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Indonesia
>> Regional Overview >> Indonesia Overview Program Data Sheet
497-008
USAID MISSION: Indonesia
PROGRAM TITLE: Health, Population, and Nutrition (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Health of Women and Children Improved, 497-008
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $35,568,000 CSH
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $32,768,000 DA
INITIAL OBLIGATION: FY 1999 ESTIMATED COMPLETION DATE: FY 2004Summary: This program supports the Global Health pillar and contributes to the Agency's goal of stabilizing global population and protecting human health. Its aim is to improve the health of Indonesia's most vulnerable women and children by strengthening government commitment for reproductive and child health; improving access, quality and sustainability of health services systems; and empowering women, families and communities to take responsibility for improving health. Major program components include technical assistance and training to-
- reduce maternal and neonatal mortality;
- improve the quality and sustained use of family planning;
- prevent the transmission of sexually transmitted infections (STIs), HIV/AIDS, and other infectious diseases, including tuberculosis and malaria;
- reduce malnutrition among children under age five; and
- protect the health of the poor during the transition to decentralization through local advocacy for resources, and skills-building for decision-makers who set health priorities.
Mothers and children under five are the key beneficiaries of the program.
Inputs, Outputs, and Activities: FY 2002 Program: In FY 2002, Child Survival and Health activities will continue to emphasize reproductive and child health (including family planning, maternal, and newborn health), nutrition, and will target Indonesia's poor women and children. USAID will work closely with the Government and NGOs to ensure that decentralization of health services at the district level does not result in increased maternal and child morbidity and mortality because of a breakdown of essential primary health care services. USAID expects to broaden its response to the HIV/AIDS prevention program in reaction to increasing rates of HIV infection in some populations. Infectious disease resources will be used in FY 2002 to expand support for tuberculosis control through Directly Observed Treatment Short Course (DOTS) strategy and malaria control interventions in areas where the disease is re-emerging.
HIV is on the rise in Indonesia. In 2001, 40% of drug injectors in treatment in Jakarta tested positive for HIV. Among sex workers, eight percent in Riau, 17% in Jakarta and 26% in Merauke, Papua, tested positive. The population program will continue ongoing activities in training, key policy reform efforts, and assistance for logistics management of essential drugs and contraceptives. FY 2002 program priorities will focus on improving the quality of reproductive health and family planning services and increasing acceptability, availability, and effective use. USAID will seek public-private partnerships to share fiscal responsibility for health and family-planning services where feasible. These linkages are already being forged as a new generation of Indonesians sees protecting social welfare as a corporate responsibility. FY 2002 programs will expand community mobilization activities that emphasize the importance of local participation in determining and securing resources for health needs and assist in the decentralization of the national family planning program, which remains a central service until 2003. FY 2002 activities will also focus on meeting the health needs of vulnerable populations in conflict areas, including women, children, and internally displaced persons.
Planned FY 2003 Program: FY 2003 resources will support ongoing programming in the areas of newborn and child survival, micronutrient supplementation, maternal survival practices, and STI/HIV prevention in a decentralized Indonesia. USAID also will further expand efforts to reduce the burden of tuberculosis in highly infected areas and to expand malaria-control efforts. Funding also will support ongoing programming to improve quality and choice of reproductive health services, ensure contraceptive security, and address the reproductive health needs of youth.
All contracts and grants funded with resources from USAID's population, health, and nutrition program 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: USAID achieved impact by helping to maintain the national contraceptive prevalence rate and increasing the proportion of births attended by trained personnel. Despite the negative effects of Indonesia's fiscal crisis, it appears that Indonesian men and women are continuing to seek and use family planning methods: today 57% of women are using contraception, a stable rate from 1997 pre-crisis figures.
Urban families have struggled, however, as is evidenced by the increase in the number of urban street children. In Indonesia's four largest cities, 40 indigenous NGOs are now
receiving financial and technical assistance to enable them to protect the health and welfare of street children. Since the majority of Indonesia's women deliver at home, USAID is working to increase the number of births that are attended by a trained midwife. Data from one study suggests that 52% of births in a USAID program area were attended by a trained midwife, an increase from 31% (IDHS, 1997). USAID's HIV-prevention activities are designed to change high-risk behaviors and promote the use of condoms. Among female sex workers in Indonesia, a high-risk population, condom use remained stable at 41%.
With USAID's support, 18 million preschool children receive Vitamin A capsules to strengthen their immune systems and prevent blindness. Principal Contractors, Grantees, or Agencies: Key primes include Family Health International, Helen Keller International, International Medical Corps, JHPIEGO Corporation, Johns Hopkins University, Program for Appropriate Technology in Health, Royal Netherlands Tuberculosis Association, Save the Children, and World Vision. Key Indonesian sub-contractors include the Midwives Association and the Society of Obstetricians and Gynecologists.
US Financing in Thousands of Dollars
497-008 Health of Women and Children Improved CSD CSH DA Through September 30, 2000 Obligations 34,332 0 72,274 Expenditures 17,014 0 50,488 Unliquidated 17,318 0 21,786 Fiscal Year 2001 Obligations 19,580 0 9,678 Expenditures 1,812 0 15,477 Through September 30, 2001 Obligations 53,912 0 81,952 Expenditures 18,826 0 65,965 Unliquidated 35,086 0 15,987 Prior Year Unobligated Funds Obligations 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 35,568 0 Total Planned Fiscal Year 2002 Obligations 0 35,568 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 32,768 Future Obligations 0 0 0 Est. Total Cost 53,912 35,568 114,720
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Last Updated on: May 29, 2002 |
