1. 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. 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 Strategic Approaches

6. 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) Strategic Approaches

7. 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 Strategic Approaches

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

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

10. 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… Issues related to PROSAF’s QA approach

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

12. 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 (2 nd term) COLLABORATION AND COORDINATION

13. 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 JOINT PROGRAMMING