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January 1‐ March 31, 2017

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January 1‐ March 31, 2017 Maternal and Child Survival Program Quarter 2 Report – January 1‐ March 31, 2017 Submission Date: April 30, 2017 Cooperative Agreement Number: AID-OAA-A-N-00028 [COR/AOR/Activity Manager] Name: AOR (Dr. Nahed Matta) Activity Manager Name: (Dr. Mary Kabanyana) Submitted by: Dr. Stephen Mutwiwa, Chief of Party Jhpiego Corporation KN 8 Avenue, Kacyiru Rwanda National Police Road Kigali, Rwanda Tel: +250-78-830-8191 Email: [email protected] 1 PROGRAM OVERVIEW Program Name: MCSP Start Date And End Date: April 2015-September 30, 2018 Name of Prime Implementing Jhpiego Corporation Partner: [Contract/Agreement] AID-OAA-A-N-00028 Number: Jhpiego (lead) – maternal health, family planning/reproductive health, quality improvement and gender; JSI – child health; Save the Children – newborn health, Partner Organizations adolescent sexual and reproductive health, and community mobilization; ICF – community mobilization; R4D – health systems strengthening Ministry of Health – Rwanda Biomedical Center (RBC) including the Maternal Child and Community Health (MCCH) Division, the Malaria and Other Parasitic Key Partners Diseases Division (Mal&OPDD), Rwanda Health Communication Center (RHCC); WHO/AFRO, UNICEF, and other USAID implementing partners Reporting Period: January 1 to March 31, 2017 RMNCH districts- Nyaruguru, Nyamagabe, Huye, Musanze, Nyabihu, Kamonyi, Nyagatare, Gatsibo, Rwamagana and Ngoma. Geographical coverage ICCM districts - Kayonza, Kirehe, Ngoma, Gasabo, Kicukiro, Nyarugenge and Ruhango IST Districts- Huye and Kamonyi 2 CONTENTS PROGRAM OVERVIEW ................................................................................................................. 2 CONTENTS...................................................................................................................................... 3 ACRONYMS AND ABBREVIATIONS ............................................................................................ 4 PROGRAM DESCRIPTION ............................................................................................................ 6 Program Goal and Overall Objective ................................................................................................................ 6 MCSP RESULTS FRAMEWORK ...................................................................................................... 7 ACTIVITY IMPLEMENTATION PROGRESS.................................................................. ……………9 1. Overview of Progress ............................................................................................................................ 9 2. Implementation Progress ................................................................................................................... 11 2.1. SO1: Improve the quality, equity, gender sensitivity and sustainability of RMNCH services along the continuum of care .......................................................................................................................................... 11 2.2. SO2: Support for scale‐up of high‐impact interventions to improve RMNCH and malaria outcomes in public and private sectors .............................................................................................................................. 24 2.3. SO3: Increase community mobilization for, participation in, and utilization of high‐quality RMNCH and malaria services ....................................................................................................................................... 26 2.4. SO4: Build capacity to use data for decision and action at all levels of the health system ............... 30 2.5. SO5: Increase capacity to manage and control malaria in Rwanda ................................................... 32 3. Implementation Challenges ............................................................................................................... 34 4. Collaboration with other partners, including USG funded projects ................................................... 34 5. International Travel ............................................................................................................................ 34 6. Short Term Technical Assistance (STTA) ............................................................................................ 35 7. Management and Administrative Issues ............................................................................................ 35 8. Lessons Learned ................................................................................................................................. 35 9. Sub‐grant Management ..................................................................................................................... 