I 

111TH CONGRESS 

1ST SESSION H. R. 1410 

To provide assistance to improve the health of newborns, children, and 

mothers in developing countries, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 10, 2009 

Ms. MCCOLLUM (for herself, Mr. REICHERT, Mrs. CAPPS, Mr. PAYNE, Mr. 

BLUMENAUER, Mr. SCHIFF, Mr. MOORE of Kansas, Mr. GRIJALVA, Ms. 

MOORE of Wisconsin, Ms. JACKSON-LEE of Texas, Mrs. TAUSCHER, Mr. 

MCDERMOTT, Mr. MCGOVERN, Mr. WALZ, Mr. MORAN of Virginia, Ms. 

WATSON, Ms. WOOLSEY, Ms. DELAURO, Mr. HINCHEY, Mr. CARSON of 

Indiana, Mr. YOUNG of Alaska, Ms. LEE of California, Mr. OBERSTAR, 

Mr. MURPHY of Connecticut, Mrs. CHRISTENSEN, Ms. EDDIE BERNICE

JOHNSON of Texas, Ms. HIRONO, Mr. SERRANO, Ms. SLAUGHTER, Mr. 

FILNER, Ms. DEGETTE, Mr. CROWLEY, Mr. HONDA, Mr. OLVER, Mr. 

SNYDER, Mr. SHIMKUS, Mr. JACKSON of Illinois, and Mrs. MALONEY) introduced the following bill; which was referred to the Committee on Foreign Affairs 

A BILL 

To provide assistance to improve the health of newborns, 

children, and mothers in developing countries, and for 

other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Newborn, Child, and 

5 Mother Survival Act of 2009’’. 


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1 SEC. 2. FINDINGS AND PURPOSES. 

2 (a) FINDINGS.—Congress finds the following: 

3 (1) At least 9,200,000 children under the age 

4 of 5 die each year, more than 25,000 children per 

5 day, mostly from preventable and treatable causes 

6 according to the United Nations Children’s Fund 

7 (UNICEF). 

8 (2) In poor countries, an estimated 3,700,000 

9 newborns die in the first 4 weeks of life according 

10 to the World Health Organization (WHO). 

11 (3) Approximately 536,000 women die every 

12 year in developing countries from causes related to 

13 pregnancy and childbirth, the equivalent of 1 woman 

14 per minute, according to WHO. 

15 (4) For every maternal death some 20 

16 women—or 10 million women per year—suffer com17 plications with severe consequences, including preg18 nancy-related injuries, infections, diseases, and dis19 abilities. 

20 (5) Worldwide, 68 countries account for 97 per21 cent of all maternal and under-5 child deaths. 

22 (6) Nearly 1 of every 5 children die before the 

23 age of 5, more than 2,000,000 child deaths per year, 

24 in the ten countries with the highest child mortality 

25 rates in the world: Sierra Leone, Afghanistan, Chad, 


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1 Equatorial Guinea, Guinea-Bissau, Mali, Burkina 

2 Faso, Nigeria, Rwanda, and Burundi. 

3 (7) Nine out of 10 women in sub-Saharan Afri4 ca will lose a child during their lifetimes. 

5 (8) In sub-Saharan Africa, a woman’s lifetime 

6 risk of maternal death is a staggering 1 in 22, com7 pared with 1 in 8,000 in industrialized countries, ac8 cording to UNICEF. 

9 (9) Pneumonia, diarrhea, low birth weight, sep10 sis, birth trauma, and malaria, all preventable and 

11 treatable, are the top contributors of deaths of chil12 dren under the age of 5. 

13 (10) Poor nutrition is a major factor in 20 per14 cent of maternal deaths, up to one-third of under15 5 child deaths, and 60 to 80 percent of newborn 

16 deaths. 

17 (11) Risk factors for maternal death in devel18 oping countries include pregnancy and childbirth at 

19 an early age, closely-spaced births, infectious dis20 eases, malnutrition, and complications during child21 birth. 

