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PISAF – Integrated Family Prepared By: University Research Co., LLC Health Program February, 2010 ANNUAL PERFORMANCE REPORT NO 4

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PISAF – Integrated Family Prepared By: University Research Co., LLC Health Program February, 2010 ANNUAL PERFORMANCE REPORT NO 4 PISAF – Integrated Family Prepared by: University Research Co., LLC Health Program February, 2010 ANNUAL PERFORMANCE REPORT NO 4 October 1, 2008 – PISAF, Projet Intégré de Santé Familiale, is funded by the United States Agency for International September 30, 2009 Development (USAID), under Cooperative Agreement No. 680-A-00-06-00013-00. A The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development of the United States Government. B PISAF - Integrated Family Health Program ANNUAL PERFORMANCE REPORT NO 4 October 1, 2008 – September 30, 2009 Distributed to: Michele Seibou, USAID Cotonou, Bénin Dr. Frantz Siméon, PISAF Benin Dr. Sossa Edmond Gbedo, Departmental Director of Health, Zou/Collines Dr. Orou Bagou Yorou Chabi, Departmental Director of Health, Borgou/Alibori Dr. Tisna Veldhuijzen van Zanten Abt Associates Dr. John Borrazzo, USAID/Washington Dr. George Greer, USAID/Washington Dr. Mary Harvey, USAID/Washington PISAF, Projet Intégré de Santé Familiale, is funded by the United States Agency for International Development (USAID), under Cooperative Agreement No. 680-A-00-06-00013-00. PISAF is managed by University Research Co., LLC (URC) in collaboration with Abt Associates. ANNUAL PERFORMANCE REPORT NO 4 | 2009 i ii PISAF | Integrated Family Health Program Table of contents EXECUTIVE SUMMARY ...................................................................................................................................................................1 1. IR 1: Create a supportive implementation environment .................................................................3 IR 1.1 Implementation of selected health policies and approaches .................................................................3 IR 1.2 Increased health system management capacities ........................................................................................4 IR 1.3 Increased involvement of civil society .................................................................................................................5 2. IR 2: Increased Access to Quality Services and Products ...............................................................6 IR 2.1 Availability of selected products in public health facilities .......................................................................6 IR 2.2 Availability of selected products in the community-based organizations ......................................7 IR 2.3 Availability of the quality family health package in the targeted public health facilities ..........8 IR 2.4 Increased financial access to health services ................................................................................................12 3. IR 3: Increased demand for health services, products and prevention measures .........15 IR 3.1 Improvement of knowledge and attitudes toward appropriate behaviors ................................15 4. Program Management ..................................................................................................................................................20 4.1 Administrative and personnel management ......................................................................................................20 4.2 Facility renovation ..............................................................................................................................................................20 ANNEXES ..........................................................................................................................................................................................23 ANNEX 1 : Equipment and materials .............................................................................................................................23 ANNEX 2 : Progress table ....................................................................................................................................................25 ANNEX 3 : Visitors and consultants................................................................................................................................29 ANNEX 4 : Supplementary tables ....................................................................................................................................31 ANNUAL PERFORMANCE REPORT NO 4 | 2009 iii ACRONYMS ACT Artemesinin-based Combination Therapy MOH Minister of Health AMD African Malaria Day MPT Musique Populaire Traditionnelle (traditional AMTSL Active management of the third stage of popular music) labor NGO Non-governmental organization ANC Antenatal care consultation PMI President’s Malaria Initiative BCC Behavior Change Communication PMTCT Prevention of mother-to-child transmission of CAME Centrale d’Achat des Médicaments HIV Essentiels (Central Medical Stores) PNC Postnatal consultation CBO Community-based organization QA Quality Assurance CHW Community-based Health Worker RDT Rapid Diagnostic Test COGEC Comité de Gestion de la Commune SIGL System d’Information et de Gestion de (Communal Management Committee) la Logistique (Logistics and Information DDS Directeur Départemental de la Santé Management System) (Departmental Health Directorate) SNIGS Système National d’Information d’Gestion DDZS Direction du Développement des Zones Sanitaire (National Health Management Sanitaires (Health Zone Development Information System) Department) UNFPA United Nations Population Fund DSF Direction de la Santé Familiale (Department URC University Research Co, LLC of Family Health) USAID United States Agency for International EEZS Équipe d’Encadrement de Zone Sanitaire Development (Health Zone Supervision Team) WHO World Health Organization EONC Emergency Obstetric and Neonatal Care FANC Focused antenatal care IEC Information, Education, Communication IMCI Integrated Management of Childhood Illnesses IPT Intermittent Preventive Treatment IPS Integrated Provision of Services (Offre Intégré de Services) LLITN Long-lasting insecticide-treated bed nets MCDZS Médecins Coordonateurs des Zones Sanitaires (Health zone head physicians) iv PISAF | Integrated Family Health Program EXECUTIVE SUMMARY The Integrated Family Health Project, or PISAF (Projet Intégré de and other actors in the health sector. PISAF is based in Zou/ Santé Familiale), is a health project funded by the United States Collines, which is the region of primary focus, and also provides Agency for International Development (USAID) and awarded support in the Borgou/Alibori region. to University Research Co., LLC and Abt Associates through PISAF activities address three main results areas: cooperative agreement on March 28, 2006. PISAF partners with the Ministry of Health (MOH) and seeks to improve the n Intermediate Result 1: Creation of a Supportive health status of the people of Benin through collaboration with Implementation Environment NGOs, government agencies, other donors and USAID projects, n Intermediate Result 2: Increased Access to Quality Services communities, and the private sector. The project’s activities and Products support the Government of Benin’s national policies and n Intermediate Result 3: Increased Demand for Health Services, strategies and USAID’s health objective, which seeks to increase Products and Preventive Measures the use of health services, products and preventive measures in a supportive policy environment. The following report describes the activities implemented by intermediate result during the period of October 1, 2008 to PISAF is a five-year project implemented by a multidisciplinary September 30, 2009. team that provides technical support to the Ministry of Health INTERMEDIATE WHAT DO WE HOPE TO OCTOBER 2008 TO SEPTEMBER 2009 PRINCIPAL RESULTS RESULTS ACCOMPLISH? USAID/Benin Strategic Objective 5 (SO5): Expanded use of health services, products, and preventive measures within a supportive political environment. IR1: Create • A favorable policy environment Supported the implementation of ascendant planning at all levels of the health system a supportive • Better access for the population to quality Strengthened health zone management (96% of EEZS with 2009 plans achieved at high level of implementation healthcare and services environment completion; all EEZS using data to make decisions) Through policies that support: 81% of health centers receiving at least 4 supportive supervision visits, exceeding the performance target of • decentralization 60% for 2009 • well-defined norms and protocols Disseminated a finalized national strategic plan for mutual health organizations (MHOs) disseminated on every level • quality management and Prepared a strategy to link Mutuelle Health Organizations (MHOs) and micro-financing institutions • the population’s effective involvement in managing their health IR2: Increased Contribute to improving the availability of Strengthened logistics/quantification management capacities and EGD procurement access to quality family health products, the quality of care, and Revised the “MediStock” software to roll out to all Departments in Benin services and increased financial access to health services products 40 new MHOs with 5841 members have established mutuelle agreements and started to pay for members’ care. Five networks/federations of MHOs were created to mutualize the risk of sickness at the zone hospital level covering all MHOs in Zou/Collines MHO link with community-based services confirmed 22 new sites for the EONC/AMTSL demonstration collaborative and 39 new sites for the malaria demonstration collaborative
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