CDC Global Health Strategy
CDC GLOBALHEALTHSTRATEGY2019-2021Accessible version: htm
CDC GLO B A L H E A LT H STR ATE G Y 2019-2021TABLE OF CONTENTSExecutive Summary. 2Introduction. 4Background and Context.4Future of Global Health.4CDC Global Health Vision, Mission, and Principles. 4CDC Global Health Goals, Objectives, and Strategies. 5Goal 1 - Health Impact: Save lives, improve health outcomes, and foster healthy populationsglobally.5Goal 2 – Health Security: Protect Americans and populations across the globeby strengthening global public health prevention, detection, and response. 7Goal 3 - Public Health Science Leadership: Lead and influence the advancementof global public health science and practice. 10Achieving More through Partnership.13Conclusion. 14Annex – Evidence of CDC’s Impact in Global Health.15Early Detection and Effective Responses to Outbreaks. 15Strategic Partnerships. 16Leveraging Surveillance and Data. 19Research, Innovation and Technology. 201
CDC GLO B A L H E A LT H STR ATE G Y 2019-2021EXECUTIVE SUMMARYCDC Global Health StrategyAt a time when the COVID-19 pandemic substantially affects all Americans, CDC’s commitment to ourvision to create a world where all people – in the United States and around the globe – live healthier,safer and longer lives is more essential than ever. CDC’s mission to protect the American people fromhealth threats, through direct response and partnering with countries around the world to strengthentheir ability to respond to infectious disease threats, is unwavering. As the lead U.S. Government (USG)agency dedicated to the health and safety of the American people, and the lead technical global publichealth agency for the US, CDC works 24/7 worldwide to reduce morbidity and mortality and safeguardcommunities by addressing global health threats. Achieving this vision requires that CDC draw upon itssuperior scientific and technical expertise, innovation, and research to address known infectious diseasethreats, new and emerging threats such as SARS-CoV-2, and prepare for the inevitable next globalpublic health threat, whether naturally occurring or man-made.CDC understands the importance of the trust placed in the science and technical leadership of theagency to keep Americans safe from public health threats both domestically and abroad. The COVID-19pandemic has far-reaching social and economic impacts, including disruption of essential healthcareservices and interruption of life-saving public health programs such as those focused on preventingdeath and disability from measles, polio, malaria, HIV, TB, and other high burden diseases. CDCrecognizes the need to remain focused on the response to the COVID-19 pandemic, as a critical partnerin a whole of government approach, while mitigating the long-term impacts on public health systemsby planning for recovery and resiliency now. CDC has a critical leadership role as the global publichealth enterprise focuses on transformational shifts in how we protect the population from public healththreats. This effort requires innovation, expansion of strong partnerships, and the timely application oflessons learned from our response to the COVID-19 pandemic.CDC Core Technical StrengthsCDC’s global health strategy is built around the agency’s core strengths: scientific leadership andexpertise, development of a public health workforce, laboratory capacity and innovation, and dataanalytics to drive impact. CDC’s unique expertise in using public health data to inform decisions andestablishing systems for emergency operations and response provides collaborations that strengthenglobal health security. In addition, CDC has deep technical expertise in disease-specific areas,operational research, implementation and evaluation of public health programs, building public healthinfrastructure, and provision of technical assistance through partnerships with Ministries of Health(MOHs), other public health institutions, non-governmental organizations (NGOs), and private sectorindustries. As the lead agency for domestic public health, CDC is uniquely positioned to facilitate andleverage scientific knowledge and expertise across domestic and global public health programs andemergency responses. CDC experts and international CDC-trained public health specialists providethe critical, well-trained workforce needed to respond to existing disease outbreaks and to prepare forfuture threats. CDC’s forward-deployed staff are America’s first line of defense to protect Americans’health when infectious disease outbreaks erupt around the world and respond to disease threatswherever they occur.VisionThe CDC aspires to create a world where people– in the United States and around the globe –live healthier, safer, and longer lives.MissionCDC’s global health mission is to improveand protect the health, safety, and securityof Americans while reducing morbidity andmortality worldwide.***CDC’s Global Health Strategy Executive Summary was updated in January 2021, incorporating the COVID19response and preparing for the next pandemic. A full updated Global Health Strategy is coming in 2022.2
