[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H. Res. 389 Introduced in House (IH)]
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118th CONGRESS
1st Session
H. RES. 389
Acknowledging the essential contributions of frontline health workers
to recovering progress and further expanding and sustaining gains in
global health, saving the lives of millions of women, men, and children
around the world, and strengthening the United States national security
and global economic prosperity.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 11, 2023
Mr. Bera (for himself and Mrs. Kiggans of Virginia) submitted the
following resolution; which was referred to the Committee on Foreign
Affairs
_______________________________________________________________________
RESOLUTION
Acknowledging the essential contributions of frontline health workers
to recovering progress and further expanding and sustaining gains in
global health, saving the lives of millions of women, men, and children
around the world, and strengthening the United States national security
and global economic prosperity.
Whereas frontline health workers are a critical and cost-effective component to
building country resilience and the capacity to save lives, foster
inclusive economic growth, develop a strong primary health care system
that delivers essential life-saving services, and prevent and respond to
humanitarian crises and global health security threats from infectious
diseases, including COVID-19, Ebola, and HIV/AIDS;
Whereas the estimated 235,000,000 people in 2021 affected by humanitarian
crises, including public health emergencies, conflicts, and natural
disasters, was 67-percent higher than the 4 years prior;
Whereas, every day, more than 15,000 children die worldwide, mostly from
preventable causes, and 810 women die due to pregnancy or childbirth-
related complications;
Whereas, every year, millions of people succumb to HIV/AIDS, tuberculosis,
malaria, and other treatable and often preventable chronic conditions;
Whereas an estimated 665,000,000 people contracted COVID-19 from 2020 through
January 2023, and the World Health Organization recorded close to
15,000,000 excess deaths globally in 2020 and 2021, making it the most
devastating pandemic in modern times;
Whereas the COVID-19 pandemic threatened the global economy and caused trillions
of dollars in economic losses;
Whereas a shortage of available health workers was the largest constraint to
ensuring the continuity of essential health services during the COVID-19
pandemic, leading to service disruptions and gaps in care;
Whereas frontline health workers are leaving the profession at alarming rates
due to being overburdened and high levels of burnout;
Whereas frontline health workers include a range of occupations who work for
salaries, stipends, nonmonetary incentives, or on a volunteer basis,
including community health workers, midwives and other perinatal health
workers, nurses, pharmacists, doctors, and surgeons;
Whereas the World Health Organization reports that the world will face a
shortfall of at least 10,000,000 health workers by 2030 without
immediate and concerted action, particularly in low- and middle-income
countries, many of which are in sub-Saharan Africa and Asia, and these
are regions that have the greatest share of the global disease burden
and the highest number of preventable deaths, and from which many
emerging and reemerging global health threats originate;
Whereas nations with healthy populations are more likely to be productive,
prosperous, and peaceful, while countries with poorer health are more
prone to instability, conflict, and extremism;
Whereas the United Nations Secretary-General's High-Level Commission on Health
Employment and Economic Growth found that health employment is a force-
multiplier for inclusive economic growth and that health investments
provide a 9-fold economic return;
Whereas frontline health workers are particularly crucial during natural or
complex emergency situations to saving lives and aiding communities to
recover, rebuild, and become more resilient;
Whereas health workers provide lifesaving care at great personal risk in fragile
settings and during disease outbreaks, such as the between 80,000 to
180,000 health and care workers estimated to have died from COVID-19 in
the period between January 2020 to May 2021;
Whereas, since 2020, there have been more than 2,350 attacks on health care
facilities, transport, and personnel, leading to more than 750 health
workers killed in countries in conflict and impeding access to essential
health services for millions while exacerbating crises;
Whereas United States leadership and investment have led to dramatic successes
in global health outcomes, including the reduction of child mortality by
60 percent and of maternal mortality by 38 percent from 1990 to 2020,
the reduction of new HIV infections by 31 percent from 2010 to 2020, and
the decrease in malaria mortality by 38 percent from 2000 to 2019, and
this progress has contributed to corresponding productivity and economic
growth;
Whereas access to a well-trained, well-equipped, and well-supported frontline
health workforce is critical to reversing lost gains from COVID-19,
including the first global reduction in life expectancy in over half a
century, and the efficacy and sustainability of United States global
health programs;
Whereas frontline health workers are a trusted workforce who are the first, and
often only, link to health services for millions of people living in
low- and middle-income countries and provide services where they are
most needed, especially in rural and hard-to-reach areas;
Whereas frontline health workers too often work without reliable access to the
resources and equipment they need to adequately protect themselves and
their patients, including personal protective equipment, clean water,
decent toilets, and handwashing facilities with soap, limiting their
ability to provide essential health services to the communities they
serve;
Whereas partnerships with civil society organizations and the private sector in
adequately training, equipping, compensating, protecting, and supporting
frontline health workers help countries achieve progress toward global
health goals;
Whereas, despite the key role of frontline health workers in improving health,
advancing peace and security, and spurring economic growth, the World
Bank and the World Health Organization estimate that, prior to the
COVID-19 pandemic, at least half the world's population lacked access to
essential health services, and health systems have been further strained
since the COVID-19 pandemic began;
Whereas the Commission on Health Employment and Economic Growth found that
increased health workforce employment is critical to saving lives,
spurring inclusive economic growth, and promoting women's empowerment,
as women comprise at least 70 percent of the health workforce and make
up 90 percent of health workers in patient-facing roles, but they face a
significant gender pay gap and hold just 25 percent of health leadership
positions; and
Whereas successful implementation of the United States global health
contributions and improved health and socioeconomic outcomes for those
served by these programs requires integrated, flexible, and cross-
sectoral programming: Now, therefore, be it
Resolved, That the House of Representatives--
(1) reaffirms the central role of local frontline health
workforces in achieving the objectives of global health
programs administered by the Department of State, the United
States Agency for International Development, the Department of
Health and Human Services, including the Centers for Disease
Control and Prevention, the Department of Defense, and other
relevant agencies, as well as multilateral institutions,
nongovernmental organizations, and private sector organizations
supported by the United States;
(2) acknowledges that in the aftermath of natural
disasters, disease outbreaks, and conflicts, frontline health
workers perform critical services under difficult working
conditions, often at great personal risk, to save the lives of
those without adequate access to medicines, equipment, or safe
water and sanitation;
(3) recognizes the damaging effects of gender and economic
disparities in the health workforce, given that most frontline
health workers are women, and that most of them are unpaid or
underpaid;
(4) urges greater global attention and support for local
frontline health workers to ensure their protection and ability
to respond effectively during humanitarian and public health
crises, including with adequate personal protective equipment
and other essential health product supplies to guard against
disease, and protection of frontline health workers and
populations in conflict-affected States from deliberate and
indiscriminate attacks and targeting;
(5) calls on all relevant Federal agencies to utilize
existing flexibilities to implement integrated and cross-
sectoral programming across global health accounts to
strengthen frontline health workforce teams and the systems
supporting them with concrete targets and clear accountability
mechanisms to support delivery of resilient and sustainable
access to essential, quality health services; and
(6) encourages all relevant Federal agencies to facilitate
collaborative learning between domestic and global frontline
health workforce strengthening programs to improve
effectiveness and health outcomes, and to prioritize the
mobilization of additional private and public resources to
ensure that frontline health workers are able to advance
sustainable global health progress around the world.
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