printable banner

U.S. Department of State - Great Seal

U.S. Department of State

Diplomacy in Action

Strategic Goal 3: Investing in People


FY 2007 Department of State/USAID Joint Highlights
Bureau of Resource Management
February 2008
Report
Share

Public Benefit

Photo showing an African child inside an insecticide-treated mosquito net.

The President's Malaria Initiative is expanding access to free and highly subsidized insecticide-treated mosquito nets in many African countries. Insecticide-treated mosquito nets have been proved highly effective in killing mosquitoes while acting as a protective barrier.
USAID Photo/Jordan Riber

Disease and lack of education destroy lives, ravage societies, destabilize regions, and cheat future generations of prosperity and participation in democracy. The strategic priorities in this area focus on improving the lives of individual citizens by extending the basic values American citizens hold dear: good health; access to quality education; and protection for vulnerable populations.

2007 Resources Invested

STRATEGIC GOAL 3
2007 RESOURCES INVESTED
State
Operations
Foreign
Assistance
Total
$.395 billion $6.659 billion $7.05 billion


Strategic Priorities

Health: In this area the U.S. Government strives to improve child, maternal, and reproductive health, reduce the risk of infectious disease, and increase access to improved drinking water and sanitation services in developing countries. Critical interventions combat HIV/AIDS, tuberculosis, malaria, polio, pneumonia and diarrhea, which are leading causes of illness and death throughout the developing world. Mothers and children are especially vulnerable and are therefore two special target groups for most of these interventions. As an integral part of health programming, U.S. Government programs strengthen local capacity in disease outbreak detection and response, strengthen delivery of health services, essential drugs, and commodities, and support advances in health technology.

HIV/AIDS: The bulk of HIV/AIDS funding is provided through the President's Emergency Plan for AIDS Relief (PEPFAR) in 15 focus countries that are the most deeply affected by the pandemic and that represent 50 percent of HIV infections worldwide. In 2007, roughly 30.8 million adults and 2.5 million children around the world were living with HIV/AIDS. In focus countries, the Emergency Plan has three specific five-year goals to be reached by 2009: provide treatment for two million people; prevent new infections for seven million people; and deliver care for 10 million people affected by HIV/AIDS, including orphans and vulnerable children. The following indicator summarizes progress in HIV/AIDS treatment in the 15 focus countries.

PERFORMANCE INDICATOR TARGET AND RESULTS SUMMARY FOR 2005-2009
Performance Indicator 2005
Results
2006
Results
2007
Target
2007
Results
2007
Rating
2008
Target
2009
Target
Cumulative Number of People Receiving HIV/AIDS Treatment in the 15 Focus Countries of PEPFAR 401,233 822,000 1.2
million
1.35
million
Blue - 10% or more above target 1.7
million
2.0
million

Tuberculosis (TB): Twenty-two developing countries account for over 80 percent of the world's TB cases and within those countries TB kills more than 1.2 million people each year. U.S. Government assistance supports activities such as increasing host country capacity, combating drug resistant TB, and directing treatment of TB patients. For example, Bangladesh has one of the highest rates of TB infection in the world. With over 320,000 new cases annually, it is a priority country for U.S. assistance, which supports the national TB control strategy and focuses on increasing the capacity of existing clinics, particularly in poor urban areas, to detect new cases and provide treatment options.

The following indicator summarizes U.S. Government contributions to advances in the control of TB in 18 countries and reflects the U.S. Government target of 85 percent short-course strategy treatment success rate.

PERFORMANCE INDICATOR TARGET AND RESULTS SUMMARY FOR 2005-2009
Performance Indicator 2005
Results
2006
Results
2007
Target
2007
Results
2007
Rating
2008
Target
2009
Target
Number of Countries with 85 Percent Tuberculosis Treatment Success Rate 4 6 6 7 Blue - 10% or more above target 8 9

Malaria: More than three billion of the world's poorest individuals are at risk of malaria, which causes more than one million people, mostly children, to die every year. In response to this dire situation, in June 2005, President Bush launched the President's Malaria Initiative (PMI), pledging to increase U.S. Government funding by more than $1.2 billion over five years to reduce deaths due to malaria by 50 percent in 15 African countries. If used properly, insecticide-treated mosquito nets (ITN) are one of the best ways to prevent mosquitoes from biting and infecting individuals with malaria. Indoor Residual Spraying (IRS) is also a proven and highly effective malaria control measure if applied correctly and research has shown it to provide a rapid, short-term reduction in malaria infection rates. The following indicator measures the number of people protected against malaria with a prevention measure (ITN and/or IRS) supported with PMI funds. The 2007 results reflect activities completed in seven focus countries as well as rapid start-up activities initiated in the new eight PMI countries. After just two years of operation, the PMI is already seeing major reductions in malaria transmission in four countries. For example, severe anemia has been reduced in Malawi by 43 percent in surveyed populations and malaria infections in Zanzibar have been reduced by 95 percent. With the Initiative now rolled out and on track, targets are expected to be met in 2008 and 2009.