CDC GLO B A L H E A LT H STR ATE G Y 2019-2021Goals and ObjectivesGoal 1 - Health Security:Protect Americans andpopulations across theglobe by strengtheningglobal public healthprevention, detection, andresponseObjective 1.1: Strengthen thecapacity to prevent and detectdisease outbreaks and otherpublic health threatsObjective 1.2: Strengthenthe capacity for timely andeffective response to diseaseoutbreaks and other publichealth threatsObjective 1.3: Strengthenthe capacity to build resilientpublic health systems toprotect and secure essentialhealthcare servicesGoal 2 – Health Impact:Save lives, improve healthoutcomes, and foster healthypopulations globallyObjective 2.1: Reduce themorbidity and mortality of highburden diseases and conditionsObjective 2.2: Eliminate anderadicate priority diseases andother public health threatsGoal 3 - Public HealthScience Leadership: Leadthe advancement of globalpublic health science andpractice and serve as aleading source of crediblescientific informationObjective 3.1: Develop andapply global public healthscientific, laboratory, andprogrammatic expertiseObjective 3.2: Translate anddisseminate evidence-basedresearch and data into globalhealth guidance, policy, andprogramsObjective 3.3: Drive innovationto accelerate new, moreeffective tools, products,strategies, and technologiesObjective 3.4 Promote andensure health equity as a centraltenet across public healthscience, program and policyPillars of CDC’s Global Health StrategySCIENTIFIC EXPERTISEDIVERSE PARTNERSHIPSSUSTAINABILITYCDC serves as a leading sourceof credible scientific information,demonstrated record of trailblazingscience, evidence-based decisionmaking and action, global referencelaboratories for emerging anddiseases of pandemic potential,and an experienced workforce thatis comprised of experts in theirfields. Our workforce is availableto address the most urgent globalpublic health threats.CDC fosters health diplomacyin coordination with other U.S.Government agencies throughits longstanding bilateral andmultilateral partnerships,engagement with the privatesector, and ongoing collaborationswith academic institutions andfoundations. CDC maximizesthe agency’s unique rolewhile leveraging these diversepartnerships to achieve measurablehealth impact around the world.CDC takes seriously itsresponsibility to be a goodsteward of resources bydemonstrating impact onleading public health priorities,establishing and strengtheningsustainable country, regionaland international public healthsystems, reducing the economicimpact of disease outbreaksglobally, and building lastingcapacity for countries to addresscurrent and future health needs.INNOVATIONHEALTH EQUITYCDC leverages the latest technologies and advancedanalytics to accelerate public health impact. CDCdevelops new medical countermeasures, diagnostics,laboratory and data platforms, and explores new ways toinnovate across its global health portfolio by identifyingunique models of collaboration and partnerships.CDC helps to eliminate health disparities and achieveoptimal health for all. CDC addresses health equityand reaches those in greatest need through itsglobal programs, research, tools and resources, andleadership.3
CDC GLO B A L H E A LT H STR ATE G Y 2019-2021INTRODUCTIONBackground and ContextSince the establishment of the U.S. Centers for Disease Control and Prevention (CDC) in 1946, theagency’s global health work has grown in scale, scope, and complexity to address evolving public healthchallenges and emerging threats around the world. With an initial focus on malaria elimination in theUnited States, CDC’s leadership and engagement expanded over time to address a range of diseases andconditions, improve global health preparedness and security, and enhance science-based knowledge andpractice.In today’s interconnected world, a disease threat anywhere is a disease threat everywhere. From a globalhealth perspective, domestic and international health are inseparable; no one country can safeguardthe health of its citizens in isolation from the rest of the world. In order to protect our communities athome, traveling, living, and working abroad – including armed services personnel deployed overseas –CDC works with international partners to stop public health threats at their source. CDC drives changeto make a lasting public health impact, mitigate health threats