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USAID/Pakistan 

Operational Plan 

FY 2006 

June 12, 2006 
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Please Note: 

The attached RESULTS INFORMATION is from the FY 2006 Operational Plan and was assembled 

and analyzed by the country or USAID operating unit identified on the cover page. 

The Operational Plan is a "pre-decisional" USAID document and does not reflect results stemming 

from formal USAID review(s) of this document. 

Related document information can be obtained from: 

USAID Development Experience Clearinghouse 

8403 Colesville Road, Suite 210 

Silver Spring, MD 20910 

Telephone: (301) 562-0641 

Fax: (301) 588-7787 

Email: docorder@dec.cdie.org 

Internet: http://www.dec.org 

Portions released on or after July 1, 2006 
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Program Performance Summary FY 2005: In FY 2005, Pakistan continued to play an important role on 

global war on terrorism, with a message that this is in the best interest of the country to continue its socioeconomic development. The peace process with India was slow and met with several setbacks during 

the year. 

Macroeconomic recovery continued and GDP growth was between 6.5%-7.0% during the year. Inflation 

remained high at an average of 9.3%. The balance of payment gap was not reduced. Unemployment 

and the demand-driven labor market are still big issues that must be resolved in order to sustain 

macroeconomic recovery. 

Good governance remains an aim to be pursued at different levels of the administration. There has been 

evident will to devolve power to the local level structures but there remain challenges from the provincial 

and federal level legislatures. Local government elections were held throughout the country. Although it 

is said that more than 20% women participated in the electoral process as candidates, some people 

questioned women’s suffrage in these elections, especially since in some areas even women were not 

allowed to vote. The Election Commission of the Government of Pakistan (GOP) lacks the capacity to 

properly oversee and implement the national elections in 2007. It is important that the public view and 

understand elections results as being fair and credible. 

Last year, the current government set ambitious targets had for the Poverty Reduction Strategy Paper, 

which have not yet been assessed. The GOP has emphasized the importance of improving the quality of 

education, and has been increased expenditures for it. However, literacy rate remains low at 49%, and 

even less in more remote areas. The gender gap also must be closed to ensure equal opportunities for 

girls to become educated. 

The quality of and access to health services continue to need improvement. High fertility rates, above 

four births per woman, constrain the GOP’s ability to provide services to its populace. In 2005, the GOP 

commitment itself to strengthening and improving maternal and child health services, which is the 

roadmap for USAID’s assistance in Pakistan. It is making some progress to decrease high maternal and 

infant mortality and prevent and control infectious diseases. 

Immediately after FY 2005, on October 8, 2005, a devastating earthquake caused more than 80,000 

casualties in the Pakistan, bringing a new dimension to the USAID’s assistance in Pakistan in addition to 

its regular program. Recovery and reconstruction of earthquake areas is another challenge that the GOP 

must tackle in coming years. Transparency, performance, needs, and expectations of the victims are 

supposed to be vouched carefully. 

U.S. Interests and Goals: Pakistan is a strategic and important country to the U.S., as it has been 

essential in cooperation in the war against terrorism. It is in U.S. interests to have a stable democratic 

and economically strong Pakistan. The U.S. therefore supports this by its work in each of USAID’s 

strategic objectives (SOs): strengthening democratic institutions, improving the quality of education and 

health, and encouraging economic growth. 

The U.S., Japan, and the United Kingdom are Pakistan’s three largest bilateral donors. Multilateral 

donors and their principal areas of focus in Pakistan include the Asian Development Bank (infrastructure, 

governance, rural development and job creation, education, water supply and sanitation and social 

protection), the World Bank (health, education, civil service reform, governance, competitiveness), and 

the United Nations Development Program (governance, elections). 

Donor relations: USAID is one of the major donors to Pakistan. USAID continues to participate in the 

donor committee on the GOP’s Poverty Reduction Strategy, which had been established for donors to 

assess progress against targets. The key government/donor consortium meets yearly in the Pakistan 

Development Forum. USAID jointly finances several programs with other donors, such as Japan for 

reconstruction of schools in the Federally Administered Tribal Areas, the United Kingdom and UNFPA to 

raise the quality of and expand access to reproductive health services, and with Switzerland on anticorruption. 
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Challenge: Pakistan’s key challenges are to address the low literacy and high population growth rates, 

which will undermine advances made in other areas. USAID believes that the GOP’s efforts in reforming 

the education sector and health agenda are encouraging. In addition, decision-making in social and 

economic sector reforms must be broadened. This requires the participation of devolved levels of 

government, political parties, industries, civil society, local communities, and media. Another key 

challenge is to ensure that the GOP’s Election Commission has the capacity to enable the free and 

credible administration of the national elections in 2007. 

