VillageReach History in

Date Milestone Activity May 2012 Lilly Connett, an intern with the William Davidson Institute, arrived in Mozambique to begin work with VillageReach on a study aimed at understanding the current capacity of districts in the 4 provinces to manage distributions of medical commodities. Second phase of data collection for the RDT Consumption study was completed in Cabo Delgado. Distributions continued in all 4 provinces. An examination of distribution statistics showed that distributions occurred; 9 continuous months in Cabo Delgado, 6 continuous months since launch in , 3 continuous months in Gaza. In Niassa, distributions happened as planned 92% of the time in the last year. April 2012 Antonio Gaspar Tomboloco joined the VillageReach team as field officer in . Field work for the 18 month evaluation was completed in Niassa. Baseline data collection for the APE logistics pilot began in . VillageReach attended the Committee of Immunization Experts meeting March 2012 Dr. Seth Berkley, CEO of GAVI alliance visited VillageReach in Mozambique. Distributions occurred in 4 provinces; Cabo Delgado, Niassa, Maputo, and Gaza. February 2012 Field work for the 18 month evaluation was completed in . Intellectual Ventures visited to conduct focus groups related to the development of a vaccine storage device. Distributions occurred in 4 provinces; Cabo Delgado, Niassa, Maputo, and Gaza January 2012 VillageReach piloted the data collection tools for the RDT Consumption study in five health centers in Cabo Delgado and used the results to refine the instruments and methodology. Assessment work for the APE logistics pilot continued. A national shortage of BCG resulted in many health centers experiencing low stock levels. A second distribution was completed in Maputo province once stock was available in country. December 2011 Distributions started in Maputo province and distributions to all 16 districts in Niassa began. In partnership with USAID|DELIVER, VillageReach started work on an assessment of community health worker (called APEs in Mozambique) logistics in order to design and pilot an intervention aimed at improving the availability of medical commodities at the community level. VillageReach attended the National EPI meeting. November 2011 Distributions started in Gaza province. Two key additions were made to Mozambique staff: Kátia Balate started as the new accountant based in Maputo and Margarida Matshine started as the Maputo Field Officer. In partnership with the University of Washington Computer Science and Engineering Department, VillageReach conducted a field test of ODK Scan, a

mobile phone application that can be used to digitize data from paper, in Cabo Delgado. VillageReach received MISAU approval for the RDT consumption study. Version 3.06 of vrMIS released. VillageReach attended the 2nd Council of Immunization Experts (CoPI) meeting October 2011 Second round of the house-to-house polio campaign was carried out in Niassa province. District staff and field coordinators from Gaza province completed training in preparation for the first round of distributions to be completed the next month. Health staff and field coordinators from Maputo province completed training in preparation for implementation of the Dedicated Logistics System. September 2011 Ron Pankiewicz (Technology Director) and Libby Levison (Health Services Program Director) visited the Mozambique office and made site visits to VillageReach operations in Cabo Delgado. A polio house-to-house campaign was carried out in two districts of Niassa province. VillageReach completed the one-year evaluation for Niassa province. August 2011 VillageReach received approval from the Bioethics Committee for the costing study in Gaza. Costing study in Gaza province was initiated. A field officer in Gaza was trained, and an office for him was established. Supervision visits to Niassa province were completed. VillageReach completed the one-year evaluation in Cabo Delgado province. July 2011 VillageReach made a supervision visit to Cabo Delgado province. RDT consumption study developed for submission to Bioethics Committee. Baseline evaluations for Niassa and Cabo Delgado are published. VillageReach hosts the PAV Technical Working Group meeting. vrMIS3.03 is released with new functionalities in reporting of provincial level summary reports and RDT consumption. Analysis of June distributions completed in Niassa and Cabo Delgado provinces. June 2011 DPS approved a study to assess the consumption of rapid diagnostic tests in Cabo Delgado. Protocol development for the study is underway. Discussions and arrangements with Gaza province continue. DPS requested a budget for their contribution to the proposed dedicated logistics system. VillageReach made a supervision visit to Niassa province. Analysis of May distributions completed in Niassa and Cabo Delgado provinces. May 2011 All provinces conduct measles campaign with logistics support from VillageReach in Niassa and Cabo Delgado. Analysis of April distributions completed in Niassa and Cabo Delgado provinces. April 2011 Discussions and arrangements with Maputo province continue with a drafted MoU and implementation plan. VillageReach participates in the new semi-annual Council of Immunization Experts meeting in Mozambique. Analysis of March distributions completed in Niassa and Cabo Delgado provinces. March 2011 Analysis of February distributions completed in Niassa and Cabo Delgado provinces. February 2011 Six month process evaluation field work completed in Niassa, and baseline results presented and discussed. Analysis of January distributions completed in Cabo Delgado province. January 2011 Niassa baseline completed.

