2013 Survey of Americans on U.S. Global Health Policy Chartpack

59%

54%

43%

37%

36%

35%

34%

34%

31%

22%

17%

31%

36%

50%

43%

36%

45%

49%

45%

46%

42%

41%

9%

9%

6%

18%

25%

19%

16%

20%

19%

33%

39%

Fighting global terrorism

Protecting human rights

Helping out in areas affected by natural disaster

Promoting opportunities for women and girls around the world

Protecting the environment and fighting climate change

Improving education in developing countries

Improving health for people in developing countries

Helping to reduce poverty in developing countries

Promoting stability of global financial markets

Promoting democracy in other countries

Providing military assistance to developing countries

One of the top priorities Important, but not top priority Not that important

Terrorism, Human Rights Top Priorities For World Affairs; Many Others, Including Health, Rated Important

NOTE: Some items asked of half sample. Not at all important (vol.) and Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

I’m going to read you some different things the president and Congress might try to do when it comes to world affairs. As I read each one, tell me if you think it should be one of their top priorities, important but not a top priority, or not that important?

64%

60%

57%

49%

43%

40%

39%

38%

37%

35%

31%

29%

29%

34%

34%

38%

42%

46%

48%

48%

45%

48%

43%

49%

6%

6%

8%

11%

12%

13%

11%

12%

15%

15%

24%

21%

Improving access to clean water

Children's health, including vaccinations

Reducing hunger and malnutrition

Preventing and treating HIV/AIDS

Combating global pandemic diseases like swine flu

Building and improving hospitals and other health care facilities

Preventing and treating malaria

Preventing and treating tuberculosis

Eradicating polio

Efforts to reduce the number of women who die during childbirth

Improving access to family planning, reproductive health

Preventing and treating heart disease, other chronic diseases

One of the top priorities Important, but not top priority Not that important

All Health Priorities Seen As Important; Clean Water, Children’s Health, Nutrition Rise To Top

NOTE: Items asked of half sample. Not at all important (vol.) and Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

I’m going to read you some different areas in which the U.S. might contribute to efforts to improve health in developing countries, and for each, I’d like you to tell me if this should be one of the top priorities, important but not a top priority, or not that important.

Yes 52%

Don't know/ Refused

11%

No 37%

SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

Half Say Polio Eliminated In U.S., Three-Quarters Know It Has Not Been Eliminated In Rest Of World

Yes 11%

Don't know/ Refused

15% No 74%

As far as you know, has the disease polio been eliminated in the U.S., or not?

How about outside of the U.S., as far as you know, has the disease polio been eliminated in the rest of the world, or not?

4%

12%

13%

15%

14%

7%

8%

12%

17%

0-1%

2-5%

6-10%

11-20%

21-30%

31-40%

41-50%

51% or more

Don't know/Refused

Public Overestimates Share Of Budget Going To Foreign Aid


Just your best guess, what percentage of the federal budget is spent on foreign aid?

Average answer = 28% of the federal budget is spent on foreign aid

Too much 61%

Don't know/ Refused

7%

About the right amount

18%

Too little 13%


Information Can Change Perceptions About Amount Spent On Foreign Aid

Too much 30%

Don't know/ Refused

11%


31%

Too little 28%

Do you think the U.S. is now spending too much, too little, or about the right amount on foreign aid?

What if you heard that about one percent of the federal budget is spent on foreign aid? Would you still think that the U.S. is spending [too much/too little/about the right amount] on foreign aid, or would you now say that the U.S. spends…

65%

47%

40%

39%

39%

26%

42%

41%

48%

46%

7%

8%

15%

10%

11%

Military assistance

Addressing health issues like HIV/AIDS,tuberculosis, and malaria in developing

countries

General support for the countries receiving aidto use as they see fit

Improving education in developing countries

Building and strengthening infrastructure indeveloping countries, such as building roads

and providing electricity

Major part Minor part Not a part

Military Assistance Most Likely To Be Seen As Major Part Of Foreign Aid

NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

For each of the following, please tell me if you think it is a major part, a minor part, or not a part of U.S. foreign aid spending:

Too much 61%

Don't know/

Refused 7%

About the right

amount 18%

Too little 13%


Specificity Matters: More Support For Spending To Improve Health Than Generic “Foreign Aid”

Too much 30%

Don't know/

Refused 9%

About the right

amount 30%

Too little 31%

Do you think the U.S. is now spending too much, too little, or about the right amount on foreign aid?

Do you think the U.S. is now spending too much, too little, or about the right amount on efforts to improve health for people in developing countries?

23% 25%

28%

21%

30%

39%

32%

42%

34%

30% 26%

34%

23%

32%

31%

0%

20%

40%

60%

80%

March 2009 October 2009 August 2010 February 2012 August 2013

Too much About the right amount Too little


Trend In Views Of U.S. Spending On Health In Developing Countries Do you think the U.S. is now spending too much, too little, or about the right amount on efforts to improve health for people in developing countries?

