‘‘(2) to encourage partner countries to lead 
early childhood development initiatives that include 
incentives for building local capacity for sustainable 
implementation by— 
‘‘(A) scaling up the most effective, evi-
dence-based, national interventions, including 
for the most vulnerable populations and chil-
dren with disabilities and developmental delays, 
with a focus on adaptation to country re-
sources, cultures, and languages; 
‘‘(B) designing, implementing, monitoring, 
and evaluating programs in a way that en-
hances their quality, transparency, equity, and 
accountability, increases sustainability, and im-
proves child and family outcomes in partner 
countries; and 
‘‘(C) utilizing and expanding innovative 
public-private financing mechanisms. 
‘‘(c) IMPLEMENTATION.— 
‘‘(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of the Global Child Thrive 
Act of 2019, the Administrator of the United States 
Agency for International Development, on behalf of 
the President, shall direct relevant Executive branch 
agencies and officials supporting young children— 
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‘‘(A) to incorporate early childhood devel-
opment into current programming to be carried 
out during the following 5 fiscal years; and 
‘‘(B) to promote inclusive early childhood 
development in partner countries. 
‘‘(2) ELEMENTS.—In carrying out paragraph 
(1), the Administrator and relevant Executive 
branch agencies and officials shall— 
‘‘(A) build on the evidence and priorities 
outlined in ‘Advancing Protection and Care for 
Children in Adversity: A U.S. Government 
Strategy for International Assistance 2019– 
2023’, published in June 2019 (referred to in 
this section as ‘APCCA’); 
‘‘(B) to the extent practicable, identify evi-
dence-based strategic priorities, indicators, out-
comes, and targets, particularly emphasizing 
the most vulnerable populations and children 
with disabilities and developmental delays, to 
support inclusive early childhood development; 
‘‘(C) support the design, implementation, 
and evaluation of pilot projects in partner coun-
tries, with the goal of taking such projects to 
scale; 
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‘‘(D) support inclusive early childhood de-
velopment by supporting bureaus, working 
groups, and task forces implementing relevant 
sector strategies and public laws, including— 
‘‘(i) the Global Water Strategy re-
quired under section 136(j) of the Foreign 
Assistance 
Act 
of 
1961 
(22 
U.S.C. 
2152h(j)); 
‘‘(ii) the whole-of-government strategy 
required under section 5 of the Global 
Food Security Act of 2016 (22 U.S.C. 
9304 note); 
‘‘(iii) the Basic Education Strategy 
set forth in section 105(c) of the Foreign 
Assistance 
Act 
of 
1961 
(22 
U.S.C. 
2151c(c)); 
‘‘(iv) the U.S. Government Global Nu-
trition Coordination Plan, 2016–2021; and 
‘‘(v) APCCA; 
‘‘(E) focus on improving coordination with 
foreign governments and international and re-
gional organizations with respect to official 
country policies and plans for early childhood 
development, maternal, newborn, and child 
health and nutrition care, basic education plans, 
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water, sanitation and hygiene, and child protec-
tion plans; 
‘‘(F) support strategies that— 
‘‘(i) enable parents to care for their 
children; 
‘‘(ii) prevent unnecessary family-child 
separation; 
‘‘(iii) assist families with children with 
disabilities; 
‘‘(iv) assist countries in planning and 
implementing 
deinstitutionalization 
pro-
grams; and 
‘‘(v) promote nurturing, appropriate, 
protective, and permanent family care, 
while reducing the percentage of children 
living in residential care or on the street; 
and 
‘‘(G) consult with governments, inter-
national financial institutions, nongovernmental 
organizations, local and international civil soci-
ety groups, multilateral organizations, the pri-
vate sector, faith-based organizations, commu-
nity-based organizations, organizations run by 
people with disabilities, and early childhood net-
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works academic and professional associations, 
and local field workers, as appropriate. 
‘‘(d) ANNUAL REPORT ON THE IMPLEMENTATION OF 
THE STRATEGY.—The Special Adviser for Children in Ad-
versity shall include, in the annual report required under 
section 5 of the Assistance for Orphans and Other Vulner-
able Children in Developing Countries Act of 2005 (22 
U.S.C. 2152g), which shall be submitted to the appro-
priate congressional committees and made available to the 
public, a description of— 
‘‘(1) the progress made toward integrating early 
childhood development interventions into current 
programming; 
‘‘(2) the efforts made by relevant Executive 
branch agencies and officials to implement sub-
section (c), with a particular focus on the activities 
described in such subsection; 
‘‘(3) the progress achieved during the reporting 
period toward meeting the goals, objectives, bench-
marks, and timeframes described in subsection (c); 
and 
‘‘(4) the progress achieved during the reporting 
period toward meeting the goals, objectives, bench-
marks, and timeframes described in subsection (c) at 
the program level, along with specific challenges or 
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