COVID-19 Response Monthly Report: Redirection of Funding IMPACT (Improving Market Partnerships and Access to Commodities Together): February 2021

Home , Atsinanana, Mandoto (district), Vinany

Overview of COVID-19 Activities USAID has approved on January 27th the use of $149,253 for IMPACT to implement COVID-19 activities from February 2021 to March 2021 using the remaining COVID-19 funding from the May to October 2020 period. This is redirection funding from cancelled and/or postponed activities from Year 2. The purpose of this funding is to (i) help the GOM to purchase and transport health and expendable commodities (infection prevention products) from the central level to districts and communes (ii) sensitize Malagasy people in the eight most affected regions of COVID-19, including Boeny, Analanjirofo, Haute Matsiatra, Vatovavy Fitovinany, Amoron'i Mania, Vakinankaratra, Menabe, and Atsimo Andrefana. After receiving the approval from USAID, we noticed increased cases in two additional regions namely Diana and Atsinanana that we included in the supported regions for this recently approved funding for COVID-19 activity.

Main Achievements with Detailed Results Transportation/Support of the DRSP and SDSP by providing supplies and expendable equipment  IMPACT purchased and transported the following items: 2,226 washable protective masks, 3,800 hand towel rolls, 300 jerrycans 20L, 950 household gloves, 675 kg of soap powder, 180 mops, 83 garbage bins with pedal, 86 decontamination tanks, etc. from Antananarivo to the DRSP of Atsinanana, Vakinankaratra, Diana, Boeny, Haute Matsiatra and Atsimo Andrefana regions. These items were donations from IMPACT/USAID to the MOPH. Details per region are provided in Annex 1.  IMPACT transported health commodities (300 tablets of Hydroxychloroquine, 180 tablets of Azytromicin 25mg, 300 magnesium B6 C, 39 boxes of surgical masks, 39 boxes of over blouses, etc.) from DRSP of Atsinanana to SDSP of Mahanoro and Vatomandry (details provided in the Annex 2).  IMPACT financially supported the transportation of Polymerase Chain Reaction (PCR) and blood samples from Haute Matsiatra (174) and Amoron’i Mania (16) to IPM in Antananarivo, and one Genexpert specimen from Mahanoro (1) to Toamasina.  IMPACT financially supported the investigation of suspected cases in Menabe (SDSP Morondava) and Vakinankaratra (SDSP Ambatolampy and SDSP Mandoto) regions, with fuel. Support the hospitals treating positive cases by providing supplies & expendable equipment No achievement on this activity in February Periodic disinfection of IMPACT central and regional offices including warehouses  Disinfection of PSI offices, warehouses, and vehicles in Diana, Sofia, Boeny, Vakinankaratra, Atsinanana and Atsimo Andrefana was conducted twice per week by external providers. Details per region are provided in Annex 3. Protect IMPACT Team and CHVs, PA and PARCs against COVID-19 by distributing expendables and equipment No achievement on this activity in February Support communication awareness IMPACT attended and provided technical support during the following meetings:  One workshop organized by the CCRCE and led by DPS at the central level from February 9th to 11th at the NMCP office in Androhibe to update the communication tools on COVID-19, such as posters, messages on TV and radio spots, and jobs aids for CHVs.  One virtual meeting organized by the CCRCE led by DPS at the central level on February 23rd to organize the design of the new tools updated during the workshop. (details of the workshop and meeting in Annex 4 )  In collaboration with DRSP of Atsinanana, Analanjirofo, Menabe, Vatovavy Fitovinany, Vakinankaratra, Atsimo Andrefana, Diana, and Haute Matsiatra, 57 TV spots and 350 radio spots were broadcasted in local dialects from February 18th to 28th. The main contents of the messages are about the shielding measures (wearing mask, washing hands, etc.).  The DRSP of Atsinanana, Analanjirofo, Atsimo Andrefana, and Menabe regions were provided with Internet connection and airtime by IMPACT. Details provided in Annex 5.

Planned activities for next month:  Continue to transport COVID-19 expendable equipment and supplies from regions to districts.  Support financially with fuel for the deliveries of blood samples PCR from districts to IPM.

 Donation of expandable equipment and supplies to 9 DRSP (Vakinankaratra, Boeny, Atsinanana, Analanjirofo, Atsimo Andrefana, Menabe, Haute Matsiatra, Amoron’i Mania, Vatovavy Fito Vinany).  Donation of Internet data and airtime to 5 DRSP (Vakinankaratra, Boeny, Haute Matsiatra, Amoron’i Mania, Vatovavy Fito Vinany) used to submit epidemiological data to Antananarivo on time.  Regular disinfection of PSI/IMPACT offices, warehouses, and vehicles.  Transport donations from the Department Of Defense (DOD) 3,000 surgical masks, 3,000 surgical gloves, etc.to hospitals, CSB and SDSP to six regions (Haute Matsiatra, Amoron’i Mania, Vatovavy Fito Vinany, Vakinankaratra, Menabe, Boeny).  Continue to broadcast TV and radio spots in the 9 USAID-supported regions with highest cases (Vakinankaratra, Boeny, Atsinanana, Analanjirofo, Atsimo Andrefana, Menabe, Haute Matsiatra, Amoron’i Mania, Vatovavy Fito Vinany).

