Program Data Sheet
517-ZZZ
USAID MISSION: Dominican Republic
PROGRAM TITLE: Health and Population (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Sustained Improvement in the Health of Vulnerable Populations in the Dominican Republic. 517-ZZZ
STATUS: New
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $6,975,000 (CSH)
PRIOR YEAR UNOBLIGATED AND FUNDING SOURCE: $0
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $11,409,000 (DA)
INITIAL OBLIGATION: FY 2002 ESTIMATED COMPLETION DATE: FY 2007
Summary: USAID will build upon previous program achievements that improved primary and preventive health care services. The vulnerable population is defined as those Dominicans living below the poverty line, particularly children, adolescents and women of reproductive age. In the case of HIV/AIDS prevention, the vulnerable population is defined as those most at risk or already infected with the HIV virus. USAID will utilize a combination of technical assistance, training and logistical interventions to achieve this new strategic objective through support to public sector health institutions and non-governmental organizations to:
- increase use of HIV/AIDS prevention and care services;
- increase access to sustainable, effective, reproductive health/family planning services;
- increase use of effective child survival services; and
- increase the efficiency, equity and quality of basic health care services at the local level.
Inputs, Outputs and Activities: FY 2002 Program: FY 2002 funds are being notified because this is a new program. CSH funds under this new strategic objective will be utilized to begin the transition from the current to the new health and population strategy. These resources will provide technical assistance to the Dominican Government to define and implement a National Condom Policy to increase access to condoms by poor and vulnerable populations; develop a strategy to expand the 100% condom use approach; and define policies and norms in implementing the country's AIDS Law. USAID will provide grant assistance to local NGOs to establish a network of local public-private service providers to improve access to HIV/AIDS prevention services. CSH (population) funds will improve the quality of reproductive health services (pre-natal, at-birth and post-partum care) through intensive training of hospital staff at the largest maternity hospitals. USAID will also provide technical assistance to increase the sustainability of the three leading family planning NGOs whose services are reaching the most vulnerable populations. This assistance will help these NGOs develop cost centers to monitor and manage costs and diversify their menu of services.
USAID child survival initiatives for FY 2002 include technical assistance to the Dominican Government's Primary Health Department, National Water Authority and local NGOs to develop a community-based infant growth monitoring program; improve routine vaccination services; and expand a community-based, rural water management system model nationally. USAID will provide technical assistance and training to support the health sector reform agenda to improve the equity and efficiency of integrated health services by decentralizing management to the provincial and municipal levels and forging model, local public-private provider networks under a reformed health care delivery system.
| SUBMISSION OF THIS PROGRAM DATA SHEET CONSTITUTES FORMAL RENOTIFICATION OF USAID'S INTENT TO OBLIGATE FY 2002 RESOURCES FOR THE ACTIVITIES DESCRIBED ABOVE. |
Planned FY 2003 Program: In FY 2003, USAID plans to focus on three major areas of health risk in the Dominican population: HIV/AIDS/Sexually Transmitted Infections (STIs) and tuberculosis prevention and treatment; reproductive health/family planning; and child survival. A fourth area, health sector reform, will help USAID achieve its objectives in the three aforementioned areas.
USAID will utilize FY 2003 funds to continue program initiatives in HIV/AIDS/STI prevention, tuberculosis treatment, and child survival. USAID will provide resources for health policy reform initiatives that support local NGO advocacy efforts to ensure that reproductive health services are included under the new Social Security Law's basic package of services. Ongoing technical assistance will enhance the sustainability of local NGOs that provide reproductive health services, which complement public-sector efforts to meet the demand for quality reproductive health services. USAID will provide technical and training assistance to improve the quality of reproductive health-related logistics, procurement and management systems.
FY 2003 resources will fund technical assistance to the National Commission for Social Security, under the new Social Security Law. USAID-funded technical assistance will help develop the basic package of health services and ensure that all Dominicans, regardless of income, have access to these services. USAID will also advance the national health finance reform agenda by funding pilot programs, at the provincial and local levels, that demonstrate more affordable, public-private sector health care service delivery models. Finally, USAID will strengthen civil society's advocacy capabilities to ensure the reforms directly address the needs of the poor.
Performance and Results: Expected results over the life of this new program include: (1) increased use of HIV/AIDS/STI prevention and care services, including public/private service networks; (2) increased number of at-risk Dominicans seeking health care services; (3) health-seeking behavior by high risk populations; (4) increased public sector resources allocated to HIV prevention and care; (5) more sustainable and effective NGO reproductive health/family planning services; (5) increased quality of reproductive health services in the public sector; (6) increased use of selected, child survival services, including improved access to quality immunization services, increased rural access to potable water, and integrated management of childhood illnesses at the community level; (7) increased efficiency and equity of basic health care services at the local level, including improved capacity of the health system to implement an effective decentralization strategy; and (8) strengthened management capacity of selected health areas and provincial directorates.
Principal Contractors, Grantees, or Agencies: A new contractor will be selected for the HIV/AIDS/STI program. Abt Associates (for health sector reform) and three local NGOs (Profamilia, Adoplafam, Mude) are key counterparts for reproductive health and family planning activities. USAID will contract technical assistance to improve the quality of care and financial sustainability of reproductive health/family planning NGOs and for child survival initiatives.
US Financing in Thousands of Dollars
|
517-ZZZ Sustained Improvement in the Health of Vulnerable Populations in the Dominican Republic | CSH | DA |
|---|
|
Through September 30, 2000 |
| Obligations | 0 | |
| Expenditures | 0 | |
| Unliquidated | 0 | |
|
Fiscal Year 2001 |
| Obligations | 0 | |
| Expenditures | 0 | |
|
Through September 30, 2001
|
| Obligations | 0 | |
| Expenditures | 0 | |
| Unliquidated | 0 | |
|
Prior Year Unobligated Funds
|
| Obligations | 0 | |
|
Planned Fiscal Year 2002 NOA
|
| Obligations | 6,975 | |
|
Total Planned Fiscal Year 2002
|
| Obligations | 6,975 | |
|
Proposed Fiscal Year 2003 NOA |
| Obligations | 0 | 11,409 |
| Future Obligations | 0 | 22,866 |
| Est. Total Cost | 6,975 | 34,275 |
|
