|
|
|
|
|
|
|
|
|
|
  |
 |
  |
BENIN
Activity Data Sheet
>> AFR Regional Overview >> Benin Overview PROGRAM: BENIN
TITLE AND NUMBER: Increased Use of Family Health Services and Preventive Measures in a Supportive Policy Environment, 680-002
STATUS: Continuing
PLANNED FY 2001 OBLIGATION AND FUNDING SOURCE: $2,238,000 DA; $4,438,000 CSD
PROPOSED FY 2002 OBLIGATION AND FUNDING SOURCE: $2,171,000 DA; $4,605,000 CSD
INITIAL OBLIGATION: FY 1997; ESTIMATED COMPLETION DATE: FY 2003Summary: USAID established a program to increase the use of preventive health measures and family health services. This program was established after Benin's first Demographic and Health Survey (1996) which revealed that the average woman in Benin gives birth to 6.3 children over the course of her childbearing years and that only 3.4% of women in union use modern contraception. Furthermore, maternal mortality rates were estimated at more than 500 maternal deaths per 100,000 births, and it was estimated that 167 of every 1,000 children born in Benin die before the age of five. In FY 2000, the HIV/AIDS rate rose to over 4%, with some rural areas registering prevalence rates as high as 14%.
National-level interventions with the Ministry of Health (MOH) focus on developing and improving policies and guidelines on key family health issues, improving weak management and planning systems and strengthening the fragile partnership between the public and private sectors. The national level interventions are complemented by a regional integrated family health program focused in the Borgou/Alibori region in Northern Benin where the health statistics are worse than the national averages, quality of services is low and numerous constraints limit access to services.
In FY 2001 USAID intends to obligate ($2,238,00) Development Assistance funds and ($4,438,000) Child Survival and Diseases Program funds, of which $1,505,000 is Child Survival (CHS), $100,000 is Polio, $2,005,000 is HIV/AIDS, and $828,000 is Infectious Disease (ID). Activities under the Development Relief and Conflict Prevention priority area (food distribution at maternal/child health centers) are funded with P.L. 480, Title II funds. Direct beneficiaries of USAID's program are children up to age five, women of childbearing age, and groups at risk of being infected with HIV and other sexually transmitted infections. Indirect beneficiaries include communities, particularly in the Borgou/Alibori region.
In FY 2002 USAID anticipates providing ($2,171,000) Development Assistance funds and ($4,605,000) Child Survival and Diseases Program funds. These funds will support the network of health non-governmental organizations (NGOs) in Benin, with a focus on increasing their management capacity, their ability to advocate on reproductive health issues and improving their relationship with the public sector. HIV/AIDS prevalence rates are currently higher in regions outside of the Borgou. Therefore, USAID supported HIV/AIDS education interventions throughout the country in order to increase awareness and promote safe behaviors nationwide.
Agreements under this notification will incorporate clauses that implement the President's recent directive reinstating the Mexico City Policy.
Key Results: Key results achieved in FY 2000 include improvements in the policy environment as demonstrated by improved policy environment scores (PES) for Family Planning (FP) and HIV/AIDS. The PES, a composite indicator measuring various policy-related factors, increased in FP from 50% in 1999 to 59% in FY 2000. Factors justifying this increase include the continued dissemination of health policies and information, supported by USAID, which contributed to increased acceptance of FP by the Government of Benin, despite major resistance from the Catholic Church. For HIV/AIDS, the PES increase from 60% to 62% is partly due to the process of strategic planning undertaken by the National AIDS Control Program.
USAID's assistance contributed to an increased capacity in planning and management, characterized by the development of operational plans by regional health teams, health district teams and community health management committees. These plans were developed in a grassroots manner, with plans developed in communities contributing to those developed at higher levels. Transfer of data collection skills from the staff of various USAID-financed activities to Ministry of Health (MOH) counterparts reinforced their planning and management capacity (improving their ability to conduct baseline studies, develop monitoring systems, analyze data and make decisions). USAID supported the establishment of a child mortality surveillance system in two of Benin's six regions. This system may soon become national, allowing the MOH to better track the impact resulting from the implementation of the new approach to childcare (adopted in 1999) called the Integrated Management of Childhood Illnesses (IMCI).