22 (12) In Mozambique, the ratio of nongovern23 mental organizations engaged in HIV/AIDS preven24 tion efforts compared to nongovernmental organiza25 tions engaged in maternal and child health efforts is 


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1 100 to 1, according to Mozambique’s Minister of 

2 Health, yet in that country 168 out of every 1,000 

3 children die before the age of 5 and one in every 45 

4 mothers are at risk of death. 

5 (13) Antenatal care coverage for pregnant 

6 mothers in developing countries is often low. For ex7 ample, in sub-Saharan Africa antenatal care cov8 erage is 69 percent yet programs for prevention of 

9 maternal to child transmission of HIV reach an av10 erage of only 11 percent of those who need them, ac11 cording to UNICEF. 

12 (14) In many poor countries, a lack of access, 

13 including transportation to quality health care facili14 ties, results in deaths for newborns, children, and 

15 mothers. 

16 (15) No skilled birth attendant is present at 34 

17 percent of deliveries worldwide which means 

18 45,000,000 births each year are occurring at home 

19 without skilled health personnel, according to WHO. 

20 (16) Due to an estimated 50 percent shortfall 

21 in skilled birth attendants, 700,000 skilled and 

22 trained birth attendants are needed worldwide to en23 sure universal coverage to maternity care, while an 

24 additional 47,000 doctors with emergency obstetric 


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1 skills are required, particularly in rural areas, ac2 cording to WHO. 

3 (17) Expansion of clinical care for newborns 

4 and mothers, such as clean delivery by skilled birth 

5 attendants, emergency obstetric care, and neonatal 

6 resuscitation can save the lives of mothers, and can 

7 also avert 50 percent of newborn deaths. 

8 (18) Maternal, newborn, and child health serv9 ices should include interventions along the con10 tinuum of care from before pre-pregnancy to early 

11 childhood period and should be provided at home, 

12 community, and clinics. 

13 (19) An effective household to hospital con14 tinuum of care is especially important for maternal 

15 survival, since timely linkage to referral-level obstet16 ric care is necessary to reduce maternal mortality. 

17 (20) A package of 32 affordable interventions, 

18 including skilled care at birth, emergency obstetric 

19 care, breastfeeding, vaccinations, antibiotics, and 

20 micro-nutrients, could save 6,000,000 children per 

21 year at a cost of only $25 per child or $1.62 per 

22 person in 60 priority countries. 

23 (21) Millions of children’s lives can be saved by 

24 high-impact, low-cost, feasible interventions like oral 

25 rehydration therapy (ORT) for diarrhea ($0.07 per 


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1 treatment), antibiotics to treat respiratory infections 

2 ($0.25 per treatment), and anti-malaria tablets 

3 ($0.29 per treatment). 

4 (22) Exclusive breastfeeding—giving only 

5 breast milk for the first 6 months of life—could help 

6 prevent an estimated 1,400,000 newborn and infant 

7 deaths each year, primarily by protecting again diar8 rhea and pneumonia. 

9 (23) Three million children die each year due to 

10 lack of access to low-cost antibiotics and anti-malar11 ial drugs. 

12 (24) Two million children die from diarrheal 

13 diseases unnecessarily due to lack of access to ORT 

14 prepared with clean water. 

15 (25) Between 1999 and 2004, distribution of 

16 low-cost vitamin A supplements saved an estimated 

17 2,300,000 lives, yet the unmet need for vitamin A 

18 supplements results in an estimated 250,000 to 

19 500,000 children becoming blind each year, with 70 

20 percent of such children dying within 12 months of 

21 losing their sight. 

22 (26) Studies suggest that high coverage and 

23 quality of proven health interventions could avert 

24 about 67 percent of neonatal and child deaths in 60 

25 priority countries worldwide. 


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1 (27) Maternal and child mortality rates are an 

2 important indicator of a government’s commitment 

3 to women and children, as well as a barometer of a 

4 country’s healthcare system and overall development 

5 performance. 

