries--some of the world's fastest growing markets. As a
member of the Development Advisory Council of the U.S. International
Development Finance Corporation, I have been pleased to see the DFC's
new efforts in partnership with Congress to enhance and leverage
America's development finance toolkit.
Budgeting for a New Reality
Each year, Congress faces the difficult task of distributing finite
resources across many priorities. This year is no exception. But the
consequences of inaction when it comes to fully resourcing our
international affairs toolkit are simply too great.
As I think back to my testimony in March 2020 when I talked about
investing in pandemic preparedness, I often ask myself, what's it
worth? COVID-19 has taken so much from us as individuals, families, and
communities over the past 15 months. On a personal note--I recently was
able to hug my 88-year-old mom and she met my 4-month-old granddaughter
for the first time during the COVID-19 pandemic. I'm sure many of you
on the subcommittee have finally been able to hug your parents,
children, or grandchildren again. So, when we ask ourselves ``what's it
worth'' to invest 1% of our federal budget to make sure we do what it
takes to prevent a global pandemic from ever happening again, my answer
is simple: everything.
Thank you for your unwavering support of America's international
affairs programs and your commitment to strengthening the critical
resources needed to advance America's global leadership. Our coalition
looks forward to working closely with you and your colleagues in the
coming weeks and months to ensure that funding for the FY22 State-
Foreign Operations bill reflects the unprecedented challenges and
opportunities we face today to advance America's interests in the
world.
[This statement was submitted by Liz Schrayer, President and CEO.]
______
Prepared Statement of the U.S. Overseas Cooperative Development Council
The U.S. Overseas Cooperative Development Council (OCDC) is
requesting $18.5 million for the FY2022 Cooperative Development Program
(CDP) of the Development Assistance account in the FY2022 State-Foreign
Operations and Related Programs Appropriations bill. For more than five
decades, USAID has supported the development of cooperatives as part of
its foreign aid program, mainly through the Cooperative Development
Program (CDP) that is designed to bring U.S. leadership to the mission
of capacity building for the development and growth of cooperative
businesses and cooperative systems around the world. This request for
$18.5 million is the same as was provided in FY2021.
who is ocdc and what is our interest in usaid's cdp program?
The U.S. Overseas Cooperative Development Council (OCDC) has a
membership of nine U.S. cooperative development organizations (CDOs)
with expertise in sectors as diverse as agriculture, finance, health,
energy and information technology. These OCDC members are successful
U.S. cooperatives who are part of a robust U.S. cooperative sector that
contributes more than 2 million jobs and over $65 billion in annual
revenue to the U.S. economy. It is estimated that more than 120 million
Americans benefit from their membership/participation in one or more of
the nearly 30,000 cooperatives that exist throughout all sectors of the
U.S. economy.
In addition to being leaders in the U.S. domestic cooperative
community, OCDC members have a shared interest in being champions,
advocates, and promoters of effective international cooperative
development. Individually and collectively, they have an impressive
record of achievement, and they bring many resources to this
international work from the private sector. They apply their expertise
and approaches to development in a wide range of countries, settings,
and sectors. They share their business expertise and send their members
around the world as volunteers to build sustainable cooperative
businesses, while also building goodwill for the U.S. And they develop
trading relationships between cooperatives in the U.S. and those in
developing countries, which increases jobs at home and security around
the world. Examples of impacts achieved by OCDC members include:
Equal Exchange: Fair Trade-certified coffee cooperatives in
Ethiopia, Rwanda, East Timor, and Central America link thousands of
smallholder farmers directly with global markets and their premium
coffee prices.
Frontier Co-op: Support cooperative member's organic cultivation
practices, enhance their socio-economic wellbeing, provide education
facilities, and support the economically disadvantaged at-large in
member villages in Sri Lanka.
Genex: Based on a foundation of business consulting provided by
Genex through CDP funding, more than $94 million of host government
investments has been leveraged for agriculture cooperatives in South
Africa.
Global Communities: Through the establishment of the Agency to
Support Housing Initiatives, the organization facilitated the building
of 1,140 new units of cooperative housing at 33 sites in Poland, with
an estimated 4,560 individuals benefiting from the housing.
Participating cooperative members contributed over $39 million to
finance their housing projects, with 34% of the units financed by
mortgage loans issued by local banks.
HealthPartners: 46,000 members of health-care co-ops in Uganda now
have reliable access to care, including bed nets to prevent malaria and
Zika.
Land O' Lakes Venture 37: Their work with the dairy sector in
Rwanda has focused on partnering with cooperatives that have leveraged
economies of scale through horizontal or vertical integration working
with each partner to improve operational management, organizational
governance and business decision-making.
NCBA CLUSA: The Creating an Environment for Cooperative Expansion
improves enabling environments, enhances support to cooperatives, and
improves business performance of cooperatives, in six countries,
building the capacity of more than 15 local support institutions to
provide quality cooperative development services, and providing
targeted technical assistance to more than 60 agricultural and savings
and credit cooperatives.
NRECA International: Decades-long relationship with the Philippine
rural electric community included assistance in the more recent
recovery from Typhoon Yolanda (Haiyan) that has included work to make
the Philippines' power distribution infrastructure more storm
resilient. 49 rural electrification projects in the Philippines provide
power for 4.3 million co-op members.
World Council of Credit Unions: In Kenya, WOCCU enrolled over
30,000 new youth members (18-35) in the past year. Over 84,000
Agriculture Loans have been issued, totaling to $8.7+ M. 3,000 orphans
of HIV/AIDS received support and 466 scholarships were given for
orphans and vulnerable children to attend secondary school.
impact of the cdp program
Compared with other U.S. foreign aid programs, the CDP program has
received a modest amount of funding and yet it has achieved tremendous
success as a catalyst in laying an effective base for widespread and
sustainable international cooperative development. Among the measures
of the CDP program's success over the years are reports of the
following impacts:
--500 cooperatives and credit unions assisted with a combined savings
to members of $495 million.
--Provision of health insurance and services to more than 42,000
people in Uganda.
--Leveraging of more than $94 million of host government investments
for agriculture cooperatives in South Africa.
--Increased member equity among cacao cooperatives in Ecuador, Peru,
and the Dominican Republic by more than $4 million; and,
--Reforms to cooperative law and regulation in Mozambique, Tanzania,
Uganda, and Kenya.
This is only a representative sample of an impressive track record
for the CDP program. The challenge is to use the CDP program to get
additional traction for cooperative development that will produce
similar impacts in other parts of the developing world. Among the
lessons we have learned is that the CDP program is an important
resource for demonstrating the positive experience of cooperatives in
the developed world that can then be replicated to address the economic
and social challenges of developing countries where cooperatives have
not had a similar successful history.
why cooperatives should be an international development tool
In the quest for a more prosperous, democratic, and inclusive
world, and amid calls to ``build back better'' post-COVID-19, there has
never been a better time to increase U.S. investment in cooperative
development. Through a democratic business model, people-centered
approach, underlying social justice principles, concern for community,
and dedication to equitable economic growth, cooperatives bring a
unique set of solutions to today's most difficult development
challenges.
Cooperatives are a dynamic force for self-determination, and they
contribute to creating communities where all people--including women,
youth and the most vulnerable--have an opportunity to improve their
livelihoods. Cooperatives go where for-profit businesses will not--they
provide economic opportunities and services in places that others find
unprofitable or too risky. For many poor and isolated people, joining a
co-op is the best option to help them escape poverty.
U.S. cooperative development assistance has helped develop
cooperatives that serve millions across the globe. What results can be
expected if a greater investment is made? This testimony provides
evidence that a greater U.S. investment in cooperative development
will:
create jobs and economic growth in low- to middle-income countries--and
the united states
Cooperatives offer a proven way for people to control their
economic livelihoods.
--In developing and transitional economies, they create jobs,
equitable economic growth and social development.
--Cooperatives allow poor people to pool resources and reduce risks,
and allow small farmers and businesses to enjoy advantages of
greater scale of production.
--Cooperative development stems migration by providing economic
opportunities for people in their home country.
--Co-ops provide opportunity and member services otherwise
unavailable in remote areas.
Public-sector assistance helps fund the formation of cooperatives
in developing economies and, as they grow, these well-managed
cooperatives develop vital U.S. linkages with corporate foundations,
non-government organizations and American volunteers. This makes U.S.-
funded cooperative development a win for jobs in the United States:
--Private-sector jobs at companies in the U.S., such as those
involved with coffee and cocoa, rely on supply chains anchored
by well-organized cooperatives in developing countries.
--In turn, successful cooperatives buy U.S. products, which expands
export opportunities.
further democratization across the globe
A cooperative is a ``learning lab'' where members experience
democratic governance. Cooperatives are democratically managed through
``one member-one vote,'' and members elect a board that represents
their interests and are accountable to them. These lessons spill over
from local cooperatives into the broader society. Local cooperative
members learn to vote in elections, work democratically to achieve
change at all levels of their cooperative organization, and advocate
for modernization of laws that govern their co-ops.
have large-scale impact
Cooperatives overseas that have been initiated and nurtured through
U.S. funding are thriving. Additional resources will continue fostering
development at this impressive scale. For example, U.S. assistance has
meant that:
--70 million rural people in the Philippines now have electricity.
--46,000 health-care co-op members in Uganda have access to reliable
care.
--15 million producers sell milk to more than 144,000 dairy
cooperatives in India.
--Thousands of small farmers in Africa and Central America access
global markets through Fair Trade-certified coffee
cooperatives.
--More than 39,000 credit unions meet financial needs of 38 million
members across Africa.
--36,000 farmer cooperatives provide fertilizer and other critical
services to rural India.
--40,000 children in South Asia are learning the basic principles of
banking. through a children's cooperative.
result in trust, sustainability, and growth
Where trust of for-profit companies is low, cooperatives grow.
Trust is a basic principle for cooperatives, which are owned, managed,
controlled, and patronized by their own members. Cooperative banks and
savings and credit cooperatives were not damaged during the financial
crisis of 2007-08 and grew in membership because they were seen as more
risk-averse, sustainable and trustworthy. Income from premiums in the
global mutual and cooperative insurance sector grew by 30% in the 10-
year period following the onset of the financial crisis, compared to
17% growth of the total global insurance industry. This growth resulted
in a 24% increase in jobs globally from 2007 to 2017.
REQUESTED FUNDING: The U.S. Overseas Cooperative Development
Council (OCDC) is requesting $18,500,000 for the Cooperative
Development Program (CDP) in the FY2022 State-Foreign Operations and
Related Programs Appropriations bill, the same as provided in FY2021.
REQUESTED BILL LANGUAGE:
DEVELOPMENT ASSISTANCE: COOPERATIVE DEVELOPMENT PROGRAM
``Provided that not less than $18,500,000 shall be made
available for USAID cooperative development programs within the
Bureau for Development, Democracy, and Innovation.''
