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Guinea
>> Regional Overview >> Guinea Overview Program Data Sheet
675-002
USAID MISSION: Guinea
PROGRAM TITLE: Family Planning and Health (FPH) (Pillar: Global Health)
STRATEGIC OBJECTIVE AND NUMBER: Increased use of essential family planning, maternal and child health, and STI/HIV/AIDS prevention services and practices, 675-002
STATUS: Continuing
PLANNED FY 2002 OBLIGATION AND FUNDING SOURCE: $5,650,000 CSH
PROPOSED FY 2003 OBLIGATION AND FUNDING SOURCE: $4,960,000 DA
INITIAL OBLIGATION: FY 1997 ESTIMATED COMPLETION DATE: FY 2005Summary: Mothers, children under five, and sexually active adolescents and adults are the key beneficiaries of the Family Planning and Health (FPH) program that uses Child Survival and Health (CSH) resources to provide:
- technical assistance in the implementation of a national HIV sero-prevalence survey;
- technical assistance in the development of an action plan for integrated management of childhood illnesses (IMCI);
- training of health professionals in quality standards for maternal and child health services;
- demand-creation activities and health education campaigns including AIDS awareness; and
- technical assistance to the polio eradication effort and national immunization program.
Family Planning/Reproductive Health resources fund the following elements of the FPH program:
- training of health workers in quality standards for family planning and reproductive health;
- technical assistance in the delivery of high-quality family planning services with emphasis on community-based programs;
- a social marketing campaign in the commercial sector; and
- the supply of selected contraceptive commodities.
Inputs, Outputs, and Activities: FY 2002 Program: USAID will use CSH resources to continue funding most ongoing activities. At the national level, this includes technical assistance to the Ministry of Health to improve child survival interventions and a social marketing program aimed at increasing access to oral rehydration packets that are in high demand. The integrated delivery of primary health care services in one large geographic region of rural Guinea will be strengthened with the goal of becoming a model for the country. Targeted health agents and communities will be trained in the integrated management of childhood illnesses (IMCI), while U.S. private voluntary organizations will continue child survival activities. Polio and routine immunization activities will be supported again. Activities to counter identified micronutrient deficiencies will continue with the implementation of a national Vitamin A survey and the distribution of Vitamin A capsules. New activities in FY 2002 include the development of a multi-sectoral AIDS prevention strategy and associated activities based on the findings of the recent national HIV sero-prevalence survey.
There are fixed points of sale for socially marketed contraceptives and oral rehydration packets in 90% of rural sub-prefectures. FY 2002 Family Planning/Reproductive Health Program: These resources will be used to fund the social marketing of contraceptives and provide technical assistance to improve the Government of Guinea logistics and management systems for family planning and reproductive health. Contraceptive commodities will be supplied to the government, and the quality of family planning services will be improved at public-sector clinics as well as through community-based programs. Once the World Bank has supplied essential antibiotic drugs, a program for the prevention of sexually transmitted infections (STI) will be completed using health personnel trained by USAID in the management of STIs. New pilot activities will be initiated in FY 2002 to address the issue of female genital cutting and to improve the quality of clinical family planning services in selected hospitals.
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 continue increasing access to -- and improving the quality of -- maternal and child health services, particularly in the areas of safe motherhood, routine immunizations, and polio eradication. HIV/AIDS will be a key component of the program with USAID contributing to the development of a national consensus on HIV/AIDS prevention. In addition, USAID expects to launch a coordinated donor effort to reduce several serious micronutrient deficiencies, including Vitamin A, iron, and iodine. The social marketing program for oral rehydration packets is targeted for continued expansion in order to ensure a more stable supply of this essential child survival product in both the public and private sectors.
Planned FY 2003 Family Planning/Reproductive Health Program: USAID expects to strengthen its contraceptive marketing program in order to increase the sales and use of contraceptives, including condoms for disease prevention as well as family planning purposes. Community-based distribution of contraceptives will be expanded. USAID hopes to help promote behavior change in both family planning and HIV/AIDS prevention. The provision of clinical methods of contraception currently being piloted in five hospitals will be expanded to additional areas if successful.
All contracts and grants funded with resources from the Guinea FPH Program will incorporate clauses that implement the President's directive reinstating the Mexico City Policy.
Performance and Results: Over the life of the FPH program, USAID interventions will contribute to increasing the national contraceptive prevalence rate to at least 8.75% from a 1998 baseline of 2.4%. Vaccination coverage rates in the USAID intervention zone are targeted to rise to 60% from the lowest baseline in the country (36.8% in 1996). The Ministry of Health will become a more effective organization and will decentralize significant decision-making authority. The country will embrace the challenge of HIV/AIDS and embark on a broad multi-sectoral HIV/AIDS prevention program.
Quality pre-natal care is now available at 83% of USAID-supported health clinics, up from 12% in January 2001. Due in large part to USAID's efforts, Guinea has achieved and continues to maintain the Global Level Certification indicators for polio eradication. Immunization coverage for Diphtheria Pertussis Tetanus (DPT) 3 for children aged 12-23 months increased from a 26% baseline in 1996 to 52.7% in 2001. During the last National Immunization Days, 95% of Guinean children under 5 received Vitamin A supplements as a result of USAID's micronutrient activity.
Access to quality services has increased significantly in USAID's intervention zone during the last year. Trained health-workers capable of offering prevention-integrated services for family planning and sexually transmitted illness are available in 96% of all health centers throughout USAID's intervention region. Use of family planning as measured by couple-years-of-protection has increased by almost 150% since 1997. The quality of pre-natal care and care for sick children in health centers has improved markedly due to USAID's training of health center personnel and efforts to strengthen the supervisory capacity of local health authorities.
Principal Contractors, Grantees, or Agencies: USAID's activities are implemented through Management Sciences for Health (MSH); Johns Hopkins University Center for Communication Programs (JHU/CCP); Population Services International (PSI); Helen Keller International (HKI); BASICS, Johns Hopkins Program of International Education in Gynecology and Obstetrics (JHPIEGO); EngenderHealth; Africare; Adventist Development and Relief Agency (ADRA); and Save the Children/USA. The World Health Organization is the principal partner for national immunization days.
US Financing in Thousands of Dollars
675-002 Increased use of essential FP/MCH and STI/HIV AIDS-prevention services and practices CSD CSH DA DFA Through September 30, 2000 Obligations 18,714 0 13,075 15,051 Expenditures 14,756 0 10,199 15,051 Unliquidated 3,958 0 2,876 0 Fiscal Year 2001 Obligations 4,360 0 2,230 0 Expenditures 4,012 0 1,912 0 Through September 30, 2001 Obligations 23,074 0 15,305 15,051 Expenditures 18,768 0 12,111 15,051 Unliquidated 4,306 0 3,194 0 Prior Year Unobligated Funds Obligations 0 0 0 0 Planned Fiscal Year 2002 NOA Obligations 0 5,650 0 0 Total Planned Fiscal Year 2002 Obligations 0 5,650 0 0 Proposed Fiscal Year 2003 NOA Obligations 0 0 4,960 0 Future Obligations 0 0 8,500 0 Est. Total Cost 23,074 5,650 28,765 15,051
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Last Updated on: May 29, 2002 |