Key Achievements: 

Democracy and Governance: Adjustments were made to the democracy and governance program in 

2005 that focus future activities more strongly on the key strategic issues relevant to Pakistan's 

democratic development. Concurrent with the adjustment process, ongoing programs were nevertheless 

able to achieve good progress. The USAID devolution program created 73 partnerships in 37 districts 

involving community groups, local government, and the private sector in implementing priority 

development projects. A first-ever internship program was launched in the Senate of Pakistan that 

provided key Senate committees with assistance from 20 interns who were competitively selected from all 

provinces of the country to participate in the program. The capacity of NGOs was developed to enable 

them to track national and provincial budgets in parliament and provide legislative oversight. A 

Legislative Watch newsletter was created that tracks the performance of the National Parliament on 

issues such as the content of bills introduced and quality of debates on the floor of the National 

Assembly. Support provided to Pakistan's Senate Foreign Relations Committee enabled the committee 

to regularly produce and disseminate reports from its meetings. USAID-supported Legislative Affairs 

television programming aired in NWFP and Sindh Provinces. These programs covered and analyzed 

Provincial Assembly proceedings and provided an "outreach" for members of those provincial 

legislatures. To support further expansion of Pakistan's media, USAID built a radio station and production 

studio at Fatima Jinnah Women’s University (FJWU) in conjunction with its communications department. 

In addition, the communications curricula at FJWU and Peshawar University were enhanced to expand 

offerings in radio journalism and production. Support to political party development was provided through 

the training of over 180 grassroots political party activists in three provinces, which resulted in the 

development of reform projects in the participants' respective political parties. 

Education: USAID’s support to improving the education and literacy in Pakistan demonstrated positive 

results in FY 2005. USAID completed Pakistan’s first National Guidelines for Youth and Literacy, which 

the Ministry of Education has accepted as national policy. In Balochistan and Sindh, the poorest and 

most remote and poorest provinces, more than 3022 school management committees in nine districts 

developed and implemented comprehensive plans to improve their schools. USAID provided District 

Improvement Grants to nine districts in the two provinces to work with the local communities to improve 

their schools. School construction began on the first of 65 schools in the Federally Administered Tribal 

Area (FATA), along the Afghan border. In addition, nearly 16,770 teachers and education administrators 

were trained in USAID’s in-service teacher training programs. USAID’s early childhood education 

program in 255 schools exceeded expectations: 97% of teachers are now effectively applying early 

childhood interactive teaching methodologies; student attendance has increased by 10%; and the Ministry 

of Education has adopted the program for country-wide expansion. In FY 2005, USAID opened 200 

literacy centers throughout the country. 7,500 people completed courses and can now read and write; 

and an estimated 67,797 had completed their studies by the end of 2005. 

In FY 2005, USAID provided Fulbright scholarships to 109 Pakistanis for Masters Degree programs in the 

United States. USAID provided merit and need-based scholarships to 292 students for in-country 

undergraduate and graduate programs. Sixty-three teacher educators from teacher training institutes 

completed a short term intensive training program in teaching of mathematics, science and English as a 

second language. There is now a cohort of 172 teacher trainers that are undergoing a comprehensive 

follow-up program. USAID also improved the school examination system at 109 secondary schools. 

Increased Economic Opportunities: USAID’s economic growth program is enhancing the opportunity for 
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Pakistanis to improve their standard of living, and for Pakistan’s industrial base to improve its global 

competitiveness. The program provides financial services in previously-neglected areas of Balochistan, 

Sindh, and the Federally Administrated Tribal Areas (FATA). To date, more than 150,000 loans have 

been disbursed. The financial services component of the program also designs and delivers financial 

packages suited for microfinance institutions (MFIs) and commercial banks, enabling them to expand 

availability of financial services for the micro, small and medium-sized businesses throughout Pakistan. 

The repayment rate of MFIs mentored by USAID is 100%. The agricultural development component of 

the program provides technical assistance to more than 50,000 farmers in Balochistan, thereby 

introducing better agricultural practices, livestock management techniques, and water conservation 

methods. Support to the private sector is provided through the competitiveness activities that facilitate 

public-private dialogue and economic growth reform. The GOP has adopted nine policy reforms 

recommended by USAID-assisted industry. Through technical assistance and matchmaking grants, the 

program also assists Pakistani industries identify and implement initiatives that upgrade production and 

improve overall productivity. The GOP has committed $10 million to this activity. 