Analysis of December distributions completed in Niassa and Cabo Delgado provinces. December 2010 Six month process evaluation field work completed in Cabo Delgado, and baseline results presented and discussed. Analysis of November distributions completed in Niassa province. November 2010 Cabo Delgado Baseline completed. Training for field coordinators and provincial health staff is conducted in Maputo Province.

September 2010 Distribution of medical commodities starts in Niassa. Analysis of August distributions and monthly distributions is completed in CDG. August 2010 vrMIS training is conducted in Nampula. Training for field coordinators and provincial health staff is conducted in Niassa. vrMIS training for field coordinators is conducted in Niassa July 2010 Baseline fieldwork (household, health center and costing surveys) is conducted in Niassa. First analysis is conducted of distributions in CDG. First distributions are completed in CDG. Process evaluation methodology is developed and reviewed with CDG provincial staff. June 2010 Distribution of medical commodities starts in CDG. Training for baseline evaluation field teams is completed. May 2010 Baseline fieldwork (household, health center and costing surveys) in Cabo Delgado conducted by field teams. VillageReach and Niassa sign MoU to implement dedicated logistics system. April 2010 Dedicated logistics system tools are finalized. Training for the baseline evaluation field teams is completed. March 2010 VillageReach, CDG and Elizabeth Glaser Pediatric AIDs Foundation sign MoU for a one-year program to re-implement dedicated logistics system. Assessment work is conducted in Maputo. Training for field coordinators and provincial health staff is conducted in CDG. Bioethics committee approves proposal to conduct baseline evaluation in CDG. February 2010 Mozambique MoH requests assistance for data quality analysis. Assessment work is conducted in CDG. January 2010 Baseline evaluation protocol is submitted to Mozambique Bioethics Committee for approval. November 2009 Mozambique Minister of Health encourages provinces to consider implementation of dedicated distribution system. October 2009 Costing study is published. August 2009 VillageReach completes cost study comparing CDG and Niassa. Nampula project ends. April 2009 vrMIS is implemented in . September 2008 VillageReach meets with the Mozambique MoH to request approval for a national rollout of the dedicated distribution system to support immunization. August 2008 Nampula project to support immunization ends. June 2007 VillageReach activities are transitioned to Cabo Delgado health authorities. January 2007 Nampula rollout is completed. Clinics served CDG = 88. Clinics served NPL = 163. Total clinics served = 251. Total population served = 5 million.

Implementation transitioned to FDC in Nampula. October 2006 Three clinics are added in Nampula. Total clinics served: 176. August 2006 Deliveries begin in Nampula for in 85 clinics. Estimated Nampula population: 2.1 million. Total clinics served = 173 (88 CDG, 85 NPL). Total population served: 3.6 million. November 2005 MoU is signed with the Mozambique MoH, FDC, and VidaGas to expand the project to neighboring Nampula Province. September 2005 The 88th clinic (Paquitequete in Pemba Cidade) begins offering immunization services. Total clinics served: 88. December 2004 VillageReach implements the first release of vrMIS. November 2004 Project expands to all zones in CDG, totaling 87 clinics in 17 districts. Total population served: 1.5 million. July/August VillageReach creates first version of its vrMIS Management Information System 2004 in CDG. July 2003 Two districts (Pemba Metuge & Mecufi) in CDG are added to total 39 clinics in 7 districts. November 2002 VidaGas plant opens in Pemba. July 2002 Distribution of medical commodities begins to 34 clinics in five districts in Cabo Delago Province (CDG). April 2002 VidaGas is established. March 2002 Contract is signed with the Mozambique MoH for a 5-year health logistics infrastructure project, utilizing the dedicated distribution system developed by VillageReach, FDC and the MoH. March 2001 VR receives 501(c)(3) status. February 2001 VillageReach and the Foundation for Community Development (FDC) approach the Mozambique Ministry of Health (MoH) to initiate an 18-month study that included a review of public health systems in Mozambique, other African countries, Europe and the United States of America.