6 (28) It is estimated that an additional 

7 $850,000,000 invested in newborn and child health 

8 could save the lives of nearly 1,000,000 children 

9 every year. 

10 (29) Investments in child survival have contrib11 uted to a major decline in the rate of child mor12 tality, even in poor countries such as Indonesia, 

13 Nepal, Laos, Bangladesh, and Bolivia, which have 

14 all reduced their under-5 child mortality by more 

15 than one-half since 1990. 

16 (30) Under-five child mortality has decreased 

17 by 20 to 50 percent in 15 United States Agency for 

18 International Development-assisted countries over 

19 the past ten years. 

20 (31) In 2000, the United States joined 188 

21 other countries in supporting eight United Nations 

22 Millennium Development Goals to reduce the mor23 tality rate of children under the age of 5 by two24 thirds (goal 4) and to reduce maternal deaths by 

25 three-quarters (goal 5). 


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1 (32) In 2008, of the 68 priority countries rep2 resenting 97 percent of newborn and child mortality, 

3 only 16 of these countries are on track to achieve 

4 Millennium Development Goal (MDG) 4 of reducing 

5 child mortality by two-thirds. 

6 (b) PURPOSES.—The purposes of this Act are to— 

7 (1) authorize assistance to reduce mortality and 

8 improve the health of newborns, children, and moth9 ers in developing countries, including strengthening 

10 the capacity of health systems and health workers; 

11 (2) develop and implement a strategy based on 

12 a continuum of care to reduce mortality and improve 

13 the health of newborns, children, and mothers in de14 veloping countries; and 

15 (3) assess, monitor, and evaluate the progress 

16 and contributions of relevant departments and agen17 cies of the Government of the United States in 

18 achieving reductions of newborn, child, and maternal 

19 mortality in developing counties as well as contribu20 tions in achieving the United Nations Millennium 

21 Development Goals through the establishment of an 

22 interagency task force. 


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1 SEC. 3. ASSISTANCE TO REDUCE MORTALITY AND IMPROVE 

2 THE HEALTH OF NEWBORNS, CHILDREN, AND 

3 MOTHERS IN DEVELOPING COUNTRIES. 

4 (a) IN GENERAL.—Chapter 1 of part I of the Foreign 

5 Assistance Act of 1961 (22 U.S.C. 2151 et seq.) is amend6 ed— 

7 (1) in section 101(a)(1), by inserting at the end 

8 before the semicolon the following: ‘‘, with particular 

9 focus on children and mothers’’; 

10 (2) in section 102(b)(4)(B), by striking ‘‘reduc11 tion of infant mortality’’ and inserting ‘‘reduction of 

12 newborn, child, and maternal mortality’’; 

13 (3) in section 104(c)— 

14 (A) by striking paragraphs (2) and (3); 

15 and 

16 (B) by redesignating paragraph (4) as 

17 paragraph (2); 

18 (4) by redesignating sections 104A, 104B, and 

19 104C as sections 104B, 104C, and 104D, respec20 tively; and 

21 (5) by inserting after section 104 the following 

22 new section: 


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1 ‘‘SEC. 104A. ASSISTANCE TO REDUCE MORTALITY AND IM2 PROVE THE HEALTH OF NEWBORNS, CHIL3 DREN, AND MOTHERS. 

4 ‘‘(a) AUTHORIZATION.—Consistent with section 

5 104(c), the President is authorized to furnish assistance, 

6 on such terms and conditions as the President may deter7 mine, to reduce mortality and improve the health of 

8 newborns, children, and mothers in developing countries. 

