ZIKA RESPONSE IN ECUADOR AND PERU FINAL PROGRESS REPORT USAID ZIKA PROGRAM Period: September 30, 2016 to September 29, 2019 Submission Date: December 29, 2019
(DELETE THIS BLANK PAGE AFTER CREATING PDF. IT’S HERE TO MAKE FACING PAGES AND LEFT/RIGHT PAGE NUMBERS SEQUENCE CORRECTLY IN WORD. BE CAREFUL TO NOT DELETE THIS SECTION BREAK EITHER, UNTIL AFTER YOU HAVE GENERATED A FINAL PDF. IT WILL THROW OFF THE LEFT/RIGHT PAGE LAYOUT.)
Contents ACRONYMS AND ABBREVIATIONS III ACTIVITY OVERVIEW VI ZIKA PROGRAM ACTIVITY DETAILS VI ANNUAL HIGHLIGHTS/EXECUTIVE SUMMARY VIII ACTIVITY IMPLEMENTATION XI PROGRESS NARRATIVE XI REPORTING PROJECT IMPLEMENTATION DATA XX COLLABORATION XXV COLLABORATION WITH OTHER USAID OR USG ACTIVITIES XXV LEARNING FOCUSED COLLABORATION AND ENGAGING IN LEARNING APPROACHES XXVI CHALLENGES OF THE COLLABORATION XXVII COLLABORATION AND/OR KNOWLEDGE SHARING WITH PARTNER ENTITIES IN HOST GOVERNMENT AND OTHER DONOR AGENCIES XXVII KEY HIGHLIGHTS OF THE COLLABORATION XXIX CHALLENGES OF THE COLLABORATION XXIX LEARNING XXX RESEARCH AND PUBLICATIONS XXXII COMMUNICATIONS AND PROMOTION XXXVI KEY COMMUNICATION ACTIVITIES - PROJECT PROMOTIONAL, PUBLIC OR MEDIA EVENTS/ENGAGEMENTS FOR THE PROJECT XXXVI SUSTAINABILITY AND EXIT STRATEGY XL ANNEXES XLII ANNEX IA. PERFORMANCE INDICATOR REPORTING SHEET XLIII ANNEX IB. OTHER ZIKA ACTIVITY INDICATORS XLIX ANNEX II SUCCESS STORIES LIV ANNEX III TRAINING REPORT LVIII ANNEX IV PICTURES (EVENTS, TRAININGS ETC.) LXXXVI ANNEX V SUB-GRANTS UNDER THE ACTIVITY XC ANNEX VI INTEGRATION OF CROSS-CUTTING ISSUES XCIV (A) GENDER EQUALITY AND FEMALE EMPOWERMENT XCIV (B) ENVIRONMENTAL COMPLIANCE XCV (C) INSTITUTIONAL STRENGTHENING AND LOCAL CAPACITY BUILDING XCV (D) YOUTH (IF APPLICABLE) XCVI (E) DISABILITY (IF APPLICABLE) XCVII (F) SCIENCE, TECHNOLOGY, AND INNOVATION (IF APPLICABLE) XCVII ANNEX VII RESEARCH AND PUBLICATION TRACKER XCVIII ANNEX VIII ENVIRONMENTAL MITIGATION AND MONITORING Y3 & FINAL REPORT CIII
USAID.GOV USAID ANNUAL PROGRESS REPORT | II
CRONYMS AND ABBREVIATIONS
AMELP Activity Monitoring, Evaluation, and Learning Plan
AOR Agreement Officer Representative
COR Contract Officer Representative
IP Implementing Partner
M&E Monitoring and Evaluation
MEL Monitoring, Evaluation, and Learning
USAID United States Agency for International Development
CARE: Cooperative for Assistance & Relief Everywhere
CBSS: Community-Based Surveillance System
C4D: Communication for development
DRR: Disaster Risk and Recovery
EW: Epidemiological Week
EBA: Evidence-Based Analysis (ABE)
EMMR: Environmental Mitigation and Monitoring Report
EMMP: Environmental Mitigation and Monitoring Plan
FY: Fiscal Year
HC3: Information, communication, education and health (USAID)
KAP: Knowledge, Attitudes and Practices (KAP)
MoH: Ministry of Health (MINSA- Peru, MSP – Ecuador)
PAHO: Pan-American Health Organization
SBCC: Social and behavior change communication
SRMH: Sexual, Reproductive and Maternal Health
III | USAID ZIKA ANNUAL REPORT USAID.GOV SRH: Sexual and Reproductive Health
WHO: World Health Organization
UNFPA: United Nations Populations Fund
UNICEF: United Nations International Children’s Fund
USAID: United States Agency for International Development
MC: Monitores comunitarios (community monitors CBSS)
ECUADOR
DDS: Dirección Distrital de Salud (District Health Department)
DDE: Dirección Distrital de Educación (District Education Department)
GADM: Gobierno Autónomo Descentralizado Municipal (Decentralized Autonomous Municipal Government)
MIES: Ministry of Economic and Social Inclusion
MINEDUC: Ministry of Education
UTM: Universidad Técnica de Manabí
UTMACH: Universidad Técnica de Machala
ULEAM: Universidad Laica Eloy Alfaro (Manta)
US: Unidad de Salud (Health Unit)
MSP: Ministry of Public Health
PERU
ACS: Agentes Comunitarios de Salud (Community Health Agents)
CAD: Ciudadanos al Día (Citizens Informed, Peruvian Non-Governmental Organization)
CLAS: Comunidades Locales de Administración en Salud (Local Health Administration Communities)
COEL: Centro de Operaciones de Emergencia Local (Local Emergency Operations Center)
COER: Centro de Operaciones de Emergencia Regional (Regional Emergency Operations Center)
USAID.GOV USAID ANNUAL PROGRESS REPORT | IV C.S: Centro de Salud (Health Center)
CUNA MAS: Social program of the Ministry of Development and Social Inclusion
DIRESA: Dirección Regional de Salud (Regional Health Department)
DISA: Dirección de Salud (Health Department)
GERESA: Gerencia Regional de Salud (Regional Health Agency)
HCE: Health Care Establishment
MIDIS: Ministry of Development and Social Inclusion
MIMP: Ministry of Women and Vulnerable Populations
MINSA: Ministry of Health
PREVAED: Programa Presupuestal Estratégico Reducción de la Vulnerabilidad y Atención de Emergencias por Desastres - PREVAED - 068. (Strategic Budget Program: Vulnerability Reduction and Disaster Response – PREVAED-068)
P.S: Puesto de Salud (Health Post)
UGEL: Unidad de Gestión Educativa Local (Local Education Management Unit)
UPCH: Universidad Peruana Cayetano Heredia
V | USAID ZIKA ANNUAL REPORT USAID.GOV ACTIVITY OVERVIEW
ZIKA PROGRAM ACTIVITY DETAILS The project contributed to the strengthening of local actors and communities for the prevention and control of Zika, influencing the knowledge, attitudes, and practices of communities, agents, and community health workers. The project recovered best practices and experiences to strengthen and / or develop community monitoring and control mechanisms. It was emphasized on pregnant women, women of reproductive age, and adolescent women. It also proposed to actively involve communities, strengthen or recover the participation of the population in their health care, for which it promoted the generation of alliances with competent agencies of the national government and with the Regional Governments (Peru) and local Municipalities.
Objectives to achieve in two phases over three years: 1. Increase community, local and national capacities to deliver efficient and timely response to the Zika virus outbreak and other vector prone diseases through Disaster Risk Reduction (DRR) and Human Rights approaches based on CARE’s experience in SRMH (Sexual, Reproductive and Maternal Health), sustainable community health systems and empowerment to strengthen the direct involvement of communities, by community health agents, in Zika priority areas (prevention, and vector control).
2. To enhance regional and national efforts to help decrease the rates of Zika transmission by sharing findings, impact results and influencing bi-national policy making through a deep and rigorous evidence-based approach of best practices and lessons learned in community mobilization and participation, to allow fast track, gender sensitive implementation strategies in diverse social and cultural contexts, increase coordination and planning capacities, refine an accurate monitoring system and a well-developed communication and dissemination strategy.
Geographic Focus:
Ecuador: 10 cantons belonging to 3 provinces in the coastal region of the country, two of which suffered from varying degrees of damage from the April 2016 earthquake: Esmeraldas (1), Manabi (6) and El Oro (3) Peru: 20 districts in the northern section of the country: Tumbes (4); Piura (11); Lambayeque (3) and Cajamarca (2)
USAID.GOV USAID ANNUAL PROGRESS REPORT | VI Graphic No. 1: Provinces and regions of project Zika response in Ecuador and Peru.
Beneficiaries:
The following chart shows the number of beneficiaries, admitted to the CARE monitoring platform, who participated directly in project actions.
Country Total project Reached Y3 Reached Y1-Y2-Y3 % Women Men Total Women Men Total Ecuador 128944 35663 20762 56440 58465 35710 94175 73 Peru 263009 82658 63727 146385 98333 80874 179207 68 Total 391953 118321 84489 202825 156798 116584 273382 70 Source: CARE Monitoring Platform. September 2019.
Additionally, by means of communications disseminated through mass and digital media, 320,000 people have been reached in Peru and more than 600,000 people in Ecuador, in the project's intervention cantons in each country.
VII | USAID ZIKA ANNUAL REPORT USAID.GOV ANNUAL HIGHLIGHTS/EXECUTIVE SUMMARY
Highlights
The Project worked to influence knowledge and behavioral change in men and women (with emphasis on pregnant, childbearing-age, and adolescent women), especially in schools. Reports of indicators and KAP studies developed in the 3 years show the evolution of knowledge and practices. In pregnant and childbearing-age women, an increase in knowledge of 23% and 21.6%, respectively, was achieved in Peru and Ecuador. (Indicator I.25). In Peru, 73.05%, and in Ecuador, 59%, carry out the implementation of prevention practices (Indicator I.26). The adolescents who apply Zika prevention and care practices reached, in Peru, 95%; and, in Ecuador, 55.31%. (I.29). The strengthening of community participation in Zika prevention and Aedes aegypti control was carried out through the community-based surveillance system, whose main actors were community health monitors and / or agents. This system had its specific development in each country, within the framework of the health competencies of local governments and the Ministry of Health. In Peru, the system was implemented in selected areas of 13 districts out of a total of 20 intervened districts, and in 3 additional districts. In Ecuador, the system was implemented in selected areas of 6 cantons, out of 10 intervention cantons. Studies of the experiences show the positive impact on the population of the intervention areas. The project strengthened the capacities of local actors, through training, design of tools and methodologies for Zika prevention and the reduction of congenital syndrome associated with Zika. In total, 2530 health and municipal officials in Peru, and 2703 in Ecuador, were trained in vector control (I.4 118 and 135%). The project promoted a combined intervention at the Bi-national border of Huaquillas- Ecuador and Tumbes-Peru, promoting the articulation and coordination of local and health authorities, developing joint actions for the prevention of Zika and dengue within the framework of the Bi-national Plan of border development. The results of the work carried out by the project with the local governments, became patent in the incorporation of prevention actions in the local governments planning: in Peru, 19 municipalities of the 20 districts were involved and 12 allocated budget in item PPR017 (Indicators I.30 95%, 1.31 79%). In Ecuador, of the 10 intervention municipalities, 8 were involved in planning prevention activities, and 7 municipalities (1.30 70%) planned actions and also committed resources in their budget for these. The project sought to consolidate the processes at local level and develop actions for sustainability, promoting community Zika prevention plans and local communication plans, involving the different actors at local level and the communities. In Ecuador, local sustainability plans were also developed. The Project, in coordination with USAID, organized the international workshop “Learning from the fight against Zika” - Community mobilization in response to emergencies and epidemics. Participating in this workshop were: the implementing partners of USAID projects in the different countries of the Caribbean, Central and South America; implementing partners in the countries; and community delegates. Lessons learned and good practices were identified, plus, recommendations were worked on epidemics and health emergencies obtained from the response to Zika in several countries.
USAID.GOV USAID ANNUAL PROGRESS REPORT | VIII Summary of Results for the Reporting Period and Key Achievements
The most relevant results regarding knowledge and behavior change, detected by KAP studies, showed the following:
o In Peru, 73.05% and in Ecuador, 59% of pregnant and childbearing-age women said that they applied prevention and care practices to Zika, according to the KAP III study.
o Adolescents who apply prevention and care practices to Zika in Peru reached 95%; and, in Ecuador, at 55.31%. (I.29). In Peru the goal was exceeded in indicators I.28 (knowledge) and I.29 (apply best practices). In Ecuador, the goal was exceeded in the I.27 (increase in risk perception). The evolution of these indicators is presented in graphic No 3.
The project developed a community-based surveillance system, CBSS. In Peru, the system was implemented in 13 intervention districts, with the participation of 106 community monitors. In the software developed for the CBSS, 19,999 homes were reported to be visited, and 51,533 people registered; which took place in selected areas of 13 intervention districts and 3 more scaling up areas of the 4 intervention regions. In total, 421 local government workers and community monitors were trained in the CBSS (I.19 = 135%), 114 community monitors reported in the system (I.13 = 100%), and 568 health officials were trained (I .18 = 135%), plus a scaling to 163 additional officials.
In Ecuador, the system was consolidated in selected areas of 6 municipalities: 5461 home visits were made, 24 824 deposits were inspected; of which 2156 were positive and 1305 deposits were destroyed. In total, in the year 3, 250 new community monitors and municipal officials were trained in the CBSS (I.19> 100%), 500 people reported in the CBSS (I.12> 100%), exceeding the goal set for year 3, and 80% of monitors generated valid reports (I.13 100%).
In Peru, the Project trained 475 health professionals in applying the guide "Counseling pregnant women and individuals of childbearing age in the context of Zika virus". In Ecuador more than 900 people were trained to provide counseling to pregnant and childbearing-age women (Indicator 2A, 95% and more than 100%).
In Peru, the results of work with local governments are evidenced in the elaboration of 19 district plans and budget programming (PPR017) in the municipalities trained (I.31 79%), and in 12 districts that allocated budget in item PPR017 (I.33 54%), to give continuity to the system, cover the payment of the incentives of the community monitors, and give continuity to the actions promoted by the project.
In Ecuador, the municipalities do not have specific competences in health care; hence the Healthy Municipalities program of the Ministry of Health is the only instrument that allows an articulated work with the municipalities to join efforts in prevention. 8 municipalities were involved in planning prevention activities, and 7 municipalities worked on cantonal programming (1.30 70%), planned actions, and allocated resources in their budgets for Zika prevention and control. Two Municipalities of Ecuador were certified by the Ministry of Health as Health Promoter Municipality: Arenillas and Las Lajas, which prioritized Zika prevention actions in their planning. Other 2 municipalities,
IX | USAID ZIKA ANNUAL REPORT USAID.GOV developed the process of information gathering and verification of compliance with indicators, and are waiting for certification
The exchange of experiences and learning at national, bi-national and international level, allowed the following: strengthening capacities; recovering the best experiences and practices of community monitors; and analyzing and strengthening experiences with the contributions of local government authorities such health, municipality and education officials, plus other experts in technical aspects related to behavioral change and community-based surveillance system.
Communication messages disseminated through mass media, interpersonal communication activities (such as murals), radio broadcasted spots, theater performances, and informative fairs reached 322,314 people in Peru. In Ecuador, in addition to the aforementioned activities, dissemination was carried out by digital media, billboards, messages placed in motorcycle taxis, in garbage trucks and through the official media of 2 municipalities. These messages reached 1,000,000 people (indicator 6A).
Problems Encountered/ Lessons Learned
In Peru and Ecuador, KAP studies identified the need to strengthen interpersonal communication and deliver greater efficiency in the transmission of information. Edu-communication activities were strengthened in years 2 and 3, however, behavioral change requires sustained actions over time, which exceeds the project duration period.
In both countries, the challenge of involving men in the implementation of Zika virus prevention and control practices prevails. The Project adapted gender approach communication activities and messages to involve men. In Ecuador, the KAP III study showed a slight decrease in the participation gap between women and men. However, this challenge has its origin in the sexual division of labor: in the tasks of home and health care, commonly assigned to women. Modifying these behaviors demands more sustained interventions.
In Ecuador and Peru, the government period of the local authorities ended during the third year. In Ecuador, this happened in the third quarter of year 3. This change resulted in delays in some work plans, requiring greater advocacy actions with the new local authorities to secure commitments and continue the work plans. In Peru, an exchange of experiences with new authorities was developed, with field visits to the CBSS that contributed to more authorities getting involved in this program.
In Peru there was a high turnover of officials at the hierarchical level, such us ministries of health and education. Faced with this, the political incidence at regional and local level was strengthened to involve stakeholders in the adoption of the intervention model designed by the project.
As it was said above, in Ecuador, the Municipalities do not have health competencies, so achieving the commitment of municipal authorities is a challenge. The Project identified that the Healthy Municipalities Program of the MoH, allows the articulation of actions for the promotion and prevention of diseases, for which it promoted the involvement of the Municipal Authorities with this program and the coordination for prevention of Zika with the Ministry of Health and others local actors.
USAID.GOV USAID ANNUAL PROGRESS REPORT | X ACTIVITY IMPLEMENTATION The work carried out by the project focused on influencing individual and collective knowledge and behaviors that affect the prevention of Zika, the reduction of the risk of congenital syndrome associated with Zika and the physical control of the vector in homes and communities of the intervention areas. For the intervention, the following population groups were prioritized: men and women of reproductive age, pregnant women and adolescents.
The work was developed through: the communication strategy for social and behavioral change, the community-based surveillance system (CBSS), the strengthening of local partners' capacities to promote multi or intersectoral work, and advocacy with national and local authorities for the implementation and for the sustainability of the actions. The research carried out every year, on evidence based knowledge attitudes and practices, and identification of best practices, supported the development of proposals and intervention methodologies in year 1, and informed the adjustments made in years 2 and 3.
PROGRESS NARRATIVE Communication for social and behavioral change
The Project's work to influence social and behavioral change was based on the communication strategy, developed from a conceptual and methodological framework, and delivered to the public by messages and edu-communication materials with a gender and cultural adaptation approach, according to the groups of prioritized population (Indicator I.20).
The strategy was based on social communication and behavioral changes, which involves communication as “an interactive process with communities to develop appropriate messages and approaches, develop positive behaviors, promote and sustain the change of individual and community behavior and of society” (FHI, 2002). The KAP studies allowed identifying the baseline and annual evolution, based on which the strategy was adapted in years 2 and 3.
The first year, after prioritizing behaviors and practices that had to be worked on, key messages were defined in the two countries. The direct beneficiaries of the project participated in the design and validation of 10 messages (Indicator I.6). In Peru and Ecuador, additional messages were adapted based on the results of the KAP studies. These messages were disseminated through communicative pieces and materials, which are part of the Communication Kits to promote Zika prevention and control, delivered to community promoters, monitors, and agents. In Peru, 488 Kits were delivered and, in Ecuador, 500 were delivered in year 3. Regarding this indicator there is an additional escalation exceeding the established goal that in Peru is due to the participation of community agents and in Ecuador to the linking of university students as community monitors (Indicator I.23).
In the second and third year, 6 key behaviors to work were prioritized, based on the Matrix of behaviors with the greatest potential for Zika prevention, developed by USAID, Breakthrough Action and Breakthrough Research; and in the third year, the following three behaviors were prioritized: cover the containers that store water, the elimination of mosquito breeding grounds, and the use of condoms.
In Ecuador, in the second and third year, the gender approach was reinforced through confronting the roles of men and women in actions to eliminate hatcheries or to prevent sexual transmission of the virus.
XI | USAID ZIKA ANNUAL REPORT USAID.GOV The main results are summarized as follows:
Knowledge about the sexual transmission of the Zika virus, both in Ecuador and Peru, increased. The increase was greater in pregnant women and in childbearing-age women. In the 3 years, an increase of 23% and 21.6%, respectively, was reached (Indicator I.25).
Regarding the application of Zika prevention and care practices, by pregnant and childbearing - age women, in the KAP III study, it was found that in Peru, 73.05%, and in Ecuador, 59 %, carry out the actions, exceeding the goal set by the project in Peru (I.26 = 73% in Peru and 58% in Ecuador).
There is an increase in the percentage of people of reproductive age who can mention a method of prevention of vector transmission (Indicator 6c). The results are presented in the following chart.
Graphic No. 2: Percentage of individuals of reproductive age who can name a vector transmission prevention method.
Advance 93,50% 3 years
Ecuador Goal 70% 3 years
Advance 91,45% 3 years
Peru Goal 70% 3 years
0% 20% 40% 60% 80% 100%
Adolescents who apply prevention and care practices to Zika in Peru reached 95%; and, in Ecuador, at 55.31%. (I.29). In Peru, the goal was exceeded in indicators I.28, (knowledge) and I. 29 (apply best practices). In Ecuador, the goal was exceeded in the I.27 (increase in risk perception). The evolution of these indicators is presented in the following chart.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XII Graphic No. 3: Modification of knowledge, attitudes and practices in adolescents. Ecuador – Peru. 2017-2019.
1 101% 98% 95% 1 83% 80% 76% 80% 77% 1 70% 70% 56% 60% 60% 1 45% 46%
0 28% 28% 19% 0
0 PERU ECUADOR PERU ECUADOR PERU ECUADOR I.27 % Increased I.28 % Knows I.29 % apply better awareness practices
Goal Y2 Progress Achieved Y3 Progress Achieved
These results in adolescents' behavior are the product of a major intervention in schools. In Peru, the project worked in 11 schools, with 1191 peer educators, and 1330 teachers who were trained in the use of the comprehensive guide for the promotion of a culture of prevention and control of Zika virus in the educational community. In Ecuador, the project worked with 164 schools, and with an estimated coverage of 20,000 students, between basic and high school education (indicator 9ª: 93% Peru, 120% Ecuador).
Adolescents in Ecuador and Peru learned about Zika prevention and built prevention messages
In the second and third year of the project, local communication plans were designed and implemented to promote behavioral change for Zika prevention and control. In the case of Peru, 24 of 20 expected plans were achieved, and additionally 23 other plans were reported exceeding the expected goal. In
XIII | USAID ZIKA ANNUAL REPORT USAID.GOV Ecuador, the plans were worked at cantonal level (one for each intervention municipality), 8 of 10 expected communication plans were completed. (Indicator I.2, 120% Peru and 80% Ecuador).
In the training and education processes, the strategy of “training of trainers” or “peer training” made it easier to disseminate the prevention messages, especially to pregnant women and teenagers, in addition to expanding the coverage of project beneficiaries. It is hoped that this strategy of training trainers, allows the continuity of the dissemination of knowledge about Aedes aegypti and Zika control and prevention.
In Ecuador, CARE made an alliance with the Ministry of Economic and Social Inclusion (MIES) to work with the families that use the services of this ministry in Zika prevention and in gender-based violence and sexual violence prevention, aiming also to reduce the sexual transmission of the virus and the risks of congenital syndrome associated with Zika. With this alliance the impact of the project escalated nationwide. In a process of training of trainers, a total of 9,000 officials of the MIES services were trained nationwide, and the actions reached 288,000 representatives of families using the services; of these, 14,400 corresponded to the areas of intervention of the project. This was a strategy that allowed scaling up health promotion and prevention actions to avoid Zika risks threatening users of MIES services in risk areas throughout the country.
Vector Management
The project developed the community-based surveillance system, considering the regulations, the institutional competencies of the Ministry of Health and municipalities, as well as the policies or programs of vector management and epidemiological surveillance specific to each country. Hence the CBSS generated different experiences in each country. In both Peru and Ecuador, the system was on community participation in prevention, surveillance and control, led by community monitors.
In Peru, the system used ovi-traps, developed software for community work and employed 106 community monitors who received an economic stipend as an incentive for their participation. In total, 389 community monitors / agents participated in the system (Indicator 9a goal exceeded).
In Ecuador, the surveillance system defined by the Ministry of Public Health (the only institution that has competence in this area) was adapted for the work of community monitors. In the CBSS physical control of the vector was carried out through the inspection of homes and containers, to strengthen the actions of prevention, control and destruction of hatcheries. The project adapted the Ministry of Health's form for vector control, to be used by community monitors. In total, 1019 volunteers participated, of which 160 were from the community; the rest correspond to university and high school students who participated as community monitors (Indicator 9a goal exceeded).
Based on the experience of the Fio Cruz Foundation, the Project in Peru developed the “10 minutes against Zika” methodology, for vector control in homes and communities. The flipchart “10 minutes against Zika”, was the main tool for training during home visits and community interventions. This tool was adapted in Ecuador and also used as a central element of the CBSS proposal.
In Peru, the Community-Based Surveillance System (CBSS) was implemented in selected communities of 13 intervention districts (I.11, 130%) and scaled to 3 additional districts. Entomological surveillance was carried out through the ovi-traps installed and monitored weekly by a total of 106 community monitors, which were recognized by their local authorities as community managers. Multi-sectorial health
USAID.GOV USAID ANNUAL PROGRESS REPORT | XIV committees led by local governments activated 16 multi-sectorial prevention and control plans, monitored by computer software. All this contributed to consolidate a community early warning system.
The software developed to register CBSS activities has a mobile and a web version. At the end of the project, CARE authorized the free use of the application to be employed by the institutions, in different geographical areas, for which CARE strengthened local capacities. In total, 421 local government workers and community monitors were trained in the CBSS (I.19 = 135%), 114 community monitors were incorporated to the system (I.13 = 100%) and 568 health officials were trained (I. 18 = 135%) scale to 163 additional officials.
At the close of the project, the system collected: information from 404 ovi-traps; 2338 inspection records of ovi-traps; and 368 registers of references and counter-references, registered in the software developed. In addition, 228 people were trained in vector control protocols in the intervention zones (I.4 = 100%), generating conditions for the transfer of the project to the health sector and the local government.
Community entomological surveillance shows a downward trend in egg density in the areas operated with the CBSS (initiated in Q3-Y2) and with communication actions for behavior change. (1d indicator)
Graphic No. 4: Egg density in ovi-traps, year 2 and year 3 tendencies. Peru.
60,00 CBSS 50,00
40,00
30,00
20,00
10,00
0,00 Q1/Y2 Q2/Y2 Q3/Y2 Q4/Y2 Q1/Y3 Q2/Y3 Q3/Y3 Q4/Y3 Baseline total number of eggs 42,06 42,61 43,64 31,82 53,17 24,49 24,44 24,44 Current total number of eggs 53,17 24,49 24,44 16,42 30,38 28,14 24,88 14,46
The participation of the authorities of the 4 regional governments and 20 intervention municipalities was achieved through political advocacy and training. The results of this work are evidenced in the elaboration of 19 district plans and budget programming in the item (PPR017) (I.31 79%). In addition, results concerning this line of work are shown in the allocation of resources in the PPR017 in 12 intervention districts (plus 3 scaled up districts with the CBSS - Indicator I.33 54%), in order to give continuity to the system, assume the payment of the incentives of the community monitors, and give continuity to the actions promoted by the project.
In Ecuador, the project developed the community-based surveillance experience in selected areas of 6 cantons (I.11, 100%). In the implementation, adaptations were made to intervene in consolidated urban
XV | USAID ZIKA ANNUAL REPORT USAID.GOV settlements and in a city placed in the bi-national border area, whose population is dedicated to commercial exchange (Huaquillas). In these cities, the population generally does not participate in community activities. In urban-peripheral areas where community participation is very limited, the project developed alliances with universities, so that university students can participate as community monitors, through community involvement projects. This strategy is new in prevention of metaxenic diseases in the country.
In total more than 448 community monitors and municipal officials were trained in the CBSS (I.19> 100%), 80% of monitors generated valid reports (I.13 100%), and 911 people were reported in this system (I.12> 100%), exceeding the goal set by the alliance with the universities. The evidence-based study on community-based surveillance demonstrates the positive impact the CBSS had on the practices of the intervened communities and on neighboring communities that were also involved.
Regarding the indicator on aedic indexes (indicator 1e), the trend during year 3 showed an increase from Q2, with respect to the baseline. The increase in Q2 was due to the presence of the rainy season in Ecuador. In Q3, the scenario was complicated in reason of a considerable reduction in the number of vector control equipment in the Ministry of Health, which directly affected the control and elimination of hatcheries in the communities; a trend that continued in Q4 and constitutes a challenge in the perspective of sustainability.
Graphic No. 5: Aedic index (Indicator 1e). Tendency in years 2 and 3 - Ecuador.
8 7 6 5 4 3
2 CBSS 1 0 Q1/Y2 Q2/Y2 Q3/Y2 Q4/Y2 Q1/Y3 Q2/Y3 Q3/Y3 Q4/Y3 Baseline Index Value 5,4 5,40 5,40 5,40 5,40 5,40 5,40 5,40 Current Index Value 4,7 5,21 5,34 4,63 4,26 7,12 5,72 5,55
Health interventions and provision of services for mothers and children
In Peru, the Project trained 185 people -among obstetricians, nurses and other health professionals- in the guide "Counseling pregnant women and individuals of reproductive age in the context of Zika virus". In Ecuador 425 people were trained for the same purpose (2A, 95% and more than 100%). In Peru, 86% of childbearing-age women were able to identify the risks of Zika infection during pregnancy and in Ecuador 80% could do the same (Indicator 2b, fulfilled).
USAID.GOV USAID ANNUAL PROGRESS REPORT | XVI The knowledge about the sexual transmission of the virus in pregnant and childbearing-age women increased, in relation to year 2, by 8% in Peru and by 7%, in Ecuador (indicator I.25). While the application of prevention and care practices against Zika, by pregnant and childbearing-age women, reached 73.05% in Peru and 59% in Ecuador, exceeding the goal set by the Project (I.26 = 73% in Peru and 58% in Ecuador).
Research
According to the established in R1, EBA and KAP studies were conducted in each country. In Peru, the EBA study of good practices was replaced by a contest to identify best practices, which was held annually.
Country PERU
Type of research Summary
Best practices on the The EBA study of good practices was replaced by a contest to identify prevention and best practices, which was held annually. The “Best Practices Award for control of Zika virus Zika Prevention and Control”. Award 25 proposals in Y1 and 36 proposals in the Y2, were submitted and Y1-Y2-Y3 were assessed.
The Third Best Practices Contest was held in partnership with Ciudadanos al Día organization. The Project identified 29 good practices. Information on the winning practices can be found in the following link: http://bit.ly/2kLFQOS
The Cuchareta Health Center, in the Tumbes region, won an award in the category “Community citizen participation”, for its “Community agents surveilling the Zikario 1 ” campaign, that highlighted the importance of implementing community-based surveillance systems, which involve all the actors in the community. The Provincial Municipality of Chiclayo won the award in the Cooperation between Public and / or Private Agents category, for its joint and institutionalized action, through the conformation of the Multisectoral Committee of Chiclayo, and budget allocation for the Program in the year 2019. Knowledge, The results showed a remarkable increase in indicator 6e (Childbearing Attitudes and age individuals that carried out actions against Zika in the last month) going from a value of 73.96% in 2018, to 86.19% in 2019. In addition, the percentage of knowledge on Zika among Childbearing age women
1 Sicario in Spanish means Hitman in English; thus, Zicario is a play on words that alludes to the Zika virus.
XVII | USAID ZIKA ANNUAL REPORT USAID.GOV Practices (KAP) I, II, (I.25) rose by 8%, from 86.11% in 2018 to 93.08% in 2019. Similarly, the III percentage of CAW that apply the best prevention and control practices against Zika (I26) tripled, from 17.89% in 2018, to 73.05% in Y1-Y2-Y3 2019. Indicators on adolescents’ knowledge on Zika (I.28) increased by 19%, from 82.5% in 2018, to 98.13% in 2019; while the percentage of adolescents who apply the best prevention and control practices against Zika (I.29) went from 76.88% in 2018, to 95% in 2019.