SUGGESTED REPORT LANGUAGE:
``The Committee has repeatedly recognized the important role
that U.S. cooperatives and credit unions play in overseas
programs as a means to lift low-income people out of poverty
through their own efforts by mobilizing equity and savings for
community-based economic growth. The Committee directs the
Agency for International Development to increase the budgetary
level of the program for the next five-year agreement to
include funding for research on the impact of cooperatives on
members and their communities. Due to increased demand for the
program and the programmatic impact, the Committee intends to
budget for not less than $18,500,000 per year for the next five
years.''
[This statement was submitted by Paul Hazen, Executive Director.]
______
Prepared Statement of the U.S. Section of the Pacific Salmon Commission
Mr. Chairman, and Honorable Members of the Committee, I am Ron
Allen, Tribal Commissioner and Chair for the U.S. Section Budget
Committee of the Pacific Salmon Commission (PSC). The U.S. Section
prepares an annual budget for implementation of the Pacific Salmon
Treaty. Funding comes from the Departments of State, Commerce, and
Interior. The integrated budget details program needs and costs for
Tribal, Federal, and State agencies involved in the Treaty.
Department of State funding in support of implementing the Pacific
Salmon Treaty is part of the International Fisheries Commissions line
item. The FY 2021 funding level was $5,935,000. The U.S. Section
recommends a funding level of $5,185,000 for FY 2022, which represents
a $750,000 decrease. These costs provide essential support to implement
the revised chapters of the annex of the Treaty.
The Department of State provides funding for the dues to operate
the bilateral Pacific Salmon Commission Secretariat office in
Vancouver, British Columbia. The United States and Canada kept the dues
constant for eleven years. The U.S. Section recommends a $1,000,000
annual increase in the dues. Canada is expected to match the increase
in dues. It is anticipated that the annual increase in dues will be
sufficient to maintain operations over the next ten years. The
Commission's Finance & Administration Committee works closely with the
Secretariat staff to keep costs in check. The Secretariat faced
challenges in recent years to ensure the operation of test fisheries
necessary for the management of Fraser River sockeye and pink fisheries
as outlined in Annex 4 Chapter 4 of the Treaty. Declines in the return
of Fraser River sockeye and changes in the Canadian Use of Fish Policy
have impacted the viability of the test fisheries.
The Secretariat faces challenges regarding funding for the pension
liability as the Secretariat staff ages and retires. Our section urges
the Department of State to continue covering this liability outside the
dues structure, consistent with other International Fishery
Commissions.
The Department of State provides funding, through an inter-agency
agreement, with Department of Commerce, National Marine Fisheries
Service, to support United States participation in the annual meeting
process and to support staffing of the U.S. Section office. A hallmark
of the PSC process is the input from affected fishing interests from
Alaska to Washington, Oregon and Idaho. Maintaining the funding at
least at current levels is essential to address these challenges.
Funding to support activities under the Pacific Salmon Commission
comes from the Departments of Interior, State, and Commerce. The U.S.
Section can provide an additional budget summary and details to the
Committee as required. Adequate funding from all three Departments is
necessary for the United States to meet its Treaty obligations. The
funds are needed for critical data collection and research activities
directly related to the implementation of the Treaty and are used in
cooperative programs between Federal, State, and Tribal fishery
agencies and the Department of Fisheries and Oceans in Canada. The
commitment of the United States is matched by the commitment of the
Government of Canada.
Mr. Chairman, the United States and Canada established the Pacific
Salmon Commission, under the Pacific Salmon Treaty of 1985, to conserve
salmon stocks, provide for optimum production of salmon, and to control
salmon interceptions. After more than thirty years, the work of the
Pacific Salmon Commission continues to be essential for the wise
management of salmon in the Pacific Northwest, British Columbia, and
Alaska. For example, upriver bright fall Chinook salmon from the
Hanford Reach of the Columbia River are caught in large numbers in
Alaskan and Canadian waters. Tribal and non-tribal fishermen harvest
sockeye salmon from Canada's Fraser River in the Strait of Juan de Fuca
and in Puget Sound. Canadian trollers off the west coast of Vancouver
Island catch Washington coastal and Puget Sound Chinook and Coho
salmon. In the Northern Boundary area between Canada and Alaska, fish
from both countries are intercepted by the other country.
The Commission provides a public forum to ensure cooperative
management of salmon populations. The United States and Canada
successfully concluded lengthy negotiations to improve management,
building on and adjusting the coastwide abundance-based management
regime for Chinook salmon established in the 1999 agreement. The
revised Coho Chapter also continues to build on a framework for
abundance-based management. The revised Annex Chapters for Chinook,
Coho, Chum, Transboundary and Northern Boundary fisheries will be in
force for the next ten years. The United States and Canada completed a
revised Fraser River Sockeye and Pink salmon chapter in 2020, which
will also be in force through 2028.
Before the Treaty in 1985, fish wars often erupted with one or both
countries overharvesting fish that were returning to the other country,
to the detriment of the resource sustainability. At the time the Treaty
was signed, Chinook salmon were in a severely depressed state because
of overharvest in the ocean as well as environmental degradation in the
spawning rivers. Under the Treaty, both countries committed to rebuild
the depressed runs of Chinook stocks, and they recommitted to that goal
in 1999 when adopting a coastwide abundance-based approach to harvest
management. Under this approach, harvest management will complement
habitat conservation and restoration activities being undertaken by the
states, tribes, and other stakeholders in the Pacific Northwest to
address the needs of salmon listed for protection under the Endangered
Species Act. The 2018 Chinook Chapter continues these commitments. The
revisions to the Chinook Chapter will continue to build on the progress
made in previous agreements. The combination of these efforts is
integral to achieving success in rebuilding and restoring healthy,
sustainable salmon populations.
Finally, I ask you to consider the fact that the value of the
commercial harvest of salmon subject to the Treaty, managed at
productive levels under the Treaty, supports the infrastructure of many
coastal and inland communities. The value of the commercial and
recreational fisheries, and the economic diversity they provide for
local economies throughout the Pacific Northwest and Alaska, is
immense. The Commission recently funded an economic study of the
fisheries that has determined this resource creates thousands of jobs
and is a multi-billion-dollar industry. The value of these fish to the
twenty-four treaty tribes in Washington, Oregon, and Idaho goes far
beyond their monetary value, to the cultural and religious lives of
Indian people. A significant monetary investment is focused on salmon
due to the listings of Pacific Northwest salmon populations under the
Endangered Species Act. Given these resources, we can continue to
utilize the Pacific Salmon Commission to develop recommendations that
help with the development and implementation of solutions for
minimizing impacts on listed stocks. We continue to work toward the
true intent of the Treaty, and with your support, we will manage this
shared resource for mutual enhancements and benefits.
Mr. Chairman, that concludes my written testimony submitted for
consideration by your committee. I want to thank the Committee for the
support that it has given the U.S. Section in the past. Please feel
free to contact me, or other members of the U.S. Section to answer any
questions you or other Committee members may have regarding the U.S.
Section of the Pacific Salmon Commission budget.
[This statement was submitted by W. Ron Allen, Commissioner.]
______
Prepared Statement of U.S. Voters Organized Under the Banner of NO
RIGHTS/NO AID: No Rights for Palestinians, Then No U.S. Aid for Israel
Dear Chair Chris Coons and Ranking Member Lindsey Graham:
We, the undersigned United States voters, write to urge that our
government end aid to Israel now. There is no valid reason for
continuing U.S. support for this apartheid regime.
This has become an urgent matter for a growing number of U.S.
voters, including the undersigned. Here are the facts.
Israel controls the entire region of Israel, the West Bank and Gaza
and the lives of all who live there.
As soon as the most recent slaughter in Gaza ceased, and the
world's attention became less intense, Israel launched a campaign of
retribution against Palestinians for daring to protest earlier in the
month. ``Operation Law and Order'' swept through Israel and into the
West Bank making mass arrests of Palestinians to ``settle scores'' and
``close accounts''. And yet, U.S. leadership was, and continues to be,
silent as this goes on. How can this be?
Israel has been illegally taking Palestinian land for more than 50
years to build Jewish-only settlements while denying Palestinians in
the West Bank the right to build or even maintain their homes and other
structures. Considering all the aid and geopolitical support given to
Israel for decades, the U.S. cannot pretend to not be directly involved
in these atrocities. Our country is complicit.
Hoping that fear and hardship will cause Palestinians to abandon
their land, or perhaps simply out of pure hatred, Jewish settlers in
the countryside attack Palestinians and burn their crops and fields
causing costly damage, loss of livelihood and the terror of violent
harassment. Often this happens with the assistance of the Israeli
authorities. How can the U.S. honestly pretend to not see and
understand this for the ethnic cleansing that it is?
In Netanyahu's final speech to the Knesset as he most recently left
office he affirmed Israel's true intentions when he said, ``. . . the
second challenge facing us is to prevent the establishment of a
Palestinian state that will jeopardize our existence.'' In other words,
Israel has no intention of ever allowing the Palestinians to have a
state of their own. How then can the U.S. claim, with any integrity, to
support a ``two-state solution'' when this ridiculous lip service just
gives Israel more time to drive out Palestinians and forcibly make the
entire region Jewish-only?
Unless the U.S. takes a new course of action right now Israel will
continue to expel Palestinians from their longtime homes in East
Jerusalem and convert them to more Jewish-only settler housing. Arieh
King, a Deputy Mayor of Jerusalem has made it clear this is part of a
wider strategy of ``installing layers of Jews'' throughout East
Jerusalem. This policy, Mr. King said, ``is the way to secure the
future of Jerusalem as a Jewish capital for the Jewish people,'' so
that future peace negotiators will not ``try to divide Jerusalem and
give part of Jerusalem to our enemy'' (New York Times 5/12/21). This
explicit municipal policy in Jerusalem is essentially an explicit
national policy as well. Pursuant to Israel's Nation State Law adopted
in 2018 Jews alone are recognized as having supremacy over all others.
Despite this longstanding history of events, Ranking Member Graham
recently announced that in the Senate he will make sure that Israel
gets 1 Billion Dollars MORE from the U.S. this year. Senator Graham,
you have said that it is good for the United States to do this.
Respectfully sir, we strongly disagree. It is not good for the United
States and it is manifestly unjust for the Palestinians.
Many of the long stated reasons for continuing any aid to Israel
are no longer valid. Israel does not need protection. After more than
half a century of U.S. military aid Israel now has one of the most
sophisticated militaries in the world. U.S. aid also helped Israel
build its own domestic military industries such that it now ranks as
one of the top global exporters of arms and surveillance tools in the
world and Israel is the only country in the region to possess nuclear
arms.
Moreover, in the decades of receiving U.S. aid Israel has become a
wealthy economy, equivalent to several in the European Union. Israel
does not need our help. Again, in his final speech, Netanyahu boasted
that, `` . . . we turned it [Israel] into one of the 20 wealthiest
economies in the world, with our GDP per capita surpassing Britain,
Germany and France . . .''
Why then does the U.S. reflexively continue to fund Israel and its
abhorrent behavior in amounts that exceed $3.8 billion per year? And
now Ranking Member Graham has promised Israel another $1 billion. This
makes no sense. Respectfully Senators, it looks to us as if we're being
duped.
