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(HFA) Population Services International (PSI) RFA-654-16-000004 Cooperative Agreement No.: AID-654-A-17-00003

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(HFA) Population Services International (PSI) RFA-654-16-000004 Cooperative Agreement No.: AID-654-A-17-00003 Health for All (HFA) Population Services International (PSI) RFA-654-16-000004 Cooperative Agreement No.: AID-654-A-17-00003 Quarterly Report 3: April 1st to June 30th, 2017 1 HEALTH FOR ALL In January 2017, the Population Services International-led Consortium was awarded RFA-654- 16-000004 to implement the project Health for All (HFA), from FY17-FY21. HFA’s program goal is to have USAID Angola partnerships transformed to strengthen the effective use of Angola's resources to meet the country’s development needs. HFA includes three health areas: malaria, HIV and family planning. This Quarterly Report refers to activities implemented between April and June 2017 (Q3): Result 1: LLIN Access and Use Increased by at least 30%. Key Results Expected ● Distribution of 2.9 million mosquito nets in 5 provinces ● LLIN related Social Behavior Change Communication strategy updated and adopted by NMCP and HFA ● 4,000 “activitas” or community agents trained in communication during distribution USAID/PMI supports a pillar of the National Malaria Control Program’s (NMCP) strategic plan: LLIN distribution for universal coverage in Angola. NMCP updated its approach to LLIN distribution and now aims to achieve universal coverage through a national distribution campaign to provide LLIN for all provinces within a year. LLIN Distribution HFA led a national Mass Distribution of LLINS (long lasting insecticide treated nets) during FY 17 in the following provinces (phase 1): • Cuanza Sul • Cuanza Norte • Zaire • Malanje • Uige (Quitexe, Cangola, Sanza Pompo, Puri, Buengas and Mucapa municipalities) This quarter was marked by the implementation of LLIN Distribution activities in all municipalities, following the novel distribution strategy adopted by NMCP. It was not possible to conclude the campaign in all municipalities of the 5 provinces (phase 1) as foreseen due to several local and structural unexpected events in the field, such as: • Delay in delivery of materials to the provinces (not enough time for procurement and delivery of goods to provinces). • Agenda conflicts between the activities of the LLIN distribution campaign and electoral campaign. This implied in restructuring of the calendar of activities in some provinces. • Difficult access to some communities causing delays in registration and distribution activities. • Restructuring of the Malanje team with the engagement of a new provincial coordinator caused delay in the calendar of activities. • Difficulty in transportation due to poor road conditions and long distances between municipalities. However, the campaign activities were officially closed in the provinces of Cuanza Norte and Cuanza Sul by the end of June as previously planned. There was a need to restructure the schedule of activities in the provinces of Malanje, Uige and Zaire. The conclusion of the campaign has been set for mid-July 2017. 2 Key results achieved during LLIN Distribution Phase 1: • 2.442.370 ITNs distributed • 4.360.602 beneficiaries received ITNs • 108.838 pregnant women reached • 690.992 children below 5 years of age reached • 4,764 activists trained in communication, registration and LLIN distribution • 90 trainers of trainers (ToT) formed for training of activists Table#1: summary of results of LLIN Distribution – phase 1 # PROVINCE ITNs BENEFICIARIES PREGNANT CHILDREN DISTRIBUTED COVERED WOMEN > 5 YEARS 1 Cuanza Norte 285,252 509,109 12,618 79,161 2 Cuanza Sul 990,944 1,720,325 41,786 262,066 3 Malanje 649,659 1,186,158 31,168 197,845 4 Uíge 186,350 334,670 9,297 60,835 5 Zaire 330,165 610,340 13,969 91,085 TOTAL 2,442,370 4,360,602 108,838 690,992 Table#2: summary of ITNs received, distributed and remaining per province – phase 1 # PROVINCE # ITNs # ITNs # ITNs REMAINING IN RECEIVED DISTRIBUTED PROVINCE 1 Cuanza Norte 293,450 285,252 8,198 2 Malanje 652,850 649,659 3,191 3 Uige 194,900 186,350 8,550 4 Cuanza Sul 1,242,700 990,944 251,756 5 Zaire 393,500 330,165 63,335 6 TOTAL 2,777,400 2,442,370 335,030 PLANNING STAGE 1. Microplanning In early April PSI and its partner Mentor completed the microplanning process in the 6 provinces. The microplanning exercise was carried out jointly with provincial supervisors of the Malaria Program, Malaria Focal Points and Municipal Health Departments to complete the planning process to guide the implementation of activities. The information gathered included: number of villages, number of population, road accessibility, distribution points, etc. The municipalities worked simultaneously in two groups, except for Uige where all municipalities were simultaneously contemplated. The table below indicates the groups of municipalities per province: Table #3: group of municipalities per province MALANGE CUANZA NORTE CUANZA SUL ZAIRE UÍGE GROUP I Malange sede Ambaca Amboim (Gabela) Cuimba Puri Kunda dia Base Banga Quilenda Mbanza Quitexe Kalandula Bolongongo Conda Congo Sanza Pombo Lukembo Quiculungo Seles Nóqui Cahombo