COUNTRY STRATEGIC PLAN USAlD ASSISTANCE TO GUINEA FYs 1998 - 2005 MAY 12, We7 11 DE : USR I D Embassy of the United Stales of A~nerica Ms. Carol Peaslcy Assistant Administrator (Acting) Bureau for Africa United Stater Agency for Inmatioaal Dcvclopmcnt Washington. DC Dear Ms. Pe&!ey, It is with a great sense of satisfaction and pleasure that I fonvard to you USAlDIGuinea's Country Strategic Plan, 1998-2005. 1 can assurc you that this document has benefitted from a gear ddof consultarion and collaboration wilh &c CV'JLLT)Team and a wide range of devclopmrnr partners on the ground in Guinea. h IS, 1 klieve. a plan deeply roored in Guinea's irnmensc development potential and U.S. interens. Thc USAlD program is highly valucd by Guineans and for good reason. 1 can honestly say that it is the most efktive use of taxpayers resourccs I have seen in any of my sevea African lours. Rcsulrs are visible in small towns and villages across his beautiful but impoverished land. 1 ani pmicii~:~pleased thar the CSP ~acklcs hcad on svir~rof Guinca's tiiCllcult democracy and governlincc issues. Dernocratiza~ionis a high priority for this mission, and USAID plays an imporrant role in funhering these objectives. I believe tbu Ihe CSP has justified rhe resources anU the approach to really make a difference, not ody in the important DG field, but in primary education, family health and natural resources management. An ongoing issue in our bilateral relarions is political and economic rcform. Halting progress is evident on both fronts. A strons and vibranr USAlD program structund to deliver assistance directly to tbe grassroots while poised to targct aisrinct and potentially high payoff acrivitics such as the recent US study tour by National Assembly deputies, tke bland Initiative. and perhaps ~e I998 presidential electiom is an imponant tool to support and encourage the reform process. 1 underrrmd completely the need ro auuragc €or results and flexibility in [he ficid is an essential iogreditn~to respond to rapidly unfoIdkip opportlmjries. If the USAlD program is ro retain a leading rolc, resources should be increased. The USAID budget and staff have laken a scrious beating in the current climate of resourcc scarciry. I strongly recommend that dcspitc the pressures to do Icss, rhat USAlD do all ir can to assurc a reasonable level of resources for rhc Guinea program. Thc CSP proposcs several resourcc scenarios. From my perspective, he "breakthrough' sccnario is bc mosr sensible given he program's higb performance and potential, our excellent US PVO pmers and che efficicnr management structure established rhrough reenginering. In closing, Itc me say whhl a pleasure it is to work with USAID. We have excqrionally collrgid relations which have crcatcd a srroq and unified ream approach. This CSP crnbodies that teamwork and I trust rhar you will find it mecu all your oxpecrations. Sincerely, P* + *Tibor P. Nagy , Jr Ambassador BEST AVAlLABLE DOCUYENT TABLE OF CONTENTS List of Acronyms ....................................................................................... PART I: SUMMARY ANALYSIS OF ASSISTANCE ENVIRONMENT AND RATIONALE FOR PROGRAM A. Overview and Development Context................................................. 2 Economic and Political Social Trends ............................................................................ 4 6. U.S. Foreign Policy: Relationship of the Program to U.S. Foreign Policy lntecests .............................................................................5 1 . Conflict Resolution and Crisis Prevention ................................. 6 2. Resource Scenarios and Strategic Interests ............................... 7 C. Other Donors: Our Development Partners ......................................... 8 D. USAID's Customers ...................................................................... 12 PART 11: PROPOSED STRATEGIC PLAN ............................ .. ........................ 1 5 A. Summary of Program Activities ................... ................................ 15 B. Strategic Objectives .................................................................. 18 Strategic Objective: Education Quality primary education provided to a larger percentage of Guinean children, with emphasis on girls and rural children Strategic Objective: Family PlanningIHealth............................... 32 Increased use of essential FPIMCH and STIAIDS- prevention services and practices Strategic Objective: Democracy/Governance ............................... 49 Greater Citizen Participation in Governance Particularly at the Local Level Strategic Objective: Environment ............................................... 