; (I) implement results-based contracting (such as pay-for-success) and financial and operational risk reduction; (J) promote a shift towards investments that support inclusive and sustainable business models; and (K) support the transition to domestic sustainably financed health systems. (3) Initial strategy For the purposes of this section, a strategy meeting the criteria described in paragraph (2) that is in effect as of the date of enactment of this section may be deemed to fulfill the establishment requirement in paragraph (1). (e) Establishment of child and maternal survival coordinator (1) In general The President shall designate a current USAID employee serving in a career or non-career position in the Senior Executive Service or at the level of a Deputy Assistant Administrator or higher to serve concurrently as the Child and Maternal Survival Coordinator. The Coordinator shall be responsible for— (A) overseeing the strategy established under subsection (d); and (B) all United States Government funds appropriated or used for international maternal and child health and nutrition programs. (2) Duties The Coordinator shall— (A) have the primary responsibility for the oversight and coordination of all resources and international activities of the United States Government appropriated or used for international maternal and child health and nutrition programs; (B) direct the budget, planning, and staffing to implement international maternal and child health and nutrition projects and programs for the purpose of achieving reductions in preventable child and maternal deaths; (C) lead implementation and revision, not less frequently than once every 5 years, of the strategy established under subsection (d)(1); (D) coordinate with relevant executive branch agencies, target countries, and relevant partner entities as appropriate, to carry out the strategy established under section 5(a) and to align current and future investments with high-impact, evidence-based interventions to save lives