[Skip to Navigation]
November 21, 2012

The President's Global Health Initiative at Midterm: Progress in the Balance

Author Affiliations

Author Affiliations: The Warren Alpert Medical School, Brown University, Providence, Rhode Island.

JAMA. 2012;308(19):1977-1978. doi:10.1001/jama.2012.14287

On May 5, 2009, President Obama announced the launch of the Global Health Initiative (GHI), the first ever effort to coalesce and overhaul the global health portfolio of the United States under one thematic and operational roof.1 Asking Congress to approve $63 billion in funding over 6 years (fiscal years 2009-2014), the president called for a “new, comprehensive global health strategy” that is focused on results and on an “integrated approach.”1 In functional terms, the GHI was to bring about unity of purpose and greater coordination to a fragmented enterprise characterized by stand-alone disease-specific programs and minimal interagency synergy.1 Viewed more broadly, the GHI, the leading worldwide global health donor, was to constitute a key ingredient of a national security framework wherein development features as prominently as diplomacy and defense.2