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Accessible Continuum of Care and Essential Services Sustained (Access) Activity

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Accessible Continuum of Care and Essential Services Sustained (Access) Activity ACCESSIBLE CONTINUUM OF CARE AND ESSENTIAL SERVICES SUSTAINED (ACCESS) ACTIVITY Quarterly Progress Report: January – March 2019 May 10, 2019 John Yanulis This report was made possible through support provided by the United States Agency for International Development (USAID), under the terms of Cooperative Agreement No. 72068718CA00003. The opinions expressed herein are those of the author(s) and do not necessarily reflect the views of USAID. ACCESS Activity Management Sciences for Health 200 Rivers Edge Drive Medford, MA 02155 Telephone: (617) 250-9500 www.msh.org 1 QUARTERLY REPORT ACCESSIBLE CONTINUUM OF CARE AND ESSENTIAL SERVICES (ACCESS) Submitted by John Yanulis, Chief of Party Management Sciences for Health 6ème Etage, Immeuble Fitaratra Ankorondrano, 101 Antananarivo MADAGASCAR This document was produced for review by the United States Agency for International Development. It was prepared by Management Sciences for Health for the USAID ACCESS Program, NOFO 72068718CA00003. SECOND QUARTERLY REPORT ACCESS PROGRAM PAGE 1 2 TABLE OF CONTENTS TABLE OF CONTENTS 2 LIST OF ACRONYMS 3 ACCESS OVERVIEW 5 RESULTS FRAMEWORK 6 AT A GLANCE 7 PROGRESS TOWARDS THE PROGRAM OBJECTIVES 8 MONITORING, EVALUATION, AND LEARNING (MEL) 24 COMMUNICATIONS 25 MANAGEMENT 26 FY19 Q2 FINANCIAL REPORT Error! Bookmark not defined. SUCCESS STORY: MEASLES RESPONSE IN MAHJANGA I 32 SECOND QUARTERLY REPORT ACCESS PROGRAM PAGE 2 3 LIST OF ACRONYMS AAP American Academy of Pediatricians ACCESS Accessible Continuum of Care and Essential Services Sustained ACNM American College of Nurse Midwives ACOG American College of Obstetricians and Gynecologists AOR Agreement Officer Representative APPH Advancements in Postpartum Hemorrhage Care ASOS Action Socio-Sanitaires Organisation Secours CCDS Comités Communaux De Développement De Santé CCNT National Technical Coordination Cell CHD Centre Hospitalier de District CHV Community Health Volunteer CLA Collaborating, Learning, and Adapting CLTN Community-Led Total Nutrition CLTS Community-Led Total Sanitation COSAN Comités De Santé CRS Catholic Relief Services CSB Centre de Santé de Base CVC Community Surveillance Monitoring Committee CVF Fokontany Surveillance Monitoring Committee DCA Development Credit Authority DDS Direction des Districts Sanitaires DDSB Direction de Soins de Santé de Base DEP Direction de l’Etude et de la Planification DEPSI Direction de l’Etude de la Planification et du Système d’Information DGFS Director General for Health Facilities DHIS-2 District Health Information System II DPEV Direction du Programme Elargi de Vaccination DPS Direction de la Promotion de la Santé DPLMT Direction de la Pharmacie, des Laboratoires, et de la Médecine Traditionnelle DRSP Direction Régionales De La Santé Publique DSI Direction des Systèmes d'Information DVSSER Direction de Veille Sanitaire, Surveillance Épidémiologique, et Riposte EMAD Equipe de Management de District EMAR Equipe de Management de Région EPI Expanded Programme on Immunization EMOI Equipment, Materials, Tools, and Other Inputs EU The European Union FFSDP Fully Functional Service Delivery Point FP Family Planning FY Fiscal Year HEARD Health Evaluation and Applied Research Development HIS Health Information System HP+ Health Policy Plus IDSR Integrated Disease Surveillance and Response IMCI Integrated Management of Childhood Illnesses IMPACT Improving Market Partnerships and Access to Commodities Together IP Implementing Partner IT Information Technology SECOND QUARTERLY REPORT ACCESS PROGRAM PAGE 3 4 IUD Intrauterine Device JHU-CCP Johns Hopkins Center for Communication Programs KAP Knowledge, Attitudes, and Practices LARC Long-acting Reversible Contraceptives LDP+ Leadership Development Program Plus LiST Lives Saved Tool LMG Leadership, Management, and Governance LoA Letter of Authorization MCSP Maternal and Child Survival Program M&E Monitoring and Evaluation MEL Monitoring, Evaluation, and Learning MELP Monitoring, Evaluation, and Learning Plan MNCH Maternal, Neonatal, and Child Health MOPH The Ministry of Public Health MSH Management Sciences for Health NGO Non-governmental Organization PBF Performance-Based Financing PhaGis Pharmacie de Gros du District PPH Postpartum Hemorrhage PLGHA Protecting Life in Global Health Assistance PMI The President’s Malaria Initiative PNLP Programme Nationale de Lutte contre le Paludisme PNSC Politique Nationale de Santé Communautaire PROGRES Program for Organizational Growth, Resilience, and Sustainability PSBI Possible Serious Bacterial Infction PSI Population Services International PTF Partenaires Techniques et Financiers Q1 Quarter 1 Q2 Quarter 2 Q3 Quarter 3 RH Reproductive Health RMACom