For more information, please visit the USAID/Pakistan website at http://www.usaid.gov/pk/. 

Health: USAID assistance helped Pakistani families benefit from increased availability and access to vital 

health services. Nearly 1.8 million poor and underserved couples were aided by social marketing 

programs, allowing them to get the information and family planning methods they wanted to space the 

birth of their next child. In order to reduce mother and newborn deaths in ten districts in all four 

provinces, USAID worked to have one or two 24-hour clinics per district and ambulance service available 

for pregnancy-related emergencies. In a related program that ended this year, USAID also assists to help 

families achieve optimal birth spacing intervals (OBSI) to increase survival rates for both mothers and 

babies. In the same ten districts as the maternal and newborn program, 31% of births occurred within the 

optimal range in 2005, compared with 18% in 2004. 

In FY 2005, polio eradication efforts advanced closer to the goal of eliminating this scourge from 

Pakistan. Pakistan reported only 27 polio cases in 2005 compared with 48 in 2004, representing a 44% 

decrease. Ninety-eight percent of the 32 million children under the age of five have been immunized in 

the nationwide anti-polio campaigns. Improved tuberculosis (TB) case management was extended 

nationally within the public sector. Improving diagnosis capability and using the Directly-Observed 

Therapy (DOTS) methodology. In 2005, 100% of Pakistanis who sought treatment through the 

government health facilities were treated using DOTS, compared to 40% in 2004. Efforts to help 

education over 120,000 at-risk people resulted in improved knowledge about preventing infection. Thirtyeight percent of men having sex with men were better informed in 2005, compared with 25% in 2004, 

slightly exceeding the 35% target. 
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FY 2006 Program 

SO: 391-003 Pakistan Primary Education and Literacy Program 

Achieve Equitable Access to Quality Basic Education 

Achieve Equitable Access to Quality Basic Education ($18,745,000 DA; $25,382,000 ESF). USAID is 

focusing on capacity building and support for systemic education sector reform at the national, provincial, 

and district levels in FY 2006. The program is developing and implementing School Improvement Plans 

in nine target districts in rural areas of Balochistan and Sindh provinces that will benefit 3,135 schools. 

USAID is continuing to construct 44 buildings under the FATA school reconstruction and rehabilitation 

program, although security issues may cause delays in some areas. Through the United Nations 

Children's Fund, USAID is beginning a water and sanitation program in 190 girls’ schools. USAID is 

helping the GOP develop national policies for information communications technology, teacher training, 

and early childhood education; training 8,000 teachers and administrators; and supporting the Ministry of 

Education's census, the data from which will contribute to the USAID-funded Integrated Management 

Information System. Principal Implementers: Research Triangle Institute, Academy for Educational 

Development (AED), Children’s Resources International, Aga Khan Foundation, United Nations 

Educational and Scientific Cultural Organization, and Associates in Development. 

Improve Quality of Workforce through Vocational/Technical Education 

Improve Quality of Workforce through Vocational and Technical Education ($239,000 DA; $526,000 

ESF). USAID is increasing assistance to Pakistani industry through new activities to develop a more 

skilled workforce. USAID technical assistance, in collaboration with the government and academia, is 

helping industry to identify potential opportunities and implementation mechanisms for workforce training 

and job placement. Principal Implementers: United States Educational Foundation, the GOP’s Higher 

Education Commission, Aga Khan University, and Forman Christian College. 

Increase Capacity of Higher Education to Contribute to Development 

Increase Capacity of Higher Education to Contribute to Development ($199,000 DA; $19,299,000 ESF). 

To increase the capacity of higher education institutions and expand the human capital base in Pakistan, 

USAID is providing 550 merit-based scholarships for Pakistanis to study business and agriculture in their 

country’s leading universities. Professors from U.S. universities are providing technical assistance to 

improve the capacity of local training providers. Through the United States Educational Foundation of 

Pakistan, USAID is providing 126 scholarships to fund Pakistanis obtaining Master's and Ph.D. Degrees 

in the United States. USAID is continuing to support the establishment of an independent examination 

board for university aspirants, renovate a recently denationalized college to make it a center of academic 

excellence, and explore ways to increase opportunities for higher education for women. Principal 

Implementers: United States Educational Foundation, the GOP’s Higher Education Commission, Aga 

Khan University, and Forman Christian College. 

