§ 2151b.
(c)
Assistance for health programs; special health needs of children and mothers; Child Survival Fund; promotion of immunization and oral rehydration; control of AIDS and tuberculosis
(1)
In order to contribute to improvements in the health of the greatest number of poor people in developing countries, the President is authorized to furnish assistance, on such terms and conditions as he may determine, for health programs. Assistance under this subsection shall be used primarily for basic integrated health services, safe water and sanitation, disease prevention and control, and related health planning and research. This assistance shall emphasize self-sustaining community-based health programs by means such as training of health auxiliary and other appropriate personnel, support for the establishment and evaluation of projects that can be replicated on a broader scale, measures to improve management of health programs, and other services and supplies to support health and disease prevention programs.
(2)
(A)
In carrying out the purposes of this subsection, the President shall promote, encourage, and undertake activities designed to deal directly with the special health needs of children and mothers. Such activities should utilize simple, available technologies which can significantly reduce childhood mortality, such as improved and expanded immunization programs, oral rehydration to combat diarrhoeal diseases, and education programs aimed at improving nutrition and sanitation and at promoting child spacing. In carrying out this paragraph, guidance shall be sought from knowledgeable health professionals from outside the agency primarily responsible for administering subchapter I of this chapter. In addition to government-to-government programs, activities pursuant to this paragraph should include support for appropriate activities of the types described in this paragraph which are carried out by international organizations (which may include international organizations receiving funds under part III of this subchapter) and by private and voluntary organizations, and should include encouragement to other donors to support such types of activities.
(B)
In addition to amounts otherwise available for such purpose, there are authorized to be appropriated to the President $25,000,000 for fiscal year 1986 and $75,000,000 for fiscal year 1987 for use in carrying out this paragraph. Amounts appropriated under this subparagraph are authorized to remain available until expended.
(C)
Appropriations pursuant to subparagraph (B) may be referred to as the “Child Survival Fund”.
(3)
The Congress recognizes that the promotion of primary health care is a major objective of the foreign assistance program. The Congress further recognizes that simple, relatively low cost means already exist to reduce incidence of communicable diseases among children, mothers, and infants. The promotion of vaccines for immunization, and salts for oral rehydration, therefore, is an essential feature of the health assistance program. To this end, the Congress expects the agency primarily responsible for administering subchapter I of this chapter to set as a goal the protection of not less than 80 percent of all children, in those countries in which such agency has established development programs, from immunizable diseases by January 1, 1991. Of the aggregate amounts made available for fiscal year 1987 to carry out paragraph (2) of this subsection (relating to the Child Survival Fund) and to carry out subsection (c) (relating to development assistance for health), $50,000,000 shall be used to carry out this paragraph.
(4)
Relationship to other laws.—
Assistance made available under this subsection and sections 2151b–2, 2151b–3, and 2151b–4 of this title, and assistance made available under part IV of subchapter II of this chapter to carry out the purposes of this subsection and the provisions cited in this paragraph, may be made available notwithstanding any other provision of law that restricts assistance to foreign countries, except for the provisions of this subsection, the provisions of law cited in this paragraph, subsection (f),
section 2394–1 of this title, and provisions of law that limit assistance to organizations that support or participate in a program of coercive abortion or involuntary sterilization included under the Child Survival and Health Programs Fund heading in the Consolidated Appropriations Resolution, 2003 (
[Public Law 108–7]).
(d)
Administration of assistance
(1)
Assistance under this part shall be administered so as to give particular attention to the interrelationship between (A) population growth, and (B) development and overall improvement in living standards in developing countries, and to the impact of all programs, projects, and activities on population growth. All appropriate activities proposed for financing under this part shall be designed to build motivation for smaller families through modification of economic and social conditions supportive of the desire for large families, in programs such as education in and out of school, nutrition, disease control, maternal and child health services, improvements in the status and employment of women, agricultural production, rural development, and assistance to the urban poor, and through community-based development programs which give recognition to people motivated to limit the size of their families. Population planning programs shall be coordinated with other programs aimed at reducing the infant mortality rate, providing better nutrition for pregnant women and infants, and raising the standard of living of the poor.
(2)
Since the problems of malnutrition, disease, and rapid population growth are closely related, planning for assistance to be provided under subsections (b) and (c) of this section and under
section 2151a of this title shall be coordinated to the maximum extent practicable.
(3)
Assistance provided under this section shall emphasize low-cost integrated delivery systems for health, nutrition, and family planning for the poorest people, with particular attention to the needs of mothers and young children, using paramedical and auxiliary medical personnel, clinics and health posts, commercial distribution systems, and other modes of community outreach.
([Pub. L. 87–195], pt. I, § 104, as added [Pub. L. 93–189, § 2(3)], Dec. 17, 1973, [87 Stat. 715]; amended [Pub. L. 93–559, § 4(1)], Dec. 30, 1974, [88 Stat. 1795]; [Pub. L. 94–161, title III, § 304], Dec. 20, 1975, [89 Stat. 857]; [Pub. L. 95–88, title I, § 103(a)]–(c), Aug. 3, 1977, [91 Stat. 534]; [Pub. L. 95–424, title I, § 104(a)], Oct. 6, 1978, [92 Stat. 945]; [Pub. L. 96–53, title I, § 102], Aug. 14, 1979, [93 Stat. 360]; [Pub. L. 96–533, title III, § 302], Dec. 16, 1980, [94 Stat. 3145]; [Pub. L. 97–113, title III, § 302], Dec. 29, 1981, [95 Stat. 1532]; [Pub. L. 98–473, title I, § 101(1) [title V, § 541(a)]], Oct. 12, 1984, [98 Stat. 1884], 1903; [Pub. L. 99–83, title III], §§ 303–305(a), Aug. 8, 1985, [99 Stat. 214]; [Pub. L. 99–529, title I, § 103], title IV, § 404(1), Oct. 24, 1986, [100 Stat. 3011], 3019; [Pub. L. 106–264, title I, § 111(a)], title II, § 203, Aug. 19, 2000, [114 Stat. 751], 759; [Pub. L. 108–25, title III], §§ 301(a)(1), 303(c), May 27, 2003, [117 Stat. 728], 737.)