DEMOCRATIC REPUBLIC OF
THE CONGO

Activity Data Sheet

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PROGRAM: Democratic Republic of the Congo (DRC) TITLE AND NUMBER: Congolese People Are Assisted to Solve National, Provincial and Community Problems through Participatory Processes That Involve the Public, Private and Civil Sectors, 660-001 PLANNED FY 2001 OBLIGATION AND FUNDING SOURCE: $14,657,000 CSD, $1,288,000 DA PROPOSED FY 2002 OBLIGATION AND ACCOUNT: $15,809,000 CSD, $2,762,000 DA STATUS: Ongoing INITIAL OBLIGATION: FY 1999; ESTIMATED COMPLETION DATE: FY 2002 Summary: The USAID program in the DRC has taken into consideration the uncertain, complex and highly-constraining circumstances of providing humanitarian and development assistance to the DRC. Despite U.S. legislative sanctions that limit assistance to the DRC, waivers have been granted in order to provide humanitarian and development assistance through non-governmental organizations. The development program, complemented by the provision of humanitarian assistance has addressed high-risk global health concerns with emphasis on strengthening primary health structures. The program also has promoted good governance and the rule of law with emphasis on multiple stakeholder problem-solving, and built constituencies for sustainable management of natural resources. In FY 2001, USAID intends to obligate $14,657,000 in CSD, of which $8,450,000 is CSD, $2,900,000 is polio, $3,464,000 is HIV/AIDS, $1,005,000 is vulnerable children, and $1,738,000 is infectious disease. In addition Development Assistance funds, of which $288,000 is economic growth, $800,000 is environment and $200,000 is democracy/governance will support this strategic objective. In FY 2002, the request of $2,762,000 DA and $15,809,000 CSD will enable USAID/DRC to aggressively address infant, child and maternal mortality, intensity the polio eradication effort, expand routine immunization and HIV/AIDS prevention activities and support malaria and tuberculosis control efforts. USAID/DRC will also support girls' education and protect vulnerable children and orphans. Funds will also be used to support maternal health and family planning activities, support a program to strengthen civil society and improve justice, enhance food security, reduce poverty in targeted communities, and promote biodiversity conservation while encouraging environmental policy reforms. Family planning agreements under this notification will incorporate clauses that implement the President's recent directive reinstating the Mexico City Policy. Key Results: Using USAID funding and technical support, the Centers for Disease Control and Prevention (CDC), the World Health Organization, and UNICEF, the Government of the Democratic Republic of the Congo (GDRC) planned and implemented national polio immunization campaigns, which included the distribution of Vitamin A as well as measles vaccine. This campaign successfully covered 304 out of 306 health zones and reached 96% of the country's estimated 10.6 million children aged 0-five years in the midst of the war. Routine immunization coverage remains low but is increasing. Between 1998 and 2000, routine measles immunization coverage increased from 15 to 36% nationwide. Over 150 laboratory technicians were trained to improve malaria diagnostic techniques and conduct advanced mosquito status investigations, drug resistance and disease prevalence surveillance; more appropriate malaria medication policies and protocols have been developed. In the control and prevention of HIV/AIDS, aggressive behavior change and condom social marketing strategies have been initiated. The program has targeted high-risk groups and sold 12 million condoms. USAID provided technical and material support through Tulane University to the University of Kinshasa School of Public Health to train over 25 medical directors and administrators annually. In democracy and good governance, USAID has supported the capacity of Congolese civil society to promote dialogue with government and other key actors though the provision of resources to address critical bottlenecks in local communities. The program supports the peace process through conflict management and promotion of the Lusaka Agreement. A documentation center providing legal and peace-building information and Internet access to individuals and civil society was opened and is flourishing in Kinshasa. USAID programs support justice and the rule of law for ordinary Congolese. A draft constitution and other draft laws have been developed and discussed with the new President. In environmental conservation and natural resources management, USAID focused on institutional capacity building and support for policy changes, and promoting private initiatives to protect the environment. Interventions included environmental advocacy, reinforcing community