It is particularly striking that the humanity of the Palestinians
nevers seems to be part of this foreign aid calculation. It is as if we
should pretend that Palestinians do not exist in their homeland and
have no human rights. It is as if we should ignore the nightmare that
Israel has made Gaza for 2,000,000 people who have no way to escape
Israel's violence and the deprivation caused by Israel's blockade.
During the recent nightly pounding from Israeli bombs an English
teacher in Gaza reported it this way, ``I can't even begin to describe
the horrors of last night. In the morning, each morning, I can't
believe we made it out alive.'' Many families did not make it out
alive.
It must be a new day in U.S. foreign policy with Israel. For the
sake of honesty, morality and the universal value of human rights U.S.
aid to Israel must end.
Respectfully submitted by the following U.S. Voters on the next two
pages:
[GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]
[GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]
______
Prepared Statement of the UNICEF USA
Chairman Coons, Ranking Member Graham, and members of the
Subcommittee, on behalf of more than 10,000,000 supporters of UNICEF
USA, I appreciate this opportunity to submit testimony to the
Subcommittee regarding the United Nations Children's Fund (UNICEF). I
respectfully ask the Subcommittee to provide a fiscal year 2022 U.S.
contribution of $134 million to UNICEF's core funding within the
International Organizations and Programs Account, which is the same
level that was enacted in the final fiscal year 2021 omnibus agreement.
I am President and CEO of UNICEF USA. We are a U.S. nonprofit
organization that advances the global mission of UNICEF by rallying the
American public to support the world's most vulnerable children. I am
proud to say that the American public is generous in its support for
UNICEF: we raised more than $600 million last year in donations and
gifts-in-kind from U.S. individuals, foundations and corporations.
We also mobilize our supporters to engage with their Members of
Congress. In fact, several member offices of the State, Foreign
Operations subcommittee met with some of our 460 UNICEF volunteers from
across the country who participated in our virtual Advocacy Week in
March, sharing their belief in UNICEF and their support for the annual
appropriation to UNICEF's core resources.
This year marks UNICEF's 75th anniversary. Since its creation in
1946, with U.S. partnership and leadership, UNICEF has helped to save
more children's lives than any humanitarian organization in the world.
I commend this Subcommittee for its bipartisan leadership to support
UNICEF, and champion programs that help children around the world. You
are making a difference.
This partnership between UNICEF and the U.S. Government has
achieved positive results for children. UNICEF has helped to cut the
world's under-five mortality rate by 58% since 1990. Unfortunately, a
year into the COVID-19 pandemic, the world has gone backward across
virtually every key measure of child well-being. Up to 1.5 billion
children and young people have been affected by school closures, and at
least 1 in 3 schoolchildren have been unable to access remote learning
while their schools were closed. At least 1 in 7 children and young
people lived under stay-at-home policies for most of 2020, leading to
feelings of anxiety, depression and isolation. Rates of child
malnutrition and food insecurity are on the rise in communities across
the globe, and up to 56 million children may suffer from wasting by
2022, not to mention our worry about a looming famine in Northern
Ethiopia.
Since the pandemic outbreak, UNICEF has quickly acted to reduce the
spread of the virus and minimize its impact on children worldwide.
UNICEF used its data systems to rapidly assess the pandemic's impact on
children and leveraged its extensive presence across more than 190
countries and territories, and its dual humanitarian and development
mandate, to play a key role in the United Nations' coordinated response
to COVID-19. UNICEF's Supply Division leveraged its logistical
expertise to ship half a billion items of personal protective equipment
in support of 138 countries in 2020. A few of UNICEF's accomplishments
in 2020 include:
--Providing leadership in the COVAX Facility, leading on the
procurement and distribution of COVID-19 vaccines for 92 low-
and middle-income countries, and helping those countries
prepare for equitably delivering the vaccine to their
populations.
--Distributing critical water, sanitation and hygiene (WASH) services
and supplies for 106 million people, including 58 million
children.
--Facilitating training on infection prevention and control for 4
million health workers.
--Supporting community-based mental health and psychosocial
interventions in COVID-19 response plans, reaching 78 million
children, adolescents, parents and caregivers in 117 countries.
--Facilitating treatment and care for nearly 5 million children with
severe wasting in more than 70 countries.
--Supporting more than 301 million children, including approximately
147 million girls, with remote learning.
UNICEF's response focuses on countries with existing humanitarian
crises--working both to prevent transmission and mitigate the
collateral impacts on children, women and vulnerable populations,
especially around access to health, nutrition, water and sanitation,
education and protection.
Without this core support to UNICEF, programs such as polio
eradication, basic education, immunizations, anti-malarial bed nets,
pediatric HIV/AIDS interventions, and protecting children from violence
and abuse would be put at risk. Moreover, the U.S. contribution to
UNICEF's core resources is essential to UNICEF's ability to respond
effectively to global health and humanitarian crises alike. The
pandemic has demonstrated how essential flexible resources are to
UNICEF's ability to respond quickly and effectively to such crises and
to provide countries and communities with the long-term support that
builds resilience. U.S. Government support for UNICEF's core resources
ensures that UNICEF has infrastructure and resources on the ground
before, during and after humanitarian crises.
unicef's humanitarian impact for children
UNICEF is a global partner in helping the U.S. Government respond
to humanitarian crises around the world. Each year, UNICEF's
humanitarian programs provide millions of children in conflicts and
other emergencies with a range of life-saving services, including:
--In 2019, UNICEF assisted in 281 humanitarian situations across 96
countries. This assistance included treatment for nearly 54
million children for severe acute malnutrition, vaccinations
for 41.3 million children against measles and safe water for
more than 39 million people.
--UNICEF supports initiatives to make schools, health centers, water
and sanitation facilities--and other services critical to
children's well-being--resistant to current and future climate
and environmental shocks.
--Every $1 invested in emergency preparedness equals $4 saved in
UNICEF's ability to respond to crises faster, save more lives
and reduce costs.
unicef supplies and cost reductions
UNICEF is committed to making every dollar go further to save and
improve children's lives. Through innovative procurement, market
strategies and partnerships, UNICEF uses its market power to drive down
supply prices; in only two years, UNICEF exceeded its projected $670
million in price savings for strategic supplies over the period of
2018-2021 by $44.5 million.
--UNICEF is one of the largest buyers of supplies for children,
providing the organization with leverage to negotiate the
lowest prices. In 2019, UNICEF procured $3.8 billion in
supplies including nearly $545 million in U.S. goods and
services.
--In order to provide long-term protection for children, UNICEF is
committed to promoting sustainability and security in supply
chains. UNICEF's global supply chain and local presence mean it
can get help to where it is needed fast--shipping life-saving
supplies almost anywhere in the world within 72 hours.
unicef partnerships
The U.S. Government, the American people and UNICEF have maintained
a strong partnership since UNICEF's inception. Without a consistent
U.S. Government voluntary contribution, and the leverage that comes
from that support through corporations, foundations and other
governments, UNICEF would not be able to maintain its level of
leadership in the world for children.
UNICEF receives no direct funding from the United Nations-all of
UNICEF's funds come from voluntary contributions from both public and
private sources. Almost a third of UNICEF's total funding comes from
non-governmental sources.
UNICEF's efforts around the world embody the compassion of the
American people for helping children and families. That is why UNICEF
enjoys incredible backing from Americans for its mission of child
survival and development, from children participating in ``Trick or
Treat for UNICEF'' and ``UNICEF Kid Power,'' to major corporations
donating money and products. UNICEF USA is proud of its partnerships
with corporations and nonprofits to save children's lives. Among many
examples:
--Kiwanis International, partners with UNICEF to eliminate maternal
and neonatal tetanus (MNT) and iodine deficiency disorders.
Between 1999 and 2018, the Global MNT Elimination Initiative
has helped to vaccinate more than 154 million women against
this deadly disease.
--UNICEF procures vaccines for Gavi and buys all vaccines and related
items for global campaigns not covered by Gavi. In 2019, UNICEF
reached almost half the world's children under five years old
with life-saving vaccines. UNICEF is a major partner of the
United States in fighting vaccine-preventable diseases in 99
countries, including polio and measles.
--Rotary International, in partnership with UNICEF, the U.S. Centers
for Disease Control, and others through the Global Polio
Eradication Initiative, has helped nearly eliminate wild polio
worldwide, reducing polio cases by more than 99.9% since 1988.
--With the American Red Cross, UNICEF helps lead the Measles and
Rubella Initiative, working with countries, partners, parents
and caregivers to create a world free from measles and rubella.
--UNICEF is a founding member of the Roll Back Malaria Partnership to
support malaria treatment and research, and to expand
prevention measures such as long-lasting insecticide-treated
bed nets. In 2019, UNICEF procured mosquito nets for 48.1
million people in 33 countries-the highest amount in UNICEF's
history-including nearly 1.7 million people in humanitarian
situations.
--Microsoft and UNICEF expanded its global learning platform, the
Learning Passport, which began as way to ensure displaced and
refugee children had access to digital remote learning, to help
1.57 billion students affected by COVID-19 continue their
education at home.
UNICEF's impact is also strengthened by maintaining U.S. support
for bilateral foreign assistance programs. In this regard, UNICEF USA
supports the fiscal year 2022 funding requested by our partners for
Iodine Deficiency and Iodine Nutrition ($3.5 million), Maternal and
Neonatal Tetanus ($2 million), Polio Eradication ($65 million), and
Gavi ($290 million). Because of the importance of U.S. child survival
and health programs, our organization also asks the U.S. Congress to
provide at least $984 million under the Maternal and Child Health (MCH)
account, at least $240 million for the Nutrition account, and at least
$540 million for Water and Sanitation account in fiscal year 2022.
Finally, UNICEF knows that education is critical for children,
especially now, and can be lifesaving for children in crises. That is
why we support at least $1.1 billion for the International Basic
Education account, including $150 million for the Global Partnership
for Education, and $50 million for Education Cannot Wait.
innovation
Innovation is at the heart of UNICEF's ability to achieve results
for children and young people. UNICEF is a leader in innovative
financing or non-traditional mechanisms of raising resources to meet
children's needs.
--GIGA, launched by UNICEF and the International Telecommunication
Union (ITU) in 2019, is an innovative partnership to connect
every young person to the internet, by mapping school
connectivity, advising on technical solutions and building
affordable, sustainable country-specific financing models.
--UNICEF has driven and brought to scale numerous product innovations
such as portable incubators, accessible latrine slabs for
children with disabilities, compressed air for pneumonia, new
diagnostic tools, multi-purpose lightweight tents and modular
schools.
--A Cryptocurrency Fund was launched by UNICEF in 2019-the first of
any UN Organization-to fund open-source technology benefiting
children and young people around the world.
u.s. support for unicef is helping to improve and save lives
The U.S. Congress's longstanding and generous support for UNICEF's
core resources allows UNICEF to partner with the U.S. Government to
make a real difference in saving children's lives:
--UNICEF plays a critical role in global efforts to ensure child have
access to education, including early childhood development,
especially for children in conflict and girls; education helps
protect girls from exploitation, child marriage, and abuse. As
a result of COVID-19 disruptions, UNESCO estimates that 11.2
million additional girls may not return to school. Girls living
in conflict contexts are more than twice as likely to be out of
primary school as those not affected by conflict.