PERFORMANCE INDICATOR TARGET AND RESULTS SUMMARY FOR 2005-2009
Performance Indicator 2005
Results
2006
Results
2007
Target
2007
Results
2007
Rating
2008
Target
2009
Target
Number of People Protected Against Malaria with a Prevention Measure in PMI Countries N/A 3.7
million
15
million
22.3
million
Blue - 10% or more above target 25
million
30
million

Maternal and Child Health: U.S. Government programs in this area support pregnancy, obstetrics, and newborn care, maternal and child nutrition, immunizations, polio eradication, and prevention and treatment of childhood diseases, especially diarrhea and pneumonia. The indicator below measures the percentage of live births attended to by skilled attendants in 33 countries with programs supported by the U.S. Government. Most maternal deaths happen during labor and delivery or within the first few days following birth. This is especially the case in countries where most births occur at home, where skilled attendants are mostly absent, resulting in every birth being a high-risk event. Prompt recognition of complications, initiation of treatment, and referral to a medical clinic by a skilled birth attendant can be life saving.

PERFORMANCE INDICATOR TARGET AND RESULTS SUMMARY FOR 2005-2009
Performance Indicator 2005
Results
2006
Results
2007
Target
2007
Results
2007
Rating
2008
Target
2009
Target
Percentage of Live Births Attended by Skilled Birth Attendants 46.8% 47.8% 47.3% 47.7% Green - on target 47.8% 48.3%

Water Supply and Sanitation: The World Health Organization estimates that more than 2.2 million people, mostly children in developing countries, die every year from diseases associated with poor water and sanitary conditions. The following indicator measures U.S. efforts in 14 countries to help people gain access to improved water sources, such as a household connection, public standpipe, borehole, protected well or spring, or rainwater collection. The target for 2007 was not met because 50 percent of the 2007 target population for this indicator was located in Pakistan. The shortfall resulted from a slow project start-up attributed to delays when the Government of Pakistan shifted its Clean Drinking Water Projects from the Ministry of Environment to the Ministry of Industries. As these relationships have since been solidified, on-target performance is anticipated in 2008 and 2009.

PERFORMANCE INDICATOR TARGET AND RESULTS SUMMARY FOR 2005-2009
Performance Indicator 2005
Results
2006
Results
2007
Target
2007
Results
2007
Rating
2008
Target
2009
Target
Number of People in Target Areas with Access to Improved Drinking Water N/A N/A 3.3
million
2.2
million
Yellow - 10% or more below target 3.4
million
5.5
million

Education: Activities in this area promote the creation and maintenance of effective, equitable, high quality educational services and systems, from primary education and literacy programs, to strengthening the institutional capacities of public and private higher educational institutions. Investments in basic education yield high returns, particularly in the developing world, through improvements in labor productivity and participation in democratic processes, as well as improved health. All programs have a special focus on reducing the barriers to education for girls.

The indicator below highlights the number of learners enrolled in U.S. Government-supported primary level schools (or equivalent non-school based settings), which supports the President's new International Education Initiative. The indicator summarizes results from 30 country programs, including Nigeria. An illustrative example is that of Luvu-Madaki, Nigeria, a rural community of 17,000 that has only one primary school. In 2005 their primary level enrollment rate was 12 percent (232 students). Among the attendees, 113 studied under trees, while others studied in dilapidated make-shift classrooms without furniture. With U.S. Government assistance, the community created an "Education Repair" fund, which received contributions from the community and from construction companies worth $10,000 to build two new classrooms. With the new classrooms, enrollment increased by almost 75 percent in 2007. The community also plans to build an extra classroom with the excess building materials.

PERFORMANCE INDICATOR TARGET AND RESULTS SUMMARY FOR 2005-2009
Performance Indicator 2005
Results
2006
Results
2007
Target
2007
Results
2007
Rating
2008
Target
2009
Target
Number of Learners Enrolled in U.S. Supported Primary Schools or Equivalent Non-school-based Settings N/A N/A 23.4
million
27.0
million
Blue - 10% or more above target 31.8
million
40
million

Social Services and Protection for Especially Vulnerable Populations: Programs in this area help especially vulnerable populations manage risks and gain access to opportunities that support their full and productive participation in society. Such activities assist those whose needs are not addressed under humanitarian assistance or other programs, facilitating a transition from humanitarian relief to longer-term development and growth where needed.

The indicator below tracks the coverage of social assistance and social service programs for vulnerable people in 18 countries. It is a proxy indicator of a government's commitment to poverty reduction. For example, the long term goal of U.S. Government support for social assistance programs in Armenia is for central and local governments, communities, and indigenous non-governmental organizations (NGOs) to increase their capacity to provide targeted assistance to meet the basic needs of the poorest. In 2007, U.S. Government technical assistance helped the Government of Armenia to improve their program that provides cash to the neediest 140,000 Armenian households, including the chronically poor. The U.S Government also continued support for an indigenous NGO to meet the nutritional needs of the most vulnerable of Armenia's population. Through 27 soup kitchens and home delivery, the NGO provided a nutritionally balanced, hot meal once per day, five days per week, to the 4,500 neediest elderly people in Armenia.

PERFORMANCE INDICATOR TARGET AND RESULTS SUMMARY FOR 2005-2009
Performance Indicator 2005
Results
2006
Results
2007
Target
2007
Results
2007
Rating
2008
Target
2009
Target
Number of Vulnerable People Benefiting from Targeted Social Assistance or Services N/A N/A 1.56
million
1.85
million
Blue - 10% or more above target 2.77
million
3.0
million

 


< Go to Previous Page         Go to Next Page >



Back to Top
Sign-in

Do you already have an account on one of these sites? Click the logo to sign in and create your own customized State Department page. Want to learn more? Check out our FAQ!

OpenID is a service that allows you to sign in to many different websites using a single identity. Find out more about OpenID and how to get an OpenID-enabled account.