DRC-IHPplus Quarterly Report: Year 1, Quarter One (June 17-September 30, 2015) Subagreement Number OAA-A-11-00024-01-MSH under USAID Cooperative Agreement Number AID-OAA-A-11-00024 Submitted to USAID/DRC on November 13, 2015 Final version submitted to USAID on February 10, 2016 Cover photo: Pierre Ngandu, a community health worker at a DRC-IHPplus-supported i-CCM site in Tshiebue, Kasaï Occidental, DRC, consults with Marthe Makenga before providing treatment. (Photo credit: Rebecca Weaver)
Project Name: Integrated Health Project Plus (IHPplus) in the Democratic Republic of Congo, Subagreement No. OAA-A-11-00024-01-MSH, Under Cooperative Agreement Number: AID-OAA-A-11- 00024
Contact information in DRC: Avenue des Citronniers, No. 4, Commune Gombe, Kinshasa Chief of Party: Dr. Ousmane Faye, +243 0992006180
Contact information in the U.S: 200 Rivers Edge Drive Medford, MA 02155 Director, Country Portfolio: Kristin Cooney, Tel: +1 617-250-9168
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 2 of 21
TABLE OF CONTENTS TABLE OF CONTENTS ...... 3 ACRONYMS ...... 4 PROJECT BACKGROUND ...... 5 EXECUTIVE SUMMARY ...... 8 PROJECT PERFORMANCE ...... 8 KEY ACHIEVEMENTS ...... 8 PROJECT PERFORMANCE ...... 10 PROJECT MANAGEMENT ...... 10 FAMILY PLANNING AND HIV AND AIDS STATUTORY REQUIREMENTS ...... 13 ENVIRONMENTAL MONITORING AND MITIGATION PLAN ...... 13 WAY FORWARD: PLANNED ACTIVITIES FOR NEXT QUARTER ...... 13 LIST OF APPENDICES ...... 21
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 3 of 21
ACRONYMS ACT Artemisinin-based Combination LDP Leadership Development Therapy Program ANC Antenatal Care LLIN Long-lasting Insecticide-treated AOP Annual Operational Plan Net BCC Behavior Change MDR-TB Multidrug-Resistant Communication Tuberculosis CBD Community-based distribution MOH Ministry of Health or community-based distributor MNCH Maternal, Newborn and Child CBO Community-based Organization Health i-CCM Integrated Community Case MPA Minimum Package of Activities Management MSH Management Sciences for CHW Community Health Worker Health CODESA Comité de Développement NGO Non-governmental organization Sanitaire (health development ORS Oral Rehydration Solution committee) OSC Overseas Strategic Consulting, CDR Centrale de Distribution Ltd. Régionale (regional distribution PEPFAR President’s Emergency Plan for center) AIDS Relief CPA Complementary Package of PLWHA People living with HIV/AIDS Activities PMI President’s Malaria Initiative CLTS Community-Led Total PMP Performance Monitoring Plan Sanitation PMTCT Prevention of Mother-to-Child CPLT Coordination Provinciale contre Transmission la Lèpre et la Tuberculose PRONANUT National Nutrition Program (provincial coordination unit for RBF Results-based Financing leprosy and TB) RDQA Routine Data Quality CSDT Centre de Santé de Diagnostic Assessment et Traitement RDT Rapid Diagnostic Test CUG Closed User Group SIAPS Systems for Improved Access to DPS Division Provinciale de la Santé Pharmaceuticals and Services DRC Democratic Republic of the SNAME National System for Congo Procurement of Essential E2A Evidence to Action Medicines EGM Essential Generic Medicines SOO Statement of objectives EPI Expanded Program on TB Tuberculosis Immunization USAID United States Agency for ETL Education through Listening International Development FOG Fixed obligation grants USG United States Government FOSACOF Formation Sanitaire WASH Water/Sanitation/Hygiene Complètement Fonctionnelle (Fully Functional Service Delivery Point) FP Family planning GRH General referral hospital HIV Human Immunodeficiency Virus IYCF Infant and young child feeding IHP Integrated Health Project
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 4 of 21
PROJECT BACKGROUND
This report covers the first quarter reporting period (June 17-September 30, 2015) of year one of the USAID-funded Integrated Health Project Plus (IHPplus) in the Democratic Republic of Congo (DRC). Implemented by Management Sciences for Health and Overseas Strategic Consulting, Ltd (hereafter referred to respectively as MSH and OSC) under a subcontract via Pathfinder/Evidence to Action (E2A), IHPplus is a 13-month “bridge,” to avoid a gap in services in USAID-supported health zones upon completion of the USAID Health Office’s current five-year flagship Integrated Health Project (IHP).
IHPplus has two components--“Services” and “Other Health Systems”-- designed to create better conditions for, and increase the availability and use of, high-impact health services, products, and practices in 83 health zones (the IHP 78 plus 5 additional President's Malaria Initiative (PMI)- focused zones), all within the same eight Divisions Provinciales de Santé/DPS: 1) Kasaï, 2) Kasaï Central, 3) Lomami, 4) Kasaï Oriental, 5) Sankuru, 6) Haut Lomami, 7) Lualaba, and 8) Sud Kivu (formerly the four provinces of Kasaï Occidental, Kasaï Oriental, Katanga, and Sud Kivu); however, the level of effort and type of support in the 83 health zones varies. The listing of the IHPplus health zones (and their respective Level of Effort and package of support) is attached as Annex A.
The project provides varying levels of support to 1,562 facilities (1,479 health centers and 83 general referral hospitals) in 83 health zones. In addition to maintaining its project office in Kinshasa to facilitate communication with the DRC Ministry of Health, other host government authorities, and USAID, IHPplus has seven coordination offices to facilitate activity implementation at the field level (see box below). To ensure the continuity of reporting by coordination office set up during IHP, IHPplus will report its achievements based on the “clusters” of Bukavu, Kamina, Kolwezi, Lodja, Luiza, Mwene Ditu, Tshumbe, and Uvira.
The project’s vision is that people in the 83 project health zones will continue to participate more fully in determining their health outcomes by Bukavu Representation and Coordination Office – virtue of greater access to higher-quality 27 health zones comprehensive care; service delivery systems Kamina Coordination Office – 9 health zones will be accountably and effectively managed Kananga Representation and Coordination Office in their interests; and family-centered – 10 health zones communication will reflect healthy behaviors Mwene Ditu Coordination Office – 13 health zones that people understand and can act on in Lodja Coordination Office – 16 health zones their daily lives.
Kolwezi Coordination Office – 8 health zones The overarching objective of the project is to Lubumbashi Representation office improve the enabling environment for, and Mbuji Mayi Representation office increase the availability and use of, high- Total Population Served: 13,882,943
impact services, products, and practices for family planning (FP), maternal, newborn, and child health (MNCH), nutrition, malaria, and tuberculosis (TB), Human Immunodeficiency Virus (HIV) and AIDS, and water/sanitation/hygiene (WASH) in target health zones (see Figure 1).
