USAID - FY 2006 PAR: Strategic Goal 7: Performance Results for Annual Performance Goal 1

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VII. Performance Results

For each initiative/program that supports accomplishment of this strategic goal, the most critical FY 2006 performance indicators and targets are shown below.

ANNUAL PERFORMANCE GOAL 1 — Effective Protection, Assistance, and Durable Solutions for Refugees, Internally Displaced Persons, and Conflict Victims.

I/P: Humanitarian Assistance

INDICATOR: Crude Mortality Rates (CMR) – Threshold
	Outcome
JUSTIFICATION: The crude mortality rate is the mortality rate from all causes of death for a population. The CMR is an accepted indicator of the extent to which the international community is meeting minimum standards of care and the overall effectiveness and performance of the international relief system. This indicator is used to measure emergency assistance among controlled populations, such as refugee camps.
FY 2006 PERFORMANCE	Target	In complex humanitarian crises, CMR does not exceed regional emergency thresholds in 95% of targeted sites. Support efforts to improve data collection, e.g., expand pilot data collection effort to other countries and partner organizations, and to take other measures to address any problems of excess mortality.
	Results	Criteria developed by Sphere established regional CMR thresholds for emergency response based on long-term CMR data in these areas. CMR did not exceed regional emergency thresholds in targeted refugee sites where data were available. The online interface of the Complex Emergencies Database (CE-DAT) has been greatly improved and data on mortality, nutritional status, and vaccination coverage has been expanded, benefiting both the USG and the international humanitarian community.
	Rating	Above Target
	Impact	The Department’s contributions to international humanitarian efforts save refugee lives.
PERFORMANCE DATA	Data Source	Centre for Research on the Epidemiology of Disasters; UN Nutrition Information in Crisis Situations; UN High Commissioner for Refugees (UNHCR), International Committee of the Red Cross (ICRC), Centers for Disease Control and Prevention; reports from international and nongovernmental organizations.
PERFORMANCE DATA	Data Quality (Verification)	The Department actively monitors Crude Mortality Rates reported by UNHCR, ICRC, and other international and non-governmental organizations. Refugee coordinators and program specialists monitor performance in the field and through regular consultations with partners in Washington and Geneva. CE-DAT provides accessible, high quality data on CMR in an increasing number of countries, as well as information regarding the methodology, accuracy and reliability of the data reported.
PAST PERFORMANCE	2005	Where data were available, CMR did not exceed regional emergency thresholds in over 98% of targeted refugee sites. In FY 2005, CMR was reported above the regional emergency threshold in four sites (three in Chad and one in Kenya) out of over 225 refugee camps and settlements worldwide. There was a decline in CMR among Sudanese refugees from Darfur, although the mortality rate remained an issue of concern in selected sites in Chad.
	2004	In June 2004, CMR exceeded 2/10,000 people per day among Sudanese refugees in Chad. With the Department’s support, the Centre for Research on the Epidemiology of Disasters created the Complex Emergencies Database to track data on CMR and nutritional status.
	2003	Where data were available, crude mortality rates did not exceed 1/10,000 people per day in refugee crises. Efforts to expand pilot data collection were delayed; the Department’s implementing partner did not reach the pilot stage of the project, but finalized guidelines and methodology for CMR surveys.