Samba Cajú Sumbe Kwamba Nzoji Porto Amboim Kangandala 3 2. Training of trainers (for CHWs training) GROUP II MALANGE CUANZA NORTE CUANZA SUL ZAIRE Cacuso Cazengo Cassongue Nzeto Buengas Cambundi- Cambambe Ebo Soyo Cangola (Alto Catembo Golungo Cela Tomboco Cauale) Marimba Ngonguembo Libolo Mucaba Massango Lucala Munssende Mucari Quibala Quela Quirima By 21st April PSI completed the ToT program to build trainer’s capacity to train the activists in the field on malaria prevention counselling and usage of the tools to fulfill community related activities promoted by NMCP with funds from USAID/PMI. For trainers, PSI selected candidates from distribution provinces/municipalities with experience in the areas of training, education and/or communication. The first three ToT sessions were held in Luanda by the PSI team jointly with the NMCP communication officer. Training sessions were also conducted locally in Malanje, Cuanza Sul, Uige and Zaire to complete the number of 90 trainers needed for the training of activists, as detailed in the table below. Table #4: Total number of trainers per province: # PROVINCE # OF PEOPLE # WOMEN # MEN TRAINED 1 CUANZA NORTE 14 2 12 2 CUANZA SUL 30 3 27 3 MALANGE 24 6 18 4 UIGE 10 0 7 5 ZAIRE 12 2 10 6 TOTAL 90 13 74 During the training sessions in Luanda, PSI received a visit from a VectorWorks logistics consultant. It was an opportunity to exchange experiences and reinforce the campaign objectives. IMPLEMENTATION STAGE 1. Training of the warehouse supervisor, logistics and administrative assistants To support the working teams at provincial/municipal level and ensure proper coordination of the campaign operations, the following personnel were recruited and trained: Table#5: Administrative and logistic support team # Position Responsibility # of personnel trained 1 Logistics Coordinate logistics operations at the provincial 5 Assistant level, including rental of vehicles for (1 per province) transportation, control of the provincial warehouse, distribution of campaign materials. 2 Warehouse Control of products entry/exits in municipal 48 Supervisor warehouses (1 per municipality) 3 Administrative Support provincial coordinators in administrative 3 Assistant control and management, including human (Cuanza Norte, Cuanza resources and finance. Sul and Malanje) 4 2. Training of activists In the provinces, the trainers started the training of communication and registration activists on May 8th -12th. The training of distribution activists was conducted later following the arrival of mosquito nets in each the province. The trainings took 2-4 days in every province. The campaign in the 5 provinces mobilized a total of 4,764 activists, including communication, registration and distribution activists. The table below summarizes the number of activists trained per province: Table#6: Number of CHWs trained PROVINCE CHW TRAINED Total # men # women 1 Cuanza Norte 529 415 114 2 Cuanza Sul 1,974 734 1,240 3 Malanje 1,382 1,064 318 4 Zaire 489 377 112 5 Uíge 390 327 63 TOTAL 4,764 2,917 1,847 Note: all activists who qualified for the training were subjected to written examinations in addition to fulfilling other criteria like: national identity cards, bank account details and security clearance from local leaders prior to successful recruitment. In Uige and Zaire, the field teams used the group of registration activist for LLIN distribution, which was an advantage that increased efficiency during the distribution phase. The training program for activists was completed in June. 3. ITNs pre-positioning in the provinces The process of pre-positioning of mosquito nets in the provinces started in May, led by the PSM's operational team. In total, PSI received 2,777,400 ITNs. Table #2 has more details on the number of nets received and distributed by province. 4. Pre-communication and household registration Communication and registration activities in the field began on May 18th. Prior to registration, the activists led pre-communication visits in the community to inform the public about the campaign and the importance of having the head of the household present during the registration period. The registration exercise took approximately 14-20 days in all municipalities of the 5 provinces. The activists were distributed by zones and each group of 10-15 activists had a supervisor to guide the activities in the community. During the registration period, the activists worked in pairs (1 for communication and 1 for registration), and on average 40 to 80 households were registered per day, depending on distances and road access. Each registered household received a card indicating the number of mosquito nets to be received, place and date of distribution. 5. Official launching of the LLIN Distribution - 1st phase of national mass campaign The official launching of the campaign at national level took place in Malanje May 16th, led by PSI in coordination with DPS and NMCP. Two events were combined in a single place: 1) official presentation of the HFA project in a closed tend attended by DPS, USAID/PMI, and other HFA partners and 2) a symbolic LLIN distributions to the public that presented their LLIN vouchers, following all procedures.
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