Figure 1: IHPplus objective and focus areas
The project reinforces a people- and team-centered approach to strengthening the health system in DRC, with a focus on four intermediate results detailed in Table 1 below.
The USAID/DRC Health Office is in the process of designing a new portfolio of programs to continue the investments begun by its two flagship service delivery programs; the Integrated HIV Program (ProVIC) and the Integrated Health Project (IHP). These two programs will come to an end before the new programs can be fully launched; therefore, to avoid major disruptions in services, among other negative possibilities, the mission opted to continue key activities from both of these programs through a USAID/Washington-managed mechanism called Evidence to Action (E2A). E2A will serve as a crucial “bridge mechanism” upon the completion of IHP. It should be noted that the prime implementing agencies for IHP and ProVIC, MSH and PATH, respectively, are both members of the E2A consortium.
During this reporting period, IHPplus began taking over the activities of IHP to continue to implement key strategies in all 83 targeted health zones.
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 6 of 21
Table 1: DRC-IHPplus Results Framework Component 1: Services Strategies by Sub-IR Intermediate Result 1: Access IR 1.1: Increased facility-based health care services/products to and availability of Provide materials and equipment Minimum Package of Provide essential medicines, commodities, and Activities (MPA) and materials Complementary Package of IR 1.2: Increased community-based health care services/ Activities (CPA) services and products products in target health Integrated Community Case Management (i-CCM) at zones increased community treatment sites Comité de Développement Sanitaire or health development committee (CODESA) - collaborative strategy at the community level IR 1.3 Effectively engaged provincial management Leadership Development Program Intermediate Result 2: Quality IR 2.1: Clinical and managerial capacity of health care of key family health care providers services (MPA/CPA-plus) in Training, supportive supervision target health zones increased IR 2.2: Minimum quality standards Fully Functional Service Delivery Point (FOSACOF) Results-based Financing (RBF) IR 2.3: PHC referral system for prevention, care and treatment Intermediate Result 3: IR 3.1: Health sector-community outreach linkages Knowledge, attitudes, and CODESA practices to support health- Youth outreach groups seeking behaviors increased in IR 3.2: Health advocacy/community mobilization organizations target health zones Education Through Listening (ETL) CODESA IR 3.3 Behavior change campaigns Behavior Change Communication (BCC) messaging Mini-campaigns Champion Communities Component 2: Other Health Systems Intermediate Result 4: Health IR 4.1: Health sector policy alignment sector leadership and IR 4.2: Evidence-based strategic planning and decision-making governance in target IR 4.3: Community involvement in health policy/service provinces improved delivery
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 7 of 21
EXECUTIVE SUMMARY
PROJECT PERFORMANCE IHPplus will continue to track results for 15 groups of technical area indicators according to the Performance Monitoring Plan (PMP). These areas include the following: Family planning (FP) Gender and gender-based violence Maternal, newborn and child health (GBV) (MNCH) Referral systems Nutrition Stock-outs of pharmaceuticals Tuberculosis (TB) Health service quality and availability HIV and AIDS Community mobilization Malaria BCC WASH Project management Leadership, management, and governance (L+M+G)
However, for PY1Q1, given the overlap with DRC-IHP for the quarter, the results for these indicators will be reported only in the DRC-IHP Final Report. IHPplus will begin reporting on these indicators in PY1Q2, after USAID approves targets (baselines will be PY5Q3).
KEY ACHIEVEMENTS
During this reporting period, technical activities underway for IHP were transferred to the bridge. Key achievements will be reported in the IHP Final Report.
Key challenges and way forward: The main challenges during this reporting period related to delays in funding, delays in approval of key project documents such as grants to the health zones, DPS, and local non-governmental organizations (NGOs), and lack of clarity regarding obligated funding.
1. Challenge: There were initial delays and a lack of clarity about the funding for IHPplus. In response to E2A’s request, the project submitted a provisional two-month workplan, but E2A requested that the project not include any provision for the first pharmaceutical procurement. However, the project noted that any delay in completing the pharmaceutical procurement, obtaining the waiver, and ordering the products would create a gap that would result in stock- outs in country. USAID/DRC was supportive of including the funding for pharmaceuticals in the initial funding tranche. The E2A AOR then indicated that we could include this urgent item. The initial funding covered only two months, and the project had to follow up closely to ensure additional funding to avoid any gap.
Way Forward: On June 2, the Washington-based E2A AOR provided conditional approval to a two-month workplan and budget for the IHPplus bridge, including pharmaceuticals, to cover the period June 1-July 31, 2015. E2A provided the second obligation on August 3, 2015, with full approval of the workplan for the year. An additional challenge with that funding is described in (3), below.
2. Challenge: During the first two-month provisional funding and workplan approval phase, E2A requested that all subcontracts to project partners and the FAAs with government entities continue in force through the end of July under IHP, rather than IHPplus. All agreements were
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 8 of 21
submitted to E2A for approval on May 29, 2015, and later adjusted to accommodate this request. The project also provided examples of all of the types of agreements that were used in the past and approved by USAID/DRC.
As of June 11, the E2A AOR noted that it would be unlikely to get the agreements processed by July, and she requested that IHP cover the costs of these agreements through the end of September 2015. The activity manager at the mission agreed to this change. We reviewed the two budgets (IHP pipeline and IHPplus) to adjust for extending the grants through September 2015, but this also required discussions with USAID/DRC for requesting a no-cost extension for IHP since closeout activities would be delayed by this extension.
As of July 11, we learned that because of the E2A AOR’s request to extend the agreements under IHP, the package of agreements we provided in May were not forwarded to her. We followed up with E2A to ensure that the packages were provided so that we could respond to any questions that the AOR might have to avoid delays at the end of the extension period.
Way Forward: The USAID/DRC mission granted a no-cost extension to IHP as of September 4. On September 30, IHPplus received approval for all four types of agreements from USAID/W, and the only pending item was the subagreement with partner OSC, which was still with the AOR for approval.
Critical activities under the no-cost extension include putting in place contractual mechanisms (i.e., fixed obligation grants to 90 health zones and provincial entities, 146 RBF related grantees, and 8 indefinite quantity contracts [IQC] to regional distribution centers [CDRs] for pharmaceutical commodities) that the IHPplus bridge under E2A, as indicated, was not ready to assume prior to the end of September. Therefore, in agreement with USAID that the transition between IHP and IHPplus is meant to prevent any gap in critical activities, IHP extended the contractual mechanisms through September 29, 2015. Therefore, IHP needed time to close out completely all activities under these mechanisms.
