|
|
|
|
|
|
|
|
|
|
  |
 |
  |
Bureau for Global Health
>> Regional Overview >> Global Health Overview Program Data Sheet
936-002USAID OPERATING UNIT: Bureau for Global Health
PROGRAM TITLE: Health and Nutrition Program (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased use of key maternal health and nutrition interventions, 936-002
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $15,000,000 CSH
PRIOR YEAR UNOBLIGATED AND FUNDING SOURCE: $438,000 CSD
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $12,168,000 DA
INITIAL OBLIGATION: FY 1996 ESTIMATED COMPLETION DATE: 2013Summary: Major categories of funding under this strategic objective include:
- policy dialogue and technical assistance to institutionalize political and financial commitments to maternal and newborn health;
- technical assistance to improve maternal nutritional status, including micronutrient supplementation and fortification;
- community mobilization to create awareness that using maternity services can save lives;
- technical assistance to promote antenatal care, including tetanus toxoid immunization, malaria and syphilis control, and prevention of mother-to-child-transmission of HIV;
- technical assistance to improve safe and clean childbirth practices through the use of a skilled birth attendant;
- technical assistance to increase access to and quality of postpartum and newborn care;
- treatment of life-threatening obstetrical complications, including hemorrhage, infection, hypertensive disorders, obstructed labor and post abortion complications;
- technical assistance to strengthen health delivery systems through the development of health information systems, rational management of pharmaceuticals, and effective health financing approaches;
- identification and testing of new approaches to provide quality services to women who are geographically and culturally isolated and, therefore, most vulnerable to death and disability;
- field trials on the effect of vitamin A supplementation during pregnancy; and
- technical assistance to evaluate program results.
Inputs, Outputs and Activities: FY 2002 Program: In the area of advocacy, USID will support the international White Ribbon Alliance, which was created in 1999 to promote Safe Motherhood through global networks. Formal and informal community groups will be supported to create demand for maternity services. At the national level, USAID will strengthen political and financial commitments for maternity care. Community-level programs to promote safe pregnancy outcomes will be supported by promoting good nutrition and avoidance of harmful birth practices. In the area of service delivery, doctors, nurses and midwives will be trained to focus on antenatal, safe delivery, postpartum and newborn care, as well as treatment of obstetric complications. Strategies will be introduced to train large numbers of care providers rapidly and inexpensively. In the area of capacity building, expertise to facilitate south-to-south exchanges and regional training centers will continue to be supported. Partnerships with multilateral organizations will be supported to promote adherence to evidence-based standards of care for treatment of obstetric complications. Furthermore, USAID expects to support coordination for maternal and neonatal health through the creation of a secretariat for a Global Partnership for Safe Pregnancy and Newborn Health. This partnership will advocate for increased resources and promote country-level coordination of effective public health programming for maternal and newborn survival. In the area of research, USAID funds will seek to improve antenatal interventions, decrease delays in obstetric complications care, and test new technologies to control postpartum hemorrhage. Contributions to a multi-donor research program to reduce maternal mortality are also envisioned.
Planned FY 2003 Program: Most of the programs described for FY 2002 funding are multi-year efforts and will continue with FY 2003 funding. These include maternal health advocacy and policy development activities, efforts to improve and create additional demand for maternal health services, and evaluation of existing maternal health programs. Improved quality of care will be pursued through support for improved training, centers of excellence, and formalized quality improvement programs. USAID will also add to the maternal health knowledge base by engaging in targeted research and policy analysis with key partners to identify more effective ways of promoting maternal and neonatal health.
Performance and Results: Awareness raising and community mobilization have been supported through the White Ribbon Alliance, a network of organizations that fosters grassroots support for Safe Motherhood. In two years, 154 member groups in 18 countries have joined the alliance. In collaboration with international professional organizations, the World Health Organization (WHO), United Nations Children's Fund (UNICEF), United Nations Population Fund (UNFPA) and the World Bank, worldwide technical guidance, based on the latest scientific evidence for treatment of obstetrical complications, has been translated and disseminated throughout the developing world. Innovative country-specific and culturally sensitive maternal health programs to increase access and improve quality of care have been implemented. These include support to midwifery clinics in the Philippines with special attention to the privacy needs of Muslim women in Mindanao, support for policy changes that resulted in the use of more effective drugs for control of malaria during pregnancy in Tanzania, and promotion of updated patient care practices in Guatemala that resulted in improved maternal health and decreased costs.
In the coming years, USAID expects to see higher awareness of, and greater commitment to, maternal and neonatal health at both the national and global level. This goal will be pursued through a variety of approaches, especially international partnerships. If progress continues as anticipated, USAID expects to maintain its position as a global leader in testing and documenting new tools and effective approaches and making them available for implementation by other donors, multilateral organizations, governments, and non-governmental organizations.
Major Contractors and Grantees: (1) JHPIEGO Corp - subcontractors: Center for Development & Population (CEDPA), John Hopkins University, Program for Appropriate Technology in Health (PATH); (2) Academy for Educational Development (AED) - subcontractors: Cooperative for Assistance and Relief Everywhere, Catholic Relief Services, World Vision, Cornell University, Tufts University); (3) University of North Carolina-INTRAH - subcontractors: Abt Associates Inc., Engender Health, American College of Nurse Midwifes, (PATH), Training Resource Group); (4) The Futures Group -subcontractors: CEDPA, Research Triangle Institute; (5) International Science & Technical Institute - subcontractors: HKI, AED, Population Services Institute); (6) HKI; (7) International Life Sciences Institute; (8) JHU; (9) LTG Associates - subcontractors: TVT; (10) University Research Corporation (URC) - subcontractors: Joint Commission Resources, JHU; (11) Abt Associates - subcontractors: URC, Development Associates Incorporated, Tulane University, PATH; (12) Management Sciences for Health - subcontractors: AED, APUA, Boston University, Harvard, PATH; (13) U.S.Pharmacopeia; (14) Jorge Scientific Corp.- subcontractors: Futures Group, John Snow, Incorporated; (15) Global Health Council; (16) ORC Macro International - subcontractors: Population Council, East West Center; (17) Carolina Population Center - subcontractors: John Snow, JSI/RTI; (18) Tulane; (19) ORC Macro Int.; (20) Save the Children; (21) WHO; (22) UNICEF; (23) UNFPA.
US Financing in Thousands of Dollars
936-002 Increased use of key maternal health and nutrition interventions CSD CSH DA Through September 30, 2000 Obligations 54,941 0 19,808 Expenditures 37,206 0 19,808 Unliquidated 17,735 0 0 Fiscal Year 2001 Obligations 15,631 0 0 Expenditures 21,205 0 0 Through September 30, 2001 Obligations 70,572 0 19,808 Expenditures 58,411 0 19,808 Unliquidated 12,161 0 0 Prior Year Unobligated Funds Obligations 438 0 0 Planned Fiscal Year 2002 NOA Obligations 0 15,000 0 Total Planned Fiscal Year 2002 Obligations 438 15,000 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 12,168 Future Obligations 0 0 129,657 Est. Total Cost 71,010 15,000 161,633
 |
|||
Last Updated on: May 29, 2002 |
