While there has been substantial progress in improving health outcomes over the past decade, Armenia still faces issues in the areas of maternal and child health; reproductive health; and multi-drug resistant tuberculosis (MDR-TB). Armenia is not on track to meet its Millennium Development Goals target for under-five (U5MR) and maternal mortality rates (MMR). Stunting or chronic malnutrition has grown in the past decade. Human capital development in Armenia is slightly above the Eurasian average, while public expenditures in health (1.79% relative to GDP) and education are remarkably lower than regional and even world standards, which makes it critical to maximize the efficiency and use of health care resources.
USAID has made important investments in laying the foundation for a more equitable and efficient Armenian health system. With USAID assistance, the GOAM introduced a Basic Benefits Package (BBP), providing free primary health care and maternity services to all Armenians. Every resident is also now able to choose his or her own health care provider in the Open Enrollment System. In partnership with the Ministry of Health, family doctor and nursing skills improved and family medical practitioners opened independent practices. Targeted interventions and focused commitment resulted in U5MR decreasing by nearly half and improvements in vaccination and antenatal care coverage.
USAID is engaged in a strategic partnership with the Government of Armenia, civil society, and other stakeholders to address weaknesses and gaps in the health system that are essential in reducing maternal and child mortality and the burden of TB in the country. USAID targets both access to and quality of care as the two most important components of a well-functioning health system. The Mission also supports the Government of Armenia to improve relevant legislation, financial audit and public expenditure reviews to ensure efficient use of funds. In addition, USAID coordinates with other donors, including the World Health Organization (WHO) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), to work with the State Health Agency and National Tuberculosis Program (NTP) on refining the provider payment system for TB services.
USAID will follow a more focused approach in health care programming in Armenia with an emphasis on sustainable approaches and increased host-country ownership. Over the course of the 2013-2017 strategy, the Mission will gradually phase out assistance to the sector while preserving the legacies and improved outcomes of USAID’s twenty years of assistance. To this end, USAID will strive to create partnerships among government and non-governmental organizations to ensure productive collaboration and delineation of roles and responsibilities in delivering health services.
Expansion of the Armenian-American Wellness Center (AAWC): This Global Development Alliance project provides physical examinations, health promotion, breast and cervical cancer screening to Armenia population. About 90% of the clinic’s beneficiaries are women and girls.
The 2010 Armenia Demographic Health Survey (ADHS) is the third of its kind, serving as USAID’s primary demographic and health data collection project. DHS survey tackles the following: (1) demographic data on respondents and households, including Wealth Quintiles, (2) reproductive health statistics, (2) child nutrition and health indicators, (3) maternal health outcomes, (4) women’s demographic and health outcomes, (5) status of non-communicable and communicable diseases of social importance, such as common chronic disorders, HIV and Tuberculosis. (Project URL: http://www.measuredhs.com)
Center of Excellence for the Prevention of Childhood Blindness (CEPCB) - the project provides technical assistance to prevent the incidence of childhood blindness due to retinopathy of prematurity (ROP) through establishing a Regional Center of Excellence. The project seeks to decrease incidence of lifelong blindness in premature infants in Armenia and the region, improve image of Armenia as a country with the capacity to provide high-quality specialized eye care services, and improve communication among eye care specialists in the region.
Emergency Medical Care Services for Armenia’s Population - this activity with the Ministry of Health of Armenia aims to enhance experience and increase capacity of the Ministry of Health in designing, implementing and monitoring targeted innovative health programs that are contributing to improved access to quality medical services for the population of Armenia.
WHO grant on Technical Assistance of Tuberculosis (TB) Services: USAID Armenia is providing technical assistance to develop TB policy documents as well as conduct policy-level research focusing primarily on prevention of TB and Multi-Drug Resistant TB (MDR TB) cases and improvement of antibiotic prescription practice in Armenia.
Last updated: October 11, 2013