Ovi-trap studies The Project carried out two studies on ovi-trap efficiency, one in Campo Amor (district and province of Zarumilla) and its control Y2-Y3 community, and another in 28 de Julio locality (Aguas Verdes district, Zarumilla) and its control community. Which evidenced better results when compared to the first ovi-trap study carried out in Campo Amor in 2018, and showed important findings in the 28 de Julio community, where the CBSS was implemented a year later than in Campo Amor.
Country ECUADOR
Type of Research Summary
The EBA study in Year 1, established that in Ecuador, there is no epidemiological surveillance program which includes the community as a primary source of information for timely decision-making.
In the year 2, the Zika prevention behaviors matrix provided by USAID and EBA 1, were used as a reference, to elaborate the best practices systematization matrix. The implementation process was analyzed, as was the power of the activities developed and / or effect of those on the stated behaviors. Interviews with key actors were carried out, and Best Practices on also direct observation visits were held. Control and Year 3 EBA study was complemented with the integration of the edu- Prevention / communicational axis in the analysis, to strengthen the approach from Evidence Based an integral perspective. Analysis (EBA) The activities and practices related to the elimination of breeding-sites, such as proper water tank cleaning and covering, have persisted and improved during the execution of the Project. The community of the intervened group showed their joint responsibility.
Although behavioral changes take time and rely on constant edu- communicational campaigns, the Project had a greater impact on the intervened group compared to the control group, regarding the best- proven practices to eliminate vector breeding-sites.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XVIII In the three years the participants consider that Zika is an important problem for their community (85% in 2017, 82.7% in 2018, 85.8% in 2019).
It can also be affirmed that the risk perception gender gap narrowed in 2019, while in previous years, a greater number of women than men felt at risk. However, focus groups showed that women still are the ones who take the most preventive measures, and who visit health centers the most.
In 2017, 71.1% of people surveyed considered that Zika contraction Knowledge, risk was medium to high. This data fell to 60.07% in 2018 and rose to Attitudes and 74.93% in 2019. In all cases, participants considered the appearance of Practices (KAP III) mosquitoes in their neighborhood as the main cause of the risk. Risk perception among adolescents and pregnant women was the highest in 2019, and rose by 15% and 20% respectively since 2018.
The study showed that water tank covering is a widely adopted practice, more than what is reported by survey respondents (76%). The population has incorporated this practice.
Although gender roles prevail, and women take on greater responsibility for preventive measures against virus, the Project managed to involve men in various activities such as tank cleaning, breeding-site elimination, use of repellent, and use of mosquito nets.
The EBA study in Year 1, established that in Ecuador, there is no epidemiological surveillance program which includes the community as a primary source of information for timely decision-making. This information was very important to defined a proposal by the CBSS.
In Y2, the CBSS pilots implemented in communities of 4 cantons were evaluated and the results were systematized. This study also conducted EBA an analysis of the impact of these experiments on the KAP of the participating population. Community Based Surveillance System The study showed that CBSS relies on three main things: a certain level (CBSS) of organization within the Community, intervention of the MoH, and Community leaders. The other actors that circumstantially take part should also be involved from the start; these usually are the ADG, NGOs, and educational institutions, among others.
Empowerment is key for the implementation process. It is probably necessary to promote this aspect among the official health system staff, in addition to the community and leaders.
XIX | USAID ZIKA ANNUAL REPORT USAID.GOV Data management must be carefully organized, since continuous analysis and decision making are crucial for sustainability. Clarity on the monitoring subject is also key, since it helps to keep the CBSS active.
Other
Ecuador - Healthy Municipalities
In Ecuador, municipalities, by constitutional provision, do not have specific health competencies. Its role is focused on the provision of water, sewerage, solid waste management, public space management, cemeteries, plazas and markets. Among his responsibilities is to look for a healthy environment and habitat. This attribution allows the link with the Healthy Municipalities program of the Ministry of Health.
In year 1, all municipalities signed the letter of adhesion to the MoH program, to work in the certification process as a healthy municipality. In year 3, the Municipalities of Arenillas and Las Lajas, with support from CARE, were certified as a Health Promotion Municipality, the first level in the scale of the certification process. For this, the municipal team was trained, technical assistance was provided, and indicators and means of verification were selected incorporating those that affect the prevention of Zika and gender violence. With this process, cantonal plans were developed and the Guide for the certification of a healthy municipality was created, committed to the prevention of diseases such as Zika, dengue and chikungunya.
The municipalities of Sucre and San Vicente, in the province of Manabí, carried out the entire process for certification. At the end of the project, the evaluation of the indicators and means of verification by the Ministry of Health is still pending.
REPORTING PROJECT IMPLEMENTATION DATA In Ecuador and Peru, the results of the KAP studies were used to reinforce or redefine project strategies and actions, especially those related to the strengthening of knowledge through training or communication activities. In Ecuador, the inclusion of the gender and prevention of sexual violence approaches was reinforced, to influence the prevention of sexual transmission of the virus. In both countries, actions were carried out to involve men more actively.
The execution of the strategy and its communication actions contributed to the fulfillment of the objective of the project, as well as to the goals and indicators of the project. In Ecuador and Peru, at the end of the project, the following results can be listed:
The percentage of women of childbearing-age in areas of the project that can identify the potential risks of Zika infection during pregnancy increased: in Ecuador 10 and in Peru 5 points. (Indicator 2b).
Regarding the percentage of women who can identify at least one method of prevention of sexual transmission of the virus, according to the results of the KAP studies, 26% was reached in Ecuador and 70% in Peru (Indicator 2c).
USAID.GOV USAID ANNUAL PROGRESS REPORT | XX The total number of people of reproductive age (15 to 65 years of age) in the Project’s intervention areas that have received messages about Zika was exceeded by more than 50%. This was the result of using mass media: for example, radio spots, billboards on avenues, messages on motorcycle taxis, public events, among others (Indicator 6a).
The percentage of pregnant and childbearing-age women who are informed about prevention and control of Zika increased in Peru by 45.78 and was maintained in Ecuador at 80 (Indicator I.24).
The percentage of individuals of reproductive age who can name a method of prevention of vector transmission, in the 2 countries, was reported to be 70% (Indicator 6c).
The following graph shows the evolution of the percentage of people who implemented prevention actions in the last 30 days.
Graphic No.6: Percentage of people who implemented prevention practices in the last 30 days
91 89 100 74,2 74 64,9 80 58 60
40
20
0 2017 2018 2019
Ecuador Peru
Peru: Decrease in the number of egg density in CBSS ovi-traps
Community entomological surveillance showed a downward trend in egg density in the areas intervened by the project, comparing the entire period of implementation. This responds to the fact that, through vector control and communication actions to change behavior, community members and local authorities were involved in promoting a culture of prevention.
In the Campo Amor pilot community, in the Tumbes region, the CBSS started in the third quarter of year 2. The following chart shows the tendency to decrease in number of eggs in the ovi-traps.
XXI | USAID ZIKA ANNUAL REPORT USAID.GOV ¡Error! No se encuentra el origen de la referencia.: Eggs by Ovi-trap Tendency per trimester in Campo Amor locality. Tumbes, Peru. September 2016 - September 2019
100
90 79,31 CBS 80
67,98 66,07 65,36 70 62,97 Trap - 60 51,50
50 44,38 38,88
40 Average Egg Density by Ovi
30
20
7,80 10 3,50 0,31
0 Q1-Y1 Q2-Y1 Q3-Y1 Q4-Y1 Q2-Y2 Q3-Y2 Q4-Y2 Q1-Y3 Q2-Y3 Q3-Y3 Q4-Y3 Together Against Zika Project Trimester
Activity planning and budget to prevent Zika
The leadership of local governments was key in year 3 to promote Zika virus prevention and vector control; to obtain resources from the general state budget for awareness-raising and prevention actions, as well as to involve other actors in the prevention and response to metaxenic diseases.
In Peru, the technical assistance provided during the third year by PJAZ, for planning and budgeting actions to prevent the Zika virus (I.30 = 95%) resulted in increasing budget allocation. The graph shows the impact of technical assistance and accompaniment in the annual program after training in PPR 017.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXII Graphic No. 8: Budget allocated (PPR 017) versus local governments trained by PJAZ in PPR 017, in regions intervened by the project. Piura, Lambayeque, Tumbes and Cajamarca. Years 2016 to 2019
200000 184570 20 19
150000 15 15 89811 100000 10
50000 6 5 # Locgob 19467 6000 0 0 0
Peruvian Peruvian soles 2016 2017 2018 2019 Año
BUDGET PPR LOC GOB
Ecuador: Evolution of aedic indexes
During year 3, from Q2, the indicator on aedic indexes (official data of the MoH) increased greatly with respect to the baseline. The increase in Q2 was due to the presence of the rainy season in Ecuador. In Q3 and Q4, the scenario was complicated by a considerable reduction in the number of vector control equipment in the Ministry of Health, which directly affected the control and elimination of hatcheries in the communities.
In Ecuador, resulting from the work carried out with the communities, the practices that have the greatest adherence in people are: removing standing water, sealing water containers, cleaning the walls. The KAP 3 study observed that 70% of the people interviewed had the tanks properly covered.
XXIII | USAID ZIKA ANNUAL REPORT USAID.GOV Graphic No. 9: Ecuador best practices for vector control in areas intervened by the JAZ project. EBA Vigilance 2018-2019
100% 88% 90% 86% 86% 79% 80%
70% 59% 60% 56% 57%
50% 44% 40%
30%
20%
10%
0% Apply mosquito Removing standing Cover containers for Cleaning deposit’s repellent water water storage walls
EBA 2 EBA 3
Additionally, EBA 3 determined that 36% of the surveyed population belonging to the project intervention areas uses a condom to prevent the risks of Zika and the sexual transmission of the virus, while 20% of the population of the control communities does.
IMPLEMENTATION CHALLENGES AND MODIFICATIONS MADE During the first year of implementation, some activities and indicators were identified in the Project's document as not clear, considering what can be achieved with a 3-year project. Therefore, at the end of the first year, the Project prepared a document to incorporate adjustment of goals and indicators approved by USAID.
The Y2-Y3 Work Plan, corresponding to the second phase of the project, was implemented in the 2 countries.
Some specific delays can be identified in year 3, however, these did not affect the fulfillment of goals and objectives:
For the project, it was a challenge to consolidate a single base of beneficiaries that participated directly in the activities, in order to monitor progress in coverage in the 2 countries. In Ecuador, the data was entered in I-form Builder since year 2, while in Peru this was achieved in year 3. The entry of beneficiaries was a great challenge for the staff because of the number of records, and because nominal records to quantify and monitor the coverage of beneficiaries had to determine the frequency of participation each registered person had in the activities. At the end of the project, 70.3% of the total direct beneficiaries are registered in a database with nominal information.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXIV
During the first two years in Peru, the verification of the indicators was done directly at the regional headquarters (on-site monitoring). In the third year, the registration of the evidence of the indicators was incorporated as a complement to the online POA (Excel). With this, the central project team had information online, but there was an overload on the equipment in the territory, which limited accessing the information of the evidence promptly. In Ecuador, from the second year onwards, the CARE Monitoring Platform was used, which allowed having online evidence of the progress of the POA and indicators at the territorial level.
Regarding the change of behaviors to prevent the sexual transmission of the Zika virus, there are important challenges, especially linked to the hegemonic patriarchal culture, the sexual division of care-work, the persistence of discrimination and violence against women, and the roles of men and women facing sexuality. In the project, training and sensitization activities with a gender approach were reinforced and, in Ecuador, the prevention of gender and sexual violence was incorporated. According to the KAP study, some challenges remain pending since resistance to condom use persists in Ecuador and Peru. This reluctance to condom use is greater during pregnancy because it is assumed that no condom is needed if the woman is pregnant. (KAP III Ecuador and Peru). Also, in Ecuador, some specific barriers were evidenced, such as “shame” in the case of adolescents and the belief in adults that contraception is ineffective. Women continue to be held responsible for the use of contraception. (KAP III).
COLLABORATION
COLLABORATION WITH OTHER USAID OR USG ACTIVITIES USAID- Breakthrough Action and Breakthrough Research International Workshop on Community Mobilization in response to health emergencies and epidemics: Learning from the fight against Zika. The binational project Together against Zika, in coordination with USAID, was carried out in Quito, Ecuador, on June 4, 5 and 6. USAID implementing partners of 7 Zika response projects with community mobilization participated. Also attended the event: USAID delegates from the Global Health office, the advisor for South America and CO of the Ecuador and Peru project, staff from the offices of Central America and the Caribbean, and delegates from other USAID-funded programs such as Breakthrough Action and Breakthrough Research, who cooperated with the design of the methodology and the execution of the workshop.
Participants reflected on four themes: Community mobilization in response to public health emergencies; Community epidemiological surveillance for the prevention and response of public health problems; and, Challenges and good practices of social and behavioral change (CSC) in the promotion of Zika preventive practices.
XXV | USAID ZIKA ANNUAL REPORT USAID.GOV ASSIST- ZIKA project
In Ecuador, the coordination of the binational project Together against Zika, with the ASSIST Project, was consolidated through work meetings, and with the participation of technicians in workshops and field activities.
CARE participated in the workshop “gender integration in Zika Programs”, held on January 9, 2019, organized by ASSIST Project and facilitated by the Gender Advisor of WI.HER, LLC (Elga Salvador). This allowed strengthening the knowledge about including the gender approach in the communication materials and recommendations for the messages delivered in the activities of vector control “house to house”. This participation also allowed the creation of links for the technicians of the two projects, to coordinate activities in the cantons, for example, in Manta and Portoviejo.
Additionally, people from the project Together against Zika and health personnel from the intervention districts of the Esmeraldas and Manabí Project participated in training workshops on counseling for pregnant women and improving the quality of care. This allowed advancing on coordination at territorial level, especially in Manabí.
In Peru, coordination meetings and complementary Zika counseling joint workshops were held in Tumbes and Piura. Also in conjunction with the Regional Health Directorates, the 2 projects worked on the preparation of counseling guides for pregnant women. A committee was formed between the 2 projects, to follow up on the approval of the Zika Counseling Guide for health personnel, which is in process in the Tumbes and Piura regions.
Globe Mosquito Program:
In years 2 and 3, the project Together against Zika, in Peru, worked with Globe Mosquito Program by intervening in schools, which received the Kit and implemented the activities of the GMP. In the following link, you can see the records made in Tumbes, Piura, and Lambayeque. https://vis.globe.gov/mosquitohabitats
Save The Children:
Save the Children shared with the JAZ Project its experience of quality assurance and the tools developed to monitor the quality of community interventions. JAZ Peru adapted the instruments to the local context, validated and implemented a quality monitoring process in the interventions carried out by the community monitors and by other actors, to ensure the quality of community work.
LEARNING FOCUSED COLLABORATION AND ENGAGING IN LEARNING APPROACHES
In the international workshop, community mobilization experiences in the response to Zika, developed in the Caribbean, America and Central and South America countries, with support from USAID, lessons learned and good practices were identified and analyzed, which may be applicable in response to other epidemics. The workshop evidenced the result of the contributions generated in the response to Zika, and a systematization document was published and disseminated among the attendees and delivered to USAID and the partners.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXVI
The main recommendations of the international workshop refer to activities that can be developed to promote or strengthen community participation and mobilization in Zika response activities: communication and education actions to motivate social and behavioral change (CSC) towards effective Zika prevention activities; tools to include gender and disability approaches; and, guidelines to ensure the quality control of interventions (CARE 2019, Systematization of the international workshop)
The coordination with Globe Mosquito Project / The Globe Program allowed strengthening the capacities in pedagogical techniques to train in Zika control and prevention, especially in schools.
The articulation with the Assist Zika Project, allowed to strengthen the capacities of health personnel, especially in the field of counseling and the articulation of community components with that of health services in the Zika response.
CHALLENGES OF THE COLLABORATION
The planning, development of methodology and execution of the international workshop with the participation of delegates from the communities, from different countries, constituted an important methodological challenge for the project, which was solved with the technical advice of USAID, BA, and BR. The sum of the local capacities of CARE Ecuador, with international expertise, allowed the workshop to meet the proposed objectives.
COLLABORATION AND/OR KNOWLEDGE SHARING WITH PARTNER ENTITIES IN HOST GOVERNMENT AND OTHER DONOR AGENCIES Project Steering Committee
The Project Steering Committee was made up of a delegate from UNICEF Regional Office, a delegate from the Ministry of Health of Peru, a delegate from the Ministry of Health of Ecuador, representatives of the communities of Ecuador and Peru, and the Regional and Country Directors of CARE USA, CARE Ecuador, and CARE Peru.
The Committee analyzed the progress of years 2 and 3 of the project and issued recommendations.
The committee of year 3 focused its recommendations on the strategy of sustainability of the project's actions. The main recommendations were to share with the Ministries of Health the epidemiological surveillance systems experience, clarifying that their application is different in urban and rural territories. In Peru, the committee recommended the project to disseminate in the local governments the application developed in Peru that records the reading of the ovi-traps and alerts regional governments and the MoH at the local level, about the presence of vectors in homes.
The committee also recommended: that prevention actions be planned considering the outbreak phase, during the emergency, and post-endemic phase; that plans adjust to the analysis of studies carried out, field visits and quality control of interventions in communication; and determining how to deal with the
XXVII | USAID ZIKA ANNUAL REPORT USAID.GOV decrease in risk perception. Finally, the committee recommended creating a free access virtual platform or virtual library, so that other institutions or individuals can access to consult and enhance work done.
Subnational Governments: Peru
The project held discussions with specialists from various public, private, and cooperation institutions, generating recommendations and lessons learned from the prevention intervention against Zika in the lines of entomological surveillance, vector control and communication strategies for the change of social and behavior. The recommendations are summarized in the following:
Subnational governments should ensure that the analysis of the information of qualitative and/or quantitative KAP and risk studies are used to design or redefine multi-sectorial health plans, community plans, and strategic actions of communication for behavior change and social change. Allocate resources from PPR 017 to replicate the experience of the CBSS, as a strategy that allows the mobilization of the community and key institutional actors, in promoting prevention and control behaviors of Zika and other metaxenic diseases. Subnational governments and the Health sector should promote the use of the Counseling Guide for Childbearing-Age and Pregnant Women in the context of Zika, taking opportunities for intramural and extramural contact. National-Regional Government and Ministry of Education, institutionalization of the preventive guide: i) the design of learning sessions at the initial, primary and secondary levels, aimed at promoting prevention and control behaviors against Zika; ii) the training of peer educators (adolescent to adolescent); iii) capacity building for teachers and principals.
Municipalities: Ecuador
In Ecuador, the municipalities do not have specific competences in health, so the Project linked the prevention of Zika with the Healthy Municipalities Program of the Ministry of Public Health. The work with the Municipalities allowed that in the third year, the Municipalities of Las Lajas and Arenillas receive the certification "Municipality of Health Promotion" from the MoH. This is an important achievement given that it implies the municipal authorities incorporated activities related to Zika prevention, carried out an articulated work with other local actors, involved the population and their leaders, and evaluated indicators, and comply with them obtain the current certification, or advance to other levels of certification.
The Municipalities of Sucre and San Vicente carried out the process of gathering information and completing the process for certification. At the close of the Project, the 2 municipalities were waiting for the call of the Ministry for the qualification of the indicators before certification.
Ministries and government entities
In Ecuador, the agreement with the Ministry of Economic and Social Inclusion resulted in the development of training modules for training of trainers in the Family School Program of that Ministry, concerning gender issues, prevention of sexual violence and Zika prevention. These modules are part of the Ministry's training program for technicians nationwide. This allowed 14,000 users of MIES services, belonging to the
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXVIII Project intervention areas, to participate directly in prevention activities and be trained in the “10 minutes against Zika” strategy. The intervention at the national level of the Ministry allowed 288,000 users to receive training in the topics of the 4 modules, and approximately 90,000 in the specific Zika prevention module.
Working with the Ministry of Education in Ecuador, allowed the development of prevention guides to work with children and adolescents with a disaster risk reduction approach. These guides were incorporated into the curriculum of schools. In Peru, the Guide developed to promote a culture of Zika prevention in schools was enacted as a public policy in the Regions of Piura, Tumbes.
Universities
In Ecuador, the alliance with 2 universities, Laica Eloy Alfaro de Manta University, and the Technical University of Machala, allowed to develop the CBSS in consolidated urban areas, where participation is complicated given that the general population occupies their time in the search of resources to meet your needs, individually. More than 250 students were involved in the experiences in year 3.
KEY HIGHLIGHTS OF THE COLLABORATION
In Peru, the project adapted the “Ten Minutes Against Zika” methodology of home inspection and elimination of hatcheries and potential hatcheries, developed by the Fio-Cruz Institute of Brazil. At the end of the project, the Ministry of Health (MINSA) incorporated this protocol in its institutional work, scaling up the implementation to 8 regions of the country.
In Ecuador, the alliance with the Ministry of Economic and Social Inclusion, allowed to deepen the prevention of sexual transmission and the risks of the congenital syndrome, developing modules for the training of trainers, the School of Families in gender, prevention of sexual violence and prevention of Zika. This allowed the prevention actions to be scaled up to the national level and to all territories at risk due to the presence of Aedes aegypti.
In Ecuador, the alliance with universities allowed the development of community-based surveillance experiences in consolidated urban cities, in which it is complex to motivate community participation.
CHALLENGES OF THE COLLABORATION
In Ecuador and Peru, the frequent rotation of health and education personnel at the local level, as well as the change of local authorities, were challenges for the timely fulfillment of work plans. In Ecuador, the work plans signed at the national level with the Ministries of Health, Education and Economic and Social Inclusion allowed work stability in the territory.
In Peru, staff turnover at the national level affected the establishment of collaboration agreements between institutions, both at the central and regional levels. For the project, involving the new officials took time and delayed the development of joint actions.
Institutionalizing the work of prevention of metaxenic diseases, such as Zika, linking community monitors, constitutes a challenge in Ecuador. In joint analysis with the Ministry of Health, it was identified necessary incorporating metaxenic diseases prevention protocols into local health committees, prioritizing three key
XXIX | USAID ZIKA ANNUAL REPORT USAID.GOV activities at home: i) The “Ten minutes against Zika” (counseling), ii) inspection of water tanks to keep the home free of hatcheries, and iii) identify febrile and pregnant women to refer them to the nearest health facility.
LEARNING In the project execution, based on the results of the KAP studies, the project reoriented communication messages to influence prioritized behavioral changes and achieve adherence to prevention and control practices. Through messages and edu-communication materials we worked to achieve the following:
o Strengthen the prevention of Zika virus sexual transmission.
o Include men in care tasks and in the elimination of hatcheries by questioning the gender roles that hold women responsible for these activities.
o To reach more men with information about Zika and the risks for boys and girls who are exposed to the virus during pregnancy. Messages were disseminated in spaces frequented by those, for example, football matches, cycle walks, motorcycles taxis.
o Strengthen the knowledge of brushing, washing and capping of tanks and the importance of the elimination of Aedes aegypti hatcheries, which according to PAHO / WHO, are the most effective actions to prevent mosquito proliferation. These messages were disseminated through entertaining communication pieces: card decks, puzzles, and roulette games.
The educational materials, developed by the project, with a gender and cultural adaptation approach, contributed to improving the knowledge about the disease, both in the intervened locations and in the control group. (EBA good practices Ecuador)
Community plans are a practical tool to 1) apply knowledge about prevention, 2) articulate local efforts and resources for the implementation of best practices, 3) for the coordination of local actors, especially to involve people communities, and 4) secure community leader’s commitment, as they are important inputs to build local capacities for sustainability.
The CBSS was based on the training and participation of community monitors for the surveillance of the vector; monitors that gradually become leaders in their communities. The national and bi-national meetings of community monitors managed to motivate a greater performance of leaders' interventions. In spite of the advances, the sustainability of this experience constitutes a challenge, as in Peru it is required that a permanent budget be allocated, in item PPr017 for the sustainability of economic incentives; while in Ecuador, volunteer work and limited spaces for participation in prevention actions from the Ministry of Health limit the potential of these experiences.
In Peru, the use of ovi-traps in the CBSS, developed in the communities, was an effective method or tool for the surveillance of Aedes aegypti in community settings and for the activation of the community
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXX early warning system (SATc), because it facilitates the detection of the vector early, allowing prevention and control actions in a timely manner. Likewise, the periodic use of traditional indicators is recommended since it allows complementing the information offered by the ovi-traps.
In Peru and Ecuador, it was evidenced that the alliances with the Ministries at the national level, allowed a significant escalation of interventions to other territories where the project does not intervene, and even at the national level, as happened in Ecuador with the Ministry of Inclusion Economic and social.
In Peru, the project adapted the methodology of home inspection and elimination of hatcheries and potential hatcheries, developed by the Fio-Cruz Institute of Brazil, “Ten Minutes Against”. The material developed in Peru was adapted to the cultural and regulatory context of Ecuador and used as a key tool for community education. In Peru, in the third year, the Ministry of Health (MINSA) incorporated the protocol developed in its institutional work, scaling the implementation to 8 other regions.
In Ecuador, the alliance with the Ministry of Economic and Social Inclusion, allowed to deepen the prevention of sexual transmission and the risks of the congenital syndrome, developing modules for the training of trainers, the School of Families in gender, prevention of sexual violence and prevention of Zika. This allowed the prevention actions to be scaled up to the national level and all territories at risk due to the presence of Aedes aegypti.
The bi-national meeting of mayors of Peru and Ecuador evidenced the importance of carrying out field visits on-site with the authorities. Local authorities in Peru knew the actions carried out in the territory within the framework of the Community Based Surveillance System, which allowed a greater understanding of the role of community participation in the prevention and control of Zika, and greater involvement of mayors from other territories.
In Peru, the need to strengthen the political impact for the allocation and transfer of resources in the institutional budget, regarding metaxenic diseases' prevention and control program (PPR017) was identified.
XXXI | USAID ZIKA ANNUAL REPORT USAID.GOV RESEARCH AND PUBLICATIONS
COUNTRY DOCUMENT PRODUCED
ECUADOR CARE. Technical basis to best align indicators for the together against Zika project. Quito. September, 2017. RESEARCH PERU Innovation for Development. Study of knowledge, attitudes and practices. Lima. May, 2017.
Cayetano Heredia Peruvian University Foundation (FUPCH). KAP study. "Knowledge and perception of risk regarding the Zika virus (ZIKAV) and its transmission; as well as to explore the experiences, level of access and other determinants in adolescent men and women and adults of reproductive age in a risk context for ZIKAV.” Lima. August, 2018. https://partners.zikacommunicationnetwork.org/node/483
Ciudadanos al Día (Citizens Informed). Report on the Best Practices in Zika Control and Prevention Award contest. Lima. 2017. Ciudadanos al Día (Citizens Informed). Report on the Best Practices in Zika Control and Prevention Award contest. Lima. 2018. Ciudadanos al Día (Citizens Informed). Report on the Best Practices in Zika Control and Prevention Award contest. Lima. 2019. Report of the study on the efficiency of the use of ovitraps in the community-based surveillance system of Campo Amor (Tumbes). Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/482
Ovitraps Efficiency Study: Campo Amor Community (Tumbes). 2019
Ovitraps Efficiency Study: AAHH 28 de Julio (Tumbes). 2019
SYSTEMATIZATION
Systematization of the Best Practice for Prevention and Control of Zika Virus Award
Systematization of Campo Amor Pilot
Systematization of intervention at schools
RESEARCH
ECUADOR Aguilar M. Best practices in the control of Zika and Arboviruses in Ecuador Best strategies and control measures for the Aedes mosquito. Quito, 2017 Bajaña F. EBA of the best practices of Zika prevention and control of Aedes aegypti, and of community participation in the areas of intervention of the cantons of implementation of the project. September, 2018.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXXII Bajaña F. EBA of the best practices of Zika prevention and control of Aedes aegypti, and of community participation in the areas of intervention of the cantons of implementation of the project. September, 2019 Novillo N. Individual and collective KAP (knowledge-attitudes-practices) study related to Zika prevention and control in selected areas of intervention of the “Together Against Zika” Project. Y1. Quito. August, 2017 Novillo N. Study of knowledge, attitudes and practices related to the control and prevention of the Zika virus. CARE. Ecuador. September, 2018. https://partners.zikacommunicationnetwork.org/node/455
Novillo N. Comparative analysis of the results of the year 1 and year 2 KAP studies. CARE Ecuador. September, 2018. https://partners.zikacommunicationnetwork.org/node/478 Armijos L. Study on knowledge, attitudes and practices (KAP), on the control and prevention of the Zika virus. CARE Ecuador, August 2019. Y3. Quito. August, 2019.
Armijos L. Comparative analysis on the results of years one, two, and three KAP studies. CARE Ecuador. August, 2019.
Patiño F. Evidence-based analysis of best practices in community epidemiological control of Zika, vector control and proposals adapted to the Zika situation in Ecuador. Quito. 2017 Patiño F. Evaluation of the Zika community surveillance piloting system. Care. September, 2018. Torres W. Evidence-based analysis of best practices in CBSS. Quito. September, 2019 PUBLICATIONS
ECUADOR Systematization of the International Workshop on "Learning from the fight against the Zika: community mobilization in response to health emergencies and epidemics". Quito, 4, 5 and 6 of June, 2019.
Comparative analysis on the KAP studies results of years one, two, and three. CARE Ecuador. August, 2019.
Methodological guide for the use of communication pieces of the “Everyone Against the Zika” (Todos contra el Zika) campaign. CARE Ecuador. July, 2018. https://partners.zikacommunicationnetwork.org/node/463 Methodological guide for the preparation of community plans for the prevention and control of the Zika virus. CARE Ecuador. August, 2018. https://partners.zikacommunicationnetwork.org/node/456 Methodological guide for the preparation of community communication plans for behavioral change and social action, to Zika virus prevention. CARE Ecuador. August, 2018. https://partners.zikacommunicationnetwork.org/node/457 Guide for the ‘community promoter’. CARE Ecuador. September, 2018. https://partners.zikacommunicationnetwork.org/node/464 Flipchart: "10 minutes against Zika" (10 minutos contra el Zika), CARE Ecuador. September, 2018. https://partners.zikacommunicationnetwork.org/node/465
XXXIII | USAID ZIKA ANNUAL REPORT USAID.GOV Edu communicative tools for children to be protagonists in the prevention of Zika. CARE Ecuador. August, 2018. https://partners.zikacommunicationnetwork.org/node/479 Training of trainers: Art, education and culture for the prevention of Zika. CARE Ecuador. August, 2018. https://partners.zikacommunicationnetwork.org/node/480
Comic book “To Which It Stings Loses” (Al que pica pica pierde). CARE Ecuador. July, 2018. https://partners.zikacommunicationnetwork.org/node/467
Guides Sustainability plans developing guide, CARE – Ecuador. July, 2019.