--UNICEF has been a world leader in immunizations and is the world's
largest provider of vaccines for developing countries. In 2019,
UNICEF purchased 2.43 billion doses of vaccines for children in
99 countries. UNICEF engages with manufacturers to keep vaccine
prices as low as possible, ensuring that vaccines reach even
the poorest children and communities.
--Malnutrition contributes to nearly half of all child deaths and
causes stunting that affects a child's physical and cognitive
development. Thanks to UNICEF's provision of therapeutic foods,
more children have been treated for severe acute malnutrition
(SAM) than ever before.
--UNICEF is engaged in water, sanitation and hygiene (WASH)
programming supporting 18.3 additional people gain access to
safe drinking water services and 15.5 million additional people
gain access to basic sanitation services in 2019.
conclusion
We salute this Subcommittee's has longstanding bipartisan support
for the well-being of the world's children, especially for child
survival and for UNICEF, ensuring that children are a priority of U.S.
foreign assistance funding.
We believe that UNICEF is an indispensable partner of the United
States on initiatives to save lives and protect vulnerable children
around the world. Maintaining the U.S. voluntary contribution to
UNICEF's core resources at the current level of $134 million will
enable UNICEF to continue saving and protecting the lives of vulnerable
children around the world.
We thank you for your consideration and for helping to ensure that
every child survives and thrives.
[This statement was submitted by Michael J. Nyenhuis, President and
CEO.]
______
Prepared Statement of the Vaccine Alliance (GAVI)
Mr. Chairman, Ranking Member Graham:
Thank you for the opportunity to provide testimony to the
Subcommittee on behalf of Gavi, the Vaccine Alliance (Gavi). I
respectfully request the Committee to provide $290 million as the U.S.
contribution in fiscal year 2022 to Gavi as part of a four-year, $1.16
billion commitment (fiscal years 2020-2023), and to provide $984
million for USAID's Maternal and Child Health account. A commitment
from the United States at this level will support critical immunization
efforts around the world and strengthen global health security. It will
also support the prevention of disease outbreaks, foster stability in
vaccine markets, and support continued innovation in global health at a
time when COVID-19 threatens historic gains in health and immunization.
I would like to thank you, Chairman Coons, Ranking Member Graham,
and the other members of the Subcommittee for your strong support of
Gavi. This Committee has been the leader, since our inception in 2000,
in the United States-Gavi partnership. You have been and continue to be
an essential part of our success in bringing vaccines to the world's
most vulnerable and in helping to keep the world safe from infectious
diseases. Your support for our routine immunization work in low-income
countries helps protect millions of children from vaccine- preventable
diseases every year.
a critical time for routine immunization
Since 2000, Gavi has driven unprecedented progress in global health
through one of the most cost-effective public health interventions
available--vaccines. With support from the United States and other
donors, Gavi works alongside a range of partners to expand immunization
access in low-income countries while also strengthening health systems
and building stockpiles of vaccines against infectious diseases like
Ebola and yellow fever. In the last two decades, this work has helped
immunize more than 822 million children, averting more than 14 million
deaths and giving children around the world a chance at a healthy start
in life.
The efforts of Gavi and its partners have protected millions of
children against deadly yet preventable diseases and have been a major
factor in nearly halving child mortality since 2000. But these gains
are fragile. Fifteen million children still miss out on a full course
of the most basic vaccines, and other disease outbreaks as well as
increasing fragility and displacement jeopardize the achievements of
national routine immunization programs and threaten global health
security. Increasing birth rates in Gavi-supported countries also means
that a greater number of children must be immunized each year just to
maintain the same coverage rates. The COVID-19 pandemic has created new
challenges, increasing the risk of disruptions to vital immunization
services in the low-income countries Gavi supports and reducing the
number of planned immunization programs.
Without continued investment and support, disruptions like these
could lead to concurrent outbreaks of other deadly infectious diseases,
further stressing already weakened health systems and jeopardizing
decades of progress in immunization. Despite these challenges, Gavi has
set ambitious goals to reach even more children and, with continued
support and partnership, is well-placed to reach these goals and make
further progress on closing the immunization gap. Gavi continues to
play a critical role in supporting routine immunization and preventing
global infectious disease outbreaks by expanding vaccine access and
strengthening health systems in low-income countries, work that would
not be possible without the continued support of the U.S.
the alliance's 2021-2025 strategy and the road ahead
Gavi began a new five-year strategic cycle in 2021, with a goal of
immunizing an additional 300 million children in the 2021-2025 period--
preventing an additional 7-8 million deaths. The USAID-announced pledge
in February 2020 of $1.16 billion for fiscal years 2020-2023, subject
to Congressional approval, is crucial to ensuring Gavi can continue the
programs needed to reach this goal. A $290 million contribution to Gavi
in fiscal year 2022 would fulfill the third year of that pledge and
ensure Gavi can continue to reach children with critical immunization
services.
Continued support will also help build strong, sustainable health
systems and enable additional countries to transition out of Gavi
support and begin fully self-financing their immunization programs,
joining the sixteen countries around the world that have already
transitioned. Furthermore, continued support from the U.S. will allow
Gavi to expand current portfolio of vaccines to as many as 18 diseases
and invest in critical emergency stockpiles.
the gavi model
Gavi's impact draws on the strength of its partners, all of whom
play a critical role in the Alliance. This unique model brings together
donors, including sovereign governments like the United States;
implementing country governments; private sector partners,
international organizations such as UNICEF, WHO, and the World Bank;
and civil society partners to build sustainable, country-led
immunization programs in lower-income countries.
Empowering countries to take ownership of their vaccination
programs is a core component of the Gavi model. Every country that
receives Gavi support shares the responsibility of vaccinating their
children and co-finances vaccine costs. As a country's income grows,
their co-financing obligation also grows until they reach a specific
Gross National Income cap, at which point they begin to transition out
of financial support from Gavi. Throughout this process, Gavi provides
technical support and guidance to ensure transitioning countries have
the capacity to continue implementing sustainable and equitable vaccine
programs. Currently, 16 countries have fully transitioned from Gavi
support with more expected to transition in the coming years.
Building healthy markets is critical to the long-term success of
the Gavi mission. Since 2000, Gavi, its partners, and the vaccine
industry have been working to improve vaccine market certainty by
pooling demand from Gavi-eligible countries. Gavi's purchasing power
covers more than half of the annual global birth cohort, enabling it to
provide a large and reliable market when negotiating vaccine prices.
These market shaping strategies have also helped attract new
manufacturers across the world to support Gavi-eligible countries,
starting from five firms in 2001 to 17 today. Partnership with the
private sector is also integral to Gavi's model. Leveraging the private
sector's financial resources, operational expertise, and innovation
helps the Alliance to deliver on its ambitious coverage and equity
goals.
covid-19 response
In addition to the United States' historic support for Gavi's
routine immunization programs, the strong bipartisan support for the $4
billion contribution to Gavi for COVID-19 vaccine procurement and
delivery in the fiscal year 2021 Omnibus appropriations bill has
enabled us to procure COVID-19 vaccines for lower-income economies and
leverage other donors to make contributions to the Gavi COVAX Advance
Market Commitment (AMC). Congress' generous support makes the United
States the largest donor to the Gavi COVAX AMC, and this funding will
help ensure lower-income economies have equitable access to safe and
effective COVID-19 vaccines on the same urgent timeline as wealthier
countries.
Gavi, in partnership with Coalition for Epidemic Preparedness
Innovations and the World Health Organization and with support from
donors, key implementing partners like UNICEF, manufacturers,
international financial institutions, and others, launched COVAX in
June 2020. COVAX builds on Gavi's more than two decades of experience
in immunization and is the only global initiative that is working with
governments and manufacturers to ensure COVID-19 vaccines are available
worldwide to both higher-income and lower-income countries. To date,
COVAX has shipped over 81 million COVID-19 vaccine doses to 129
countries, including 72 lower-income countries. The U.S.' investment in
this work is helping to end the acute phase of this pandemic.
U.S. leadership as host of the Gavi COVAX AMC Investment
Opportunity launch event in April 2021 further demonstrated the power
of the U.S. contribution to Gavi for COVID-19 response. The event,
which launched a 2021 resource mobilization campaign for the AMC,
raised nearly $400 million in new funding for the AMC and saw several
dose sharing commitments. This partnership allows Gavi to continue
leveraging the $4 billion contribution through 2022 to raise additional
support from other sovereign and private sector donors.
Only once COVID-19 vaccines are available to priority populations
in all countries around the world will we truly begin to bring this
pandemic under control. COVAX aims both to make safe and effective
vaccines available globally and to bring this pandemic to an end. This
can happen only after billions of doses are made available to everyone.
gavi's contribution to global health security
Immunization is among the most cost-effective ways to prevent
epidemics and is a crucial component of any global health security
strategy. As the COVID-19 pandemic has demonstrated, investments in
global health security are crucial to protect Americans, prevent loss
of life, and protect the global economy. Gavi plays an important role
in disease control and strengthening global health security by
maintaining emergency vaccine stockpiles to respond to outbreaks of
cholera, meningococcal disease, yellow fever, and Ebola.
Gavi also works to improve global health security and infectious
disease prevention and control by building strong health systems in
Gavi-eligible countries. These investments enable countries to better
identify, track, and respond to infectious disease threats and to reach
more children with routine immunization services. Continued
contributions from the U.S. help ensure this work continues in Gavi-
supported countries, and in turn, makes the world safer for everyone.
conclusion
Continued U.S. investment in global health programs is essential to
protect people from rising health threats and reducing preventable
deaths. These programs complement the impact of Gavi- supported
immunization efforts and are crucial to maintaining health security in
the United States and around the world.
A $290 million contribution to Gavi for fiscal year 2022 as part of
the U.S. $1.16 billion commitment over four years (FY 2020--FY 2023)
and $984 million for the broader USAID Maternal and Child Health
account are critical to maintain Gavi's gains. Continued funding for
Gavi will help expand immunization efforts, support country transitions
to self-financing vaccine programs, promote program sustainability, and
strengthen global health security.
We thank this Subcommittee for its long history of protecting
global health and other foreign assistance programs.
Thank you for your consideration.
[This statement was submitted by Marie-ange Saraka-yao, Managing
Director of Resource Mobilisation, Private Sector Partnerships &
Innovative Finance.]
______
Prepared Statement of the Wildlife Conservation Society (WCS)
Chairman Coons, Sen. Graham, and Members of the Subcommittee, the
Wildlife Conservation Society (WCS) welcomes the opportunity to provide
written testimony on FY22 SFOPS and thanks the Committee for restoring
and growing funding in the FY21 Consolidated Appropriations Act (FY21
enacted) for international conservation, combating wildlife
trafficking, and global health accounts. WCS appreciates the leadership
of Sen.Van Hollen who garnered 25 colleagues in support of these
accounts; Reps. Meng and Katko who championed a bipartisan letter of 90
Members; as well as Rep. Espaillat and Sen. Merkley who championed
letters in support of FY22 climate finance.