FY 2007 Program 

SO: 391-003 Pakistan Primary Education and Literacy Program 

Achieve Equitable Access to Quality Basic Education 

Achieve Equitable Access to Quality Basic Education ($18,223,000 DA; $20,033,000 ESF). USAID will 

continue to support the GOP’s Education Sector Reform Program with more integrated technical 

assistance at the federal, provincial, and district levels. USAID will sponsor the Teacher Accreditation 

program of the Higher Education Commission as well as the Teacher Training Blueprint and continue to 

promote pre- and in-service teacher training, emphasizing child-centered methodologies. USAID will 

support the GOP’s Adult Literacy Program through technical assistance. The School Improvement Grant 

program will continue. USAID will ensure that the examination system is sustainable and continue with 
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FATA school construction and teacher training programs. Principal Implementers: Research Triangle 

Institute, AED, and Children's Resources International Pakistan. 

Improve Quality of Workforce through Vocational/Technical Education 

Improve Quality of Workforce through Vocational/Technical Education ($500,000 DA; $495,000 ESF). 

USAID will further invest in the workforce development component and work with the GOP to improve its 

business environment. Principal Implementers: Nathan Associates, U.S. Chamber of Commerce, and 

U.S. Department of Commerce. 

Increase Capacity of Higher Education to Contribute to Development 

Increase Capacity of Higher Education to Contribute to Development ($270,000 DA; $21,299,000 ESF). 

USAID will continue to provide both Pakistan and U.S.-based scholarships for Bachelor's, Master's, and 

Ph.D. students through the in-country scholarship program and the Fulbright Commission. USAID will 

improve access to higher education for women by supporting women’s universities. Principal 

Implementers: United States Educational Foundation, the GOP’s Higher Education Commission, Aga 

Khan University, and Forman Christian College. 

FY 2006 Program 

SO: 391-004 Pakistan Democracy and Governance Program 

Promote and Support Credible Elections Processes 

Promote and Support Credible Elections Processes ($12,000,000 ESF). In anticipation of the 2007 

national elections, USAID is strengthening the Election Commission of Pakistan's oversight capacity, in 

particular the application of election laws, impartial regulation of political parties, and administration of 

elections. Principal Implementers: To Be Determined (TBD). 

Strengthen Democratic Political Parties 

Strengthen Democratic Political Parties ($600,000 ESF). USAID is continuing to support the initiative to 

modernize and democratize political parties, thereby improving their internal governance structures and 

processes and encouraging the emergence of a new generation of party leaders. Training of political 

party members, with all parliamentary parties represented, is enhancing leadership skills. Principal 

Implementer: National Democratic Institute. 

Strengthen the Legislative Function/Legal Framework 

Strengthen the Legislative Function/Legal Framework ($3,597,000 DA; $2,000,000 ESF). In the first year 

of this two-year assistance program to the legislative branch of government, USAID is developing and 

institutionalizing a training curriculum for Members of the National Parliament and provincial assemblies. 

USAID is also providing assistance to continue the parliamentary intern program, strengthen Parliament's 

oversight function by building up the committee system, and improve public access to legislative 

processes. Resource centers to help Members of Parliament research legislation are being established 

in national and provincial assemblies. Principal Implementer: Development Alternatives, Inc (DAI). 

Support Democratic Local Government & Decentralization 

Support Democratic Local Government and Decentralization ($5,229,000 ESF). USAID is finalizing its 

support to the Devolution Trust for Community Empowerment -- a Pakistani initiative to help citizens 
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provide feedback to local governments and prioritize and present their social and economic needs to local 

officials. A new Districts That Work program will focus increasingly on those districts where other USAIDsupported programs are active and address governance issues that impede service delivery by local 

government education and healthcare providers. Principal Implementer: Urban Institute. 

FY 2007 Program 

SO: 391-004 Pakistan Democracy and Governance Program 

Promote and Support Credible Elections Processes 

Promote and Support Credible Elections Processes ($3,000,000 ESF). FY 2007 programming will 

address the critical issues leading up to the 2007 national elections, scheduled for October 2007. USAID 

will focus on ensuring an open and free electoral process. Work with political parties will need to focus on 

ensuring the credibility of the elections and the ability of the winners to rule afterward. Programming will 

also attempt to insulate the process from political interference. Principal Implementer: TBD. 

