Annual Report Program Year 2 October 1, 2011
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JSI Research & Training Institute, Inc. A team of CHWs with their supplies in Melaky Annual Report Program Year 2 October 1, 2011- September 30, 2012 Cooperative Agreement No. 687-A-00-11-00013-00 Submitted: November 12, 2012 This report has been prepared by JSI Research & Training Institute, Inc. in collaboration with The Manoff Group and Transaid and submitted to the United States Agency for International Development for consideration and approval. JSI Research & Training Institute, Inc. Madagascar Community-Based Integrated Health Program: “MAHEFA” Program Year 2: October 1, 2011- September 30, 2012 Cooperative Agreement No. 687-A-00-11-00013-00 Submitted to: USAID/Madagascar in Antananarivo, Madagascar. Prepared for: Dr. Jocelyne ANDRIAMIADANA, AOR Mr. Robert Kolesar, Alternate AOR USAID/Madagascar Prepared by: JSI Research & Training Institute, Inc. Community-Based Integrated Health Program: ―MAHEFA‖ JSI Research & Training Institute, Inc. Lot II K 63 Ter Ivandry-« Villa Sylvie » Antananarivo (101) Tel. (261) 034 79 261 17 This document is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of JSI Research and Training Institute, Inc. and do not necessarily reflect the views of USAID or the United States government. 2 Table of Contents List of Tables.............................................................................................................................................. 5 Acronyms and Abbreviations................................................................................................................... 6 Executive Summary .................................................................................................................................. 9 1. Introduction .......................................................................................................................................... 11 2. Regional Highlights............................................................................................................................. 17 2.1. Menabe highlights .......................................................................................................................... 19 2.2. SAVA highlights ............................................................................................................................... 22 2.3. Melaky highlights ............................................................................................................................ 24 2.4. Boeny highlights .............................................................................................................................. 27 2.5. Sofia highlights ................................................................................................................................ 29 3. Technical Activities ............................................................................................................................. 32 3.1. IR 1: Increase demand for high quality health services and products ............................................ 32 3.2. IR2: Increase availability of high-impact services and products ..................................................... 53 3.3. IR3. Improve the quality of care delivered by community-based health practitioners.................. 70 3.4. Crosscutting ............................................................................................................. ....................... 79 4. Administrative and Financial Activities ............................................................................................ 88 5. Challenges ........................................................................................................................................... 97 6. Conclusion ......................................................................................................................................... 100 ANNEXES .............................................................................................................................................. 102 Annex A: Performance Monitoring Plan (PMP) ................................................................................... 103 (Updated from MAHEFA baseline survey preliminary results and achievements from program records for PY2)......................................................................................................................... ....... 103 Annex B: Participant Training (including staff development) .............................................................. 111 Annex C1: Environmental Mitigation and Monitoring Report (EMMR) – Part 1 ................................. 123 Annex C2: Environmental Mitigation and Monitoring Report (EMMR) – Part 2 ................................. 133 Annex D: Success stories, case studies and publications..................................................................... 136 Annex D1 - Post-Cyclone Response by MAHEFA - Vohemar, SAVA ................................................ 136 Annex D2 - USAID partner completes the first comprehensive study of existing IEC materials ..... 137 Annex D3 - Belo Case Study ............................................................................................................. 138 Annex D4 - Milanoa Success Story ................................................................................................... 140 Annex E: Maps ................................................................................................................. .................... 142 1 - Location of all KMSm Communes by Region .............................................................................. 142 3 2 - Communes showing location of all PY2 NGOs ............................................................................ 142 3 - CLTS implemented communes ................................................................................................... 143 4 - Location of Points d'Approvisionnements (PAs)......................................................................... 143 5 - Communes where ACs have been trained by MAHEFA for FP/RH ............................................. 144 Annex F: PY1 Implementation Plan Status........................................................................................... 145 Annex G: Summary of CHW Support Activities Final ........................................................................... 151 Annex H: MAHEFA organogram (as of September 30, 2012) .............................................................. 159 4 List of Tables Table 1 PY2 MAHEFA Approved Intervention areas (Internally revised targets) Table 2 Number of people interviewed by region Table 3 Workplan IR1: Increase demand for high quality health services and products Table 4 Functionality of CHWs – Results by region Table 5 Workplan IR2: Increase availability of high-impact services and products Table 6 Number of PSI products distributed to MAHEFA regions during PY2 Table 7 Other key MAHEFA products distributed to regional offices and partner NGOS during PY2 as well as stock held in Tana Table 8 - Workplan IR3: Improve the quality of care delivered by community-based health practitioners Table 9 Summary of key deliverables, deadlines and status for MAHEFA Baseline Survey (as of November, 7 2012) Table 10 Workplan 4: Crosscutting Technical Activities Table 11 Staff at Central and Regional Levels Table 12 New Proposed Project Staff from PY3 Table 13 List of NGO awards Table 14 Workplan : Administration & Finance 5 Acronyms and Abbreviations AOR Agreement Officer Representative ACT Artemisinin-based Combination Therapy ARH Adolescent Reproductive Health ARI Acute Respiratory Infection ASOS SAVA & Sofia NGO AUE Association Utilisateurs d‘Eau (Water User Associations) A/V Audio/Visual BC Behavior Change BCC Behavior Change Communication CA Cooperative Agreement CBIHP Community-Based Integrated Health Program c-IMCI Community-based Integrated Management of Childhood Illness CHW Community Health Worker CCDS Comité de Coordination de Développement Social (Coordination Committee for Social Development) CCAC Comité de Coordination des Activités Communautaires (Coordination Committee for Community Activities) CF Community Facilitator CLTS Community-Led Total Sanitation CLTS+H Community-Led Total Sanitation& Hygiene COP Chief of Party CoSAN COmité de SANté (Health Committee) CRS Catholic Relief Services CSB Centre de Santé de Base (Basic Health Center) DCOP Deputy Chief of Party DHS Demographic Health Survey DRS Directeur Régionale de Santé (Regional Health Director) DSP Dalles SanPlat EMMP Environmental Mitigation and Monitoring Plan EMMR Environmental Mitigation and Monitoring Report ENA Essential Nutrition Actions EPI Expanded Program on Immunization FAFY NGDC Sofia NGO FIVOARANA Sofia NGO FP Family Planning 6 FTMM Melaky NGO GOM Government of Madagascar HPN Health, Population and Nutrition IEC Information Education and Communication INTH Institut National du Tourisme et de l‘Hôtellerie (National Institute of Tourism and Hotels) IP Sofia NGO IPTp Intermittent Preventive Treatment in pregnancy (against malaria) IR Intermediate Results IMF Institution Micro Finance (Micro Finance Institutions) ITN Insecticide Treated Net IYCF Infant & Young Child Feeding JSI JSI Research & Training Institute, Inc. KMSm Kaominina Mendrika Salama miabo LAPM Long Acting Permanent Method LMIS Logistics Management Information System LQAS Lot Quality