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Center for Population, Health and Nutrition
>> Return to Home Page >> Central Programs >> Global Programs >> Population, Health and Nutrition ACTIVITY DATA SHEET
PROGRAM: Central Programs
TITLE AND NUMBER: Increased use by women and men of voluntary practices that contribute to reduced fertility. 936-001 IR 1.1 New and improved technologies and approaches for contraceptive methods and family planning identified, developed, tested, evaluated and disseminated
STATUS: Continuing
PLANNED FY 2001 OBLIGATION AND FUNDING SOURCE: $49,687,000 DA
PROPOSED FY 2002 OBLIGATION AND FUNDING SOURCE: $47,296,000 DA
INITIAL OBLIGATION: FY 1996; ESTIMATED COMPLETION DATE: ContinuingSummary: No single contraceptive method or service delivery approach is appropriate for all individuals. These program activities build the scientific and technological base for successful, high quality family planning and reproductive health (FP/RH) programs by identifying, developing, testing, evaluating and disseminating new and improved methods and approaches for effectively delivering the services. The ultimate beneficiaries are women and men of reproductive age in developing countries, who will have greater access to quality information and services. Consumers in the United States and other industrialized countries also benefit from a wider choice of contraceptive technology.
Key Results: Global's Center for Population, Health and Nutrition (the Center) has moved forward on the following activities: (1) new and improved products, strategies and technologies developed and evaluated; (2) enhanced understanding of issues contributing to change of reproductive intention and behavior; (3) improved knowledge-base for understanding, setting priorities, and applying new or improved technologies and approaches; and (4) products, tools, technologies, approaches, and knowledge transferred in a form that can be received, used and sustained.
Performance and Prospects: FY 2000 achievements include:
A new and improved latex female condom completed two acceptability trials and will go into clinical trials in FY 2001. This method will give women an improved option for protecting themselves against both unintended pregnancy and transmission of STIs, including HIV.
Two simple, natural family planning methods were developed (the Standard Days Method (SDM) and the Two Day Method). The SDM is currently in Phase II/III clinical trials. Initial results show very high effectiveness rates and high client and provider acceptability even in settings where clients are illiterate. The Two-Day Method is in pilot studies and will enter clinical trials in FY 2001.
Two novel male methods were licensed to the private sector. The first, a plastic condom, is in clinical trials supported by USAID, but will be marketed and distributed through the private sector. The second, a hormonal method for men, will be completely supported by the private sector starting in FY 2002.
An operations research study in Bangladesh showed that introducing Sexually Transmitted Diseases diagnosis and treatment and family planning counseling for men in traditional FP clinics that catered only to women succeeded in attracting men to the services and increased male involvement in reproductive health. This approach is currently being expanded up nationally.
A study conducted in public sector clinics in Kenya showed that the Government of Kenya (GOK) could charge fees for family planning services and increase financial sustainability without losing their clientele. The GOK is currently planning to pilot fees for services in some areas.
In the area of data collection and evaluation, Macro International developed a Web-based STAT-Compiler that has greatly speeded up and facilitated access to the data contained in over 60 demographic and health surveys.
During FY 2001, the Center will devote particular attention to community and clinic-based studies of condom promotion as a way to prevent transmission of both sexually transmitted disease and pregnancy. A special focus will involve men in the antenatal care services of their partners to prevent STDs during pregnancy and encourage post-partum family planning and STD preventive behaviors. In FY 2002 the Center will begin to design a new five-year activity for data collection, monitoring and evaluation, and dissemination.
Possible Adjustments to Plans: During the course of product development or service delivery research, it is not uncommon to encounter obstacles in manufacturing or partnerships, and it is difficult to predict the ultimate success of a product or strategy in the early stages of research.
Other Donor Programs: Grantees work with assistance from, and in collaboration with, the World Health Organization (WHO) and the National Institutes of Health in technology development and evaluation, epidemiology and social science research. Several private foundations, including Gates, Mellon, Rockefeller, and others, maximize USAID's investments by supporting complementary research.
Principal Contractors, Grantees or Agencies: Grantees include The Population Council, Family Health International, Eastern Virginia Medical School, Georgetown University, Program for Appropriate Technology in Health, WHO, Macro International, University of North Carolina, U.S. Bureau of Census, Basic Health Management International, and other cooperating agencies, universities, research institutions, and host country organizations. In FY 2002, a new award is planned to continue to provide assistance in the areas of data collection, monitoring and evaluation, and dissemination. Design will begin in FY 2001.
Selected Performance Measures:
Indicator FY97 (Actual) FY98 (Actual) FY99 (Actual) FY00 (Actual) FY01 (Plan) FY02 (Plan) Indicator 1: # of new and current contraceptive leads/methods under development or evaluation and/or advancing to the next stage and approved by FDA: Under development/evaluation 41 28 24 23 25 25 Indicator 2 # of new and current contraceptive leads/methods under development or evaluation and/or advancing to the next stage and approved by FDA: Advancing to the next stage 7 9 5 2 3 2 Indicator 3: # of FP/RH strategies and subsystems, information, education and communication, training and other technical improvements tested/under development or completed/evaluated: Tested/under development 12 10 10 12 13 Indicator 4: # of FP/RH strategies and subsystems, information, education, and communication, training and other technical improvements tested/under development or completed/evaluated: completed/evaluated 13 10 6 3 5 Indicator Information
Indicator Level (S)or(IR) Unit of Measure Source Indicator Description Indicator 1: IR1 Contraceptive leads/methods: Under development/evaluation Project documents (CONRAD, Pop Council, FHI) NA Indicator 2: IR Contraceptive leads/methods: Advancing to the next stage Project documents (CONRAD, Pop Council, FHI) NA Indicator 3: IR1 FP/RH strategies and subsystems, technical improvements: Tested/under development Project documents (Frontiers) N/A Indicator 4: IR1 FP/RH strategies and subsystems, technical improvements: completed/evaluated Project documents (Frontiers) NA U.S. Financing
(In thousands of dollars)
Obligations Expenditures Unliquidated Through September 30, 1999 180,913 DA 126,275 DA 54,638 DA 0 CSD 0 CSD 0 CSD 0 ESF 0 ESF 0 ESF 0 SEED 0 SEED 0 SEED 0 FSA 0 FSA 0 FSA 0 DFA 0 DFA 0 DFA Fiscal Year 2000 53,499 DA 52,892 DA 0 CSD 0 CSD 0 ESF 0 ESF 0 SEED 0 SEED 0 FSA 0 FSA 0 DFA 0 DFA Through September 30, 2000 234,412 DA 179,167 DA 55,245 DA 0 CSD 0 CSD 0 CSD 0 ESF 0 ESF 0 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 0 ESF 0 SEED 0 FSA 0 DFA Planned Fiscal Year 2001 NOA 49,687 DA 0 CSD 0 ESF 0 SEED 0 FSA 0 DFA Total Planned Fiscal Year 2001 49,687 DA 0 CSD 0 ESF 0 SEED 0 FSA 0 DFA Future Obligations Est. Total Cost Proposed Fiscal Year 2002 NOA 47,296 DA 180,157 DA 511,552 DA 0 CSD 0 CSD 0 CSD 0 ESF 0 ESF 0 ESF 0 SEED 0 SEED 0 SEED 0 FSA 0 FSA 0 FSA 0 DFA 0 DFA 0 DFA
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Last Updated on: May 29, 2002 |
