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Mamoni Health Systems Strengthening Project

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Mamoni Health Systems Strengthening Project MaMoni Health Systems Strengthening Project Quarterly Report FY14 Quarter 1: September 24 - December 31, 2013 Submitted January 31 , 2014 MaMoni Health Systems Strengthening Project Quarterly Progress Report MaMoni Health Systems Strengthening Activity, Bangladesh: Year One Workplan Narrative Page 1 Acronyms and Abbreviations AMTSL Active Management of the Third Stage of Labor BCC Behavior Change Communication BSMMU Bangabandhu Sheikh Mujib Medical University CSBA Community Skilled Birth Attendants CV Community Volunteer DCOP Deputy Chief of Party DGFP Directorate General Family Planning DGHS Directorate General Health Services DHSS District Health Systems Strengthening EOI Expression of Interest GoB Government of Bangladesh HBB Helping Babies Breathe HMIS Health Management Information System HPNSDP Health, Population and Nutrition Sector Development Program HRCI Health Research Challenge for Impact HSS Health System Strengthening IEE Initial Environment Examination IR Intermediate Result JHU/IIP Johns Hopkins University, Institute for International Programs JSI John Snow, Inc. LAPM Long Acting and Permanent Method LLP Local Level Planning LMIS Logistics Management Information System LMR Leading and Managing for Results MAMA Mobile Alliance for Maternal Action MCHIP Maternal and Child Health Integrated Program M&E Monitoring and Evaluation MNCH/FP/N Maternal, Newborn and Child health, Family Planning and Nutrition MOH&FW Ministry of Health and Family Welfare MOU Memorandum of Understanding NSV Non-scalpel Vasectomy OR Operations Research PNGO Partner nongovernmental organization PPH Postpartum Hemorrhage PPIUCD Postpartum Intra-uterine Contraceptive Device QA Quality Assurance QPRM Quarterly Performance Review Meeting SC Save the Children SIAPS Systems for Improved Access to Pharmaceuticals and Services SMT Senior Management Team SOP Standard operating procedure SOW Scope of Work USAID U.S Agency for International Development MaMoni Health Systems Strengthening Activity, Bangladesh: Year One Workplan Narrative Page 2 Project Summary Project Name: MaMoni Health Systems Strengthening (MaMoni HSS) Project Reporting Period: FY 2014- Quarter 1: September 24, 2013 – December 31, 2013 Obligation Funding Amount: USD Project Duration: Four years Project Goal: Improved utilization of integrated maternal, newborn, child health, family planning and nutrition services Project Objective: Increased availability and quality of high impact interventions through strengthening district level local management and health systems Intermediate Results: Improved service readiness through critical gap management Strengthened health systems at district level and below Enabling environment promoted to strengthen district-level health systems Barriers to health service accessibility identified and reduced Geographic Focus: Sylhet, Habiganj, Noakhali, Lakhsmipur, Bhola, Jhalokathi, Pirozepur and Brahmanbaria districts Introduction This will include a brief overview of the health situation and MaMoni HSS’ role in Bangladesh. It should include the approximate date that activities started and briefly describe the problems we are addressing and the geographic scope of our work. It may also include a map and key indicators, if these help in understanding MaMoni HSS’ work. Over the past decade, Bangladesh has made significant progress in lowering maternal and child mortality. The maternal mortality ratio has declined 40% from 322 per 100,000 live births in 2001 to 194 in 2010. Between 2007 and 2011, the under-five mortality declined from 65 to 53 per 1000 live births. Skilled attendance at birth nearly doubled between 2004 and 2011 to 32%, with much of this due to increased facility deliveries. Notably, the contraceptive prevalence rate reached 61% for all methods and the total fertility rate declined to 2.3 nationally. MaMoni Health Systems Strengthening Activity, Bangladesh: Year One Workplan Narrative Page 3 While Bangladeshi women and children benefit from these improvements for their health, considerable gaps remain. Building on the strong work and success of the MaMoni Project and Maternal and Child Health Integrated Program (MCHIP), the MaMoni Health Systems Strengthening (MaMoni HSS) Project will focus on strengthening the systems and standards for maternal, newborn and child health, family planning, and nutrition (MNCH/FP/N) that will result in further declines in maternal, newborn and child mortality. MaMoni HSS is an Associate Award under MCHIP, with a period of performance from September 24, 2013 to September 23, 2017. MaMoni HSS is primed by Jhpiego in partnership with Save the Children (SC), John Snow, Inc. (JSI), and Johns Hopkins University (JHU)/Institute