Study on USAID Non-Project Assistance Programs in

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ACKNOWLEDGEMENTSThis report is part of the reasearch and analysis activities of the Health Care Financing and PrivateHealth Sector Development portfolio of the HHRAA project under the technical direction of AbrahamBekele.i
TABLE OF CONTENTSLIST OF EXHIBITS .......................................................ACRONYMS ............................................................EXECUTIVE SUMMARY ...................................................ivvvi1.0 INTRODUCTION ................................................... 12.0 METHODS ........................................................ 33.0 BACKGROUND .................................................... 54.0 EXPERIENCES WITH NPA IN THE HEALTH SECTOR UNDER THE DFA ......... 84.1 OVERVIEW .................................................. 85.0 NIGER .......................................................... 125.1 BACKGROUND .............................................. 125.2 HEALTH SECTOR ............................................ 125.2.1 The Niger Health Sector Support Grant (NHSSG) ................. 135.3 EXPERIENCES .............................................. 146.0 KENYA ......................................................... 166.1 BACKGROUND .............................................. 166.2 HEALTH SECTOR ............................................ 166.2.1 Kenya Health Care Financing Program (KHCF) .................. 176.3 EXPERIENCES .............................................. 187.0 NIGERIA ........................................................ 207.1 BACKGROUND .............................................. 207.2 HEALTH SECTOR ........................................... 217.2.1 The Nigeria Primary Health Care Support (NPHCS) Program ........ 227.3 EXPERIENCES .............................................. 238.0 TOGO ........................................................... 248.1 BACKGROUND .............................................. 248.2 HEALTH SECTOR ........................................... 248.2.1 Togo Health and Population Sector Support Program (HAPSS) ........ 258.3 EXPERIENCES .............................................. 269.0 CAMEROON ..................................................... 279.1 BACKGROUND .............................................. 279.2 HEALTH SECTOR ............................................ 279.2.1 Primary Health Care Subsector Reform (PHCSR) Program ........... 289.3 EXPERIENCES .............................................. 29ii
Page 1 and 2: PN-ABW-490Policy Paper No. 12THE US
Page 3: ABSTRACTThis policy paper examines
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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