36 3 ACRONYMS AND ABBREVIATIONS ACT Atemisinin-based Combination Therapy ANC Antenatal Care ASM Animatrice de santé maternelle ASRH Adolescent Sexual and Reproductive Health BCC Behavior Change Communication BEmONC Basic Emergency Obstetric and Newborn Care CAC Community Action Cycle CBMNH Community Based Maternal and Newborn Health CHW Community Health Worker CM Community Mobilization CSO Civil Society Organization CVI Community Vision Initiative DH District Hospital DHIS District Health Information System DHMT District Health Management Team DHS Demographic and Health Survey DQA Data Quality Assessment EmONC Emergency Obstetric and Newborn care ENC Essential Newborn Care EPCMD Ending Preventable Child and Maternal Deaths ETAT Emergency Triage Assessment and Treatment FANC Focused Antenatal Care FP Family Planning GBV Gender-Based Violence GIS Geographic Information Systems HBB Helping Babies Breathe HC Health Center HII High Impact Interventions HMIS Health Management Information System ICATT IMCI Computerized Adapted Training Tool iCCM Integrated Community Case Management IEC Information, Education, and Communication IFA Iron and Folic Acid IMCI Integrated Management of Childhood Illness IPV Intimate Partner Violence IRB Institutional Review Board IST Intermittent Screening and Treatment IUD Intrauterine Device JHU Johns Hopkins University KMC Kangaroo Mother Care LAM Lactational Amenorrhea Method LARC Long-Acting Reversible Contraception LDHF Low Dose High Frequency M&E Monitoring and Evaluation 4 Mal&OPDD Malaria and Other Parasitic Disease Division MCCH Maternal Child and Community Health MCH Maternal and Child Health MCHIP Maternal and Child Health Integrated Program MCSP Maternal and Child Survival Program MIP Malaria in Pregnancy MNCH Maternal, Neonatal, and Child Health MNH Maternal and Newborn Health MOH Ministry of Health MPDSR Maternal and Perinatal Death Surveillance and Verbal Autopsies MSH Management Sciences for Health NMCP National Malaria Control Program NSV No Scalpel Vasectomy OJT On the Job Training PMI Presidents Malaria Imitative PNC Postnatal Care PPFP Postpartum Family Planning PPH Postpartum Hemorrhage PPIUD Postpartum Intrauterine Device QI Quality Improvement RAM Rwanda Association of Midwives RBC Rwanda Biomedical Center RDT Rapid Diagnostic Test RFHP Rwanda Family Health Project RHCC Rwanda Health Communication Center RHSSA Rwanda Health Systems Strengthening Activity RICH Rwanda Interfaith Council for Health RMC Respectful Maternity Care RMNCH Reproductive, Maternal, Newborn and Child Health RNEC Rwanda National Ethics Committee RPA Rwanda Pediatric Association RSOG Rwanda Society of Obstetrics and Gynecology SBCC Social and Behavior Change Communication SFH Society for Family Health SRH Sexual Reproductive Health STTA Short-Term Technical Assistance TOT Training of Trainers TWG Technical Working Group USAID U.S. Agency for International Development WHO World Health Organization 5 PROGRAM DESCRIPTION MCSP Rwanda is part of the wider Maternal and Child Survival Program (MSCP) which is a global U.S. Agency for International Development (USAID) cooperative agreement to introduce and support high-impact health interventions in over 25 priority countries with the ultimate goal of ending preventable maternal and child deaths (EPMCD) within a generation. MCSP engages governments, policymakers, private sector leaders, health care providers, civil society, faith-based organizations and communities in adopting and accelerating proven approaches to address the major causes of maternal, newborn and child mortality such as postpartum hemorrhage (PPH), birth asphyxia and diarrhea, respectively, and seeks to improve the quality of health services from the community to the hospital. In Rwanda, MCSP supports the Ministry of Health to tackle these issues through approaches that focus on health systems strengthening, community mobilization, gender integration and e-Health, among others. This is in support of the Government of Rwanda’s Vision 2020, Economic Development and Poverty Reduction Strategy (2013–2018) and USAID/Rwanda’s commitment to ending preventable child and maternal deaths. Program Goal and Overall Objective The overall objective of MCSP in Rwanda is to strengthen the capacity of the Ministry of Health (MOH) to manage and scale up high-impact RMNCH interventions and strengthen Malaria prevention and control efforts. The program has five strategic objectives underneath this overall objective: 1. Improve the quality, equity, gender sensitivity and sustainability of RMNCH services along the continuum of care 2. Support the scale-up of high-impact interventions to improve RMNCH outcomes in the public and private sectors 3. Increase community mobilization for, participation in and utilization of high-quality
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