In preparation for the implementation of fixed obligation grants (FOGs) to 90 health zones and provincial entities, IHPlus provided technical and financial support to train 20 management team members of the two DPS of Sankuru (10) and Haut Lomami (10) in routine data quality assessment (RDQA). Twelve IHPplus staff members were able to benefit from the RDQA training sessions. The DPS are required to conduct RDQA exercises and to provide reports as part of the deliverables expected from them in the FOGs they signed. IHPplus will complete the RDQA training for the DPS of Lualaba, Kasaï Central, Kasaï, and Sud Kivu during PY1Q2 (IHP funded the RDQA training in June 2015 for the DPS of Lomami and Kasaï Oriental).
3. Challenge: Throughout this quarter, there was a lack of clarity on funding streams for obligated funding as well as a suspected over-obligation of funds destined for other projects. On August 3, we received a modification from Pathfinder/E2A obligating the funds for IHPplus through June 16. There were two issues: the obligation contained no breakdown for funding streams, and it exceeded the amount of the obligation USAID had initially communication to MSH for the full obligation of IHPplus. USAID/DRC had indicated an initial tranche of funding would be obligated, followed by the final $10M in January 2016. The modification received indicated an amount that exceeded the full total expected. MSH contacted USAID/DRC as well as Pathfinder to get clarity on whether they had changed the SOW and obligation. As of the end of the reporting period, the
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 9 of 21
project had not yet received a breakdown but was informed by Pathfinder that part of the obligation would be deobligated as it was intended for another partner.
Way Forward: The project continued on a regular basis to request clarification on the funding streams designation for obligated funding in order to operationalize the workplan that was approved in June, and it was received in PY1Q2.
PROJECT PERFORMANCE
For this time period, results achieved, including all project performance date, will be reported in the IHP Final Report to avoid duplication.
PROJECT MANAGEMENT
Success stories: Success stories will be included in the IHP Final Report.
Cost share: The project has drafted a cost share plan to achieve approximately $990,000 of cost share. The requirement is determined as follows:
Table 2: DRC-IHPplus cost share DRC-IHPplus cost share Cost Element Amount Cost share requirement 3% Total Award budget $ 30,625,434.00 Maximum Cost Share Requirement $ 918,763.00 Cost share booked to date $0 Pathfinder technical assistance $ 33,142.00 Total Program Costs $ 31,577,339.00
We have developed a plan that would take us somewhat above the targeted amount in case any of the planned activities do not occur as planned.
Status of PY4 pharmaceutical order: Information on IHP orders is provided to ensure continuity between these commodities and the IHPplus needs.
The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) project continued to work with IHP to monitor PY4 deliveries. The CDRs and warehouses have received 98% of the total value of expected IDA deliveries, as summarized in table 3, below.
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 10 of 21
Table 3: Status of delivery of IHP PY4 order to CDRs Province Warehouse Order value Delivery value as of % Value of % of or CDR (USD) December 31, 2014 delivered remaining deliveries (USD) deliveries remaining (USD) Sud Kivu APAMESK, 1,243,630 1,215,300 98 28,330 2 DCMP, CEPAC, and BDOM Katanga CEDIMEK 599,135 583,286 97 15,849 3
Kolwezi 261,713 274,647 105 -12,933.74 -5
Kasaï CADIMEK 430,625 409,126 95 21,500 5 Occidental Kasaï CADMEKO 719,109 709,994 99 9,114 1 Oriental FODESA 581,820 542,621 93 39,199 7
Total order/delivery 3,836,032 3,734,974 98 101,058 2 *Figures may not add up exactly due to rounding
The Kolwezi CDR received a greater quantity than ordered on some items; this may have occurred due to rounding up on the quantities in the order.
The last delivery of keep cool items was received in the CDRs. The supplemental order of Lysine from IMRES is expected from Dar Es Salaam in October 2015. To date, about 40% of PY4 order has been distributed from the CDRs to the health zones. The planned distribution process (including PMI products) is ongoing, with each delivery expected to cover three months.
The CDRs are not systematically pushing the essential medicines toward the health zones and health facilities. IHPplus continues to support the pull system: CDRs deliver the medicines to health zones on a quarterly basis based on their requests, and the health zones serve the health facilities at least monthly during the monthly monitoring meeting. In general, this pull system is working, and 40% delivery does not necessarily reflect a delay in supplying health facilities.
Status of IHPplus pharmaceutical order: Among the four suppliers (IDA, IMRES, MEG, and ASRAMES) used to fulfill the IHPplus order, ASRAMES delivered its products to the CDRs in August 2015. Import permits have been issued for IDA, IMRES, and MEG, and the project is still waiting for these suppliers to provide delivery bills to check their compliance with the permits and start the exoneration request process.
A second order of IHPplus pharmaceuticals to cover an additional six months will be placed in November 2015. IHPplus has brought to USAID’s attention some issues related to the procurement: in principle the remaining funding for IHPplus was planned to be obligated in January 2016. This would be too late to place the final order, which needs to be done by November 2015 to be completed by June 2016. If the project could receive a guarantee that the obligation will occur, this may be enough to proceed.
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 11 of 21
Another very important question is that the publicly-issued Statement of Objectives (SOO) that USAID issued, which originally focused on the two Kasaïs, now focuses on a much larger area and many more health zones. Therefore, the project needs clarification from USAID on whether IHPplus is expected to procure for the Kasaïs, as originally envisioned, or whether the project is expected to procure for the expanded number of health zones. In addition to the budget considerations, IHPplus would need to explore storage options, preferably with ASRAMES, for the additional pharmaceuticals.
USAID needed to discuss this important question with the leadership and get back to IHPplus with the response. Agreement was reached after this report was completed, in November 2015.
Status of Depo-Provera replacement: MSH, with USAID collaboration and support, has replaced the Depo-Provera shipment that was lost in 2014. In total, 229,060 Depo-Provera vials were delivered in country for a total estimated value of $144,308 (see procès verbal in annex).
Status of PY5 pharmaceutical order: With SIAPS support, in August 2015, IHP completed a pharmaceutical needs assessment for IHP PY5 and added a second emergency order. IMRES was selected as the supplier for the total order, valued at $711,852, which will be delivered by December 1, 2015.
The emergency shipment intended to partially cover PY5 needs is currently being shipped by the suppliers, IDA and IMRES, from Dar Es Salaam. MSH is waiting for the local customs authorities to issue the notes verbales for the sea shipment. For the air-shipped part of the order (oxytocin), notes verbales have been issued, but there was a discrepancy between the airway bill sent by the supplier and the one used to apply for the note verbale; therefore IHP has requested corrected documentation.
Warehousing: Although these activities took place under IHP, the results of this work have important implications for IHPplus and future projects. After MSH terminated its contracts with two warehouses this quarter, following SIAPS supervision reports from PY5Q2 revealing poor storage and drug management in the CEDIMEK warehouses in Katanga, it was crucial for the project to find an alternative in the region. The medicines from these warehouses that were purchased with US Government (USG) funding were sent to the CAMELU extension warehouse in Kolwezi and BRASIMBA warehouse in Kamina, to ensure proper storage and management.