of International Programs (IIP), with national partners, icddr,b, Dnet, and Bangabandhu Sheikh Mujib Medical University (BSMMU). SC serves as the functional operational lead partner for this award in Bangladesh and leads on overall technical areas, oversees the management of project offices and administers all local activity costs. SC provides managerial and financial oversight for all local partners and sub grantees. SC ensures strong and cohesive leadership, rapid expansion/start-up in new districts, and strategic engagement at the national level, particularly with the Ministry of Health and Family Welfare (MOH&FW). Jhpiego is the primary point of contact for this award. In addition to its responsibilities as the prime, Jhpiego also plays a global coordination role among MCHIP partners to ensure effective provision of technical assistance to MaMoni HSS. Jhpiego provides direct assistance in the areas of quality assurance, supporting management decision-making based on data from quality assurance processes, capacity building, clinical expertise in maternal health and family planning, use of human resource modeling to determine health workforce planning and monitoring and evaluation (M&E) support. Jhpiego also manages the subagreement to DNet for implementation of Mobile Alliance for Maternal Action (MAMA) activities. JSI provides technical assistance in health systems strengthening with a specific focus on logistics management. JHU/IIP provides technical assistance for the estimation and analysis of maternal, newborn and child lives saved through Lives Saved Tool (LiST). MaMoni HSS implementation is supported by a group of local nongovernmental organizations (NGOs) that are strategically placed in local communities, and are channels for scale-up and sustainability. MaMoni HSS supports the MOH&FW to strengthen health systems in seven districts – Habiganj, Noakhali, Lakhsmipur, Bhola, Pirozepur, Jhalokathi and Brahmanbaria. In addition, Sylhet district receives support during the first year of implementation for targeted newborn care interventions. Implementation in Brahmanbaria district is planned to start in the second year. Habiganj, Noakhali MaMoni Health Systems Strengthening Activity, Bangladesh: Year One Workplan Narrative Page 4 and Lakhsmipur districts have received substantial support under the previous efforts of MCHIP, which will continue under MaMoni HSS project. The following MCHIP components, planned to transition into MaMoni HSS, will continue implementation during the reporting period: The MaMoni – Integrated Safe Motherhood, Newborn Care and Family Planning Project received a three-month, no-cost extension with a focus on maintaining gains and completing activities previously initiated in Sylhet and Habiganj districts. These districts also started preparations for the transition to MaMoni HSS by the end of this quarter. MCHIP field-support funded Aponjon activities of MAMA continued implementation of mobile phone-based communication of MNH messages. Aponjon activities will fully transition into MaMoni HSS at the end of third quarter. MCHIP field-support funded Helping Babies Breathe (HBB) scale up continued to train public and private sector providers, provide refresher trainings, and carry out system modifications and HBB surveillance. HBB activities will transition into MaMoni HSS in March 2014 MCHIP field-support funded District Health Systems Strengthening (DHSS) continued to implementation in Noakhali and Lakhsmipur districts and began preparatory activities for rapid transition to MaMoni HSS at the end of this quarter. 1. Program Objectives and Key Activities This section should state the objectives that have been laid out in the country workplan and provide a quick review of the activities being implemented and planned to achieve each one. Results for the Quarter - This section should provide a quick summary of results during the past quarter (bulleted format) and narrative when achievements require additional detail. Bullets summarizing Major Accomplishments: These summary bullets should reflect the most important achievements over the last quarter and be phrased as results--not as a list of the activities completed but what these activities resulted in or will result in. You must answer the “So what?” question. For example, if a workshop was held, we would like to know the outcomes of the workshop. If trainings were held, we would like to know the larger purpose to which they contribute, not just the number of people trained. LENGTH: Ideally, you should include 4-6 BULLETS ONLY for the entire program, but if there is more than one major program objective or component, 2-3 bullets per component should be your limit. Short Narrative providing additional details about Major Accomplishments: The narrative should elaborate on the bullet points listed above
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