The U.S. is currently grappling with biodiversity, climate, and
pandemic crises that require an integrated solution. U.S. government
investments in international conservation programs increase the
capacity of other nations to protect their natural resources and
respond to wildlife crimes, extreme weather, and zoonotic disease
spillover and spread, thereby strengthening governance in developing
nations. This in turn strengthens U.S. national and economic security.
As a key implementing partner of U.S. awards, the Bronx Zoo-based WCS
operates field conservation programs across 60 countries. Funding
international conservation, global health, and climate programs bolster
intact ecosystems and help prevent unsafe and illegal trade in
wildlife, thereby addressing the root causes of zoonotic disease
spillover.
USAID Biodiversity.--The U.S. government is a global leader in
biodiversity, forest, and marine conservation investments delivered
largely through the USAID Biodiversity Program. These programs conserve
and protect some of the largest, most at-risk natural landscapes and
millions of livelihoods dependent upon natural resources. Maintaining
and restoring natural resources enhances U.S. economic and national
security interests, reducing conflict over resources and improving the
stability of trading partners. FY21 enacted included $320,000,000. The
FY22 President's Budget Request (PBR) would cut the program to
$217,000,000, while the House mark funds it at $400,000,000. WCS
recommends $500 million for USAID Biodiversity to support increases to
regional wildlife conservation programs in Central Africa, the Amazon,
Guatemala/Belize/Honduras, and South Sudan/Ethiopia.
USAID Central Africa Program for the Environment (CARPE) is one of
the largest biodiversity and combating wildlife trafficking programs in
USAID's portfolio. The WCS-USAID-USFWS CARPE partnership is exemplified
in the 20+ years of investment in the Republic of Congo's Ndoki
National Park where park rangers conduct SMART patrols by plane, boat,
vehicle, and on foot. This has resulted in increases in ivory
trafficking convictions and sentencing. Elephant numbers in Ndoki Park
have remained stable since 2006, even while they have plummeted across
much of Central Africa. WCS values the Social Safeguards in National
Parks and Protected Areas language included by the eight corners of the
SFOP and Interior Subcommittees in FY20 and FY21. As you know,
previously frozen FY18 CARPE funds transferred from USAID to the
Department of the Interior (DoI) through a 632(b) interagency agreement
have been successfully awarded with social safeguards terms and are
being implemented on the ground by partners. FY19 and FY20 CARPE funds
subject to the 632a transfer to DOI have been secured but await USAID
internal budgeting clearances that often take 12-18 months to award
before investments hit the ground. Additional funding to establish and
implement safeguards programs separate from existing protected area
management funding would be beneficial. FY21 enacted included
$43,000,000 for CARPE and $10,000,000 to USFWS. The PBR Biodiversity
CBJ includes $43,000,000 for CARPE, while the House mark remains
silent. WCS recommends at least $50 million within the Biodiversity
Program for CARPE, of which up to $33 million for USAID and not less
than $17 million transferred to USFWS, the technical agency with
strategic and implementation expertise.
Ethiopia and South Sudan share the world's second largest wildlife
migration of over a million animals migrating across the border of the
two countries, a spectacle rivaling the wildebeest on the Serengeti.
South Sudan is grappling with increasing food insecurity, ongoing
severe flooding, the COVID-19 pandemic, and persistent insecurity and
intercommunal conflict. There has been an increase in lethality of
intercommunal conflict due to a lack of access to livelihood
opportunities for South Sudanese youth.\1\ The U.S. government has
invested $7.6 million to protect wildlife and spur economic
opportunities--including ecotourism--in the Boma-Bandingilo landscape.
FY21 Joint Explanatory Statement SFOPS included ``continued funding for
wildlife conservation activities in South Sudan, and transboundary
migration into Ethiopia.'' The PBR includes $2,000,000 in the
Biodiversity CBJ for the East Africa Regional Program, while the House
mark remains silent. WCS recommends the following DA Biodiversity
language: ``Continued funding for wildlife conservation activities in
South Sudan, and transboundary migration into Ethiopia's Gambella
landscape.''
USFWS global priority species investments have continued to be
bolstered to provide technical natural resources support to counter the
direct threats they face in the wild. The FY21 enacted included
$6,000,000 to be transferred to USFWS including $1,500,000 for
migratory bird conservation. The PBR and the House mark remain silent
on this. WCS recommends $6 million to USFWS for international wildlife
conservation efforts within the DA Biodiversity Program.
U.S. Forest Service International Programs (FS-IP) works with more
than 50 countries providing valuable expertise to help international
partners reduce deforestation and land degradation, promote sustainable
forest management, improve forest restoration and reforestation, and
enhance the resilience of communities, ecosystems, and economies to
climate change. Effective forest management at the global level is
necessary to protect American trade interests-such as the ability of
domestic timber producers to compete on a level playing field-and to
ensure the sustainability of critical domestic and foreign natural
resources. By building capacity among partner countries to identify
timber sources and determine the legality of shipments prior to export
and import, as well as developing a global reference database to help
identify timber sources in order to confirm their legality, FS-IP is
helping U.S. solid wood and wood products as well as pulp, paper, and
packaging product exports compete in growing Asian markets. WCS and
others are recovering forest habitats of endangered Siberian tigers
with the support of FS-IP. FY21 enacted included $8,000,000. The PBR
and the House mark remain silent on this. WCS recommends $20,000,000
million by direct transfer to FS-IP within the DA Biodiversity Program.
USAID Global Health Security Programs.--Preventing the next
pandemic of zoonotic origins requires addressing the drivers of
zoonotic spillover from animals to people and strengthening zoonotic
surveillance in wildlife. The drivers of spillover include the legal
and illegal live wildlife trade for human consumption, deforestation
and land degradation, and agricultural intensification. FY21 enacted
included $190,000,000 for USAID Global Health Security, including known
and unknown zoonotic virus data collection and analysis. The PBR
includes $1,011,686,000 for Global Health Security, including
$745,000,000 for USAID Global Health Programs and $250,000,000 for
State Global Health Programs as seed funding for a multilateral entity
for preparedness and response. The House mark includes $1,000,000,000
for Global Health Security and a directive that ``Global Health
Programs'' funding may be made available for a contribution to an
international financing mechanism for pandemic preparedness. WCS
recommends the following language: ``$2 billion to Global Health
Security Programs for bilateral and a new multilateral mechanism to
prevent the root causes of pandemics of zoonotic origin, including:
preventing commercial trade in live wildlife and derivatives for human
consumption; halt deforestation and degradation; grow USAID zoonotic
spillover surveillance programs; stand up demonstration projects
integrating USAID Global Health, Food Security and Biodiversity program
that promotes alternative sustainable nutrition programs to reduce
zoonotic spillover and spread from wildlife consumption.''
State INL & USAID's Combating Wildlife Trafficking Program.--
Wildlife trafficking, illegal logging, and IUU fishing are
transnational organized crimes linked to drug, weapons, and human
trafficking, and pose similar threats to national security, economic
prosperity, the rule of law, and the environment.\2\ With field
conservation programs in 20 of the Focus Countries and all six of the
Countries of Concern identified by the Department of State Report to
Congress on Major Wildlife Trafficking Countries,\3\ WCS works in
partnership with USAID and State INL to implement anti-poaching, law
enforcement, and capacity building programs around investigations and
border patrols, prosecutions, and convictions from source sites to
trafficking bottlenecks to demand countries. Use of small plane aerial
surveillance, Wildlife Crime Units, and tracking of financial
transactions are successful strategies that need further investment.
FY21 enacted included $100,664,000, of which $50,000,000 to INL. The
PBR includes $92,700,000, while the House mark includes $125,000,000.
WCS recommends $200,000,000 split evenly between State INL and USAID.
Northern Triangle's Central America Conservation & Security.--The
region is experiencing severe weather events and its worst fire season,
decimating forests, wildlife, and livelihoods of local communities.
Drought is leading to widespread crop loss. These events are
contributing to increased irregular migration to the U.S. as
livelihoods become unsustainable. Narco-ranching accounts for 90% of
recent deforestation. This is driven by criminals taking land from
Indigenous Peoples and communities to launder drug money through
illegal cattle ranches.\4\ The FY21 enacted DA Biodiversity Program
included $6,250,000 for this region, of which $2,250,000 to DoI. The
PBR Biodiversity CBJ for Guatemala includes $6,100,000, while the House
mark remains silent. WCS recommends the following DA Biodiversity
language: ``At least $7,000,000 for Selva Maya tropical forest
conservation in Guatemala, Belize and Mexico to support increased
border cooperation to halt smuggling, address threats from fires, and
to support the renewal of existing and development of new community
forest concessions in the Maya Biosphere Reserve (MBR), of which
$3,000,000 is directed to DoI. The Committee does not support funding
for logging activities or the construction of roads in national parks
or the MBR, except for community forest concessions in the MBR and
temporary road construction in support of such concessions.''
Drug trafficking through Honduras has increased recently, as
smugglers lean more heavily on routes across illegal roads from the
coastline through the rainforest and northward into Guatemala and
Mexico. An illegal road is being cut through the Rio Platano Biosphere
Reserve in Honduras, a UNESCO World Heritage Site, as well as
Indigenous territories. This will facilitate land invasions into the
biosphere and is likely to be used as a drug-trafficking route.\5\ In
FY21 enacted the INL section ``notes the importance of the Maya Forest
areas of Guatemala, Belize, and Mexico and the Moskitia Forest region
of Honduras. The Committee recommendation includes funds to support the
comprehensive strategy to support activities to strengthen security and
governance in these areas that was developed pursuant to the directive
in H. Rept 116-78, including funds for support of scientific
investigation, heritage conservation, law enforcement, and sustainable
tourism.'' WCS is pleased with INL's NOFO for narco-ranching in the
Moskitia and recommends INL report language: ``The Committee is
concerned with the increase in jaguar poaching, timber trafficking,
unregulated cattle, narco-ranching and narco-roads in the Honduras--
Guatemala--Mexico border forest regions and directs $5M for increased
border cooperation for anti-poaching and counter-fire regimes. The
Committee recommendation includes funds to support the directive in H.
Rept 116-78, and H. Rept 116-444 for a comprehensive security,
governance and conservation strategy for Central America.''
USAID Sustainable Landscapes mitigates the drivers of deforestation
& land degradation in the world's largest & most biologically diverse
tropical forests. Forests cover 30% of the planet's land area, house up
to 90% of all terrestrial wildlife species, mitigate severity of
storms, and directly sustain the livelihoods of 1.6 billion people
worldwide. The U.S. commitment to reducing deforestation & land
conversion through sustainable management practices is vital to
protecting essential storehouses of biodiversity & carbon in intact
forests, as well as the essential goods & services intact forests
provide people globally, including in the U.S. U.S. government support
gives developing countries the ability to address the drivers of
deforestation and degradation, halt illegal logging, and restore
degraded lands. U.S. jobs are protected by stopping products from
illegal logging from flooding U.S. markets as unfair competition, which
costs the U.S. timber industry $1 billion annually. FY21 enacted
included $135,000,000. The House mark proposes not less than
$202,500,000 for Sustainable Landscapes. Consistent with the PBR
Climate CBJ, WCS recommends $232,305,000.
