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Benin

Program Data Sheet
680-002

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USAID MISSION: Benin
PROGRAM TITLE: Benin Integrated Family Health Program (BIFHP) (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased Use of Family Health Services and Prevention Measures within a Supportive Policy Environment, 680-002
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $6,738,000 CSH
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $ 4,338,000 DA
INITIAL OBLIGATION: FY 1997     ESTIMATED COMPLETION DATE: FY 2005


Summary: The USAID/Benin Integrated Family Health Program (BIFHP) includes the following components:

  • social marketing and promotion of family health products;
  • training of health care workers and technical assistance to the Ministry of Health (MOH);
  • communication campaigns and activities to promote healthier behaviors; and
  • purchase of health commodities.

BIFHP activities related to family planning/reproductive health include the following:

  • technical assistance to the national health NGO network;
  • training community-based health agents; and
  • technical assistance to support health sector decentralization.

Key beneficiaries of both programs are children up to age five, women of childbearing age, and populations at risk of being infected with HIV and other sexually transmitted infections.

Inputs, Outputs, and Activities: FY 2002 Program (Family Health): USAID will continue to support socially marketed distribution and promotion of a variety of family health products. Funds will also be used to train health care workers to treat sick children, prevent infections, and provide emergency obstetric and prenatal care. USAID is supporting an expanded malaria program that includes integrated management for childhood illnesses (IMCI), antenatal clinics, and insecticide treated bednets (ITNs). USAID will also provide direct support to the National AIDS Control Program to help them coordinate the new national HIV strategy, and will give small grants to non-governmental organizations to carry out HIV prevention activities. Assistance will be provided to the Ministry of Health planning and coordination unit to help develop effective planning tools and to purchase equipment. In support of health sector decentralization and to reduce shortages of medicines in rural health centers, USAID will purchase commodities to help establish a regional medical depot in northern Benin.

FY 2002 Family Planning/Reproductive Health Program: USAID will help the MOH clarify and implement its decentralization policy. Funds will be used to provide technical assistance to the national network for non-governmental organizations (NGOs) working in health to help the network advocate for improved health sector policies, and to improve the quality of family planning services offered in the NGO clinics. In its target zone in northern Benin, USAID will continue to train health care workers to use standardized service delivery protocols developed in FYs 2000 and 2001 with USAID assistance. USAID will also support training and supervision for community health services and training of community health management committees. Funds will also be used to support social marketing of contraceptives, and to train pharmacy workers in family planning counseling.

Planned FY 2003 Program (Family Health): FY 2003 resources will be used for operations research, training and supervision related to malaria control. USAID funds will continue to support training for health care workers in targeted zones in order to improve the quality of services.

Planned FY 2003 Family Planning/Reproductive Health Program: FY 2003 funds will be used to support health care worker training in family planning, community-based outreach services, and social marketing of contraceptives. They will support on-going decentralization activities in the health sector and provide technical assistance to the MOH to evaluate the performance of a new supply and distribution system for drugs and contraceptives.

All contracts and grants funded with resources from the Benin Integrated Family Health Program will incorporate clauses that implement the President's directive reinstating the Mexico City Policy.

Performance and Results: Preliminary information from the Demographic and Health Survey (DHS), conducted in FY 2001 with USAID assistance, indicates that significant progress has been achieved in USAID's target zone in northern Benin, particularly in use of modern contraception. Final DHS data will be reported in next year's Annual Report. In FY 2001, increases were noted in the sales of socially marketed products (including condoms, contraceptives, and insecticide treatment kits for mosquito nets), and in the number of sales points for these products. The MOH pledged to seek funding to replicate throughout the country a pilot nutrition activity supported by USAID. USAID supported the development of a new supervision manual and 76 trainers and members of health district teams were trained in improved supervision techniques. As a result, 46% of health centers in USAID's target zone received supervision visits that met national supervision standards (up from only 9% in 2000).

In 2001, 57% (12% in 1999) of health centers in target zones offer a complete package of services (including family planning, immuni-zation, and prenatal consultations).

P.L. 480 Title Il child survival interventions led to improved immunization rates and significant reductions in malnutrition in the program target zones. In FY 2001, USAID supported a variety of training to improve the quality of care offered in public health centers. These training activities targeted new approaches to child health care, obstetrical and neonatal care, supervision of health workers, and the use of explicit service delivery guidelines. USAID's malaria activity introduced an integrated approach to the treatment of childhood illnesses by training 132 health care workers and 22 laboratory technicians in new protocols and techniques.

Continued progress will lead to increased access to quality health services in the USAID target zones and increased access to key family health products nationwide. Ultimately, this program will have an impact on the entire Beninese population, as numerous USAID pilot interventions have been adopted by the GOB for expansion throughout the country.

Principal Contractors, Grantees or Agencies: USAID activities are implemented through University Research Corporation, Population Services International, CARE International, INTRAH, Africare, and MACRO International, Inc.

US Financing in Thousands of Dollars

680-002 Increased use of family health services and preventive measures in a supportive policy environment CSD CSH DA DFA
Through September 30, 2000
Obligations 15,788 0 9,868 200
Expenditures 7,545 0 6,667 200
Unliquidated 8,243 0 3,201 0
Fiscal Year 2001
Obligations 4,438 0 2,238 0
Expenditures 6,240 0 2,624 0
Through September 30, 2001
Obligations 20,226 0 12,106 200
Expenditures 13,785 0 9,291 200
Unliquidated 6,441 0 2,815 0
Prior Year Unobligated Funds
Obligations 0 0 0 0
Planned Fiscal Year 2002 NOA
Obligations 0 6,738 0 0
Total Planned Fiscal Year 2002
Obligations 0 6,738 0 0
Proposed Fiscal Year 2003 NOA
Obligations 0 0 4,338 0
Future Obligations 0 0 14,000 0
Est. Total Cost 20,226 6,738 30,444 200

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Last Updated on: May 29, 2002