USAID's Legacy of Family Planning Technical Assistance to the Guatemalan Public Health Sector: Over a decade of success through USAID's Calidad en Salud and Health Care Improvement Projects

Through the Calidad en Salud (Quality in Health) I and II (2000-2004, 2005-2009) and Health Care Improvement (HCI, 2009-2012) projects, managed by University Research Co., LLC (URC), the United States Agency for International Development (USAID) has provided more than a decade of support to the Guatemalan Ministry of Health (MOH). These projects have improved the quality of and broadened access to clinical health services in the country, particularly for traditionally underserved populations in the remote highland regions. A primary component of this work has been to support the MOH and other Guatemalan institutions in providing quality family planning (FP) information and services, particularly for indigenous populations in rural areas.

Over the 12 years of project work, the Guatemalan FP program has shown dramatic improvements. The contraceptive prevalence rate (CPR) grew at an average of 1.6 points per year between 1998 and 2008 (much faster than any other region of the world during that time), and the fertility rate declined from 5.1 children per woman in 1998 to 3.6 children per woman in 2008. Today 97% of women at reproductive age have knowledge of at least one contraceptive method, an increase from 72% in 1987.
This report details USAID’s legacy of successful technical assistance in FP provided to the Government of Guatemala from 2000-2012. The work described here occurred during a time in which the Guatemalan national FP program experienced a period of dramatic and unprecedented growth and development. This report also presents the challenges encountered in expanding the FP program and presents lessons learned that could be applied to other projects working to successfully establish or enhance FP programs in other settings.
Report Author(s): 
Jaramillo L | Howell C
ASSIST publication: 
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