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Program Data Sheet 936-001 IR 1.4 USAID OPERATING UNIT: Bureau for Global Health PROGRAM TITLE: Family Planning & Reproductive Health-Access (Pillar: Global Health) STRATEGIC OBJECTIVE AND NUMBER: Increased use by women and men of voluntary practices that contribute to reduced fertility, 936-001 IR 1.4 Increased access to, quality of, cost-effectiveness of, and motivation to use family planning, breastfeeding, and selected reproductive health information and services. STATUS: Continuing PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $51,265,000 CSH PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $51,265,000 DA INITIAL OBLIGATION: FY 1996      ESTIMATED COMPLETION DATE: FY 2013 Summary: Major categories of assistance under this Intermediate Result include: expanding service-delivery in the public, private commercial and non-governmental organization (NGO) sectors; implementing client-centered services that emphasize voluntarism and informed choice; institutionalizing performance improvement systems to strengthen the skills of health care providers and ensure quality of care in a sustainable manner; improving access to contraceptive commodities; fostering the development of community-based organizations that can function as both advocates for, and providers of, quality health information and services; increasing private sector participation in the delivery of quality family planning/reproductive health (FP/RH) services by working through professional associations and networks and by increasing FP/RH organizations' access to credit; improving the reproductive behavior of youth including delaying first sexual encounter and improving access to information and contraceptives; and providing technical assistance to strengthen linkages between FP/RH, HIV and maternal health programs to ensure there are no missed opportunities to improve primary health. Inputs, Outputs and Activities: FY 2002 Program: Activities under this Intermediate Result are typically multi-year efforts. Some continuity between FY 2002 and FY 2003 activities is therefore expected. In FY 2002, USAID will work to increase the number and quality of FP/RH service delivery in the public, private commercial and NGO sectors using a client-centered approach that emphasizes informed choice. In the public sector, USAID will support the development and institutionalization of management, performance improvement and quality assurance systems. In the commercial sector, USAID will support social marketing programs to heighten awareness and benefit of FP/RH issues and increase the availability of related commodities. Private providers will receive information, training and, in some cases, access to credit, to increase their role in the provision of FP/RH services. U.S. private voluntary organizations (PVOs) will provide technical assistance and training to local NGOs to improve their capacity to deliver FP/RH information and services. Young adults will be a particular focus under a new five-year cooperative agreement awarded in late FY 2001. Activities under this award are designed to address young adults' unique needs to delay sexual debut as well as prevent pregnancy and sexually transmitted infection. In addition, recognizing the impact of the HIV epidemic, a number of pilot activities will examine the potential for integrating family planning and HIV information and services. Resources will also be allocated to develop a user-friendly compendium of best practices involving implementing and replicating FP/RH programs on a national scale. Planned FY 2003 Program: Agreements for activities in the PVO sector, commercial sector and selected activities in performance improvement and service delivery are all due to end in FY 2003. Thus the focus of activities in 2003 will be to assure a smooth transition between activities that are ending and start-up agreements. 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: USAID supported delivery of FP/RH information and services in 26 countries through public sector programs, 14 countries through private commercial sector programs, and 17 countries through private voluntary and non-governmental organizations' programs. During FY 2001, partnerships with the commercial sector resulted in the provision of contraceptive protection to an estimated three million couples. An innovative credit program disbursed $1.6 million in loans to private FP/RH providers. These loans should result in as many as 1.7 million new primary health care and FP/RH visits over the next three-five years. USAID FP/RH programs increased the number of countries with active post-abortion care programs from 8 to 12, reaching more than 24,000 women in need of such services. USAID programs also increased male involvement in FP/RH, by doubling the number of sites offering FP/RH services to men and increasing voluntary use of vasectomy. Finally, advocacy efforts through private voluntary organizations (PVO) helped to reduce female genital cutting in Egypt and Nigeria. Continued progress under this program is expected to increase access to and use of reproductive health services by increasing the capacity of every sector to delivery quality information and services. The focus on strengthening systems and institutions is also expected to help ensure the sustainability of activities undertaken under this program. Major Contractors and Grantees: (1) Pathfinder International - subcontractors include the Academy for Educational Development (AED), Centre for Development and Population Activities (CEDPA), Meridian Development Foundation, and PROFAMILIA/Colombia; (2) EngenderHealth; (3) Save the Children - partners include: Cooperative for Assistance and Relief Everywhere (CARE), Adventist Development and Relief Agency, ChildReach/Plan International, and Program for Appropriate Technology in Health; (4) Management Sciences for Health - subcontractors: AED, Family Health International (FHI), the Centre for African Family Studies, the Federation of African Women Educationalists, and Deloitte Touche Tohmatsu (DTT); (5) CEDPA; (6) DTT - subcontractors: Futures Group International, Abt Associates, Meridian Development Foundation, and Population Services International (PSI); (7) FHI - subcontractors: CARE, Research Triangle Institute, Margaret Sanger Center International, and DTT; (8) CARE, (9) AED - subcontractors: LaLeche League International, PSI, Wellstart International, CARE, Catholic Relief Services, and WorldVision; (10) John Snow International - subcontractors: Alatech Healthcare Products; (11), various contraceptive manufacturers (FEI Products, Inc, Leiras Oy, Wyeth-Ayerst International, Ortho-McNeil Pharmaceutical, Pharmacia Worldwide, and Panalpina); and (12) other cooperating agencies, U.S. PVOs, private companies, and host country institutions. US Financing in Thousands of Dollars 936-0014 Increased access to, quality of cost-effectiveness of, and motivation to use family planning, breastfeeding, and selected reproductive health information and services. CSH DA Through September 30, 2000 Obligations 0 700,071 Expenditures 0 651,596 Unliquidated 0 48,475 Fiscal Year 2001 Obligations 0 59,469 Expenditures 0 49,324 Through September 30, 2001 Obligations 0 759,540 Expenditures 0 700,920 Unliquidated 0 58,620 Prior Year Unobligated Funds Obligations 0 0 Planned Fiscal Year 2002 NOA Obligations 51,265 0 Total Planned Fiscal Year 2002 Obligations 51,265 0 Proposed Fiscal Year 2003 NOA Obligations 0 51,265 Future Obligations 0 227,066 Est. Total Cost 51,265 1,037,871   :  :  :  :  :  :  :  :  :  :  What's New : FOIA Requests : Privacy Policy : Email This Page : Plug-ins : FAQs : Help Desk : Contact Us : Site Map Last Updated on: May 29, 2002