Protect Human Rights 

Protect Human Rights ($5,000,000 ESF). Programming will support local organizations and university 

legal departments in their efforts to launch public information campaigns that outline the rights of women 

in matters relating to inheritance, rape, domestic violence, and forced marriage. This will build the 

capacity of the legal sector to handle such cases. Principal Implementer: TBD. 

Strengthen the Legislative Function/Legal Framework 

Strengthen the Legislative Function/Legal Framework ($4,768,000 DA; $4,000,000 ESF). USAID will 

support further development of parliamentary institutions, including technical assistance to develop the 

committee system and build the capacity of staff to carry out support functions. Resources will also fund 

the construction of training facilities and committee rooms at the National Parliament. Principal 

Implementer: DAI. 

Support Democratic Local Government & Decentralization 

Support Democratic Local Government & Decentralization ($14,829,000 ESF). USAID will support the 

expansion of the Districts That Work program to five more districts in Pakistan. USAID assistance will 

improve local government capacity to plan programs, develop budgets, and ensure quality service 

delivery. A grants program will fund key infrastructure priorities in target districts. Principal Implementer: 

Urban Institute. 

FY 2006 Program 

SO: 391-005 Emergency Economic Assistance to Pakistan 

Improve Economic Policy and the Business Environment 

Improve Economic Policy and the Business Environment ($200,000,000 ESF). USAID will grant budget 

support funds as a cash transfer to enable Pakistan to invest in growth and macroeconomic stability as 

well as human capital and private sector development. The program is supporting the Government of 

Pakistan (GOP) during this time of economic hardship and political strain associated with the aftereffects 

of the October 8, 2005 earthquake and Pakistan's participation in the war on terror. Principal 

Implementer: GOP. 

FY 2007 Program 

SO: 391-005 Emergency Economic Assistance to Pakistan 
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Improve Economic Policy and the Business Environment 

Improve Economic Policy and the Business Environment: ($200,000,000 ESF). USAID will provide 

continued assistance to the GOP in FY 2007 for budget support. Principal Implementer: GOP. 

FY 2006 Program 

SO: 391-006 Agriculture Growth and Employment 

Improve Private Sector Competitiveness 

Improve Private Sector Competitiveness ($5,910,000 ESF). USAID and Government of Pakistan (GOP) 

co-financing is increasing key industry competitiveness in Pakistan's private sector by capitalizing on 

technology, human resources, infrastructure, and professional marketing. This assistance is helping to 

remove investment constraints by creating sustainable financing instruments for small- and medium-sized 

enterprises (SMEs), providing technical assistance and training to increase Pakistan's trade in regional 

and global markets, and reforming policies crucial for industrial growth. Sustainable or replicable 

outcomes are being funded on a matching basis with the private sector. USAID, the GOP, and U.S. and 

Pakistani academia are collaborating to initiate activities to develop a more skilled workforce for Pakistani 

industry. Together, they are identifying mechanisms to develop the workforce, in which job placement is a 

key component. An USAID-funded activity managed by the U.S. Department of Commerce (U.S. DOC) is 

strengthening the Pakistan Intellectual Property Rights Organization (PIPRO), raising public awareness 

about intellectual property issues, and training judges on PIPRO's enforcement practices. Principal 

Implementers: Nathan Associates and U.S. DOC. 

Increase Agricultural Sector Productivity 

Increase Agricultural Sector Productivity ($4,155,000 DA). USAID is continuing to provide training to 

farmers in Balochistan on low technology and arid agriculture farming practices suitable for a region 

devastated by years of drought. The activity is providing technical assistance, training, and grant support 

to: test and disseminate better seeds, improve on-farm water practices, introduce high-value crops, 

improve livestock management, and encourage small-scale processing. In addition, USAID is helping 

Pakistan's avian influenza testing facilities to monitor and continue work on curbing the disease in the 

region. Principal Implementers: United Nations Food and Agriculture Organization (FAO). 

Strengthen The Financial Services Sector & Increase Access to Capital 

Strengthen the Financial Services Sector and Increase Access to Capital ($3,155,000 DA; $2,000,000 

ESF). USAID is continuing to support the expansion of microfinance services into the FATA, Balochistan, 

and Sindh provinces to reach an additional 125,000 clients in 2006. USAID is diversifying the range of 

financial services catering to the needs of SMEs, including new and larger loan products as well as microleasing services. Principal Implementers: Khushhali Bank, Pakistan Poverty Alleviation Fund, and 

Shorebank Advisory Services. 

