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Submitted : April 27, 2020 COAG No. 72068718CA00001 FISCAL YEAR 2020 PROGRAM YEAR 2 (January 1 to March 31, 2020) Submitted : April 27, 2020 1 TABLE OF CONTENT ACRONYMS ............................................................................................................................................................................. 3 I- EXECUTIVE SUMMARY ................................................................................................................................................ 5 II- INTRODUCTION .......................................................................................................................................................... 12 III- MAIN ACHIEVEMENTS DURING QUARTER 2 .................................................................................................... 12 III.1. IR 1: ENHANCED COORDINATION AMONG THE PUBLIC, NONPROFIT, AND COMMERCIAL SECTORS FOR RELIABLE SUPPLY AND DISTRIBUTION OF QUALITY HEALTH PRODUCTS ...................................................................................................................................... 12 III.2. IR2: STRENGTHENED CAPACITY OF THE GOM TO SUSTAINABLY PROVIDE QUALITY HEALTH PRODUCTS TO THE MALAGASY PEOPLE 19 III.3. IR 3: EXPANDED ENGAGEMENT OF THE COMMERCIAL HEALTH SECTOR TO SERVE NEW HEALTH PRODUCT MARKETS ACCORDING TO HEALTH NEEDS AND CONSUMER DEMAND .................................................................................................................... 41 III.4. IR 4: IMPROVED SUSTAINABILITY OF SOCIAL MARKETING TO DELIVER AFFORDABLE, ACCESSIBLE HEALTH PRODUCTS TO THE MALAGASY PEOPLE.................................................................................................................................................................................. 56 III.5. IR5 - INCREASED DEMAND FOR AND USE OF HEALTH PRODUCTS AMONG THE MALAGASY PEOPLE ..................................... 62 III.6. CROSS-CUTTING ACTIVITIES ..................................................................................................................................................... 69 III.6.1. Monitoring, Evaluation, Research, Learning .................................................................................................... 69 III.6.2. Gender and Social Inclusion ................................................................................................................................... 79 III.7. SUCCESS STORIES ...................................................................................................................................................................... 81 III.8. ENVIRONMENTAL MITIGATION AND MONITORING REPORT .................................................................................................. 81 IV- KEY CHALLENGES AND SOLUTIONS .................................................................................................................... 83 V- MAJOR ACTIVITIES PLANNED FOR NEXT QUARTER (YEAR 2, APRIL – JUNE 2020) ........................................ 85 VI- FINANCIAL SUMMARY .......................................................................................................................................... 89 ANNEXES ............................................................................................................................................................................... 90 ANNEX A - PERFORMANCE MONITORING PLAN (PMP) .................................................................................................................... 91 ANNEX B – YEAR 1 WORKPLAN UPDATE ............................................................................................................................................. 99 ANNEX C - ENVIRONMENTAL MITIGATION AND MONITORING REPORT .......................................................................................... 134 ANNEX D - SUCCESS STORIES ............................................................................................................................................................. 148 ANNEX E – STOCK INVENTORY AS OF MARCH 2020 (USAID AND PMI FUNDED) ....................................................................... 158 ANNEX F – STOCK STATUS BY END OF MARCH 2019 ..................................................................................................................... 161 ANNEX G - DESCRIPTIONS OF THE SEVEN QUALITY DIMENSIONS FOR THE RDQA ........................................................................... 164 ANNEX H – CALL-CENTER FUNCTIONING .......................................................................................................................................... 