INDICATOR: Crude Mortality Rate (Death) – Trend
	Outcome
JUSTIFICATION: The Crude Mortality (Death) Rate (CMR) is the most vital public health indicator of the severity of a humanitarian crisis. The CMR is an accepted indicator of the extent to which the international community is meeting minimum standards of care and the overall effectiveness and performance of the international relief system. This indicator is used to measure emergency assistance among dispersed populations.
FY 2006 PERFORMANCE	Target	In complex humanitarian crises, USAID will ensure that 65% of sites are monitored and that the CMR declines or remains stable in two-thirds (2/3) of monitored sites for all USAID funded projects.
	Results	In complex humanitarian crises, USAID monitored 18.4% of sites. CMR declined or remained stable in two-thirds (2/3) of monitored sites.
	Rating	Below Target
	Impact	The impact of USAID’s assistance is difficult to measure because not all implementing partners have a systematic methodology to collect and report on performance data.
	Reason for Shortfall	NGO implementing partners need training to collect CMR data.
	Steps to Improve	Train NGOs implementing partners to collect CMR data. Systematize NGO reporting of survey data to USAID, the Complex Emergencies Database (CE-DAT)and the Center for Research on the Epidemiology of Disasters (CRED). In coordination with CRED, establish an independent expert group to verify data reliability and validity.
PERFORMANCE DATA	Data Source	The primary data source is surveys undertaken by NGO implementing partners with health programs. NGO survey data are compiled by the Center for Research on the Epidemiology of Disasters and integrated to the global CE-DAT data set, along with survey data from UN agencies, international organizations and other partners. used for global trend analysis and monitoring.
PERFORMANCE DATA	Data Quality (Verification)	CRED screens survey data for reliability and validity of data used for the CE-DAT database and for reporting.
PAST PERFORMANCE	2005	CMR remained stable in two-thirds of monitored areas. 41 sites were surveyed in 15 countries. Data available from 21 emergency sites showed that CMR declined from FY 2004 to FY 2005 in 68% of sites and increased in 31% of sites. SMART Methodology Version 1 was developed and officially rolled out at the interagency meeting hosted by UNICEF. This provides guidance on how to collect CDR – a first step toward improving data reliability.
	2004	CE-DAT officially launched as an online, publicly accessible data source for mortality, morbidity, and nutrition information.
	2003	The Department of State funded CE-DAT to compile data on CMR, nutrition, and other indicators. Pre-conflict baseline data were collected and established for 89 mortality survey populations in 26 countries.

INDICATOR: Nutritional Status of Children Under 5 Years of Age – Threshold
	Outcome
JUSTIFICATION: Nutritional status is a basic indicator for assessing the severity of crisis, together with Crude Mortality Rate. In emergencies, weight loss among children 6-59 months is used as a proxy indicator for the general health and well-being of the entire community. This indicator is used to measure emergency assistance among controlled populations, such as refugee camps.
FY 2006 PERFORMANCE	Target	In targeted sites, less than 10% of children under five suffer from global acute malnutrition.
	Results	Global Acute Malnutrition (GAM) is the term used to include all malnourished children whether they have moderate wasting, severe wasting or edema, or some combination of these conditions. It is defined as weight-for-height ratios that are less than or equal to two standard deviations below the mean (Z score of less than -2) or less than 80% median weight-for-height, and the presence of nutritional edema. In 98% of refugee camps and settlements (221 of at least 225 worldwide), less than 10% of children under five suffered from global acute malnutrition. GAM rates exceeded 10% in two camps in Bangladesh (Nayapara, Kutupalong), one in Uganda (Kyaka II), and one in Nigeria (Oru). In two camps in Chad (Oure Cassoni, Am Nabak), GAM rates temporarily rose above acceptable levels, but were quickly reduced with appropriate interventions. Recognizing that refugee camps in Bangladesh do not meet international standards, PRM Assistant Secretary Sauerbrey traveled to Bangladesh in August 2006. Following her visit, the Government of Burma signed a long-delayed agreement with UNHCR on improvement of the camps. The Department also provided the World Food Program with an additional $250,000 in FY 2006 to provide much needed food assistance to refugees in Bangladesh. The Department is working with UNHCR and other international and nongovernmental organizations to ensure that less than 10% of children under age five suffer from global acute malnutrition in refugee camps in Nigeria and Uganda.
	Rating	On Target
	Impact	Elevated rates of GAM directly contribute to increased rates of morbidity and mortality in children under five years of age. Malnutrition may also threaten refugee protection in terms of camp security, vulnerability to exploitation, and in extreme cases, involuntary return.
PERFORMANCE DATA	Data Source	Complex Emergencies Database (CE-DAT) established by the Centre for Research on the Epidemiology of Disasters (CRED); UN Standing Committee on Nutrition/ Nutrition Information in Crisis Situations (NICS); Centers for Disease Control and Prevention; reports from international and nongovernmental organizations.
PERFORMANCE DATA	Data Quality (Verification)	CE-DAT provides information regarding the methodology, accuracy and reliability of the data reported. The Bureau of Population, Refugees and Migration routinely monitors the nutrition surveillance and feeding programs of international and non-governmental organizations through refugee coordinators in the field and specialists based in Washington and Geneva.
PAST PERFORMANCE	2005	In 94% of refugee camps and settlements (211 of at least 225 worldwide), less than 10% of children under five suffered from global acute malnutrition. During FY 2005, GAM rates exceeded 10 % in two sites in Bangladesh, six sites in Chad, three sites in Ethiopia, and three sites in Kenya.
	2004	In June 2004, 36-39% of children under age five suffered from global acute malnutrition among Sudanese refugees in Chad. The Department and USAID continued supporting new tools and measures to improve data collection and reporting on nutritional status.
	2003	Baseline: In humanitarian crises where Department funds were provided, at least 90% of children under five had weight-for-height ratios that were greater than or equal to two standard deviations below the mean, or greater than 80% median weight-for-height, and an absence of nutritional edema.