68%

54%

38%

37%

31%

45%

59%

59%

Helps protect the health of Americans bypreventing the spread of diseases like

SARS, bird flu, and swine flu

Helps improve the U.S. image around theworld

Helps U.S. national security by lesseningthe threat of terrorism originating in

developing countries

Helps the U.S. economy by improving thecircumstances of people who can buy

more U.S. goods

Yes, helps Does not have much impact

Public Sees Benefits For Protecting Americans’ Health And Improving U.S. Image, Less So For Terrorism and Economy


Do you think spending money on improving health in developing countries [INSERT ITEM], or does it not have much impact?

45%

15%

15%

13%

8%

3%

Because it's the right thing to do

To improve our diplomatic relationships

To help the U.S. economy by creating new marketsfor U.S. businesses

To help ensure U.S. national security

To improve the U.S.'s image around the world

Other/None of these (vol.)

Moral Reason For Global Health Spending Trumps Self-Interest


Next, I’m going to read you some reasons why the U.S. might spend money on improving health for people in developing countries, and I’d like you to tell me which you think is the most important reason.

The U.S. should participate in

international efforts, so other countries will do

their fair share and efforts will be better coordinated

62%

Both/Neither/ Don’t know/Refused

6%

The U.S. should operate on its own, so it has more control over how money is spent and gets more credit and influence in

the country receiving aid 31%


Most Prefer U.S. To Participate In International Efforts

Which comes closer to your opinion? When giving aid to improve health in developing countries…

71%

62%

73%

65% 65%

23%

33%

22%

31% 31%

0%

20%

40%

60%

80%


The U.S. cannot afford to spend more money on improving health for people in developing countries

It is more important than ever for the U.S. to spend more money on improving health for people in developing countries


Economic Problems Continue To Make Public Wary Of Increasing Global Health Spending Which of the following comes closer to your view? Given the serious economic problems facing the country and the world right now…

47%

36%

34%

31%

18%

14%

13%

11%

7%

33%

32%

22%

32%

34%

27%

15%

22%

19%

16%

26%

34%

32%

44%

55%

71%

64%

70%

Foreign aid

Salaries/benefits for federal government workers

Part of the 2010 health care law providing financial helpfor low/moderate income to buy insurance

Addressing health issues like HIV/AIDS, tuberculosis, andmalaria in developing countries

National defense

Medicaid

Public education

Medicare

Social Security

Major reductions Minor reductions No reductions

Most Support At Least Minor Reductions In Aid Spending To Reduce Deficit

NOTE: Items asked of separate half samples. Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Global Health Survey Omnibus Supplement (conducted August 22-25, 2013)

Percent who say they would support major, minor, or no reductions to spending on each of the following in order to reduce the federal budget deficit:

51%

43%

49%

47%

53%

40%

51%

46%

49%

44%

0%

20%

40%

60%

80%


Spending more money won't make much difference Spending will lead to meaningful progress

NOTE: Depends (vol.) and Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

Public Divided On Whether More Spending Will Lead To Progress In general, do you think more spending from the U.S. and other wealthier countries will lead to meaningful progress in improving health for people in developing countries, or that spending more money won’t make much difference?


Most Say U.S. Aid Doesn’t Have Good “Bang For Buck”; A Third Perceive Positive Impact On Self-Sufficiency

Thinking about the “bang for the buck” of U.S. spending to improve health in developing countries, that is the number of lives saved relative to the money spent. Would you say the bang for the buck of this spending is:

More self-sufficient

36%

Don't know/ Refused

4%

Doesn't have much impact

36%

Less self-sufficient

24%

For the most part, do you think that U.S. spending to improve health in developing countries makes people and communities in these countries more self-sufficient, less self-sufficient, or doesn’t have much impact on how self-sufficient they are?

Excellent 4%

Good 21%

Don't know/ Refused

10% Only fair

39%

Poor 27%

83%

67%

61%

52%

47%

26%

Corruption and misuse of funds

Widespread poverty

Lack of political leadership

Lack of infrastructure and resources

Lack of effective programs

Not enough money from the U.S. andother wealthier countries

NOTE: None of these (vol.) and Don’t know/Refused answers not shown for follow-up question. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

Corruption Seen As Biggest Barrier To Improving Health In Developing Countries

Percent who say that each is a major reason why it has been difficult to improve health for people in developing countries:

Which of these is the MOST important reason why it has been difficult to improve health for people in developing countries?

