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Haiti
>> Regional Overview >> Haiti Overview Program Data Sheet
521-003
USAID MISSION: Haiti
PROGRAM TITLE: Health Systems 2004 (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Healthier Families of Desired Size, 521-003
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $17,900,000 ESF
PRIOR YEAR UNOBLIGATED AND FUNDING SOURCE: $0
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $14,000,000 DA; $13,873,000 PL 480
INITIAL OBLIGATION: FY 1995 ESTIMATED COMPLETION DATE: FY 2004Summary: Half of USAID's budget for Haiti is devoted to improving the health and wellbeing of women and children, reducing malnutrition, helping families make informed reproductive decisions, and slowing the spread of tuberculosis, HIV/AIDS, and other sexually transmitted diseases. These objectives are reached by delivering a package of the following services:
- child immunization;
- detection and treatment of acute respiratory infections;
- immunizations for pregnant women;
- nutrition, food supplementation, and growth monitoring;
- family planning (both natural and artificial);
- maternal health care;
- prevention and treatment of HIV/AIDS and other sexually-transmitted diseases;
- tuberculosis detection and treatment;
- reinforcement of policy norms and procedures;
- health information systems; and
- advocacy and networking.
All relevant contracts and grants have incorporated clauses implementing the reinstated Mexico City Policy.
Inputs, Outputs and Activities: FY 2002 Program: USAID will provide technical assistance to more than 30 local non-governmental organizations (NGOs) to improve provision of a minimum package of child survival, reproductive health, and related primary care services to a population of approximately 2.7 million people. Additional contracts will be negotiated with local NGOs to provide improved supervision and operational support for the tuberculosis program and strengthen the technical capacity, quality, and coverage of HIV/AIDS, reproductive health, tuberculosis, and child health referral services at the department level. A portion of resources will be allocated through centrally-funded grants to reinforce the distribution of essential drugs, contraceptives, health management information systems, emergency obstetrical care, and clinical reproductive health services at department-level referral hospitals.
Special emphasis will be given to reinforcing the capacity of all ten department-level hospitals to carry out voluntary counseling and testing for HIV/AIDS. Community support groups for people living with AIDS and orphans, presently available in just one department, will be extended to all departments. Assistance will also facilitate more effective linkages between specialized groups that target orphans and vulnerable children and service delivery institutions. USAID support will also improve the delivery of basic health services in orphanages and establish community networks through which orphans can be placed with extended family members.
P.L. 480 Title II resources will promote better utilization of food by improving access to quality nutrition and health services. Assistance will be directed at segments of the population that are at the highest risk nutritionally (children under five, pregnant and lactating mothers, and groups with special health needs such as tuberculosis and AIDS patients and orphans). All partners will work through existing Ministry of Health community-level health units and further expand services to remote locations through community "rally posts" and mobile clinics.
Planned FY 2003 Program: The health program will be financed by DA funds in FY 2003. USAID will fund training and technical assistance activities that: strengthen NGOs providing maternal and child health services; expand the capacity, effectiveness, and use of care and prevention services for selected infectious diseases including HIV/AIDS and tuberculosis; and increase coordination with related public sector programs. Increased emphasis will be placed on responsible sexual behavior and abstinence by adolescents. P.L. 480 Title II funded activities will continue as described above.
Performance and Results: Program impact is measured in terms of: decreased child morbidity, mortality, and malnutrition; decreased maternal mortality; increased immunization coverage; increased use of modern family planning methods; and reduced levels of at-risk behavior among adolescents and other people most likely to transmit HIV/AIDS. Impact will also be measured by the availability of essential drugs at service delivery points and the degree to which a functioning health information system is in place to facilitate decision-making in the health sector.
Despite the recent economic and political deterioration of the condition of the country, progress in the health sector has been steady, due in large part to USAID programs. According to the demographic health survey concluded in 2001, during the 1995 - 2000 period, childhood malnutrition rates fell from 32% to 22%. Child immunization rates in USAID-targeted areas are 63%, nearly double the national average. In FY 2001, USAID provided support for national campaigns to increase coverage for polio and measles while continuing assistance to increase vaccination coverage levels and assure availability of vaccination services at its sites. These efforts were highly successful, with 95% of all children less than 10 years old vaccinated for polio and targets for the number of children receiving measles vaccinations exceeded by 20%.
Between 1995 and 2000, the proportion of women nationwide seeking prenatal consultation services rose from 68% to 79%; and the proportion delivering with assistance from a trained health professional rose from 46% to 60%. While high discontinuation rates for artificial methods are a concern, the national contraceptive prevalence rate for modern methods among women 15 - 49 years of age has risen steadily from 5% in 1987 to 9% in 1995 and 15.4% in 2000. Acceptance of natural family planning has been high in areas where it has been offered. Substantial gains among rural and illiterate women -- from 10% in 1995 to 22% in 2000 -- can be attributed directly to USAID programs. Awareness and support for HIV/AIDS prevention have increased dramatically. A government delegation attended the UN General Assembly Special Session on HIV/AIDS and has launched preparations for a new five-year national strategic plan to address HIV/AIDS in Haiti.
Major Contractors, Grantees, or Agencies: The principal contractor, Management Sciences for Health, channels resources via grants and sub-contracts to a network of 33 local NGOs, many of which (e.g., Haitian Health Foundation, Service and Development Agency of the African Methodist Church, Hospital Albert Schweitzer) are affiliated with U.S.-based philanthropic organizations. CARE, Catholic Relief Services, World Vision, and Save the Children are Title II cooperating sponsors.
US Financing in Thousands of Dollars
521-003 Healthier families of desired size CSD CSH DA ESF Through September 30, 2000 Obligations 11,799 0 6,370 83,758 Expenditures 11,799 0 6,335 64,369 Unliquidated 0 0 35 19,389 Fiscal Year 2001 Obligations 0 0 0 22,570 Expenditures 0 0 0 15,604 Through September 30, 2001 Obligations 11,799 0 6,370 106,328 Expenditures 11,799 0 6,335 79,973 Unliquidated 0 0 35 26,355 Prior Year Unobligated Funds Obligations 0 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 0 0 17,900 Total Planned Fiscal Year 2002 Obligations 0 0 0 17,900 Proposed Fiscal Year 2003 NOA Obligations 0 0 14,000 0 Future Obligations 0 0 14,000 0 Est. Total Cost 11,799 0 34,370 124,228
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Last Updated on: May 29, 2002 |