SIAPS is following up with PNAM/MOH to obtain the final version of the CEDIMEK evaluation report, which will be shared with USAID when available. As shared by CEDIMEK in June 2014, the estimated cost of their construction project was about $252,000. CEDIMEK made great efforts to build the infrastructure up to finishing the walls by investing $84,000 (33%) that, as they said, came from the management fees of IHP pharmaceutical commodities. CEDIMEK then sent official requests to several donors--including USAID--for financial support to complete the remaining work to get the CDR ready to use. SIAPS and IHP talked to UNICEF, as they were willing to contribute about $50,000. At the time of this response, we do not know their response.
In September, SIAPS visited the Brasimba warehouse in Kamina to conduct a complete situational analysis (included in Appendix 5) covering the management system in place, warehouse infrastructures, planning and operational capacities, equipment, and security and compliance. SIAPS also supported a joint Ministry of Health (MOH) (PNAM-DPM) team in visiting Kamina to determine the future of CEDIMEK, which is a key National System for Procurement of Essential Medicines (SNAME) actor. A
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 12 of 21 more in-depth evaluation was led to develop recommendations for CEDIMEK to achieve the required level of quality in order to collaborate again with MSH in the future.
FAMILY PLANNING AND HIV AND AIDS STATUTORY REQUIREMENTS
1. Family planning: This section will be reported in the IHP Final Report for this period, and we will address it for IHPplus in the next quarter.
2. HIV and AIDS: This section will be reported in the IHP Final Report for this period, and we will address it for IHPplus in the next quarter.
ENVIRONMENTAL MONITORING AND MITIGATION PLAN
This section will be reported in the IHP Final Report for this period, and we will address it for IHPplus in the next quarter.
WAY FORWARD: PLANNED ACTIVITIES FOR NEXT QUARTER
The following key activities, presented by IR, will be the focus of PY1Q2 efforts. However, the project notes that this plan is ambitious; any activities not implemented by end of December will be transferred to the January – March 2016 quarter.
IR 1 Provide technical and financial support for the annual operational planning process in the health zones and DPS, and for the annual evaluation of the Annual Operational Plans (AOPs)
WASH: As agreed in the IHPplus SOW design, four health zones will implement WASH activities, as follows: Luputa and Kanda Kanda (DPS of Lomami); and Ndekesha and Luambo (DPS of Kasaï Central). Conduct a situational analysis of WASH activities in Kanda Kanda, Luputa, Luambo, and Ndekesha health zones Procure WASH materials to rehabilitate at least 50 water sources in the Kanda Kanda, Luputa, Luambo, and Ndekesha health zones Support water source rehabilitation work in Kanda Kanda, Luputa, Luambo, and Ndekesha health zones Support Community-led Total Sanitation (CLTS) and community awareness activities in the Kanda Kanda, Luputa, Luambo, and Ndekesha health zones Supervise water quality monitoring in Wikong, Bilomba, Katana, Dikungu and Kole health zones Provide technical support for WASH coordination meetings at the central and intermediate levels in Kinshasa and each IHPplus coordination Procure office furniture for the Direction Nationale de l’Hygiène (National Hygiene Directorate) as the project’s contribution to central-level coordination capacity to complement contributions of other partners Disseminate DRC Hygiene Code in 83 IHPplus supported health zones in Lodja, Tshumbe, Mwene Ditu, Luiza, Kolwezi, Kamina, Bukavu, and Uvira coordinations
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 13 of 21
i-CCM: USAID added five new health zones to the 78 health zones that IHP was previously supporting: Kabinda, Miabi, Kasansa, Chilungu (Lomami DPS) and Bobozo (Kasai Central DPS). IHPplus was requested to support, in these health zones, a “malaria plus” package in a complementary manner with other PMI Implementing Partners (SIAPS, USAID|DELIVER, and MEASURE) that are providing service delivery support (including training of health providers, provision of malaria commodities, supervision and reporting) up to the health facilities. IHPplus is coordinating with SIAPS, USAID|DELIVER, and MEASURE to support the MOH in implementing the iCCM sites. Provide technical support to further analyze monthly reports on stock, management, and availability of oral rehydration solution (ORS) as a tracer medicine in all health facilities and community health sites (using the summary reports on available medicines provided by Mwene Ditu, Kamina, Kolwezi, Bukavu, Uvira, Luiza, Tshumbe, and Lodja coordinations) Orient health providers on using community care site supervision check lists to prepare for contracting with them on community care site supervision fees Organize integrated briefing meetings with Lualaba and Sud Kivu DPS on the 13 lifesaving drugs for mothers and children Orient the four new health zones in the Mwene Ditu coordination (Miabi, Kasansa, Chilundu, and Kabinda) during regular monitoring visits on how to map and identify villages, community health workers (CHWs), and health providers prior to community care site implementation Train health providers and CHWs in the four new health zones in the Mwene Ditu coordination (Miabi, Kasansa, Chilundu, and Kabinda) on i-CCM and community care sites
Leadership Development Program (LDP) Monitor implementation of LDP projects with the original 78 health zone teams Organize a one-day senior alignment meeting in five provinces (Kasaï Oriental, Lualaba, Haut Lomami, Kasaï Central, and Sud Kivu) to strengthen health zone management teams and help them supervise implementation of LDP activities Organize briefings for new focal points and refresher meetings for staff who have already been trained on the implementation and monitoring of LDP activities in Kolwezi, Bukavu, Lodja, Kamina, Mwene Ditu, Luiza, and Tshumbe coordinations as part of regular site visits Support coordination offices in organizing monitoring visits on LDP implementation and monitoring in the seven RBF health zones (Bibanga, Kanzenze, Kayamba, Lomela, Luiza, Nundu, and Wembo Nyama) Support coordination office in organizing monitoring visits on LDP implementation and follow up in the seven comparative health zones (Kabongo, Mutshatsha, Kamiji, Minga, Tshudi Loto, Lubondaie, and Uvira)
Nutrition Organize a five-day infant and young child feeding (IYCF) training for the 70 health providers and 350 CHWs working in the Kamina (Malemba Nkulu, Kikonja, Songa, and Kayamba) and Mwene Ditu (Bibanga, Dibindi, and Mpokolo) coordinations Organize a five-day joint PRONANUT-IHP supervision mission on IYCF support groups in Wikonk, Kanda Kanda, Kalenda, and Kamiji (Mwene Ditu coordination), Ketinge and Kabongo (Kamina coordination), Kalomba, Dibaya, and Ndekesha (Luiza coordination), Lodja, Bene Dibele, Tshumbe, Ototo, and Kole (Sankuru coordination), and Ibanda, Kadutu, Miti Murhesa, Nundu, and Uvira (Bukavu coordination) Provide tools to 420 health providers and CHWs during their training on nutrition counseling cards in Malemba Nkulu, Kinkonja, Bibanga, Dibindi, and Mpokolo health zones