9 ‘‘(b) ACTIVITIES TO PREVENT MORTALITY AND IM10 PROVE NEWBORN AND CHILD HEALTH.—Assistance pro11 vided under subsection (a) shall, to the maximum extent 

12 practicable, be used to— 

13 ‘‘(1) improve newborn care and treatment, in14 cluding educating families about proper antenatal 

15 and skilled delivery care, drying and warming with 

16 the mother, immediate and exclusive breastfeeding, 

17 handwashing, clean cord care, prompt recognition 

18 and care seeking for danger signs, and treatment of 

19 neonatal infections; and 

20 ‘‘(2) increase access to and utilization of appro21 priate interventions to treat life-threatening child22 hood illnesses, including— 

23 ‘‘(A) to prevent and mitigate the severity 

24 of and treat diarrhea, including point of use 

25 water treatment, improvements in hygienic be26 havior, oral rehydration therapy (ORT), zinc, 


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1 exclusive breastfeeding in the first six months 

2 of life, and adequate and young child feeding 

3 during the first 6 to 24 month period; 

4 ‘‘(B) to prevent deaths due to pneumonia 

5 with a focus on community-based treatments 

6 using antibiotics and effective recognition of se7 vere illness with appropriate referral; 

8 ‘‘(C) to achieve the delivery of full immuni9 zation services, including efforts to eliminate 

10 polio and introduce new vaccines as available; 

11 and 

12 ‘‘(D) to prevent and treat malaria through 

13 increased use of insecticide-treated nets, indoor 

14 residual spraying, and timely and appropriate 

15 treatment of malaria. 

16 ‘‘(c) ACTIVITIES TO PREVENT MORTALITY AND IM17 PROVE MATERNAL HEALTH.—Assistance provided under 

18 subsection (a) shall, to the maximum extent practicable, 

19 be used to— 

20 ‘‘(1) improve birth preparedness, including 

21 quality antenatal care throughout pregnancy; and 

22 ‘‘(2) expand access and improve quality of ma23 ternity services, including— 

24 ‘‘(A) skilled birth attendants; 


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1 ‘‘(B) recognition and treatment of obstetric 

2 complications and disabilities, such as post3 partum hemorrhage; 

4 ‘‘(C) quality emergency obstetric care; 

5 ‘‘(D) activities to treat and repair injuries 

6 resulting from pregnancy and childbirth; and 

7 ‘‘(E) activities to lower or remove financial 

8 barriers to maternal healthcare services. 

9 ‘‘(d) ACTIVITIES TO PROMOTE HEALTHY

10 NEWBORNS, CHILDREN, AND MOTHERS.—Assistance pro11 vided under subsection (a) shall, to the maximum extent 

12 practicable, be used to— 

13 ‘‘(1) improve child and maternal nutrition, in14 cluding the delivery of iron, folic acid, zinc, vitamin 

15 A, iodine, and other key micronutrients; 

16 ‘‘(2) promote breastfeeding, appropriate com17 plementary feeding, and the management of acute 

18 severe malnutrition, including the use of ready to 

19 use therapeutic food; 

20 ‘‘(3) improve access to clean water and im21 proved sanitation through community-based hygiene 

22 education programs, the use of personal water puri23 fication tools and devices, and latrine construction; 

24 ‘‘(4) reduce exposure to environmental toxins 

25 and indoor smoke from cooking fires; 


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1 ‘‘(5) address antimicrobial resistance in chil2 dren and mothers; 

3 ‘‘(6) ensure access to transportation for 

4 newborns, children, and mothers in need of emer5 gency clinical care; 

6 ‘‘(7) ensure access to comprehensive post-natal 

7 newborn and maternal care, including services dur8 ing the immediate post-partum period; and 

9 ‘‘(8) increase access to low- or no-cost 

10 deworming products. 

11 ‘‘(e) ACTIVITIES TO STRENGTHEN COMMUNITIES

12 AND HEALTH SYSTEMS.—Assistance provided under sub13 section (a) shall, to the maximum extent practicable, be 

14 used to— 

15 ‘‘(1) improve capacity for health governance, fi16 nance and workforce, including support for the 

17 training and supervision of clinicians, nurses, mid18 wives, skilled birth attendants, nutritionists, techni19 cians, sanitation and public health workers, commu20 nity-based health workers, peer educators, volun21 teers, and private sector enterprises; 

22 ‘‘(2) recruit, train, and supervise providers of 

23 comprehensive emergency obstetric and newborn 

24 care services; 


