51 PHN 1991 Sector Review subprojects; and to assist the States in improving health system investment planning. The project comprises: (a) a line of credit, called the Health System Fund (HSF), for health subprojects in the various States to include one or more of the following components: (i) institutional development; (ii) strengthening of health services, including facility upgrading and new facilities; (iii) essential drug programs; (iv) strengthening of MCH/FP service delivery, (v) disease sufvelllance; (vi) information, education and communication programs; (vil) nutrition; (viii) promotion of non-governmental organizations (NGOs); and (ix) preparation work for future projects; (b) assistance to FMOH, for the strengthening of its Department of Planning, Research and Statistics, and the establishment of a management information system in FMOH; and (c) support to the State Ministries of Health by providing technical assistance and training.

# _Niria - National Population Project_

The overall objectives of the project are to strengthen the institutional framework and expand the experiential basis for undertaking a large-scale, intersectoral National Population Programme (NPP) over the coming uecades. Based on Nigeria's recently approved comprehensive National Population Policy, NPP is being developed under the leadership of the Department of Population Activities (DPA), which was established in FMOH in 1988. The project will assist Government in gradually evolving an effective strategy for the program by developing a mechanism for funding and evaluating subprojects that are designed and implemeated by a number of CAs in the public and private sectors. The project will consist of three basic elements. 7he first is the Population Activities Fund (PAF), which will provide grants to qualified CAs for subprojects they have prepared. Subprojects will fit within a rolling three-year work plan for NPP; detailed guidelines for subproject content are under preparation. Many of the subprojects will focus on increasing family plmnning (FP) practice through provision of services and intensive information/education/communication (IEC). Other subprojects will develop leadership commitment to NPP to help prepare CAs to provide support functions for NPP in planning, coordination, training, monitoring, evaluation, or research. It is anticipated that PAF will attract funds from other donors. Seven subprojects (Phase I Suibprojects), utilizing about 51% of the initial allocation for PAF, have already been jointly appraised by IDA and DPA. Second, the project will help develop a small PAF Agency (PAFA) that will manage PAF in cooperation with DPA. Jointly, PAPA and DPA will develop the capacity to assist CAs with preparation of additional subprojects (Phase II Subprojects) and to appraise and supervise thern. The third element of the project is designed to stimulate intensive analysis of socio-cultural constraints to fertility reduction, review relevant experiences from other countries, and design innovative interventions kir adoption by implementing CAs. It wIll take the form of support for the establishment and Implementation of the first stage of the Population Research Fund (PRF). PRF would be managed by NISER with guidance from several relevant groups including DPA and the National Population Commissifn (NPC), which is responsible for the census and demographic surveys.

# _Rwanda - FYrt Population Project_

The project will support the implementation of the National Population PolHcy and will contribute to: (a) reducing the total fertility rate (TFR); (b) improving maternal and child health (MCH); (c) integrating the demographic dimension in cross-sectoral development activities. These objectives will be reached by: (a) improving the quality and efficiency of Family Planning (FP) service delivery, (b) increasing demand for and access to FP services; (L) carrying out a set of population demand for and access to EP services; (c) carrying out a set of population studies and strengthening the FP information system; and (d) supporting multsectoral activities within the framework of the national population policy. Selected demographic targets for 1997 (last year of project implementation) include (figures for 1990 are in