166 2 ACRONYMS A2F Access to Finance LLIN Long Lasting Insecticide-treated ABM AccèsBanque Madagascar Net ADDO Accredited Drug-Dispensing Outlet RLA Regional Logistic Advisor A2F Access to Finance LMIS Logistic Management Information AMM Agence de Médicaments de System Madagascar MEL Monitoring, Evaluation and ARC Artesunate recto-capsules Learning ATR Assistants Techniques Régionaux MCH Maternal and Child Health CACSU Cellule d’appui à la Couverture MNCH Maternal Newborn and Child Santé Universelle Health cCD Community-based Continuous MDA Market Development Authority Distribution MENETP Ministère de l’Education CCDS Comité Communale pour le Nationale et de l’Enseignement Développement Social Technique et Professionnel CCO Centre de Commandement MERL Monitoring Evaluation Research Opérationnel and Learning CGL Comité de Gestion Logistique MOPH Ministry of Public Health CHV Community Health Volunteers MSH Management Sciences for Health CHRD Centre Hospitalier de Référence de MYS Ministry of Youth and Sport District NELM New Essential List of Medicines and CISCO Circonscription Scolaire medical devices CNAPS Caisse Nationale de Prévoyance NGO Non-Governmental Organization Sociale NHMIS National Health Management CNC National Coordination Committee Information System CNFM Conseil National des Femmes de NMCP National Malaria Control Program Madagascar NSP National Supply Plan CRS Catholic Relief Services (CRS) ONP Ordre National des Pharmaciens CSR Corporate Social Responsibility de Madagascar CSB Centre de Santé de Base PA Point d’Approvisionnement CTD Common Technical Document PAIS Plan d’Action d’Intégration des CoGe Comité de Gestion CoAg Cooperative Agreement Intrants de santé COGS Cost of Good Sold PARC Point d’Approvisionnement Relais CPT Certified Peer Trainer Communautaire DAMM Direction de l’Agence de PBO Pyrethroid and Piperonyl Butoxide Médicaments de Madagascar PDPN Plan Directeur Pharmaceutique DCA Development Credit Authority Nationale DEPSI Direction des Etudes de la PMI President’s Malaria Initiative Planification et du Système PMP Performance Monitoring Plan d’Information PPR Performance Plan and Report DGFS Direction Générale de Fourniture PPN Politique Pharmaceutique des Soins Nationale DGMP Direction Générale de la Médecine PSHP Private Sector Humanitarian Préventive Platform 3 DHIS-2 District Health Information System - IPTp Intermittent Preventive 2 Treatment during pregnancy DPS Direction de la Promotion de la PSI/M Population Services Santé International/Madagascar DLMT Direction de Lutte contre les Pha-G-Dis Pharmacie de Gros de District Maladies Transmissibles Pha-Ge-Com Pharmacie à Gestion DLMNT Direction de Lutte contre les Communautaire Maladies Non Transmissibles RBM Roll Back Malaria DRENETP Direction Régionale de l’Education RH Reproductive Health Nationale et de l’Enseignement RDT Rapid Diagnostic Test Technique et Professionnelle SBCC Social and Behavior Change DPLMT Direction de la Pharmacie, des Communication Laboratoires et de la Médecine SHOPS Plus Sustaining Health Outcomes Traditionnelle in the Private Sector Plus DRSP Direction Régionale de la Santé SILC Savings and Internal Lending Publique Communities DSFa Direction de la Santé Familiale SLRC Service de la Législation, DSS Division Santé Scolaire Réglementation et du Contentieux DSSB Direction des Services de Santé de SMSR Service de Maternité Sans Risques Base SP Sulfadoxine Pyriméthamine EFOI Entreprendre au Féminin Océan SPD Superviseurs de Point de Indien Distribution EMMP Environmental Mitigation STTA Short-term Technical Assistance Monitoring Plan TB Tuberculosis FANOME Financement pour TA Technicien Accompagnateur l’Approvisionnement Non-stop en TCA Total Cost Analysis Médicaments TMA Total Market Approach FP Family Planning TMI Total Market Initiative GAS Gestion des Approvisionnements et ToR Terms of Reference des Stocks ToT Training of Trainers GBV Gender Based Violence TWG Technical Working Group GESI Gender Equality and Social UCP Unité de coordination des Projets Inclusion UHC Universal Health Coverage GFEM Groupement des Femmes UNFPA United Nations Population Fund Entrepreneurs de Madagascar UTGL Unité Technique de Gestion GF Global Fund Logistique GHSC-PSM Global Health Supply Chain – USAID United States Agency for Procurement and Supply International Development Management VSLA Village Savings and Loan GOM Government of Madagascar Association HPN Health Population and Nutrition WHO World Health Organization IMPACT Improving Market Partnerships and ZAP Zone d’Administration Access to Commodities Together Pédagogique IR Intermediate Result IPs Implementing Partners 4 I- EXECUTIVE SUMMARY Intermediate Results 1: Enhanced coordination among public, non-profit, and commercial sectors for supply and distribution of health products During Quarter 2, IMPACT continued to achieve progress on the Total
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