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 14 of 21
Equip health facilities with IYCF data management tools in each IHPplus-supported health zone
IR2 FP Procure contraceptives to CDRs and health zones based on submitted requisitions and review of their monthly commodity supply management reports from Luiza, Lodja, Tshumbe, Bukavu, Uvira, Kolwezi, Kamina, and Mwene Ditu coordinations Provide technical support to analyze monthly FP commodity stock and supply management in the health zones located in the Luiza, Lodja, Tshumbe, Bukavu, Uvira, Kolwezi, Kamina, and Mwene Ditu coordinations Support the National Reproductive Health Program, in collaboration with SIAPS, to organize a regular meeting to validate FP stocks available in the CDRs, health zones, and health facilities and to make decisions to prevent expiration and stock outs Conduct monthly follow up on health facilities’ procurement in the health zones located in Mwene Ditu, Luiza, Lodja, Tshumbe, Kolwezi, Kamina, Bukavu, and Uvira coordinations Provide technical and financial support for follow up and supervision visits within health facilities and at the community level (community care sites and community- based distributors (CBD) ) using MOH integrated checklist on MNCH in the Mwene Ditu, Luiza, Tshumbe, Lodja, Kolwezi, Bukavu and Uvira coordinations Organize mini-awareness campaigns targeting women, men, and youth through champion communities and SMS/Closed User Groups (CUG) with a focus on underperforming health zones and health areas located in the Tshumbe, Lodja, Luiza, Kamina, Kolwezi, Bukavu, Uvira and Mwene Ditu coordinations Train, using a competency-based approach, health providers from the seven RBF health zones (Bibanga, Kanzenze, Kayamba, Lomela, Luiza, Nundu, and Wembo Nyama) from November to December 2015 on long-term FP methods and Sayana Press utilization Train CBD (three per health area) on long-term FP and Sayana Press method use in the seven RBF health zones (Bibanga, Kanzenze, Kayamba, Lomela, Luiza, Nundu, and Wembo Nyama) between November and December 2015, with a focus on health areas that already benefited from training on long-term FP methods.
MNCH Organize, in collaboration with SIAPS, Essential Generic Medicines (EGM)quantification meetings (at central and provincial levels) in order to improve the availability of tracer commodities and reagents (such as urinary sticks) in every health facility (cf: 13 priority life-saving commodities more widely available and used in developing countries to avert preventable maternal, newborn, and child deaths1) Order mannequins for competency-based MNCH training (coordinating with USAID) Disseminate the new MNCH norms during routine monitoring visits to the supported health zones in order to improve the quality of MNCH preventive and curative health services Provide financial and technical support for monthly medical treatment for 20 vaginal fistula cases in Kaziba health zone
1 The 13 commodities identified include oxytocin and misoprostol for postpartum hemorrhage (PPH), magnesium sulfate (MgSO4) for severe pre-eclampsia and eclampsia, injectable antibiotics for newborn sepsis, antenatal corticosteroids (ANCS) for pre-term respiratory distress syndrome, chlorhexidine for newborn cord care, resuscitation devices for newborn asphyxia, amoxicillin for pneumonia, ORS and zinc for diarrhea; and female condoms, contraceptive implants, and emergency contraceptive pills (ECPs) for contraception)
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 15 of 21
Print copies of MNCH norms, directives, and management tools Organize competency-based MNCH training in four RBF health zones (Wembonyama, Lomela, Luiza, Kanzenze ) Plan one three-day briefing meeting per coordination to orient DPS, health zone management teams, and IHPplus staff on how to perform joint supervision visits Organize a quarterly supervision and monitoring visit to the health zones that benefited from competency-based MNCH training (Ndekesha, Kanda Kanda, Vangakete, Tshumbe, Lodja, Kole, Bilomba, Dibaya) Document innovative approaches on how to provide high-quality care of minor and major newborn infections
HIV and AIDS Conduct a situational analysis in Kamina and Kolwezi coordination to determine needs for antiretrovirals and other HIV commodities in the health zones where Option B+ will be implemented Supply the 68 HIV care sites with ARVs and other HIV commodities to support implementation of Option B+ Provide the 68 HIV care sites with health care management and HIV data collection and reporting tools Organize post-training monitoring missions to HIV health care providers trained and/or briefed on Option B+ Provide technical and financial support to the National AIDS Program, the DPS, and health zone management team to strengthen and support health provider capacity in providing the complete HIV care package in general and Option B + in particular Set up an HIV data validation system at health facilities and health zone central offices levels in order to improve the quality and timeliness of HIV data collection using the DATIM template Set up a social worker network to provide psychosocial support to People living with HIV/AIDS (PLWHA) and to ensure tracking of children exposed to HIV at the community level Support home visits to PLWHA by trained CHW and social workers in order to improve treatment compliance and retention of HIV + patients under ARV treatment Conduct an internal assessment to determine the types of laboratories (Lab_Acc, Lab_CAP and Lab_PT) providing HIV testing and other necessary tests required for care and management of HIV patients to ensure the quality of services provided to those patients per National AIDS program and the President’s Emergency Plan for AIDS Relief (PEPFAR) recommendations Provide financial support for biological monitoring of PLWHA and HIV-exposed children (including CD4 immunology testing, viral load testing, early infant diagnostic testing) and improve the availability of reagents, recording and monitoring of patients’ outcomes, and ensuring maintenance of PIMA equipment in project-supported sites Support the organization of three Prevention of Mother-to-Child Transmission (PMTCT) task force meetings led by the Lubumbashi antenna of the National AIDS Program, the focal HIV point of Lualaba Provincial Health Division
EPI Support integrated micro-planning at the health area level in targeted health zones by conducting a one- to two-day workshop on data collection and how to fill out the micro- planning template at the health area level by the local team and CHW (champion communities and other community-based organizations), using census data, in Luiza, Yangala, Luambo, Bilomba, Kalombo and Ndekesha health zones