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1 ‘‘(3) establish and support management infor2 mation systems in host country institutions and the 

3 development and use of tools and models to collect, 

4 analyze, and disseminate information relating to 

5 newborn, child, and maternal health, including reg6 istration of all births and deaths, along with cause 

7 of death, at district and country levels; 

8 ‘‘(4) develop and conduct needs assessments, 

9 baseline studies, targeted evaluations, and other in10 formation-gathering efforts for the design, moni11 toring, and evaluation of newborn, child, and mater12 nal health programs; and 

13 ‘‘(5) implement tailored programs in priority 

14 countries in political transition or post conflict set15 tings to extend newborn, child, and maternal serv16 ices as quickly as possible to assist in rebuilding of 

17 fragile health systems. 

18 ‘‘(f) ACTIVITIES TO PROMOTE INTEGRATION, CO19 ORDINATION, AND MAXIMUM UTILIZATION OF HEALTH

20 AND DEVELOPMENT RESOURCE ASSISTANCE.—Assistance 

21 provided under subsection (a) shall, to the maximum ex22 tent practicable, be used to— 

23 ‘‘(1) carry out activities in host countries, in24 cluding— 


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1 ‘‘(A) the prevention of the transmission of 

2 HIV from mother-to-child and other HIV/AIDS 

3 counseling, care, and treatment; 

4 ‘‘(B) the prevention of malaria and other 

5 malaria counseling, care, and treatment; 

6 ‘‘(C) the prevention of tuberculosis and 

7 other tuberculosis counseling, care, and treat8 ment; 

9 ‘‘(D) child spacing; 

10 ‘‘(E) nutrition; 

11 ‘‘(F) education and microfinance activities 

12 that facilitate increasing access to and use of 

13 critical health services or practices; and 

14 ‘‘(G) water and sanitation activities; and 

15 ‘‘(2) carry out activities linked to United States 

16 Government programs to reduce poverty and im17 prove health and development, including— 

18 ‘‘(A) title II of the Agricultural Trade De19 velopment and Assistance Act of 1954 (7 

20 U.S.C. 1721 et seq.); 

21 ‘‘(B) the United States Leadership Against 

22 HIV/AIDS, Tuberculosis, and Malaria Act of 

23 2003 (22 U.S.C. 7601 et seq.) and the amend24 ments made by that Act (commonly known as 


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1 the ‘President’s Emergency Plan for HIV/AIDS 

2 Relief’ or ‘PEPFAR’); 

3 ‘‘(C) the Presidential Malaria Initiative 

4 (PMI); 

5 ‘‘(D) global health programs administered 

6 by the United States Agency for International 

7 Development (USAID); 

8 ‘‘(E) programs administered by USAID’s 

9 Office of U.S. Foreign Disaster Assistance pro10 grams (OFDA); and 

11 ‘‘(F) global health programs administered 

12 by the Department of Health and Human Serv13 ices. 

14 ‘‘(g) GUIDELINES.—To the maximum extent prac15 ticable, programs, projects, and activities carried out using 

16 assistance provided under this section shall be— 

17 ‘‘(1) carried out through private and voluntary 

18 organizations, including faith-based organizations, 

19 and relevant international and multilateral organiza20 tions, including the GAVI Alliance (formerly known 

21 as the Global Alliance for Vaccines and Immuniza22 tion) and the United Nations Children’s Fund 

23 (UNICEF), the World Health Organization (WHO), 

24 the World Food Programme (WFP), and the Global 

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1 ing priority to organizations that demonstrate effec2 tiveness and commitment to preventing mortality 

3 and improving the health of newborns, children, and 

4 mothers; 

5 ‘‘(2) carried out with input by host countries, 

6 including civil society and local communities, as well 

7 as other donors and multilateral organizations; 

8 ‘‘(3) carried out with input by beneficiaries and 

9 other directly-affected populations, especially women 

10 and marginalized communities; and 

11 ‘‘(4) designed to build the capacity of host 

12 country governments and civil society organizations. 