FY 2007 Program 

SO: 391-006 Agriculture Growth and Employment 

Improve Private Sector Competitiveness 

Improve Private Sector Competitiveness ($679,000 DA; $17,684,000 ESF). USAID will expand its 

competitiveness projects into additional sectors to increase their competitiveness, invest further in 

workforce development, and work with the GOP to improve Pakistan's business environment. Principal 

Implementers: Nathan Associates and U.S. Chamber of Commerce. 
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Increase Agricultural Sector Productivity 

Increase Agricultural Sector Productivity ($2,000,000 DA). USAID will continue to support arid agriculture 

and teach farmers in Balochistan low technology and arid agriculture farming practices suitable for a 

region devastated by years of drought. The overall activity will provide technical assistance, training, and 

grant support to: test and disseminate better seeds, improve on-farm water practices, introduce highvalue crops, improve livestock management, and encourage small-scale processing. In addition, it will 

also help avian influenza testing facilities in Pakistan to monitor and continue work on curbing the disease 

in the region. Principal implementer: FAO. 

Strengthen The Financial Services Sector & Increase Access to Capital 

Strengthen the Financial Services Sector and Increase Access to Capital ($2,560,000 DA; $3,000,000 

ESF). USAID will continue to support financial services through its current microfinance activities in 

existing areas. Diversification of financial services will continue to expand and include microfinance 

institutions, leasing companies, and formal financial institutions in the program. Principal Implementers: 

Khushhali Bank, Pakistan Poverty Alleviation Fund, and Shorebank Advisory Services. 

FY 2006 Program 

SO: 391-007 Improve Basic Health Services 

Improve Child Survival, Health & Nutrition 

Improve Child Survival, Health, and Nutrition ($753,000 CSH; $2,746,533 ESF). USAID is supporting a 

three-year child health program in the Federally Administered Tribal Areas (FATA). This program trains 

community health workers to treat children with acute respiratory infections and diarrhea and educate 

families on appropriate home-based health care and when to seek skilled health care. Community 

activities are being implemented in three of the seven FATA areas. Principal Implementer: John Snow 

International (JSI) and others To Be Determined (TBD). 

Improve Maternal Health & Nutrition 

Improve Maternal Health and Nutrition ($5,135,000 CSH; $11,827,467 ESF). In 10 districts, pregnant 

women and newborns are gaining access to safer, higher quality care in better equipped hospitals and 

rural health centers. USAID is training more than 3,000 health staff and renovating and equipping an 

estimated 40 hospitals and other health facilities. A national Demographic Health Survey is being 

initiated. The current agreement with the United Kingdom Department for International Development for 

health systems strengthening will be terminated March 31, 2006, and a replacement activity will be 

designed and awarded. Principal Implementers: JSI, Technical Assistance Management Agency, and 

Macro International. 

Prevent & Control Infectious Diseases Of Major Importance 

Prevent and Control Infectious Diseases of Major Importance ($3,465,000 CSH; $7,980,000 ESF). 

USAID is continuing to fund National Immunization Days and community information campaigns on the 

importance of protecting children from polio, concentrating on districts with new polio cases. Personnel of 

public and private TB treatment centers are receiving further training to achieve better patient compliance 

with treatment and more accurate reporting of results. Attention is shifting to improve TB case 

management in private health facilities. USAID is funding a three-year safe drinking water activity to train 

local governments, non-governmental organizations (NGOs), and communities to manage governmentprovided water treatment units and to educate the community in safe transport and home storage of 

drinking water. Work is commencing in 13 districts/agencies in year one. USAID is establishing a field 
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epidemiology training program to train district-level epidemiologists to investigate and respond to 

infectious disease outbreaks. Principal Implementers: World Health Organization (WHO), United Nations 

Children’s Fund (UNICEF), and Centers for Disease Control and Prevention (CDC). 

Reduce Transmission & Impact Of HIV/AIDS 

Reduce Transmission & Impact Of HIV/AIDS ($1,330,000 CSH). A new three-year program is expanding 

HIV/AIDS efforts to two additional provinces -- the North-West Frontier Province and Balochistan; funding 

local NGOs to raise awareness among high-risk groups about how to prevent HIV infection; extending 

home-based care to additional people living with HIV/AIDS (PLWHA); and forming a network of PLWHA 

groups to advocate for better treatment options and reduce stigma. Principal Implementers: Research 

Triangle Institute (RTI). 