Modules Methodological Module, Let’s Protect Collection, A Lifetime without Violence. CARE – MIES. November, 2018. http://www.todoscontraelzika.com/wp- content/uploads/2019/06/5.pdf Families and Communities prepared to prevent Zika Module, Let’s Protect Collection, A Lifetime without Violence. CARE – MIES. November, 2018. http://www.todoscontraelzika.com/wp-content/uploads/2019/06/web-baja- MODULO-AZUL-PROTEJAMOS-ZIKA-FINAL-OK-24-abril.pdf Sexuality Module - sexual rights and reproductive rights, Let’s Protect Collection, A Lifetime without Violence. CARE – MIES. November, 2018. http://www.todoscontraelzika.com/wp-content/uploads/2019/06/2.pdf
Sexual Violence Prevention Module - a responsibility of us all, Let’s Protect Collection, A Lifetime without Violence. CARE – MIES. November, 2018. http://www.todoscontraelzika.com/wp-content/uploads/2019/06/1.pdf
Manuals Educational manual on communicative tools for the prevention and control of Zika, aimed at health promoters. CARE- Ecuador. March, 2019.
Certification Manual for guardian municipalities against Zika, Dengue and Chikungunya. September, 2019.
Implementation Manual of a Community-based epidemiological surveillance system for the control of Zika, Dengue and Chikungunya. CARE-Ecuador. September, 2019.
COURSE – GUIDE: PERU Methodological guide in the context of Zika, for counseling facilitators for women of childbearing age and pregnant women. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/485 Methodological guide in the context of Zika, for counseling facilitators for women of childbearing age and pregnant women. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/485
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXXIV Comprehensive intervention guide for the prevention of Zika in educational institutions. (Includes 6 annexes) Directed to teachers, specialists and peer educators. Lima. May, 2018. https://www.zikacommunicationnetwork.org/es/resources/guia-de-intervencion- integral-para-la-promocion-de-una-cultura-de-prevencion-ante-el-zika Course Guide: The General Aspects of Zika virus infection. Lima. July, 2018 Link: https://partners.zikacommunicationnetwork.org/node/444
Course Guide: The Role of the Community Health Agent in the Community Based Surveillance System. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/445 Course Guide: Community Based Surveillance System. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/446 Course Guide: Community Participation on Vectorial Control. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/452 Course Guide: Sectorization and Community Mapping for the Implementation of the Community Based Surveillance System. Lima. July, 2018 https://partners.zikacommunicationnetwork.org/node/488 Course Guide: Early Warning System (SAT in spanish). Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/489 Guide for the course on the correct management of Ovitraps. Lima, July 2018. https://partners.zikacommunicationnetwork.org/node/450 Course guide on the use of the Mobile Application for the Registration of Community-Based Vector Surveillance Information. Lima. July, 2018 https://partners.zikacommunicationnetwork.org/node/490 Course guide: pick up and elimination of breeding sites or potential mosquito breeding sites. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/491 Course Guide: “Ten Minutes Against the Zika”. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/453 Course Guide: Methodology for Citizen Dialogue "Together before the Zika." Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/492 Modular Guide to a Community Surveillance System for Local Governments in Zika Prevention and Control
Friendly Systematization of Campo Amor Pilot
Course for the development of community plans
Course on accountability Course on the new SVBC application
Course on referrals and counter-referrals for SVBC Course on SVBC home visits
XXXV | USAID ZIKA ANNUAL REPORT USAID.GOV
COMMUNICATIONS AND PROMOTION
KEY COMMUNICATION ACTIVITIES - PROJECT PROMOTIONAL, PUBLIC OR MEDIA EVENTS/ENGAGEMENTS FOR THE PROJECT
COUNTRY / Key Communication Activities - Project Promotional Intended use RESULT of the document Y1, Y2 & Y3
R1 Peru Dissemination of the Award for Good Practices in prevention and control of Informative the Zika virus.
https://andina.pe/agencia/noticia-premian-iniciativas-sobre-prevencion-y- control-del-virus-del-zika-754708.aspx https://www.expreso.com.pe/actualidad/premian-practicas-en-prevencion- del-zika/ https://clustersalud.americaeconomia.com/sector-publico/peru-premiaran- buenas-practicas-contra-el-zika
R2 Peru Dissemination of the strategy to prevent the Zika virus in schools situated in Informative the northern part of the country:
https://www.care.org.pe/noticia/juntos-ante-el-zika-minedu/
Ecuador Dissemination of training workshops to municipality and health personnel in Informative Zika prevention and control.
Dissemination of the Health Promoter Municipality certification of the Municipal Decentralized Autonomous Government of Arenillas and Las Lajas. That is a public policy of the MSP.
https://www.facebook.com/CareEcuadorOrg/photos/pcb.1096728453834259 /1096728373834267/?type=3&theater
https://www.facebook.com/JohnCesarCherrez/photos/pcb.15426375125373 77/1542623289205466/?type=3&theater
Peru Dissemination of the theater plays, radial mini-locutions and painted murals Informative that took place in “A summer without Zikario” workshops. Local and social R3 media.
https://www.facebook.com/watch/?v=329371507703373
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXXVI http://radiofantastico.pe/estudiantes-que-participaron-en-locucion-radial- reciben-reconocimiento-en-la-drep/ Presentation of the Theatre play: “Don Zikario is not from this neighborhood”. http://www.care.org.pe/noticia/la-obra-don-zikario-no-es-de-este-barrio-se- presenta-en-lima/
Dissemination of training workshop to the provincial municipality of Zorritos to promote the Community Based Surveillance System. Social networks. https://www.facebook.com/1033374690174440/videos/345688546144067/Uz pfSTgwNzcxNjM2OTM3Njk4NDoxMjg4NTE3MDg0NjMwMjQx/
Ecuador Dissemination in print media of the community leader’s participation in the Informative Zika prevention. http://www.eldiario.ec/noticias-manabi-ecuador/455194-presidentes- barriales-ayudan-a-combatir-el-mosquito-del-zika/ Press release about community participation in the Zika prevention and control http://www.todoscontraelzika.com/2018/10/17/participacion-comunitaria- para-la-prevencion-del-virus-del-zika/ http://www.todoscontraelzika.com/2019/03/18/comunidad-empoderada- con-la-prevencion-del-zika/ Press release on training adolescents in the sexual transmission of the Zika virus prevention.
http://www.todoscontraelzika.com/2019/03/18/adolecentes-aprenden- sobre-sexualidad-y-la-prevencion-del-virus-del-zika/ Informative Video on the participation of adolescents and young people in activities of the Zika prevention https://www.facebook.com/pg/CareEcuadorOrg/posts/?ref=page_internal
Project communication strategy for addressing the Zika virus in Peru. Guide for communication actions for social and behavioral change Peru Murals, Posters, Videos and Infographic. Communication Pieces with Key R4 https://create.piktochart.com/output/23978711-new-protocols Messages
Website to promote Project Activities:
XXXVII | USAID ZIKA ANNUAL REPORT USAID.GOV
www.Zikario.com
Facebook Page "ZikaZikario"
https://www.facebook.com/ZikaZikario Project visibility pieces: banners, notebooks, triptychs. Informative
Work kit for community monitors Works Material
Social communication and participation strategy for the Zika prevention in Basic document Ecuador used for project implementation Dissemination of communication campaign launch events
https://www.facebook.com/CareEcuadorOrg/photos/pcb.956438201196619/ 956438124529960/?type=3&theater Murals prepared by teenagers that contain messages about the prevention of Informative Zika.
https://www.facebook.com/CareEcuadorOrg/photos/pcb.1170211963152574 /1170189889821448/?type=3&theater Ecuador https://www.facebook.com/CareEcuadorOrg/photos/a.894005407439899/12 08552035985233/?type=3&theater Informative Creation of the Project’s Web Page www.todoscontraelZika.com
32 posts with messages on Zika prevention and control, especially aimed at Educational preventing infection in women of reproductive age and pregnant women, material linking men in the elimination of Aedes aegypti mosquito breeding sites and informing about microcephaly risks associated with Zika virus.
https://www.facebook.com/CareEcuadorOrg/ https://www.facebook.com/CareEcuadorOrg/photos/a.893986950775078/98 7248944782211/?type=3&theater
5 billboards with messages on hatchery elimination and Zika virus risks for Educational pregnant women material
http://www.todoscontraelzika.com/estrategia-de-comunicacion/piezas- educomunicativas/#!
2 posters with messages on the prevention of gender-based violence and Educative sexual transmission of the Zika virus Material
USAID.GOV USAID ANNUAL PROGRESS REPORT | XXXVIII http://www.todoscontraelzika.com/estrategia-de-comunicacion/piezas- educomunicativas/#! Animated video about of the Zika risks and Aedes aegypti mosquito breeding Educational sites control. material
https://www.youtube.com/watch?v=qeT4Up7_KS4 Dissemination of project activities: training workshops, exchange of Informative experiences, awareness events.
https://www.eltelegrafo.com.ec/noticias/punto/1/la-prevencion-del-zika-en-la- costa http://www.todoscontraelzika.com/2019/03/18/previene-el-zika-al-ritmo-de- la-marimba-esmeraldena/
16 Informative Videos of the activities carried out by the project in the 10 Informative cantons and 2 summary videos of the execution of the project in Ecuador.
https://www.youtube.com/channel/UC_Ty38jjQdUyYvX3yaWKuug
5 Videos with specific topics: community based surveillance system, training Informative pregnant women in the Zika risks; participation of young people and adolescents in Zika prevention; the intercultural approach to Zika prevention; the gender approach in Zika prevention.
https://www.youtube.com/channel/UC_Ty38jjQdUyYvX3yaWKuug
Dissemination of the start of the Project Informative https://www.care.org.pe/noticia/se-lanza-el-proyecto-binacional-peru- ecuador-juntos-ante-el-zika/ Dissemination of the Binational Meeting of Mayors of Peru and Ecuador: Sharing experiences in territorial articulation against metaxenic diseases with emphasis on Zika from the perspective of local governments.
R5 https://www.facebook.com/437141573683967/posts/437599610304830/?app =fbl https://www.facebook.com/403359856493768/posts/1281416682021410/?ap p=fbl http://www.care.org.pe/noticia/prevenir-el-virus-del-zika/
Nationwide dissemination of the project closing event. Media. https://www.care.org.pe/noticia/cierre-proyecto-zika/
Dissemination of the First and Second Project Steering Committee. Social Informative R5 Ecuador Media
XXXIX | USAID ZIKA ANNUAL REPORT USAID.GOV https://www.facebook.com/CareEcuadorOrg/photos/a.893986950775078/10 42989819208123/?type=3&theater
Dissemination of inter-institutional coordination. Local print media Informative http://www.eldiario.ec/noticias-manabi-ecuador/495416-tres-instituciones-se- unen-para-prevenir-los-casos-de-zika/
Binational Meeting of Community Monitors, of the community-based surveillance system, in Manta Ecuador. https://www.facebook.com/ZikaZikario/photos/a.1338189316329684/133818 9779662971/?type=3&theater
Promotion of the international workshop “Community Mobilization in Informative response to health emergencies and epidemics: learning from the fight against Zika”
https://www.facebook.com/CareEcuadorOrg/videos/vb.893876814119425/31 1073036474455/?type=2&theater https://www.facebook.com/RadiodifusoraCCE/videos/vb.1520073948210056/ 2385806001466582/?type=2&theater Press Release http://www.todoscontraelzika.com/2019/07/30/comunidad-empoderada-con- la-prevencion-del-zika-2/ Media Dissemination https://www.eltelegrafo.com.ec/noticias/sociedad/6/sika-ecuador-dengue
Dissemination of the PJAZ accountability event. Informative
https://www.facebook.com/pg/CareEcuadorOrg/posts/?ref=page_internal
Project closing event in Quito
https://www.facebook.com/CareEcuadorOrg/photos/pcb.1246254262215010 /1246251222215314/?type=3&theater
SUSTAINABILITY AND EXIT STRATEGY
1. Actions developed that contribute to sustainability
For the continuity of the Community-Based Surveillance System, training in Peru was carried out for the officials of the Municipalities and the health personnel, and that impact on programming Budget for Prevention Results (PPR) in the 017 chain: “Metaxenic and Zoonotic Diseases” in Local Governments. This will allow continuity to the actions contemplated in its multisectoral District Health plans.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XL Multisectoral health committees (Peru), and intersectoral (Ecuador) were strengthened by prioritizing the prevention of Zika, facilitating technical assistance for the elaboration of their multisectoral work plans to prevent and control metaxenic diseases, with emphasis on Zika.
In Peru, agreements were made and authorizations were issued for the use of the software developed to record the information of the CBSS, which generates information that is shared to the key actors and makes it possible to expedite decision-making and response at the local level. CARE granted the corresponding permission for use.
In Ecuador to guarantee the continuity of the actions in the municipalities, the project worked with the Healthy Municipalities program, to incorporate actions and indicators linked to Zika Prevention.
Advocacy and argumentation, with national and local authorities, was key to the involvement of the institutions and to reach agreements for the development of the actions and the implementation of the CBSS. The project carried out these actions with all the actors involved in the health, education, regional government authorities, municipal, community leaders and leaders.
XLI | USAID ZIKA ANNUAL REPORT USAID.GOV ANNEXES
USAID.GOV USAID ANNUAL PROGRESS REPORT | XLII ANNEX IA. PERFORMANCE INDICATOR REPORTING SHEET ECUADOR
Reporter: (Please provide contact information) Cecilia Tamayo /Alex Portilla/Adriana Echeverria / Adriana Muela Submission Date: 24/9/2019 Definition of Community in Country: ECUADOR Approximate # of Persons in Community: Ecuador 128.944 Type of Index for Indicator 1 e (e.g. house index, container index, Breteau index, or Stegomyia index), oviposition indices, or via pupal demographic surveys:
FY 2017 FY 2018 FY 2019 Cumulative Life of Life of Project Results to Project Comments Results Partner Country Indicator Number INDICATOR Year End Q1 Q2 Q3 Q4 S1 S2 Q1 Q2 Q3 Q4 S1 S2 Date Target
Numerator - number of communities This data is not cumulative (column R is not reached with any physical vector correct) . The number of communities CARE Ecuador 1a control activities within the targeted 14 36 24 9 10 29 26 39 17 204 39 reached was 39. geographic area Information from the Ministry of Health was incorporated Denominator - number of communities in the targeted CARE Ecuador 43 43 43 43 43 43 43 43 43 387 43 This data is not cumulative (column R) 1a geographic area, per 100.
Percent (%) of communities where CARE Ecuador 1a physical vector control activities are 32,56% 83,72% 55,81% 20,93% 23,26% 67,44% 60,47% 90,70% 39,53% 80,00% 90,70% The goal of the Project was achieved. being implemented Numerator -number of communities This data is not cumulative (column R is not conducting vector surveillance and/or correct). CARE Ecuador 10 6 24 28 7 29 23 32 17 176 32 1b monitoring activities within the Information from the Ministry of Health targeted geographic area was incorporated Denominator - number of communities in the targeted CARE Ecuador 43 43 43 43 43 43 43 43 43 387 43 This data is not cumulative 1b geographic area
Percent (%) of communities in which vector monitoring activities are being CARE Ecuador 23,26% 13,95% 55,81% 65,12% 16,28% 67,44% 53,49% 74,42% 39,53% 80,00% 74,42% The goal reached was 93% 1b implemented
The goal of the Project was achieved Number of people trained in vector The project trained the vector control and CARE Ecuador 1c control 343 250 332 599 750 218 190 500 0 3182 2000 159% community health personnel of all the health districts in which it intervened and the community monitors Baseline total number of eggs CARE Ecuador 1d NA NA NA NA NA NA NA NA NA NA NA NA Current total number of eggs CARE Ecuador 1d NA NA NA NA NA NA NA NA NA NA NA NA Percent (%) change in mosquito egg density, from baseline, in targeted CARE Ecuador 1d geographic areas (Baseline- NA NA NA NA NA NA NA NA NA NA NA NA Current/Baseline)%
CARE Ecuador 1e Baseline Index Value 0 5,4 5,40 5,40 5,40 5,40 5,40 5,40 5,40 5,4 5,4 5,4
In the Q2, the current index value increases due to the rainy season. In the Q3, Q4, the current index value CARE Ecuador 1e Current Index Value 0 4,7 5,21 5,34 4,63 4,26 7,12 5,72 5,55 5,55 4,86 5,55 increases due to the reduction of number of the vector control teams in the MoH. Data of the MoH corresponding to all project intervention areas. In the Q2, the current index value increases % change in mosquito frequency, due to the rainy season. from baseline, in targeted geographic In the Q3, Q4, the current index value CARE Ecuador 1e areas #¡DIV/0! -13,0% -3,5% -1,1% -14,3% -21,1% 31,9% 5,9% 2,8% 2,8% -10,0% 2,8% increases due to the reduction of number of the vector control teams in the MoH. Data of the MoH corresponding to all project intervention areas.
XLIII | USAID ZIKA ANNUAL REPORT USAID.GOV Number of health providers trained to provide Zika prevention counseling The goal of the Project was exceeded. Total to Women of Reproductive Age (WRA) reached in the 3 years was 1424. This data CARE Ecuador 2a 480 49 112 189 169 84 272 69 714,00 500 143% was due to the fact that the health personnel who attend the health services type A and B of the first level of care are changed every year Numerator: Number of women of reproductive age surveyed within the No This data is not cumulative (column R is not CARE Ecuador targeted project areas who can 370 317 correspond 293 980 293 2b correct). identify the potential risks of ZIKA e infection during pregnancy.
Denominator: Total number of No women of reproductive age surveyed This data is not cumulative (column R is not CARE Ecuador 531 541 correspond 365 1437 365 2b within the targeted project areas. correct). e
% of WRA in project areas who can The goal of the Project was achieved. CARE Ecuador identify the potential risks of ZIKA 70% 59% 80% 80% 80% 2b This data is not cumulative. infection during pregnancy Numerator: Number of women of reproductive age surveyed within the No CARE Peru 2c targeted project areas who can 107 199 correspond 167 identify at least one sexual e transmission prevention method
Denominator: Total number of No CARE Peru 2c women of reproductive age surveyed 531 541 correspond 365 within the targeted project areas. e
% of women of reproductive age in project areas who can identify at least CARE Ecuador 20,2% 36,8% 45,8% #¡DIV/0! 80% 57% 2c one sexual transmission prevention method # communities with members actively participating in Zika monitoring, CARE Ecuador 3 17 11 5 4 15 20 26 17 43 35 122,86% The goal of the Project was achieved. 5a prevention, and/or support activities
# communities with community plans CARE Ecuador 13 3 3 4 7 1 17 3 3 43 40 107,50% The goal of the Project was achieved. 5b for the prevention and control of Zika
# Zika events that involve families, schools, municipality governments, or CARE Ecuador 25 12 10 4 8 87 33 34 56 150 100 150,00% 5c community organizations The goal of the Project was exceeded.
The data in not cumulative in the Y3 Total # of individuals of reproductive Greater diffusion of mensages was carried CARE Ecuador age in project areas who have received 5000 1172 873 1598 98371 2045 99969 260269 413107 148903 206263 673376 355166 1135556 1135556 6a out by the rainy season and the publicity Zika messages billboards in Portoviejo city. # of FEMALE individuals of Greater diffusion of mensages was carried reproductive age in project areas who CARE Ecuador 3200 40960 0 40960 129790 192749 66018 99.479 322539 165497 432717 432717 out by publicity billboards in Portoviejo 6a have received MASS MEDIA Zika city. messages
# of MALE individuals of reproductive CARE Ecuador 6a age in project areas who have received 1800 23040 0 23040 114063 186306 73140 102.169 300369 175309 398349 398349 MASS MEDIA Zika messages
# of FEMALE individuals of reproductive age in project areas who CARE Ecuador 0 0 22442 0 22442 7621 13253 1976 1028 20874 3004 45292 45292 6a have received DIGITAL MEDIA Zika messages
# of MALE individuals of reproductive CARE Ecuador 6a age in project areas who have received 0 0 8534 0 8534 2727 6828 2476 1071 9555 3547 20565 20565 DIGITAL MEDIA Zika messages
# of FEMALE individuals of reproductive age in project areas who CARE Ecuador 3200 837 670 1081 2092 1507 3173 3853 7135 3216 1522 10988 4738 22084 22084 6a have received INTERPERSONAL COMMUNICATION Zika messages # of MALE individuals of reproductive age in project areas who have received CARE Ecuador 1800 335 203 517 1303 538 1820 2215 6836 2077 994 9051 3071 15286 15286 6a INTERPERSONAL COMMUNICATION Zika messages USAID.GOV USAID ANNUAL PROGRESS REPORT | XLIV # of FEMALE individuals of reproductive age in project areas who This data is not cumulative (column R is not CARE Ecuador 386 307 363 1.056 363 6c can name one vector transmission correct). prevention method Total # FEMALES of reproductive age This data is not cumulative (column R is not CARE Ecuador 531 541 375 1.447 375 6c surveyed correct). % of FEMALE individuals of reproductive age in project areas who CARE Ecuador 72,69% 56,75% 96,80% 96,80% 6c can name one vector transmission prevention method # of MALE individuals of reproductive age in project areas who can name This data is not cumulative (column R is not CARE Ecuador 114 112 111 337 6c one vector transmission prevention correct). method Total # MALES of reproductive age This data is not cumulative (column R is not CARE Ecuador 129 126 121 376 6c surveyed correct). % of MALE individuals of reproductive age in project areas who can name CARE Ecuador 88,37% 88,89% 91,74% The goal of the Project was achieved. 6c one vector transmission prevention method % of individuals of reproductive age in project areas who can name one CARE Ecuador 6c vector transmission prevention 75,76% 62,82% 95,56% 70% 137% The goal of the Project was achieved. method.
# Has this country developed a Strategic Zika Social Behavior Change CARE Ecuador 6b framework as part of their Zika No No No No No No No No No No No No No No No No response? Enter Yes or No
New CARE Ecuador # of referrals to clinical services 48 0 38 23 1 0 0 0 110 100 110% The goal of the Project was achieved. 4a indicador New CARE Ecuador # of referrals to non-clinical services 0 0 0 0 0 0 0 0 0 4a indicador # (total) of referrals of affected New CARE Ecuador individuals to care and support 48 0 38 23 1 0 0 0 110 100 110% The goal of the Project was achieved. 4a indicador services # of Female individuals of reproductive age in project areas who CARE Ecuador 6e have taken at least one action within 394 363 233 990 the lasta mont to prevent Zika infection or its consequences Total # females of reproductive age CARE Ecuador 531 365 375 1271 6e surveyed % of Female individuals of reproductive age in project areas who This data is not cumulative (column R is not CARE Ecuador have taken at least one action within 74,20% 99,45% 62,13% 77,9% 6e correct). the lasta mont to prevent Zika infection or its consequences # of Male individuals of reproductive age in project areas who have taken at This data is not cumulative (column R is not CARE Ecuador least one action within the lasta mont 96 93 59 248 6e correct). to prevent Zika infection or its consequences Total # Males of reproductive age This data is not cumulative (column R is not CARE Ecuador 129 126 121 376 6e surveyed correct). % of MALE individuals of reproductive age in project areas who have taken at least one action within CARE Ecuador 74,42% 73,81% 48,76% 66,0% 6e the last month to prevent Zika infection or its consequences.
% of individuals of reproductive age in In Ecuador since year 2 no cases of Zika project areas who have taken at least were reported. This affects a lower Ecuador 6e one action within the lasta mont to 74,24% 92,87% 58,87% 70% 84% perception of risk and the need to prevent prevent Zika infection or its CARE consequences
Number of volunteers working to support New The goal was exceeded by the participation CARE Ecuador 9a 519 70 262 500 159 1.019 500 204% community-level Zika response indicador of university and high school students who participated as community monitors
Number of schools with tools and New CARE Ecuiador 76 35 37 11 5 88 164 120 137% The goal of the Project was achieved. 9b methods to address arboviruses indicador
Number of carigivers that have received This indicator does not correspond to this CARE Ecuador information/orientation to conduct early NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA 9c project stimulation with infants XLV | USAID ZIKA ANNUAL REPORT USAID.GOV PERU
Reporter: (Please provide contact information) Maria Espinoza / Rosa Galvan. Rev: Cecilia Tamayo Submission Date: 27/9/2019 Definition of Community in Country: PERU Approximate # of Persons in Community: 263.009 Type of Index for Indicator 1 e (e.g. house index, container index, Breteau index, or Stegomyia index), oviposition indices, or via pupal demographic surveys: FY 2017 FY 2018 FY 2019 Life of Project Life of Project Target Comments Results Partner Country Indicator Number INDICATOR Year End 2017 Q1/2018 Q2/2018 Q3/2018 Q4/2018 S1 S2 Q1/2019 Q2/2019 Q3/2019 Q4/2019 S1 S2 Cumulative Results to Date
Numerator - number of communities reached with any physical This data is not cumulative. CARE Peru vector control activities within the targeted geographic area 126 113 28 99 58 101 62 53 42 682 125 1a The number of communities reached was 125
Denominator - number of communities in the targeted CARE Peru 1a geographic area, per 100. 965 145 145 145 145 145 145 145 145 2125 145 This data is not cumulative.
Percent (%) of communities where physical vector control CARE Peru 13,1% 77,9% 19,3% 68,3% 40,0% 70% 42,8% 36,6% 29,0% 86,20% 70% 86,21% 1a activities are being implemented The goal of the Project was achieved
Numerator -number of communities conducting vector These data are not cumulative. The number of communities reached was 62. CARE Peru 1b surveillance and/or monitoring activities within the targeted 295 35 43 48 56 50 58 60 57 702 62 This data includes 45 communities where the development of the SVBC was geographic area complete and others with partial progress. In Jaén and Chiclayo the progress was lower due to the rotation of the project staff.
Denominator - number of communities in the targeted This data is not cumulative. In the first year we had 965 communities and in the CARE Peru geographic area 965 145 145 145 145 145 145 145 145 2125 145 1b second and third year 145 communities
Percent (%) of communities in which vector monitoring activities This data is not cumulative. CARE Peru are being implemented 30,6% 24,1% 29,7% 33,1% 38,6% 34% 40,0% 41,4% 39,3% 42,80% 70% 43% 1b . The goal was not reached.
The goal of the Project was achieved. In addition to what was reported, another Number of people trained in vector control 174 people were trained, this is the result of scaling interventions In addition to CARE Peru 680 238 179 571 0 417 571 27 44 494 0 71 494 2233 2000 112% 1c what was reported, another 174 people were trained, this is the result of scaling interventions
Baseline total number of eggs CARE Peru 1d 42,12 42,06 42,61 43,64 31,82 53,17 24,49 24,44 24,44 40,03
Current total number of eggs CARE Peru 1d 33,84 53,17 24,49 24,44 16,42 30,38 28,14 2488 14,46 23,27
The general tendency of the average of eggs per ovitraps was of descent all along the project; nevertheless, the average rate of the baseline was of 23.27 Percent (%) change in mosquito egg density, from baseline, in versus the global average of the last year which was of 25.73. These data CARE Peru targeted geographic areas (Baseline-Current/Baseline)% 20% -26% 43% 44% 48,4% -50% -14,9% -10080,0% 40,8% -10,55% 10% -10,55% 1d contains official information from the MoH corresponding to all project intervention areas.
CARE Peru 1e Baseline Index Value 1,09 1,48 4,33 3,95 2,16 3,18 4,02% 2,92% 2,92% 2,98
CARE Peru 1e Current Index Value 4 3,18 4,02 2,92 2,33 1,82 3,09% 6,14% 5,04% 3,53
The general tendency of the average of eggs per ovitraps was of descent all % change in mosquito frequency, from baseline, in targeted along the project; nevertheless, the average rate of the baseline was of 3.53 geographic areas CARE Peru 1e -267% -116% 7% 26% -8% 43% 23,1% -110,3% -72,6% -18,46% 10% -18,46% versus the global average of the last year which was of 4.19. These data contains official information from the MoH corresponding to all project intervention areas.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XLVI CARE Peru 2a Number of health providers trained to provide Zika prevention 0 0 20 196 74 12 30 76 67 475 500 95% counseling to Women of Reproductive Age (WRA) In the third year, the ASSIST Zika project began operating in two regions of the JAZ project, so the counseling activities were carried out by that project.
Numerator: Number of women of reproductive age surveyed CARE Peru 2b within the targeted project areas who can identify the potential 261 604 1179 1179 risks of ZIKA infection during pregnancy.
Denominator: Total number of women of reproductive age CARE Peru 2b surveyed within the targeted project areas. 291 740 1373 1373
% of WRA in project areas who can identify the potential risks of CARE Peru 90% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 82% #¡DIV/0! #¡DIV/0! 86% 86% 80% 86% There is an increase of 4% from year 2 to year 3. (KAP Study) 2b ZIKA infection during pregnancy
Numerator: Number of women of reproductive age surveyed CARE Peru 2c within the targeted project areas who can identify at least one 164 503 966 966 sexual transmission prevention method
Denominator: Total number of women of reproductive age CARE Peru 291 740 1373 1373 2c surveyed within the targeted project areas.
% of women of reproductive age in project areas who can CARE Peru 56% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 68% #¡DIV/0! #¡DIV/0! 70% 70% There is an increase of 2% from year 2 to year 3.( KAP Study) 2c identify at least one sexual transmission prevention method
This data is not cumulative. # communities with members actively participating in Zika The number of communities reached was 65, the % reached relates to this CARE Peru monitoring, prevention, and/or support activities 51 4 24 25 35 28 60 37 18 32 45 55 77 271 50 130% 5a number. .
This data is not cumulative. 5b: # communities with community plans for the prevention and CARE Peru 5 0 4 0 4 4 4 8 19 31 38 27 69 109 50 100% The number of communities reached was 51, the % reached relates to this 5b control of Zika number
5c # Zika events that involve families, schools, municipality The goal was exceeded due to the participation of local governments and CARE Peru governments, or community organizations 154 41 34 97 52 75 149 27 39 504 0 66 504 948 100 150% 5c communities. Total reached in the 3 years was 1258 events.
Total # of individuals of reproductive age in project areas who Massive and dissemination activities have allowed the beneficiaries of the CARE Peru 162440 47160 19325 16890 3007 34507 322314 19897 356821 605643 3250 6a have received Zika messages project to reach.