awareness and continued support to World Heritage Sites. Performance towards achieving the objectives of this SO has been especially encouraging in the extremely difficult conditions of DRC. Future progress towards goals is expected to accelerate now that there is new leadership in Kinshasa. Performance and Prospects: In health and child survival, USAID will improve child survival through polio eradication; control of malaria and tuberculosis; prevention of vaccine preventable diseases, distribution of Vitamin A, nutrition monitoring and education. Primary health care will be greatly expanded into rural areas and subsequently into urban areas. Health zone management will be improved through training in public health knowledge and practices, planning, financial management, surveillance techniques and monitoring. Improved control of other infectious diseases will be coupled with efforts to improve quality surveillance and epidemic response. The successes of the polio program will be a base for aggressively rebuilding the national routine immunization system. Top-quality surveillance at all levels in the health system will be a priority to ensure the certification of DRC as polio free by 2005. USAID will double the number of health zones where routine immunizations will be undertaken, and will seek to improve child and maternal health through increased support to comprehensive health care. An expanded national HIV/AIDS control effort will focus on prevention of maternal-to-child transmission, voluntary counseling and testing, social condom marketing, counseling and support to people and communities living with HIV/AIDS. Pilot environmental health activities to prevent malaria infection will be scaled-up in targeted rural and urban communities. USAID will provide material support, training and technical assistance to Congolese non-government civil society advocacy groups and will complement other donor contributions to permit a series of structured meetings and studies aimed at articulating goals and strategies for achieving peace. The operation of a documentation and resource center and related activities will expand. USAID will seek to prevent and resolve conflict, initiate improvement in communication among civil society through Internet connectivity, encourage programs to combat corruption and assist victims of war, poverty and torture - particularly women, adolescents and children. USAID will begin an activity with the objective of encouraging peace building, reconciliation, education and rehabilitation of community infrastructure destroyed by the war. As the Lusaka Agreement is implemented, USAID is positioned to support the Facilitator to the Inter-Congolese Dialogue and civil society in the peace process. In implementing improved food security and reduced poverty in target communities, USAID plans to meet critical food needs, increase agricultural production, expand private sector markets, and support human capacity development. Critical food needs will be met through emergency aid where necessary, and provision of seeds and tools. The role of the private sector will be encouraged and initiatives to facilitate the creation of a favorable enabling environment for private sector growth will focus on reforming the policies governing the ownership and management of the existing infrastructure, which provides transportation, water distribution and electric power services to the population. Proceeds from the sale of donated food aid will be used to stimulate local agricultural production and improve agricultural marketing. Possible Adjustments to Plans: The current strategy is ending and this is the final year of obligation. A new strategy is planned. While shown as requests in support of this SO, FY 02 funds will be obligated under the new strategy. Other Donor Programs: The United States is among the major bilateral donors, ranking second after Belgium. The USAID health program collaborates closely with a broad range of international and bilateral donor organizations. These include the European Union, UNICEF, WHO, CDC, United Nations Foundation, Rotary International and The Gates Foundation, Interchurch Medical Assistance and U.S. National Council of Churches. There is a growing interest among donors regarding the rule of law and human rights in DRC. The German Technical Cooperation Agency (GTZ) supports the Congolese Conservation Institute (ICCN) and urban environmental activities through the local NGO network FOLECO. The UN Foundation approved a $4.6 million project to support DRC's World Heritage Sites. The Wildlife Conservation Society funds research and support Protected Areas in the DRC through the Congo Gorilla Forest exhibit at the Bronx Zoo. African Wildlife Foundation and Gilman International Conservation have also supported conservation activities in the DRC. Principal Contractors, Grantees