Center for Population, Health and Nutrition

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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 1.3 Enhanced capacity for national programs (public, private, non-governmental organization and community-based institutions) to design, implement, finance, and evaluate sustainable family planning programs STATUS: Continuing PLANNED FY 2001 OBLIGATION AND FUNDING SOURCE: $39,147,000 DA PROPOSED FY 2002 OBLIGATION AND FUNDING SOURCE: $36,950,000 DA INITIAL OBLIGATION: FY 1996; ESTIMATED COMPLETION DATE: Continuing Summary: Building local capacity and sustainable systems is essential to effective and efficient service delivery, program success, national-level impact, and long-term sustainability. USAID is working to improve the technical and programmatic capabilities and planning and budgeting decisions that impact the quality of family planning and reproductive health (FP/RH) services provided and the number of users reached. The ultimate beneficiaries are women and men of reproductive age in developing countries who will have greater access to quality family planning information and services. Key Results: The Global Bureau's Center for Population, Health and Nutrition (the Center) programs reach the family planning provider organizations and their staff to (a) design, monitor, finance and evaluate their programs; (b) manage more effectively by improving business and marketing skills, and developing strategies for increasing cost recovery and financial sustainability; and (c) collaborate to use limited resources efficiently, and to reach under-served groups. These activities enhance organizations' abilities to identify problems and solutions on their own and to improve their skills for managing FP/RH programs in a changing environment. Specific examples include: (1) the launch of a regional logistics network of seven countries in East and Southern Africa, which will develop a cadre of local health sector managers with the skiils to design regional and country-specific strategies to make health supply systems more effective and efficient; (2) the Uttar Pradesh Ministry of Health and Family Welfare in India set up its own Media Materials Resource Center, which now provides reproductive and child health materials and information throughout the Indian state (pop. 160 million); and (3) USAID funds leveraged funding and technical expertise from the Gates Leadership Institute at The Johns Hopkins University for a joint workshop on strategic leadership and management for 35 FP/RH program managers from 15 countries. Performance and Prospects: USAID has improved the technical and management capacity and the financial self-reliance of over 100 national family planning and reproductive health institutions in developing countries. To date, more than 40 institutions have been assessed in 25 countries. The assessment is a management diagnosis of the institution's mission, structure, strategies and management systems for each of 12 essential management components. Following the assessment, a management action plan is developed to address the management deficiencies identified. Two new programs, one aimed at improving management and leadership and the other aimed at improving commodity logistics systems, were competed and awarded in FY 2000. In keeping with its slogan, "No product, no program," the logistics award will help ensure that reliable supplies of contraceptives and other reproductive health commodities are available in developing countries. Possible Adjustments to Plans: In FY 2001, the Center will formulate a health communications program responding to needs for improved information, education, and behavior change in the FP/RH area. The award will be made in FY 2002. Other Donor Programs: USAID works closely with the United Nations Population Fund (UNFPA), the U.K's Department for International Development (DFID), Pan American Health Organization and the World Bank. Host country partners including, national and local governments, private sector entities, non-governmental organizations, and community organizations, have primary responsibility for program implementation. Principal Contractors, Grantees or Agencies: USAID implements activities through Management Sciences for Health; John Snow, Inc.; Centers for Disease Control and Prevention; Pathfinder International; The Futures Group International; the Public Health Institute, the University of North Carolina, Johns Hopkins University and other universities; private sector entities, NGOs, and host country institutions. In FY 2001, the Center plans a competitive award to provide assistance to field missions in the areas of communication and behavior change in the population, health and nutrition sectors. Selected Performance Measures: Indicator FY97 (Actual) FY98 (Actual) FY99 (Actual) FY00 (Actual) FY01 (Plan) FY02 (Plan) # of countries with RH curricula updated & implemented NA NA NA NA NA TBD # of countries with trained faculty and master trainers for professional schools and training institutions NA NA NA NA NA TBD # of countries with operational clinical training sites and centers NA NA NA NA NA TBD Indicator Information Indicator Level (S)or(IR) Unit of Measure Source Indicator Description Indicator 1: TBD Country Project documents (JHPIEGO and PRIME) Baseline levels for these three indicators will be provided in the R4 reporting on FY 2002. Planned levels for FY 2003 will also be established at that time. While measures of capacity building have been tracked since 1997, they have not been reliable, easy to summarize, or easy to collect. These new measures can be tracked through routine project reporting. Indicator 2: TBD Country Project documents (JHPIEGO and PRIME   Indicator 3: TBD Country Project documents (JHPIEGO and PRIME)   U.S. Financing (In thousands of dollars)   Obligations   Expenditures   Unliquidated   Through September 30, 1999    206,895 DA 168,034 DA 38,861 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 35,102 DA 36,078 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 241,997 DA 204,112 DA 37,885 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 39,147 DA   0 CSD 0 ESF 0 SEED 0 FSA 0 DFA Total Planned Fiscal Year 2001 39,147 DA   0 CSD 0 ESF 0 SEED 0 FSA 0 DFA       Future Obligations   Est. Total Cost   Proposed Fiscal Year 2002 NOA 36,950 DA 140,481 DA 458,575 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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