Community Monthly Activity Report SBC Social and Behavior Change SDSP Service de District de Santé Publique SCM Service de la Communication et Media SBU-GHI Stony Brook University Global Health Institute SILC Savings and Internal Lending Communities SMS Short Message Service STTA Short-Term Technical Assistance TWG Technical Working Group UNFPA The United Nations Population Fund UNICEF The United Nations Children’s Fund URC University Research Co USAID United States Agency for International Development USG United States Government WASH Water, Sanitation, and Hygiene WHO The World Health Organization SECOND QUARTERLY REPORT ACCESS PROGRAM PAGE 4 5 ACCESS OVERVIEW Activity Name Accessible Continuum of Care and Essential Services Sustained (ACCESS) Start and End Date September 27, 2018 – September 26, 2023 Name of Prime Management Sciences for Health (MSH) Implementing Partner Cooperative 72068718CA00003 Agreement Number Name of Sub- Action Socio-Sanitaires Organisation Secours (ASOS) Awardees American Academy of Pediatricians (AAP) American College of Obstetricians and Gynecologists (ACOG) American College of Nurse Midwives (ACNM) Catholic Relief Services (CRS) Dimagi Johns Hopkins Center for Communication Program (JHU-CCP) Stony Brook University Global Health Institute (SBU-GHI) Main Counterpart Ministry of Public Health (MOPH), Madagascar Geographic Coverage Thirteen Regions in Madagascar: Atsinanana, Vatovavy Fitovinany, Vakinankaratra, Amoron’I Mania, Haute-Matsiatra, Atsimo Andrefana, Menabe, Melaky, Boeny, Sofia, Analanjirofo, Diana, Sava. Goal and Purpose The goal of the program is to accelerate sustainable health impacts for the Malagasy people–as measured by sustained reductions in maternal and child mortality and morbidity–in 13 regions of the country. The purpose of the program is to build the capacity of MOPH actors at the district level and below in all districts in the implementation regions, to design, develop, manage, deliver, monitor, and evaluate health services and programs in their catchment areas. Objectives 1) Quality health services are sustainably available and accessible to all Malagasy communities in the target regions 2) Health systems function effectively to support quality service delivery 3) The Malagasy people sustainably adopt healthy behaviors and social norms SECOND QUARTERLY REPORT ACCESS PROGRAM PAGE 5 6 RESULTS FRAMEWORK SECOND QUARTERLY REPORT ACCESS PROGRAM PAGE 6 7 AT A GLANCE This progress report summarizes the technical and management activities that took place in the second quarter (Q2) of Fiscal Year 2019 (FY19)—January 1- March 31, 2019—and the planned activities for the third quarter (Q3) of the ACCESS Health Activity—hereafter referred to as “the ACCESS Program,” “ACCESS,” or “the program.” During Q2 FY19, ACCESS conducted technical orientations with ACCESS staff (which is an activity that is ongoing as new staff continue to join the program); worked alongside the MOPH to develop and validate national technical strategies, policies, and tools; enhanced coordination mechanisms with other implementing partners and USAID programs; applied a collaborating, learning, and adapting (CLA) approach to ACCESS interventions and innovations before initiating roll out or scale up; technically and financially supported the MOPH’s response to the measles outbreak; and finalized the baseline study protocol. Additionally in Q2, the ACCESS FY19 Workplan and the Monitoring, Evaluation, and Learning Plan (MELP) were approved by the United States Agency for International Development (USAID). While technical activities ramped up in Q2, ACCESS continued to focus on start-up activities related to program management. In particular, during this quarter the program hired an additional 57 staff-- including the Deputy Chief of Party, Performance Improvement and the Director of Finance and Administration (both key personnel positions); secured office space in 13 regions; finalized five out of eight of the consortium sub-award contracts; initiated the procurement of vehicles; and established sound financial and operational procedures to ensure compliance policies are in place. Furthermore, the new Minister of Public Health and his appointees assumed office during Q2. ACCESS made concerted efforts to establish formal relationships with the new MOPH and continued to provide uninterrupted support to the national, regional, and district MOPH in both technical and operational activities. Additionally, on October 26, 2018, the MOPH declared a measles outbreak and mobilized all partners in a national response. The ACCESS Program has been an active partner to the MOPH in the implementation of the response plan, particularly by supporting two vaccination campaigns during Q2. This report begins with a review of activities specific to each of the three objectives that were implemented by ACCESS in Q2. The rest of the
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