# of FEMALE individuals of reproductive age in project areas CARE Peru 71851 0 0 0 0 142266 0 142266 71851 6a who have received MASS MEDIA Zika messages
# of MALE individuals of reproductive age in project areas who CARE Peru 81500 0 0 0 0 123733 0 123733 81500 6a have received MASS MEDIA Zika messages
# of FEMALE individuals of reproductive age in project areas CARE Peru 5036 461 1572 1315 1723 5071 0 0 8106 0 8106 10107 6a who have received DIGITAL MEDIA Zika messages
# of MALE individuals of reproductive age in project areas who CARE Peru 4053 461 1572 1315 1723 5071 0 0 6633 0 6633 9124 6a have received DIGITAL MEDIA Zika messages
# of FEMALE individuals of reproductive age in project areas CARE Peru 6a who have received INTERPERSONAL COMMUNICATION Zika 0 1152 1754 2343 16982 22231 19325 8982 2169 18246 21966 11151 21966 41556 messages
# of MALE individuals of reproductive age in project areas who CARE Peru 0 213 213 520 13841 14787 7908 838 16261 19610 8746 19610 14787 6a have received INTERPERSONAL COMMUNICATION Zika messages
XLVII | USAID ZIKA ANNUAL REPORT USAID.GOV # of FEMALE individuals of reproductive age in project areas CARE Peru 236 667 1073 1073 6c who can name one vector transmission prevention method
CARE Peru 6c Total # FEMALES of reproductive age surveyed 291 740 1167 1167
% of FEMALE individuals of reproductive age in project areas CARE Peru 81% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 90,14% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 92% 92% There is an increase of 2% from year 2 to year 3.( KAP Study) 6c who can name one vector transmission prevention method
# of MALE individuals of reproductive age in project areas who CARE Peru 100 227 396 396 6c can name one vector transmission prevention method
CARE Peru 6c Total # MALES of reproductive age surveyed 125 270 433 433
% of MALE individuals of reproductive age in project areas who CARE Peru 80% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 84,07% #¡DIV/0! #¡DIV/0! #¡DIV/0! 91% There is an increase of 7% from year 2 to year 3.( KAP Study) 6c can name one vector transmission prevention method
% of individuals of reproductive age in project areas who can CARE Peru 6c name one vector transmission prevention method. 81% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 88,51% #¡DIV/0! #¡DIV/0! #¡DIV/0! 92% 92% 70% 131% IThere is an increase of 3,5% from year 2 to year 3.( KAP Study)
# Has this country developed a Strategic Zika Social Behavior Change framework as part of their Zika response? Enter Yes or CARE Peru no yes yes 6b No
CARE Peru 4a # of referrals to clinical services 0 5 60 2 0 65 2 2 5 29 99 7 128 202 CARE Peru 4a # of referrals to non-clinical services 0 0 0 0 0 0 0 0 0 0 0 0 0 0 # (total) of referrals of affected individuals to care and support CARE Peru 0 5 60 2 0 65 2 2 5 29 99 7 128 202 100 202% The goal of each year was met. 186 additional references have been registered. 4a services # of FEMALE individuals of reproductive age in project areas who have taken at least one action within the last month to CARE Peru 276 563 1010 1010 6e prevent Zika infection or its consequences.
CARE Peru 6e Total # FEMALES of reproductive age surveyed 302 740 1167 1167 % of FEMALE individuals of reproductive age in project areas who have taken at least one action within the last month to CARE Peru 91% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 76,08% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 87% 87% There is an increase of 21% from year 2 to year 3.( KAP Study) 6e prevent Zika infection or its consequences.
# of MALE individuals of reproductive age in project areas who have taken at least one action within the last month to prevent CARE Peru 82 184 369 635 6e Zika infection or its consequences.
CARE Peru 6e Total # MALES of reproductive age surveyed 94 270 433 797 % of MALE individuals of reproductive age in project areas who have taken at least one action within the last month to CARE Peru 87% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 68,15% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 85% 80% There is an increase of 17% from year 2 to year 3.( KAP Study) 6e prevent Zika infection or its consequences.
% of individuals of reproductive age in project areas who have taken at least one action within the last month to prevent Zika CARE Peru 90,40% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 73,96% #¡DIV/0! #¡DIV/0! #¡DIV/0! #¡DIV/0! 86% 86% 70% 123% There is an increase of 12% from year 2 to year 3.( KAP Study) 6e infection or its consequences.
This data is not cumulative. Number of volunteers trained and working to support community- CARE Peru 9a New indicator 177 177 94 65 186 250 159 436 772 300 130% The number of volunteers, include MC was 389 , the % reached relates to this level Zika response number. This data is not cumulative. CARE Peru 9b Number of schools with tools and methods to address arboviruses New indicator 92 92 12 0 35 64 12 99 203 120 93% The number of IIEE reached was 111 , the % reached relates to this number.
CARE Peru 9c Number of carigivers that have received information/orientation to NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA This indicator does not correspond to this project. conduct early stimulation with infants
USAID.GOV USAID ANNUAL PROGRESS REPORT | XLVIII ANNEX IB. OTHER ZIKA ACTIVITY INDICATORS
ECUADOR AND PERU
Progress of Indicators Result 1.- Best practices in community participation and mobilization on prevention, promotion and practices regarding Zika identified.
% of Cumulative Indicator Y1 Progress Y2 Progress Planned Y3 Y3 Progress Completion Indicators PAIS Goal progress Comments Number Achieved Achieved Target Achieved of total achieved project goal Number of EBA reports on best practices on PERU 3 1 1 1 1 3 100,00% The KAP study was replaced by the I.1 vector control. good practice contest ECUADOR 3 1 1 1 1 3 100,00% Goal Achieved Number of KAP studies implemented and shared at PERU 3 1 1 1 1 3 100,00% Goal Achieved I.2 local and national levels ECUADOR 3 1 1 1 1 3 100,00% Goal Achieved Number of EBA reports on community surveillance PERU 3 1 1 1 1 3 100,00% Goal Achieved I.3 practices ECUADOR 3 1 1 1 1 3 100,00% Goal Achieved
XLIX | USAID ZIKA ANNUAL REPORT USAID.GOV Result 2.- Best practices and lessons learned against Zika found through the EBA and KAP implemented immediately in priority risk areas
% of Cumulative Indicator Y1 Progress Y2 Progress Planned Y3 Y3 Progress completion of Indicators PAIS Goal progress Comments Number Achieved Achieved Target Achieved total project achieved goal I.4 Number of local health and local government Goal achieved and scaling indicator (municipal) personnel, and community monitors In addition to what was reported, 174 from selected areas trained in protocols or PERU 2000 680 1448 228 228 2356 117,80% more people were trained in vector guidelines based on EBA and KAP findings on control, the cascading strategy vector control contributed to this result
ECUADOR 2000 343 1663 175 697 2703 135% Goal achieved and scaling indicator. I.5 Number of local health and local government PERU 500 50 255 195 293 598 119,60% (municipal) personnel, and community monitors Goal achieved and scaling indicator. from selected areas implementing protocols or guidelines based on EBA and KAP findings on Goal achievedscaling indicator. In vector control ECUADOR 500 0 411 175 200 611 122% addition to what was reported, 300 more monitors implemented guidelines on the vector control activities. I.6 Number of communication messages developed, Goal achieved and scaling indicator. validated or updated 9 additional messages were elaborated PERU 10 15 4 10 0 19 190,00% for murals and for spots spread on community radios. Goal achieved and scaling indicator. 6 additional messages were elaborated ECUADOR 10 5 10 1 1 16 160% for prevention in adolescents and men.
I.7 Improve the efficiency of ovitraps in at least 10% for vector control and community surveillance Goal achieved. (Peru - Pilot study) PERU 3 0 1 2 2 3 100,00% A decrease in the # of eggs and larval index indicators was demonstrated in the study communities, improving the results of the 2018 in Campo Amor. In Ecuador ovitrap were not used by ECUADOR NA NA NA NA NA NA NA the Ministry of Health for vector control. I.8 Number of vector control and community Goal achieved and scaling indicator. surveillance events implemented involving families, Additionally 3, 100 additional events. PERU 100 154 195 100 0 349 >100% communities, municipalities, health systems, were made in year 3. Completely exceeding the established goal community water management organizations Goal achieved and scaling indicator. In addition to what was reported, ECUADOR 100 42 40 18 50 132 132% another 63 events were held. I.9 Number of local governments (municipalities) in Goal achieved PERU 20 3 12 20 20 20 100,00% selected areas that implemented action of zika
prevention and control as planned The Municipalities of Huaquillas ( El Oro Province) and Jama (Manabí ECUADOR 10 8 6 6 6 8 80% Province) had less participation in prevention and control.
USAID.GOV USAID ANNUAL PROGRESS REPORT | L Result 3.- System (Community Based Surveillance System) for local governments and community use to enable a continuous gathering and analysis of best practices at community level in use.
% of Cumulative Indicator Y1 Progress Y2 Progress Planned Y3 Y3 Progress completion of Indicators PAIS Goal progress Comments Number Achieved Achieved Target Achieved total project achieved goal Community Based Surveillance System (CBSS) PERU 1 0 1 1 1 1 100,00% Goal achieved. I.10 developed, validated (Pilot study) ECUADOR 1 0 1 1 1 1 100,00% Goal achieved. Goal achieved and scaling indicator. PERU 10 0 12 10 13 13 130,00% In addition 3 more locations were Number of local governments (municipalities) reached. I.11 using the CBSS in the planning of actions against The Municipalities of Huaquillas ( El Oro Province) and Jama (Manabí Zika and make decisions ECUADOR 10 0 4 6 6 8 80% Province) had less participation in prevention and control.
PERU 500 0 195 305 207 402 80,40%
Goal achieved and scaling indicator.The Number of community monitors dully providing number of CM that generated I.12 periodic surveillance reports to local health surveillance reports was higher due to services. ECUADOR 500 0 411 175 500 911 >150% the alliance with 2 universities, in Manabí and El Oro, this allowed the participation of students as CM.
% of community monitors who collect information PERU 80% 0 85% 80% 100% 100% 125,00% Goal achieved and scaling indicator. I.13 and generate valid reports of community 80,77% 101% surveillance through the CBSS ECUADOR 80% 0 61,54% 80,00% 100,00% Goal achieved
% of people (Health Workers, Local Authorities) PERU 80% 0 9% 80% 63% 63,06% 78,82% I.14 who have (provided) used information valid from CBSS ECUADOR 80% 0 75% 80% 81% 78,00% 98%
% of Health Services that issue and receive PERU 70% 0 44,74% 70,00% 97,14% 97,14% 135,00% Goal achieved and scaling indicator. I.15 information to-from other stakeholders for its use in the planning of actions against Zika (Peru) ECUADOR NA NA NA NA NA NA NA NA % of community members who have received 50% of the beneficiaries of CBSS information from other stakeholders (Community PERU 60% 0 40% 60% 50% 47,13% 78,54% received information of the application. I.16 Health Agents, Community Monitors, Health Personnel, local authorities) for its use in the 76,50% 128% ECUADOR 60% 0 67% 60% 86% Goal achieved and scaling indicator. planning of actions against Zika Proportion of local authorities/ Community Health PERU 100% 0 100,00% 100,00% 100% 100,00% 100,00% Goal achieved I.17 Agents/community monitors/ who have received feedback through the CBSS ECUADOR 100% 0 97,42% 100% 81% 89,21% 89% Goal achieved and scaling indicator Number of health personnel trained in CBSS. PERU 500 0 163 300 405 568 113,60% In addition to what was reported, 112 I.18 (Peru) more people were training. ECUADOR NA NA NA NA NA NA NA NA Goal achieved and scaling indicator PERU 250 0 85 250 336 421 135,00% Goal achieved and scaling indicator In addition to what was reported, 150 Number of local governments and community I.19 more monitors were training, because monitors trained in CBSS. ECUADOR 250 125 223 100 100 448 179% new CBSS experience was developed during year 3, so more monitors were formed
LI | USAID ZIKA ANNUAL REPORT USAID.GOV Result 4.- Communication strategy for behavior change among women of reproductive age, pregnant women and adolescents implemented using formal and informal means
Cumulative % of Indicator Y1 Progress Y2 Progress Planned Y3 Y3 Progress Indicators PAIS Goal progress completion of Comments Number Achieved Achieved Target Achieved achieved total project Communication strategy developed, validated or PERU 1 1 1 1 1 1 100% Goal achieved I.20 updated ECUADOR 1 0 1 1 1 1 100% Goal achieved Goal achieved and scaling indicator. In addition to what was reported, 23 PERU 20 0 4 20 20 24 120,00% more plans were prepared in year 3, Number of Local Communications Plan I.21 completing 47 in total. implemented by key stakeholders The Municipalities of Huaquillas ( El ECUADOR 10 0 3 7 5 8 80% Oro Province) and Jama (Manabí Province) had less participation in Goal achieved % of communities (localities) that recognize the role PERU 60% 0 89,83% 60,00% 90,00% 90,00% 135,00% I.22 of key stakeholders (community organizations, local governments and health services) ECUADOR 60% 29,24% 17% 60% 79% 41,87% 70%
Goal achieved and scaling indicator. PERU 300 0 98 300 390 488 135,00% 5 additional kits were delivered Number of communication kit to promote Goal achieved.The goal was exceeded I.23 prevention and control of Zika delivered to by the participation of university community health workers ECUADOR 260 0 260 500 500 153,85 students as Community Monitors. In total 760 kits were delivered
Goal achieved % of women of reproductive age and pregnant PERU 80% 50% 94,33% 80,00% 95,78% 95,78% 119,73% I.24 women informed on prevention and control of Zika. ECUADOR 80% New 81% 80% 76% 78,50% 98% Goal achieved Goal achieved +L54KAP 2019, evidenced an increase PERU 60% 54% 86,11% 70,00% 93,08% 93,08% 135,00% of this indicator by 8% compared to year 2 of the project. Total increase % of women of reproductive age and pregnant 39% I.25 women who increased awareness/knowledge on KAP 2019, evidenced an increase of prevention and control against Zika infection. this indicator by 7% in Y3 compared to ECUADOR 70% 64% 82% 10% 89% 70,00% 56% year 2. Total increase25%, This data represents 56% in relation to the baseline and the target
Goal achieved % of women of reproductive age and pregnant PERU 60% 54% 17,89% 60,00% 73,05% 73,05% 121,75% I.26 women, who apply better practices in prevention The absence of cases affected a lower and care-giving against Zika ECUADOR 60% New 48% 60% 58,40% 58,40% 97,33% perception of risk and practices
% of adolescents who increased their PERU 70% New 76,35% 70,00% 18,94% 18,94% 27,06% I.27 awareness/knowledge on prevention and control Goal achieved against zika infection. ECUADOR 70% New 28% 70% 70% 70,00% 101%
Goal achieved % of adolescents who knows prevention practices PERU 80% 60% 82,50% 80,00% 98,13% 98,13% 122,66% I.28 against Zika infection. ECUADOR 80% New 45% 80% 56% 51% 63% Goal achieved KAP 2019, evidence increase in year 3 % of adolescents who apply better practices in PERU 60% 40,49% 76,88% 60,00% 95,00% 95,00% 135,00% I.29 in relation to year 2 of the project, prevention and care-giving against Zika 24% ECUADOR 60% New 28% 60% 46% 37% 62% USAID.GOV USAID ANNUAL PROGRESS REPORT | LII Result .5.- Extend the strategies and protocols developed and applied locally to other areas of the country.
% of Cumulative Indicator Y1 Progress Y2 Progress Planned Y3 Y3 Progress completion of Indicators PAIS Goal progress Comments Number Achieved Achieved Target Achieved total project achieved goal Goal achieved and scaling indicator Number of local governments (municipalities) in PERU 20 15 6 20 19 19 95,00% selected areas trained in annual budgeting I.30 The lack of competencies in health of processes to allow for planning and budgeting ECUADOR 10 5 4 6 6 7 70% the Municipalities makes it difficult to against Zika (Peru) plan prevention actions
% of local governments (municipalities) in selected Goal achieved and scaling indicator PERU 80% 80% 16,67% 80% 79% 79 98,75% I.31 areas that include planning for Zika prevention . actions and control as part of annual budget. (Peru) ECUADOR NA NA NA NA NA NA NA % of local governments in selected areas implementing joint inter-sector coordination and PERU 90% 62% 56% 90% 54% 54% 60,00% I.33 planning of Zika prevention and control, involving other stakeholders and communities ECUADOR 90% 40% 30% 90% 70% 70% 78% Goal achieved and scaling indicator Number of activities implemented to achieve PERU 6 1 4 6 6 11 135,00% I.34 mutual learning, experience exchanges, results and Goal achieved and scaling indicator recommendations discussion, etc. ECUADOR 6 2 4 4 4 10 167%
Goal achieved PERU 3 1 2 1 1 4 133,33% The Project Closing event was held.
Goal achieved and scaling indicator In addition to what was reported, 9 ECUADOR 3 1 2 2 2 5 167% local workshops were held for sustainability at the local level Goal achieved PERU 3 1 1 1 1 3 100,00% Binational Meeting of Mayors of Peru and Ecuador Number of exchange and learning meeting held at Goal achieved and scaling indicator I.35 ECUADOR 3 1 2 1 1 4 133% local, national, bin/national and international levels National Meeting of Community PERU 1 1 1 1 1 1 100,00% Monitors Goal achieved and scaling indicator International workshop “Community Mobilization in response to health ECUADOR 1 Y3 Y3 1 1 1 100% emergencies and epidemics: learning from the fight against Zika” Binational Meeting of Community Monitors
Goal achieved PERU 1 Y3 Y3 1 1 1 100,00% Number of recommendations for the Document with 12 recommendations formulation of policies for the control and proposed by various specialists. I.36 prevention of Zika and related topics, for: Document of good practices, lessons local government, regional government learned and recommendations ECUADOR 1 Y3 Y3 1 1 1 100% and national government elaborated from the experiences of the projects supported by USAID. LIII | USAID ZIKA ANNUAL REPORT USAID.GOV ANNEX II SUCCESS STORIES
ECUADOR
Enma Vera:
Prevention saves lives
Enma Vera was born in the Atahualpa community, Pedernales canton; she has four children, the youngest boy is five, and her oldest daughter is eighteen. “She always goes with me to the workshops, and I like that because that way she learns new things”, said Enma.
She has lived in the city of Pedernales for 15 years. One year ago, she moved into Nuevo Amanecer neighborhood, one of the 43 communities in which the project “Together against Zika” is carried out. There, local people participate in Zika related control and prevention activities.
With an inquisitive look, Enma tells us that most people in Pedernales do not participate nor get involved in community activities. For her, this happens because many people come from other places, and do not feel part of the city. "It’s like they always think about returning to where they were born, that's why I'm glad that in my neighborhood people do participate when we invite them to mingas2" she said.
Enma is one of the 448 people who, over the three years of project execution, have received training on matters related to the control and Enma (top left) participating in the closing event prevention of Zika. She participated in some of of the Project. Pedernales, July 2019. the 38 training events that took place in Pedernales, which also invited community volunteers, technicians from private institutions and from health, social inclusion and municipality services, and teachers.
“I have participated in workshops that taught us how to identify the mosquito, and how to avoid its reproduction by correctly cleaning water tanks: washing, brushing, and properly capping them. The
2 Unpaid collaborative work.
USAID.GOV USAID ANNUAL PROGRESS REPORT | LIV workshops took place in my neighborhood or in the city, and I even went to a workshop in Portoviejo”, she told us.
Enma always shares with her family everything that she learns, so that they gather knowledge that can apply to their lives, and can pass on that knowledge to other people. Enma told us that she and her children are “always watchful that everyone brushes and covers the tanks. When any of us forget to do so, the others remind him or her, especially my eldest daughter, who stays in charge of the house when I go out”.
Lastly, Enma told us "I am sure that if my family puts into practice everything that we have learned to avoid mosquito breeding, and to take care of our health, our neighbors will do the same”.
LV | USAID ZIKA ANNUAL REPORT USAID.GOV
PERU
A SUMMER WITHOUT ZIKARIO3
Catacaos-Piura is rightfully also known as the Heroic Village, because of its long history of struggles at different points in time; in fact, in 2017 its inhabitants faced challenge when the Piura River flooded, but once again demonstrated their strength. Nevertheless, such harsh environment has also created opportunities of improvement for its inhabitants, such as the project Together against Zika, which helped to strengthen local capabilities to cope with the Zika outbreak in the Piura Region. Especially in Catacaos, the project contributed to improving social change for the prevention of Zika.
At the beginning of 2019, and after a year of working intensely with teachers to incorporate Zika prevention in the school curriculum, the project promoted the vacation course called “A summer without Zikario”, aimed at middle and high school students from the prioritized towns. Catherine Muñoz A., who is part of the project as facilitator of performing arts and responsible for Health Promotion of the Catacaos Health Center, says that inviting students to take part in the course was not easy, because the vacations had already begun. She contacted Jose Jacobo Cruz Villegas High School’s principal, who invited fifth-year high school students, however, there was no good response either; so he opted for second year high school students, who were the most interested.
Rafael Sime, professional actor and author of the play "Don Zikario is not from this Neighborhood", led the vacation course. Jireh Dayana Adanaque Chero, one of the actors, said that the tools used by Rafael to break the ice and lose stage fright impressed her.
“Don Zikario is not from this Neighborhood,” tells the story of an Aedes aegypti mosquito and its two henchmen, who settle in a neighborhood where families do not cap their water containers properly. The play follows some funny scenes, until a pregnant woman contracts Zika and people protest, Don Zikario and his friends then go to trial and are convicted. The play has been presented successfully on nine occasions, in schools, in a higher learning institute, in a public park, and in the city of Lima, during the award ceremony
3 Sicario in Spanish means Hitman in English; thus, Zicario is a play on words that alludes to the Zika virus.
USAID.GOV USAID ANNUAL PROGRESS REPORT | LVI of the III Edition of the Zika Prevention and Control Good Practices Prize. For these students from low- income families, taking a plane for the first time, from the city of Piura to Lima, was an important event.
Jireh Dayana, who plays “Chana”, a well-informed teenager on Zika prevention, says that the most important thing that she learned from the play has been “being able to reach people with a more entertaining message, raise awareness through a very funny story, … we conveyed the message through jokes, and funny situations, and because of that, people listened to us and took the recommendations that we give them throughout the play, such as properly capping the tanks, using mosquito nets and repellents, among others. ” Catherine Muñoz A. says that, unlike with other type of campaigns, the public did not lose attention during the play.
Other teenagers now want to follow in the footsteps of the community monitor and their eight classmates that appeared in the play; In this regard, Jireh says she feels admired by her peers. Meanwhile, Catherine Muñoz hopes to continue using theater as a means to promote healthy practices and generate behavioral change in the population of Catacaos.
LVII | USAID ZIKA ANNUAL REPORT USAID.GOV ANNEX III TRAINING REPORT ECUADOR Y1 Annex III Training Report ECUADOR Total Training # of Curriculum (Full Name) Training Dates F M Individuals (Abbreviated name) days Trained Vector control Training and vector control activities 5 March 6, 2017 8 16 24 Vector control Training and vector control activities 1 March 15, 2017 5 5 10 Vector control Training and vector control activities 1 March 15, 2017 5 2 7 Vector control Training and vector control activities 1 March 16, 2017 2 5 7 Vector control Training and vector control activities 1 March 22, 2017 0 3 3 Vector control Training and vector control activities 1 March 23, 2017 1 7 8 Vector control Training and vector control activities 2 March 24, 2017 2 2 4 Vector control Training and vector control activities 1 March 28, 2017 3 2 5 Vector control Training and vector control activities 1 March 31, 2017 1 3 4 Vector control Training and vector control activities 1 April 6, 2017 2 2 4 Vector control Training and vector control activities 1 April 12, 2017 2 2 4 Vector control Training and vector control activities 1 April 20, 2017 4 6 10 Vector control Training and vector control activities 1 April 21, 2017 0 5 5 Vector control Training and vector control activities 1 May 3, 2017 1 5 6 Vector control Training and vector control activities 1 May 3, 2017 0 4 4 Vector control Training and vector control activities 1 May 11, 2017 2 1 3 Vector control Training and vector control activities 1 May 12, 2017 6 6 12 Vector control Training and vector control activities 1 May 12, 2017 4 8 12 Vector control Training and vector control activities 1 May 23, 2017 3 4 7 Vector control Training and vector control activities 1 May 23, 2017 5 6 11 Vector control Training and vector control activities 1 May 24, 2017 1 4 5 Vector control Training and vector control activities 1 May 25, 2017 4 4 8 Vector control Training and vector control activities 4 May 28, 2017 4 4 8 Vector control Training and vector control activities 1 May 29, 2017 5 1 6 Vector control Training and vector control activities 1 May 30, 2017 3 1 4 Vector control Training and vector control activities 1 June 6, 2017 8 4 12 Vector control Training and vector control activities 1 June 7, 2017 18 1 19 Vector control Training and vector control activities 1 June 15, 2017 22 15 37 Vector control Training and vector control activities 1 June 16, 2017 41 10 51 Vector control Training and vector control activities 1 June 16, 2017 41 13 54 Vector control Training and vector control activities 1 June 16, 2017 12 6 18 Vector control Training and vector control activities 1 June 23, 2017 10 9 19 Vector control Training and vector control activities 1 June 23, 2017 10 0 10 Vector control Training and vector control activities 1 July 5, 2017 2 6 8 Vector control Training and vector control activities 1 July 13, 2017 27 6 33 Vector control Training and vector control activities 1 July 19, 2017 18 6 24 Vector control Training and vector control activities 1 July 21, 2017 38 14 52 Vector control Training and vector control activities 1 July 28, 2017 0 11 11 Zika prevention and Communication strategy implementation 1 August 1, 2017 0 11 11 control Vector control Training and vector control activities 2 August 3, 2017 11 8 19 Vector control Training and vector control activities 1 August 4, 2017 0 18 18 Vector control Training and vector control activities 1 August 7, 2017 39 28 67 Zika prevention and Communication strategy implementation 1 August 8, 2017 6 3 9 control
USAID.GOV USAID ANNUAL PROGRESS REPORT | LVIII Annex III Training Report ECUADOR # of Total Training Curriculum (Full Name) days Training Dates F M Individuals (Abbreviated name) Trained Zika prevention Talks on how to prevent Zika 1 October 4, 2018 81 52 133 Vector control Training to strengthen capacities in detection and destruction of 4 November 15, 2018 18 17 35 hatcheries, aimed at health personnel linked to vector control. Zika prevention Development of Module 4: Health Education 1 November 16, 2018 13 12 25 Zika prevention and control Galileo Galiley School Students Training 1 November 22, 2018 294 369 663 Community-Based Surveillance Training of ULEAM students, for work with adolescents of basic and high 2 November 23, 2018 17 17 34 System (CBSS) school education on Zika prevention, health and personal care. Zika prevention and control MIES events in Family Schools - Protect a lifetime without violence, and 1 November 23, 2018 298 7 305 awareness talks on Zika prevention and control. Sexuality and prevention of Zika Gender, sexual and reproductive rights and prevention of sexual 1 November 28, 2018 63 1 64 risks violence. Zika prevention in adolescents Workshop addressed to adolescent men and women on Zika prevention. 1 November 30, 2018 93 100 193
Zika prevention Wokrshopadressed to children on Zika prevention. 1 November 30, 2018 21 24 45 Zika prevention in adolescents Workshop addressed to adolescent men and women on Zika prevention. 1 November 30, 2018 69 69 138
Zika prevention Workshop adressed to children on Zika prevention. 1 November 30, 2018 65 67 132 Zika prevention in adolescents Workshop addressed to adolescent men and women on Zika prevention. 1 November 30, 2018 185 199 384
Zika prevention planning Identification of major threats and vulnerabilities aiming to develop 1 December 2, 2018 17 3 20 community Zika prevention plans. Zika prevention in adolescents Conference on prevention of Zika sexual transmission and elimination of 1 December 3, 2018 27 31 58 vector hatcheries, aimed at adolescents Zika prevention and control Workshop addressed to adolescent men and women on Zika prevention. 1 December 4, 2018 29 43 72
Zika prevention and control Workshop addressed to adolescent men and women on Zika prevention. 1 December 4, 2018 183 235 418
Zika prevention Health and Zika prevention. 1 December 4, 2018 227 154 381 Zika prevention and control Workshop addressed to adolescent men and women on Zika prevention. 1 December 5, 2018 55 38 93
Zika prevention in adolescents Educational Day on Zika sexual transmission and hatcheries elimination 1 December 5, 2018 15 9 24 aimed at adolescents and teachers of the Antoine School, Pedernales. Community-Based Surveillance Training for community surveillance volunteers. 1 December 6, 2018 16 9 25 System (CBSS) Zika prevention planning Development of community plans for Zika prevention and control, with a 1 December 9, 2018 24 5 29 disaster risk reduction approach. Community-Based Surveillance Training of the Muisne community epidemiological surveillance project's 1 December 12, 2018 21 7 28 System (CBSS) volunteers. Zika prevention Zika prevention educational and recreational day. 1 December 13, 2018 77 81 158 Sexuality and prevention of Zika Zika virus prevention and responsible sexuality. 1 December 15, 2018 40 17 57 risks Safe water and Zika prevention Strengthening of Jama-Pedernales Drinking Water Boards and the 1 December 18, 2018 25 46 71 promotion of actions aimed at Zika prevention, control and surveillance.
Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 1, 2019 25 32 57 students of Eloy Alfaro District's schools. Zika prevention Workshop on health, personal care and Zika prevention. 1 January 3, 2019 9 7 16 Zika prevention Workshopon health, personal care and Zika prevention. 6 January 4, 2019 216 246 462 Sexuality and prevention of Zika Training on health, personal care, and Zika prevention, addressed to 1 January 6, 2019 51 45 96 risks students of Eloy Alfaro District's schools. Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 6, 2019 26 31 57 students of Eloy Alfaro District's schools. Zika prevention and control Replication of awareness talk on preventing Zika virus, in Picoaza School. 1 January 7, 2019 41 47 88
LIX | USAID ZIKA ANNUAL REPORT USAID.GOV Total Training # of Curriculum (Full Name) Training Dates F M Individuals (Abbreviated name) days Trained Vector control Training and vector control activities 1 August 8, 2017 16 12 28 Zika prevention and Communication strategy implementation 1 August 9, 2017 7 9 16 control Vector control Training and vector control activities 1 August 9, 2017 4 2 6 Vector control Training and vector control activities 1 August 9, 2017 8 16 24 Zika prevention and Communication strategy implementation 1 August 10, 2017 86 0 86 control Vector control Training and vector control activities 1 August 10, 2017 7 1 8 Vector control Training and vector control activities 1 August 10, 2017 11 6 17 Vector control Training and vector control activities 1 August 11, 2017 17 37 54 Vector control Training and vector control activities 1 August 13, 2017 18 12 30 Vector control Training and vector control activities 1 August 14, 2017 18 13 31 Vector control Training and vector control activities 1 August 15, 2017 24 35 59 Vector control Training and vector control activities 1 August 15, 2017 135 122 257 Vector control Training and vector control activities 1 August 17, 2017 14 12 26 Vector control Training and vector control activities 1 August 18, 2017 47 20 67 Vector control Training and vector control activities 1 August 18, 2017 21 7 28 Vector control Training and vector control activities 1 August 19, 2017 42 26 68 Vector control Training and vector control activities 1 August 20, 2017 35 21 56 Vector control Training and vector control activities 1 August 21, 2017 26 9 35 Vector control Training and vector control activities 2 August 22, 2017 52 5 57 Vector control Training and vector control activities 1 August 26, 2017 102 37 139 Vector control Training and vector control activities 1 September 11, 2017 2 2 4 Vector control Training and vector control activities 1 September 13, 2017 38 33 71 Vector control Training and vector control activities 1 September 13, 2017 57 43 100 Vector control Training and vector control activities 1 September 13, 2017 40 64 104 Vector control Training and vector control activities 1 September 13, 2017 57 52 109 Vector control Training and vector control activities 1 September 13, 2017 40 38 78 Vector control Training and vector control activities 1 September 13, 2017 60 50 110 Vector control Training and vector control activities 1 September 13, 2017 46 61 107 Vector control Training and vector control activities 1 September 13, 2017 24 24 48 Vector control Training and vector control activities 1 September 13, 2017 22 21 43 Vector control Training and vector control activities 1 September 13, 2017 1 4 5 Zika prevention and Political Escalation 1 September 13, 2017 4 5 9 control Vector control Training and vector control activities 1 September 14, 2017 34 28 62 Vector control Training and vector control activities 1 September 14, 2017 45 48 93 Vector control Training and vector control activities 1 September 14, 2017 80 53 133 Vector control Training and vector control activities 1 September 15, 2017 18 8 26 Vector control Training and vector control activities 1 September 15, 2017 15 6 21 Vector control Training and vector control activities 1 September 15, 2017 41 46 87 Vector control Training and vector control activities 1 September 15, 2017 48 41 89 Vector control Training and vector control activities 1 September 15, 2017 45 60 105 Vector control Training and vector control activities 1 September 15, 2017 47 55 102 Vector control Training and vector control activities 1 September 15, 2017 28 37 65 Vector control Training and vector control activities 1 September 15, 2017 53 59 112 Vector control Training and vector control activities 1 September 15, 2017 52 50 102 Vector control Training and vector control activities 1 September 15, 2017 17 8 25 USAID.GOVVector control Training and vector control activities 1 USAIDSeptember ANNUAL 15, 2017PROGRESS 18REPORT 7 | LX 25
Total Training # of Curriculum (Full Name) Training Dates F M Individuals (Abbreviated name) days Trained Vector control Training and vector control activities 1 September 16, 2017 15 7 22 Vector control Training and vector control activities 1 September 21, 2017 51 18 69 Vector control Training and vector control activities 1 September 22, 2017 29 15 44 Vector control Training and vector control activities 1 September 26, 2017 7 0 7 Vector control Training and vector control activities 1 September 26, 2017 83 115 198 Vector control Training and vector control activities 1 September 26, 2017 36 37 73 Vector control Training and vector control activities 1 September 28, 2017 31 19 50 Vector control Training and vector control activities 1 September 28, 2017 10 4 14 Vector control Training and vector control activities 1 September 29, 2017 22 24 46 TOTAL ECUADOR 2282 1821 4103
LXI | USAID ZIKA ANNUAL REPORT USAID.GOV ECUADOR Y2 Annex III Training Report ECUADOR # of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Training in clinical and epidemiological management, actions of surveillance and 1 October 13, 2017 Clinical and Epidemiological prevention of Zika virus infection and its complications. Local health personnel, rural 35 27 62 manegement of Zika Training in epidemiological and clinical management of Zika infection and its 1 October 19, 2017 complications. Muisne
Prevention and control of Zika, aimed at community leaders who support health units at Zika Prevention 1 October 20, 2017 53 45 98 work with priority groups. Muisne Methodologies for Working Training to promote the use of innovative methodologies to work with children oriented 1 November 6, 2017 20 15 35 with Children to the prevention of Zika, aimed at teachers in the Educational Institution "20 de Marzo". Healthy Municipalities and Training aimed at health officials, municipalities and academies to promote advocacy 1 November 7, 2017 94 70 164 Zika Prevention strategies in the articulation of intersectoral actions that contribute to the prevention of
Counseling on Risks for Training on counseling protocols on the Zika risk in pregnant women in health centers 1 November 15, 2017 13 6 19 Pregnant Women and "CNH". Communities of Arenillas
Innovative Methodologies for Training with innovative educommunicative methodologies to work with adolescents 1 November 21, 2017 52 27 79 Working with Teenagers directed to officials of the MoH and municipality. Huaquillas Training: strengthening of the capacities of local governments to influence the articulation Zika prevention plans 1 November 21, 2017 43 37 80 of intersectoral actions to prevention of Zika. Huaquillas Risks and Complications of Training in Zika risks and complications in pregnant women. Health network of district 1 November 22, 2017 32 27 59 Zika in Pregnant Women 13D11 San Vicente-Sucre, H. Alcivar hospital and rural social segurity. Sucre Clinical and Epidemiological Training in clinical epidemiological and management: integral actions of surveillance and 1 November 23, 2017 113 55 168 manegement of Zika prevention of Zika virus infection and its complications. Health district 13D11. Sucre Vector Control and Training to officials of the MoH on the best practices for the integral vectr control and 1 November 24, 2017 15 18 33 Prevention Practices health promotion at community level in the cantons of Sucre and San Vicente. Sucre Vector Control and Training of reproductive age people to promote activities of control and elimination of 1 November 28, 2017 76 37 113 Prevention Practices mosquito breeding sites as a good practice for the prevention of Zika. San Vicente Sexuality and Zika Risks Training directed to pregnant and reproductive age women on responsible sexuality, 1 December 1, 2017 49 11 60 Prevention prevention and risk of Zika. Sucre Methodologies for Working Training in education tools for teachers of basic education, directed to incentivize 1 December 4, 2017 21 9 30 with Children children to be protagonists in prevention of Zika. Sucre Innovative Methodologies for Training with innovative educommunicative methodology for the Zika prevention aimed 1 December 5, 2017 26 20 46 Working with Teenagers at teachers of the education circuit 13 D11 San Isidro. Sucre Risks and Complications of Training to improve knowledge and understanding of the main risks of Zika especially 1 December 5, 2017 14 7 21 Zika in Pregnant Women microcephaly in newborn children, directed to the school of citizen participation. Sucre
Training workshop for journalists media: The role of communicators in the prevention of Social Communicators Rol 1 December 6, 2017 7 8 15 Zika Innovative Methodologies for Validation workshop of the innovative methodologies guide for the prevention of Zika 1 December 14, 2017 24 26 50 Zika prevention Innovative Methodologies for Replica of the Training with innovative methodologies for the prevention of Zika, aimed 1 December 15, 2017 102 105 207 Zika prevention at adolescents. Fiscal education institution "25 de Mayo" Innovative Methodologies for Training of innovative methodologies for the prevention of Zika, aimed at adolescent 1 December 15, 2017 102 105 207 Zika prevention women and men of the "Guayaquil" and "Hugo Villacrés" educational units. Portoviejo
Training with innovative methodologies to work with adolescents in the prevention of Innovative Methodologies for Zika, health and personal care, vector control practices and prevention of Zika´s sexual 1 January 16, 2018 102 105 207 Zika prevention transmission. Portoviejo Innovative Methodologies for Training in healthcare and Zika prevention training, aimed at the population of 1 January 19, 2018 102 105 207 Zika prevention reproductive age of the Felipe Saul Morales educational community. Portoviejo
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXII
LXIII | USAID ZIKA ANNUAL REPORT USAID.GOV
# of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Training in vector control strategies and health care aimed at adolescents from Zika Prevention 1 April 23, 2018 42 33 75 educational units in Pedernales Training in strategies and practices for vector prevention and control with community Zika prevention and control 1 April 24, 2018 43 36 79 participation directed to the technicians of the Municipality. Training in the development of Zika prevention and control actions, promoting health Zika Prevention 1 April 27, 2018 16 16 32 and personal care Training for children and adolescents of "Tamarindo" to develop actions for the Zika prevention and control 1 April 28, 2018 16 16 32 prevention and control of Zika, recovering their own cultural manifestations. Portoviejo Healthy Municipalities and Training workshop in Healthy Municipalities, methodological transfers with 4 1 May 2, 2018 25 18 43 Zika Prevention municipalities from Manabi and 1 from Esmeraldas and Districts of Health Replica workshop with young people trained on sensitization and prevention of Zika Zika Prevention 1 May 8, 2018 34 24 58 risks. Pedernales Safe water and Zika Strengthening workshop directed to members of the "Juntas de Agua" in safe water 1 May 10, 2018 19 10 29 prevention management, Zika's Prevention and integral control of the vector. Pedernales Innovative Methodologies for Training workshop for local artists on innovative methodologies for working with 1 May 10, 2018 10 15 25 Zika prevention children. Pedernales Workshop for the development and implementation of preventive measures for integral Vector control 1 May 10, 2018 19 10 29 vector control of Zika at the community level directed at local health personnel. Jama Community Based Introductory workshop for young people on the community surveillance pilot 1 May 10, 2018 125 162 287 Surveillance System (CBSS) Innovative Methodologies for Workshop to validate the implementation of a training guide with pedagogical tools on 1 May 11, 2018 13 13 26 Zika prevention Zika vector prevention and control Community Based Training to volunteer community monitors of the community surveillance system. The 1 May 16, 2018 0 0 0 Surveillance System (CBSS) Piñonada. Portoviejo Manabí Community Based Training in vector characteristics, risks, control and prevention of Zika to teachers of the 1 2018-05-31 0 0 0 Surveillance System (CBSS) Leonidas Proaño school. Huaquillas Zika Prevention in Workshop in prevention of Zika, "Es mi deber" (it is my task) and the importance of a 1 June 2, 2018 26 32 58 adolescents responsible sexuality to prevent risk of Zika and unplanned pregnancies in adolescence. Zika Prevention in Zika Prevention Workshop aimed at parents of the "Antonio Elias Cedeño Jerves" School, 1 June 2, 2018 8 24 32 adolescents San Isidro. Sucre Zika prevention workshop for parents of the CDI of the "Santa Teresa" community in the Zika Prevention 1 June 5, 2018 1 14 15 "Charapoto" parish. Sucre Zika Prevention in Training workshop on Zika prevention and unplanned pregnancy in adolescents. 1 June 5, 2018 19 13 32 adolescents "Gonzalo Cordova" Educational Unit. Sucre
Zika Prevention Workshop on Prevention and risks of Zika. San Vicente 1 June 6, 2018 17 17 34
Zika Prevention in Training workshop on Zika prevention and unplanned pregnancy in adolescents. 1 June 13, 2018 25 17 42 adolescents "Gonzalo Cordova" Educational Unit. Sucre Risks and Complications of Workshop: sensitization and prevention of Zika virus and risk on pregnant and 1 June 15, 2018 20 27 47 Zika in Pregnant Women reproductive age women. To volunteers in risk management. Jama
Community Based Workshop and exchange experience between community monitors of Chamanga and 1 June 18, 2018 17 19 36 Surveillance System (CBSS) vector control brigades of district 08D03. Muisne Training in Clinical and epidemiological and management of the Zika virus in the manual Clinical and Epidemiological of "SIVE ALERTA", directed to rural professionals of health units. San Vicente. District 1 July 7, 2018 12 10 22 manegement of Zika 13D11 Training in Clinical and epidemiological management of the Zika virus in the manual of Clinical and Epidemiological "SIVE ALERTA" directed to rural professionals of health units. San Vicente. District 1 July 12, 2018 9 20 29 manegement of Zika 13D11 "Hablemos sobre el Zika, es algo serio" (Let's talk about Zika, it is something serious). Zika Prevention 1 July 13, 2018 32 53 85 Parents of the school "6 de Diciembre". San Isidro. Sucre Sexuality and Zika Risks Informative session about sexual and reproductive health and prevention of Zika, in the 1 July 23, 2018 4 8 12 Prevention educational unit Cesar Delgado Lucas. Portoviejo Training in Prevention and control of Zika, aimed at community leaders who support Zika prevention and control 1 July 27, 2018 0 0 0 health units Muisne
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXIV # of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Innovative Methodologies for Training in healthcare and Zika prevention training, aimed at staff of the 1 January 26, 2018 102 105 207 Zika prevention "DECE" department of the "Tiburcio Macias" Educational Unit, teachers Community Based Workshop to exchange knowledge and pilot practices of the community 1 January 26, 2018 45 40 85 Surveillance System (CBSS) based surveillance system against Zika Innovative Methodologies for Zika prevention workshop, aimed at the health volunteering community 1 January 28, 2018 34 31 65 Zika prevention of the Municipality of Portoviejo Innovative Methodologies for Workshop with educational units of "San Placido": to replicate 1 February 7, 2018 34 32 66 Zika prevention workshops of Zika prevention with innovative methodologies. Community Based Workshop to exchange experiences with community health volunteers 1 February 15, 2018 34 31 65 Surveillance System (CBSS) for the CBSS pilot, health authorities and other local actors. Huaquillas Innovative Methodologies for Innovative communication methodology workshop aimed at staff 1 February 16, 2018 15 17 32 Zika prevention working with adolescents of the Municipality, district of Health, and Masculinities and Zika Development of masculinity, sexuality and zika prevention workshop for 1 February 16, 2018 20 22 42 Prevention young people representing the youth leadership program. Portoviejo Safe water and Zika Strengthening workshop directed to members of the "Junta del Agua" 1 February 20, 2018 45 40 85 prevention on water safe issues, Zika's Prevention and vector control. Portoviejo Safe water and Zika Strengthening workshop directed to members of the "Junta del Agua" 1 February 23, 2018 13 15 28 prevention on water safe issues, Zika's Prevention and vector control. Portoviejo Innovative Methodologies for Workshop on methodology with educommunicative pedagogical tools 1 February 24, 2018 7 19 26 Zika prevention directed to health technicians, Municipality and community monitors. Safe water and Zika Strengthening workshop directed to members of the "Junta del Agua" 1 March 2, 2018 26 8 34 prevention on safe water issues, Zika's Prevention and integral vector control. Innovative Methodologies for Workshop of implementation of training guide with innovative 1 March 6, 2018 33 4 37 Zika prevention methodologies for Zika prevention Innovative Methodologies for Zika's Prevention workshop with innovative methodologies. Portoviejo 1 March 8, 2018 16 22 38 Zika prevention Training - validation of the guidance for counseling in homes and Zika Prevention 1 March 17, 2018 12 21 33 communities Training workshop - validation of the psychosocial support guide with Psychosocial support guide 1 March 17, 2018 3 5 8 health personnel of the assigned areas for the project in the health Training workshop - validation of the psychosocial support guide for Psychosocial support guide 1 March 21, 2018 1 5 6 pregnant women Zika Prevention Workshop aimed at young people in the "El Floron" Zika Prevention 1 March 23, 2018 54 45 99 sector. Portoviejo Training workshop of Zika prevention for adolescents in the parish Zika Prevention 1 March 26, 2018 44 32 76 "Andrés de Vera" . Porotviejo
Zika Prevention Workshop on Zika virus disease with neighborhood presidents 1 March 26, 2018 49 24 73
Innovative Methodologies for Training in innovative communication methodologies for the prevention 1 March 28, 2018 2 17 19 Zika prevention of Zika focused in territories with disaster risk, directed to teachers. Clinical and Epidemiological Training in clinical and epidemiological management of Zika infection 1 April 2, 2018 25 60 85 manegement of Zika and its complications, addressed to physicians of the health units in Risks and Complications of Training aimed at pregnant women on the risks of the Zika virus and 1 April 5, 2018 2 20 22 Zika in Pregnant Women prevention Innovative Methodologies for Training aimed at teachers of the Pedernales´s Educational Units, to 1 April 7, 2018 11 34 45 Zika prevention promote the use of innovative methodologies to work Zika prevention Training directed to young people of Jama on the risks of the Zika virus Zika Prevention 1 April 8, 2018 36 12 48 and prevention of sexual transmission. Jama Innovative Methodologies for Training aimed at teachers to promote the use of educational tools to 1 April 9, 2018 14 9 23 Zika prevention encourage children to be protagonists in the prevention of Zika. Innovative Methodologies for Training aimed at teachers to promote the use of tools and education 1 April 10, 2018 16 14 30 Zika prevention to encourage children to be protagonists in the prevention of Zika Clinical and Epidemiological Training workshop in clinical epidemiological and management integral 1 April 12, 2018 65 45 110 manegement of Zika actions of surveillance and prevention of Zika virus infection and its Safe water and Zika Training workshop on safe water, Zika's Prevention and integral vector 1 April 12, 2018 19 10 29 prevention control, aimed at members of the "Juntas de Agua" Clinical and Epidemiological Training workshop for local artists on innovative methodologies for 1 April 12, 2018 10 15 25 manegement of Zika working with children Water safe and Zika Safe water management and prevention of Zika and other diseases 1 April 17, 2018 5 6 11 pprevention caused by Aedes in the community of Mache. Jama Training for children and adolescents of "Tamarindo" to develop actions Zika prevention and control 1 April 17, 2018 16 16 32 for the prevention and control of Zika, recovering their own cultural Training in vector control strategies and health care aimed at Zika Prevention 1 April 19, 2018 42 33 0 adolescents from educational units in Pedernales
LXV | USAID ZIKA ANNUAL REPORT USAID.GOV # of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Training in vector control strategies and health care aimed at adolescents from Zika Prevention 1 April 23, 2018 42 33 75 educational units in Pedernales Training in strategies and practices for vector prevention and control with community Zika prevention and control 1 April 24, 2018 43 36 79 participation directed to the technicians of the Municipality. Training in the development of Zika prevention and control actions, promoting health Zika Prevention 1 April 27, 2018 16 16 32 and personal care Training for children and adolescents of "Tamarindo" to develop actions for the Zika prevention and control 1 April 28, 2018 16 16 32 prevention and control of Zika, recovering their own cultural manifestations. Portoviejo Healthy Municipalities and Training workshop in Healthy Municipalities, methodological transfers with 4 1 May 2, 2018 25 18 43 Zika Prevention municipalities from Manabi and 1 from Esmeraldas and Districts of Health Replica workshop with young people trained on sensitization and prevention of Zika Zika Prevention 1 May 8, 2018 34 24 58 risks. Pedernales Safe water and Zika Strengthening workshop directed to members of the "Juntas de Agua" in safe water 1 May 10, 2018 19 10 29 prevention management, Zika's Prevention and integral control of the vector. Pedernales Innovative Methodologies for Training workshop for local artists on innovative methodologies for working with 1 May 10, 2018 10 15 25 Zika prevention children. Pedernales Workshop for the development and implementation of preventive measures for integral Vector control 1 May 10, 2018 19 10 29 vector control of Zika at the community level directed at local health personnel. Jama Community Based Introductory workshop for young people on the community surveillance pilot 1 May 10, 2018 125 162 287 Surveillance System (CBSS) Innovative Methodologies for Workshop to validate the implementation of a training guide with pedagogical tools on 1 May 11, 2018 13 13 26 Zika prevention Zika vector prevention and control Community Based Training to volunteer community monitors of the community surveillance system. The 1 May 16, 2018 0 0 0 Surveillance System (CBSS) Piñonada. Portoviejo Manabí Community Based Training in vector characteristics, risks, control and prevention of Zika to teachers of the 1 2018-05-31 0 0 0 Surveillance System (CBSS) Leonidas Proaño school. Huaquillas Zika Prevention in Workshop in prevention of Zika, "Es mi deber" (it is my task) and the importance of a 1 June 2, 2018 26 32 58 adolescents responsible sexuality to prevent risk of Zika and unplanned pregnancies in adolescence. Zika Prevention in Zika Prevention Workshop aimed at parents of the "Antonio Elias Cedeño Jerves" School, 1 June 2, 2018 8 24 32 adolescents San Isidro. Sucre Zika prevention workshop for parents of the CDI of the "Santa Teresa" community in the Zika Prevention 1 June 5, 2018 1 14 15 "Charapoto" parish. Sucre Zika Prevention in Training workshop on Zika prevention and unplanned pregnancy in adolescents. 1 June 5, 2018 19 13 32 adolescents "Gonzalo Cordova" Educational Unit. Sucre
Zika Prevention Workshop on Prevention and risks of Zika. San Vicente 1 June 6, 2018 17 17 34
Zika Prevention in Training workshop on Zika prevention and unplanned pregnancy in adolescents. 1 June 13, 2018 25 17 42 adolescents "Gonzalo Cordova" Educational Unit. Sucre Risks and Complications of Workshop: sensitization and prevention of Zika virus and risk on pregnant and 1 June 15, 2018 20 27 47 Zika in Pregnant Women reproductive age women. To volunteers in risk management. Jama
Community Based Workshop and exchange experience between community monitors of Chamanga and 1 June 18, 2018 17 19 36 Surveillance System (CBSS) vector control brigades of district 08D03. Muisne Training in Clinical and epidemiological and management of the Zika virus in the manual Clinical and Epidemiological of "SIVE ALERTA", directed to rural professionals of health units. San Vicente. District 1 July 7, 2018 12 10 22 manegement of Zika 13D11 Training in Clinical and epidemiological management of the Zika virus in the manual of Clinical and Epidemiological "SIVE ALERTA" directed to rural professionals of health units. San Vicente. District 1 July 12, 2018 9 20 29 manegement of Zika 13D11 "Hablemos sobre el Zika, es algo serio" (Let's talk about Zika, it is something serious). Zika Prevention 1 July 13, 2018 32 53 85 Parents of the school "6 de Diciembre". San Isidro. Sucre Sexuality and Zika Risks Informative session about sexual and reproductive health and prevention of Zika, in the 1 July 23, 2018 4 8 12 Prevention educational unit Cesar Delgado Lucas. Portoviejo Training in Prevention and control of Zika, aimed at community leaders who support Zika prevention and control 1 July 27, 2018 0 0 0 health units Muisne
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXVI
# of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Clinical and Epidemiological Training in epidemiological clinical management of Zika infection and its complications. 1 August 4, 2018 13 12 25 manegement of Zika Muisne Risks and Complications of Training on the counseling manual of the risks of Zika in pregnant women with health 1 August 5, 2018 5 19 24 Zika in Pregnant Women centers and "CNH" directed to communities in Arenillas Innovative Methodologies for Replica, with young people, of the training in innovative methodologies. Pedernales 1 August 20, 2018 3 2 5 Zika prevention Community Based Workshop to inform and present progress of the pilot project and CBSS for vector 1 August 22, 2018 11 17 28 Surveillance System (CBSS) control aimed at neighborhood leaders (pilot phase). Muisne Training for adolescents in "Los Cerezos" Educational Unit for mural construction Zika prevention and control 1 September 28, 2018 20 12 32 processes. Portoviejo Vector Control and Training to local committees of Health on the best practices for the integral vector 1 September 20, 2018 87 20 107 Prevention Practices control at community level. Muisne
2.563 2.376 4.939 TOTAL ECUADOR
LXVII | USAID ZIKA ANNUAL REPORT USAID.GOV ECUADOR Y3 # of Total Training Curriculum (Full Name) days Training Dates F M Individuals (Abbreviated name) Trained Zika prevention and control Replication of awareness talk on preventing Zika virus, in Picoaza School. 1 January 7, 2019 27 35 62
Community-Based Surveillance Training of community surveillance volunteers on data collection at home 1 January 8, 2019 19 5 24 System (CBSS) visits. Zika prevention and control Training on Zika, aimed at students of the Paquisha School of the Eloy 1 January 8, 2019 61 72 133 Alfaro District. Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 8, 2019 32 18 50 students of Eloy Alfaro District's schools. Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 8, 2019 44 47 91 students of Eloy Alfaro District's schools. Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 9, 2019 125 124 249 students of Emilio Bowen School of Eloy Alfaro District. Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 9, 2019 29 28 57 students of El Progreso School of Eloy Alfaro District. Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 9, 2019 42 42 84 students of Jacobo Vera School of Eloy Alfaro District. Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 9, 2019 38 52 90 students of Medardo Mora Sierra School of Eloy Alfaro District. Sexuality and prevention of Zika Zika virus and gender violence prevention. 1 January 14, 2019 19 6 25 risks Zika prevention Workshop on heath, personal care and Zika prevention. 1 January 15, 2019 19 12 31 Risk counseling for pregnant Zika: prevention, transmission, clinical manifestations, treatments, and 1 January 15, 2019 41 26 67 women Zika and pregnancy Sexuality and prevention of Zika Capacity building workshop for the Simon Palacios Foundation 1 January 15, 2019 9 2 11 risks technicians' team, for work with families in gender violence prevention and Zika prevention. Zika prevention Workshop on heath, personal care and Zika prevention. 1 January 15, 2019 47 37 84 Community-Based Surveillance Training on Community Surveillance System 1 January 16, 2019 46 27 73 System (CBSS) Sexuality and prevention of Zika Training for students of the Camilo Gallegos school in Zika prevention, 1 January 16, 2019 11 11 22 risks sexual contagion and congenital syndrome. Sexuality and prevention of Zika Training in Zika prevention, sexual contagion and congenital syndrome. 1 January 17, 2019 16 24 40 Zika prevention Capacity building workshop for MIES' Zika prevention technical team. 1 January 17, 2019 41 6 47 Community-Based Surveillance Training on community surveillance system, workshop with volunteers of 1 January 17, 2019 29 5 34 System (CBSS) GAD Portoviejo. Zika prevention planning Zika Prevention's Community Plan Development. 1 January 17, 2019 8 10 18 Community-Based Surveillance Training on community surveillance system, workshop with volunteers of 1 January 18, 2019 63 8 71 System (CBSS) GAD Portoviejo. Zika prevention and control Workshop with members of health committees on Zika virus control and 1 January 18, 2019 15 11 26 prevention. Zika prevention and control Training on health, personal care, and Zika prevention, addressed to 1 January 18, 2019 85 59 144 students of Eloy Alfaro District's schools. Community-Based Surveillance Training on Community Surveillance System 1 January 19, 2019 15 13 28 System (CBSS) Zika prevention planning Zika prevention community plan development. 1 January 19, 2019 16 4 20 Zika prevention Capacity building of MIES technical team, to work with families of MIES 1 January 22, 2019 54 9 63 services, Part # 1. Zika prevention Capacity building of MIES technical team, to work with families of MIES 1 January 22, 2019 51 12 63 services, Part # 2. Zika prevention Capacity building workshop for MIES' Zika prevention technical team. 1 January 22, 2019 66 0 66 Zika prevention Talk on heath, personal care, and Zika prevention. 1 January 23, 2019 86 69 155 Healthy municipalities and Zika Evaluation of indicators of GAD Las Lajas, for Health Promotion 1 January 23, 2019 9 12 21 prevention Certification. Zika prevention Workshop on heath, personal care, and Zika prevention. 1 January 24, 2019 32 36 68 Zika prevention Workshop on heath, personal care, and Zika prevention. 1 January 25, 2019 323 230 553 Zika prevention Workshop on heath, personal care, and Zika prevention. 1 January 25, 2019 70 70 140 Zika prevention Workshop on heath, personal care, and Zika prevention. 1 January 25, 2019 20 18 38 Zika prevention Workshop on heath, personal care, and Zika prevention. 1 January 25, 2019 226 163 389 Social Communicators' Role Preparation, with key actors, of the local communication plan. 1 January 29, 2019 20 14 34
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXVIII # of Total Training Curriculum (Full Name) days Training Dates F M Individuals (Abbreviated name) Trained Community-Based Surveillance Training for students of the University of Machala in epidemiological 1 January 29, 2019 87 34 121 System (CBSS) surveillance, Huaquillas. Zika prevention planning Development of strategies to implement community plans for Zika 1 January 29, 2019 6 8 14 prevention. Sexuality and prevention of Zika Awareness and prevention workshop on Zika virus risks and women 1 January 30, 2019 38 0 38 risks sexual transmission. Zika prevention planning Zika prevention community plan development. 1 January 30, 2019 18 2 20 Zika prevention planning Development of community plans for Zika prevention and control, with a 1 January 30, 2019 11 13 24 disaster risk reduction approach. Zika prevention planning Awareness and prevention workshop on Zika virus risks and women 1 February 1, 2019 16 10 26 sexual transmission. Bigua Community. Sexuality and prevention of Zika Workshop on prevention of Zika virus sexual transmission and pregnant 1 February 1, 2019 34 0 34 risks women self-care. Sexuality and prevention of Zika Workshop on prevention of Zika virus sexual transmission and pregnant 1 February 1, 2019 25 0 25 risks women self-care. Zika prevention planning Vector control community plan development. 1 February 4, 2019 22 7 29 Zika prevention planning Development of community plans for Zika prevention and control, with a 1 February 8, 2019 13 7 20 disaster risk reduction approach. Las Tecas (Coaque) community. Masculinities and Zika New Masculinities, sexual violence, and Zika risks. 1 February 8, 2019 27 9 36 Prevention Sexuality and prevention of Zika Eradication and prevention of sexual violence. Workshopon Zika 1 February 11, 2019 42 29 71 risks prevention. Zika prevention Capacity building, development and implementation of workshops for 1 February 11, 2019 16 2 18 Zika prevention. Zika prevention planning Workshop on developing community plans for Zika prevention. 1 February 15, 2019 8 0 8 Zika prevention and control Training day on Zika prevention and elimination of mosquito breeding 1 February 15, 2019 10 0 10 sites. Sexuality and prevention of Zika Prevention of risks of Zika infection and sexual transmission. 1 February 16, 2019 29 4 33 risks Sexuality and prevention of Zika Zika sexual transmission prevention. 1 February 19, 2019 19 0 19 risks Masculinities and Zika New Masculinities, sexual violence, and Zika risks. 1 February 19, 2019 47 27 74 Prevention Masculinities and Zika New Masculinities, sexual violence, and Zika risks. 1 February 20, 2019 19 1 20 Prevention Healthy municipalities and Zika Process for certification as a Health Promotion Municipality, GAD Sucre 1 February 22, 2019 13 13 26 prevention and San Vicente. Sexuality and prevention of Zika Workshops on risks, transmission vector and prevention of Zika sexual 1 February 22, 2019 18 1 19 risks transmission. Addressed to ESIKA Entrepreneurs. Sexuality and prevention of Zika Zika prevention and prevention of sexual transmission of the virus. 1 February 23, 2019 18 1 19 risks Sexuality and prevention of Zika Risk prevention of the Zika transmitter and sexual transmission vector. 1 February 23, 2019 15 7 22 risks Social Communicators' Role Workshop to prepare the Communication Plan. Portoviejo. 1 February 23, 2019 19 15 34 Social Communicators' Role Workshop to prepare the Communication Plan. Manta. 1 February 25, 2019 7 4 11 Zika prevention Meeting to socialize Zika prevention actions and strategies, Muisne 1 February 25, 2019 27 28 55 Canton, in coordination with MoH. Zika prevention planning Workshop on the development of community plans for Zika prevention 1 February 28, 2019 8 1 9 and control. Zika prevention planning Workshop to build the community plan in the Crucita community. 1 March 6, 2019 48 26 74 Sexuality and prevention of Zika Exhibition: Women's Rights Violence and Resilience for Gender Violence. 1 March 8, 2019 18 4 22 risks Zika prevention and control Participation, Mobilization and Community Empowerment in Health. 1 March 14, 2019 36 18 54 BPLAED CARE- ZIKA. Community-Based Surveillance Training on community work for Zika prevention, aimed at health 2 March 14, 2019 33 19 52 System (CBSS) promoters of the Muisne canton. Sexuality and prevention of Zika Workshop on Zika Prevention, sexual health care, proper use of the 1 March 18, 2019 67 61 128 risks condom as a method of prevention of sexual transmission of the Zika virus, Sucre Canton.
