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Morocco
>> Regional Overview >>Morocco Overview Program Data Sheet
608-007
USAID MISSION: Morocco
PROGRAM TITLE: Sustaining Health Improvements for Women and Children (Pillar: Global Health)
SPECIAL OBJECTIVE NAME AND NUMBER: Key Interventions Promote Sustainability of Population, Health and Nutrition Programs, 608-007
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $4,600,000 CSH
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $0
INITIAL OBLIGATION: FY 1999 ESTIMATED COMPLETION DATE: FY 2004Summary: Morocco has had great success in reducing fertility, maternal deaths, and child deaths with USAID assistance over the past several decades. The goal of this Special Objective is to maintain high levels of family planning, immunizations, and other priority public health services while phasing out USAID support to the sector over a five-year period. USAID is working to—
- promote effective, localized management of public health services;
- foster collaboration among public health officials, NGOs, community associations, and the private sector in the delivery of quality maternal and child health services;
- increase access to reproductive and child health products and services in the private sector;
- reduce micronutrient deficiencies (iron, iodine, and Vitamin A); and
- assist the Ministry of Health to adapt its organization and better serve the Moroccan people.
Inputs, Outputs, and Activities: FY 2002 Program: Funds will be used to improve public health management and quality of care in two regions of Morocco. USAID activities will reinforce regional health management systems; provide training to doctors, midwives, and nurses for obstetric emergencies; install equipment for obstetric care in hospitals, and upgrade maternity wards; expand the use of quality assurance in public health clinics and hospitals; introduce new techniques for managing childhood illnesses into health clinics; and foster partnerships between public health managers and other community leaders for health projects by working through three U.S. nongovernmental organizations.
To shift clients of the public health system who are able to pay for health services to the private sector, USAID activities will help promote affordable contraceptives and oral rehydration salts and ensure they are available in pharmacies; develop models for group family medicine practice in the private sector; and develop training programs and provide other support to private physicians to expand their reproductive health services.
USAID will help reduce micronutrient deficiencies that directly affect maternal and child health. Activities will promote a national logo for fortified foods including iron-fortified flour and iodine-enriched salt, through mass media, educational materials, and training of health workers; introduce mandatory fortification of wheat flour with iron and B vitamins; and determine the feasibility of Vitamin-A fortification of vegetable oil in Morocco.
USAID will provide technical assistance in development of a draft National Health Charter.
Planned FY 2003 Program: In FY 2003, USAID will improve public health management and quality of care in the two focus regions. Activities will include completing regional health management systems; ensuring systematic use of quality assurance in public health clinics and hospitals; and promoting additional joint projects between public health agents and other community leaders.
To help shift clients of the public health system to the private sector, USAID will develop a strategy to continue social marketing of contraceptives and oral rehydration salts beyond the end of USAID assistance, through partnerships with private distributors. Activities in FY 2003 will also introduce group family medicine practice in the private sector, and work with medical schools to train private physicians in family medicine.
USAID will reduce micronutrient deficiencies and introduce vegetable oil fortified with Vitamin A in Morocco. Activities will help the Ministry of Health achieve consensus on a National Health Charter that reflects appropriate priorities for the health of Moroccan citizens.
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: To ensure that health improvements in Morocco are durable, and will not depend on continued USAID assistance, USAID supports innovations to increase the availability and effectiveness of healthcare while steadily reducing direct financial support. The year 2001 was the first year of implementation. In the two focus regions, USAID formed regional health teams and developed structures and mechanisms for planning and carrying out a large volume of activities. Training of personnel and upgrading of
clinics for obstetric care are underway. By the end of FY 2002, USAID will have upgraded obstetric care in two regions, thus reducing the risk of maternal and newborn deaths. Regional health officials will be using more effective management practices and will have increased the number and types of partnerships for health with different local partners. Through these partnerships, USAID will use local resources to improve health services, and local communities will gain more understanding and "ownership" of these services.
The Ministry of Health considers USAID to be an exemplary partner, despite greatly reduced levels of funding. This appreciation is due to the responsiveness, commitment and technical leadership USAID has provided through previous and current programs. Other donors, including Germany (GTZ), Japan (JICA) and the United Nations (UNFPA) have been asked by the Moroccan government to replicate activities and approaches developed with USAID assistance. In 2001 USAID studied the feasibility of different private-sector models to increase the performance of private doctors, and held forums to increase collaboration and understanding among actors in the sector. Also in 2001, USAID funded a promotional campaign for the launch of micronutrient-enriched foods and provided technical support to introduce the fortification of wheat flour with iron and B vitamins. By the end of 2002, models for affordable, high-quality private-sector reproductive and child healthcare will be established; sales of socially marketed products will be increasing; and all of the packaged wheat flour in the country will be iron fortified. By the end of FY 2004, USAID expects the overall quality of healthcare to improve in the two regions, with increasing use of family planning and maternity services. Many of the pilot approaches through this program will be used in other regions of the country, without direct USAID assistance. The private sector is expected to serve a larger share of the reproductive health needs of Moroccans, with micronutrient-enriched foods available throughout the country. A national health charter will promote sustainability of key health services.
Principal Contractors, Grantees, or Agencies: Principal contractors include John Snow, Inc.; Deloitte Touche and Tomatsu; International Science and Technology Institute; and CEDPA. Subcontractors funded through these programs include University Research Corporation; the Harvard School of Public Health; Abt Associates; Population Services International; Meridian; and Helen Keller International. U.S. nongovernmental agency grantees under this program include Catholic Relief Services; Helen Keller International; and the Near East Foundation. The principal grantee is the Ministry of Health.
US Financing in Thousands of Dollars
608-007 Key Interventions Promote Sustainability of Population, Health and Nutrition Programs in Morocco CSD CSH DA Through September 30, 2000 Obligations 1,880 0 4,620 Expenditures 400 0 1,720 Unliquidated 1,480 0 2,900 Fiscal Year 2001 Obligations 3,509 0 2,000 Expenditures 630 0 2,399 Through September 30, 2001 Obligations 5,389 0 6,620 Expenditures 1,030 0 4,119 Unliquidated 4,359 0 2,501 Prior Year Unobligated Funds Obligations 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 4,600 0 Total Planned Fiscal Year 2002 Obligations 0 4,600 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 0 Future Obligations 0 0 500 Est. Total Cost 5,389 4,600 7,120
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Last Updated on: May 29, 2002 |