INDICATOR: Nutritional Status of Children Under 5 Years of Age – Trend
	Outcome
JUSTIFICATION: Nutritional status is a basic indicator for assessing the severity of crisis, together with Crude Mortality Rate. In emergencies, weight loss among children 6-59 months is used as a proxy indicator for the general health and well-being of the entire community. This indicator is used to measure emergency assistance among dispersed populations.
FY 2006 PERFORMANCE	Target	In complex humanitarian crises, USAID will ensure 30% of sites are monitored, and nutritional status improves or remains stable in two-thirds of the monitored sites, for all of its funded projects.
	Results	In complex humanitarian crises, USAID ensured that 34.7% of sites were monitored and nutritional status remained stable in 82% of the monitored sites and improved in 18% of sites.
	Rating	Above Target
	Impact	Global Acute Malnutrition (GAM) rates are stable or improving in the majority of USAID funded sites being monitored.
PERFORMANCE DATA	Data Source	The primary data source is surveys undertaken by NGO implementing partners with health/nutrition programs. NGO survey data are compiled by the United Nations Standing Committee on Nutrition (UN SCN) and integrated to the global database, along with survey data from the UN, international organizations and other partners. Data are used for global trend analysis and monitoring.
PERFORMANCE DATA	Data Quality (Verification)	The UN SCN screens survey data for reliability and validity. USAID recommends establishing an independent expert group to further this work in coordination with the UN SCN.
PAST PERFORMANCE	2005	Nutritional status improved or remained stable in two-thirds of monitored sites. 163 emergency sites were surveyed in 23 countries. Data available from 40 emergency sites showed that nutritional status improved in 13% of sites from FY 2004 to FY 2005 and remained stable in 85% of sites. Nutritional status deteriorated in 2% of sites.
	2004	198 emergency sites surveyed in 22 countries (16 in Africa, four in Asia, one in Middle East, and one in South America).
	2003	Nutrition data compiled for 67% of selected conflict sites with Crude Mortality Rate data, mostly in the Africa region and countries with protracted emergencies, and Iraq and Afghanistan.

Photo showing Ambassador Tony Hall, former U.S. representative to the World Food Program, in Kenya, February, 2006.