13 ‘‘(h) ANNUAL REPORT.—Not later than February 1 

14 of each year, the President shall transmit to Congress a 

15 report on the implementation of this section for the prior 

16 fiscal year. 

17 ‘‘(i) DEFINITIONS.—In this section: 

18 ‘‘(1) AIDS.—The term ‘AIDS’ has the meaning 

19 given the term in section 104B(g)(1) of this Act. 

20 ‘‘(2) HIV.—The term ‘HIV’ has the meaning 

21 given the term in section 104B(g)(2) of this Act. 

22 ‘‘(3) HIV/AIDS.—The term ‘HIV/AIDS’ has 

23 the meaning given the term in section 104B(g)(3) of 

24 this Act.’’. 


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1 (b) CONFORMING AMENDMENTS.—The Foreign As2 sistance Act of 1961 (22 U.S.C. 2151 et seq.) is amend3 ed— 

4 (1) in section 104(c)(2) (as redesignated by 

5 subsection (a)(2)(B) of this section), by striking 

6 ‘‘and 104C’’ and inserting ‘‘104C, and 104D’’; 

7 (2) in section 104B (as redesignated by sub8 section (a)(3) of this section)— 

9 (A) in subsection (c)(1), by inserting ‘‘and 

10 section 104A’’ after ‘‘section 104(c)’’; 

11 (B) in subsection (f)(2)(A), by striking 

12 ‘‘section 104B, and section 104C’’ and inserting 

13 ‘‘section 104C, and section 104D’’; and 

14 (C) in subsection (g), by striking ‘‘section 

15 104(c), this section, section 104B, and section 

16 104C’’ and inserting ‘‘section 104(c), section 

17 104A, this section, section 104C, and section 

18 104D’’; 

19 (3) in subsection (c) of section 104C (as redes20 ignated by subsection (a)(3) of this section), by in21 serting ‘‘and section 104A’’ after ‘‘section 104(c)’’; 

22 (4) in subsection (c) of section 104D (as redes23 ignated by subsection (a)(3) of this section), by in24 serting ‘‘and section 104A’’ after ‘‘section 104(c)’’; 


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1 (5) in the first sentence of section 119(c), by 

2 striking ‘‘section 104(c)(2), relating to Child Sur3 vival Fund’’ and inserting ‘‘section 104A’’; and 

4 (6) in section 135(b)— 

5 (A) in paragraph (1), by striking ‘‘section 

6 104A(g)(1)’’ and inserting ‘‘section 

7 104B(g)(1)’’; and 

8 (B) in paragraph (3), by striking ‘‘section 

9 104A(g)(3)’’ and inserting ‘‘section 

10 104B(g)(3)’’. 

11 SEC. 4. STRATEGY TO REDUCE MORTALITY AND IMPROVE 

12 THE HEALTH OF NEWBORNS, CHILDREN, AND 

13 MOTHERS IN DEVELOPING COUNTRIES. 

14 (a) STRATEGY REQUIRED.—The President shall de15 velop and implement a comprehensive United States Gov16 ernment strategy to reduce mortality and improve the 

17 health of newborns, children, and mothers in developing 

18 countries. 

19 (b) COMPONENTS.—The comprehensive United 

20 States Government strategy developed pursuant to sub21 section (a) shall include the following: 

22 (1) An identification of not less than 60 coun23 tries with priority needs for the 5-year period begin24 ning on the date of the enactment of this Act based 

25 on— 


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1 (A) the number and rate of neonatal 

2 deaths; 

3 (B) the number and rate of child deaths; 

4 (C) the number and ratio of maternal 

5 deaths; 

6 (D) the number and rate of malnourished 

7 women of reproductive age; and 

8 (E) the number and rate of malnourished 

9 infants and children under the age of 5. 