Support Family Planning 

Support Family Planning ($12,427,000 CSH). An estimated 2.6 million couples who seek to space the 

births of their children will receive full information from well-trained health staff and have increased access 

subsidized family planning products. Principal Implementers: The Futures Group and Greenstar Social 

Marketing. 

FY 2007 Program 

SO: 391-007 Improve Basic Health Services 

Improve Child Survival, Health & Nutrition 

Improve Child Survival, Health and Nutrition ($3,894,361 CSH). USAID’s child health program will extend 

community activities to the remaining four FATA areas. Principal Implementer: TBD. 

Improve Maternal Health & Nutrition 

Improve Maternal Health and Nutrition ($3,650,000 CSH; $1,371,963 ESF). USAID will increase access 

for pregnant women and newborns to safer, higher quality care in better equipped hospitals and rural 

health centers. An additional 3,000 health staff will be trained, and an estimated 30 hospitals and other 

health facilities will be renovated and equipped. The national Demographic Health Survey will be 

completed. The new health systems strengthening program will be launched. Principal Implementers: JSI, 

Macro International, and others TBD. 

Prevent & Control Infectious Diseases Of Major Importance 

Prevent and Control Infectious Diseases of Major Importance ($3,405,639 CSH; $7,478,037 ESF). If polio 

is eliminated, emphasis may shift to strengthening the overall immunization program. For TB control, 

public facilities will be monitored to determine where quality of diagnosis and treatment must be 

enhanced and improved. USAID’s safe drinking water activity is expected to expand to 10 additional 

districts. Additional epidemiologists will be trained to manage infectious disease outbreaks. Principal 

Implementers: WHO, UNICEF, and CDC. 

Reduce Transmission & Impact Of HIV/AIDS 

Reduce Transmission & Impact Of HIV/AIDS ($900,000 CSH). USAID will continue strengthening local 

NGOs to raise awareness about HIV prevention and provide care to PLWHA. Principal Implementer: RTI. 
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Support Family Planning 

Support Family Planning ($9,850,000 CSH; $310,000 ESF). An estimated three million couples will be 

able to space the births of their children through the purchase of subsidized family planning products. 

Principal Implementers: The Futures Group and Greenstar Social Marketing. 

FY 2006 Program 

SO: 391-008 Earthquake Reconstruction 

Achieve Equitable Access to Quality Basic Education 

Achieve Equitable Access to Quality Basic Education ($3,963,000 DA; $14,738,000 ESF). USAID is 

initiating a teacher training program with the Government of Pakistan (GOP) to rebuild lost workforce and 

build the capacities of district government education officials who will guide the GOP’s and donors’ 

physical reconstruction efforts. Principal Implementers: To Be Determined (TBD). 

Address Other Health Vulnerabilities 

Address Other Health Vulnerabilities ($5,247,000 CSH; $16,122,000 ESF). USAID is using reconstruction 

resources to help rebuild the lost healthcare workforce, as well as strengthen systems and capacities of 

the public health community. USAID is piloting innovative models with the public health community to 

better plan, manage, implement, and sustain an integrated package of primary healthcare services 

consistent with national GOP programs. These services take into account the high number of physical 

disabilities (amputations and other physical impairments) resulting from the earthquake. Services also 

target the psychosocial trauma suffered by children in affected communities with structured opportunities 

for children to study, play, and socialize throughout the day. Principal Implementers: TBD. 

Expand & Improve Access To Economic & Social Infrastructure 

Expand and Improve Access to Economic and Social Infrastructure ($9,235,000 ESF). To increase 

access to quality health services in areas of greatest damage and destruction, USAID is rebuilding 

primary health infrastructure to include both basic health units and secondary-level hospitals. In 

education, USAID is rebuilding primary and secondary public schools to ensure that young people have 

quality schools to attend. Specific school sites are being selected based upon land availability, critical 

mass of children, geo-technical suitability, and ready access to power, sanitation, and water. Principal 

Implementers: TBD. 

Protect and Increase the Assets and Livelihoods of the Poor 

Protect and Increase the Assets and Livelihoods of the Poor during Periods of Stress ($6,537,000 DA). 

USAID is identifying local needs and capabilities to begin the design of a longer-term livelihoods program 

that incorporates and extends disaster relief activities as the emergency response phases out in the 

spring. USAID is launching income generation programs to restore livelihoods to people in earthquakeaffected areas. USAID is training skilled and unskilled individuals whose lives and communities have 

been destroyed. Training includes vocational training, agriculture and livestock development, asset 

formation, enterprise development, micro-credit, and market restoration in vocations such as masonry, 

carpentry, and plumbing. USAID’s vocational training program trains Master Trainers, who in turn train 

residents living in isolated villages, urban areas, and temporary camps. Approximately 35% of all people 

trained are expected to be women. Principal Implementers: TBD. 

