Program Data Sheet
517-002
USAID MISSION: Dominican Republic
PROGRAM TITLE: Health and Population (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased Use of Sustainable Basic Health Care Services and Practices; 517-002
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $2,557,000 (CSH)
PRIOR YEAR UNOBLIGATED AND FUNDING SOURCE: $0
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $0
INITIAL OBLIGATION: FY 1999 ESTIMATED COMPLETION DATE: FY 2003
Summary: This program is improving primary and preventive health care services by addressing both structural and systemic weaknesses within the health care system. Through technical assistance and grants to government institutions and public- and private- sector service providers, USAID is:
- improving access to and quality of basic healthcare services;
- increasing access to HIV/AIDS/Sexually Transmitted Infections (STIs) prevention and care services by at-risk and affected populations;
- strengthening public sector capacity to treat and control tuberculosis;
- increasing access to reproductive health services for target populations;
- improving child survival services by increasing vaccination rates and access to potable water;
- increasing community participation in improving the integrated management of childhood illness; and
- improving the efficiency and equity of basic health services at decentralized levels through healthcare policy reform.
Inputs, Outputs and Activities: FY 2002 Program: FY 2002 is the final year for which USAID requests resources under this program. USAID will use Child Survival and Health (CSH) funds to complete program activities that support the increased use of sustainable basic health services and practices. These funds will enable USAID to complete its technical assistance and training initiatives to public-sector health institutions and service-providing NGOs. Use of CSH Funds will enable Dominican NGOs to help prevent HIV/AIDS/STI transmission through behavior change education strategies, providing counseling services, and assisting with implementation of the HIV/AIDS law. USAID also provides assistance to strengthen the National Program for the Control of Tuberculosis, due to the high prevalence of HIV/AIDS-related incidence of tuberculosis. CSH (population) funds will be used to provide technical assistance and logistical support to increase access to and quality of public sector reproductive health programs, as well as improve NGO sustainability in providing family planning services to vulnerable populations.
Planned FY 2003 Program: USAID does not plan to obligate additional funds under this Strategic Objective in FY 2003.
Performance and Results: With successful completion of this program in 2003, USAID anticipates that a cumulative total of more than 800,000 people will have received HIV/AIDS/STI prevention and care services; and more than 2 million couples will be protected against unwanted pregnancies per year by use of a modern contraceptive method. Impressive progress has been made to date. In FY 2001 alone, more than 210,000 persons received HIV/AIDS/STI services. This figure includes 85,000 pregnant women participating in the vertical transmission program, 4,500 men and women receiving STI treatment through the pre-packaged therapy program, and 113,000 youth, adolescents, and adults reached through information, education and counseling activities. The staff of the National Program for the Control of Tuberculosis participated in training programs and study tours of successful programs in Latin America that have been implementing the Directly Observed Treatment Short-course strategy. Over 214,000 couple years of protection were achieved through modern contraceptive methods provided by three local NGOs and select public sector hospitals, a 30% increase over planned levels for the period. The three Dominican NGOs providing critical reproductive health services to vulnerable populations made significant progress in increasing their sustainability. This progress is attributed to USAID technical assistance that helped implement new service diversification and cost containment strategies.
| New USAID initiatives in six provincial health directorates and two municipal health areas will improve the delivery and management of primary health care services and serve as models for service delivery under the reformed health care system. |
Policy dialogue and debate remain critical to laying the foundation for health sector reform. USAID-funded activities enriched the debates in Congress with participation from civil society and other groups, and helped forge a national consensus that resulted in passage of the Social Security Law. This law substantially changes the health care system and will help ensure that poor Dominicans have access to otherwise unaffordable health care. USAID is now assisting the Ministry of Health as it implements its health service decentralization strategy, promulgated in the recently passed Health Law and the Social Security Law.
Principal Contractors, Grantees, or Agencies: Academy for Educational Development is the prime contractor for HIV/AIDS activities. Family Health International (in HIV prevention), Commercial Management Services (in reproductive health NGO sustainability) and Population Service International (to conduct an orphans and vulnerable children study) are also key partners. USAID's reproductive health partners include three Dominican NGOs (Profamilia, Adoplafam, Mude). Abt Associates, Inc. implements USAID's health sector reform activities.
US Financing in Thousands of Dollars
|
517-002 Increased Use of Sustainable Basic Health Care Services and Practices | CSD | CSH | DA |
|---|
|
Through September 30, 2000
|
| Obligations | 8,397 | 0 | 44,657 |
| Expenditures | 4,355 | 0 | 43,436 |
| Unliquidated | 4,042 | 0 | 1,221 |
|
Fiscal Year 2001 |
| Obligations | 5,885 | 0 | 4,490 |
| Expenditures | 3,651 | 0 | 2,052 |
|
Through September 30, 2001 |
| Obligations | 14,282 | 0 | 49,147 |
| Expenditures | 8,006 | 0 | 45,488 |
| Unliquidated | 6,276 | 0 | 3,659 |
|
Prior Year Unobligated Funds |
| Obligations | 0 | 0 | 0 |
|
Planned Fiscal Year 2002 NOA |
| Obligations | 0 | 2,557 | 0 |
|
Total Planned Fiscal Year 2002 |
| Obligations | 0 | 2,557 | 0 |
|
Proposed Fiscal Year 2003 NOA
| | Obligations | 0 | 0 | 0 |
| Future Obligations | 0 | 0 | 27,409 |
| Est. Total Cost | 14,282 | 2,557 | 76,556 |
|