or Agencies: USAID/DRC's health program is implemented through UNICEF, the World Food Program, Basic Support for Institutionalizing Child Survival, Population Services International, Catholic Relief Services, Tulane University, Centers for Disease Control and Prevention, Protestant Church of the Congo/Interchurch Medical Assistance, Inc., International Rescue Committee, and Action Against Hunger. The program on vulnerable children is implemented by Save the Children UK. World Resources Institute, Wildlife Conservation Society, African Wildlife Foundation, Innovative Resources Management, Raga, ACACIA, Zoological Society of Milwaukee, Associates in Rural Development, Inc., implement the biodiversity and conservation program. A consortium made of the Law Group and IFES implements the D/G 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 condoms NA 1,037,056 8,422,488 10423809 8,000,000 12000000 13000000 Indicator 2: Polio campaign coverage NA NA 92.4 95.9 96 97 99 Indicator 3: Measles vaccination coverage rate among <age 1 NA 19 25 36 45 55 65 Indicator 4: Tuberculosis case management in targeted health zones NA NA NA 60 NA 70 80 Indicator 5: Mortality due to malaria among children under five in targeted health facilities NA NA NA 30 NA 25 20 Indicator 6: Access to democracy and legal information NA NA 90-110 130-150 100-120 130 140 Indicator 7: Training of human rights activists NA NA NA 403 200 600-700 800-1000 Indicator 8: Men and women in high risk groups who report condom use during last sexual encounter NA NA NA 50 70 60 70 Indicator 9: Internet access for civil society organizations NA NA NA 4 4 64 114 Indicator 10: Access to environmental information and education NA NA NA NA NA 43,000; 360 43,000;720 Indicator 11: USAID funded NGOs advocating for natural resource management NA NA NA 10 10 20 40 Indicator 12: Number of rural credit unions accessing viable credit providers in target areas NA NA NA 36 30 71 101 Indicator Information: Indicator Level (S) or (IR) Unit of Measure Source Indicator Description Indicator 1: IR Units sold PSI/ASF activity reports/sales records Sales of individual units of condoms. Indicator 2: IR Percentage NIDs coverage reports Percent of children under five vaccinated countrywide against polio. Indicator 3: IR Percentage PEV coverage survey Percent of children of age 12-23 months vaccinated against measles. Indicator 4: IR Percentage National TB Program records Percent of successfully treated cases of tuberculosis. Indicator 5: IR Percentage National Malaria Program records/survey Percent of deaths among children under five due to malaria Indicator 6: IR Visits to the Resource Centers IFES Number of people visiting the Resource Centers daily and using reference materials on democracy, law, peace and political processes, and internet access. Indicator 7: IR Civil society leaders trained International Human Rights Law Group Number of trained civil society leaders Indicator 8: IR Percentage Contractor/grantee records, KAP surveys Proportion of individuals in high risk groups reporting condom use during last sexual encounter Indicator 9: IR Organizations with access Project reports Number of civil society organizations with internet access Indicator 10: IR Mass media productions (print;TV/Radio broadcasts) - Number RAGA reports and survey results, Zoological Society of Milwaukee/ECC reports Number of mass media productions disseminated Indicator 11: IR NGOs involved in nrm Project reports Number of USAID funded NGOs active in natural resource management issues Indicator 12: IR recipient credit unions Associates in Rural Development monthly reports Number of credit unions receiving credit lines U.S. Financing (In thousands of dollars)   Obligations   Expenditures   Unliquidated   Through September 30, 1999 2,040 DA 40 DA 2,000 DA 10,694 CSD 3,250 CSD 7,444 CSD 2,500 ESF 0 ESF 2,500 ESF 0 SEED 0 SEED 0 SEED 0 FSA 0 FSA 0 FSA 0 DFA 0 DFA 0 DFA Fiscal Year 2000 1,329 DA 2,134 DA     8,980 CSD 7,505 CSD     5,000 ESF 2,980 ESF     0 SEED 0 SEED     0 FSA 0 FSA     0 DFA 0 DFA     Through September 30, 2000 3,369 DA 2,174 DA 1,195 DA 19,674 CSD 10,755 CSD 8,919 CSD 7,500 ESF 2,980 ESF 4,520 ESF 0 SEED 0 SEED 0 SEED 0 FSA 0 FSA 0 FSA 0 DFA 0 DFA 0 DFA Prior Year Unobligated Funds 0 DA         0 CSD         2,000 ESF         0 SEED         0 FSA         0 DFA         Planned Fiscal Year 2001 NOA 1,288 DA         14,657 CSD         0 ESF         0 SEED         0 FSA         0 DFA         Total Planned Fiscal Year 2001 1,288 DA         14,657 CSD         2,000 ESF         0 SEED         0 FSA         0 DFA               Future Obligations   Est. Total Cost   Proposed Fiscal Year 2002 NOA 2,762 DA 0 DA 7,419 DA 15,809 CSD 0 CSD 50,140 CSD 0 ESF 0 ESF 9,500 ESF 0 SEED 0 SEED 0 SEED 0 FSA 0 FSA 0 FSA 0 DFA 0 DFA 0 DFA

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