47%

14%

14%

10%

4%

5%

74% 72% 75%

68% 64%

34%

49%

41%

35%

22% 18% 19% 18%

12%

11% 13% 12% 11%

0%

20%

40%

60%

80%

100%


Pay at least "some" attention to issues of health in developing countriesDonated money to an organization working on health in developing countries in past yearPay "a lot" of attention to issues of health in developing countriesVolunteered for an organization working on health in developing countries in past year


Reported Level Of Engagement In Global Health Issues Over Time Percent who say they do/have done each of the following:

15%

14%

21%

33%

31%

36%

39%

41%

35%

14%

13%

8%

August 2013

February 2012

August 2010

A lot Some Only a little Nothing at all

Visibility Of U.S. Government Efforts Down Somewhat Since 2010


During the last year, how much, if anything, have you personally seen, heard, or read about U.S. government efforts to improve health for people in developing countries, such as those in Africa, Asia, and Latin America?

40%

25%

24%

24%

15%

10%

7%

7%

25%

26%

27%

27%

21%

17%

17%

13%

28%

36%

35%

33%

34%

35%

36%

26%

6%

12%

14%

16%

29%

37%

40%

54%

Hunger and malnutrition

HIV/AIDS

Children's health

Global pandemics, like the flu

The health of pregnant women and mothers

Family planning

Tuberculosis

Polio

A lot Some Only a little Nothing at all

Top Global Health Topics People Report Seeing In News: Hunger, HIV/AIDS, Child Health, And Pandemics

NOTE: Items asked of half sample. Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation 2013 Survey of Americans on the U.S. Role in Global Health (conducted August 6-20, 2013)

During the last year, how much, if anything, have you personally seen, heard, or read in the news about each of the following in developing countries?

28%

17%

14%

11%

9%

43%

32%

29%

28%

19%

22%

24%

19%

31%

19%

7%

27%

38%

30%

51%

The news media, including television,newspaper, radio, and internet news

Non-profit organizations or charities

Churches or other religious instititutions

Conversations with friends and family

Social media, like Facebook or Twitter

A lot of information Some information Not much information None at all

News Media Is Public’s Top Source Of Information On Global Health


In the past year, how much information about the health of people in developing countries have you gotten from each of the following?

Too much 12%


34%

Don’t know/ Refused

4%

Too little 50%


Half Say News Media Spends Too Little Time On Global Health; Coverage Seen As Mostly Balanced

All or mostly positive stories

28%

Both about the same

13% All or mostly negative stories

26% Don't know/ Refused

2%

Haven't seen negative or

positive stories

32%

Do you think the news media spends too much, too little, or about the right amount of time covering issues of health in developing countries?

In the past year, have you seen more negatives stories or more positive stories in the news about efforts to improve health for people in developing countries, or has the number of stories been about the same?

70%

63%

62%

59%

41%

35%

24%

25%

32%

35%

54%

41%

6%

11%

6%

6%

5%

24%

Former President Bill Clinton

Bill Gates, the former CEO of Microsoft

Former Secretary of State Hillary Clinton

President Barack Obama

Former President George W. Bush

Secretary of State John Kerry

Yes, stands out as a leader No, doesn't stand out as a leader Don't know/ Refused

Bill and Hillary Clinton, Bill Gates, Barack Obama Stand Out To Public As Leaders In Global Health


I’m going to read you a list of people, and I’d like you to tell me for each one whether you think this person stands out as a leader in efforts to improve health for people in developing countries.

30%

24%

30%

39%

30%

29%

31%

32%

31%

40%

30%

20%

Total

Democrats

Independents

Republicans

Too much About the right amount Too little

Views of Current Levels of U.S. Global Health Spending By Party ID


Do you think the U.S. is now spending too much, too little, or about the right amount on efforts to improve health for people in developing countries?

44%

55%

45%

31%

53%

42%

53%

67%

Total

Democrats

Independents

Republicans

Will lead to meaningful progress Won't make much difference

Democrats More Likely To Say Global Health Spending Will Lead to Meaningful Progress


In general, do you think more spending from the U.S. and other wealthier countries will lead to meaningful progress in improving health for people in developing countries, or that spending more money won’t make much difference?

36%

44%

36%

30%

36%

33%

36%

39%

24%

20%

25%

29%

Total

Democrats

Independents

Republicans

More self-sufficient Doesn't have much impact on self-sufficiency Less self-sufficient

Republicans More Likely To Perceive Negative Impact On Self-Sufficiency


For the most part, do you think that U.S. spending to improve health in developing countries makes people and communities in these countries more self-sufficient, makes them less self-sufficient, or doesn’t have much impact on how self-sufficient they are?

4%

6%

3%

2%

21%

23%

24%

16%

39%

42%

37%

41%

27%

20%

28%

33%

Total

Democrats

Independents

Republicans

Excellent Good Only fair Poor

Few Say Global Health Spending Delivers Good “Bang for the Buck”


Next, thinking about the “bang for the buck” of U.S. spending to improve health in developing countries, that is the number of lives saved relative to the money spent. Would you say the bang for the buck of this spending is…?

2013 Survey of Americans on U.S. Global Health Policy Chartpack

Health & Medicine

Transcript of 2013 Survey of Americans on U.S. Global Health Policy Chartpack