10 (2) For each country identified in paragraph 

11 (1)— 

12 (A) an assessment of the most common 

13 causes of newborn, child, and maternal mor14 tality; 

15 (B) a description of the host country’s 

16 overall health strategy and expenditures, includ17 ing an assessment of components to specifically 

18 reduce newborn, child, and maternal mortality 

19 rates; 

20 (C) a description of the programmatic 

21 areas and interventions providing maximum 

22 health benefits to populations at risk as well as 

23 maximum reduction in newborn, child, and ma24 ternal mortality; 


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1 (D) an assessment of the investments 

2 needed in identified programs and interventions 

3 to achieve the greatest results; 

4 (E) a description of how United States as5 sistance complements and leverages efforts by 

6 other donors, as well as builds capacity and 

7 self-sufficiency among recipient countries; 

8 (F) a description of goals and objectives 

9 for improving newborn, child, and maternal 

10 health, including, to the extent feasible, objec11 tive and quantifiable indicators; and 

12 (G) a description of the host government’s 

13 commitment to working with partners and civil 

14 society to achieve accelerated reductions in new15 born, child and maternal mortality. 

16 (3) With respect to the 30 countries identified 

17 in paragraph (1) that have the highest newborn, 

18 child, and maternal mortality rates, a plan to— 

19 (A) reduce the mortality rate among 

20 newborns, children, and mothers in each of 

21 those countries by 25 percent by 2013; 

22 (B) address the human resources crisis in 

23 each of those countries by increasing by at least 

24 100,000 the number of functional (trained, 

25 equipped, and supervised) community health 


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1 workers and volunteers serving at primary care 

2 and community levels in those countries by 

3 2013; and 

4 (C) achieve an average reduction in child 

5 and maternal malnutrition in at least 10 of 

6 those countries by 15 percent by 2013. 

7 (4) With respect to the countries identified in 

8 paragraph (1) without a United States Agency for 

9 International Development (USAID) mission or in 

10 conflict, post-conflict, or in a condition of political 

11 transition and at risk of increased newborn, child, 

12 and maternal mortality, a plan to prevent newborn, 

13 child, and maternal deaths in each of those countries 

14 through coordination with and support from multi15 lateral organizations. 

16 (5) An expansion of the Child Survival and 

17 Health Grants Program of USAID, at a minimum 

18 proportionate to any increase in newborn, child, and 

19 maternal health assistance, to provide additional 

20 support programs and interventions determined to 

21 be efficacious and cost-effective in improving health 

22 and reducing mortality. 

23 (6) A description of the measured or estimated 

24 impact on newborn, child, and maternal morbidity 


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1 and mortality of each project or program carried 

2 out. 

3 (c) REPORT.—Not later than 180 days after the date 

4 of the enactment of this Act, the President shall transmit 

5 to Congress a report that contains the strategy described 

6 in this section. 

7 SEC. 5. INTERAGENCY TASK FORCE ON NEWBORN, CHILD, 

8 AND MATERNAL HEALTH IN DEVELOPING 

9 COUNTRIES. 

10 (a) ESTABLISHMENT.—There is established a task 

11 force to be known as the Interagency Task Force on New12 born, Child, and Maternal Health in Developing Countries 

13 (in this section referred to as the ‘‘Task Force’’). 

14 (b) DUTIES.— 

15 (1) IN GENERAL.—The Task Force shall assess, 

16 monitor, and evaluate the progress and contributions 

17 of relevant departments and agencies of the Govern18 ment of the United States in achieving the United 

19 Nations Millennium Development Goals by 2015 for 

20 reducing the mortality of children under the age of 

21 5 by two-thirds (Millennium Development Goal 4) 

22 and reducing maternal mortality by three-quarters 

23 (Millennium Development Goal 5) in developing 

24 countries, including by— 


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1 (A) identifying and evaluating programs 

2 and interventions that directly or indirectly con3 tribute to the reduction of newborn, child, and 

4 maternal mortality rates; 

5 (B) assessing effectiveness of programs, 

6 interventions, and strategies toward achieving 

7 the maximum reduction of newborn, child, and 

8 maternal mortality rates; 

