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Bangladesh
>> Regional Overview >> Bangladesh Overview Program Data Sheet
388-001
USAID MISSION: Bangladesh
PROGRAM TITLE: Integrated Family Planning and Health (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Fertility Reduced and Family Health Improved, 388-001
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $39,950,000 CSH
UNOBLIGATED PRIOR YEAR FUNDS AND FUNDING SOURCE: $1,221,746 DA; $300,000 CSD
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $32,500,000 DA
INITIAL OBLIGATION: FY 1997 ESTIMATED COMPLETION DATE: FY 2006Summary: USAID’s National Integrated Population and Health Program (NIPHP) provides—
- technical assistance to expand and improve the package of health and family-planning services available from non-governmental organizations (NGOs), especially to the poor;
- behavior change communication related to high-priority health problems and treatments including immunization, treatment of childhood diseases, antenatal and postnatal care, family planning, HIV/AIDS, harm mitigation, and curative care;
- technical assistance to increase national contraceptive prevalence and contraceptive security; and
- ready supplies of contraceptive commodities.
Children and women are the key beneficiaries of these activities.
Inputs, Outputs, and Activities: FY 2002 Program: USAID will continue to build upon the non-government organization (NGO) program begun in 1997. USAID will support 42 local NGOs that provide integrated maternal and child health services and family planning in areas with a population of approximately 22 million. USAID also will maintain its active involvement in the provision of Population-funded contraceptives for the social marketing program; assistance to improve the logistics in contraceptives and health commodities; immunization, including polio eradication; disease surveillance; and mass-media health-communications programs. HIV-prevention activities targeting high-risk groups, including adolescents, will encourage delayed marriage and pregnancy.
Planned FY 2003 Program: USAID plans to enhance and institutionalize its NGO program. USAID expects that quality NGO data will be used to improve management, training, supervision and strategic planning. USAID, the Government of Bangladesh (GOB) and other donors are developing and funding a policy initiative that encourages the use of NGO-supplied health services and will promote a model NGO program that expands the basic services being provided by the private sector. Coordination with the GOB in establishing contraceptive requirements, procurement and distribution is expected to continue, as is support to strengthen voluntary surgical contraception services in private, public and NGO sectors.
All contracts and grants funded with resources from the NIPHP will incorporate clauses that implement the President’s directive reinstating the Mexico City Policy.
SUBMISSION OF THIS PROGRAM DATA SHEET CONSTITUTES FORMAL RENOTIFICATION OF USAID’S INTENT TO OBLIGATE FY 2002 RESOURCES FOR THE ACTIVITIES DESCRIBED ABOVE. Performance and Results: During the fourth full year of the program, results exceeded expectations. The program expanded access to high impact services, including immunization; treatment of diarrheal diseases, lower-respiratory infections and sexually transmitted diseases; family planning; vitamin A; and antenatal care. This has been done primarily through (1) 353 community clinics and more than 165,000 associated clinic satellite sessions, all managed by NGOs; (2) technical assistance to the government health sector; and (3) support for the Social Marketing Company (SMC).
A FY 2000 communication and marketing strategy boosted clinic utilization and health-seeking behavior. Clinic usage increased by 37.4% to 19 million contacts. Distribution of oral
contraceptives, injectables and condoms increased by 18.5%, 22.8% and 32.6%, respectively. A new clinical contraception initiative increased Norplant and IUD use by 75.4% and 31.2%, respectively. Cases of voluntary surgical contraception, while still low, increased by 140%; an initiative begun in FY 2000 promises to increase access to and demand for long-term family planning. The 1999 MC initiative to market injectable contraceptives and over-the-counter sales of oral contraceptives resulted in FY 2001 increases in sales of 279% and 30.1%, respectively. Sales of condoms and oral rehydration salts rose by 4% and 13%, respectively.
Total couple years of contraceptive protection grew to 3.8 million, up 22% from FY 2000. Child-health service performance included increases in treatment of childhood diarrhea, acute respiratory infection, and measles vaccination of 46.7%, 63.2%, and 28%, respectively. Antenatal and postnatal care increased by 43.9% and 113%, respectively, while tetanus immunizations for mothers grew by nearly 52.7%. Polio-surveillance facilitators helped document continued effective surveillance. No cases of wild polio were recorded in the past 15 months. USAID supported the National Immunization Day campaign, which achieved full polio protection coverage of 93%, up from 89.5%.
A pilot safe-motherhood program was initiated. Results are imminent from the USAID-funded maternal mortality survey; related collaboration with UNICEF on reducing maternal mortality will continue. Quality-assurance data analysis demonstrated that 71% of NGO clinics were compliant with an index of quality indicators early this fiscal year, up from 25% in 1998-1999.
USAID’s revised HIV/AIDS strategy concentrated on high-risk groups while the HIV/AIDS infection rate held steady at 0.2%. USAID assisted in the unification of the health ministry’s previously separate health and family-planning logistics systems. Contraceptives and health commodity procurement issues related to World Bank funds and guidelines were reviewed, operations manuals developed and training carried out to improve the process.
By the end of FY 2003, USAID will have substantially expanded the breadth and quality of NGO health service. These improvements will encourage more clients, particularly the poor and under-served, to seek family planning and health care, thus improving family health and wellbeing.
Principal Contractors, Grantees, or Agencies: USAID activities are carried out through Pathfinder International; John Snow International; Research and Training Institute, Inc.; SMC; International Centre for Diarrhoeal Disease Research, Bangladesh; EngenderHealth; Management Sciences for Health; the University of North Carolina; Bangladesh Centre for Communication Programs; Family Health International; and Helen Keller International.
US Financing in Thousands of Dollars
388-001 Fertility Reduced and Family Health Improved CSD CSH DA Through September 30, 2000 Obligations 52,873 0 94,643 Expenditures 31,546 0 66,896 Unliquidated 21,327 0 27,747 Fiscal Year 2001 Obligations 13,700 0 24,778 Expenditures 20,629 0 24,567 Through September 30, 2001 Obligations 66,573 0 119,421 Expenditures 52,175 0 91,463 Unliquidated 14,398 0 27,958 Prior Year Unobligated Funds Obligations 300 0 1,222 Planned Fiscal Year 2002 NOA Obligations 0 39,950 0 Total Planned Fiscal Year 2002 Obligations 300 39,950 1,222 Proposed Fiscal Year 2003 NOA Obligations 0 0 32,500 Future Obligations 0 0 81,525 Est. Total Cost 66,873 39,950 234,668
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Last Updated on: May 29, 2002 |
