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Philippines
>> Regional Overview >> Philippines Overview Program Data Sheet
492-003
USAID MISSION: Philippines
PROGRAM TITLE: Family Planning and Health (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Reduced Fertility Rate, Maternal and Child Morbidity, TB Mortality and HIV/AIDS Prevalence,* 492-003
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $25,599,000 CSH; $2,000,000 ESF
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $24,050,000 DA
INITIAL OBLIGATION: FY 1994 ESTIMATED COMPLETION DATE: FY 2004Summary: USAID’s population, health and nutrition program focuses on strengthening the provision of family planning and other health services. Particular attention is given to conflict-affected areas of the country where health indicators are declining. The urban and working poor are targeted in support of the government’s fight against poverty. Efforts to combat tuberculosis have been incorporated into the program, along with HIV/AIDS activities formerly under 492-007. Improvements in the provision of family planning and health services via the commercial sector, particularly tuberculosis (TB) treatment, are a key thrust of the program.
USAID funds will provide:
- technical assistance at the local level to reduce micronutrient deficiencies and integrate micronutrient supplementation into all immunization programs;
- technical assistance to the Department of Health (DOH) and the private sector to implement the Philippine Food Fortification Strategy;
- technical assistance at the local level to increase their capacity to implement and manage health programs, with focus on micronutrient deficiency and breastfeeding, TB and HIV/AIDS;
- technical assistance at the local level to improve capacity for implementing family planning;
- technical assistance to generate increased private sector financing and participation in the provision of family planning services;
- technical assistance to build local capacity to train health providers in the development and utilization of management and information systems, for improved service delivery;
- a communications campaign and advocacy to increase social acceptance of and political support for family planning; and
- contraceptive commodities and supplies.
Inputs, Outputs, and Activities: FY 2002 Program: Major activities will focus on the following:
- Vitamin A. micronutrient fortification of selected commodities and administration of micronutrient supplements to reduce Vitamin A deficiency among children; mobilization of health workers and volunteers for distribution of Vitamin A capsules; communication campaigns to increase Vitamin A awareness; and engaging partners and other donors to assist with awareness-raising and service implementation.
- Breastfeeding. Education to increase the rates and lengthen the duration of breastfeeding.
- Tuberculosis. Development of public sector policies and guidelines for private sector involvement in diagnosis and treatment of TB; training (including workshops) of private practitioners on proper implementation method, to improve coverage, enhance sustainability and prevent drug resistance from incorrect case management.
- HIV/AIDS. Engage local governments as participants in the program; establish additional HIV Sentinel and Behavioral Surveillance Systems; conduct information, education and communication (IEC) activities for groups practicing high-risk behaviors; finance start-up costs of selected activities for local governments to begin building local support and NGO capacities.
USAID will also strengthen the public sector’s capacity to provide quality and affordable family planning (FP) and maternal and child health (MCH) services targeted at the poor, and support expansion of the private sector in the provision of FP services. USAID aims to reduce the unmet need for contraceptives of women of reproductive age, increase social acceptability of FP in the Philippines, and improve service delivery. Major activities will include the following:
- strengthening local level capacity to plan, manage and implement FP programs;
- national and local IEC campaigns to increase awareness of FP methods, dispel the myths surrounding these methods, and encourage the behavior and attitude changes that allow married couples, particularly women of reproductive age, to recognize and accept FP;
- advocacy efforts to generate stronger government and private support for FP;
- strengthening service delivery by increasing the number of private clinics nationwide (including midwife clinics) that provide affordable, quality FP services; training health workers to provide FP counseling and deliver FP services; and procuring contraceptives to ensure ready availability;
assisting the Department of Health and PhilHealth, the national health insurance agency, in developing and implementing health sector reforms which will create the enabling environment necessary for the provision of FP/MCH services, correct inefficiencies and inequalities in the delivery and financing of health care, and improve performance of the Philippines health sector. Planned FY 2003 Program: USAID will continue its support for Vitamin A supplementation, food fortification, and increased immunization coverage. For HIV/AIDS activities, USAID will work towards sustaining the efforts of the local governments and civil society and will provide technical assistance for local governments interested in joining the program. USAID efforts to address TB will include implementation of the DOTS in selected areas, by private practitioners previously trained under the program, with the ultimate aim of achieving 100% DOTS coverage for the country.
FY 2003 funds will also be used to implement FP and MCH activities already underway in FY 2002. Efforts will continue to improve FP service delivery through private sector practitioners (doctors and midwives), to expand the network of private sector clinics, and to increase access to contraceptives through the commercial private sector. USAID will intensify IEC and advocacy efforts aimed at increasing the social acceptability of FP. USAID will also continue procurement of contraceptives.
All contracts and grants funded under this 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 is seeing a continued decrease proportion of births in high risk category; decreased TB mortality; and have maintained HIV/AIDS prevalence at less than 2% among the groups practicing high-risk behavior. Tentative CY 2001 results indicate a continuing decrease in the total fertility rate from 3.7 in 1998 and an increase in contraceptive prevalence rate from 47% in 2000 to 49.9%. Achievement of family planning targets requires changing ingrained social attitudes that are particularly challenging in the Philippines. The pace of progress can vary, depending on whether or not the Administration in power is supportive of family planning efforts.
Principal Contractors, Grantees, or Agencies: USAID will implement activities through the Department of Health, selected local public and commercial entities, and the Philippine Commission on Population. Additional contractors and grantees will be identified in FY 2002.
US Financing in Thousands of Dollars
492-003 Reduced Fertility Rate and Improved Maternal and Child Health CSD CSH DA ESF MAI Through September 30, 2000 Obligations 9,054 0 135,292 0 1,800 Expenditures 4,782 0 110,390 0 71 Unliquidated 4,272 0 24,902 0 1,729 Fiscal Year 2001 Obligations 4,500 0 17,865 0 0 Expenditures 3,012 0 23,074 0 1,075 Through September 30, 2001 Obligations 13,554 0 153,157 0 1,800 Expenditures 7,794 0 133,464 0 1,146 Unliquidated 5,760 0 19,693 0 654 Prior Year Unobligated Funds Obligations 0 0 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 25,599 0 2,000 0 Total Planned Fiscal Year 2002 Obligations 0 25,599 0 2,000 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 24,050 0 0 Future Obligations 0 0 25,000 0 0 Est. Total Cost 13,554 25,599 202,207 2,000 1,800
* Previously notified as Reduced Fertility Rate and Improved Maternal and Child Health
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Last Updated on: May 29, 2002 |
