Usaid's Integrated Health Program
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USAID’S INTEGRATED HEALTH PROGRAM Fiscal Year 2021 Quarterly Report 2 (January 1 through March 31, 2021) Submitted May 28, 2021 Resubmitted July 2, 2021 DISCLAIMER This report is made possible by the support of the American People through the United States Agency for International Development (USAID). The authors’ views expressed in this publication do not necessarily reflect the views of USAID or the United States Government. Recommended Citation: USAID Integrated Health Program, “Fiscal Year 2021 Quarterly Report 2.” Prepared for USAID IHP by Abt Associates, Rockville, Maryland, submitted May 28, 2021. Resubmitted July 2, 2021. Submitted to: Richard Matendo, COR, Maternal & Child Health Program Specialist, Health Office, USAID/Democratic Republic of the Congo (+243 81 555 4514), Kinshasa, DRC. Cover Photo: A nurse weighs a child during an after-birth visit at the Crina health center in Kamalondo ZS, Haut-Katanga. Photo by Jean Manassé Tshibamba, freelance photographer for USAID IHP. Abt Associates 1 6130 Executive Boulevard 1 Rockville, Maryland 20852 1 T. 301.347.5000 1 www.abtassociates.com With: International Rescue Committee (IRC) Pathfinder International BlueSquare Training Resources Group (TRG) Mobile Accord/Geopoll i+ Solutions Viamo Matchboxology USAID’S INTEGRATED HEALTH PROGRAM Fiscal Year 2021 Quarterly Report 2 (January 1 through March 31, 2021) Contract No.: 72066018C00001 DISCLAIMER: This report is made possible by the support of the American People through the United States Agency for International Development (USAID). The authors’ views expressed in this publication do not necessarily reflect the views of USAID or the United States Government. TABLE OF CONTENTS TABLE OF CONTENTS .................................................................................................................... I LIST OF TABLES .............................................................................................................................. IV LIST OF FIGURES ............................................................................................................................. V ACRONYMS AND ABBREVIATIONS........................................................................................ VI EXECUTIVE SUMMARY .................................................................................................................. X 1. INTRODUCTION ........................................................................................................................ 1 Programmatic and Geographic Scope ..................................................................................................................... 1 Partnerships ................................................................................................................................................................... 2 2. PROGRAM MANAGEMENT ..................................................................................................... 3 Implementation and Management ............................................................................................................................ 3 Program Staffing ........................................................................................................................................................... 4 Program Operations ................................................................................................................................................... 4 Security ........................................................................................................................................................................... 6 3. PROGRAM AREAS .....................................................................................................................10 Malaria ........................................................................................................................................................................... 11 Maternal, Newborn, and Child Health .................................................................................................................. 16 Maternal and Newborn Health ............................................................................................................................... 16 Immunization ............................................................................................................................................................... 24 Child Health ................................................................................................................................................................ 31 Nutrition ...................................................................................................................................................................... 36 Reproductive Health and Family Planning ............................................................................................................ 39 Tuberculosis ................................................................................................................................................................ 44 Water, Sanitation, and Hygiene .............................................................................................................................. 52 4. OBJECTIVE 1 ................................................................................................................................56 IR 1.1: Enhanced Ability to Plan, Implement and Monitor Services at the Provincial, ZS, and Health Facility Levels ................................................................................................................................................. 57 IR 1.2: Improved Transparency and Oversight in Health Service Financing and Administration at Provincial, Health Zone, Facility, and Community Levels ................................................................................ 61 IR 1.3: Capacity Building for Community Service Organizations and Community Organizations to Provide Health System Monitoring .................................................................................................................. 63 USAID IHP: FY2021 QUARTERLY REPORT 2 USAID.GOV | i IR 1.4: Improving the Effectiveness Of Stakeholder Coordination at the Provincial and ZS Levels ...... 64 IR 1.5: Improved Disease Surveillance and Strategic Information Gathering and Use .............................. 66 Data Capacity .............................................................................................................................................................. 66 Data Availability .......................................................................................................................................................... 67 Data Quality ................................................................................................................................................................ 68 IR 1.6: Improved Management and Motivation of Human Resources for Health ...................................... 70 IR 1.7: Increased Availability of Essential Commodities at Provincial, Health Zone, Facility, and Community Levels ..................................................................................................................................................... 72 IR 1.8: Strengthened Collaboration between Central and Decentralized Levels through Sharing of Best Practices and Contributions to Policy Dialogue................................................................................... 74 5. OBJECTIVE 2 ................................................................................................................................76 IR 2.1: Increased Availability of Quality, Integrated Facility-Based Health Services ................................... 77 IR 2.2 Increased Availability of Quality, Integrated Community-Based Health Services .......................... 79 IR 2.3 Improved Referral System from Community-Based Platforms to Health Centers and Referral Hospitals ...................................................................................................................................................... 81 IR 2.4 Improved Health Provider Attitudes and Interpersonal Skills at Facility and Community Levels ............................................................................................................................................................................ 82 IR 2.5: Increased Availability of Innovative Financing Approaches ................................................................. 83 IR 2.6: Improvement of Basic Infrastructure and Equipment to Ensure Quality Services ........................ 84 IR 2.7: Strengthened Collaboration Between Central and Decentralized Levels Through Sharing of Best Practices and Contributions to Policy Dialogue................................................................................... 85 6. OBJECTIVE 3 ................................................................................................................................88 IR 3.1: Increased Practice of Priority Healthy Behaviors at the Individual, Household, and Community Levels ..................................................................................................................................................... 89 IR 3.2: Increased Use of Facility- and Community-Based Health Services ................................................... 92 IR 3.3: Reduced Socio-cultural Barriers