LXIX | USAID ZIKA ANNUAL REPORT USAID.GOV # of Total Training Curriculum (Full Name) days Training Dates F M Individuals (Abbreviated name) Trained Zika prevention and control Information day on the Zika virus, aimed at families of the summer school 1 March 18, 2019 47 41 88 program. El Florón sector. Sexuality and prevention of Zika Prevention of Zika, and use of the condom as a barrier method to 1 March 19, 2019 18 1 19 risks prevent the Zika virus through sexual transmission, aimed at women of childbearing-age. Sucre canton.B134 Sexuality and prevention of Zika Intersectorial Working Group Meeting, to Prevent Gender-Based 1 March 19, 2019 15 13 28 risks Violence, Huaquillas. Zika prevention planning Workshop to build the community plan in the El Guayabo community. 1 March 19, 2019 12 0 12 Zika prevention and control Zika workshop with children's sports activities, in the Muisne canton. 1 March 20, 2019 6 58 64 Safe water and Zika prevention Sexual transmission of the Zika virus and awareness of the conservation 1 March 21, 2019 16 29 45 of water sources, in San Isidro of the Sucre canton. Safe water and Zika prevention Sexual transmission of the Zika virus and awareness of the conservation 1 March 21, 2019 20 26 46 of water sources, aimed at several communities in the Sucre canton.
Safe water and Zika prevention Sexual transmission of the Zika virus and awareness of the conservation 1 March 22, 2019 45 30 75 of water sources, carried out in the community of San Agustín of the Zika prevention planning Plan Comunitario para la prevención del Zika, Hualtaco- Huaquillas 1 March 26, 2019 4 6 10 Zika prevention planning Preparation of the Community Plan for the Prevention of Zika, San 1 March 26, 2019 40 13 53 Vicente-Arenillas. Zika prevention planning Preparation of the Community Plan for the Prevention of Zika, Las Lajas. 1 March 27, 2019 14 4 18
Zika prevention planning Workshop to build the community plan in the community of Colon. 1 March 28, 2019 14 4 18 Zika prevention planning Community planning. 1 March 29, 2019 8 3 11 Zika risks and complications in Training Day in personal care health, Zika virus prevention and hatchery 1 March 29, 2019 20 10 30 pregnant women elimination, aimed at women of reproductive age and pregnant women in the Cuba Libre health operating unit. Community-Based Surveillance Training for students of the University of Machala in the management of 1 March 29, 2019 2 8 10 System (CBSS) Kobo and Iformbuilder applications to enter data in community surveillance formats. Sexuality and prevention of Zika Workshop on prevention of sexual transmission and the risks of Zika 1 March 30, 2019 23 5 28 risks infection, Canton Sucre. Zika prevention planning Development of community plans for control and prevention of Zika, 1 April 4, 2019 14 9 23 Safe water and Zika prevention WorkshopSucre canton. on conservation of water sources, prevention of mosquito 1 April 5, 2019 28 47 75 breeding sites, and proper use of female and male condoms to prevent sexual transmission of Zika. Canton Sucre. Zika prevention and control Training and prevention of Zika and vector diseases. 1 April 5, 2019 38 34 72 Zika prevention planning Development of the Community Plan for Zika prevention and control 1 April 6, 2019 20 6 26 with a disaster risk reduction approach, Pedernales Canton. Safe water and Zika prevention Prevention of sexual transmission and the risks of Zika infection, and 1 April 9, 2019 103 192 295 awareness of the conservation of water sources, community of Laguna- Cantón Sucre. Zika prevention and control Management Training as a Health Technician 1 April 10, 2019 11 15 26 Sexuality and prevention of Zika Workshop for pregnant women, San Vicente health center, on the risks 1 April 12, 2019 18 0 18 risks of the vector transmitter and prevention of sexual transmission of Zika, canton San Vicente Sexuality and prevention of Zika Workshop on sexual and reproductive health and prevention of Zika, to 1 April 12, 2019 55 19 74 risks young people in Colon. Zika prevention and control Training in Union Lojana 1 April 16, 2019 53 2 55 Sexuality and prevention of Zika Prevention of Zika and gender violence, from the management of local 1 April 17, 2019 28 29 57 risks GADs, district boards and municipal boards. Zika prevention and control Information day on the Zika virus, aimed at families of the summer school 5 April 18, 2019 29 29 58 program. El Florón sector. Community-Based Surveillance Monitoring and capacity building meeting of the community monitors of 1 April 22, 2019 20 9 29 System (CBSS) Muisne canton. Sexuality and prevention of Zika Workshops and counseling on the risks of Zika infection during 1 April 23, 2019 42 6 48 risks pregnancy and prevention of sexual transmission, aimed at pregnant women. Sucre canton.
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXX # of Total Training Curriculum (Full Name) days Training Dates F M Individuals (Abbreviated name) Trained Safe water and Zika prevention Training on prevention of Zika sexual transmission, risks of Zika 1 April 23, 2019 15 40 55 infection, and awareness of the conservation of water sources. Sucre canton. Healthy municipalities and Zika Methodological transfer for the proper management of promotion and 1 April 24, 2019 20 11 31 prevention health flipcharts, for the municipality in the certification process. Bahia, Sucre canton. Social Communicators' Role Workshop on communication plan for the prevention of Zika and care 1 April 26, 2019 8 9 17 actions in pregnant and childbearing-age women, addressed to the technicians of the GAD and Jama-Pedernales Health District personnel. Sexuality and prevention of Zika Workshop on prevention of sexual transmission and the risks of Zika 1 May 10, 2019 9 12 21 risks virus infection, aimed at women and men of reproductive age. Sexuality and prevention of Zika Prevention of sexual transmission and the risks of Zika infection. Sucre 1 May 10, 2019 28 3 31 risks canton. Sexuality and prevention of Zika Training session for pregnant women on risks, the transmitting vector 1 May 10, 2019 29 4 33 risks and the prevention of sexual transmission of Zika. Sexuality and prevention of Zika Training session for pregnant women, on risks, transmitting vector and 1 May 10, 2019 26 4 30 risks prevention of Zika sexual transmission. Sexuality and prevention of Zika Training Day for pregnant women on the risks of the vector transmitter 1 May 10, 2019 27 4 31 risks and prevention of Zika sexual transmission. Zika prevention and control Zika risks prevention training for Citizen Committee of Health Ecuador- 1 May 14, 2019 24 16 40 Peru. Sexuality and prevention of Zika Workshop on Zika prevention and Sexual and Reproductive Health, 1 May 14, 2019 27 14 41 risks using methodology, and flipchart of Municipal GAD Portoviejo. San Zika prevention and control Counseling on Zika, addressed to Mothers of Family of the CDI, 1 May 14, 2019 21 8 29 Ciudadela November 18 - Huaquillas. Zika prevention planning Zika prevention community plan development. 1 May 15, 2019 5 18 23
Zika prevention planning Zika prevention community plan development. 1 May 15, 2019 7 16 23
Zika clinical and epidemiological Comprehensive assessment of RN, adequate microcephaly screening, 1 May 17, 2019 31 23 54 management initial actionsm, and case management for care and follow-up. Counseling for pregnant women. Sexuality and prevention of Zika Information and training session on the risks of Zika infection during 1 May 17, 2019 87 0 87 risks pregnancy, the transmission vector and prevention of sexual transmission, aimed at women of reproductive age and pregnant women. Safe water and Zika prevention Day of sensitization to water boards on the risks of the vector and 1 May 22, 2019 9 28 37 sexual transmission of Zika, and elimination of hatcheries. Pedernales
Risk counseling for pregnant Informationcanton. and training session on the risks of Zika infection during 1 May 22, 2019 7 0 7 women pregnancy. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 2 May 28, 2019 34 20 54 risks violence, and prevention of Zika, for men and women of reproductive Risk counseling for pregnant Information and training session on risks of Zika infection during 1 May 29, 2019 12 0 12 women pregnancy, the vector transmitter and prevention of sexual transmission, aimed at women of reproductive age and pregnant women. Risk counseling for pregnant Workshop on sexual health, reproductive health, violence prevention 1 June 1, 2019 39 2 41 women and prevention of Zika, to pregnant women. Risk counseling for pregnant Information and training session on the risks of Zika infection during 3 June 3, 2019 7 0 7 women pregnancy, the vector and prevention of sexual transmission. Zika prevention and control Community mobilization in response to health emergencies and 1 June 4, 2019 55 31 86 epidemics, learning from the fight against Zika. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, violence prevention, 1 June 4, 2019 11 4 15 risks and prevention of Zika, pregnant and reproductive age women, Andrés Sexuality and prevention of Zika Workshop on sexual health, reproductive health, violence prevention, 1 June 5, 2019 10 5 15 risks and prevention of Zika, pregnant and reproductive age women, Picoazá Sexuality and prevention of Zika Workshop on sexual health, reproductive health, violence prevention, 1 June 6, 2019 5 7 12 risks and prevention of Zika, pregnant and reproductive age women, El Florón Sexuality and prevention of Zika Workshop on sexual health, reproductive health, violence prevention, 1 June 7, 2019 14 6 20 risks and prevention of Zika, pregnant and reproductive age women, Andrés Zika prevention and control Strengthening knowledge and training in Zika prevention, using the 10 3 June 9, 2019 46 31 77 minutes against Zika tool, as part of the neighborhood's medical program.
LXXI | USAID ZIKA ANNUAL REPORT USAID.GOV # of Total Training Curriculum (Full Name) days Training Dates F M Individuals (Abbreviated name) Trained Sexuality and prevention of Zika Workshop on sexual health, reproductive health, violence prevention, 1 June 10, 2019 19 1 20 risks and prevention of Zika, pregnant and reproductive age women. Sexuality and prevention of Zika Workshop on sexual and reproductive health. 1 June 11, 2019 8 18 26 Sexualityrisks and prevention of Zika Workshop on sexual health, reproductive health, violence prevention 1 June 11, 2019 4 15 19 risks and prevention of Zika in pregnant women. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, violence prevention 1 June 12, 2019 33 13 46 risks and prevention of Zika in pregnant women. Sexuality and prevention of Zika JInformation and training session on the risks of Zika infection during 1 June 12, 2019 14 1 15 risks pregnancy, the transmission vector, and prevention of sexual transmission, aimed at women of reproductive age and pregnant women.
Sexuality and prevention of Zika Workshop on sexual health, reproductive health, violence prevention 1 June 13, 2019 15 5 20 risks and prevention of Zika in pregnant women. Sexuality and prevention of Zika Information and training session on the risks of Zika infection during 1 June 14, 2019 15 1 16 risks pregnancy, the transmission vector, and prevention of sexual transmission, aimed at women of reproductive age and pregnant women.
Sexuality and prevention of Zika Workshop on sexual health, reproductive health, violence prevention 1 June 17, 2019 102 0 102 risks and prevention of Zika in pregnant women. Zika prevention planning Socialization of the results of the project "Together against Zika" to the 1 June 18, 2019 25 12 37 authorities of the cantonal and parochial GAD, in order to promote sustainability. Sexuality and prevention of Zika Workshop on the risks of Zika infection during pregnancy and 1 June 19, 2019 65 49 114 risks prevention of sexual transmission, in Sucre canton. Zika prevention and control Day of strengthening on the handling of educommunicative material and 1 June 20, 2019 11 13 24 flipcharts for the Zika prevention and control, aimed at technicians of the Municipal GAD of Pedernales. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 June 21, 2019 19 0 19 risks violence, and Zika prevention, for men and women of reproductive age. Risk counseling for pregnant Information and training session on the risks of Zika infection, during 1 June 21, 2019 16 7 23 women pregnancy, the transmitter vector and prevention of sexual transmission of Zika. Sexuality and prevention of Zika Information and training session on the risks of Zika infection during 1 June 21, 2019 13 0 13 risks pregnancy, transmission vector, and prevention of sexual transmission, aimed at women of reproductive age and pregnant women. Zika prevention Training for Zika prevention, aimed at members of the Arenillas recyclers 1 June 21, 2019 21 12 33 association. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 June 26, 2019 58 48 106 risks violence, and Zika prevention, for men and women of reproductive age. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 June 28, 2019 3 11 14 risks violence, and Zika prevention, for men and women of reproductive age. Sexuality and prevention of Zika Information and training session on the risks of Zika infection during 1 June 28, 2019 14 11 25 risks pregnancy, vector transmission, and prevention of sexual transmission, aimed at pregnant and childbearing-age women. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 June 29, 2019 7 3 10 risks violence, and Zika prevention, for men and women of reproductive age. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 1, 2019 15 16 31 risks violence, and Zika prevention, for men and women of reproductive age. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 1, 2019 19 10 29 risks violence, and Zika prevention, for men and women of reproductive age. Risk counseling for pregnant Information and training session on the risks of Zika infection during 1 July 2, 2019 24 9 33 women pregnancy, vector transmission, and prevention of sexual transmission, aimed at pregnant and childbearing-age women. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 2, 2019 16 16 32 risks violence, and Zika prevention, for men and women of reproductive age. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 3, 2019 18 26 44 risks violence, and Zika prevention, for men and women of reproductive age.
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXII # of Total Training Curriculum (Full Name) days Training Dates F M Individuals (Abbreviated name) Trained Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 5, 2019 32 50 82 risks violence, and Zika prevention, for men and women of reproductive age. Sexuality and prevention of Zika Workshop on sexual health. 1 July 9, 2019 58 72 130 risks Zika prevention planning Sustainability workshop aimed at health officials, Municipal GAD, 1 July 9, 2019 21 7 28 academia and representatives of neighborhood organizations to promote commitments and intersectoral actions that contribute to the prevention of Zika. Jama canton. Zika prevention planning Sustainability workshop aimed at health officials, Municipal GAD, 1 July 10, 2019 12 8 20 academia and representatives of neighborhood organizations to promote commitments and intersectoral actions that contribute to the prevention of Zika. Pedernales canton. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 10, 2019 20 0 20 risks violence, and Zika prevention, for men and women of reproductive age. Portoviejo Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 11, 2019 39 38 77 risks violence, and Zika prevention, for men and women of reproductive age. Manta. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 12, 2019 15 1 16 risks violence, and Zika prevention, for men and women of reproductive age. Manta. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 15, 2019 20 39 59 risks violence, and Zika prevention, for men and women of reproductive age. Manta. Zika prevention and control Zika prevention training, aimed at students of the Arenillas Technical 2 July 16, 2019 41 29 70 College. Zika prevention planning Strategies to define actions that allow sustainability in the prevention of 1 July 17, 2019 28 6 34 Zika with local actions. Healthy municipalities and Zika Socialize the work carried out in the Sucre Canton to prevent Zika and 1 July 17, 2019 19 12 31 prevention to define sustainability strategies. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 17, 2019 26 16 42 risks violence, and Zika prevention, for men and women of reproductive age. Zika prevention and control Zika prevention training, aimed at students of the Huaquillas school. 1 July 17, 2019 61 48 109 Zika prevention planning Strategies and proposals that allow the sustainability of Zika prevention 1 July 18, 2019 9 6 15 actions with local actors. Healthy municipalities and Zika Define sustainability strategies and socialize the work carried out in the 1 July 18, 2019 17 13 30 prevention San Vicente canton to prevent Zika. Healthy municipalities and Zika Socialization of situation room GADM San Vicente. 1 July 19, 2019 6 13 19 prevention Sexuality and prevention of Zika Workshop on sexual health, reproductive health, prevention of gender 1 July 23, 2019 36 38 74 risks violence, and Zika prevention, for men and women of reproductive age. Sexuality and prevention of Zika Workshop on sexual health, reproductive health, and prevention of 1 July 25, 2019 90 0 90 risks gender violence. Healthy municipalities and Zika Strengthening of actions and health certification. Arenillas. 1 July 26, 2019 3 12 15 prevention Risk counseling for pregnant Jornada de información y capacitación sobre los riesgos de la infección del 1 July 28, 2019 32 8 40 women zika durante el embarazo, el vector transmisor y prevención de la transmisión sexual del Zika. TOTAL ECUADOR 7524 5365 12889
LXXIII | USAID ZIKA ANNUAL REPORT USAID.GOV PERU Y2
Annex III Training Report PERU
# of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Training with "10 Minutos Contra el Zika" (10 Minutes Against Zika) in Healthcare Center "Monte Vector Control Protocols 1 October 3, 2017 12 4 16 Sullon Catacaos". ACS Training with "10 Minutos Contra el Zika" (10 Minutes Against Zika) in Healthcare Center "Monte Vector Control Protocols 1 October 10, 2017 22 22 Sullon Catacaos". ACS Vector Control Protocol Workshop on "10 Minutos Contra el Zika" (10 Minutes Against Zika) for Vector Control Protocols 1 October 12, 2017 270 134 404 Teachers in "Ugel Sullana" Communication strategies for Educational Workshop for Couples on Zika Prevention, Educational Institution "Enrique Lopez the Zika prevention 1 October 14, 2017 30 18 48 Albujar"
Prevention, Personal Care, Face-to-face Course to strengthen Knowledge, Prevention and Protection Tactics for Dengue, Zika, 1 October 14, 2017 258 68 326 Vector Control Surveillance and Chikungunya Prevention, Personal Care, Face-to-face Course to strengthen Knowledge, Prevention and Protection Tactics for Dengue, Zika, 1 October 15, 2017 134 54 188 Vector Control Surveillance and Chikungunya ACS Training with "10 Minutos Contra el Zika" (10 Minutes Against Zika) in Healthcare Center Vector Control Protocols 1 October 23, 2017 22 22 "Consuelo de Velasco" Prevention, Personal Care, Training for Pregnant Women on Zika´s Prevention, Healthcare center "Monte Sullon" 1 October 23, 2017 90 4 94 Vector Control Surveillance Training on "10 Minutos Contra el Zika" (10 Minutes Against Zika) Strategy for the Directors of Vector Control Protocols 1 October 24, 2017 62 26 88 the Educational Institution "San Gabriel" Prevention, Personal Care, Formative Workshop on Zika´s Prevention to the Teachers in Educational Institution "UGEL 1 October 26, 2017 11 11 22 Vector Control Surveillance Zorritos" Communication strategies for Workshop for Teachers in Pairs , Educational Institution " MONTE CASTILLO CATACAOS" 1 October 26, 2017 24 20 44 the Zika prevention Vector Control Protocols Workshop on Training for New Vector Control Protocols 1 October 27, 2017 12 12 Prevention, Personal Care, Workshop on Teacher´s Formation in Zika Prevention, Educational Institutions "Ugel Tumbes" 1 October 27, 2017 26 5 31 Vector Control Surveillance Communication strategies for the Zika prevention Workshop for Teachers in Pairs , Educational Institution "Divino Maestro Sechura" 1 October 27, 2017 16 16 32
Communication strategies for the Zika prevention Training for Teachers, Educational Institution "Micaela Bastidas Mancora" 1 October 30, 2017 34 18 52
Communication strategies for the Zika prevention Training for Teachers, Educational Institution "Micaela Bastidas Mancora" 1 October 31, 2017 38 6 44
Communication strategies for Workshop for Teachers in Pairs for Zika Prevention, Educational Institution "SAN RAMON the Zika prevention 1 November 3, 2017 20 18 38 CHULUCANAS"
Worshop on Protocol "10 Minutos Contra el Zika" (10 Minutes Against Zika)", Healthcare Center " Vector Control Protocols 1 November 9, 2017 26 4 30 ORGANOS" Training for Social Organizations in "10 Minutos Contra el Zika" (10 Minutes Against Zika)", Vector Control Protocols 1 November 13, 2017 82 14 96 Healthcare Center " COMUNIDAD SALUDABLE SULLANA" Budget program (PpR) Training Workshop in PPR017 for CHICLAYO Public Workers 1 November 14, 2017 8 9 17 Vector Control Protocols Workshop on Training for New Vector Control Protocols for the Personel of DES, Tumbes 1 November 23, 2017 30 4 34 Communication strategies for Final Revision Workshop and Adjustments in Zika´s Prevention Guide, "CASA CLUB SULLANA" 1 November 24, 2017 12 20 32 the Zika prevention Vector Control Protocols Implementation of New Vector Control Protocols 1 November 24, 2017 29 6 35 Training Workshop on the Implementation of New Vector Control Protocols for DESA personnel in Vector Control Protocols 1 November 24, 2017 29 6 35 "TUMBES" Communication strategies for Educational Workshop in Pairs , Educational Institution "MARiA CoRDOVA DE TALLEDO 1 November 27, 2017 24 30 54 the Zika prevention BELLAVISTA SULLANA" Training Workshop on the Implementation of New Vector Control Protocols for DESA personnel in Vector Control Protocols 1 November 28, 2017 23 11 34 "TUMBES" Communication strategies for Workshop for Teachers in Pairs , Educational Institution "SANTA TERESA DE JESuS SULLANA" 1 November 28, 2017 54 22 76 the Zika prevention Prevention, Personal Care, Elaboration of 2018 Working Plan of the Multisectorial Committee "SECHURA SALA DE 1 November 29, 2017 16 12 28 Vector Control Surveillance REGIDORES MPS" Vector Control Protocols Training Workshop on the Implementation of New Vector Control Protocols for DESA personnel 1 November 29, 2017 30 2 32 Communication strategies for Training for Teachers, Educational Institution "Micaela Bastidas Mancora" 1 November 29, 2017 40 32 72 the Zika prevention Vector Control Protocols Implementation of New Vector Control Protocols 1 November 30, 2017 25 25 Training Workshop on the Implementation of New Vector Control Protocols for DESA personnel in Vector Control Protocols 1 November 30, 2017 25 25 "TUMBES" Communication strategies for Workshop for Teachers in Pairs Educational Institution " LOS ORGANOS" 1 November 30, 2017 28 30 58 the Zika prevention Training Workshop on the Implementation of New Vector Control Protocols for DESA personnel in Vector Control Protocols 1 December 1, 2017 6 16 22 "TUMBES" Vector Control Protocols Workshop on Handling and Use of Portfolios with ACS 1 December 4, 2017 44 20 64 Vector Control Protocols Workshop on Handling and Use of Portfolios with ACS 1 December 6, 2017 23 4 27 Vector Control Protocols Workshop on New Vector Control Protocols 1 December 7, 2017 18 9 27 Community Monitoring System Workshop on Diagnosing and Validating Community Monitoring System "BOCAPAM" 1 December 13, 2017 6 5 11
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXIV # of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Prevention Counseling and Care Counseling Workshop on ZIKA for Pregnant Women and Fertile Age Women. 1 January 25, 2018 21 1 22 Provision Vector Control Protocols Training Worshop to Help in Protocols and Vector Control 1 January 29, 2018 17 12 29 Vector Control Protocols Training Workshop on Vector Control Protocols 1 January 31, 2018 28 32 60 Prevention, Personal Care, Workshop on Protocol Replication 1Y2 DISA CARE JAeN 1 February 6, 2018 30 6 36 Vector Control Surveillance Vector Control Protocols Training for Community Health Agents 1 February 16, 2018 17 13 30 PPR Technical Assistance for Local Governments for PPR Articulation 1 February 16, 2018 23 20 43 Atention Protocols Workshop on Clinic Handling of Zika for Healthcare Personnel 1 February 17, 2018 27 3 30 Vector Control Protocols Workshop on Vector Control Protocols for Sanitary Inspectors "SRSLCC" 1 February 19, 2018 22 18 40 Community training workshop in maps of risks aimed at community monitors of the project and Community Monitoring community leaders of the Campo Amor locality of the district of Zarumilla 1 February 20, 2018 21 11 32
Training workshop in ovitraps directed to community monitors of the project and community Community Monitoring 1 February 21, 2018 14 2 16 leaders of the campo Amor district of Zarumilla Prevention, Personal Care, Training Workshop on Zika Prevention 1 February 21, 2018 5 16 21 Vector Control Surveillance Vector Control Protocols Workshop on vector control protocols for personnel of health promotion 1 February 22, 2018 16 5 21 Workshop training in the campaign "the 10 minutes against the zika", directed to community Vector Control Protocols 1 February 23, 2018 10 1 11 monitors of the project and community leaders of "Campo Amor" of the District of Zarumilla Vector Control Protocols Training workshop in vector control protocols directed to sanitary inspectors SRSMH 1 March 1, 2018 23 5 28 Workshop of protocols of the 10 minutes against the zika and collection of breeding sites directed Vector Control Protocols 1 March 3, 2018 18 2 20 to ACSs Prevention and Care Provision Workshop on Clinic Handling of Zika for Healthcare Personnel 1 March 3, 2018 22 7 29 Workshop of protocols of the 10 minutes against the zika and collection of breeding sites directed Vector Control Protocols 1 March 3, 2018 32 2 34 to ACSs Communication strategies for Training workshop for teachers in handling the zika prevention guide 1 March 5, 2018 13 9 22 the Zika prevention TECHNICAL ASSISTANCE WORKSHOP FOR THE PROGRAMMING OF RESOURCES OF THE BUDGET Budget program 1 March 6, 2018 10 7 17 HEALTH PROGRAMS IN THE MUNICIPAL BUDGET Information System PRESENTATION OF THE PROPOSAL OF INFORMATION SYSTEM BASED ON THE COMMUNITY 1 March 9, 2018 6 7 13 Communication strategies for Training workshop for teachers in handling the zika prevention guide 1 March 9, 2018 26 23 49 the Zika prevention Communication strategies for Training workshop for teachers in handling the zika prevention guide 1 March 15, 2018 21 9 30 the Zika prevention Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and fertile Women 1 March 16, 2018 13 4 17 Care Provision Counseling, Prevention, and 1 March 17, 2018 22 2 24 Care Provision Communication strategies for Training Workshop for Teachers and Directors 1 March 17, 2018 63 22 85 the Zika prevention Communication strategies for Training Workshop for Teachers and Directors 1 March 19, 2018 18 18 36 the Zika prevention Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and fertile Women 1 March 21, 2018 26 4 30 Care Provision Communication strategies for Training Workshop for Teachers and Directors 1 March 22, 2018 11 3 14 the Zika prevention Communication strategies for Training workshop in use of the guide and modules of prevention of the Z+B16ika 1 March 23, 2018 20 6 26 the Zika prevention Vector Control Protocols Training workshop in vector control protocols directed to sanitary inspectors 1 March 23, 2018 19 11 30 Communication strategies for Training Workshop for Teachers and Directors 1 March 23, 2018 19 14 33 the Zika prevention Communication strategies for Training Workshop for Teachers and Directors 1 March 24, 2018 44 25 69 the Zika prevention Communication strategies for Training Workshop for Teachers and Directors 1 March 25, 2018 11 3 14 the Zika prevention Communication strategies for Training Workshop for Teachers and Directors 1 March 28, 2018 27 16 43 the Zika prevention Prevention and Care Provision Counseling worksohp in Zika 1 April 2, 2018 11 11 Communication strategies for Training workshop for teaching staff in use of the Zika guide 1 April 4, 2018 25 4 29 the Zika prevention Vector Control Protocols Workshop on Training on Vector Control Protocols 1 April 4, 2018 28 2 30 Vector Control Protocols Workshop on Training for New Vector Control Protocols 1 April 6, 2018 469 469 Communication strategies for Training Workshop for Teachers and Directors 1 April 7, 2018 10 10 20 the Zika prevention Vector Control Protocols Workshop on Training for New Vector Control Protocols 1 April 7, 2018 11 10 21
Vector Control Protocols 1 April 10, 2018 10 2 12 Training of ACS in the "10 minutes against Zika" protocol Training of monitors of Aguas Verdes in protocols of vector control, ovitraps and the "10 minutes Vector Control Protocols 1 April 10, 2018 32 4 36 against Zika" Communication strategies for Personal training workshop in use of the Zika prevention guide 1 April 11, 2018 16 14 30 the Zika prevention
LXXV | USAID ZIKA ANNUAL REPORT USAID.GOV Annex III Training Report PERU