Utilization of most key family health products increased significantly, as indicated by sales data from the social marketing program. Sales of Oral Rehydration Salts (ORS) tripled, from 686,766 packets in 1999 to 2,282,850 in FY 2000, despite an increase in the price of the packets designed to improve cost recovery and ensure a more sustainable supply. The sales of oral contraceptives increased 53% to 55,133 cycles. An injectable contraceptive (Depo-Provera) was introduced in 2000, improving the range of choices available to women. Condom sales were slightly lower than last year's (5.8 million compared to 6.2 million) due to a new distribution strategy that relies solely on commercial networks and wholesalers. Insecticide-treated bednets and net retreatment kits are also promoted through the program to reduce the transmission of malaria.
Performance and Prospects: In FY 2000, USAID/Benin's major bilateral activity in the Borgou, Programme Integre de Sante Familiale (PROSAF), conducted its baseline Knowledge, Attitude and Practice (KAP) study in the Borgou region and the Mission completed its performance monitoring plan for the SO2 program. Several results of the KAP study were surprising: the contraceptive prevalence rate went up to 8.7% from 2.5% in 1996; the exclusive breastfeeding rate increased to 52.2% from 19% in 1996. These improvements resulted from the success of activities such as FP promotion and nutrition education supported by USAID in Borgou since 1997. In 2001, USAID will support Benin's second Demographic and Health Survey (DHS). USAID's nation-wide social marketing program is expected to continue to record increases in sales of a range of affordable, high-quality family health products including condoms, oral and injectable contraceptives, oral rehydration salts (ORS), and insecticide-treated bednets. However, supplying condoms to keep up with the growing demand in Benin has been a struggle for USAID. Therefore, negotiations have been held with Kreditanstalt fur Wiederaugbau (KFW), the German development agency, which has agreed to begin purchasing condoms by 2002.
USAID has continued supporting the network of health non-governmental organizations (NGOs) in Benin, with a focus on increasing their management capacity, their ability to advocate on reproductive health issues and improving their relationship with the public sector. HIV/AIDS prevalence rates are currently higher in regions outside of the Borgou. Therefore, USAID supported HIV/AIDS education interventions throughout the country in order to increase awareness and promote safe behaviors nationwide.
In the future, USAID will contribute to improving coordination of HIV/AIDS control activities through support to the National AIDS Control Program; controlling the spread of HIV/AIDS through implementation of a nation-wide AIDS strategy; a more decentralized health sector through support to a revised personnel deployment policy and the development of procedural manuals for health districts; and the full implementation of the IMCI through training and supervision.
Possible Adjustments to Plans: With the 2001 presidential elections, a new Minister of Health may be appointed and local elections will be held. These events will have a huge impact on priorities, opportunities and constraints in the health sector. USAID/Benin is prepared to respond to changing circumstances as necessary.
Other Donor Programs: The World Health Organization (WHO) and the United Nation's Children's Fund (UNICEF) are the major multilateral partners of USAID, collaborating on Integrated Management of Childhood Illnesses (IMCI), immunization, malaria and HIV/AIDS. The World Bank has developed a major new HIV/AIDS activity to begin in 2001. In the Borgou, USAID continues to collaborate closely with the Swiss and Germans. USAID also is expanding its cooperation with the French, especially on AIDS and malaria control.
Principal Contractors, Grantees or Agencies: The Promotion of Integrated Family Health Program (PROSAF) is implemented by University Research Corporation (URC), with subcontracts to the Program for Appropriate Technology in Health (PATH), CLUSA and the local International Planned Parenthood affiliate. Population Services International (PSI) runs the national social marketing program through AIDSMark. Other USAID Global Bureau partners implementing USAID's program in Benin include the Centers for Disease Control and Prevention (CDC), John Snow, Inc., the University of North Carolina, The Futures Group International, the Partnership for Child Health Care, Inc., Africare, and Camp Dresser and McKee International. In addition, Catholic Relief Services implements a Title II/FFP program and Africare has a BHR/PVC child survival program.
