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Bureau for Global Health
>> Regional Overview >> Global Health Overview Program Data Sheet
936-003USAID OPERATING UNIT: Bureau for Global Health
PROGRAM TITLE: Child Survival Program (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased use of key child health and nutrition interventions, 936-003
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $44,800,000 CSH, $3,800,000 DA
PRIOR YEAR UNOBLIGATED AND FUNDING SOURCE: $1,482,231 CSD; $1,226,268 DA
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $40,532,600 DA
INITIAL OBLIGATION: FY 1996 ESTIMATED COMPLETION DATE: FY 2013Summary: USAID's Child Survival Program funds a multi-year effort to reduce the main causes of child mortality and morbidity: diarrhea, acute respiratory infections (ARI), malnutrition, and vaccine preventable diseases. Major categories of assistance under this strategic objective include:
engaging in research and developing new tools and approaches to prevent and cure the main childhood diseases; helping countries identify and develop cost-effective policies and programs to address major threats to the survival and health of infants and children; applying social marketing and behavior change techniques to improve understanding and use of key child health and nutrition behaviors; and applying operations research and quality assurance techniques to improve child health services, increase the availability of essential drugs and commodities, and upgrade health worker training. Inputs, Outputs and Activities: FY 2002 Program: In FY 2002 USAID will continue to tackle the main causes of infant and child mortality and morbidity. The Child Survival Program will work through expanded partnerships with governments, non-governmental organizations, and other donors. Programs will support new research on diarrhea, acute respiratory infections, malnutrition, and vaccine preventable diseases. USAID will take leadership roles in the Global Alliance for Vaccines and Immunization (GAVI), and the Global Alliance to Improve Nutrition (GAIN), new global partnerships to increase the impact of child survival and disease control activities.
Planned FY 2003 Program: USAID will continue to improve immunization coverage in collaboration with the World Health Organization (WHO), United Nations Children's Fund (UNICEF), the World Bank, the Gates Foundation, the Rockefeller Foundation and bilateral donors through GAVI and the Safe Injection Global Network (SIGN). USAID will continue to evaluate the integrated management of childhood illness in field settings and support the evaluation and introduction of new vaccines against pneumonia and rotavirus diarrhea as well as vial monitors for vaccines other than polio. USAID will also support interventions to: reduce or treat life-threatening illnesses of newborns; increase the use of vitamin A; and expand the use of national health accounts to support resource allocation for child health. Programs to promote maternal-child health insurance in Latin America will be developed. Partnerships with private voluntary organizations will seek to strengthen technical capacity at the community level. Commercial private sector partnerships will be expanded to encourage production and distribution of oral rehydration salts, vitamin A-fortified foods, and soap for hand washing.
USAID will continue to work with WHO and UNICEF in efforts to eradicate polio, and will partner with Voice of America (VOA) to send messages in 19 different languages to hard-to-reach populations. USAID will expand community-based programs that involve volunteers working to encourage appropriate nutrition, promote good child health, and link families to health services. Program expansion will occur in Nicaragua, the Dominican Republic, El Salvador, Senegal, Ghana, and Zambia.
USAID will continue to develop new and more effective ways to diagnose, treat and prevent the main childhood killers. Activities will promote breastfeeding, increase resistance to disease through fortification with vitamin A, iodine, and other micronutrients, and develop safer, cheaper ways to deliver immunizations.
USAID will work with private and public partners to increase community involvement in: detection of polio cases; mobilization for immunization and vitamin A supplementation; and home care and appropriate care-seeking for respiratory infections, diarrhea, and illnesses of newborn infants. Programs will develop, adapt, and implement innovative communication and behavior change approaches such as peer group methods and negotiated approaches to increase knowledge and use of child health and nutrition practices.
Performance and Results: In Madagascar, where over half the children are malnourished, USAID worked with the Ministry of Health and other partners to develop the Champion Communities Initiative that promotes intensive community-based nutrition education in targeted areas. This effort increased the percentage of infants exclusively breastfed from 24% in 1996 to 68% in 2000 and the percentage of women initiating breastfeeding immediately after birth from 34% to 73%.
In Bihar, one of the poorest states in India, inappropriate infant feeding practices contribute to high infant mortality. In one district where efforts were made to identify and test locally acceptable behaviors, exclusive breastfeeding rates increased from 12% in 1999 to 28% in 2001. In Ghana, working in conjunction with its National Immunization Days, USAID assistance was instrumental in helping the government to achieve over 80% vitamin A coverage of children 6 to 59 months of age.
USAID has promoted safe injection practices through training and use of auto-destruct syringes and safe disposal containers. Under the Boost Immunization initiative, USAID has supported a private sector vaccine endowment for Armenia, provision of critical immunization equipment and vaccines in Cambodia, and a renewed focus on those unreached by health care in the Dominican Republic.
By 2007 USAID will have worked with GAVI to build sustainable immunization systems in 74 countries, with 80% of countries achieving routine immunization coverage in at least 80% of all districts. USAID will have put in place micronutrient supplementation programs in over 30 countries. Priority USAID-supported countries will show sustained increases in: (1) exclusive breastfeeding, (2) the proportion of children receiving prevention and treatment of diarrheal diseases, respiratory infections and malaria infections, and (3) implementation of new approaches to reduce neonatal mortality.
Major Contractors and Grantees: (1) WHO; (2) Centers for Disease Control and Prevention; (3) National Institutes of Health; (4) Harvard Institute for International Development; (5) International Life Sciences Institute; (6) Johns Hopkins University; (7) the Academy for Educational Development; (8) John Snow, Inc.; (9) Wellstart International; (10) Abt Associates, Inc.; (11) Partnership for Child Health Care; (12) Management Sciences for Health; (13) Camp, Dresser, and McKee; (14) the Manoff Group; (15) University Research Corporation; (16) Program for Appropriate Technology in Health; (17) International Center for Diarrheal Disease Research. Bangladesh; (18) Helen Keller International; (19) International Science and Technology Institute; (20) International Food Policy Research Institute; (21) World Vision Relief and Development Inc.; (22) Consortium for International Development; (23) Development Associates Inc.; (24) Education Development Center; (25) International Society for Prosthetics and Orthodics; (26) Pan American Health Organization; (27) International Rescue Committee; and (28) other public and private sector entities.
US Financing in Thousands of Dollars
936-003 Increased use of key child health and nutrition interventions CSD CSH DA Through September 30, 2000 Obligations 180,713 0 79,392 Expenditures 134,528 0 74,024 Unliquidated 46,185 0 5,368 Fiscal Year 2001 Obligations 97,978 0 7,748 Expenditures 137,149 0 7,748 Through September 30, 2001 Obligations 278,691 0 87,140 Expenditures 271,677 0 81,772 Unliquidated 7,014 0 5,368 Prior Year Unobligated Funds Obligations 1,482 0 1,226 Planned Fiscal Year 2002 NOA Obligations 0 44,800 3,800 Total Planned Fiscal Year 2002 Obligations 1,482 44,800 5,026 Proposed Fiscal Year 2003 NOA Obligations 0 0 40,532 Future Obligations 0 0 258,346 Est. Total Cost 280,173 44,800 391,044
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Last Updated on: May 29, 2002 |
