FY 1997 Development Fund for Africa:
$14,368,774
Introduction.
As USAID prepares for the start of the twenty-first century, West Africa presents the United States with new challenges and the need for a creative and flexible foreign assistance program to meet them. The region's rapidly growing population of over 260 million faces both change and potential while remaining in one of the most desperately poor parts of the world. The countries, sub-regions, and people in the West Africa region confront a range of possibilities that has civil collapse at one extreme and sustainable development at the other. U.S. interests in the region are twofold. First, the United States has an important stake in the region's success as many of the region's problems, including conflict prevention, the struggle towards democratization, threats to the ecosystem, threats to human health and population growth, are global concerns. Second, U.S. firms have important investments in mining, energy, and telecommunications in the region. As USAID's assistance in the West Africa region evolves in the late 1990s, it must be creative and flexible to deal with both the variation in conditions in the region and the changing American political priorities for foreign assistance.
The Development Challenge.
Throughout the economic and political changes in West Africa since independence of the former colonies, countries in West Africa have generally shared the experience of poor internal and sub-regional economic growth. There are many reasons for this generally poor performance including civil disturbances, generally poor education and inappropriate health practices, ineffective governments and immature private sector institutions, weak program planning and management, and a shortage of trained professional and technical personnel. Despite major investments in road infrastructure, reductions in tariff barriers, progress on regional integration, and recent democratic elections, the region has consistently under-performed in comparison with other developing regions of the world. These political and economic trends will be reversed only when new sources of economic growth are established and political institutions promote economic growth. Likely sources of growth will be more diversified mining/energy development and broad-based agricultural growth linked to West African regional trade. These resources will then provide the investments necessary for improving health, education, and environmental management by decentralized government and a stronger private sector.
USAID has learned from experience in the region that many of the most serious development problems in West Africa have regional dimensions that should be faced on a regional basis. For example, demographic profiles for all countries in the Sahelian zones and in the coastal zones are similar, indicating the utility of regional approaches to family planning. HIV/AIDS has become a regional problem owing to the heavy inter-regional and seasonal migration of workers. Consequently, during FY 1995 USAID launched its first strategic objective designed from the beginning with a regional perspective: a $60 million program in family health and AIDS prevention.
During FY 1996 and FY 1997, USAID will be considering how to address other regional problems within an overall strategic plan in West Africa because many other crucial sustainable development problems have important regional dimensions. For example, much of the failure of West Africa to achieve sustainable development can be attributed to the effects of small, cloistered economies which have a high level of effective economic protection. This has prevented the development of regional trade, and also, because of its effect in limiting market potential, discouraged foreign private investment. In addition to increased cooperation in integrating their economies, West African countries need to promote integration through improved regional communications and transportation, including road, rail and air networks. Desertification problems (advancing desert) are similar across the Sahel. Coastal wetlands and the Congo Basin are divided among more than a dozen countries, and their eco-systemscan be preserved only in a regional context. These are the kinds of issues that USAID will be considering for possible consolidation into a West Africa regional framework.
Other Donors.
A large number of multinational and bilateral donors are working in West Africa. The biggest are the World Bank, the African Development Bank, the United Nations Agencies, the European Union, and the French. In addition there are networks of other development agencies, Western and African, working in the region. USAID's staff collaborate directly with many of these donors in providing assistance to the client posts. REDSO also works directly with such donors as the European Union, Germany, Canada, France, United Nations Agencies and the World Bank in furtherance of REDSO's strategic objective in family health and AIDS.
FY 1997 Program.
The USAID program has begun a transition in two ways, both of which reflect the changing nature of U.S. development assistance in the West Africa region:
1. USAID has historically supported the development objectives of USAID's bilateral posts in the West Africa region. At one time USAID provided direct support to 24 client posts. By the end of FY 1996, however, there will be only 10 USAIDs in this region. During FY 1997, REDSO/WCA will continue its technical support to the remaining bilateral posts. In the spirit of USAID's re-engineering, the staff will participate as virtual members of client post teams. At the same time, REDSO will continue ensuring that the activities transferred from close-out posts to REDSO/WCA are effectively managed to full completion. Finally REDSO will oversee activities in those bilateral posts, such as Nigeria, that are reduced to a very small size.
2. There is a growing realization that for USAID to continue to be an effective donor in the West Africa region, new regional approaches for solving regional problems must be developed. As a result, the Africa Bureau gave REDSO/WCA the responsibility for leading the effort to develop a strategy for West Africa. REDSO/WCA has begun this process, which will involve close collaboration with USAID/W, client posts in the West Africa region, potential partners, "customers," and stakeholders, and it will continue to be a major priority through the second quarter of FY 1997.
REDSO/WCA is well positioned to lead the transition to promoting sustainable development through regionally designed and implemented program activities. The strategic objective in family health and AIDS is an important first step in developing other regional solutions to regional development problems. There are other development problems and constraints that can be dealt with cost effectively on a regional basis. For example, additional development interventions in health and population can be delivered regionally, environmental problems cross national boundaries, many democracy and governance issues are common to the region, regional trade expansion is crucial to improved economic performance, and more attention to infrastructure will allow improved communication within the region.