USAID Adaptation programs build resilience to climate-related
risks, such as floods, storms, droughts, and sea level rise, including
by supporting climate-resilient development and improved access to
climate and weather data and tools. Extreme weather-driven natural
disasters are a growing risk for communities around the world, and
amplify existing stresses and vulnerabilities such as famine, floods
and fires. Loss of natural defenses, including wetlands, mangroves,
forests, and reefs, also increases vulnerability to and amplifies the
impact of storms and floods. Weather-driven natural disasters have a
disproportionate effect on developing countries with fewer resources to
respond and recover. USAID Adaptation programs reduce human migration
and social conflict as communities become adaptation-ready and build
resilience to these risks. FY21 enacted included $177,000,000. The PBR
Climate CBJ includes $221,928,000, while the House mark includes not
less than $294,200,000 shall be made available for adaptation programs,
including in support of the implementation of the Indo-Pacific
Strategy. Consistent with the House mark, WCS recommends not less than
$294,200,000.
Global Environment Facility (the GEF).--America's investment in the
GEF through the U.S. Treasury, unites 30+ donor countries with
recipient countries, U.S. corporations and NGOs to support projects in
170 countries. For every dollar America invests in the GEF it generates
another $40 from other countries and partners. The GEF has supported
the improved cooperation and governance of one-third of the world's
large marine ecosystems. The GEF support has also been critical to
placing 12 percent of the world's terrestrial area under protection,
resulting in 3,300 protected areas spanning 2.1 billion acres
containing at least 700 globally threatened species. Consistent with
the PBR and the House mark, WCS recommends $149,288,000 for the
Treasury's fourth and final installment to GEF-7 and to pay arrears.
Green Climate Fund leverages global contributions to support
developing countries in transitioning towards low-emissions, climate-
resilient development and amplifies U.S. development funds. The U.S.
made a multi-year pledge to this institution, mobilizing global support
to address the impacts of climate change. This pledge has not been
completed by the Treasury International Programs. As the U.S.
government restores its leadership role on the global stage, it must
complete its multi-year pledge to this important institution, which is
catalyzing climate finance and supporting the implementation of
adaptation and mitigation programs in the most vulnerable of locations.
The PBR includes $1,250,000,000 split between State/USAID and Treasury.
Consistent with the House mark, WCS recommends $1,600,000,000.
---------------------------------------------------------------------------
\1\ USAID, South Sudan--Complex Emergency Fact Sheet #2, February
10, 2021. https://www.usaid.gov/sites/default/files/documents/
05.07.2021-----South_Sudan_Program_Map.pdf.
\2\ U.S. Department of State, 2020 END Wildlife Trafficking
Strategic Review, Oct. 26, 2020, https://www.state.gov/2020-end-
wildlife-trafficking-strategic-review/.
\3\ U.S. Department of State, 2020 END Wildlife Trafficking Report,
Oct. 26, 2020, https://www.state.gov/2020-end-wildlife-trafficking-
report/.
\4\ Radachowsky, J. (2021, April 10). To confront the U.S. border
crisis, save Central America's forests. Scientific American. https://
www.scientificamerican.com/article/to-confront-the-u-s-border-crisis-
save-central-americas-forests/
\5\ Mukpo, A. (2021, May 13). In the Honduran Rio Platano Biosphere
Reserve, an illegal road for cattle and drugs. Mongabay.https://
news.mongabay.com/2021/05/in-the-honduran-rio-platano-biosphere-
reserve-an-illegal-road-for-cattle-and-drugs/
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[This statement was submitted by Kelly Keenan Aylward, Executive
Director.]
______
Prepared Statement of the World Learning
Dear Chairman Coons, Ranking Member Graham, and distinguished
Members of the Subcommittee, I am pleased to submit testimony on behalf
of World Learning, an education and exchange focused non-profit
organization based in Brattleboro, Vermont and founded in 1932. At
World Learning, we believe in the power of diversity, the importance of
an intercultural perspective, and fostering understanding and
belonging. Through people-to- people exchange, international
development, semester-long study abroad, graduate education,
peacebuilding, and certificate programs, we prepare individuals to be
effective leaders and community builders in an increasingly globalized
but polarized world.
On behalf of World Learning, I respectfully urge you to:
1. Support a strong and effective approach to U.S. diplomacy and
development in FY2022 with $69.1 billion or the highest possible
funding level for the State, Foreign Operations, and Related Programs
bill.
2. Increase funding for the U.S. Department of State's Educational
and Cultural Exchange Programs to $1.1 billion or the highest possible
funding level in FY2022.
3. Ensure that Basic Education receives $1.050 billion or the
highest possible funding level for FY2022.
As the world begins to reopen and rebuild following the devastation
caused by the global pandemic, the United States should take a
leadership role in this effort and help bring people across the globe
back together. This means appropriately investing in the U.S.
Department of State and the U.S. Agency for International Development.
what do we know about investing in u.s. citizen diplomacy?
U.S. Department of State exchange programs are a proven and cost-
effective way for the United States to share our values, remain
internationally relevant and competitive, develop American leaders, and
promote American engagement critical to our prosperity and national
security. Grassroots exchange programs are an intercultural force for
good that builds our global reputation and leadership.
Exchange programs such as the Fulbright Program, the Kennedy-Lugar
Youth Exchange and Study (YES) Program, the Congress Bundestag Youth
Exchange (CBYX) Program, and the Future Leaders Exchange (FLEX) create
transformational opportunities for our young people, helping them not
only to develop the critical skills they need to succeed in a global
marketplace, but also to serve as ambassadors of American youth around
the world. As U.S. Secretary of State Blinken said during his testimony
before this committee on June 8th: ``One of the best investments we
make . . . are in our exchange programs, particularly those focused on
young people.'' These programs also provide opportunities for Americans
from communities of color to study abroad and diversify the pipeline to
our foreign service. An increase in funding would enable greater
progress to this important end.
Programs including the International Visitor Leadership Program
(IVLP) and the Young African Leaders Initiative (YALI) bring talented
leaders from a variety of fields to the United States to expand their
professional skills and networks and often to solve real problems. For
example, during the pandemic, World Learning implemented two virtual
programs within IVLP that had extraordinary results. In one case, a
program enabling collaboration between a non-governmental organization
in Utah and authorities in Costa Rica to rescue victims of human
trafficking led to the arrest of 11 traffickers and the recovery of two
survivors. Another virtual program that focused on democracy and good
governance enabled Venezuelan activists to network with their American
counterparts and to share best practices on engaging youth and
underrepresented communities in democracy promotion and the political
process. Without the leadership of the Bureau of Educational and
Cultural Affairs and their true partnership these results would not
have been possible. ECA deserves high praise for moving rapidly to
encourage innovative ways to maintain and build networks during the
global pandemic.
U.S. Department of State evaluations repeatedly show that these and
other participants who visit the United States through exchange
programs leave with a better impression of our country, the American
people, and our values. U.S. ambassadors consistently rank exchange
programs among the most useful catalysts for long-term political change
and mutual understanding. An increase of $360 million in funding for
Educational and Cultural Exchanges for FY2022 would enable the exchange
community to further expand exchange opportunities to include new and
often marginalized voices from the United States and internationally.
It would also enable the exchange implementer community to maintain and
build upon the virtual platforms we have utilized due to the global
pandemic, and which have demonstrated significant impact and value.
what do we know about covid-19 and the global learning loss?
An estimated 26% of the current world population is under the age
of 15. Undoubtedly, the future development and prosperity of any
country and the entire world depends on children and youth obtaining
the skills needed to work together to solve the national and global
challenges of our present and future. We know that one additional
school year can increase an individual's earnings by up to 10%. We know
that every extra year of a mother's schooling reduces infant mortality.
We know that people who are literate are more likely to participate in
democratic processes.
According to UNESCO, the global pandemic disrupted the education of
over 90 percent of the world's children and youth. This means 1.6
billion youth experienced learning losses due to the pandemic, which
could have generational consequences for countries around the globe and
result in less resilient populations, lower productivity, and worse
economic prospects.
The QITABI (Quality Instruction Towards Access and Basic Education
Improvement) 2 Program, funded by USAID and implemented by World
Learning aims to improve reading, writing, and social and emotional
skills for more than 300,000 students in public primary schools across
Lebanon. Many of these students reside in under-resourced rural areas
and include Syrian refugees who have struggled with getting to and
staying in school to learn basic skills. Importantly, QITABI 2 is
designed to build the Lebanese public education system's institutional
capacity to promote greater sustainability and self-reliance for better
education outcomes. During the pandemic, the program pivoted to provide
Lebanese youth with individual educational boxes and free online
learning materials.
World Learning and other dedicated implementers continue to work in
partnership with USAID to do all that we can to address substantial
learning losses resulting from COVID-19. USAID should be commended for
its efforts to pivot in response to the pandemic to support continued
learning in over 50 countries and reaching over 24 million students. An
increase in Basic Education funding at this time will enable USAID and
its implementing partners to reach more vulnerable children and youth,
rebuild education systems, and counter learning losses exacerbated by
this pandemic.
For these reasons, we strongly believe that now is the time to
reinvigorate and expand the investment in U.S. foreign assistance, and
specifically in Educational and Cultural Exchanges and Basic Education
to build a more peaceful and just world. Thank you for your ongoing
support for these vital programs which enable and demonstrate American
leadership, and for your consideration of this request.
CAROL L. JENKINS
Ex-Officio Trustee
President and CEO, World Learning, Inc.
Carol Jenkins is the CEO and President of World Learning Inc.,
which encompasses three distinct brands: The Experiment in
International Living; School for International Training which includes
SIT Study Abroad and SIT Graduate Institute; and the nonprofit global
development and exchange programs of World Learning. Jenkins has served
in multiple positions at World Learning over more than a decade. She
first joined in June 2007 as senior director of international programs
after a 16-year career in humanitarian aid and development. Under
Jenkins's leadership, World Learning's development portfolio has seen
revenue increase by 14 percent with continued anticipated growth. She
oversaw the merger of World Learning's three development and exchange
offices into one location, leveraging the assets of more than 100 staff
members. She was named CEO in February 2018. Prior to joining World
Learning, Jenkins was director of program development for International
Medical Corps, where she managed a team of technical business
development professionals to improve the quality of field programs and
expand the coverage to project recipients. She also previously spent 12
years working for World Vision, including a period during which she was
posted in Southern Africa. Jenkins holds a bachelor's degree in
political science from Messiah College in Pennsylvania. She was a
fellow at the Luskin School of Public Affairs at University of
California, Los Angeles, in 2012 and a participant in the Leadership
Program at the International Civil Society Center. Jenkins is the Chair
of the Board for the Alliance for International Exchange and serves on
the Board of InterAction.
[This statement was submitted by Carol L. Jenkins, CEO and
President.]
