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El Salvador
>> Regional Overview >> El Salvador Overview Program Data Sheet
519-003
USAID MISSION: El Salvador
PROGRAM TITLE: Health for Women and Children (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Sustainable Improvements in the Health of Women and Children Achieved, 519-003
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $8,522,000 CSH
PRIOR YEAR UNOBLIGATED AND FUNDING SOURCE: $0
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $9,628,000 DA
INITIAL OBLIGATION: FY 1997 ESTIMATED COMPLETION DATE: FY 2004Summary: USAID's Health Program in El Salvador includes a mix of technical assistance and training to:
- improve child survival practices and services including the provision of water supply and sanitation services to rural communities to reduce diarrheal disease;
- prevent and control infectious diseases, including HIV/AIDS, tuberculosis, and dengue;
- strengthen health sector policies and reforms;
- support the Ministry of Health (MOH) efforts to improve the quality of and access to appropriate reproductive health services and practices for couples, especially rural women and adolescents; and
- strengthen and improve the Salvadoran Demographic Association (SDA) to sustain health and social programs, especially the Rural Health Services Program which offers promotion, education and provision of Reproductive Health (RH) and Family Planning (FP) services for rural women.
Inputs, Outputs and Activities: FY 2002 Program: USAID proposes to increase planned funding by more than 10% of the amount notified in the FY 2002 Congressional Budget Justification. CSH funds will support the MOH's program to (a) reduce diarrheal and respiratory diseases; (b) improve the nutritional status of children; (c) train rural health promoters to better manage childhood illnesses and promote breastfeeding; (d) train midwives and rural hospital personnel in prenatal care; and (e) implement health policy reform activities. It will also finance water and sanitation activities including the expansion of these activities into earthquake-affected communities. Funds will be used to better identify the magnitude of HIV/AIDS and tuberculosis infections through improved surveillance and laboratory support so that El Salvador can more effectively target prevention and treatment interventions to reduce the suffering and death caused by these diseases. USAID will also assist in the prevention of dengue transmission through a sustainable and integrated community-based program.
CSH Family Planning/Reproductive Health funds will improve the quality of services offered by the MOH and SDA through (a) programs targeting the special needs of adolescents, (b) training in family planning counseling, and (c) development of a sector-wide contraceptive security strategy to ensure the availability of contraceptive methods and condoms for people who want to plan their families and for HIV prevention. Funds will support MOH efforts to better monitor its new contraceptive logistics management system and ensure the use of high quality data for decision-making. USAID will help identify options to promote the financial sustainability of SDA.
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: USAID plans to use FY 2003 DA funds to help the MOH implement a new health promoter monitoring and evaluation system, and to continue working with rural health promoters to better manage childhood diseases and enhance the nutrition of children through an integrated strategy in rural areas. USAID will also train mothers to increase the duration of exclusive breastfeeding, especially among adolescent mothers. Technical assistance will help the MOH implement the decentralization process with community participation in twelve integrated health systems. USAID will expand water and sanitation activities in several of the poorest departments of the country located in the eastern region that have the lowest potable water coverage. Finally, USAID intends to promote prevention and control of HIV/AIDS, particularly among men, and continue its work to promote HIV/AIDS and tuberculosis surveillance activities.
USAID also expects to use FY 2003 funds for population activities to help strengthen the capacity of the MOH to implement the contraceptive security strategy developed in FY 2002. USAID will finance the 2003 national demographic and health survey with assistance from the Centers for Disease Control and Prevention, improve and expand family planning counseling and services provided by the MOH and SDA, and help SDA to finalize a viable sustainability plan for its operations.
USAID-supported assistance contributed to significant reform of the Ministry of Health in 2001. Performance and Results: As a result of the 2001 earthquakes, most health indicators were negatively affected during the first quarter of the year compared to the same period in 2000. The modernization process carried out by the MOH was seriously delayed by the earthquake crisis. The entire health system was severely effected with approximately 25% of all public health facilities suffering damages. However, by the middle of the year, USAID-supported activities advanced significantly the internal reform process of the MOH. During 2001, approximately 1,400 MOH personnel participated in a consultative process to develop the MOH reform agenda. In addition, USAID supported MOH's field personnel to enhance child survival, reproductive health, and tuberculosis programs, training approximately 3,000 health personnel with a focus on improvement of community-based health services. Women of reproductive age and children under five are the key beneficiaries of these programs. To address an increase in the number of HIV/AIDS cases, USAID developed a four-year plan focused on high-risk populations. Under the USAID-supported tuberculosis program, the Ministry of Health increased cure rates by almost 24% from 68% in 1997 to 85% in 2001, meeting the WHO's recommendation. The rapidity with which these results were achieved suggests that the MOH program may be a model for other countries. Assessments carried out in water and sanitation project areas reported a dramatic reduction in the incidence of diarrheal diseases. Continued efforts in these activities will be made to recuperate the losses resulting from the 2001 earthquakes.
End products sought include the delivery of health services in a decentralized mode as a norm using the integrated health system model, full institutionalization of the provision of pre-natal health care by trained professionals in country, widespread use of breastfeeding, and further increases in contraceptive prevalence rates and decreases in diarrheal rates among children under age five.
Principal Contractors, Grantees, or Agencies: USAID's activities are being implemented through Salvadoran public and private agencies such as the Ministry of Health, the SDA, and the U.S. PVO CARE. Activities are supported by U.S. contractors or cooperative agencies as well. Prime grantees and contractors include: Management Sciences for Health, Abt Associates, International Science and Technology Institute, University of North Carolina, Family Health International, Academy for Educational Development, the Centers for Disease Control and Prevention, Tuberculosis Coalition Technical Assistance, John Snow Inc, and The Population Council.
US Financing in Thousands of Dollars
519-003 Sustainable Improvements in the Health of Women and Children Achieved CSD CSH DA ESF Through September 30, 2000 Obligations 23,715 0 144,931 36,610 Expenditures 12,517 0 140,896 36,299 Unliquidated 11,198 0 4,035 311 Fiscal Year 2001 Obligations 6,814 0 3,991 0 Expenditures 8,821 0 3,554 311 Through September 30, 2001 Obligations 30,529 0 148,922 36,610 Expenditures 21,338 0 144,450 36,610 Unliquidated 9,191 0 4,472 0 Prior Year Unobligated Funds Obligations 0 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 8,522 0 0 Total Planned Fiscal Year 2002 Obligations 0 8,522 0 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 9,628 0 Future Obligations 0 0 0 0 Est. Total Cost 30,529 8,522 158,550 36,610
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Last Updated on: May 29, 2002 |