Ambassador Tony Hall, former U.S. representative to the World Food Program, in Kenya, February, 2006.
Photo: Department of State

INDICATOR: Number of Beneficiaries Assisted by USAID Title II Emergency Food Aid
	Output
JUSTIFICATION: This indicator captures the total level of beneficiaries assisted by USAID Title II Emergency Food Aid.
FY 2006 PERFORMANCE	Target	66,927,121 beneficiaries expected to receive Title II Emergency Food Aid.
	Results	62,911,494 beneficiaries received Title II Emergency Food Aid.
	Rating	Below Target
	Impact	USAID assistance provides a wide range of life-saving and preparedness services to millions of beneficiaries each year.
	Reason for Shortfall	Title II emergency activities faced increased costs, as well as a difficult security and operational environment, in FY 2006.
	Steps to Improve	The necessary steps for this program’s improvement are pending and will be obtained once final FY 2006 results are reported.
PERFORMANCE DATA	Data Source	Preliminary result data from USAID operating units; implementing partner reports.
PERFORMANCE DATA	Data Quality (Verification)	The Agency’s performance data are verified using data Quality Assessments (DQA), and must meet five data quality standards of validity, integrity, precision, reliability and timeliness. The methodology used for conducting the DQAs must be well documented by each operating unit. (For details, refer to USAID’s Automated Directive System, Chapter 203.3.5, http://www.usaid.gov/policy/ads/200/203.pdf).
PAST PERFORMANCE	2005	44,018,945 beneficiaries, a 24% increase from FY 2004.
	2004	36,476,685 beneficiaries, a 12% decrease from the FY 2003 baseline.
	2003	Baseline: 46,692,847 beneficiaries.

Photo showing a USAID official checking the humanitarian supplies shipped by the U.S. to the port of Beirut, July 2006. USAID delivered around 20,000 blankets, 1,000 tarps and seven emergency medical kits in Lebanon.

A USAID official checks the humanitarian supplies shipped by the U.S. to the port of Beirut, July 2006. USAID delivered around 20,000 blankets, 1,000 tarps and seven emergency medical kits in Lebanon.
Photo: AP/Wide World

I/P: Refugee Admissions to the U.S.

INDICATOR: Refugees Resettled in the U.S., as a Percentage of the Ceiling
	PART Output
JUSTIFICATION: This indicator measures the effectiveness of the refugee admissions program overall and provides some insight into the Department’s performance in managing the process.
FY 2006 PERFORMANCE	Target	100% of the allocated ceiling of 60,000 refugees.
	Results	69%; 41,277 refugees were resettled in the U.S. out of the allocated ceiling of 60,000 refugees.
	Rating	Below Target
	Impact	Refugees and their families achieved a durable solution and started new lives in communities across the United States, although the number of refugees resettled in the U.S. fell below the annual allocated ceiling.
	Reason for Shortfall	Results for FY 2006 were below target as a result of: (1) delays due to material support issues; and (2) funding levels sufficient for only 54,000 refugees.
	Steps to Improve	The Department will continue to engage USG stakeholders on the importance of resolving material support issues.
PERFORMANCE DATA	Data Source	The Department of State’s Refugee Processing Center collects data on refugees admitted to the U.S.
PERFORMANCE DATA	Data Quality (Verification)	The Department’s Refugee Processing Center collects, records, and analyzes data on refugee admissions to the United States using the Worldwide Refugee Admissions Processing System.
PAST PERFORMANCE	2005	108%; 53,318 refugees were resettled in the U.S. of the allocated ceiling of 50,000 refugees.
	2004	106%; 52,868 refugees were resettled in the U.S. of the allocated ceiling of 50,000 refugees.
	2003	Out of a ceiling of 70,000 refugees, 28,422 (41%) were resettled.

Photo showing two Karen boys standing inside a temporary home at Tham Hin Refugee Camp in Ratchaburi Province, south of Bangkok, Thailand. Some 2,700 Myanmar refugees who fled persecution and now live in a border camp are to depart for the United States by the end of 2006.