and help ensure stability to protectAmericans and foster safe, secure, and healthy societies worldwide.Future of Global HealthA health threat anywhere is a health threat everywhere in this increasingly globalized world; therefore,public health is at a crossroads and CDC is adapting and innovating to meet the new challenges. Thesenew range of health challenges are tied to global production of food and medicine, an increase in globaltravel, more frequent and severe weather events, and a steady rise in the world’s population. Outbreaksfrom Ebola to novel Influenza are increasingly identified in places not seen before. An aging populationmeans people are living longer with chronic diseases, which are more costly and complicated to treat.The growing proportion of young people in sub-Saharan Africa, who will be at risk of exposure to HIV,threatens gains made in hard-won declines in new HIV infections.Additionally, with innovations from the private sector and an increase in academic institutions and nonprofit organizations implementing global health programs, CDC must not only collaborate with theseorganizations but also continuously bring new approaches and efficiencies to CDC’s work around theworld to deliver its public health mission in the most effective way.The purpose of this strategy is to articulate CDC’s unique global role in public health. As the leadpublic health agency for the United States and a renowned global organization, CDC continues to makemeasurable, sustained progress in the highest impact areas, based on burden of disease evaluations, thelikelihood of producing positive effects, and an awareness of the economic implications of public healthaction, for a range of future and ongoing public health threats.CDC Global Health Vision, Mission, and PrinciplesThe CDC aspires to create a world where people – in the United States and around the globe – livehealthier, safer, and longer lives. As the lead U.S. Government (USG) agency dedicated to the healthand safety of the American people, CDC works 24/7 worldwide to reduce morbidity and mortalityand safeguard communities by addressing global health threats before they affect the United States.Achieving this vision requires that CDC draws upon its scientific and technical expertise, innovation, andresearch to address known and emerging public health threats globally, whether naturally occurring orman-made.CDC’s global health mission is to improve the health, safety, and security of Americans while reducingmorbidity and mortality worldwide. The agency does this through its expertise, unique technical skills,scientific knowledge and research, collaborative partnerships, and evidence-based, global public healthaction. CDC executes its global health vision and mission by focusing on three goal areas: 1) achievingmeasurable global health impact, 2) assuring global health security, and 3) providing world-renownedpublic health science leadership and expertise.4
CDC GLO B A L H E A LT H STR ATE G Y 2019-2021Furthermore, the following principles(referred to as “pillars” previously) guide CDC’s global public healthwork across the agency:1. Scientific Expertise –CDC has a demonstrated record of trailblazing science, evidence-baseddecision-making and action, and an experienced workforce that are experts in their field. Ourworkforce is available to address the most urgent global public health issues.2. Diverse Partnerships – CDC fosters health diplomacy through its longstanding inter-agencypartnerships, bilateral and multilateral partnerships, engagement with the private sector and ongoingcollaborations with academic institutions and foundations. CDC is able to maximize the agency’sunique role while leveraging these diverse partnerships to achieve measurable health impact aroundthe world.3. Innovation – CDC leverages the latest technologies and advanced analytics to accelerate publichealth impact. CDC develops new medical countermeasures, diagnostics, laboratory and dataplatforms and explores new ways to innovate across its global health portfolio by identifying uniquemodels of collaboration and partnership.4. Sustainability – CDC takes seriously its responsibility to be a good steward of resources bydemonstrating impact on leading public health priorities, fostering technical sustainability, reducingthe economic impact of disease outbreaks globally, and building lasting capacity for countries toaddress current and future health needs.5. Health Equity - CDC works to eliminate health disparities and achieve optimal health for all. CDCaddresses health equity and reaches those in greatest need through its global programs, research,tools and resources, and leadership.CDC Global Health Goals, Objectives, and StrategiesCDC global