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 16 of 21
Support the validation of the health area micro-plan by the head nurse and community representative with the health zone central office over one to two days during routine monitoring visits to Luiza, Yangala, Luambo, Bilomba, Kalombo and Ndekesha health zones Compile micro-plan data in health areas to develop a health zone annual operational plan by the health zone central office (routine activity) in Luiza, Yangala, Luambo, Bilomba, Kalombo, and Ndekesha health zones Lead joint field monitoring visits to encourage health zone management teams and health facilities teams to organize monthly data validation and monitoring visits at health area and health zone central office levels in order to analyze immunization data and use it as a base for decision making on activities prior to their transmission to Kamina, Kolwezi, Bukavu, Uvira, Tshumbe and Lodja coordinations Provide technical and financial support to small-scale independent monitoring surveys on additional immunization activities in Luambo and Luiza health zones Evaluate the implementation of the 2015 Immunization Action Plan by the MOH during MOH review visits Order 600 refrigerator thermometers (FRIDGE TAG2) to use for monitoring the temperature of the cold chain to ensure that vaccines are properly stored and administered at optimal temperatures in the 83 health zones supported by IHPplus On a quarterly basis, distribute fuel for the cold chain to health zones participating in the Expanded Program on Immunization (EPI) in Mwene Ditu and Mbuji Mayi Distribute oil, diesel fuel, and consumables for the cold chain to 16 health zones participating in the EPI Provide technical and financial assistance to integrate and roll out the EPI in the 27 IHP- supported health zones in Sud Kivu (5 health zones in Uvira and 22 in Bukavu)
Malaria Transport 113,000 long-lasting insecticide treated nets (LLINs), 625,000 rapid diagnostic tests (RDTs), 625,000 artemisinin-based combination therapy (ACT), and severe malaria kits from CDRs to health facilities in 68 health zones Print job aids on the use of rectal and injectable artesunate Organize two-day briefing sessions on the prevention and management of severe malaria in 4 to 6 health zones in the coordinations of Mwene Ditu, Bukavu, Luiza, Kolwezi, Kamina, Lodja, and Tshumbe Provide technical assistance to produce monthly stock and management reports for malaria commodities in 68 health zones Organize three visits to monitor the management of malaria commodities in three health zones in the coordinations of Kamina, Lodja, Bukavu, and Uvira Organize monthly implementation monitoring visits in seven health zones (Kanda Kanda, Bibanga, Dibaya, Lubondaie, Bilomba, Fungurume, and Lualaba which are targeted for the rectal artesunate study)
Tuberculosis On a quarterly basis, distribute anti-TB drugs and commodities, based on needs and average monthly consumption (activity targeted in Kamina, Lodja, Uvira, and Luiza) Transport TB diagnostic tests and commodities, as well as technical guides for TB, HIV/TB, and multi-drug-resistant TB management Promote the use of the standard checklist for HIV testing for all identified TB cases in Kolwezi
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 17 of 21
Organize a five-day practicum training (where participants work on actual situations) for health care providers (Head Doctor, Head of TB Unit, Head Nurse, etc.) on reporting TB, HIV/TB, Multidrug-Resistant Tuberculosis (MDR-TB) activities according to the new guidelines of the national TB program (PATI5) (Kamina and Kolwezi) On a quarterly basis, provide funding for the transport of suspected MDR-TB samples from health centers for TB treatment to health centers for diagnosis and treatment (CSDT), and from the provincial coordination unit for leprosy and TB (CPLT) office to the Provincial Referral Laboratory (Kamina, Lodja, Kananga, Mwene Ditu, Bukavu, Kolwezi) Organize four mini-campaigns to raise awareness on TB prevention and treatment in health zones with low detection rates, in collaboration with CHW and community action cells in Lodja (Tshumbe and Katako) and Mwene Ditu ( Wikong and Kamiji) Transport sputum samples of suspected TB cases to CSDTs through community health agents, members of Clubs des Amis Damien and ambassadors during home visits in Kamina, Lodja, Kananga, Mwene Ditu, Bukavu, and Kolwezi In collaboration with the CPLT, supervise IHPplus coordination office staff in conducting quality control activities for TB data from Kamina, Lodja, Kananga, Mwene Ditu, Bukavu, and Kolwezi Conduct a quarterly technical assistance and monitoring visit to evaluate the IHPplus coordination office activities, as well as activities in Kamina and Kolwezi Participate in meetings and workshops organized by the PNLT to evaluate activities and develop various protocols, tools, and strategies to support the fight against TB
Nutrition Provide all health zones with commodities available in CDR (folic acid, iron, and vitamin A) available, preschool consultation registers, health records, and counseling pamphlets Transport malnutrition commodities according to the needs expressed by the provincial National Nutrition Program (PRONANUT) Organize a five-day CPS training for health care providers (one person per health area) working in health zones supported by the central offices of Luiza (Dibaya and Luiza) , Mwene Ditu (Kanda Kanda and Bibanga), Lodja (Wembo Nyama, Lodja, Minga, Bena Dibele, and Kole), Kamina (Malemba Nkulu and Kayamba), Bukavu (Bagira, Nundu, and Uvira), and Kolwezi (Fungurume and Kanzenze)
Results-based financing Organize seven contracts workshops in mid-October 2015 in the seven RBF health zones (Bibanga, Kanzenze, Kayamba, Lomela, Luiza, Nundu, and Wembo Nyama) to determine the targets for IHPplus performance At the end of September 2015, support the health zone management teams, general referral hospitals (GRH), and health centers in the seven RBF health zones (Bibanga, Kanzenze, Kayamba, Lomela, Luiza, Nundu, and Wembo Nyama) to develop workplans for the first quarter after the contract has been issued In October 2015, conduct monitoring missions to support the coordination offices to verify and analyze data and use the self-evaluation tool Conduct an internal evaluation of the coordination offices in October 2015 with support from the central level As of mid-November 2015, collaborate with the DPS and the IHPplus coordination offices to organize 6 missions in seven RBF health zones (Bibanga, Kanzenze, Kayamba, Lomela, Luiza, Nundu, Wembo Nyama) Update the six IHPplus field offices’ RBF sub-units as Performance Purchasing Agencies
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 18 of 21
