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India
>> Regional Overview >> India Overview Program Data Sheet
386-003
USAID MISSION: India
PROGRAM TITLE: Child Survival (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Improved Child Survival and Nutrition in Selected Areas of India, 386-003
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $8,000,000 CSH; $86,431,100 P.L. 480 Title II
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $5,650,000 DA; $91,287,700 P.L. 480 Title II
INITIAL OBLIGATION: FY 1995 ESTIMATED COMPLETION DATE: FY 2006Summary: Two activities directly contribute to this objective:
- The India P.L. 480 Title II program integrates food aid with Government of India (GOI) and non-government resources to improve key child survival interventions, such as immunization, antenatal care, and infant feeding practices. The program, implemented by CARE and Catholic Relief Services (CRS), reaches about 7.5 million poor women and children. A majority of these are from Scheduled Castes/Scheduled Tribes and others at the greatest risk to mortality, morbidity, and malnutrition. CARE works with the GOI’s Integrated Child Development Services (ICDS) program, the largest outreach child survival program in the world. CRS works with social service organizations and partners to promote maternal and child health. It also supports agriculture, basic education, and humanitarian assistance programs managed by Mother Teresa’s and the Dalai Lama’s organizations. The previous five-year CARE and CRS programs ended in FY 2001. New five-year programs (FY 2002-2006) were recently approved. During FY 2002, USAID will augment the Title II program food resource with Child Survival funds to strengthen its child survival impact, which has demonstrated promising potential.
- The Program for Advancement of Commercial Technologies/Child and Reproductive Health (PACT/CRH) activity complements the Title II program. It provides support at the national level for child survival technologies, such as oral rehydration salts (ORS) and vaccines, aimed at increasing commercial marketing and distribution of quality child survival products and services.
Inputs, Outputs, and Activities: FY 2002 Program: Over 90% of the Title II food resources will be distributed directly to provide a nutritious supplement to 7.5 million pregnant and nursing mothers and children under six years of age in over 102,000 villages. The Title II food
will continue to be a powerful draw to enroll women and children in the program where ancillary healthcare is provided through GOI health providers. Local currency (generated by monetizing about 7% of Title II commodities), section 202(e) Farm Bill funds, and child survival funds will support activities for capacity building of staff, NGOs and communities; systems strengthening, including supply chain management; demonstration and replication of successful strategies and models, such as monthly nutrition and health days; the use of village nutrition centers as depots for health supplies like ORS packets, iron-folate supplements, and contraceptives; promoting behavior change like exclusive breast feeding, timely complementary feeding of infants, full infant immunization; community disaster preparedness and mitigation; and technical assistance. These activities will improve the quality and coverage of key maternal and child survival interventions, e.g., immunization, antenatal care, vitamin A distribution, and appropriate infant feeding practices.
In Bihar, the CARE Title II program helped implement a low-cost group health insurance scheme for about 1,100 tribal families. For as little as $1.50 per year, a family of five can now access curative, preventive, antenatal and maternal care from identified health facilities. PACT/CRH will continue to support promotion campaigns that position oral-rehydration solution (ORS) as the scientifically proven, doctor-recommended, first-line product for all cases of childhood diarrhea in India. The program will expand ongoing work with Indian commercial manufacturers to make the World Health Organization (WHO) composition ORS widely available in retail outlets in select states, as well as support the Indian Academy of Pediatrics to encourage doctors to actively endorse and recommend this product.
Planned FY 2003 Program: USAID, under its proposed new strategy for India, will continue to invest in improving the child survival impact of its Title II, reproductive health, and the PACT/CRH programs. USAID also will develop an innovative child survival program model for urban slums. Under the proposed strategy, USAID may emphasize policy reform and policy dialogue with the Government of India. This discussion will encourage informed public advocacy to promote needed policy reforms, which unleash growth potential in the agricultural sector. This collaboration would help re-establish and strengthen the links between USAID and Indian agricultural policy-makers, and between other dynamic public and private sector policy research specialists and institutions in both countries. Positive changes in policies will eventually lead to reduced poverty and food insecurity by decreasing consumer prices (through more effective and efficient marketing), better targeting of public distribution, and increasing productivity and farm incomes.
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: Performance of the P.L. 480 Title II program during FY 2001 met expectations, reaching 97% of the planned beneficiaries villages with about 205,000 metric tons of Title II commodities in over 100,000 villages. Nutrition and Health days, organized in the villages
by CARE to directly contribute to increased immunization, iron-folate supplementation coverage, and improved nutrition practices, were regularly implemented in about 19,300 villages and continue to be scaled-up. Over 25,000 counterparts and community members under the CARE and CRS programs were reached with capacity-building training which is critical for improving demand, quality, and coverage of services and to promoting positive nutrition and health behaviors. CARE and CRS expanded and strengthened their partnerships with the government, NGOs, and community-based organizations.
In three Indian states, CARE has developed program models where women’s groups supply locally processed food for supplementary feeding in the ICDS program. These models promote community ownership, improved livelihood, and food security, and demonstrate possible government-local cost-sharing mechanisms. Under the Program for the Advancement of Communications Technologies (PACT), ICICI Limited, a leading Indian bank, supported promotion campaigns that increased access to ORS. Three Indian commercial firms were engaged to market the WHO composition ORS more widely in retail outlets in selected states.
Principal Contractors, Grantees, or Agencies: P.L. 480 Title II program partners are the U.S. PVOs CARE and Catholic Relief Services. Other implementers include the Academy for Educational Development and the Food and Nutrition Technical Assistance (FANTA) and LINKAGES projects. PACT/CRH is implemented through ICICI Limited, with U.S. technical assistance from Programs for Appropriate Technology in Health (PATH) and the Commercial Marketing Strategies (CMS) project.
US Financing in Thousands of Dollars
386-003 Improved Child Survival and Nutrition in Selected Areas of India CSD CSH DA Through September 30, 2000 Obligations 6,925 0 2,650 Expenditures 2,225 0 1,152 Unliquidated 4,700 0 1,498 Fiscal Year 2001 Obligations 4,300 0 0 Expenditures 2,900 0 0 Through September 30, 2001 Obligations 11,225 0 2,650 Expenditures 5,125 0 1,152 Unliquidated 6,100 0 1,498 Prior Year Unobligated Funds Obligations 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 8,000 0 Total Planned Fiscal Year 2002 Obligations 0 8,000 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 5,650 Future Obligations 0 0 24,693 Est. Total Cost 11,225 8,000 32,993
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Last Updated on: May 29, 2002 |
