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Testimony Before the Senate Committee on Foreign Relations Administrator Designate Dr. Rajiv Shah December 1, 2009
Date:12/1/2009

ges.

The very scale of these development challenges can sometimes seem insurmountable. But I learned at the Gates Foundation what many on this committee and at USAID already know - success is possible. But this requires smart, targeted investments to generate real, sustainable results - so long as we build real capacity and meaningful partnerships, couple long-term strategic planning with cost-effective execution and, most importantly, demand from our partners and from ourselves accountability for results.

In helping to make and oversee billions of dollars in development investments, I have had the opportunity to see what kind of breakthroughs are possible. For example, I helped build the Global Alliance for Vaccine and Immunizations to address the troubling reality that too many children die needlessly because they do not receive basic immunizations. The Alliance brought together partners from the public sector, developing countries, private industry and NGOs and created innovative and cost effective new tools to accelerate vaccine introductions, establish long-term, predictable finance, invest in sustainable health systems development, and document results. In its first decade, the Alliance has supported nearly 250 million additional immunizations for children in low income countries, saved millions of lives and created a platform for the development and introduction of new vaccines - tomorrow's solutions for diseases including pneumonia, diarrhea and malaria. Today, global immunization rates in low-income countries are up to a record 79 percent, and USAID has been an important partner in this effort.

But USAID's successes and learnings go well beyond immunization. Working in partnership with host countries and their people, USAID has helped spur lasting progress throughout the world. For example, USAID helped lead the Green Revolution, which saved hundreds of millions of lives, by providing early funding, policy and
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SOURCE U.S. Agency for International Development
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