FY 2002 Performance Tables
Performance Measures:
Indicator FY97 (Actual) FY98 (Actual) FY99 (Actual) FY00 (Actual) FY00 (Plan) FY01 (Plan) FY02 (Plan) Indicator 1: Sales of socially marketed products – condoms 2,879,760 3,794,298 6,246,717 5,827,896 6,500,000 6,000,000 6,300,000 Indicator 2: Sales points for socially marketed products – condoms 2,500 5,488 6,502 14,068 14,068 (revised; original level was 10,000) 14,500 14,500 Indicator 3: Policy Environment Score (PES) - for HIV/AIDS NA 56 60 62 65 70 75 Indicator 4: Policy Environment Score (PES) - for Family Planning (FP) NA 45 50 59 55 60 65 Indicator 5: Exclusive Breastfeeding/Borgou, NA NA NA 52.2 - 60 65 Indicator Information:
Indicator Level
(S) or (IR)Unit of Measure Source Indicator Description Indicator 1: SO units sold annually - PSI activity reports Sales of individual units of condoms, ORS packets, cycles of oral contraceptives, insecticide treated nets (ITNs), retreatment kits, and injectables during calendar year (Jan.-Dec.) Indicator 2: IR Sales points (cumulative) PSI activity reports Sales points include wholesalers and retailers that purchase products from PSI for re-sale. Indicator 3: IR score on 100-point scale - POLICY Project Policy Environment Score (PES) reports Measure of the degree to which the policy environment Benin supports effective policies and programs for HIV/AIDS Indicator 4: IR score on 100-point scale POLICY Project Policy Environment Score (PES) reports Measure of the degree to which the policy environment Benin supports effective policies and programs for family planning Indicator 5: SO Percent PROSAF KAP survey report Percent of all infants aged 0-3 months who are exclusively breastfed. U.S. Financing
(In thousands of dollars)
Obligations Expenditures Unliquidated Through September 30, 1999 7,368 DA 2,804 DA 4,564 DA 11,463 CSD 2,782 CSD 8,681 CSD 0 ESF 0 ESF 0 ESF 0 SEED 0 SEED 0 SEED 0 FSA 0 FSA 0 FSA 200 DFA 0 DFA 200 DFA Fiscal Year 2000 2,500 DA 3,863 DA 4,325 CSD 4,763 CSD 0 ESF 0 ESF 0 SEED 0 SEED 0 FSA 0 FSA 0 DFA 200 DFA Through September 30, 2000 9,868 DA 6,667 DA 3,201 DA 15,788 CSD 7,545 CSD 8,243 CSD 0 ESF 0 ESF 0 ESF 0 SEED 0 SEED 0 SEED 0 FSA 0 FSA 0 FSA 200 DFA 200 DFA 0 DFA Prior Year Unobligated Funds 0 DA 0 CSD 0 ESF 0 SEED 0 FSA 0 DFA Planned Fiscal Year 2001 NOA 2,238 DA 4,438 CSD 0 ESF 0 SEED 0 FSA 0 DFA Total Planned Fiscal Year 2001 2,238 DA 4,438 CSD 0 ESF 0 SEED 0 FSA 0 DFA Future Obligations Est. Total Cost Proposed Fiscal Year 2002 NOA 2,171 DA 2,595 DA 16,872 DA 4,605 CSD 4,405 CSD 29,236 CSD 0 ESF 0 ESF 0 ESF 0 SEED 0 SEED 0 SEED 0 FSA 0 FSA 0 FSA 0 DFA 0 DFA 200 DFA
 |
|||
Last Updated on: May 29, 2002 |