65 lncreased use of sustainable natural resource management practices 1' ir" USA/D/Guinea Sfrateuic Plan FYs 7998 - 2005 May 12, 7997 PART Ill: RESOURCE REQUIREMENTS , Estimated Resource Requirements to Achieve the Strategic Objectives..... 77 A . Budget Scenarios ............................................. 77 B . Program Management Requirements ............................................ 80 C . P.L. 480 Food Assistance ...................... .................. 85 D . Other USAID Support ............................................ 85 ANNEXES A . USAIDIGuinea Goal. Strategic Objectives .................................................... 1 B . Performance Indicators and Targets Tables .................................................. 2 C . Donors ....................... ......................... 10 D . USAIDIGuinea Partners .................................................. 11 E . Environmental Analysis .................................................. 14 F . Agriculture Sector Assessment Summary ................................................. 22 G . Democracy/Governance Sector Assessment Summar.y ..................... ........ 37 H . List of Virtual Team MembersIOffices ................................................. 62 USAID/Guinea Strategic Plan FYs 7998 .2005 May 72. 7997 LIST OF ACRONYMS AGBEF Association Guineenne pour le Bien-Etre Familiale AIDS Acquired Immunity Deficiency Syndrome AIDSCAP AIDS Control and Prevention Project AIM AIDS Impact Modeling AMF Agricultural Marketing Foundation AMIP Agricultural Marketing Investment Project AMLGF Agricultural Marketing Loan Guarantee Fund AVSC Association for Voluntary and Safe Contraception BCRG Central Bank of Guinea BI Bamako Initiative CBD Community Based Distribution CCCO Combatting Childhood Communicable Diseases CDIE Center for Development Information and Evaluation CDR Rural Development MunicipalitylCommune de Developpement Rural CLUSAINCBA Cooperative League-USAINational Cooperative Business Association CPR Contraceptive Prevalence Rate CPSP Country Program Strategic Plan CSP Country Strategic Plan CYP Couple Years of Protection DAAF Central Division of Finance and Administration DHS Demographic and Health Survey ED Essential Drugs EPI Expanded Program of Immunization ESAF Enhanced Structural Adjustment Facility ESRP Education Sector Reform Program EU European Union FDHIRD Fouta Djallon Highlands Integrated Rural Development FP Family Planning HIS Health Information System ICMCl Integrated Care Management Childhood Illnesses IFPA International Family Planning Association IR Intermediate Result GDP Gross Domestic Product GER Gross Enrollment Rate GNRM Guinea National Resources Management GOG Government of Guinea GTZ German Agency for Technical Cooperation IEC Information, Education and Communication HIS Health Information System HIV Human Immunodeficiency Virus IMC Inter-Ministerial Committee IMF International Monetary Fund iii USAID/Guinea Strategic Plan FYs 1998 - 2005 May 72, 1997 IR Intermediate Result IRBD International Bank for Reconstruction and Development KFW German Development Bank MAEF Ministry of Agriculture, Livestock and Forestry MCH Maternal Child Health MEIPEVESP Medicaments Essentiels MEN National Ministry of Education MEPU Ministry of Pre-University Education MIS Management Information System MOH Ministry of Health MPFE Ministere pour la Promotion des Femmes et des Enfants MSF Medecin Sans Frontieres NAD New Activity Description NCBAICLUSA National Cooperative Business AssociationlCooperative League-USA NEAP National Environment Action Plan NGO Non-governmental Organization NPA Non-Project Assistance NPHCP National Primary Health Care Program N PI New Partnership Initiative NRM Natural Resources Management ORS Oral Rehydration Salt OSFAM Option Sante Familiale PAS€ Education Sector Adjustment Program PEV Programme Elargi de Vaccination PHC Primary Health Care PHN Population Health Nutrition PRIDE Rural Enterprise Development Project PSI Population Services International PVO Private Voluntary Organization RP Results Package SAAF Administrative Services of Financiai AffairsIServices Administratifs des Affaires Financieres SCF Save the Children Federation SM Social Marketing SMC Social Marketing of Contraceptives Project SO Strategic Objective SSP Soins de Sant6 Primaires ST1 Sexually Transmitted Illnesses WB World Rank/lnternational Bank for Reconstruction and Development UCOFlS Unions des Cooperatives Financikres Specialisees/Financial Cooperative Unions UNICEF United Nation Children's Fund UNDP United Nations Development Program UNFPA United Nations Family Planning Agency USAID/Guinea Strategic Plan FYs 1998 - 2005 May 72, 7997 USAID/Guinea Strategic Plan FYs 1998 - 2005 May 12, 1997 "7 1 Spirit, are they yours? Scrooge could say no more. They are Man's, said the Spirif, looking down upon fhem. And they cling to me, appealing