Financial reporting: COVID-19 related Expenditures, February

Total Cumulative Total spent Total funding MCH FP expenditure Comments this month Commitments approved (COVID only)

Redirected $155 695 $22 641 $11 321 $11 320 $22 641 $68 687 None funding

ACRONYMS

CCRCE Commission for Communication on Risk and Community Engagement CHV Community Health Volunteers CVO Covid Organics DOD Department Of Defense DPS Direction de la Promotion de la Santé/Directorate of Health Promotion DRSP Direction Régionale de la Santé Publique/Regional Directorate of Public Health GOM Government of Madagascar IMPACT Improving Market Partnerships and Access to Commodities Together IPM Institut Pasteur de Madagascar MOPH Ministry of Public Health NMCP National Malaria Control Program PCR Polymerase Chain Reaction PPE Personal Protection Equipment PSI Population Services International SDSP Service de District de Santé Publique/ District Public Health Service USAID United States Agency for International Development

Annex 1: Supplies purchased and transported to regions by IMPACT

VAKINANKA ATSIMO HAUTE ARTICLES FROM TANA TO DIANA BOENY ATSINANNA TOTAL TRA ANDREFANA MATSIATRA Washable protective masks 2,226 2,226 Hand towel rolls 500 750 750 750 750 750 3,800 Household gloves 200 150 150 150 150 150 950 Chamois 500 500 Jerrycan 20L 50 50 50 50 50 50 300 Soap powder (kg) 175 100 100 100 100 100 675 Rolls of trash bag 10L 60 60 60 180 Disinfectant spray 112 112 Decontamination tank 10 15 15 16 15 15 86 Garbage bin with pedal 50 33 83 Bowls 50L 20 20 Cups 1L 40 40 Rakes 2 2 Spade 2 2 Peels 2 2 Wheelbarrows 2 2

NB: The health commodities ordered for Vakinankaratra were fully supplied by the providers while they are partially delivered for other regions

Annex 2: Transportation of health commodities from region to districts (Donation from IMPACT)

PLACE OF DESTINATION QUANTITY NOTES DEPARTURE 300 tablets of Hydroxychloroquine 200mg, 180 tablets of DRSP Azytromicin 25mg, 300 magnesium B6 C, 300 Vitamin C, 10 Fuel SDSP Vatomandry Atsinanana packs of CVO familial package, 75 Rapid Diagnostic Tests, contribution 50 PCR kits, 3Kg of Hypochlorit powder DRSP 39 boxes of surgical masks, 39 boxes of over blouses, 39 Fuel SDSP Mahanoro Atsinanana boxes of cap, 39 boxes of latex gloves contribution

Annex 3: Disinfection of PSI/IMPACT offices, warehouses, and vehicles

REGION ITEM DISINFECTED PROVIDER DIANA 1 Office/ 1 Warehouse VAKINANKARATRA 1 Office/ 1 Warehouse/ 1 vehicle BHL 1 Office/ 1 Warehouse ATSINANANA 4 Vehicles SERVICE STATION BOENY 1 Office/ 1 Warehouse/ 4 Vehicles ALITIA SOFIA 1 Office/ 1 Warehouse/ 4 Vehicles FRED NOLAN ATSIMO ANDREFANA 1 Office/ 1 Warehouse SUD ENVIRONNEMENT

4 Vehicles VULCA SPEED

Annex 4: Details of meetings organized by the CCRCE led by DPS

NUMBER Meeting MAIN SUBJECT PERIOD Workshop to update COVID‐19 - Update on the COVID‐19 epidemiological data. February 9th, 10th, 1 communication tools at NMCP - Sharing results of a qualitative survey on 11th Androhibe perception of COVID‐19, opinion on vaccines, and identification of public opinion influencers conducted by the Capsule Agency. - Sharing the main reorientation of the communication strategy in response to COVID‐ 19. - Inventories of existing tools - New tools to be produced: posters, radio spots, TV spots, jobs aids, etc. 1 Virtual Meeting to share the roles - Organization of the design of the new tools February 23rd and responsibilities in the design decided during the workshop at NMCP in of the updated communication Androhibe (selection of committee, support of tools each partner). - Preparation of the next meeting with the regions which will be held on March 25, 2021. - Drafting of questionnaire for the pre‐testing of the new communication tolls/support to be conducted among the target audience.

Annex 5: Details of Internet connection and airtime donated by IMPACT to DRSP

RECIPIENT DESCRIPTION OF THE DONATION DRSP ATSINANANA Airtime for 10 Sim cards DRSP ANALANJIROFO Airtime + Internet connection 3Go for 10 Sim cards DRSP ATSIMO ANDREFANA Airtime for 8 Sim cards DRSP MENABE Airtime + Internet connection 3GO for 8 Sim cards