# of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Workshop replica for local level people to implement new protocols about vectors, prevention and Vector Control 1 April 12, 2018 20 3 23 control of Zika Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and WRA 1 April 13, 2018 20 20 Care Provision Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and WRA 1 April 14, 2018 19 19 Care Provision Vector Control Protocols Workshop on Training for New Vector Control Protocols 1 April 14, 2018 29 8 37 Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and WRA 1 April 16, 2018 11 11 Care Provision Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and WRA 1 April 17, 2018 11 11 Care Provision Communication strategies for Training Workshop for Teachers and Directors 1 April 18, 2018 16 11 27 the Zika prevention Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and fertile Women 1 April 19, 2018 17 17 Care Provision Workshop of training in prevention of zika, dengue and chikungunya and in the protocol of the 10 Vector Control Protocols 1 April 20, 2018 2 20 22 minutes against Zika Vector Control Workshop on Training for New Vector Control Protocols 1 April 21, 2018 8 2 10 Prevention and Care Provision Training Workshop to Counseling Assistants on Zika for pregnant and fertile Women 1 April 24, 2018 18 1 19 Vector Control Training event in community maps 1 April 24, 2018 16 18 34 Community workshop training in maps of risks directed to community monitors of the district of Information System 1 April 25, 2018 9 3 12 "Aguas Verdes" Vector Control Training workshop in ovitraps management 1 April 25, 2018 18 13 31 Training of monitors of Aguas Verdes in protocols of vector control, ovitraps and the "10 minutes Vector Control 1 April 26, 2018 11 4 15 against Zika" Information System Training and induction workshop to community monitors 1 April 26, 2018 16 4 20 Prevention, Personal Care, Training workshop directed to promoters of health in sexual health and reproductivity 1 May 2, 2018 15 15 Vector Control Surveillance Vector Control Ovitraps training workshop to community monitors 1 May 2, 2018 16 1 17 Communication strategies for Workshop for Teachers and Directos in the Use of Zika´s Guide 1 May 4, 2018 11 11 the Zika prevention Communication strategies for Workshop for Teachers and Directos in the Use of Zika´s Guide 1 May 4, 2018 2 21 23 the Zika prevention Communication strategies for Workshop for Teachers and Directos in the Use of Zika´s Guide 1 May 9, 2018 15 4 19 the Zika prevention Communication strategies for Workshop for Teachers and Directos in the Use of Zika´s Guide 1 May 10, 2018 17 9 26 the Zika prevention Prevention, Personal Care, 1 May 17, 2018 24 7 31 Vector Control Surveillance Zika Training Workshop for Community Agents Communication strategies for Training workshop for couple educators for the prevention of Zika 1 May 19, 2018 25 18 43 the Zika prevention Communication strategies for Training Workshop for Teachers and Directors 1 May 21, 2018 45 20 65 the Zika prevention Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and fertile Women 1 May 23, 2018 13 1 14 Care Provision Information System Training workshopto implement the community-based surveillance system (CBSS) 1 May 23, 2018 18 9 27 Communication strategies for Training workshopto implement the community-based surveillance system (CBSS) 1 May 23, 2018 35 35 70 the Zika prevention Communication strategies for Training workshop for couple educators for the prevention of Zika 1 May 24, 2018 12 14 26 the Zika prevention Vector Control Protocols Workshop on Training on Vector Control Protocols to monitors 1 June 1, 2018 14 1 15 Communication strategies for Training workshop for facilitators in educational guides of ZIKA 1 June 6, 2018 39 6 45 the Zika prevention Counseling, Prevention, and Training Workshop to Counseling Assistants on Zika for pregnant and fertile Women 1 June 13, 2018 16 2 18 Care Provision Training workshop for health personnel in the mobile application for the community-based Information System 1 June 13, 2018 8 10 18 surveillance system Vector Control Protocols Training Workshop on Vector Control Protocols for camp inspectors 1 June 13, 2018 29 8 37 Communication strategies for Workshop on promotion of prevention measures about Zika 1 June 18, 2018 63 22 85 the Zika prevention Vector Control Protocols Training for local actors to implement new protocols for the control of vectors and prevention of the Zika1 June 19, 2018 38 9 47 Training of monitors of Aguas Verdes in protocols of vector control, ovitraps and the "10 minutes Vector Control Protocols 1 June 20, 2018 8 2 10 against Zika" Communication strategies for Workshop on promotion of prevention measures about Zika 1 June 20, 2018 10 3 13 the Zika prevention Communication strategies for 1 June 20, 2018 21 12 33 the Zika prevention Training workshop for patient educators for the prevention of Zika Vector Control Protocols Workshop on Training on Vector Control Protocols to monitors 1 June 27, 2018 13 1 14 Information System Induction , risk maps and sectorization CBSS workshop 1 June 27, 2018 16 1 17 Information System Training workshop in the 10 minutes against Zika 1 June 28, 2018 13 1 14 Vector Control Protocols Training workshop of community agents in the 10 minutes against Zika 1 June 30, 2018 10 3 13 Communication strategies for Workshop of training to the teachers on promotion of a culture of prevention against the Zika 1 July 3, 2018 6 6 12 the Zika prevention Workshop on basic knowledge of zika, ovitrampas and protocols of control vector directed to Community Monitoring 1 July 4, 2018 9 3 12 monitors CBSS of Castilla and Sechura Information System Workshop of the use of the application directed to CBSS monitors of "27 de Octubre" 1 July 5, 2018 15 3 18 Information System Workshop of the use of the application directed to CBSS monitors of "27 de Octubre" 1 July 6, 2018 12 12
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXVI # of Total Training (Short Name) Curricula (Long name) Training Dates F M Days Trained Vector Control Protocols Training workshop on breeding sites elimination protocols with Jaen and Bellavista´s health 1 July 7, 2018 26 4 30 Training workshop on general aspects of Zika, community participation and Community Vector Control Protocols 1 July 9, 2018 19 3 22 Monitoring directed to community monitors of the District of Zarumilla and Tumbes Communication strategies for Training workshop pair educators 1 July 9, 2018 17 16 33 the Zika prevention Training of monitors of Castilla and Sechura in protocols of vector control, ovitraps and the "10 Community Monitoring 1 July 10, 2018 10 1 11 minutes against Zika" Community Monitoring Training workshop in traps, dialogue and community participation protocol 1 July 10, 2018 14 2 16 Communication strategies for Training workshop for pair educators 1 July 10, 2018 12 6 18 the Zika prevention Communication strategies for Training workshop to educators in promotion of a culture of prevention "Together against Zika" 1 July 11, 2018 8 4 12 the Zika prevention Community Monitoring Training for monitors de Castilla and Sechura in rol and community dialogue. 1 July 11, 2018 15 2 17 Prevention, Personal Care, Training workshop for the correct management of ovitraps to community monitors of the District 1 July 11, 2018 13 7 20 Vector Control Surveillance of Tumbes Communication strategies for Training workshop for teachers in handling the Zika prevention guide 1 July 11, 2018 13 10 23 the Zika prevention Information System Workshop of the use of the application directed to CBSS monitors of "San Antonio" 1 July 12, 2018 7 4 11 PPR WORKSHOP OF MANAGEMENT OF BUDGET PROGRAMS IN HEALTH 1 July 12, 2018 12 9 21 Communication strategies for Training workshop for teachers in handling the zika prevention guide 1 July 12, 2018 54 26 80 the Zika prevention Information System Workshop of the use of the application directed to CBSS monitors of "Los Organos" and Mancora 1 July 17, 2018 8 3 11 Community Monitoring Training to community agents of health in registration, training and views to families 1 July 18, 2018 10 2 12 Communication strategies for 1 July 18, 2018 9 7 16 the Zika prevention Training workshop to educators in promotion of a culture of prevention "Together against Zika Communication strategies for Training workshop for teachers in handling the zika prevention guide 1 July 19, 2018 19 11 30 the Zika prevention Communication strategies for Training workshop for teachers in handling the zika prevention guide 1 July 19, 2018 20 11 31 the Zika prevention Vector Control Protocols Protocol 3: collection and elimination of nests 1 July 23, 2018 12 1 13 Training course in protocols: collection and elimination of breeding sites or potential breeding Vector Control Protocols sites of mosquitoes. Protocol 4: ten minutes against zika and sectorization and communal 1 July 25, 2018 11 3 14 mapping for the implementation of the community-based surveillance system To Monitors of the Vector Control Protocols Training workshop on breeding sites elimination protocols with Jaen and Bellavista´s health 1 August 7, 2018 26 4 30 Sensitization workshop with presidents and mothers of the "club de la leche" of the chiclayo Prevention and Care Provision 1 August 17, 2018 21 4 25 municipality Information System Workshop Replica of Training to Health Personnel in a Community Based Surveillance System 1 August 18, 2018 21 7 28 Prevention and Care Provision Training for Teachers in Educational Institutions 1 August 21, 2018 14 19 33 Prevention and Care Provision Training for Teachers in Educational Institutions 1 August 22, 2018 10 11 21 Replication of Training and Formative Workshop on the development of Strategies to Promote a Prevention and Care Provision 1 August 23, 2018 12 3 15 Prevention Culture against ZIKA Prevention and Care Provision Training for Teachers in Educational Institutions 1 August 23, 2018 17 3 20 Communication strategies for Training for Teachers in Educational Institutions 1 August 23, 2018 28 14 42 the Zika prevention Replication of Training and Formative Workshop on the development of Strategies to Promote a Prevention and Care Provision 1 August 24, 2018 5 6 11 Prevention Culture against ZIKA Prevention and Care Provision Training for Teachers in Educational Institutions 1 August 24, 2018 29 11 40 Replication of Training and Formative Workshop on the development of Strategies to Promote a Prevention and Care Provision 1 August 25, 2018 5 6 11 Prevention Culture against ZIKA Prevention and Care Provision Training for Teachers in Educational Institutions 1 August 27, 2018 13 10 23 Communication strategies for Training for Teachers in Educational Institutions 1 August 27, 2018 15 11 26 the Zika prevention Workshop replica of the r3 in the district of Tumbes to health personnel in the community-based Information System 1 August 28, 2018 10 3 13 surveillance system Replication of Training and Formative Workshop on the development of Strategies to Promote a Prevention and Care Provision 1 August 28, 2018 14 3 17 Prevention Culture against ZIKA Prevention and Care Provision Training for Teachers in Educational Institutions 1 August 28, 2018 24 21 45 Information System Workshop replica of the R3 to community monitors in the mobile application 1 August 29, 2018 19 1 20 Reinforcement workshop of community monitors of the localities of "Cuchareta Baja", "28 de Information System 1 September 3, 2018 10 1 11 Julio" and "Campo Amor" in the implementation of the GR codes in the mobile application
LXXVII | USAID ZIKA ANNUAL REPORT USAID.GOV PERU Y3
Annex III Training Report PERU Training (Short # of Training Total Curricula (Long name) F M Name) Days Dates Trained Communication strategy for the Zika Training workshop 1 07/11/2018 9 7 16 approach Communication strategy for the Zika Training workshop 1 13/11/2018 7 5 12 approach Communication strategy for the Zika Training workshop 1 14/11/2018 14 12 26 approach Communication strategy for the Zika Training workshop 1 15/11/2018 12 10 22 approach Communication strategy for the Zika Training workshop 1 15/11/2018 13 7 20 approach Communication strategy for the Zika Training workshop 1 15/11/2018 20 15 35 approach Communication strategy for the Zika Training workshop 1 16/11/2018 16 2 18 approach Communication strategy for the Zika Training workshop 1 22/11/2018 11 9 20 approach Communication strategy for the Zika Training workshop 1 23/11/2018 8 8 16 approach Communication strategy for the Zika Training workshop 1 27/11/2018 8 8 16 approach Communication strategy for the Zika Training workshop 1 27/11/2018 12 6 18 approach Communication strategy for the Zika Training workshop 1 29/11/2018 8 10 18 approach Communication strategy for the Zika Training workshop 1 30/11/2018 22 17 39 approach Communication strategy for the Zika Training workshop 1 01/12/2018 30 12 42 approach Communication strategy for the Zika Training workshop 1 03/12/2018 7 5 12 approach Communication strategy for the Zika Training workshop 1 17/01/2019 19 8 27 approach Communication strategy for the Zika Training workshop 1 18/01/2019 20 16 36 approach Communication strategy for the Zika Training workshop 1 19/01/2019 10 8 18 approach Communication strategy for the Zika Training workshop 1 21/01/2019 10 10 20 approach Communication strategy for the Zika Training workshop 1 20/02/2019 5 4 9 approach Communication strategy for the Zika Training workshop 1 30/03/2019 16 16 approach Communication strategy for the Zika Training workshop 1 15/04/2019 25 11 36 approach Communication strategy for the Zika Training workshop 1 22/04/2019 12 10 22 approach Communication strategy for the Zika Training workshop 1 26/04/2019 15 1 16 approach Communication strategy for the Zika Training workshop 1 26/04/2019 15 5 20 approach Communication strategy for the Zika Training workshop 1 26/04/2019 21 21 approach
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXVIII Annex III Training Report PERU Training (Short # of Training Total Curricula (Long name) F M Name) Days Dates Trained Communication strategy for the Zika Training workshop 1 29/04/2019 1 7 8 approach Communication strategy for the Zika Training workshop 1 29/04/2019 28 39 67 approach Communication strategy for the Zika Training workshop 1 30/04/2019 21 23 44 approach Communication strategy for the Zika Training workshop 1 03/05/2019 7 29 36 approach Communication strategy for the Zika Training workshop 1 03/05/2019 4 7 11 approach Communication strategy for the Zika 06/05/2019 al Training workshop 1 6 6 12 approach 21-05-2018 Communication strategy for the Zika Training workshop 1 07/05/2019 25 1 26 approach Communication strategy for the Zika Training workshop 1 07/05/2019 15 16 31 approach Communication strategy for the Zika Training workshop 1 08/05/2019 5 3 8 approach Communication strategy for the Zika Training workshop 1 09/05/2019 10 8 18 approach Communication strategy for the Zika Training workshop 1 09/05/2019 19 7 26 approach Communication strategy for the Zika Training workshop 1 15/05/2019 5 6 11 approach Communication strategy for the Zika Training workshop 1 15/05/2019 12 11 23 approach Communication strategy for the Zika Training workshop 1 15/05/2019 14 10 24 approach Communication strategy for the Zika Training workshop 1 16/05/2019 9 1 10 approach Communication strategy for the Zika Training workshop 1 17/05/2019 16 13 29 approach Communication strategy for the Zika Training workshop 1 20/05/2019 19 9 28 approach Communication strategy for the Zika Training workshop 1 21/05/2019 14 13 27 approach Communication strategy for the Zika Training workshop 1 21/05/2019 1 36 37 approach Communication strategy for the Zika Training workshop 1 21/05/2019 15 4 19 approach Communication strategy for the Zika Training workshop 1 21/05/2019 4 6 10 approach Communication strategy for the Zika Training workshop 1 22/05/2019 9 5 14 approach Communication strategy for the Zika Training workshop 1 23/05/2019 51 76 127 approach Communication strategy for the Zika Training workshop 1 25/05/2019 13 1 14 approach Communication strategy for the Zika Training workshop 1 28/05/2019 9 9 18 approach Communication strategy for the Zika Training workshop 1 30/05/2019 4 9 13 approach Communication strategy for the Zika Training workshop 1 03/06/2019 12 8 20 approach
LXXIX | USAID ZIKA ANNUAL REPORT USAID.GOV Annex III Training Report PERU Training (Short # of Training Total Curricula (Long name) F M Name) Days Dates Trained Communication strategy for the Zika Training workshop 1 03/06/2019 7 5 12 approach Communication strategy for the Zika Training workshop 1 04/06/2019 6 3 9 approach Communication strategy for the Zika Training workshop 1 05/06/2019 38 38 approach Communication strategy for the Zika Training workshop 1 07/06/2019 38 7 45 approach Communication strategy for the Zika Training workshop 1 07/06/2019 16 16 32 approach Communication strategy for the Zika Training workshop 1 11/06/2019 18 18 approach Communication strategy for the Zika Training workshop 1 11/06/2019 11 5 16 approach Communication strategy for the Zika Training workshop 1 12/06/2019 94 26 120 approach Communication strategy for the Zika Training workshop 1 12/06/2019 18 15 33 approach Communication strategy for the Zika Training workshop 1 13/06/2019 6 5 11 approach Communication strategy for the Zika Training workshop 1 13/06/2019 5 8 13 approach Communication strategy for the Zika Training workshop 1 13/06/2019 12 14 26 approach Communication strategy for the Zika Training workshop 1 13/06/2019 10 8 18 approach Communication strategy for the Zika Training workshop 1 13/06/2019 11 11 22 approach Communication strategy for the Zika Training workshop 1 14/06/2019 22 1 23 approach Communication strategy for the Zika Training workshop 1 14/06/2019 9 21 30 approach Communication strategy for the Zika Training workshop 1 14/06/2019 12 7 19 approach Communication strategy for the Zika Training workshop 1 14/06/2019 15 9 24 approach Communication strategy for the Zika Training workshop 1 16/06/2019 14 13 27 approach Communication strategy for the Zika Training workshop 1 18/06/2019 5 10 15 approach Communication strategy for the Zika Training workshop 1 18/06/2019 20 5 25 approach Communication strategy for the Zika Training workshop 1 19/06/2019 28 18 46 approach Communication strategy for the Zika Training workshop 1 20/06/2019 6 1 7 approach Communication strategy for the Zika Training workshop 1 20/06/2019 15 2 17 approach Communication strategy for the Zika Training workshop 1 21/06/2019 4 4 8 approach Communication strategy for the Zika Training workshop 1 21/06/2019 11 16 27 approach Communication strategy for the Zika Training workshop 1 24/06/2019 9 13 22 approach
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXX Annex III Training Report PERU Training (Short # of Training Total Curricula (Long name) F M Name) Days Dates Trained Communication strategy for the Zika Training workshop 1 25/06/2019 14 12 26 approach Communication strategy for the Zika Training workshop 1 26/06/2019 12 7 19 approach Communication strategy for the Zika Training workshop 1 26/06/2019 13 13 approach Communication strategy for the Zika Training workshop 1 26/06/2019 26 17 43 approach Communication strategy for the Zika Training workshop 1 26/06/2019 12 1 13 approach Communication strategy for the Zika Training workshop 1 27/06/2019 6 9 15 approach Communication strategy for the Zika Training workshop 1 28/06/2019 12 8 20 approach Communication strategy for the Zika Training workshop 1 28/06/2019 14 1 15 approach Communication strategy for the Zika Training workshop 1 28/06/2019 13 13 26 approach Communication strategy for the Zika Training workshop 1 01/07/2019 18 7 25 approach Communication strategy for the Zika Training workshop 1 01/07/2019 10 1 11 approach Communication strategy for the Zika Training workshop 1 01/07/2019 30 30 approach Communication strategy for the Zika Training workshop 1 01/07/2019 15 5 20 approach Communication strategy for the Zika Training workshop 1 01/07/2019 25 27 52 approach Communication strategy for the Zika Training workshop 1 01/07/2019 29 29 approach Communication strategy for the Zika 02/07/2019 al Training workshop 1 7 8 15 approach 12-07-2019 Communication strategy for the Zika Training workshop 1 02/07/2019 3 4 7 approach Communication strategy for the Zika Training workshop 1 03/07/2019 10 15 25 approach Communication strategy for the Zika Training workshop 1 04/07/2019 42 19 61 approach Communication strategy for the Zika Training workshop 1 04/07/2019 12 4 16 approach Communication strategy for the Zika Training workshop 1 06/07/2019 10 6 16 approach Communication strategy for the Zika Training workshop 1 09/07/2019 15 15 approach Communication strategy for the Zika Training workshop 1 09/07/2019 7 12 19 approach Communication strategy for the Zika Training workshop 1 11/07/2019 13 23 36 approach Communication strategy for the Zika Training workshop 1 11/07/2019 14 14 approach Communication strategy for the Zika Training workshop 1 11/07/2019 17 1 18 approach Communication strategy for the Zika Training workshop 1 12/07/2019 2 6 8 approach
LXXXI | USAID ZIKA ANNUAL REPORT USAID.GOV Annex III Training Report PERU Training (Short # of Training Total Curricula (Long name) F M Name) Days Dates Trained Communication strategy for the Zika Training workshop 1 12/07/2019 8 4 12 approach Communication strategy for the Zika Training workshop 1 13/07/2019 22 7 29 approach Communication strategy for the Zika Training workshop 1 15/07/2019 14 24 38 approach Communication strategy for the Zika Training workshop 1 17/07/2019 8 3 11 approach Communication strategy for the Zika Training workshop 1 17/07/2019 7 8 15 approach Communication strategy for the Zika Training workshop 1 18/07/2019 9 9 18 approach Communication strategy for the Zika Training workshop 1 24/07/2019 7 2 9 approach Other prevention activities, general aspects, Training workshop 1 10/04/2019 22 26 48 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 11/04/2019 22 18 40 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 16/04/2019 13 2 15 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 17/04/2019 3 5 8 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 17/04/2019 20 3 23 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 17/04/2019 9 16 25 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 17/04/2019 9 4 13 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 30/04/2019 16 9 25 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 02/05/2019 11 2 13 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 03/05/2019 9 5 14 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 03/05/2019 10 8 18 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 08/05/2019 13 4 17 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 08/05/2019 5 3 8 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 27/05/2019 12 2 14 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 28/05/2019 34 3 37 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 28/05/2019 11 1 12 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 28/05/2019 24 4 28 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 29/05/2019 7 4 11 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 29/05/2019 9 7 16 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 06/06/2019 22 7 29 control and surveillance of Zika
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXXII Annex III Training Report PERU Training (Short # of Training Total Curricula (Long name) F M Name) Days Dates Trained Other prevention activities, general aspects, Training workshop 1 13/06/2019 8 7 15 control and surveillance of Zika Other prevention activities, general aspects, Training workshop 1 14/06/2019 24 5 29 control and surveillance of Zika Training workshop Results Budget (PPR) 1 12/02/2019 10 4 14 Training workshop Results Budget (PPR) 1 22/02/2019 14 21 35 SVBC Community Based Surveillance Training workshop 1 04/10/2018 11 11 System SVBC Community Based Surveillance Training workshop 1 11/10/2018 11 11 System SVBC Community Based Surveillance Training workshop 1 11/10/2018 11 11 System SVBC Community Based Surveillance Training workshop 1 11/10/2018 11 11 System SVBC Community Based Surveillance Training workshop 1 11/10/2018 11 11 System SVBC Community Based Surveillance Training workshop 1 11/10/2018 6 6 System SVBC Community Based Surveillance Training workshop 1 11/10/2018 11 11 System SVBC Community Based Surveillance Training workshop 1 16/10/2018 6 6 System SVBC Community Based Surveillance Training workshop 1 18/10/2018 10 10 System SVBC Community Based Surveillance Training workshop 1 18/10/2018 10 10 System SVBC Community Based Surveillance Training workshop 1 18/10/2018 10 10 System SVBC Community Based Surveillance Training workshop 1 19/10/2018 11 11 System SVBC Community Based Surveillance 25/11/2018 - 26- Training workshop 1 7 3 10 System 11-2108 SVBC Community Based Surveillance Training workshop 1 26/11/2018 5 5 10 System SVBC Community Based Surveillance Training workshop 1 05/12/2018 26 1 27 System SVBC Community Based Surveillance Training workshop 1 06/12/2018 26 1 27 System SVBC Community Based Surveillance Training workshop 1 21/01/2019 31 3 34 System SVBC Community Based Surveillance Training workshop 1 22/01/2019 31 2 33 System SVBC Community Based Surveillance Training workshop 1 25/01/2019 12 12 System SVBC Community Based Surveillance 25/02/2019 al Training workshop 1 5 5 System 13-03-2019 SVBC Community Based Surveillance Training workshop 1 26/02/2019 6 6 System SVBC Community Based Surveillance Training workshop 1 04/03/2019 4 13 17 System SVBC Community Based Surveillance Training workshop 1 26/03/2019 20 5 25 System SVBC Community Based Surveillance Training workshop 1 27/03/2019 15 4 19 System
LXXXIII | USAID ZIKA ANNUAL REPORT USAID.GOV Annex III Training Report PERU Training (Short # of Training Total Curricula (Long name) F M Name) Days Dates Trained SVBC Community Based Surveillance Training workshop 1 28/03/2019 21 5 26 System SVBC Community Based Surveillance Training workshop 1 23/04/2019 7 4 11 System SVBC Community Based Surveillance Training workshop 1 25/04/2019 5 4 9 System SVBC Community Based Surveillance Training workshop 1 27/04/2019 30 1 31 System SVBC Community Based Surveillance Training workshop 1 06/05/2019 25 1 26 System SVBC Community Based Surveillance Training workshop 1 22/05/2019 20 1 21 System SVBC Community Based Surveillance Training workshop 1 22/05/2019 8 1 9 System SVBC Community Based Surveillance Training workshop 1 24/05/2019 24 24 System SVBC Community Based Surveillance Training workshop 1 21/06/2019 7 1 8 System SVBC Community Based Surveillance Training workshop 1 24/06/2019 6 8 14 System SVBC Community Based Surveillance Training workshop 1 26/06/2019 9 12 21 System SVBC Community Based Surveillance Training workshop 1 02/07/2019 12 4 16 System SVBC Community Based Surveillance Training workshop 1 02/07/2019 3 1 4 System SVBC Community Based Surveillance Training workshop 1 03/07/2019 6 2 8 System SVBC Community Based Surveillance Training workshop 1 03/07/2019 7 2 9 System SVBC Community Based Surveillance Training workshop 1 19/07/2019 16 1 17 System SVBC Community Based Surveillance Training workshop 1 23/07/2019 6 5 11 System SVBC Community Based Surveillance Training workshop 1 23/07/2019 27 1 28 System SVBC Community Based Surveillance Training workshop 1 31/07/2019 23 9 32 System SVBC Community Based Surveillance Training workshop 1 31/07/2019 31 8 39 System SVBC Community Based Surveillance Training workshop 1 31/07/2019 11 8 19 System SVBC Community Based Surveillance Training workshop 1 31/07/2019 5 2 7 System SVBC Community Based Surveillance Training workshop 1 01/08/2019 10 3 13 System Training workshop Vector control protocols 1 09/01/2019 16 3 19 Training workshop Vector control protocols 1 10/01/2019 28 5 33 Training workshop Vector control protocols 1 06/03/2019 12 12 Training workshop Vector control protocols 1 07/03/2019 7 1 8 Training workshop Vector control protocols 1 12/03/2019 8 10 18 Training workshop Vector control protocols 1 15/03/2019 7 6 13 Training workshop Vector control protocols 1 02/04/2019 31 55 86 Training workshop Vector control protocols 1 02/04/2019 31 55 86
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXXIV Annex III Training Report PERU Training (Short # of Training Total Curricula (Long name) F M Name) Days Dates Trained Training workshop Vector control protocols 1 04/04/2019 33 33 Training workshop Vector control protocols 1 04/04/2019 33 33 Training workshop Vector control protocols 1 06/04/2019 37 7 44 Training workshop Vector control protocols 1 12/04/2019 13 4 17 Training workshop Vector control protocols 1 12/04/2019 14 4 18 Training workshop Vector control protocols 1 17/04/2019 49 49 Training workshop Vector control protocols 1 23/04/2019 46 1 47 Training workshop Vector control protocols 1 13/05/2019 80 17 97 Training workshop Vector control protocols 1 15/05/2019 20 3 23 Training workshop Vector control protocols 1 16/05/2019 22 3 25 Training workshop Vector control protocols 1 16/05/2019 21 3 24 Training workshop Vector control protocols 1 20/05/2019 47 6 53 Training workshop Vector control protocols 1 21/05/2019 79 19 98 Training workshop Vector control protocols 1 22/05/2019 47 7 54 Training workshop Vector control protocols 1 05/07/2019 4 14 18 Training workshop Vector control protocols 1 05/07/2019 6 19 25 Training workshop Vector control protocols 1 24/07/2019 7 7 Training workshop Zika counseling 1 01/12/2018 4 4 Training workshop Zika counseling 1 07/12/2018 7 1 8 Training workshop Zika counseling 1 22/02/2019 20 3 23 Training workshop Zika counseling 1 22/02/2019 20 3 23 Training workshop Zika counseling 1 29/03/2019 8 8 Training workshop Zika counseling 1 03/05/2019 25 5 30 Training workshop Zika counseling 1 07/05/2019 18 6 24 Training workshop Zika counseling 1 11/06/2019 23 3 26 Training workshop Zika counseling 1 05/07/2019 21 1 22 Training workshop Zika counseling 1 19/07/2019 16 1 17 Training workshop Zika counseling 1 23/07/2019 27 1 28 Total 3347 1784 5131
LXXXV | USAID ZIKA ANNUAL REPORT USAID.GOV ANNEX IV PICTURES (EVENTS, TRAININGS ETC.) ECUADOR
“10 MINUTES AGAINST ZIKA” Pedernales canton. Manabi Province.
Community participation in the prevention of de mosquito breeding sites. https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODc5NQ==
“10 MINUTES AGAINST ZIKA” Huaquillas canton. El Oro Province
Home counseling on the Zika risks and how to eliminate the mosquito Aedes aegypti breeding sites. https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODc5NA==
Community Based Surveillance System (CBSS). Muisne canton. Esmeraldas Province.
Home visits for the control and destruction of mosquito breeding sites as part of the Community Epidemiological Surveillance System in Canton Muisne. https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODc5Ng==
Training in Edu communication methodologies for the Zika prevention.
Local actors are trained in Edu communicative methodology for the Zika prevention with gender and intercultural approaches https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODc5Nw==
Teenagers learn about Zika and build prevention messages
Adolescents from educational units learn about the sexual transmission of the Zika virus and build messages with gender and intercultural approaches https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODc5OA==
Teachers are trained in Edu communication tools for the Zika prevention
Training teachers in Edu communication tools such as: theater, music, writing, reading and brain gymnastics for the prevention of Zika with gender and intercultural approaches https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODc5OQ==
Educating families about the sexual transmission of the Zika virus
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXXVI Family training in prevention of sexual transmission of the Zika virus and gender-based violence. The training was carried out in coordination with the Ministry of Economic and Social Inclusion – (MIES in Spanish). https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwMA==
Intercultural approach to Zika prevention. Muisne Canton. Esmeraldas province.
Students from eight schools in Chamanga, Canton Muisne, learned about the Zika virus and built messages with music and interpreted them through the dance of Afro-Ecuadorian culture. The group from the “6 de Mayo” school of the Guadurnal community performed at the International Workshop "Learning from the Fight against Zika". https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwMw==
Gender approach in Zika prevention. Muisne Canton. Esmeraldas province.
Workshop with women's organizations to reflect on the prevention of gender-based violence and sexual transmission of Zika virus. https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwNA==
Training men in the prevention of the sexual transmission of Zika virus
Men of reproductive age were trained in the risks of Zika and sexual transmission of the virus, in soccer matches that took place in the communities, and in which families also participated. https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwNQ==
Awareness events on the risks of Zika. Portoviejo Canton. Manabi Province.
Dissemination of messages on prevention and control of Zika in sporting events attended by families living in the community. https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwMg==
Second Meeting of the Project Steering Committee. Quito. August 22, 2019
Delegates from UNICEF participated, as well as Ministries of Health and delegates from the communities of Ecuador and Peru. In this meeting the fulfillment of the goals and indicators of the project were analyzed. https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwNg==
LXXXVII | USAID ZIKA ANNUAL REPORT USAID.GOV International Workshop “Community Mobilization in response to health emergencies and epidemics: learning from the fight against Zika”, was held in Quito-Ecuador, from June 4 to 6, 2019. https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwNw==
Training pregnant women on the Zika risks and prevention https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwMQ==
Third study of knowledge, attitudes and practices related to Zika. Ecuador. August, 2019
https://dec.usaid.gov/dec/content/Detail.aspx?ctID=MzgyZWNlYTEtNzk2My00NDMzLWIyYmMtYTIxY2M1YzFj NjUy&rID=ODgwOA==
PERÚ
Link: https://careperu- my.sharepoint.com/:f:/g/personal/ranguis_care_org_pe/EllfKHtb2pVPreVq2Dy72eQBjO1f1HXeYc8rhVB vjj-gHw
Focus group with women of childbearing age, during qualitative study in Jaen – Peru. Training workshop on vector control protocols.
In the city of Jaen, 30 participants were trained, including health personnel and directors of educational institutions within the jurisdiction of the Bellavista district.
Information Fair aimed at pregnant women, with the participation of 231 pregnant women. in Jaen and Bellavista.
“10 Minutes Against Zika”
Community monitor Alicia Dávila used the “10-minute against Zika” flip chart to promote vector control at home.
Multisectoral commission of the municipality of Zarumilla
Members of the multisectoral health commission of the provincial municipality of Zarumilla participated in a breeding site elimination campaign. CBSS web application Guide
Application of the Community Based Surveillance System, created in Peru.
USAID.GOV USAID ANNUAL PROGRESS REPORT | LXXXVIII
Community risk map Risk module of the web application of the Community Based Surveillance System.
“MotorcycleTaxi” Inclusion
Activity with motorcycle-taxi drivers, to promote a culture of Zika virus prevention.
First Edition of the award for good practices in prevention and control of Zika virus
Awards to the winners of the first edition of the award for good practices in prevention and control of the Zika virus.
Participants of the First National Meeting of Community Monitors
National Meeting of Community Monitors, which brought together those who were part of the community response to the Zika virus in the intervention areas.
School children participate in useful vacation workshops
Vacation workshops with students: painting murals and creating plays with Zika virus prevention messages.
Peer educator training
Training students to promote Zika prevention messages with their peers.
USAID visit
Visit of USAID Representatives to project activities.
Development of community plans
Meeting with community leaders to formulate their community plans to prevent and control the Zika virus.
