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USAID/BENIN PROGRAMMING APPROACHES AND COLLABORATION

GROWING PAINS. USAID/BENIN PROGRAMMING APPROACHES AND COLLABORATION. Background. 1970s/80s - Communist rule 1990 - Democratic elections; birth of the NGO sector 1991 - USAID/Benin opens (w/ Educ SO and DG SPO) 1996 - Initial HPN sector assessment 1996 - 1st DHS. Background.

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USAID/BENIN PROGRAMMING APPROACHES AND COLLABORATION

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  1. GROWING PAINS USAID/BENIN PROGRAMMING APPROACHES AND COLLABORATION

  2. Background 1970s/80s - Communist rule 1990 - Democratic elections; birth of the NGO sector 1991 - USAID/Benin opens (w/ Educ SO and DG SPO) 1996 - Initial HPN sector assessment 1996 - 1st DHS

  3. Background 1997 - HPN SO design; SOAG signed; 9 CAs start activities (but who/where is USAID) 1998 - 1st health SO for Benin approved by AID/W 1999 - Benin’s 1st bilateral contract signed

  4. Strategic Objective Increase the use of family health services and preventive measures in a supportive political environment

  5. Strategic Approaches National level • support the MOH to improve policies, systems and tools that support the use of health services • support national social marketing program (condoms, bednets, retreatment kits, oral and injectable contraceptives) • support the national health NGO network in advocacy and service provision

  6. Strategic Approaches Regional/Departmental level • support the application of policies and norms developed at the national level • develop and test tools and materials needed for the application of national programs and policies • prepare the ground for health sector and administrative decentralization (changing roles)

  7. Strategic Approaches Health district level • reinforce health district management teams • promote integration of essential services in health facilities Community level • reinforce community health management committees • reinforce community-based services • behavior change communication

  8. AIDSMark AIMI (Africare/CDC) BASICS CARE-Morr CRS (Title II) DELIVER IMPACT SO partners/CAs • JHPIEGO (FHA) • DHS • PHRplus • PRIME II • PROSAF (URC CLUSA, PATH et ABPF) • BHAPP (Africare) Ministry of Health

  9. PROSAF: integrated systems strengthening program Benin BASICS: Min-pak nutrition PRIME: national RH policy AIMI: child survival and malaria control

  10. Issues related to PROSAF’s QA approach Lack of comprehension: • MOH: “Doesn’t quality = infrastructure, equipment and personnel?” • Other Donors: “If USAID supports decentralization, why do you focus so much on the national and regional levels?” Plus, typical sector problems: logistics, personnel management, etc…

  11. COLLABORATION AND COORDINATION • with and among CAs • with the MOH • with donors • in the context of international initiatives

  12. COLLABORATION AND COORDINATION • USAID participates in MOH working groups on • malaria, IMCI, EOC, RH, IEC, EPI (ICC) • We are the only bilateral donor in (and the engine behind the existence of) most of these groups • CNLS (National AIDS Control Program) established 2 weeks ago. -USAID Vice President of UNAIDS Theme Group (2nd term)

  13. JOINT PROGRAMMING • Successes @ national level: UNFPA, UNICEF, KfW, Belgians, Canadians (SIDA 2 & 3), French • Successes @ regional level: GTZ, Swiss Coop. • Challenges: World Bank, EU, new UNICEF project

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