Two Karen boys stand inside a temporary home at Tham Hin Refugee Camp in Ratchaburi Province, south of Bangkok, Thailand. Some 2,700 Myanmar refugees who fled persecution and now live in a border camp are to depart for the United States by the end of 2006.
Photo: AP/Wide World

I/P: Humanitarian Mine Action

INDICATOR: Number of Countries Meeting Target of Self-Sufficiency or Reaching Final
Bilateral Program Objectives
	PART Output
JUSTIFICATION: Department of State oversees bilateral humanitarian mine action programs worldwide which include strategic planning, capacity development, mine action training, victims’ assistance and mine risk education. This indicator captures the total number of countries that have graduated from receiving U.S. assistance to self-sufficiency.
FY 2006 PERFORMANCE	Target	17 countries.
	Results	17 countries.
	Rating	On Target
	Impact	U.S. Government training and assistance have provided the foundation for seventeen countries to achieve self-sufficiency to carry out humanitarian demining programs in their countries. By clearing land and infrastructure of dangerous mines, countries are able to increase food production, safely return refugees and Internally Displaced Persons, reopen key transportation corridors and restore a sense of public safety.
PERFORMANCE DATA	Data Source	Department of State reporting from nation-partners, implementing partners, and U.S. embassies of successful completion of host-nation strategic and national objectives.
PERFORMANCE DATA	Data Quality (Verification)	The Department overseas humanitarian mine action programs and works with national partners and implementing partners to track and verify levels of self-sufficiency.
PAST PERFORMANCE	2005	17.
	2004	17.
	2003	12.

Photo showing members of the U.S. military delivering humanitarian relief supplies in Pakistan. The U.S. military and Pakistani military worked together to coordinate the delivery of humanitarian assistance following the devastating October 2005 South Asian earthquake.

Members of the U.S. military deliver humanitarian relief supplies in Pakistan. The U.S. military and Pakistani military worked together to coordinate the delivery of humanitarian assistance following the devastating October 2005 South Asian earthquake.
Photo: USAID/Ngoc Clark

I/P: World Food Program Donor Base

INDICATOR: Percentage of Non-USG Contributions to UN World Food Program
	Output
JUSTIFICATION: The UN World Food Program (WFP) is a generally well-run organization, but its effectiveness can be compromised by over-reliance on USG contributions. More contributors and greater contributions from existing contributors are needed to keep WFP’s crisis response capacity at its current level.
FY 2006 PERFORMANCE	Target	WFP has sufficient funds to meet priority needs, with contributions from many donor countries and the private sector. Non-USG contributions are 55% of total contributions.
	Results	WFP continues to actively solicit contributions from new donors including from the private sector. WFP works on a calendar year basis. As of September 15, 2006, WFP had received $1.9 billion in contributions for CY 2006, of which $793 million was from the United States. Non-U.S. Government contributions amounted to 59% of total contributions.
	Rating	Above Target
	Impact	Contributions to WFP enable it to provide both emergency and development food aid to people in need.
PERFORMANCE DATA	Data Source	UN World Food Program.
PERFORMANCE DATA	Data Quality (Verification)	The Department tracks and verifies performance data provided through WFP’s accounting.
PAST PERFORMANCE	2005	Four new donors participated—Azerbaijan, Liechtenstein, Namibia, and Trinidad and Tobago—and WFP had received $2.08 billion in contributions, of which $934 million were from the United States. Non-U.S. Government contributions were 55% of total.
	2004	As of October 2004, there were seven new donors to WFP—Madagascar, Guatemala, Ecuador, United Arab Emirates, Iran, Pakistan, and Zimbabwe—and WFP had received $1.562 billion in contributions, of which $718 million were from the United States. Non-USG contributions were 54% of total contributions.
	2003	As of September 2003, WFP had nine new donors—Cameroon, El Salvador, Greece, Kuwait, Malta, Marshall Islands, Qatar, Russia, and Vietnam—and non-USG contributions to WFP totaled $877 million, an increase of less than 1% over 2002 contributions.

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		Last Updated on: February 02, 2007