With support from the central level, organize quarterly missions to verify data reported by the seven health zones (Nundu, Bibanga, Kanzenze, Kayamba, Lomela, Luiza, and Wembo Nyama for Year 2, Q4, and Nundu for Q3) In November and December 2015, issue performance payments for year two, quarter four, to 118 health centers, seven GRH, and seven health zone management teams Issue payments for quarter three to 21 health centers, and the GRH and health zone management team in Nundu Organize two consultancies to provide support at the central level to improve the management of the RBF web portal and RBF data
FOSACOF Monitor self-evaluations to ensure that improvement plans are implemented for 737 health facilities in the coordinations of Bukavu, Kamina, Kolwezi, Luiza, Mwene Ditu, and Lodja, which have integrated this approach from the beginning Organize a two-day briefing in each of the 5 provinces (Kasai Oriental, Lualaba, Haut Lomami, Kasai Central, and Sud Kivu on implementing (in partnership with community members) and monitoring FOSACOF activities and more specifically, on supporting the development of improvement plans, coaching health zone management teams, and conducting quarterly health facility evaluations Organize briefings for new focal points during field visits and provide refresher meetings for experienced staff on how to implement and monitor FOSACOF activities Support coordination offices to organize, during field visits, monitoring of the seven RBF health zones of Bibanga, Kanzenze, Kayamba, Lomela, Luiza, Nundu, and Wembo Nyama on the implementation and monitoring of FOSACOF activities Support the coordination offices to organize, during field visits, monitoring of the seven control health zones of Kabongo, Mutshatsha, Kamiji, Minga, Tshudi Loto, Lubondaie, and Uvira on the implementation and monitoring of FOSACOF activities
IR3 Behavior Change Communication Provide technical support for 20 Champion Communities to create micro-projects to mobilize resources and produce reports of activities Support health zones/health areas to organize 16 mini awareness-raising campaigns with full community participation (two per coordination in eight targeted health zones) in order to increase service utilization such as antenatal care (ANC) visits, post-natal consultations, FP, TB, etc. Organize monitoring and supervision visits for 160 CODESAs (20 per coordination) and youth Community-based Organization (CBOs) (one per coordination) on implementing their action plans Implement the Champion Men initiative in Bukavu (Katana health zone) and Kolwezi (Fungurume health zone), with technical support from the central level, to encourage the involvement of men in solving family health problems (focusing on FP and MNCH) Continue to document the “Champion Community” and ETL approaches through production of manuals in the scientific community (Institut Facultaire des Sciences de l'Information et de la Communication, Institut National des Arts, and the communications department at University of Kinshasa)
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 19 of 21
Organize a joint MOH-IHPplus visit to three coordinations (Bukavu, Kolwezi, and Luiza) to observe the implementation level of innovative approaches (Champion Communities, ETL, mHealth, and Champion Men) Organize supportive supervisions to orient three new BCC experts in the coordinations of Kolwezi, Mwene Ditu, and Tshumbe Train 20 Champion Communities that are officially becoming NGOs to create and plan activities and manage grants (Luiza 5, Kolwezi 3, Bukavu 1, Uvira 4, Kole 2, Kamina 3, and Mwene Ditu 2)
IR4 M&E Organize M&E training on the DHIS2 web portal and database for each coordination office Organize three-day training sessions on RDQA for the new DPS (Sankuru, Haut Lomami, Bukavu, and Kasaï Centrale) Organize a seven-day RDQA trip to four health zones in the coordinations of Lodja/Tshumbe, Kamina, Kolwezi, Bukavu, Uvira, Mwene Ditu, Luiza, and Kananga after the DPS training session Provide orientation to newly-recruited M&E staff in the coordination offices (Luiza, Lodja, Bukavu, and Kolwezi) Provide management tools to the 83 health zones Ensure that the implementation of health zone and DPS grants is monitored through basic monitoring meetings and monthly reviews Audit the use of grants in IHPplus-supported DPS and health zones
Project management Conduct visits to all IHPplus coordination and provincial offices to ensure that all office practices conform to established standards of finance and administration Support visits from MSH home office and other offices to IHPplus Meet regularly with the DRC government department of public service to ensure compliance of all personnel to established regulations Conduct staff Performance Plan, Review, and Development process as established by MSH Provide specific training to staff according to their established professional development plans Hold periodic briefings with staff to review roles and responsibilities Implement the revised standard operating procedures of the Kinshasa warehouse Reinforce the control and security protocol, including, but not limited to, electronic surveillance of access and stock movement Conduct monthly inventory of the dynamic stock and quarterly inventory of the sealed master stock Provide regular IT support, including maintenance and repair of equipment, to all offices Conduct regular visits to verify the implementation of agreements and contracts Conduct monitoring visits to verify compliance with contractual requirements for drug management in the CDRs Meet quarterly to review and discuss key benchmarks
Communication Prepare the IHPplus second quarterly report, including data for special reports such as PEPFAR and PMI Complete IHPplus success stories to coincide with the second quarterly report Capture images in the field to create mini-documentaries on specific interventions Produce an in-depth television program on MOH accomplishments supported by IHPplus
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 20 of 21
Produce a media plan Print IHPplus handouts (brochures, information sheets, folders, and other printed matter) Brief staff on IHPplus’s communication strategy Brief staff on using interviews to collect information for success stories Produce at least one success story per health intervention during the 2nd quarter Update visual supports with the IHPplus logo Produce articles to finalize the RBF newsletter
LIST OF APPENDICES Appendix 1: DRC-IHPplus list of health zones and intervention packages Appendix 2: DRC-IHPplus International Travel/STTA Plan Appendix 3: DRC-IHPplus Organizational Chart Appendix 4: SIAPS Delivery Tracker (TO #701) as of September 2015 Appendix 5: Brasimba warehouse, Kamina, Situational analysis as of September 2015 Appendix 6: Proof of Delivery for Depo-Provera
*Appendices 1, 2, 4, and 5 are attached separately as Excel files
