LAC REGIONAL PHN PROGRAMS

HEALTH PRIORITIES Strategic Objective

More effective delivery of selected health services and policy interventions

5 Current Initiatives, 2 Planned

Vaccination IMCIMaternal MortalityAnti-Microbial ResistanceHealth Sector ReformHIV/AIDS (planned)Family Planning (planned)

SO Structure, Indicators

Each Initiative has:SO level statement

defines the selected health service or policy intervention

SO level indicator(s) IRs with indicators

Initiative Implementation

Authorized $30 million/5 yearsto increase in FY 01 to $32/6 years

Multiple implementing agencies/InitiativePAHO (except HIV/AIDS, Family Planning)G/PHN Cooperating Agencies (except Vacc)Coordinated by Steering Committees:

USAID, G/PHN CAs, PAHO(as involved)

Target countriesselected for magnitude and severity of

problems

HURRICANE RECONSTRUCTION Special Objective

Health Components

SpO: Hurricane reconstruction services in the LAC region provided

OVERVIEW of HEALTH COMPONENTS

CDC IAA$15,000,000 21 May 99 through 21 May 02Sub-grants to PAHO and Association of

Public Health Laboratories Costa Rica, El Salvador, Guatemala,

Honduras, Nicaragua, Dominican Republic, Haiti, regional

OVERVIEW OF HEALTH COMPONENTS (con’t)

PAHO-CR Grant$1,499,835 (they lost $165 to DC parking

fines)30 June 00 through 31 December 01Sub-grants to

Ministry of Public Health Social Security

CDC IAA STRUCTURE

SpO-level objective:Re-establish and sustain the capacity for

assessment of health status and the early detection and effective response to outbreaks and changes in disease patterns

IR 1: SurveillanceDisease surveillance rehabilitated and

information used for public health decisions

CDC IAA Structure (con’t)

IR 2: Epidemiological Training Increased availability of trained

epidemiologists in the region and the training of other levels of health workers by these epidemiologists

IR 3: Laboratories Infectious disease and environmental

health laboratories rehabilitated.

IR 4: Community-based programmingCapacity of MOHs to design and

implement community based prevention and control of disease institutionalized.

PAHO-Costa Rica Grant OVERVIEW

SpO-level objective: Overall health of the population that

lives in areas of high post-Mitch immigration improved.

PAHO-Costa Rica Grant Components

IR 1: Health Care Increased coverage of health care for

individuals

IR 2: Public HealthPublic health actions strengthened

IR 3: Health Information Information System for immigrant

population improved

NEW PHN Strategic Objective

FY 02-FY 06

What would be different?

Focus on relationship to mission programs

Common Intermediate Results across initiatives

Programming in each of Agency PHN SOs, rather than selected topics

What would be the same?

Activities grouped into Initiatives Advisors assigned to specific initiativesEmphasis on cross-country activities that

missions and G cannot do Avoid in-country implementation activitiesMultiple implementing agencies per

initiativeCoordinate using Committees of

implementing agencies

Very Drafty Results Framework

Strategic Objective: USAID country programs advanced and supported in priority PHN areas

Drafty Results Framework (continued)

IR 1: PHN trends and sector profiles compiled and communicated

IR 2: Knowledge, technologies, and methods developed or adapted

IR3: Innovations/lessons learned identified, analyzed, synthesized, and or disseminated

IR 4: Opportunities to share experiences and advice between countries promoted

IR 5: Appropriate PHN approaches advocated