9 (C) assessing the level of coordination 

10 among relevant departments and agencies of 

11 the Government of the United States, the inter12 national community, international organiza13 tions, faith-based organizations, academic insti14 tutions, and the private sector; 

15 (D) assessing the level of coordination of 

16 United States bilateral programs and the host 

17 country government in implementing the host 

18 country’s health strategy to reduce newborn, 

19 child, and maternal mortality rates; 

20 (E) assessing the contributions made by 

21 United States-funded programs toward achiev22 ing the Millennium Development Goals 4 and 5; 

23 (F) identifying the bilateral efforts of other 

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1 ing the Millennium Development Goals 4 and 5; 

2 and 

3 (G) preparing the annual report required 

4 by subsection (f). 

5 (2) CONSULTATION.—To the maximum extent 

6 practicable, the Task Force shall consult with indi7 viduals with expertise in the matters to be consid8 ered by the Task Force who are not officers or em9 ployees of the Government of the United States, in10 cluding representatives of United States-based non11 governmental organizations (including faith-based 

12 organizations and private foundations), academic in13 stitutions, private corporations, the United Nations 

14 Children’s Fund (UNICEF), and the World Bank. 

15 (c) MEMBERSHIP.— 

16 (1) NUMBER AND APPOINTMENT.—The Task 

17 Force shall be composed of the following members: 

18 (A) The Administrator of the United 

19 States Agency for International Development. 

20 (B) The Assistant Secretary of State for 

21 Population, Refugees and Migration. 

22 (C) The Coordinator of United States Gov23 ernment Activities to Combat HIV/AIDS Glob24 ally (commonly known as the ‘‘U.S. Global 

25 AIDS Coordinator’’). 


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1 (D) The Coordinator of the United States 

2 Government Presidential Malaria Initiative 

3 (PMI). 

4 (E) The Director of the Office of Global 

5 Health Affairs of the Department of Health 

6 and Human Services. 

7 (F) The Under Secretary for Food, Nutri8 tion and Consumer Services of the Department 

9 of Agriculture. 

10 (G) The Chief Executive Officer of the Mil11 lennium Challenge Corporation. 

12 (H) The Director of the Peace Corps. 

13 (I) Other officials of relevant departments 

14 and agencies of the Federal Government who 

15 shall be appointed by the President. 

16 (J) Two ex-officio members appointed by 

17 the Speaker of the House of Representatives in 

18 consultation with the minority leader of the 

19 House of Representatives. 

20 (K) Two ex-officio members appointed by 

21 the majority leader of the Senate in consulta22 tion with the minority leader of the Senate. 

23 (2) CHAIRPERSON.—The Administrator of the 

24 United States Agency for International Development 

25 shall serve as chairperson of the Task Force. 


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1 (d) MEETINGS.—The Task Force shall meet on a reg2 ular basis, not less often than quarterly, on a schedule 

3 to be agreed upon by the members of the Task Force, and 

4 starting not later than 90 days after the date of the enact5 ment of this Act. 

6 (e) DEFINITION.—In this section, the term ‘‘Millen7 nium Development Goals’’ means the key development ob8 jectives described in the United Nations Millennium Dec9 laration, as contained in United Nations General Assembly 

10 Resolution 55/2 (September 2000). 

11 (f) REPORT.—Not later than 120 days after the date 

12 of the enactment of this Act, and not later than April 30 

13 of each year thereafter, the Task Force shall submit to 

14 Congress and the President a report on the implementa15 tion of this section. 

16 SEC. 6. AUTHORIZATION OF APPROPRIATIONS. 

17 (a) IN GENERAL.—There are authorized to be appro18 priated to carry out this Act, and the amendments made 

19 by this Act, such sums as may be necessary for each of 

20 the fiscal years 2010 through 2014. 

21 (b) AVAILABILITY OF FUNDS.—Amounts appro22 priated pursuant to the authorization of appropriations 

23 under subsection (a) are authorized to remain available 

24 until expended. 

Æ 


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