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Sexual and Reproductive Health for All Initiative (Sarai) Aid-611-A-15-00001

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Sexual and Reproductive Health for All Initiative (Sarai) Aid-611-A-15-00001 x SEXUAL AND REPRODUCTIVE HEALTH FOR ALL INITIATIVE (SARAI) AID-611-A-15-00001 JANUARY TO MARCH 2019 QUARTERLY REPORT SOCIETY FOR FAMILY HEALTH In partnership with Population Services International Development Aid from People to People Zambia ChildFund International Activity Summary Implementing Party Society for Family Health Sub Awardees Development of Aid from People to People (DAPP) Population Services International (PSI) ChildFund International Activity Name Sexual and Reproductive Health for All Initiative(SARAI) AID-611-A- 15-00001 Project Period 20th April 2015 to 19th April 2020 Total estimated Amount $15,250,000 Objective To provide support for a program in Integrated Family Planning and Reproductive Health Project Sites Copperbelt Province: Chililabombwe, Chingola, Kalulushi, Kitwe, Mufulira, Ndola Muchinga Province: Mpika, Mafinga, Shiwa Ngandu, Nakonde, Lavushi Manda, Kanchibuyia Luapula Province: Mansa, Chienge, Lunga, Nchelenge, Kawambwa Report Submitted by Gina M. Smith, Deputy Country Representative/Chief of Party – Society for Family Health Society for Family Health Plot 549 Ituna Road, Ridgeway P O Box 50770, Lusaka Tel +260 211 257407 Email: [email protected] April 2019 This report was produced for review to the United States Agency for International Development It was prepared by SFH for the Sexual and Reproductive Health for All Initiative Project. Table of Contents ACRONYMS ....................................................................................................................................... 5 1. INTRODUCTION ....................................................................................................................... 7 2. OPERATIONAL ACTIVITIES ........................................................................................................ 7 3. FAMILY PLANNING SERVICE DELIVERY IMPROVED .................................................................... 9 3.1. Improved Method Mix through Enhanced Community Based and Facility Service Delivery Models for Family Planning ......................................................................................................................................................... 10 3.2. Enhanced FP/HIV Integrated .......................................................................................................................... 21 4. USE OF HEALTHY FANILY PLANNING AND REPRODUCTIVE HEALTH PRACTICES INCREASED ...... 23 4.1. Revise FP messaging with a focus on youth engagement.............................................................................. 23 5. FAMILY PLANNING SERVICE DELIVERY SYSTEMS AND ACCOUNTABILITY STRENGTHENED......... 26 5.1. Strengthen Quality of FP Service Delivery ...................................................................................................... 26 5.2. Strengthened Use Of Data For Decision Making............................................................................................ 30 6. PROJECT INDICATOR TRACKING ................................................................................. 32 7. CHALLENGES / MITIGATION ......................................................................................... 32 8. CONCLUSION ..................................................................................................................... 33 LIST OF TABLES Table 1: Off-Duty Provider Services ........................................................................................................................... 12 Table 2: FP Contribution of SARAI Supported vs. Non-Supported Health Facilities ................................................ 13 Table 3: Number Of Clients Who Received FP Services By Age And Type Of Method ........................................... 17 Table 4: Number Of Clients Switching FP Method By Province ................................................................................ 17 Table 5:Number Of Referrals by FP Method .............................................................................................................. 19 Table 6: Number Of Women Referred For FP Services By Age Group By FP Method ............................................. 20 Table 7: FP integration indicators ................................................................................................................................ 22 Table 8: Indicator tracking table* ................................................................................................................................ 32 LIST OF FIGURES Figure 1: District DHIS2 Reporting Rates by Month .................................................................................................. 10 Figure 2: Distribution of new FP acceptors by Month................................................................................................. 10 Figure 3: Distribution of FP commodities by quarter .................................................................................................. 11 Figure 4: Distribution of FP commodities by Province ............................................................................................... 11 Figure 5: Total Active CBDs By Province .................................................................................................................. 14 Figure 6: FP Distribution By Method And By Province ............................................................................................. 16 Figure 7: Total Condoms Distributed In Quarter One By Province ............................................................................ 18 3 Figure 8: Comparison Of CBDs Reporting Stock-Outs By Method And Province .................................................... 19 Figure 9: Referrals and Feedbacks by Province .......................................................................................................... 21 Figure 10: Clients reached with SRH messages by FP Champions ............................................................................. 25 Figure 11: Number of Facilities Adhering to Quality Standards ................................................................................. 26 Figure 12: Number of Facilities Reporting Stock out by Commodity ......................................................................... 27 Figure 13: Total Number of Days Facilities Reporting Stock Out by FP Commodity ................................................ 28 Figure 14: Number of Facilities Conforming To Waste Management Standards By Region ..................................... 29 Figure 15: Number of Facilities Adhering to Providing Quality Community FP Services By Region ....................... 29 4 ACRONYMS AE Adverse Event CBD Community Based Distributor CSE Comprehensive Sexuality Education DAPP Development Aid from People to People DMPA SC Depo Provera Subcutaneous DHO District Health Office DQA Data Quality Assessment eMTCT Elimination of Mother to Child Transmission FP Family Planning FY Financial year HIA2 Health Information Aggregation 2 HCW Health Care Worker HCD Human Centered Design HMIS Health Management Information System HIV Human Immunodeficiency Virus HTS HIV Testing Services IGA Income Generating Activity IPC Interpersonal Communication IUCD Intra Uterine Contraceptive Device LARC Long Acting Reversible Contraceptives MCPR Modern Contraceptive Prevalence Rate M&E Monitoring and Evaluation MOGE Ministry of General Education MOH Ministry of Health OVC Orphans and Vulnerable Children PNO Principal Nursing Officer PPE Personal Protective Equipment PSI Population Services International QA Quality Assurance RH Reproductive Health SARAI Sexual and Reproductive Health for All Initiative SBC Social Behavior Change SIMS Site Improvement through Monitoring Systems 5 SFH Society for Family Health SRH Sexual and Reproductive Health USAID United States Agency for International Development VMMC Voluntary Medical Male Circumcision YFHS Youth Friendly Health Services DISCLAIMER: The author’s views expressed in this report do not necessarily reflect the views of the United States Agency for International Development (USAID) or the United States Government. 6 1. INTRODUCTION The Sexual and Reproductive Health for All Initiative (SARAI) is a USAID-funded, five-year project whose goal is to increase the annual Contraceptive Prevalence Rate (CPR) by 2% in the supported sites. SARAI aims to achieve this goal by; i. Improving Family Planning (FP) service delivery; ii. Strengthening accountability of FP service delivery systems; and iii. Increasing healthy FP and Reproductive Health practices. The project which begun in April 2015 is being implemented in Copperbelt, Luapula and Muchinga provinces in 17 districts by SFH and its sub awardee, DAPP, ChildFund and PSI. SARAI is currently supporting 143 facilities. This report gives an account of the SARAI project activities conducted from 1st January to 31st March 2019 by SFH and its sub awardees. As per award agreement, this report focusses on the seven quarterly indicators as specified in the SARAI monitoring and evaluation plan related to facility based FP service provision, community based service provision and quality assurance. 2. OPERATIONAL ACTIVITIES The project successfully held a semi-annual review meeting in Mansa in February 2019. The participants included staff from SFH HQ, DAPP and regional project staff. Amongst the areas the meeting reviewed were project progress performance to date, challenges, sharing of best practices, and the 2019 project workplan. Other aspects of
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