______
Prepared Statement of the World Vision US
Chairman Coons, Ranking Member Graham, and members of the
Subcommittee, I am submitting this testimony on behalf of World Vision,
one of the largest faith-based organizations working in humanitarian
relief and development. Specifically, I ask that the Subcommittee seeks
to fund programs within the State, Foreign Operations and Related
Programs appropriations bill at no less than FY2021 levels, provides at
least $4.2 billion for Development Assistance, $5.2 billion for
International Disaster Assistance, $4.1 billion for Migration and
Refugee Assistance, and $1.2 billion for Feed the Future. World Vision
also requests the following amounts for additional accounts that are
within the State, Foreign Operations and Related Agencies
appropriations bill:
--USAID Operating Expenses: $1,530,000,000
--Water and Sanitation: $540,000,000
--Gender-Based Violence: $200,000,000
--Combatting Child Marriage: $30,000,000
--Maternal and Child Health: $984,000,000 (including $290,000,000 for
Gavi, the Vaccine Alliance)
--The Global Fund for AIDS, TB and Malaria: $1,560,000,000
--Family Planning and Reproductive Health: $665,000,000
--Displaced Children's and Orphans Fund: $35,000,000
--Basic Education: $1,100,000,000 (including $50,000,000 for
Education Cannot Wait and $150,000,000 for the Global
Partnership for Education (GPE)
--Complex Crisis Fund: $60,000,000
First, World Vision appreciates Congress' continual commitment, on
a bipartisan basis, to support foreign assistance and secure the hard-
won gains around the world in maternal and child health, education,
HIV/AIDS, food security, gender equality, and economic empowerment.
This is even more important as COVID threatens these gains and the
progress that has been made spanning decades of international
development work. We hope that the Subcommittee will once again put
forward a bill that provides funding in line with global need as well
as with the leadership the United States has long provided.
We also hope that the Subcommittee will prioritize programs that
impact the most vulnerable and marginalized populations, with a focus
on children. Development is hard work--seeing results takes time. But
by increasing investments in children, as well as strengthening
collaboration across U.S. government programs and agencies, we can
impact the next generation in a dramatic way. This must include
programs that improve household incomes and resilience, parenting
skills, and early childhood development.
At World Vision, we have seen the impact the provision of health
services such as vaccinations and newborn health initiatives can have
and how brave and committed community health volunteers work tirelessly
to save the lives of mothers and children. We have seen how quality,
safe, and inclusive education--from pre-primary through secondary
supports children's development of foundational reading, math, and
social and emotional skills and helps prepare youth for successful
careers. We have seen how child protection programs-especially the
prevention of and response to violence against children -can support
child well-being, promote healthy child development, and even help
mitigate the harmful effects of migration, displacement, or family
separation. We have seen how peacebuilding and youth empowerment
programs supported by the U.S. government prevent conflict and
disillusionment, particularly among young men. All these investments
serve a purpose and are in the best interests of the United States and
the American taxpayer. But they also serve as a recognition of the
dignity and value of every human life, regardless of birthplace or
economic status.
The current need for assistance is at critical levels, and COVID-19
has exacerbated the fragility of many vulnerable communities and
populations. World Vision estimates that as many as 30 million children
are at risk of disease and death because of the indirect impacts of the
COVID-19 pandemic, such as deadly diseases like malaria, a lack of
immunization, or increased malnutrition. Catastrophic natural
disasters, mass atrocities, violence against marginalized populations,
and protracted armed conflict have driven crises to never before seen
levels, resulting in increased numbers of forcibly displaced persons.
Children are often most impacted by conflict--one in four of the
world's children lives in a conflict or disaster zone--without access
to adequate shelter, protection, and education, and at high risk of
experiencing physical, sexual and psychological abuse. In 2021 alone,
UN OCHA estimates that 235 million people need humanitarian assistance
and protection, which amounts to 1 in 33 people worldwide. We cannot
abandon the next generation in their time of greatest need. Women and
girls are also especially vulnerable in times of conflict and crisis
and face an increased risk of gender-based violence, child, early and
forced marriage, and maternal mortality.
Additionally, we know there are incredible development and global
health challenges, many that have been exacerbated by COVID-19. Every
year 5.2 million children under the age of five still die from
preventable or treatable causes, and 2.1 billion people lack access to
safely managed drinking water services and 4.5 billion people lack
safely managed sanitation services. Prior to the COVID-19 pandemic, an
estimated 258 million children and youth around the world were not in
school, and nearly 40 percent of primary school age children are not
acquiring basic literacy and numeracy skills. Now, the United Nations
estimates that nearly 11 million primary and secondary school learners
worldwide are at risk of not returning to education at all after school
closures due to COVID-19. Additionally, as a result of the COVID-19
crisis, World Vision estimates that up to 85 million more girls and
boys worldwide may now be exposed to physical, sexual and/or emotional
violence. While we can look back and celebrate the success of U.S.
foreign assistance investments, we must be vigilant in reaching the
most remote corners of the world and the most vulnerable with life-
saving and life-giving support.
COVID-19 has also further exacerbated the already complicated
contributing factors of irregular migration from Central America. We
affirm the Biden Administration's request of $861 million in assistance
to this region and ask the committee to work in a bipartisan fashion to
support foreign assistance funding to address the many challenges--
violence, poverty, lack of educational and economic opportunities--that
are driving irregular migration.
As we look ahead to needs for Fiscal Year 2022, we ask for at least
$4.2 billion for Development Assistance (DA). More and more we are
seeing poverty being driven to fragile states--places that face
conflict, inadequate governance, frequent disasters, and other issues
that lead to instability and a lack of resilience. The Development
Assistance account is vital in these contexts to move countries from
fragility to resilience, addressing the drivers of conflict, and
seeking long-term, sustainable solutions. Development Assistance should
also be increased overall to allow for greater flexibility and improve
the ability of USAID to respond to unanticipated development needs. DA
funding has traditionally been very prescriptive. Our goal of community
and country-led development requires us to rethink this approach.
Within the development assistance account, we request $30 million
be made available to combat child marriage globally consistent with
section 1207 of Public Law 113-4. We recommend $5 million of this
funding be dedicated to the joint UNICEF and UNFPA Global Program to
End Child Marriage. Child marriage is a form of gender-based violence
and a violation of girls' human rights and happens across cultures and
contexts. With the global spread of COVID-19, we are already seeing
increases in child marriage due to related containment measures,
including school closures, limited livelihood opportunities, food
insecurity, restrictions on movement, and disruptions to essential
protection and health services for girls. In fact, 2020 saw the
greatest surge in child marriage rates in 25 years.
We also ask for the subcommittee's continued support for global
health programs. These investments save the lives of mothers and
children and support families to ensure their children are healthy
enough to attend school, enabling them to gain an education that leads
to employment in adulthood, and enable women to be more productive in
the household and earn a livelihood as well. These programs are not
handouts; they are investments in the long-term economic growth of
countries that can become U.S. trading partners and develop economies
which better provide for their own people. Saving lives through health
interventions, including immunizations, family planning, nutrition, and
water, sanitation, and hygiene, as well as strong support of the
frontline health workers delivering so many of these services, is the
smart and right thing to do.
USAID's Global Health Program funding for the vulnerable children
account is provided via the Displaced Children and Orphans Fund (DCOF),
which delivers financing and technical assistance for the care and
protection of vulnerable children, particularly those who have been
separated from their families or are at risk of separation. USAID has
given particular attention to children who are outside family care,
those affected by conflict, or those living and working on the street,
as well as children with disabilities and other highly vulnerable
children. This funding also supports the implementation of the Global
Child Thrive Act, passed in 2020, which ensures that early childhood
development interventions will be implemented in all foreign assistance
programs aiding vulnerable children and their families. With many
current conflicts and hardships displacing children around the world,
this funding is vital to the U.S. response to protect vulnerable
children.
Additionally, World Vision requests the subcommittee's support for
the implementation of activities to address gender-based violence in
both conflict and non-conflict settings. Gender-based violence occurs
in many forms including intimate partner violence, child, early, and
forced marriage, rape, sexual assault, trafficking, female genital
mutilation/cutting, and so-called ``honor'' killings. In humanitarian
emergencies, gender-based violence is known to increase as chaos and
tensions grow within households, communities, and society, impacting
early one in five women. Given the prevalence of gender-based violence
in humanitarian emergencies, as well as the predicted impacts of COVID-
19, we request a portion of this appropriation be focused particularly
to support programs to address GBV in humanitarian contexts through the
Safe from the Start program at the State Department and USAID.
Feed the Future is another critical and successful U.S. government
program that has invested in areas where an estimated 23.4 million more
people are now living above the poverty line, 3.4 million more children
live free of stunting, and 5.2 million more families no longer go
hungry. With nearly 690 million people in the world today are facing
hunger, and with a growing global population, Feed the Future is
working to improve agriculture production and markets, while also
working at the household level to give families the tools they need to
lift themselves out of poverty. This is especially important as COVID-
19 has severely disrupted livelihoods, incomes, and food supply chains,
with the World Food Program currently estimating more than 270 million
people face severe hunger--this is double the pre-pandemic figure.
These efforts to work with smallholder farmers are critical not only
for the families and communities where the programs are implemented,
but also for our own economic growth, which depends on our ability to
reach emerging markets overseas.
We also ask for the Subcommittee's support for U.S. Basic Education
programs, including funding for Education Cannot Wait, a multilateral
partnership dedicated to education in emergencies and protracted
crises. In addition to providing children and youth with valuable life
skills, education serves as a force multiplier in the pursuit of
comprehensive, sustainable development outcomes. Unfortunately, shocks
from COVID have led to widespread school closures, and in sub-Saharan
Africa alone, this disruption has led to increases in teenage pregnancy
by 62%, with an estimated 1 million girls in this region blocked from
returning to education due to pregnancy as schools re-open. In addition
to the benefits that children themselves receive from access to a
quality education, strong national education sectors and programs are
also essential for global economic growth. Education is not only the
right of all children, but it will help bolster partner countries
towards self-reliance and economic prosperity.
In light of the COVID-19 pandemic, I would also like to highlight
the need for increased resources for direct pandemic response. World
Vision is deeply concerned about the vulnerability of displaced and
refugee populations to COVID-19, particularly in places with dense
populations and a lack of health services. Because many of these
populations are less mobile, the availability of tests to stem the
spread early, strong contact tracing, and equitable distribution of
vaccines will be essential to avoid massive infections and deaths. In
addition, greater support for essential health services and learning
lessons from past pandemics about the need for community mobilization,
health worker support (including through the supply of PPE), and faith
community engagement must be a part of any response. We hope that any
spending to respond to the pandemic globally doesn't come at the
expense of existing programs but is designated as emergency spending,
especially as the full extent of the indirect impacts resulting from
COVID-19 have not yet been realized and there is the potential for
additional waves of the virus.
Thank you for this opportunity to offer testimony to the
Subcommittee and for your bipartisan leadership in supporting a strong
foreign assistance budget.
[This statement was submitted by Robert Zachritz, Vice President
for Advocacy.]