FY 2007 Program 

SO: 391-008 Earthquake Reconstruction 
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Achieve Equitable Access to Quality Basic Education 

Achieve Equitable Access to Quality Basic Education ($4,104,000 ESF). USAID will continue a teacher 

training program with the GOP to rebuild lost workforce and continue capacity building of existing district 

government education officials. Principal Implementers: TBD. 

Address Other Health Vulnerabilities 

Address Other Health Vulnerabilities ($7,514,000 ESF). USAID will continue using reconstruction 

resources to help rebuild the lost healthcare workforce, as well as strengthen systems and capacities of 

the public health community. Based on the results of the pilot programs, USAID will implement innovative 

models with the public health community to better plan, manage, implement, and sustain an integrated 

package of primary healthcare services consistent with national GOP programs. Principal Implementers: 

TBD. 

Expand & Improve Access To Economic & Social Infrastructure 

Expand and Improve Access to Economic and Social Infrastructure ($30,178,000 ESF). To increase 

access to quality health services in areas of greatest damage and destruction, USAID will continue 

focusing health facility reconstruction on primary health care infrastructure and secondary-level hospitals. 

In education, USAID will continue focusing on rebuilding primary and secondary-level public schools to 

ensure that young people have quality schools for good basic education. Specific school sites will be 

selected based upon assessments to be completed in 2006. Principal Implementers: TBD. 

Protect and Increase the Assets and Livelihoods of the Poor 

Protect and Increase the Assets and Livelihoods of the Poor during Periods of Stress ($8,204,000 ESF). 

USAID will base its activities upon an analysis of pre-earthquake livelihoods likely to be restored after 

reconstruction. Illustrative activities may include: vocational training, agriculture and livestock 

development, asset formation, enterprise development, micro-credit, and market restoration. Principal 

Implementers: TBD 

FY 2006 Program 

SO: 391-009 Program Support Objective 

Program Support 

Program Support ($1,500,000 ESF). USAID resources will support programmatic and administrative 

functions for the entire program. The PSO will fund development outreach and communication efforts in 

Pakistan, including the services of a communications firm to develop indicators and materials that support 

USAID’s communication strategy for Pakistan. The PSO will also fund monitoring and evaluation 

activities. The PSO will fund the information technology applications and services costs attributable to 

program-funded staff in Washington and Pakistan. Principal Implementers: To Be Determined (TBD). 

FY 2007 Program 

SO: 391-009 Program Support Objective 

Program Support 

Program Support ($1,500,000 ESF). USAID plans to continue to fund program support costs that affect 

multiple strategic objectives. In FY 2007, funding will continue to support programmatic, administrative, 

and management needs such as technical assistance, staff salaries, performance monitoring and 
14

evaluation, financial analyses, program-funded information technology applications and services, and 

public outreach activities. Principal Implementers: TBD. 
15

Results Framework 

391-003 Pakistan Primary Education and Literacy Program 

Program Title: Primary Education and Literacy 

 3.1: Strengthened education sector policy and planning 

 3.2: Improved capacity of teachers and education administrators 

 3.3: Improved youth and adult literacy 

 3.4: Expanded public-private partnerships to improve access and delivery of education services 

391-004 Pakistan Democracy and Governance Program 

Program Title: Democracy and Governance 

 4.1: Improved representation and responsiveness of national and provincial legislatures 

 4.2: Greater civil society media and political party engagement in policy dialogue 

 4.3: Devolution supported through more accountable and responsive local governance 

391-005 Emergency Economic Assistance to Pakistan 

Program Title: Emergency Economic Assistance 

391-006 Agriculture Growth and Employment 

Program Title: Economic Growth 

 6.1: Increased access to financial services for micro, small and medium sized economic units 

 6.2: Improved private sector growth 

 6.3: Increased market based opportunities 

391-007 Improve Basic Health Services 

Program Title: Basic Health 

 IR 7.1: Improved quality and use of maternal, newborn, and child health and reproductive services in 

target districts 

 IR 7.2: Increased use of proven interventions to prevent major infectious diseases 

391-008 Earthquake Reconstruction 

Program Title: Earthquake Reconstruction 

391-009 Program Support Objective 

Program Title: Program Support Objective