REDSO/WCA's regional strategy is to provide specialized developmental and essential support services to the USAID bilateral field posts in West Africa so that they are better able to formulate strategies, design approaches, implement activities, judge the results and report the impacts. The second element of the strategy is to assist the USAID bilateral field posts in West Africa that have been selected for closure with the necessary specialized services to provide for a timely and controlled ending of activity and departure of staff, followed by the transfer of residual responsibilities to REDSO/WCA for completion.
REDSO/WCA's Strategic Support Objective 1 is "Technical and Management Support Services to Bilateral Field Posts." REDSO/WCA provides a range of development assistance to the West Africa region that includes humanitarian objectives in the short term and promoting sustainable economicdevelopment and democratic governance in the long run. REDSO currently provides technical assistance to 11 USAID posts in West Africa1/ .
Agency Goal: Encouraging Broad-based Economic Growth
REDSO/WCA's responsibilities are evolving to take account of the growing recognition that many of the most serious development problems in the region require regional solutions. The population and health strategic objective seeks to promote women's health, to minimize the transmission of HIV/AIDS, and to reduce mortality of infants and children in the West Africa region. In concert with other donor and host country efforts, REDSO will build on successful USAID and other donor-funded initiatives in the region to establish appropriate mechanisms that will encourage an integrated approach to low-cost service delivery interventions.
The centerpiece of REDSO's strategic objective is a five-year Family Health and Aids -- West and Central Africa (FHA-WCA) project. USAID will complement the project activities with other kinds of assistance. (For example, a plan on designing a results package under this strategic objective for child survival activities.) Indicators of achievement are increased use of family planning, changes in high risk sexual behavior, and more effective, efficient utilization of indigenous and donor resources.
REDSO/WCA's most active partners will be public and private West African institutions that provide services in the region and their international partners. The ultimate beneficiaries -- children under five years old, their mothers, and sexually active adolescents and adults -- will participate by contributing to the design of services through community involvement, to information, education and communication (IE&C) through focus groups, and to evaluation of program quality through surveys and other studies.
Agency Goal: Stabilizing World Population Growth and Protecting Human Health
In developing its strategy in the health and population sector, USAID is applying much of its experience of the past few years. This includes lessons about the value of shifting design and implementation responsibilities to credible U.S. and African NGO partners under a framework of direct agreements with host country public and private institutions, and the value of systematically promoting the identification and incorporation of "best practices" into on-going programs. USAID also is applying particular lessons learned in other countries in the region, including the value of community participation in managing primary health care programs (Burkina Faso), the value of using diverse service providers for family planning and AIDS control (Cote d'Ivoire and Cape Verde), how to strengthen public sector health systems (Cameroon and Togo), and how to support cost-recovery programs (Senegal, Burkina Faso, Cameroon). USAID is applying knowledge of regional commonalities, cultural similarities and donor coordination to this programming. USAID will place priority on establishing consultation and coordination mechanisms among programs in the region dealing with reproductive health/family planning, health, and AIDS to develop strong mutually supportive linkages among them.
Agency Goal: Protecting the Environment
USAID will provide limited support to the activities of bilateral missions in protecting the environment through SSO01.
Agency Goal: Building Democracy
In addition, under SSO01, REDSO/WCA will design democracy and governance activities to provide support to bilateral mission portfolios.
|
Encouraging Broad-based Economic Growth |
Stabilizing Population Growth and Protecting Human Health |
Protecting the Environment |
Building |
Providing Humanitarian Assistance |
TOTALS |
|
|
USAID Strategic Objectives |
||||||
|
1. Improve Access to Selected Health and Family Services in the Region - Dev. Fund for Africa |
792,000 |
13,111,631 |
|
|
|
13,903,631 |
|
2 . Provide Technical and Management Support Services to Bilateral Field Missions - Dev. Fund for Africa |
50,286 |
414,587 |
|
465,143 |
||
|
Totals - Dev. Fund for Africa |
792,000 |
13,111,631 |
50,286 |
414.587 |
|
14,368,774 |
USAID Mission Director:Willard J. Pearson
PROGRAM: REDSO/WCA
TITLE AND NUMBER: Improve Access to Selected Health and Family Planning Services in the Region,
624-S001
STATUS: Continuing
PROPOSED OBLIGATION AND FUNDING SOURCE: FY 1997: $13,903,631 DFA
INITIAL OBLIGATION: F Y 1995; ESTIMATED COMPLETION DATE: FY 2000
Purposes: To increase the availability and use of quality family planning/reproductive health, HIV/AIDS and child survival services in concert with other donor, regional and host country efforts, while building on successful USAID-funded initiatives in West Africa.
Background: The 260 million inhabitants of West Africa's 24 nations face health risks far more serious than those experienced in other regions of the world and have among the world's worst social indicators. With a population growth rate of over 3%, which exceeds the economic growth rate, the already difficult situation will worsen. Trends in HIV/AIDS indicate that without successful prevention and control, adult and child mortality in the region will increase substantially in the next decade and hard-won progress will be lost. Constraints include persistent public sector institutional weakness and ineffectiveness, a fragile and underutilized private sector, and lack of knowledge about preventive health behavior.