Link: https://careperu- my.sharepoint.com/:f:/g/personal/ranguis_care_org_pe/EllfKHtb2pVPreVq2Dy72eQBjO1f1HXeYc8rhVB vjj-gHw
LXXXIX | USAID ZIKA ANNUAL REPORT USAID.GOV ANNEX V SUB-GRANTS UNDER THE ACTIVITY
Awardee Name: CARE Country: Ecuador & Peru
Cooperative for Assistance & Relief Everywhere
Award Name: “Zika Response in Ecuador Award Number: AID-OAA-A-16-00078 and Peru”
Start Date: 30/ 09/ 2016 End Date: 29/ 09/ 2019
Submission Date 15 / 12 / 2016
Total Amount $ 7,000,000.00
Reporting Period: October 1, 2017 - September 30, 2018
Awardee HQ Contact Name and Title: Alexandra Moncada
Country Director, Ecuador
Awardee HQ Contact Address: El Nacional N39-111 y El Telégrafo, Quito, Ecuador
Awardee HQ Contact Telephone +593 9 8 8388766 Number: +593 2 2433069
Awardee HQ Contact Email Address: [email protected]
Zika Response in Ecuador and Peru Two objectives to achieve in two phases over three years: 3. To increase community, local and national capacities to deliver efficient and timely response to the Zika virus outbreak and other vector prone diseases through Disaster Risk Reduction (DRR) and Human Rights approaches based on CARE’s experience in SRMH (Sexual, Reproductive and Maternal Health), sustainable community health systems and empowerment to strengthen the direct involvement of communities, by community health agents (animadores), in Zika priority areas (prevention, and vector control).
4. To regional and national efforts to help decrease the rates of Zika transmission by sharing findings, impact results and influencing bi-national policy making through a deep and rigorous evidence-based approach of best practices and lessons learned in community mobilization and participation, to allow fast track, gender sensitive implementation strategies in diverse social and cultural contexts, increase coordination and planning capacities, refine an accurate monitoring system and a well-developed communication and dissemination strategy.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XC Geographic Focus
Ecuador: 10 cantons belonging to 3 provinces in the coastal region of the country: Esmeraldas (01), Manabi (06); El Oro (03).
Peru: 20 districts in the northern section of the country: Tumbes (04); Piura (11); Lambayeque (03) and Cajamarca (02).
Results and activities
Result 1.- Best practices in community participation and mobilization on prevention, promotion and practices regarding Zika identified.
Activity 1.- Evidence-Based Analysis of community based systems on roles and performance of vector control at household and community levels.
Activity 2.- KAP studies in selected areas on individual and collective behavior change regarding prevention, care giving to childbearing age women and pregnant women.
Activity 3.- Evidence-Based Analysis on inter-sector and community participation, roles and performance of community-based surveillance systems.
Result 2.- Best practices and lessons learned against Zika found through the EBA and KAP implemented immediately in priority risk areas.
Activity 1.- Training of local health and municipal personnel, and community health agents on new protocols based on EBA and KAP findings on vector control best practices and lessons learned.
Activity 2.- Based on EBA and KAP findings, develop and validate communication messages to improve knowledge and understanding on key risks of Zika, especially on microcephaly in babies of infected women, and key prevention and care giving practices.
Activity 3.- Applying best practices for integrated vector control involving families, communities, municipalities, health systems, community water management organizations.
Result 3.- System (Community Based Surveillance System) for local governments and community use to enable a continuous gathering and analysis of best practices at community level in use.
Activity 1.- Friendly information system (CBSS) linking health, local government and community services for registration, monitoring, analysis, planning and action, developed and validated (Pilot study).
XCI | USAID ZIKA ANNUAL REPORT USAID.GOV Activity 2.- Friendly information system (CBSS) scaled-up in the intervention areas.
Activity 3.- Training of local health services personnel, local governments and community health workers on community-based follow-up and monitoring systems.
Result 4.- Communication strategy for behavior change among women of reproductive age, pregnant women and adolescents implemented using formal and informal means.
Activity 1.- Develop and validate a communication strategy (based on EBA and KAP findings) for improving knowledge and understanding on key risks of Zika, especially on microcephaly in babies of infected women, and key prevention and care giving practices.
Activity 2.- Within the framework of the communication strategy, identify the roles of stakeholders (community, local government and health services) and tools to be used for influencing knowledge building and behavior change.
Activity 3.- Implement a communications strategy aimed to women of reproductive age and pregnant women, addressing Zika prevention, health and personal care, vector control practices and surveillance practices.
Activity 4.- Implement a communications strategy aimed to primary and secondary school students addressing Zika prevention, health and personal care, vector control practices and surveillance practices.
Result .5.- Extend the strategies and protocols developed and applied locally to other areas of the country.
Activity 1.- In selected areas, train local government staff in managing the budgeting system to include activities against metaxenic diseases in their regular planning processes (including stipend for animadores).
Activity 2.- Technical support to local governments to promote and enhance local inter- sector and community coordination platforms for joint planning of community health plans.
Activity 3.- Support bi-national mutual learning and exchange of experiences, results and recommendations of the EBA and KAP studies through joint field visits, discussion events and documentation to adjust national and local plans of action to the proven best practices and protocols.
Activity 4.- Organize at least one international event, with other countries to share the results of the Evidence Based Analysis and KAP study, as well as successful experiences of adjusted implementation strategies and their results impact on the virus outbreak in community health care systems.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XCII Initial Target Beneficiaries:
The total number of direct target beneficiaries of the project is 391,953 people
Ecuador 128,944
Peru 263,009
Total beneficiaries: 391,953
XCIII | USAID ZIKA ANNUAL REPORT USAID.GOV ANNEX VI INTEGRATION OF CROSS-CUTTING ISSUES
(A) GENDER EQUALITY AND FEMALE EMPOWERMENT
In Ecuador and Peru, gender inequality persists, affecting mainly women. In Ecuador, 65% of women survive GBV (gender-based violence) and in Peru 30%.
Another critical situation to consider is teen pregnancy. In Peru, 13% of all pregnancies correspond to adolescents between the ages of 15-19 and it is estimated that every day, 4 adolescents under 15 years of age become pregnant. In Ecuador, in 2015, 26% of deliveries corresponded to adolescents from 10 to 19 years old. Of these, 7% are girls under the age of 14. Every day, 7 girls under 14 become mothers. Pregnancies in children under 14 in Ecuador are classified as sexual violence.
In Ecuador and Peru, cultural and gender conceptions and patterns persist, assigning women the responsibility of avoiding pregnancy; to prevent Zika and its complications in pregnancy, and to care for and protect children. There is little participation of men in prevention actions. In addition, in Ecuador it is assumed that women are the only ones responsible for unplanned / unwanted pregnancies.
The inclusion of a gender approach in the third year was reinforced in training and awareness events. Communication pieces included messages with a gender approach, which addressed the roles that men should assume on the sexual transmission of the Zika virus (condom use in pregnancy or to prevent it), and in the elimination of the mosquito breeding sites (washing, brushing and tank capping).
In Ecuador, the results of KAP III study, showed that the sexual division of care tasks still persists, it is a difficult topic to modify due to the historically and culturally roles assigned to women and men. The project confirmed that with permanent and continuous messages it is possible to influence the intention of the change (EBA II).
Additionally, through the counseling for Zika prevention; the importance of self-care and female empowerment to make active decisions in sexual and reproductive life was emphasized, decisions such as the use of condoms, as there is little adherence to the use of condoms to prevent Zika.
Training for people in reproductive age in sexual transmission of Zika virus prevention. Nov, 2018
USAID.GOV USAID ANNUAL PROGRESS REPORT | XCIV (B) ENVIRONMENTAL COMPLIANCE
In Peru, on December 18, 2018, the Congress approved Law No. 30884, which regulates disposable plastic and disposable containers. Likewise, on August 22, 2019, the Executive promulgated the Decree No. 006- 2019-MINAM, which approves the Regulations of the aforementioned Law. The importance of both standards is that the use of disposable containers creates breeding grounds for Aedes aegypti mosquitoes, therefore these regulations will help reduce the use of disposable containers, and thus mosquito breeding sites. The legal norms are in the next links:
Law Nº 30884: https://busquedas.elperuano.pe/normaslegales/ley-que-regula-el-plastico-de-un-solo-uso-y- los-recipientes-ley-n-30884-1724734-1/
Law Reglamentation: https://busquedas.elperuano.pe/normaslegales/aprueban-el-reglamento-de-la-ley-n- 30884-ley-que-regula-el-decreto-supremo-n-006-2019-minam-1800497-4/
Considering the EMMR and USAID environmental regulations, in Annex X. Environmental Compliance, the detailed report of the Environmental Mitigation and Monitoring Plan (EMMP) for the third year is presented.
In the actions developed by the project, the physical control of the vector, Aedes aegypti, is promoted, prioritizing the messages for change of behavior with respect to the maintenance of water containers, final disposal of unusable containers that can be potential breeding sites, campaigns of collection, elimination of unusable containers and elimination of breeding sites. Using the tools developed, especially the flipchart "Ten minutes against Zika". The aim is to minimize environmental impact by avoiding or reducing the use of disposable plastic containers that pollute the environment. Paper containers are used and in large events we try to provide water through stations installed for the effect instead of bottles. In regards food service, reusable dishes are requested. In the project digital formats were preferred and only a limited number of guides are printed at the training events. Before field visits, facilitators, researchers and project staff are advised of measures to prevent mosquito bites.
(C) INSTITUTIONAL STRENGTHENING AND LOCAL CAPACITY BUILDING
The Project in Ecuador and Peru strengthened the intersectoral and interinstitutional coordination of the competent institutions at the national and local levels to work on the response to Zika. Coordination was fostered among the social sector: health, education, regional and local governments, municipalities and community social organizations. Through meetings or platforms for coordinating intersectoral plans and joint actions, the project influenced these coordination and articulation processes.
Neighborhood women's, youth and adolescent organizations have been strengthened through a learning- by-doing process that begins with information on the Zika virus and is then complemented by reflections
XCV | USAID ZIKA ANNUAL REPORT USAID.GOV on self-esteem, leadership and the prevention of gender-based violence. This is a strategy to promote community participation in community epidemiological monitoring actions.
To ensure and maintain the sustainability of the project's actions in the communities, work was carried out with local actors and with the residents of communities. This work ensured that the key activities related to the prevention of Zika virus transmission and risks are incorporated into community prevention plans, as well as in the planning of institutional activities.
In Peru, the Regional Education Directorates of Tumbes, Piura and Lambayeque, issued regional Directives (norms). Those norms institutionalized the use of the ‘Educational Guide for the Promotion of a Culture of Prevention and Control of Zika’ in Educational Institutions. This allows teachers to have tools for mainstreaming Zika content with an epidemic risk and disaster prevention.
The Ministry of Health assumed the strategy of ‘Ten-minutes against Zika’, for changing family behavior by scaling it to 8 more regions.
In Ecuador, as part of the agreements with the Ministry of Health, several supplies and equipment were delivered to the project intervention districts, in order to strengthen the mechanism of transport for Zika samples. In addition, the Ministries of Economic and Social Inclusion as well as of Education incorporated the modules and guides developed with the project into their regular programs.
The Municipalities of Arenillas and Las Lajas, with the support of the project, were certified as Health Promotion Municipalities. Actions were developed aimed at maintaining spaces free of contamination, which are safe and healthy, where productivity, risk management and citizen participation are promoted.
(D) YOUTH (IF APPLICABLE)
In Ecuador and Peru, the project incorporates the work of young people in different activities, as the population of reproductive age is a prioritized population. Therefore, young people, men and women, are direct beneficiaries of the actions.
The activities with adolescents and young people were carried out based on the “training of trainers” methodology, which allows a group to be formed and they are in charge of training their peers. In pairs, the adolescents trained other groups of young people in prevention and control of the virus, with a follow- up of the field technicians of the project.
Teachers in basic, secondary and high school education units, as well as health professionals, were trained in methodologies for working with adolescents, especially in contents on: prevention and control of the Zika virus, human rights and sexual and reproductive health. This activity allowed to expand the coverage of the project, and also contributed for the message to reach the families and communities of adolescents.
Considering the high rates of adolescent pregnancy, gender-based violence, and a lack of knowledge about the risks of sexual transmission of the Zika virus, adolescents were taught and instructed in sexual and reproductive health.
USAID.GOV USAID ANNUAL PROGRESS REPORT | XCVI (E) DISABILITY (IF APPLICABLE)
In Ecuador, the project achieved the inclusion of children with visual and hearing disabilities in prevention and control activities of the Zika virus. This achievement was a result of training teachers with edu-communicative tools, which facilitated the adaptation of Zika prevention messages, learning and inclusion in the classroom of children with disabilities.
In addition, the prevention of disabilities was discussed upon the reflection on the risk for children exposed to the Zika virus during the pregnancy. This topic was specially worked with pregnant women, women and men of reproductive age and with child development technicians.
(F) SCIENCE, TECHNOLOGY, AND INNOVATION (IF APPLICABLE)
In Peru, the project developed a software for the CBSS, which has 2 versions: the Web version (www.epidemiasperu.com) designed to be used on a desktop computer or laptop with internet capabilities, and the mobile version on Android platform to be used by the community monitors in the collection of primary information. That software contains the entomological information and other related to the social mobilization activities of the project, carried out by the monitors was collected using this technology.
This software is a support system for managing the community prevention of Zika and other metaxenic diseases. The Regional Government of Tumbes, requested the transfer of the software to give continuity to the CBSS, this also repeated with other local governments. Care-Peru will maintain the hosting to give continuity to the system.
In Ecuador, for the collection of information from the surveys of the CAP study, the free software application Kobo Toolbox was used, this allowed the field work to be much more agile (with the Kobo collect application on cell phones), with the only limitation of not having been able to register GPS markers in some locations where there was no internet service.
In the community based surveillance system activities, the Epi-Info Vector Surveillance application was used. The main objective was to georeferenced the households visited by the community monitors, however, it was not possible to continue using this system because not all community monitors had cell phones, which allowed them to download and use of the platform. Also, the inhabitants of the intervened communities removed the QR codes placed on their households for security reasons.
(G) POLICY AND REGULATORY REFORM (IF APPLICABLE)
NA
XCVII | USAID ZIKA ANNUAL REPORT USAID.GOV ANNEX VII RESEARCH AND PUBLICATION TRACKER
COUNTRY DOCUMENT PRODUCED INTENDED USE OF DOCUMENT Ecuador CARE. Technical basis to best align indicators for the together Internal use against Zika project. Quito. September, 2017. RESEARCH PERU Innovation for Development. Study of knowledge, attitudes Basic document used for and practices. Lima. May, 2017. project implementation External use Cayetano Heredia Peruvian University Foundation (FUPCH). Basic document used for KAP study. "Knowledge and perception of risk regarding the project implementation Zika virus (ZIKAV) and its transmission; as well as to explore External use the experiences, level of access and other determinants in adolescent men and women and adults of reproductive age in a risk context for ZIKAV.” Lima. August, 2018. https://partners.zikacommunicationnetwork.org/node/483
Ciudadanos al Día (Citizens Informed). Report on the Best Internal and external use Practices in Zika Control and Prevention Award contest. Lima. 2017. Ciudadanos al Día (Citizens Informed). Report on the Best Internal and external use Practices in Zika Control and Prevention Award contest. Lima. 2018. Ciudadanos al Día (Citizens Informed). Report on the Best Internal and external use Practices in Zika Control and Prevention Award contest. Lima. 2019. Report of the study on the efficiency of the use of ovitraps in Internal use the community-based surveillance system of Campo Amor (Tumbes). Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/482
Ovitraps Efficiency Study: Campo Amor Community (Tumbes). Internal and external use 2019
Ovitraps Efficiency Study: AAHH 28 de Julio (Tumbes). 2019 Internal and external use
SYSTEMATIZATION
Systematization of the Best Practice for Prevention and Internal and external use Control of Zika Virus Award
Systematization of Campo Amor Pilot Internal and external use
Systematization of intervention at schools Internal and external use
USAID.GOV USAID ANNUAL PROGRESS REPORT | XCVIII RESEARCH
ECUADOR Aguilar M. Best practices in the control of Zika and Basic document used for Arboviruses in Ecuador project implementation Best strategies and control measures for the Aedes mosquito. Quito, 2017 Bajaña F. EBA of the best practices of Zika prevention and Internal use control of Aedes aegypti, and of community participation in the areas of intervention of the cantons of implementation of the project. September, 2018. Bajaña F. EBA of the best practices of Zika prevention and Internal use control of Aedes aegypti, and of community participation in the areas of intervention of the cantons of implementation of the project. September, 2019 Novillo N. Individual and collective KAP (knowledge-attitudes- Basic document used for practices) study related to Zika prevention and control in project implementation selected areas of intervention of the “Together Against Zika” Project. Y1. Quito. August, 2017 Internal and external use
Novillo N. Study of knowledge, attitudes and practices related Basic document used for to the control and prevention of the Zika virus. CARE. project implementation Ecuador. September, 2018. Internal and external use https://partners.zikacommunicationnetwork.org/node/455
Novillo N. Comparative analysis of the results of the year 1 Internal and external use and year 2 KAP studies. CARE Ecuador. September, 2018. https://partners.zikacommunicationnetwork.org/node/478 Armijos L. Study on knowledge, attitudes and practices (KAP), Basic document used for on the control and prevention of the Zika virus. CARE project implementation Ecuador, August 2019. Y3. Quito. August, 2019. Internal and external use
Armijos L. Comparative analysis on the results of years one, Internal and external use two, and three KAP studies. CARE Ecuador. August, 2019.
Patiño F. Evidence-based analysis of best practices in Basic document used for community epidemiological control of Zika, vector control and project implementation proposals adapted to the Zika situation in Ecuador. Quito. 2017 Patiño F. Evaluation of the Zika community surveillance Basic document used for piloting system. Care. September, 2018. project implementation Torres W. Evidence-based analysis of best practices in CBSS. Basic document used for Quito. September, 2019 project implementation PUBLICATIONS
ECUADOR Systematization of the International Workshop on "Learning Internal and external use from the fight against the Zika: community mobilization in response to health emergencies and epidemics". Quito, 4, 5 and 6 of June, 2019.
XCIX | USAID ZIKA ANNUAL REPORT USAID.GOV Comparative analysis on the KAP studies results of years one, Internal and external use two, and three. CARE Ecuador. August, 2019.
Methodological guide for the use of communication pieces of Internal and external use the “Everyone Against the Zika” (Todos contra el Zika) campaign. CARE Ecuador. July, 2018. https://partners.zikacommunicationnetwork.org/node/463 Methodological guide for the preparation of community plans Internal and external use for the prevention and control of the Zika virus. CARE Ecuador. August, 2018. https://partners.zikacommunicationnetwork.org/node/456 Methodological guide for the preparation of community Internal and external use communication plans for behavioral change and social action, to Zika virus prevention. CARE Ecuador. August, 2018. https://partners.zikacommunicationnetwork.org/node/457 Guide for the ‘community promoter’. CARE Ecuador. Internal and external use September, 2018. https://partners.zikacommunicationnetwork.org/node/464 Flipchart: "10 minutes against Zika" (10 minutos contra el Internal and external use Zika), CARE Ecuador. September, 2018. https://partners.zikacommunicationnetwork.org/node/465 Edu communicative tools for children to be protagonists in the Internal and external use prevention of Zika. CARE Ecuador. August, 2018. https://partners.zikacommunicationnetwork.org/node/479 Training of trainers: Art, education and culture for the Internal and external use prevention of Zika. CARE Ecuador. August, 2018. https://partners.zikacommunicationnetwork.org/node/480
Comic book “To Which It Stings Loses” (Al que pica pica Internal and external use pierde). CARE Ecuador. July, 2018. https://partners.zikacommunicationnetwork.org/node/467
Guides Internal and external use Sustainability plans developing guide, CARE – Ecuador. July, 2019.
Modules Methodological Module, Let’s Protect Collection, A Lifetime Internal and external use without Violence. CARE – MIES. November, 2018. http://www.todoscontraelzika.com/wp- content/uploads/2019/06/5.pdf Families and Communities prepared to prevent Zika Module, Internal and external use Let’s Protect Collection, A Lifetime without Violence. CARE – MIES. November, 2018. http://www.todoscontraelzika.com/wp- content/uploads/2019/06/web-baja-MODULO-AZUL- PROTEJAMOS-ZIKA-FINAL-OK-24-abril.pdf
USAID.GOV USAID ANNUAL PROGRESS REPORT | C Sexuality Module - sexual rights and reproductive rights, Let’s Internal and external use Protect Collection, A Lifetime without Violence. CARE – MIES. November, 2018. http://www.todoscontraelzika.com/wp- content/uploads/2019/06/2.pdf
Sexual Violence Prevention Module - a responsibility of us all, Internal and external use Let’s Protect Collection, A Lifetime without Violence. CARE – MIES. November, 2018. http://www.todoscontraelzika.com/wp- content/uploads/2019/06/1.pdf
Manuals Educational manual on communicative tools for the prevention Internal and external use and control of Zika, aimed at health promoters. CARE- Ecuador. March, 2019.
Certification Manual for guardian municipalities against Zika, Internal and external use Dengue and Chikungunya. September, 2019.
Implementation Manual of a Community-based epidemiological Internal and external use surveillance system for the control of Zika, Dengue and Chikungunya. CARE-Ecuador. September, 2019.
COURSE – GUIDE: PERU Methodological guide in the context of Zika, for counseling Internal and external use facilitators for women of childbearing age and pregnant women. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/485 Methodological guide in the context of Zika, for counseling Internal and external use facilitators for women of childbearing age and pregnant women. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/485
Comprehensive intervention guide for the prevention of Zika External use in educational institutions. (Includes 6 annexes) Directed to teachers, specialists and peer educators. Lima. May, 2018. https://www.zikacommunicationnetwork.org/es/resources/guia- de-intervencion-integral-para-la-promocion-de-una-cultura-de- prevencion-ante-el-zika Course Guide: The General Aspects of Zika virus infection. Internal and external use Lima. July, 2018 Link: https://partners.zikacommunicationnetwork.org/node/444
Course Guide: The Role of the Community Health Agent in Internal and external use the Community Based Surveillance System. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/445
Course Guide: Community Based Surveillance System. Lima. Internal and external use July, 2018.
CI | USAID ZIKA ANNUAL REPORT USAID.GOV https://partners.zikacommunicationnetwork.org/node/446
Course Guide: Community Participation on Vectorial Control. Internal and external use Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/452
Course Guide: Sectorization and Community Mapping for the Internal and external use Implementation of the Community Based Surveillance System. Lima. July, 2018 https://partners.zikacommunicationnetwork.org/node/488
Course Guide: Early Warning System (SAT). Lima. July, 2018. Internal and external use https://partners.zikacommunicationnetwork.org/node/489 Guide for the course on the correct management of Ovitraps. Lima, July 2018. https://partners.zikacommunicationnetwork.org/node/450
Course guide on the use of the Mobile Application for the Internal and external use Registration of Community-Based Vector Surveillance Information. Lima. July, 2018 https://partners.zikacommunicationnetwork.org/node/490
Course guide: pick up and elimination of breeding sites or Internal and external use potential mosquito breeding sites. Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/491
Course Guide: “Ten Minutes Against the Zika”. Lima. July, Internal and external use 2018. https://partners.zikacommunicationnetwork.org/node/453
Course Guide: Methodology for Citizen Dialogue "Together Internal and external use before the Zika." Lima. July, 2018. https://partners.zikacommunicationnetwork.org/node/492
Modular Guide to a Community Surveillance System for Local Internal and external use Governments in Zika Prevention and Control
Friendly Systematization of Campo Amor Pilot Internal and external use
Course for the development of community plans Internal and external use
Course on accountability Internal and external use Course on the new SVBC application Internal and external use
Course on referrals and counter-referrals for SVBC Internal and external use Course on SVBC home visits Internal and external use
USAID.GOV USAID ANNUAL PROGRESS REPORT | CII ANNEX VIII ENVIRONMENTAL MITIGATION AND MONITORING Y3 & FINAL REPORT (EMMR)
List each Mitigation Measure List any outstanding issues from column 3 in the EMMP Status of Mitigation Measures relating to required Remarks (EMMT Part 2 of 3) conditions 1. Education, Technical Assistance, Training
The methodological guides, education and training tools will The actions for the management of solid and liquid make explicit mention of the proper waste generated were implemented in all activities. management of solid and liquid Also, these actions were diffused by the technical
wastes generated in these events. team through work with the stakeholders and During all the events, the good providers to guarantee compliance. The main
practices for Environmental recommendations were related to reducing, In the municipalities, differentiated Mitigation will be followed, included recycling and reusing. Specifically, we insisted on waste management was not in trainings, and reflected in a avoiding or reducing the use of disposable and implemented, so the separation in brochure or triptych. polluting materials and on the differentiated collection of waste, to facilitate recycling. the source has little impact on environmental protection. In Peru, the guides for facilitators of the The project emphasized the importance Community-Based Surveillance System Course of raising awareness and positioning
incorporated environmental mitigation and good waste management practices for
monitoring measures in education, technical Environmental Mitigation with partners assistance and training activities. and local actors. In Ecuador, the educommunication guides incorporated recommendations for the management of waste generated at events. In faraway places, providers may An important number of activities are developed in be people of the community. coordination with the municipalities. Waste Usually they not have tableware management is a municipal competence, so one of available or resources to purchase the issues approached in the planning of activities it. In these cases, we insisted on was the cleaning and removal of waste during and the use of less polluting after the events. disposables.
We required food service providers not to use plastic containers and to replace them with paper
CIII | USAID ZIKA ANNUAL REPORT USAID.GOV cups or sleeves. This material is biodegradable, less polluting for the environment. The reuse of educational and At fairs, open houses or other events held in public outreach materials will be actively spaces and institutions, games or sets of didactic promoted, along with a limited use materials were reused. The use of stationery such Exceptions were the materials such as of disposable materials. as flyers was avoided. Only a diptych related to pens, entry and exit test forms and information about the Zika`s risks in pregnancy event evaluation forms, which were was distributed. delivered at each event. Priority was given to the use of invitations to events or activities, through digital media. The Paper reuse was promoted in the offices diffusion of relevant public events was done of the Zika Response Project in through loudspeakers, radios, press conferences, Ecuador-Peru. social networks or other means available at the community level. CARE workers and strategic allies will To reduce the use of paper, it was prioritized to be constantly reminded about the deliver the electronic files of the contents analyzed importance of rationalizing the use of to the participants of the training. These were paper in the reporting processes. For delivered through email or similar mechanisms. this purpose, it is mainly recommended
In addition, the reports were worked on, to scan documents, and then send them consolidated and delivered in digital formats to through different electronic means, such reduce the use of paper. as mail and we transfer.
In our offices, the use of recycled paper for unofficial documents was implemented. The facilitators will be monitored to The project provided the didactic materials for ensure proper application of these the development of events or training activities. guidelines. These were reused whenever possible. Additionally, the use of recycled materials in the elaboration of products during the training days was promoted.
During the training events promoted and/or financed by the project, there was always a staff member from Care-Peru verifying compliance with the guidelines related to environmental care.
The content of vector control In the management of the project, the physical training for communities and control of the vector and the empowerment of the Educational materials on the importance technical staff must be in line with population were prioritized in order to influence of solid waste management in the
USAID.GOV USAID ANNUAL PROGRESS REPORT | CIV USAID (i.e. Zika PERSUAP), WHO, the practices. This was evidenced in the tools and prevention of metaxenic diseases should and host country environmental methods developed for training officials, groups be prepared. These materials would be regulations. prioritized for intervention and communities. directed to environmental managers or responsible for the municipal service of Among the Zika preventive measures were: the solid waste collection. elimination of breeding sites, the practice of washing, covering and brushing containers where water is stored and collection from breeding sites, as well as the use of wet sand in vases. The main tool used was "Ten minutes against Zika" and educomunication tools with these messages.
Additionally, it was encouraged to reduce the consumption of products packaged in other plastic containers, which on top of affecting the environment are potential breeding sites.
The project provided technical assistance to municipalities, institutions and local organizations in Ecuador and to multisectoral health committees in Peru, for the development of district prevention and control plans for Zika and other metaxenic diseases.
The municipalities carried out a campaign to eliminate hatcheries in the prioritized areas, with participation of the institutions that belong to the multisectoral health committee (including the armed forces and police).
In Ecuador, communal work was carried out with the participation of the population and local institutions, including MoH and municipality, for the detection and elimination of hatcheries, in addition to strengthening prevention actions.
In Peru, the use of the improved tank cover in the locality of Cuchareta Baja, as a measure to control Aedes aegypti, as part of the training in new vector control protocols was promoted as a successful experience.
CV | USAID ZIKA ANNUAL REPORT USAID.GOV 2. Research and Development NA NA NA
3. Public Health Commodities NA NA NA
4. Small-Scale Construction NA NA NA
5. Small-Scale Water and Sanitation NA NA NA
6. Nutrition NA NA NA
7. Vector Control In the management of the project, the physical control of the vector and the empowerment of the population were prioritized in order to influence the practices. This was evidenced in the tools and methods developed for training officials, groups prioritized for intervention and communities.
In coordination with UNICEF and In Peru, the Ministry of Health must PAHO, information will be The information on vector control activities determine the indicators to measure requested from the MOH regarding was requested every three months, in the areas the effectiveness of the hormonal the use of chemical and/or biological of project intervention. This information was inhibitor piriproxifen, since the existing pesticides, as well as the relevant recorded in the quarterly indicator reports. ones up to now refer to the use of the regulatory frameworks. Temephos larvicide. In Ecuador, PAHO worked with the Ministry of Health to raise evidence regarding the use of larvicides Provide information to families on The chemical control and the acquisition of potential harmful effects of pesticides corresponds to the State (Ministry of pesticides carried out by the MOH. Health, in Peru also to the Regional Directorate of Health, Health Sub-regions and Municipalities). The Ministry of Health has technical standards for the use of larvicides, adulticides and hormonal inhibitors, in accordance with the regulations of the Pan American Health Organization.
In Peru, integrated consent protocols were incorporated into the Integrated Vector Control Protocols for families to carry out focal treatment, perifocal treatment and spatial nebulization activities. This issue was addressed
USAID.GOV USAID ANNUAL PROGRESS REPORT | CVI during the training of health personnel and other stakeholders, reinforcing the need to comply with this requirement during the development of the work.
In Ecuador, the vector control brigades, before fumigation activities (if they were to be carried out) went through and informed the population on the precautions that must be taken, mainly to protect water and food for consumption.
The community monitors supported providing information within their communities to reduce the number of unwilling houses.
Learning meetings will be held with The Ministry of Health has a protocol governmental agencies and academia for housing inspection and vector regarding Evidence-Based Analysis control and best practices in the application of these products. All applications recommended will be consistent with the Zika PERSUAP, international standards (e.g. WHO, PAHO, USAID) and host country regulations and policies. Guidelines will include national and In Peru, the topic was included in vector control international standards on the protocols. These were implemented by proper handling and disposal of ovi- facilitators (trained by the Project), who trained traps. health personnel, teachers, authorities, community leaders and community health agents.
Ecuador NA
Ensure any reference on the disposal of traps follow the Zika In Peru, the contents related to the provision of PERSUAP requirements, ovi-traps complied with the regulations defined by international best practices (e.g., WHO / PAHO and the national standards. WHO, PAHO) and host country requirements. ECUADOR NA 8. Emergency Response NA NA NA
CVII | USAID ZIKA ANNUAL REPORT USAID.GOV