Policy Updates

On April 25, 2024, the PMI released its 18^th report on work with PMI partners to address malaria deaths, which have been cut almost in half since the PMI's inception in 2006.

USAID works with other stakeholders in 30 countries, most of which are in Africa, the WHO, other donors, community health workers, civil society, faith based organizations, and partner governments to prevent and treat almost 90% of all malaria cases. PMI is guided by PMI's Strategy 2023-2026, providing a range of preventions, including bed nets, insecticide for homes, pregnancy prevention treatments, testing, and malaria medicines.

The report noted that although great progress had been made, resistence to malaria medicines, the need to invest in community health systems and workers, and conflicts around the globe present a continuing threat to progress.

On April 16, 2024, the White House issued its 2024 US global health security strategy, which reaffirmed its position that disease threats are a risk to all populations, including Americans.

The strategy outlined how the US will work with partners around the world to best prevent, detect, and quickly respond to outbreaks around the globe. Since 2022, USAID has expanded its reach to partner countries in over 50 countries, working with a range of stakeholders to prevent and prepare for pandemics.

The strategy focuses on increasing the political commitment to addressing health security, including investments in the Pandemic Fund, and recognizing the link between global health security, global health and broader development goals.

On April 11, 2024, the US announced that it will provide an additional US$25 million in assistance to refugees in the Uganda. The resources from both the Department of State and USAID will go to the UN High Commission on Refugees and the WFP.

The resources will be used to support food, health care, and education, as well as other emergency support to refugees whom have fled South Sudan, the DRC, Somalia, and Sudan. The US noted that Uganda has the highest number of refugees in Africa, having received more than 130,000 refugees in 2023.

The US separately called out a 2024 ruling of the Ugandan court, which had upheld a controversial anti-homosexual law, stating that the US was committed to ensuring that all assistance would be delivered without discrimination.

In advance of the Paris International Humanitarian Conference for Sudan and it Neighbors, Power also announced an additional US$100 million in emergency assistance for the 25 million people who have been affected by the civil war in Sudan. Five million people are close to famine and eight million have been displaced. USAID also called out the violence being perpetrated on the people of Sudan by both sides of the armed conflict. The emergency assistance will include food, nutrition, and other services. This brings total US humanitarian assistance for Sudan to over US$1 billion.

On April 10, 2024, during Japanese Prime Minister Kishida’s Official Visit with State Dinner to the US, Japan emphasized its commitment to international cooperation in addressing pressing global challenges, particularly in low- and middle-income countries.

Collaboration with the US spanned various areas, including climate change, infrastructure investment, and global health initiatives. Both nations expressed their intention to work together to ensure a successful outcome at the 29^th UNCCC and to certify quality infrastructure projects through the establishment of a Blue Dot Network Secretariat.

In the realm of global health, Japan welcomed the opening of the US CDC Regional Office for East Asia and the Pacific in Tokyo, aimed at strengthening core global health security capacities across the region. Additionally, discussions between the USAID and Japan’s Ministry of Foreign Affairs centered on advancing shared global health priorities, reflecting a commitment to enhancing health outcomes in vulnerable populations worldwide.

Japan and the US also reaffirmed their dedication to diplomacy, development, and humanitarian assistance, particularly in the Indo-Pacific region. This commitment is demonstrated through initiatives such as the Japan - US - Mekong Power Partnership and contributions to strengthen critical infrastructure and climate resilience in partner countries. The two nations pledged to collaborate on strengthening the international financial architecture to support low- and middle-income countries in addressing global challenges, including climate change and sustainable development.

On April 3, 2024, due to deepening humanitarian needs in Lebanon, USAID announced an additional US$67 million in assistance to the people of Lebanon and Syrian refugees in the region.

The resources are slated to provide food, WASH, health care, and psychosocial and humanitarian support.

The ongoing humanitarian crises in the region have been exacerbated by the conflict in Gaza, which has internally displaced 91,000 Lebanese people. Food assistance will be delivered through the WFP. Health services will be provided through International Medical Corps and Relief International.

USAID, which already has provided over US$202 million in food assistance in FYs 2022 and 2023, called upon other donors to help meet the needs of the most vulnerable as demand outpaces resources.

