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India

Program Data Sheet
386-002

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USAID MISSION: India
PROGRAM TITLE: Reproductive Health (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Reduced Fertility and Improved Reproductive Health in North India, 386-002
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $11,900,000 CSH
PRIOR YEAR UNOBLIGATED FUNDS AND FUNDING SOURCE: $3,645,000 DA
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $12,000,000 DA
INITIAL OBLIGATION: FY 1995      ESTIMATED COMPLETION DATE: FY 2004

Summary: The USAID reproductive health program focuses on the following—

  • increasing use of reproductive health services;
  • increasing use and quality of family planning services;
  • stimulating private sector participation and commercial partnerships for the development, promotion, and availability of reproductive and child health technologies;
  • improving data-based decision making; and
  • technical assistance in all areas listed above.

Inputs, Outputs, and Activities: FY 2002 Program: FY 2002 funds for this objective will be used for the following activities:

  1. The Innovations in Family Planning Services (IFPS) activity assists the states of Uttar Pradesh (UP) and Uttaranchal to reduce their high rates of population growth. The major focus of USAID’s reproductive health activity is in UP—India’s most populous state with 166 million people—and the newly created state of Uttaranchal with 9 million people. The activity will reach its objectives through improved management, access, quality, and promotion of family planning and reproductive services. The IFPS activity aims to reach a total fertility rate of 4.3% and a contraceptive prevalence rate of 35% by 2004 in the 28 target districts of UP and Uttaranchal. In FY 2002, USAID plans to expand the IFPS activity to cover the entire state of UP, Uttaranchal, and another north Indian state.
     
  2. The Program for the Advancement of Commercial Technology/Child and Reproductive Health (PACT/CRH) activity complements IFPS and stimulates private sector participation and commercial partnerships for the development, promotion, and availability of reproductive health technologies.
     
  3. Technical assistance from U.S. cooperating agencies in support of the IFPS activity.
     

Planned FY 2003 Program: USAID plans to use FY 2003 resources to fund a new health strategic objective, which will be submitted for approval in early 2002 under the new India Country Strategic Plan for FY 2003–FY 2007. The new health strategic objective is expected to include support for ongoing reproductive health activities and expand activities in UP, Uttaranchal, and another Indian state.

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: According to a January 2001 survey, the percentage of births attended by a trained provider increased substantially, from 29.9% to 36.3%, while the coverage of pregnant women receiving two doses of tetanus toxoid increased from 59% to 62.8% in the 28 districts of UP. The use of modern methods of family planning in 15 priority districts was 28.3%, compared to 21.7% in the 13 other IFPS districts. In order to improve the access to quality reproductive health services, an integrated public-private sector-programming approach, the District Action Plan (DAP) approach was initially tried in 6 districts of UP then extended to four new districts in 2000. By March 2002, DAP will be expanded to cover all 25 districts of UP serving as the model for the entire state. USAID provided technical assistance to the government of UP to develop a comprehensive population policy focusing on volunteerism and informed choice; while steering away from provider or acceptor incentives and disincentives.

The Program for the Advancement of Communications Technology’s (PACT) division of child and reproductive health, funded a four-state generic campaign that continues to promote acceptance and use of oral contraceptives in urban areas of North India. Since 1998, the sale of pills in the campaign areas increased by 23%. In UP, a statewide contraceptive social marketing project has been initiated for the promotion and distribution of condoms and oral contraceptives in rural areas. In the past year, the sale of condoms in rural UP increased by nearly 20%, while sales of the pill registered a 13% increase.

Principal Contractors, Grantees, or Agencies: The principal agencies are the State Innovations in Family Planning Services Agency and ICICI Limited. Technical cooperating agencies include the following: AVSC International (prime); CARE (prime); the Center for Development and Population Activities (prime); Johns Hopkins University (prime); the University of North Carolina (sub); The Futures Group International (prime); ORC-MACRO (prime); Program for Appropriate Technologies in Health (prime); the Population Reference Bureau (prime); the Population Council (prime); John Snow, Inc. (prime); Community Systems Foundation (sub); the Contraceptive Research and Development Program (prime); and the U.S. Bureau of Census (prime).

US Financing in Thousands of Dollars

386-002 Reduced Fertility and Improved Reproductive Health in North India CSD CSH DA
Through September 30, 2000
Obligations 9,193 0 185,456
Expenditures 1,825 0 144,086
Unliquidated 7,368 0 41,370
Fiscal Year 2001
Obligations 0 0 12,260
Expenditures 2,998 0 14,275
Through September 30, 2001
Obligations 9,193 0 197,716
Expenditures 4,823 0 158,361
Unliquidated 4,370 0 39,355
Prior Year Unobligated Funds
Obligations 0 0 3,645
Planned Fiscal Year 2002 NOA
Obligations 0 11,900 0
Total Planned Fiscal Year 2002
Obligations 0 11,900 3,645
Proposed Fiscal Year 2003 NOA
Obligations 0 0 12,000
Future Obligations 0 0 102,196
Est. Total Cost 9,193 11,900 315,557

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Last Updated on: May 29, 2002