Study on USAID Non-Project Assistance Programs in

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AID Contract No. DPE-5974-Z-00-9026-00
ABSTRACTThis policy paper examines the experiences and effectiveness of using the U.S. Agency forInternational Development’s non-project assistance (NPA) to support health sector objectives insub-Saharan Africa. Programs in Niger, Nigeria, Kenya, Togo, and Cameroon are summarized. For eachcountry, background is provided on the health sector, and a summary and assessment of specific NPAprograms are provided.The primary focus of the paper is on health finance policy reforms that were promoted throughUSAID-supported NPA programs. It compares and contrasts country experiences as they relate to NPA.The authors’ purpose is to encourage discussion within USAID of the effectiveness of using NPA as areform tool in policy development and the broader question of how to best support desired healthoutcomes in Africa.The paper provides a detailed assessment of three aspects of NPA programming: programdevelopment and design, program implementation, and program evaluation. The information sources werelimited to official program documentation, and did not include field work. An extensive bibliography onthe topics of non-project assistance, policy reform, and health sector policy is included.
Page 1: PN-ABW-490Policy Paper No. 12THE US
Page 5 and 6: TABLE OF CONTENTSLIST OF EXHIBITS .
Page 7 and 8: LIST OF EXHIBITSEXHIBIT 4-1DEMOGRAP
Page 9 and 10: EXECUTIVE SUMMARYAt the request of
Page 11 and 12: analysis. The development of the NP
Page 13 and 14: 1.0 INTRODUCTIONThe purpose of this
Page 15 and 16: 2.0 METHODSThis is a comparative st
Page 17 and 18: 3.0 BACKGROUNDNon-project assistanc
Page 19 and 20: 4.0 EXPERIENCES WITH NPA IN THE HEA
Page 21 and 22: The economic, political and health
Page 23 and 24: 5.0 NIGER5.1 BACKGROUNDAfter a deca
Page 25 and 26: The NHSSG included numerous benchma
Page 27 and 28: 6.0 KENYA6.1 BACKGROUNDKenya’s ea
Page 29 and 30: The program provides $9.7 million i
Page 31 and 32: 7.0 NIGERIA7.1 BACKGROUNDThe Nigeri
Page 33 and 34: To implement these policies, the FM
Page 35 and 36: 8.0 TOGO8.1 BACKGROUNDTogo experien
Page 37 and 38: Increased availability of essential
Page 39 and 40: The MOPH has taken action to improv
Page 41 and 42: 10.0 SUMMARY OF LESSONS LEARNEDThe
Page 43 and 44: It may be difficult to define, in a
Page 45 and 46: The availability of funds to the MO
Page 47 and 48: Is policy reform, as generally stru
Page 49 and 50: The complexity of the policy reform
Page 51 and 52: In the other examples studied where
Page 53 and 54:
e most effective. These discussions
Page 55 and 56:
__________. 1993. "Assuring Health
Page 57:
Tulane/ABT Team. 1992. "Progress Re
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