health objectives align with a number of national strategies and plans including theDepartment of Health and Human Services (HHS) Strategic Plan, the CDC Strategic Framework,the U.S. National Security Strategy, the National Biodefense Strategy, and the U.S. Global HealthSecurity Strategy. CDC’s work supports a number of global and presidential initiatives across severalhealth priorities, including the Global Health Security Agenda, the Global Polio Eradication Initiative,the Measles and Rubella Initiative, the National Action Plan for Combatting Antibiotic ResistantBacteria (CARB), the Neglected Tropical Disease Initiative, the President’s Emergency Plan for AIDSRelief (PEPFAR), and the President’s Malaria Initiative (PMI). CDC works with multilateral partnerslike the World Health Organization (WHO), World Organization for Animal Health (OIE), Food andAgriculture Organization (FAO), and USG agencies like the U.S. Agency for International Development(USAID), Department of State (DoS), and Department of Defense (DoD). These diverse, multi-sectoralpartnerships best position the agency to affect change, maximize impact, and prevent disease amongpeople in the United States and around the world.Goal 1 - Health Impact: Save lives, improve health outcomes, and foster healthypopulations globallyAs the U.S. public health agency, CDC plays a prominent role in identifying and addressing leadingcauses of morbidity and mortality worldwide. Through cutting-edge science, real-time surveillance,laboratory diagnostics, and collaborative partnerships, CDC develops evidence-based programs andinterventions to target effectively diseases, populations, and regions. CDC leverages the expertise ofits workforce -- both at headquarters and in the field -- to improve health and well-being around theworld, continuously building the evidence base, scaling up what works, and applying lessons learned toreducing and eliminating future health threats. CDC works diligently to enhance the capacity of othercountries to prevent, detect, and respond to diseases and other public health threats at their source,helping to save lives, improve health, and eliminate disease in regions across the globe.5
CDC GLO B A L H E A LT H STR ATE G Y 2019-2021Objective 1.1: Reduce the morbidity and mortality of high burden diseases and conditions Collect data, analyze the information, and report on key findings to build the evidence base, targetspecific populations, and tailor preventive interventions Develop data-driven strategies and programs to prevent disease, promote optimal health, and improvehealth outcomes Implement, optimize, evaluate and scale interventions to maximize health impact and sustain improvedhealth and well-being1.1 Highlighted Focus AreasA. Achieving an AIDS-FreegenerationCDC supports the design andimplementation of HIV-focusedpopulation surveys, sometimesreferred to as “PHIAs” - Populationbased HIV Impact Assessments,which provide the clearest picture todate of the HIV epidemic in some ofthe world’s most affected countries.These national surveys – implementedunder the leadership of Ministriesof Health and by PEPFAR, CDC, andpartners such as ICAP at ColumbiaUniversity and the University ofMaryland– directly measure progresstoward global targets to control theHIV epidemic.Recent data show that up to 13 highHIV-burden countries are poised toachieve epidemic control by 2020.For example, Ethiopia has reachedHIV/AIDS epidemic control anddata from Uganda indicate that itspreviously expanding epidemic hasstabilized. CDC also uses data fromthese assessments to inform planningand the decisions surroundingreal-world, real-time public healthsolutions. CDC plays a critical rolein their implementation, lendingexpertise in epidemiology, laboratoryscience, and data analysis to helppartners design and implement thesurveys, and rapidly harness theresults for program improvement.B. Innovating TB and Malariaprevention and treatmentThe Malaria Frontline project inNigeria, building on infrastructureestablished for polio eradication, isproviding early lessons about howsystematic collection and reviewof malaria case data
CDC global health objectives align with a number of national strategies and plans including the Department of Health and Human Services (HHS) Strategic Plan, the CDC Strategic Framework, the U.S. National Security Strategy, the National Biodefense Strategy, and the U.S. G
Strategies for Reducing Health Disparities Selected CDC-Sponsored Interventions August 31, 2016 Karen Bouye, PhD, MPH, MS Office of Minority Health and Health Equity (CDC) . States, 2016. For more information, contact CDC 1-800-CDC-INFO (232-4636) TTY: 1-888-232-6348 www.cdc.gov
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