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Collaborative Health Strategies and USAID's Role in Benin’s Family Health Services Improvement

This document outlines the evolution of health programming in Benin since the 1970s, highlighting USAID's involvement in enhancing family health services and preventive measures. Following the birth of the NGO sector in 1991, USAID initiated various strategic approaches at national, regional, health district, and community levels to align with Benin's Ministry of Health. These efforts included supporting health policies, social marketing, and community-based services. It emphasizes collaboration among stakeholders and the challenges of integrating comprehensive healthcare strategies.

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Collaborative Health Strategies and USAID's Role in Benin’s Family Health Services Improvement

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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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