USAID Role and Achievements to Date: USAID has been one of the lead donors in the health and family planning sectors and has initiated and supported programs which have made real gains in extending life expectancy, reducing infant mortality rates and stabilizing the incidence of HIV/AIDS in the region. From 1985 to 1991, infant mortality decreased 10% and child mortality 15% in USAID-assisted countries. During this same period immunization rates almost doubled, and the use of oral rehydration therapy increased from 10% to 40%. While achievements in family planning have been more modest, there are encouraging recent signs of progress with urban areas increasing their contraceptive prevalence to around 10% or above. Likewise, condom use to prevent the spread of HIV is increasing throughout the region.
Description: REDSO/WCA's strategic objective in family health and AIDS provides a new response to the challenges facing USAID's assistance program in West and Central Africa. It incorporates a regional response, funded through U.S. Private Voluntary Organizations, involving close collaboration with active bilateral posts and other development partners. It addresses health and family planning problems that are transnational, have significant regional impact, and if not solved would jeopardize the outcomes of bilateral programs of USAID and other donors. The program is designed to extract best practices that have evolved from USAID's bilateral projects throughout the 24-country region and to replicate these practices using established regional institutions in partnership with non-governmental organizations. USAID focuses on four activity areas: improving integrated family planning, HIV/AIDS and maternal and child health services; improving regional networking and cost-effectiveness in Information, Education and Communication; strengthening skills and use of African institutions and expertise; and improved regional networking and data analysis for decision-making through operations research.
Host Country and Other Donors: France, the World Bank, the European Union, Canada, Germany, United Nations International Children Emergency Fund, United Nations Family Planning Association, and the World Health Organization provide extensive support in health and family planning throughout the region. Donor leveraging and complementary programming are a major emphasis under this strategic objective. Activities undertaken will be with full concurrence of host country governments and in keeping with national strategies and plans.
Beneficiaries: Children under five years and sexually active adults and adolescents are major beneficiaries. Others are African institutions.
Principal Contractors, Grantees, or Agencies: USAID implements activities through four U.S. PVOs: JSI Research and Training, Johns Hopkins University, Tulane University, the Johns Hopkins Program in International Education and Gynecology/Obstetrics), and 14 African partner institutions and local NGOs.
Major Results Indicators: Baseline Target2/
To be developed TBD TBD
PROGRAM: REDSO/WCA
TITLE AND NUMBER: Provide Technical and Management Support Services to Bilateral Field Posts, 624-SPO1
STATUS: Continuing
PROPOSED OBLIGATION AND FUNDING SOURCE: FY 1997: $465,143 DFA
INITIAL OBLIGATION: FY 1996; ESTIMATED COMPLETION DATE: Continuing
Purpose: Technical and Management Support Services to Bilateral Field Posts.
Background: REDSO/WCA has traditionally served as a major source of effective program and technical support to all USAIDs in the West Africa region, although REDSO/WCA emphasis in the past was on the smaller posts. With the revocation of delegated authority from USAID/Washington, the reduction in the number and size of USAID posts in West Africa, the Africa Bureau's commitment to persuing regional solutions to development problems in the region, and the changes in USAID required by re-engineering, REDSO/WCA's role in assisting posts in the region is evolving. During this transition period, REDSO/WCA will continue to look for new and more effective ways to provide critical program and technical support to client posts as REDSO move toward the vision of becoming a center of excellence for development assistance in the region.
USAID Role and Achievements to Date: REDSO/WCA's strategic support objective continues the role as a source of support to bilateral USAIDs in the region. In the past REDSO have relied on data about the number and kinds of TDYs the staff have performed in support of client posts. Although this is one indicator of performance, it is a measure of process rather than of impact. One of REDSO's future tasks, which is part of the efforts in re-engineering, is to develop ways of measuring the impact of REDSO/WCA assistance to client posts.
Description: REDSO/WCA implements field portions of the Africa Bureau's West Africa Regional analytic agenda. Through centrally funded projects, REDSO/WCA houses a cadre of experienced African professionals who pursue a well coordinated agenda of analysis and research under several regional projects in the areas of child survival, population, AIDS awareness, basic education, environment, gender issues, and democracy and governance. These advisors and the results of their research are factored into program designs and implementation agendas of REDSO/WCA client post programs.
Host Country and Other Donors: During TDYs to client posts, REDSO/WCA staff often work with other donors and with host country counterparts of client posts. Most of the TDY staff make special efforts to support networks of donors and other interested development partners as part of their assistance to client posts.
Beneficiaries: REDSO/WCA's strategic support objective concentrates on assistance to other USAID posts in the West Africa region. They are the principal beneficiaries of REDSO's assistance, although the networking activities mentioned above also benefit other development partners in the region.
Principal Contractors, Grantees, or Agencies: REDSO/WCA's project-funded TDY staff include American and African technical experts who are supported by centrally funded projects in the Global Bureau and Africa Bureau. REDSO/WCA does not have other sources of staff support.
Major Results Indicators: Baseline Target
To be determined. TBD TBD