Academic global health programs are proliferating, and global health partnerships between North American academic institutions and institutions in low- and middle-income countries are steadily increasing. This study employs surveys and key informant interviews to examine global health partnerships, and it presents a framework for success to guide the development of sustainable global health programs and partnerships with measurable, defined impact. Eighty-two North American academic institutions and 46 international partnering institutions participated in the survey. Key informant interviews were conducted with global health leaders at 15 North American academic institutions and 11 partnering international institutions. Quantitative data were analyzed using linear regression, and qualitative data were used in thematic analyses. The surveys and interviews provide evidence of mutual benefits resulting from these global health partnerships, as well as areas for further development and improvement.

U.S. leadership in global health advances core U.S. interests. It fulfills shared humanitarian values by saving and enhancing lives. It strengthens health security against common and emerging threats. And it promotes stability and prosperity in far-flung communities in the developing world who strive for better health and better lives for their families. For all these reasons, supporting global health should remain a U.S. government and budget priority-and as the second Obama administration and incoming Congress commence their work, this collection of essays offers pragmatic, informed guidelines for seizing the opportunities ahead. The volume analyzes seven important dimensions of a complex, widening U.S. global health agenda: HIV/AIDS; malaria; polio eradication; women's health; health security; health diplomacy; and multilateral partners. Each essay catalogs and interprets the past four years' developments in its respective focal area, charting the measurable health impacts for which the United States can claim at least partial credit, and highlighting persistent problems and challenges. The essays conclude with concrete recommendations on how the United States can achieve the best results in the next four years in promoting the improvement of health, especially among the world's most vulnerable citizens.

Over the last decade, the U.S. Navy has gone beyond disaster response to substantially enlarge its scheduled, preplanned humanitarian engagement in the Pacific, the Americas, and Africa. After an expansionary period that began with the 2005 response to the Indian Ocean tsunami, intensifying budget pressures are now triggering spirited debate within the Department of Defense (DoD) about the true value of these "soft power" missions, which utilize scarce personnel, funding, and assets that otherwise would be dedicated to more traditional and more easily measured and justified "hard power" missions. To help frame and inform this complex debate, CSIS launched in June 2012 an independent study of U.S. Navy humanitarian assistance, chaired by Admiral Gary Roughead, U.S. Navy (retired). While in different ways each military service has made remarkable humanitarian contributions, the Obama administration's strategic rebalance to Asia and the accompanying emphasis on the Pacific makes a study of U.S. Navy strategic engagement particularly timely. Ideally, the issues presented by naval humanitarian assistance will have implications and lessons for other DoD engagement activities.