______
Prepared Statement of the World Wildlife Fund
Thank you for the opportunity to provide written testimony on the
Fiscal Year 2022 (FY22) budget. World Wildlife Fund (WWF) is one of the
world's leading conservation organizations, operating in nearly 100
countries to ensure a future in which both people and nature can thrive
by helping to conserve our planet's biodiversity and the natural
resources upon which we all rely. With the support of over one million
members in the United States and over five million globally, WWF's
unique approach integrates global reach and local impact with a
scientific foundation, promoting innovative solutions to meet the needs
of people and nature.
WWF asks the subcommittee to fund global conservation accounts at
the following FY22 levels:
--$500 million for Biodiversity Conservation within the U.S. Agency
for International Development (USAID) Development Assistance;
--$50 million for the Central African Regional Program for the
Environment (CARPE) within USAID Development Assistance for
Biodiversity Conservation
--$5 million to stop illegal timber trade within USAID Development
Assistance for Biodiversity Conservation;
--$150 million for Combating Wildlife Trafficking programs within
USAID Development Assistance and State Department International
Narcotics Control and Law Enforcement;
--$149.3 million for the Global Environment Facility (GEF) as
appropriated in Multilateral Assistance, International
Financial Institutions;
--$200 million for Sustainable Landscapes within USAID Bilateral
Economic Assistance;
--$20 million for the Tropical Forest and Coral Reef Conservation Act
within Multilateral Assistance, Debt Restructuring;
--$268.5 million for Clean Energy Programs within USAID Bilateral
Economic Assistance;
--$265.5 million for Adaptation Programs within USAID Bilateral
Economic Assistance;
--$540 million for Water and Sanitation programs;
--$75 million to address ocean plastic pollution within USAID
Development Assistance;
--At least $2 billion for the Green Climate Fund.
We thank the subcommittee for past support of international
conservation and climate programs and urge continued support for these
programs in FY22 as an essential component of U.S. foreign assistance.
Increased U.S. investments are needed to respond to a set of
intertwined challenges--the crisis of global biodiversity and nature
loss, the global climate crisis, and the global health and economic
crisis due to the COVID-19 pandemic. All of these crises have roots in
the loss, degradation, and over-exploitation of nature, and
conservation investments are among the clearest and most cost-effective
solutions to addressing them. These programs also support improved
management of natural resources in developing countries, which are
highly dependent on these resources for economic growth and the
livelihoods of local communities. They prevent scarcities of water and
food, which can exacerbate poverty and instability and contribute to
conflict, and help to combat illegal trade in natural resources and
transnational criminal organizations that drive it, reducing
corruption, financing for illicit activities, and threats to American
security interests in strategically important regions. We urge the
subcommittee to consider the significant impact that these modest
investments have in supporting developing communities and fostering
stability and sustainable growth, combating transnational organized
crime, building U.S. competitiveness in overseas markets and
demonstrating U.S. leadership to tackle global challenges. The
conservation of tropical forests and other carbon-rich and biodiverse
ecosystems is also key to slowing and reversing global climate change
and to preventing the spillover of new zoonotic pathogens that can
cause future pandemics. For these reasons, U.S. investments to promote
global conservation should be supported and increased as essential
elements of our foreign policy and national security agenda.
biodiversity conservation
USAID delivers the largest share of U.S. foreign assistance for on-
the-ground conservation through its robust portfolio of Biodiversity
Conservation, Combating Wildlife Trafficking, and Forestry programs.
These programs protect the largest and most at-risk natural landscapes
and the livelihoods of millions who depend directly on natural
resources for survival and economic prosperity. By maintaining and
restoring the natural resources that supply fertile soil, clean water,
food and medicine, these USAID programs play a critical role in long-
term U.S. foreign policy objectives, promoting stable economics and
societies around the world. By combatting illegal trade in wildlife,
timber and fish, they combat transnational criminal organizations and
prevent unfair global competition from undermining U.S. companies and
workers. By conserving and restoring tropical forests and other carbon-
rich and biodiverse ecosystems, they also play a critical role in
efforts to address climate change and prevent the spillover of zoonotic
diseases. We request $500 million for biodiversity conservation within
USAID's Development Assistance Account in FY2022, an increase of $180
million over the FY2021 enacted level. Of these funds, WWF requests
that $50 million be directed to support the Central Africa Regional
Program for the Environment (CARPE), an increase of $7 million over
FY2021, and that $5 million be directed towards USAID and Department of
State efforts to support implementation of the Lacey Act, an increase
of $1 million over the FY2021 enacted level.
combating wildlife trafficking
Wildlife trafficking is a transnational organized crime that
generates up to $23 billion annually in illegal profits, fueling a
poaching crisis while financing criminal syndicates, armed
insurgencies, and groups with terrorist ties and corrupting rule of law
in the developing world. Trafficking in species that can transmit
zoonotic pathogens also heightens the risk of future pandemics. In
2016, Congress passed the END Wildlife Trafficking Act and since 2014,
Congress has funded Combatting Wildlife Trafficking Programs at the
State Department Bureau of International Narcotics and Law Enforcement
(INL) and USAID to support strengthening law enforcement, reducing
demand, and expanded international cooperation. Additional funding is
needed to expand programs into Latin America and support efforts to
address trade involving high-risk species for zoonotic spillover. We
request $150 million for Combatting Wildlife Trafficking Programs in
FY2022, an increase of $49.3 million over the FY2021 enacted level.
global environment facility
The Global Environment Facility (GEF) partners 183 countries with
international institutions, civil society, and the private sector to
enhance environmental governance and fight unsustainable depletion of
natural resources that lead to food and water shortages, population
displacement, and other drivers of instability that can result in
conflict and radicalization. The GEF provides many direct benefits to
the U.S., including providing economic stability for U.S. jobs and
supply chains. Every U.S. dollar invested in the GEF leverages an
additional $40 from public and private partners. With 4,400 projects in
183 countries, the GEF is the single largest financier of conservation
investing nearly $20 billion dollars with $92.7 billion in co-financing
over 27 years. We request $149.3 million for the GEF in FY2022, level
with the President's request and an increase of $9.3 million over the
FY2021 enacted level.
tropical forest and coral reef conservation act
The Tropical Forest and Coral Reef Conservation Act (TFCCA) is a
highly successful program that allows eligible countries to relieve
debt owed to the U.S. Treasury in exchange for commitments to protect
tropical forests and coral reef ecosystems using local funds. In 2018,
Congress reauthorized the program and expanded it to include coral
reefs. TFCCA agreements protect globally important ecosystems while
strengthening civil society, building local conservation capacity, and
supporting public-private partnerships in developing countries. They
have generated nearly $300 million for tropical forest protection in
over a dozen countries. WWF requests $20 million in FY2022 for the
TFCCA, an increase of $5 million over the FY2021 enacted level and $5
million more than the President's request.
usaid sustainable landscapes
Through its Sustainable Landscapes programs, USAID supports efforts
to halt deforestation and forest degradation, promote sustainable and
responsible forestry practices, and prevent illegal logging in the
world's largest and most biologically diverse and carbon rich forests,
including the Amazon, Central Africa's Congo Basin, and tropical
forests of Southeast Asia. The large-scale landscapes supported by
these programs are essential to the livelihoods of local communities
and Indigenous Peoples, as well as national economies, and play a
critical global role as massive storehouses of carbon. The destruction
and degradation of forests due to encroachment by human development and
agriculture is also a major driver of the spillover of zoonotic
diseases that can cause pandemics. With deforestation continuing at
high rates in many regions, including a spike in Brazil's deforestation
rates and worsening wildfires, WWF requests $200 million for
Sustainable Landscapes in FY2022, an increase of $65 million over the
FY2021 level.
green climate fund
The Green Climate Fund (GCF) is the largest international fund
financing efforts in developing countries to enhance resilience to
climate change and reduce emissions, working with public and private
partners and using grants, loans, equity, and guarantees and a country-
driven approach to provide innovative climate solutions in over 100
countries, particularly Least Developed Countries and African and Small
Island Developing States. The GCF is unique in its ability to engage
directly with both public and private sectors in climate-sensitive
investments and bear significant climate-related risk. In 2014, the US
pledged $3 billion in initial funding to the GCF, only $1 billion of
which has been provided. Fulfilling this pledge will be critical to the
U.S. securing international support for high climate ambition,
including under the Paris Agreement. WWF requests at least $2 billion
for the Green Climate Fund in FY2022, $750 million more than the
President's request. No funds were appropriated for the GCF in FY2021.
usaid adaptation programs
USAID Adaptation Programs help communities in less-developed
countries to access and use climate and weather data and tools and to
build their resilience to climate variability and risks, whether from
sudden events such as floods and storms or from slower-moving events
such as droughts and sea-level rise. Such extreme weather is increasing
in severity, posing rising risks to security, stability and economic
growth in many parts of the world. By helping communities build
resilience and capacity to adapt, we help alleviate social tensions
that can give rise to conflict. WWF requests $265.5 million for
Adaptation Programs within USAID Bilateral Economic Assistance in
FY2022, an increase of $88.5 million over the FY2021 enacted level.
usaid clean energy programs
Worldwide, 1.1 billion people still lack access to energy, and many
more suffer from unreliable service, suffering frequent and long power
outages. USAID works with developing countries to create policy, legal
and regulatory frameworks in order to attract private investment in
clean energy, increase energy efficiency, and expand energy access.
USAID Clean Energy programs work across all aspects of the energy
sector to build strong energy systems in order to improve energy access
and power global economic and social progress in the developing world.
WWF requests at least $268.5 million for Clean Energy Programs within
USAID Bilateral Economic Assistance in FY2022, an increase of $86.5
million over the FY2021 enacted level.
ocean plastic pollution
Each year, roughly eleven million metric tons of plastic pollution
enter the world's oceans, equivalent to a truckload of plastic every
minute. Congress has recognized the increasing global threat from ocean
plastic pollution and directed the Department of State and USAID to
redouble diplomatic and programmatic support for regional and global
efforts to address the problem, including through grants, technical
assistance, and new multilateral mechanisms. Increased funding is
needed to implement this mandate and work with developing countries to
improve waste management systems and reduce the amount of plastic waste
making its way into our oceans. WWF requests $75 million from within
USAID Development Assistance be directed in support of these efforts in
FY2022, level with the FY 2021 enacted level.
global water strategy
Water-driven stresses undermine economic productivity, governance,
and social cohesion. Poor management and overuse of freshwater stresses
food and energy resources, fuels conflicts within and between
countries, and undermines U.S. development investments. The first
Global Water Strategy, mandated under the Water for the World Act, was
submitted to Congress in November 2017 with new strategic objectives on
water security, including on water resource management and governance.
The U.S. Department of State and USAID and other relevant Agencies,
should direct funding to improve water resource management, improve
cooperation over shared waters, and build resilience to extreme weather
and disasters. WWF requests $540 million for Water and Sanitation
programs in FY2022, an increase of $90 million over the FY2021 enacted
level.
[This statement was submitted by Will Gartshore, Director,
Government Affairs And Advocacy.]