DRC-IHPplus Year One Quarter One Report: June 17-September 30, 2015 Page 21 of 21
Appendix 3: DRC-IHPplus Organizational Chart
Provincial FOS Sud Kivu Project Director Representative TBD Ousmane Faye Katanga and FOS/Kamina FOS Kasai Augustin Mwala Oriental Matthieu KOY Senior Program Assistant FOS Kasai Occ. FOS Kolwezi Patricia Ndagano Dorah Kashosi (based in Kinshasa) Program Assistant Papy Luntadila Vanessa Mugangu
M&E Advisor M&E Director Sam Deputy Project TBD Communication COMU RMNCAH Director Mbuyamba Narcisse Naia Director/Technical Manager Director M&E Advisor Embeke Director Landry Malaba Rood TBD HMIS/Web Alidor Merveille Specialist Kuamba TBD MNH Technical Advisor Fin &Cap Building BCC Technical Advisor Lucie Zikudieka Malaria Technical WASH Technical Director OSC Advisor Jean Baptiste Mputu Advisor Delmond Kyanza TBD Jeanine Musau CH/IMCI Technical TB Technical Advisor Gender Technical Advisor RBF Technical TBD Advisor Modeste Kesereka Advisor TBD Francine Ngalula EPI/PEV Technical HIV Technical Advisor Advisor Joseph Kongolo Dorah Kashosi Capacity Building Technical Advisor Freddy Tshamala Nutrition Technical Advisor Matthieu Koy Country Representative Senior Program Philippe TSHITETA Assistant Patricia Ndagano
COMU Director PD SIAPS PD IHPplus PD SCMS Rood MERVEILLE Ruphin MULONGO Ousmane FAYE Bradley Barker (COMU See Page 3)
Heath Syst TA SIAPS Jeremie Fikiri
Logistics Specialist Serge Nyembwe *COMU: Country Operations Management Unit Technical Associate, Health Products TBD
Technical Associate Jean Claude Kinshasa Office (HQ – page 3)
Director of Operations Finance & Administrative TBD Specialist (Key) Rood Merveille
Senior Operations Manager Finance Manager TBD Contracts Manager HR Country Manager IT Manager Joel Amisi Mugeni Marius Mie Toko Hypolite Ndjibu TBD
Administrative Administrative Senior Accountant Operations Manager IT Specialist Coordinator Cecile Kambeya Coordinator Patrick Maheshe Nathalie Mansubi Diogene Nshue Déo Gracias Makangu
Administrative Accountant I (3) Administrative Administrative IT Coordinator Coordinator Jean Reddy Anke Coordinator Assistant/Data Analyst Derek Kahongo Patricia Kakassi Lucette Mwanza Astrid Dinganga TBD Flory Dikala
Administrative Assistant Accounting Assistant Viviane Bonga Florent Kabala
Receptionist Laetitia Kikongi Financial Analyst Celestin Mbuyi
Transport & Logistics Accountant I Coordinator Jolie Kaja Junior Kiama Driver/Log Assistant
Daniel Ngongo Ali Drivers IHP (2) Financial Analyst Francois Makinu Moise Kapend Jean Kongolo
Drivers SIAPS (2) Accountant I Guy Tshisuaka Délice Katshiki Joseph Ipoma
IHPplus Field Office: Kananga, Kasaï Occidental
Senior Technical Advisor/Field Office Supervisor
Dorah Kashosi (based in Kinshasa) Senior Tech. Advisor/ IH Field Director/ Provincial Rep TBD
Tech. Advisor/ IH Field Director (acting) Mathieu Lutondo
Technical Advisor Financial Analyst Technical (3) M&E Specialist Paulin Cimpaka BCC Expert Associate/WASH (2) Bob Kitu Anny Kaja William Mpata Pius Kinumbe Merveille Kombo Patrice Wembolenga Joseph Ekandji
Accountant Officer Senior Technical TBD Coordinator(4) Jeannot Kayembe, Jean Felix Mubayi Francois Tukumbane Severin Bushiri Technical Officer Frederic Mwanza
Operations Coordinator Anicet Balandeke
Driver s (3) Logistics Assistant Joseph Kongolo Daniel Mpumbu Nkongolo Benjamin
IHPplus Field Office: Lodja, Kasaï Oriental
Senior Tech. Advisor/FOS TBD (based in Kinshasa) Senior Technical Advisor/Provincial Representative Didace Demba (based in Mbuji-Mayi)
Senior Technical Advisor/ IH Field Director Raphael Tshinzela
Operations Technical M&E Technical Accounting Specialist Advisor Coordinator BCC Specialist Associate Barthelemy Coordinator Kabuyaya Freddy Mbuse Any Lushimba TBD Eddy Kipoke Lusuna Andre
Driver (2) Senior Technical Leon Ankese Coordinator (6) Denis Ikopo Charlotte Awondjo Alphonse Kenemo Charles Mbuyu Richard Lokosu Daniel Omambo Daniel Shongo Evariste Kalonji
IHPplus Field Office: Mwene Ditu, Kasaï Oriental
Senior Tech. Advisor/Field Office Supervisor Matthieu Koy (based in Kinshasa) Senior Technical Advisor/Provincial Representative Didace Demba (based in Mbuji Mayi)
Senior Technical Advisor/ IH Field Director Acting Emmanuel Mulunda
Financial Analyst Technical M&E Bernardin Ngwamashi BCC Specialist Associate/WASH Specialist TBD Jean Claude Jean Pierre Lubamba Bianga
Senior Technical Operations Coordinator (2) Coordinator Gaston Muvudi Alphonse Tshibangu TBD
Driver (2) Balthazar Tshibanda Benoit Mutuapi IHPplus Field Satellite Office: Mbuji Mayi, Kasai Oriental
Senior Technical Advisor/ Field Office Supervisor Matthieu Koy (based in Kinshasa)
Senior Technical Advisor/ Provincial Representative Didace Demba (based in Mbuji Mayi)
Senior Technical Technical Coordinator Associate/WASH Driver/Log Assistant Fellly Otshudi Deca Banza Olivier Yakabue
IHPplus Field Satellite Office: Lubumbashi, Katanga
Senior Technical Advisor/ Field Office Supervisor/ Katanga Provincial Representative Augustin Mwala (based in Lubumbashi)
Operation Accounting Associate Coordinator Etienne Ndiwulu Jeanne Mutombo é
Receptionist Armandine Tandu
Driver Patrick Nkolomonyi IHPplus Field Office: Kamina, Katanga
Senior Technical Advisor/Field Office Supervisor/Katanga Provincial Representative Augustin Mwala (Based in Lubumbashi)
Senior Technical Advisor/ IH Field Director Faustin Bushabu
BCC Specialist Operations Technical Officer Technical Technical M&E Specialist Accountant Gustave Coordinator Thierry Munongo Thyms Nsibasumba Advisor/HIV Advisor (2) Alexis Ndumbi Blaise Mana Mana Numbi Willy Mfuni Amide Ngongo
Senior Technical Driver (2) Coordinator (1) Senior Technical Jacques Kasongo Jean Paul Coordinator (1) Emmanuel Mukadi Kasongo Paul Olongo IHPplus Field Office: Kolwezi, Katanga
Senior Technical Advisor/Field Office Supervisor/Kamina Provincial Representative Augustin Mwala (Based in Lubumbashi)
Senior Technical Advisor/Field Office Papy Luntadila (Based in Kinshasa)
IHP Coordinator Adamo Fumie Bonay
Operations HIV Technical Accountant Advisor M&E Officer Technical Specialist Coordinator Christian Mpembele BCC Specialist--OSC Bodel Ali Emmanuel Adolphe Lubila TBD Eric Lukwete Mulowayi
Drivers (2) Health Zone Health Zone Supervisors (2) 1. Valentin Kapondo Kapini Supervisors (1) 2. Manasse Mazau Gaetan Ngoyi 1. Crispin Mboyi 2. TBD
IHPplus Field Office: Bukavu, Sud Kivu
Field Office Supervisor TBD
(based in Kinshasa) Sud Kivu Provincial Representative Janvier Barhobagayana
IHP Coordinator/TA Janvier Barhobagayana
Operations M&E Officer Technical Specialist (1) Accountant Security Officer Grants Coordinator Thierry Salumu Coordinator Frank Mukosa Vincent Witumbula Dieudonne Zirirane Joseph Mselu Sauli Lubanda Fidele
BCC Specialist—OSC HZ Supervisors (4) Drivers (4) 1. Gaston Musulu. 1. Zacharie Mudosa 1. Parfaitine 2. Dodo Ilolwa Mulenda 3. Evariste Kabala Chirhalwirwa 2. Yissa Zagabe 4. Yves Chishugi 3. Dieudonné Cigajra 4. Iyungamo Isa 5. Luc Mweze