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Nepal
>> Regional Overview >> Nepal Overview Program Data Sheet
367-002
USAID MISSION: Nepal
PROGRAM TITLE: Health and Family Planning (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Reduced Fertility and Protected Health of Nepalese Families, 367-002
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $20,000,000 CSH
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $20,449,000 DA
INITIAL OBLIGATION: FY 1996 ESTIMATED COMPLETION DATE: FY 2005Summary: To reduce fertility and protect the health of Nepalese families, the program aims to—
- expand access to and increase the use of quality voluntary family planning services;
- expand access to and increase the use of quality maternal and child health services;
- prevent the spread of HIV/AIDS by increasing prevention among high-risk groups; and
- control infectious diseases by strengthening surveillance and minimizing antimicrobial resistance.
Inputs, Outputs, and Activities: USAID is one of the lead donors in Nepal in the areas of reproductive health, maternal and child health, HIV prevention, and infectious disease control. Nationally, USAID supports five Government of Nepal (GON) programs: Family Planning; Vitamin A; Community-Based Integrated Management of Childhood Illness; Safe Motherhood; and Female Community Health Volunteers. USAID also supports district-level activities to strengthen the delivery of essential health services, including HIV prevention among high-risk groups.
The health and family planning program reaches more than 11 million men and women and 3.5 million children. FY 2002 Program: USAID will provide technical assistance, training, Vitamin A supplements, contraceptives, and essential drugs. USAID programs will improve health service delivery; increase the number of skilled family planning providers; expand the delivery of community-based treatment of diarrheal disease and pneumonia; expand delivery of vitamin A supplements for children; and ensure national-level availability of contraceptives and essential drugs. In addition, funds will be used to increase national-level advocacy and awareness of maternal health; improve skills in emergency obstetrics; and develop innovative community-level tools to assist families in better preparing for pregnancies. Prevention activities will increase HIV/AIDS awareness and condom-use among high-risk groups in the Kathmandu Valley, along the southern border with India, and migrant-worker communities in the mid- and far-western regions on Nepal. In addition, further support will be provided to the GON's development of a National HIV Prevention Strategy. Finally, USAID’s activities will strengthen the effectiveness of Nepal’s Vector-Borne Disease Research and Training Center to report routinely and accurately on outbreaks of infectious diseases by improving the Early Warning Reporting System. A community-based program will be implemented to test prevention and control interventions for malaria, Kala-azar and Japanese encephalitis. Finally, USAID is supporting GON efforts to monitor trends in antimicrobial resistance, including national-level training.
Planned FY 2003 Program: USAID plans to use FY 2003 funding to continue these activities and provide technical assistance, training, vitamin A supplements, contraceptives, and essential drugs. USAID will integrate the maternal health and birth-planning activities at a community level; expand HIV prevention activities to include testing, counseling, and treatment activities; and enhance the private-sector delivery of healthcare services, particularly family planning services and HIV prevention.
SUBMISSION OF THIS PROGRAM DATA SHEET CONSTITUTES FORMAL RENOTIFICATION OF USAID’S INTENT TO OBLIGATE FY 2002 RESOURCES FOR THE ACTIVITIES DESCRIBED ABOVE. Performance and Results: Since 1996, child mortality has decreased by 24%. The voluntary use of modern contraception has increased by 36%, resulting in an 11% decline in fertility. USAID’s goals are to further reduce the number of children a woman will have in her reproductive lifetime from 4.1 children in 2001 to 3.6 by 2006; decrease the number of deaths of children under five years from 91 deaths per 1,000 live births in 2001 to 70 in 2006; and reduce HIV/AIDS transmission by increasing condom use in all intervention sites to 90%. Targets for total fertility rate and HIV prevention may need to be adjusted downward depending on future resource levels.
The program met or exceeded all FY 2001 annual performance targets. Couple-years of protection (CYP), which is the best annual proxy for contraceptive use and reduced fertility, increased by 8% nationally. Key child health services also continued to multiply. Vitamin A supplementation now covers 72 of Nepal’s 75 districts and community-based treatment of child pneumonia expanded from 13 to 14 districts. HIV/AIDS prevention efforts have maintained consistently high condom use, slightly less than 90%. Also, the routine reporting of vector borne diseases under the Early Warning Reporting System has improved the timely submission of reports from five percent in FY 2000 to 90% in FY 2001. In the area of maternal health, a national Safe Motherhood Newsletter developed last year is reaching more than 10,000 maternal health providers, with information on national policies and aimed at raising the awareness of maternal mortality issues. The GON has made maternal health a sector priority in its Tenth Health Plan. A strategy for nationwide safe motherhood training was developed and training initiated. A model Birth Preparedness Package including a financial planning tool for families to prepare for pregnancy is being pilot-tested at the community-level.
Principal Contractors, Grantees, or Agencies: Prime partners include John Snow, Inc; World Education, Inc.; Save the Children/U.S.; EngenderHealth; The Asia Foundation; CARE; Plan International; The Adventist Development and Relief Agency; Family Health International; U.S. Centers for Disease Control and Prevention; Environmental Health Project (Camp Dresser & McKee International); Commercial Market Strategies Project (Deloitte Touche Tohmatsu); International Center for Diarrheal Disease Research, Bangladesh; Rational Pharmaceutical Management Plus (Management Sciences for Health); United States Pharmacopeial Convention; Center for Development and Population Activities; and Johns Hopkins University.
US Financing in Thousands of Dollars
367-002 Reduced fertility and improved maternal and child health CSD CSH DA Through September 30, 2000 Obligations 30,789 0 47,324 Expenditures 23,385 0 35,690 Unliquidated 7,404 0 11,634 Fiscal Year 2001 Obligations 100 0 100 Expenditures 0 0 0 Through September 30, 2001 Obligations 30,889 0 47,424 Expenditures 23,385 0 35,690 Unliquidated 7,504 0 11,734 Prior Year Unobligated Funds Obligations 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 20,000 0 Total Planned Fiscal Year 2002 Obligations 0 20,000 0 Proposed Fiscal Year 2003 NOA Obligations 0 20,449 0 Future Obligations 0 0 0 Est. Total Cost 30,889 40,449 47,424
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Last Updated on: May 29, 2002 |
