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Program Assessment


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Child Survival and Health for Latin America and the Caribbean

Child Survival and Health assistance for Latin America and the Caribbean works to advance sustainable development by improving human health. It does this through programs that limit the spread of infectious diseases in the Western Hemisphere, help people realize reproductive intention, and address the HIV/AIDS epidemic.


What This Rating Means

Moderately Effective

In general, a program rated Moderately Effective has set ambitious goals and is well-managed. Moderately Effective programs likely need to improve their efficiency or address other problems in the programs' design or management in order to achieve better results.
  • The Latin America Bureau recently created a set of common goals across countries and region-wide indicators to provide valuable performance information to the field and Washington headquarters. This health information provides evidence of success with increasing vaccine coverage, 86% of children under one year of age who received DPT vaccine, and contraceptive prevalence.
  • This program is advancing the U.S.'s long term goals for health in Latin America and the Caribbean. For example, it aims to decrease the mortality rate for children five and under to 31 by 2010. Data suggest the program is on track to meet these goals.
  • At the regional level, this program has not yet developed budget requests that are explicitly tied to accomplishment of annual and long-term performance goals. Currently, foreign assistance reform efforts are underway to link budget requests to the achievement of performance goals.

Improvement Plan

About Improvement Plans

We are taking the following actions to improve the performance of the program:

  • Using the new regional framework and common agency performance goals and measures to tie performance to funding requests.
  • Refining the analysis of this new performance data to broaden management decision-making at all levels of the Agency.
  • Completing the transition to a new system that unifies field and headquarters financial reporting.

Learn More

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