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Usaid Afya Pwani Quarterly Progress Report

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Usaid Afya Pwani Quarterly Progress Report USAID AFYA PWANI QUARTERLY PROGRESS REPORT JANUARY-MARCH 2019 This publication was produced for reviewJULY by the- SEPTEMBER United States Agency 2018 for International Development. It was This publication was producedprepared for by review Dr Eileen by the Mokaya, United Chief States of Agencyparty, Afya for PwaniInternational. Development. It was prepared by Dr Eileen Mokaya, Chief of party, Afya Pwani. 1 USAID AFYA PWANI QUARTERLY PROGRESS REPORT 1st January – 31st March 2019 Award No: Aid-615-C-16-00002 Prepared for Mr. Vincent Ojiambo United States Agency for International Development/Kenya C/O American Embassy United Nations Avenue, Gigiri P.O. Box 629, Village Market 00621 Nairobi, Kenya Prepared by Pathfinder International-Kenya Lavington, James Gichuru Road, Hse # 158 P. O. Box 1996 – 00502 Karen NAIROBI, KENYA Office: +254-20-3883142/3/4 Mobile : +254-733-618359/+254-722-516275 Fax : [+254 20] 2214890 www.pathfinder.org DISCLAIMER The authors’ views expressed in this report do not necessarily reflect the views of the United States Agency for International Development (USAID) or the United States Government. USAID AFYA PWANI QUARTERLY PROGRESS REPORT i II. KEY ACHIEVEMENTS (QUALITATIVE IMPACT) ......................................................................... 15 SUB-PURPOSE 1: INCREASED ACCESS AND UTILIZATION OF QUALITY HIV SERVICES ....... ERROR! BOOKMARK NOT DEFINED. Output 1.1: Elimination of Mother to Child Transmission (eMTCT):.......................... Error! Bookmark not defined. Output 1.2: HIV Care and Support Services ............................................................................................................. 28 Output 1.3: HIV Treatment Services ....................................................................................................................... 42 Output 1.4 HIV Prevention and HIV Testing and Counseling ................................................................................... 58 Output 1.5: Tuberculosis/HIV Co-infection Services ............................................................................................... 75 Output 1.7: Determined, Resilient, Empowered, AIDS Free, Mentored and Safe (DREAMS) Initiative .................. 82 SUB-PURPOSE 2: INCREASED ACCESS AND UTILIZATION OF FOCUSED MNCH AND FP, WASH AND NUTRITION ........................................................................................................................... 90 Output 2.1: Maternal, Newborn and Child Health Services .................................................................................... 90 Output 2.2: Child Health Services ......................................................................................................................... 101 Output 2.3 Family Planning Services and Reproductive Health (FP and RH) ........................................................ 106 Output 2.4 Water, Sanitation and Hygiene (WASH) ............................................................................................. 117 Output 2.5 Nutrition.............................................................................................................................................. 122 SUB-PURPOSE 3: STRENGTHENED AND FUNCTIONAL COUNTY HEALTH SYSTEMS .............................................. 125 Output 3.1 Partnerships for Governance and Strategic Planning .................................................................... 125 Output 3.2: Human Resources for Health (HRH)................................................................................................... 126 Output 3.3: Health Products and Technologies (HPT)........................................................................................... 128 Output 3.4: Monitoring and Evaluation Systems .................................................................................................. 132 Output 3.5 Quality Improvement .......................................................................................................................... 132 III. ACTIVITY PROGRESS (QUANTITATIVE IMPACT) ................................................................... 133 IV. CONSTRAINTS AND OPPORTUNITIES ................................................................................... 133 V. PERFORMANCE MONITORING ............................................................................................... 133 VI. PROGRESS ON CROSS CUTTING THEMES: GENDER AND YOUTH ........................................ 136 VII. GRANTS ................................................................................................................................ 146 USAID AFYA PWANI QUARTERLY PROGRESS REPORT ii IX. PROGRESS ON LINKS TO OTHER USAID PROGRAMS ........................................................... 148 X. PROGRESS ON LINKS WITH GOK AGENCIES .......................................................................... 149 XI. PROGRESS ON USAID FORWARD .......................................................................................... 150 XII. SUSTAINABILITY AND EXIT STRATEGY ................................................................................. 151 XIII. SUBSEQUENT QUARTER’S WORK PLAN ............................................................................. 152 XIV. FINANCIAL INFORMATION ................................................................................................. 153 BUDGET DETAILS ............................................................................................................................................... 153 OBLIGATIONS VS EXPENDISTURES ..................................................................................................................... 153 NEW AWARDS ................................................................................................................................................... 155 COUNTY ANALYSIS ............................................................................................................................................. 155 DISAGGREGATED BY EARMARKS ....................................................................................................................... 156 XV. ACTIVITY ADMINISTRATION ................................................................................................ 156 XVI. SUCCESS STORIES ................................................................................................................ 156 Table 1 Afya Pwani Performance Summary Table October 2018 – March 2019Error! Bookmark not defined. Table 2 PMTCT summary achievements as at SAPR 19 ................................................................. 18 Table 3 Appointment keeping, defaulter tracing, numbers followed up, outcomes .................... 38 Table 4 Support groups as at March 2019 ..................................................................................... 39 Table 5 Differentiated Care Service Delivery……………………………………………………………… ............... 41 Table 6 Linkage in Quarter 2 FY 19 ................................................................................................ 43 Table 7 Unlinked explanation <15 years Q2 .................................................................................. 43 Table 8 Unlinked explanations >15 years Q2 ................................................................................. 44 Table 9 Optimization as at the end of March ............................................................................... 48 Table 10 EID tests done at CPGH Lab Jan-Mar 2019 ...................................................................... 50 Table 11 VL tests done at CPGH Lab Jan-Mar 2019 ....................................................................... 50 Table 12 VL Uptake per county in the previous 12 months........................................................... 51 USAID AFYA PWANI QUARTERLY PROGRESS REPORT iii Table 13 VL suppression by Gender and County ........................................................................... 53 Table 14 Clients discussed in MDTs with repeat VL ....................................................................... 54 Table 15 Viremia Clinics .......................................................................................................... 55 Table 16 Unsuppressed PLHIV Support Groups ............................................................................. 56 Table 17 Yields by age groups and gender SAPR FY 19 .................................................................. 62 Table 18 Facilities contributing to 80% of positives at SAPR ......................................................... 63 Table 19 PNS data Q2FY19 .......................................................................................................... 65 Table 20:HIV self-testing kits distributed in Q2 FY19 ..................................................................... 68 Table 21 Gene Xpert tests done in Q2FY19 ................................................................................... 76 Table 22 TB/HIV integration Q2 FY 19 ........................................................................................... 78 Table 23 IPT uptake in Q2 FY19 ..................................................................................................... 79 Table 24: MDR patient in Q2 FY19 ................................................................................................. 81 Table 25 Achievements per age group by quarter .......................................................................
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