On March 25, 2024, amid a growing humanitarian crisis in Sudan, Open Canada is criticized the government of Canada for its inaction to address the public health and nutrition crisis, as well as the government’s lack of focus on the African continent as a whole.

The humanitarian crisis in Sudan followed the outbreak of war in April 2023, with 8 million people displaced, roughly half the population (approximately 25 million people) in urgent need of humanitarian assistance, a cholera outbreak, and a widespread famine predicted by June 2024.

Open Canada criticized the government for its passivity in the crisis, with neither Canadian Prime Minister Justin Trudeau nor Foreign Affairs Minister Melanie Joly having spoken publicly about Sudan since shortly after the outbreak of war. While Canada evacuated its Sudanese embassy in April 2023, it did not follow other donor countries in maintaining the presence of a senior official in the region to assist in conflict resolution or support key international humanitarian and development organizations. Open Canada also noted that, unlike the EU, UK, and US, Canada has not imposed sanctions on Sudan.

The group also criticized Canada's apathetic approach to the region more broadly. Canada announced a new Foreign Policy Engagement Plan for Africa in 2022, however, the strategy has since been transitioned into a “framework” with the Canadian government yet to release any details of the plan. Open Canada called on the Canadian government to implement a proper engagement strategy in Africa, particularly amid the growing humanitarian, development, and security crisis in Sudan.

On March 25, 2024, during a visit with the President of Guatemala, US Vice President Kamala Harris announced a package of economic, development, health, and security funding for Guatemala contingent on Congressional notification.

The funding is part of the Biden Administration's Central American Root Causes Strategy, which aims to help Guatemalans build a prosperous and safe country by focusing on the causes of Guatemala's economic, security, and democratic challenges. The assistance supports efforts to combat corruption as well as improving agricultural technologies and health outcomes. It is slated to establish the first youth service corp, as well as supporting locally led development and promoting inclusive growth.

On March 22, 2024, the US foreign assistance budget for FY2024, which should have been passed before October 1, 2023, finally cleared the Congress and was signed by US President Joe Biden as part of a six-part appropriations package that required strong Democratic support in the US House to pass.

Foreign assistance funding saw an overall 6% cut to funding across various funding lines.

Humanitarian funding through USAID increased by US$800 million. PEPFAR's funding remained level and also received one-year authorization, which global health advocates had strongly pushed for. Other global health programs saw level funding, and Gavi received a US$10 million increase.

Other development accounts, such as programs for WASH, democracy, and education were cut. Global heath security saw a decrease of US$200 million. The World Bank's IDA allocation was cut by US$50 million. UNRWA, the Palestinian refugee agency, was reduced to zero.

The boost to humanitarian and refugee support seen in the US in 2023 came at the cost of developmental programs. Advocates criticized that with this, the US is funding the shorter term at the cost of solving longer-term problems. Given acute global needs and crises, development experts expressed concern about the trade-offs that will be necessary with the new development budget cuts.

On 13 March 2024, Sweden announced a new agreement between Sida and the USAID, which is set to advance sustainable development initiatives, prioritizing local initiatives and engaging the private sector closely.

The agreement was officially sealed in Washington DC on 4 March by Sida's Director-General Jakob Granit and USAID Deputy Administrator Isobel Coleman.

The agreement, slated to span the next four years, introduces new focus areas including digitalization, cybersecurity, the enhancement of global public goods like food security, climate action, and the improvement of transparency and oversight in development.

On March 15, 2024, USAID Administrator Samatha Power announced that the US will provide an additional US$25 million in humanitarian assistance to Haiti.

The funds are in addition to the US$33 million announced by US Secretary of State Anthony Blinken on March 11, 2024.

Noting the recent violence and the deepening humanitarian crisis, which has now displaced 362,000 people, Power stated that 5.5 million people need immediate help with food, water, healthcare, and hygiene. The US, through its embassy and mission, is slated to provide essential services and supplies as well as services to protect the most vulnerable populations.

These additional resources build upon the US$146 million that the US has provided to Haiti since October 2022, making the US the largest humanitarian donor to Haiti. The US urged all humanitarian donors to scale up assistance, which the UN estimates is funded at less than 7% of the need.