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July 1– September 30, 2016 Project Year 3, Quarter 4 Report

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July 1– September 30, 2016 Project Year 3, Quarter 4 Report Mayer Hashi Family Planning Project in Bangladesh (MH-II) QUARTERLY REPORT Reporting Period: July 1– September 30, 2016 Project Year 3, Quarter 4 Report Submitted to: Office of Population Health, Nutrition and Education United States Agency for International Development USAID/Dhaka By MH-II Project Associate Cooperative Agreement No. AID-388-LA-13-00002 Under Leader Award No. GPO-A-00-08-00007-00 Date of Submission October 31, 2016 1 Table of Contents Acronyms and Abbreviations .................................................................................................... 3 INTRODUCTION ..................................................................................................................... 6 MAJOR PROGRAM RESULTS AND ACHIEVEMENTS ..................................................... 7 MONITORING, EVALUATION, AND RESEARCH ........................................................... 13 PROGRAM MANAGEMENT ................................................................................................ 14 NEXT STEPS .......................................................................................................................... 14 Appendix 1: Activity Description and Achievements by IR ................................................... 16 IR 1: Effective and High Quality FP Services Delivered Nationwide ............................... 16 Appendix 1: Indicator Tracking Table ..................................................................................... 170 Appendix 2: Findings from QA and FP Compliance Monitoring Visit .................................... 175 2 Acronyms and Abbreviations ANC Antenatal care AUFPO Assistant Upazilla Family Planning Officer APO Assistant Program Officer BRAC Bangladesh Rural Advancement Committee BCC Behavior change communication BCCWG Behavior Change Communication Working Group BEPZ Bangladesh Export Processing Zone BGMEA Bangladesh Garment Manufacturers and Exporters Association BKMI Bangladesh Knowledge Management Initiative BMRC Bangladesh Medical Research Council BSR Business Social Responsibility CAO Chief Accounts officer CAR Contraceptive Acceptance Rate CC Community clinic CCSDP Clinical Contraceptive Services Delivery Program CHCP Community health care provider CHW Community health worker CLP Chars Livelihoods Programme CMES Centre for Mass Education in Science CS Caesarean Section CS Civil Surgeon CSBA Community Skilled Birth Attendants CTU Contraceptive technology update CYM Courtyard meeting CYP Couple-years of protection DC Deputy Commissioner DD Deputy Director DG Director General DFID Department for International Development DGFP Directorate General of Family Planning DGHS Directorate General of Health Services DQA Data quality assessment ECP Emergency contraceptive pill EdM Enfants du Monde EPI Expanded Programme for Immunisation FAQ Frequently asked question FGD Focus group discussion FP Family planning FPCST FP Clinical Supervision Team FSDP Field Services Delivery Program FWA Family Welfare Assistant FWC Family Welfare Center FWV Family Welfare Visitor GOB Government of Bangladesh HEU Health Economics Unit H&FWC Health and Family Welfare Centre HQ Headquarters ICV Informed choice and voluntarism 3 ICT Information communication technology iDQA Internal Data Quality Assessment IFB Islamic foundation of Bangladesh IPC Interpersonal communication IEC Information, Education, Communication IEM Information, Education, and Monitoring ILO International Labor Organization IR Intermediate result IPC Interpersonal communication IUD Intra-uterine device KM Knowledge management LARC Long-acting reversible contraception LD Line Director L&S Logistics and Supply MAB Municipal Association of Bangladesh MCWC Maternity and Child Welfare Center MEC Medical Eligibility Criteria (of the World Health Organization) ME&R Monitoring, evaluation, and research MFSTC Mohammadpur Fertility Service and Training Center MIH Marketing Innovation for Health MIS Management Information System MH-II Mayer Hashi FP Project in Bangladesh MNHI Maternal and Neonatal Health Initiative managed by UNFPA MO Medical Officer MOHFW Ministry of Health and Family Welfare MOLGRD&C Ministry of Local Government and Rural Development and Cooperatives MOU Memorandum of Understanding MOY Ministry of Youth MR Menstrual regulation MSD Merck Sharp & Dohme MSDCT Mobile Service Delivery Care Team Mukti Nari O Shishu Unnayan Sangstha NGO Nongovernmental organization NHSDP NGO Health Service Delivery Project NSV No-scalpel vasectomy NTC National Technical Committee Ob-Gyn Obstetrics and Gynecology OGSB Obstetrics and Gynecological Society of Bangladesh QAT Quality Assurance Team OJT On-the-job training Q1 Quarter 