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Bureau for Global Health

Program Data Sheet
936-001 IR 1.3

USAID OPERATING UNIT: Bureau for Global Health
PROGRAM TITLE: Family Planning and Reproductive Health (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased use by women and men of voluntary practices that contribute to reduced fertility, 936-001 IR 1.3 Enhanced capacity for national programs (public, private, non-governmental organization and community-based institutions) to design, implement, finance, and evaluate sustainable family planning programs.
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $43,924,000 CSH
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $43,924,000 DA
INITIAL OBLIGATION: FY 1996      ESTIMATED COMPLETION DATE: FY 2013

Summary: Major categories of assistance under this Intermediate Result include:

  • training and technical assistance to providers of family planning and reproductive health services;
  • technical assistance to develop and improve logistics, financial, information, and human resource management systems;
  • technical assistance to help design, implement and evaluate communication and behavior change programs in family planning and reproductive health;
  • training of managers and leaders in business skills to ensure sustainability of their programs;
  • technical assistance to develop national family planning and reproductive health (FP/RH) strategic plans and to promote collaboration among relevant FP/RH institutions; and
  • technical assistance to evaluate program results and apply operations research findings.

Input, Outputs, and Activities: FY 2002 Program: USAID's work under this Intermediate Result will focus on training service providers, improving management systems and leadership skills, developing the capacity of local organizations to plan for financial self-reliance, and applying results from program evaluations and operations research to service delivery. The program will seek to increase the quality and quantity of human resources to lead and manage programs as well as provide services. USAID will apply innovative, cost-efficient training methods and strategies, including distance learning to reach the largest number of providers, leaders and program managers possible. The program will also emphasize developing partnerships with host country organizations and building their capacity to provide technical assistance locally and regionally. In FY 2002, USAID plans a competitive award to provide assistance to field missions in the areas of communication and behavior change in the population, health and nutrition sectors.

Planned FY 2003 Program: USAID expects that FY 2003 funds will support management and human resource assessments of national family planning and reproductive health institutions. Funds may be used to incorporate innovative approaches, such as distance learning and mentoring, into leadership development courses for leaders and managers of key public and private institutions. To enhance the sustainability of services, the program expects to support the development of public-private partnerships to increase financial resources available to government reproductive health programs. USAID will continue its emphasis on improving provider performance through the design of more efficient supervision systems. Under the new communication and behavior change award, funds may be used to further develop programs to influence community and societal norms related to health and family planning choices.

Family planning assistance agreements either already include or will include standard clauses to implement the Mexico City Policy, per the Presidential Document entitled "Memorandum of March 28, 2001 for the Acting Administrator of the United States Agency for International Development--Restoration of the Mexico City Policy," (Federal Register: March 29, 2001, Volume 66, Number 61, Pages 17301-17313) attached to Contract Information Bulletin 01-08 (R).

Performance and Results: Technical capacity to deliver FP/RH services through Private Voluntary Organization (PVO) partners was increased by a competitive grant process that resulted in awards in 10 countries. Training and support to PVO networks strengthened the monitoring and evaluation skills of local nongovernmental organizations (NGOs), improving their analytical and programming capacity. In Ghana, 120 private sector nurse midwives were trained in providing adolescent reproductive health services. These providers now see an average of 4,800 adolescents per month. In addition, as a result of training, the number of midwives providing sexually transmitted infection diagnosis and treatment, emergency contraception and post-abortion care services to adolescents increased. After an on-the-job training program was provided in Zambia, 5,500 clients received comprehensive post-abortion care and family planning services in FY 2001. USAID's technical assistance in financial management and cost analysis helped NGOs and national governments worldwide to improve the sustainability of their reproductive health programs. In Mexico, a large family planning organization increased fee-for-service revenues by 30%, and in Mozambique the Ministry of Health now has the ability to track financial data helping them to improve the efficiency and equity of FP/RH services.

USAID's focus on training and human capacity development will translate into higher quality reproductive health services, reaching a larger number of people per year. Its focus on institutional capacity building through improved management systems and business planning will result in stronger, more sustainable institutions providing these services.

Major Contractors and Grantees: (1) Management Sciences for Health; (2) John Snow, Inc.; (3) Centers for Disease Control and Prevention; (4) Pathfinder International; (5) The Futures Group International - subcontractors: Research Triangle Institute and the Centre for Population and Development Education; (6) the Public Health Institute; (7) the University of North Carolina - subcontractors: Abt Associates, EngenderHealth, Program for Appropriate Technology in Health, Training Resources Group, the American College of Nurse Midwives, and Save the Children; (8) Johns Hopkins University/Center for Communication Programs - subcontractors: Academy for Educational Development, Prospect Associates, and Save the Children; (9) University of Michigan; (10) JHPIEGO Corporation; and (11) other universities, private sector entities, NGOs, and host country institutions.

US Financing in Thousands of Dollars

936-0013 Enhance capacity for national programs (public, private, non-governmental organization and community-based institutions) to design, implement, finance and evaluate sustaibable family planning programs. CSH DA
Through September 30, 2000
Obligations 0 246,997
Expenditures 0 196,112
Unliquidated 0 50,885
Fiscal Year 2001
Obligations 0 40,751
Expenditures 0 53,984
Through September 30, 2001
Obligations 0 287,748
Expenditures 0 250,096
Unliquidated 0 37,652
Prior Year Unobligated Funds
Obligations 0 0
Planned Fiscal Year 2002 NOA
Obligations 43,924 0
Total Planned Fiscal Year 2002
Obligations 43,924 0
Proposed Fiscal Year 2003 NOA
Obligations 0 43,924
Future Obligations 0 136,837
Est. Total Cost 43,924 468,509

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Last Updated on: May 29, 2002