37

well as contribute to reductions in rates of abortion and in

maternal mortality rates.

Agency Strategic Goal:

World Population Stabilized and Human Health

Protected

Indicators:

Total fertility rate

Source:

World Development Indicators l997 (Table 2.2)

Performance Goal 1:

Fertility rate

YEAR

1997

1999

reduced by 20 percent by 2007.

PLANNED

4.2

ACTUAL

4.4

Percent decline in TFR

AFR

PLN

5.1

ACT

5.4

ANE

PLN

3.4

ACT

3.6

LAC

PLN

3.2

ACT

3.4

ENI

PLN

1.94

ACT

2.04

Comment(s):

TFR measures only one aspect of the goals of this

program.

In addition to reducing overall fertility rates, reductions

in unintended pregnancies through increased access, use and quality of

family planning and reproductive health programs contribute to improved

maternal and child health.

For ENI reductions in TFR are counted only

for the Central Asian Republics.

In other countries, these programs

contribute to reduced incidence of abortion and reduced maternal

mortality.

With a 10 year benchmark for fertility reduction of 20% from baseline

levels, we expect to see a 5% reduction by 1999.

2.

Mortality rates for infants and children under the age of

five reduced by 25 percent.

USAID's programs will contribute to improved infant and child

health and reduced mortality by improving child health and

nutrition practices and services and strengthening the systems

that deliver them.

In addition to specific results in country

programs, in FY 1999, USAID will continue to intensify its effort

to eliminate vitamin A deficiency; vitamin A deficiency affects

more than 250 million children under 5 worldwide and

significantly impacts on child mortality.

USAID will also

contribute to the global effort to eradicate polio by the year

2000; effectively institute programs to social market impregnated

bednets for the prevention of malaria in at least two countries;

advance development of malaria diagnostics and unijects for