1 OP Operational plan QIS Quality Improvement Secretariat PAC Postabortion care PM Permanent method (of contraception) PNC Postnatal care POC Person of collaboration POP Progestin-only pills PPFP Postpartum FP PPIUD Postpartum IUD 4 PPBTL Postpartum bilateral tubal ligation PSTC Population Services and Training Center PY Project year Q Quarter QA Quality assurance QAT Quality Assurance Team RHSPO Reproductive Health Service Promotion Officer RTMI Research, Training, and Management International SACMO Sub-Assistant Community Medical Officer SBCC Social and behavioral change communication. SHOPS Strengthening Health Outcomes through the Private Sector SIAPS Systems for Improved Access to Pharmaceuticals and Services Program SMC Social Marketing Company SOP Standard Operating Procedure SRHR Sexual and reproductive health and rights SSN Senior Staff Nurse TA Technical assistance TOT Training of trainers UHC Upazilla Health Complex UNO Upazilla Nirbahi Officer UP Union Parishad UFPO Upazilla FP Officer UPHCSDP Urban Primary Health Care Service Delivery Project UNFPA United Nations Population Fund USAID United States Agency for International Development VPKA Voluntary Paribar Kallayon Association VSC Voluntary surgical contraception WHO World Health Organization YMC Young married couple YPSA Young People in Social Action 5 INTRODUCTION Mayer Hashi II (MH-II) is a follow-on project to Mayer Hashi, a four-year family planning (FP) project in Bangladesh (October 1, 2013—September 30, 2017) Leader with Associate Cooperative Agreement awarded by the United States Agency for International Development (USAID). MH-II aims to advance the use of reproductive health (RH) and FP services with a focus on informed and voluntary use of long-acting reversible contraception (LARC) and permanent methods (PMs). MH-II provides in-country capacity development to strengthen RH service delivery by providing support to Bangladesh’s National FP and Maternal Health This progress report covers the reporting period of quarter four (Q4) of project year three (PY3) which is for the period July 1– September 30, 2016. During this reporting quarter, the MH-II project achieved the majority of its performance benchmarks. By the end of Q4, MH- II achieved 85% of the quarterly benchmark for indicator one (couple years of protection/ CYP), which is 80% of the annual CYP benchmark and 64% of the overall project benchmark for this indicator. Performance against the project’s remaining 13 indicators can be found in Appendix 1. Information on all the project indicators including the two USAID standard indicators and the custom indicators can be found in the MH–II Performance Tracking Table (Appendix 1) and the summary of district coverage of key interventions and their follow-up in (Appendix 6). 6 Baseline Method Mix for Method Mix June'16 for Country Program Country Program Implant Injectable 12% Injectable Implant 3% 6% 20% NSV IUD NSV 39% 18% 21% IUD 22% FS FS 28% 31% Implant IUD FS NSV Injectable Implant IUD FS NSV Injectable MAJOR PROGRAM RESULTS AND ACHIEVEMENTS Achievements of Service Delivery and Training (IR1) for Quarter 4, Year 3 Following are the highlights of IR Team 1 activities: During Quarter 4 (Q4) of PY3 the Service Delivery and Training Team (IR1) of MH-II continued implementation of activities as per the Workplan including accelerated action plan. During Q4 four (4) meetings were held with the Research, Training, and Management International (RTMI). In July 2016 two meetings were held to initiate additional activities to increase the performance and to strengthen support to the mobile service delivery care teams (MSDCTs) by the RTMI Headquarter (HQ) staff to ensure the effective organization of FP special days. Two meetings were held to finalize the planning of the no-cost extension of the project for 5 months (till March 2017), and to develop a comprehensive plan to increase the LARC and PM performance during the last 6 months (October 2016 – March 2017) of the project. During this quarter six (6) joint field visits were conducted with RTMI management staff to monitor the quality of the RTMI mobile service delivery care team (MSDCT) field level activities, and to support RTMI management staff to conduct monitoring visits. On 14 August, 2016 an all MSDCT staff meeting was held to develop a six months’ comprehensive plan with focus on client mobilization and to discuss how to overcome the challenges faced during the previous quarter. One challenge faced by the team was getting access to high performing districts for LARC and PM due to the allocation of low performing hard to reach areas by the DGFP. Another challenge comes from the FWAs and UFPOs requesting transportation money for the clients, and remuneration for organizing the special days which is not permitted under USAID rules and regulations. On August 27 and 28, 2016
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