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USAID Nurture Semi-Annual Report, Year 4: FY2019: October 1, 2018 to March 31, 2019

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USAID Nurture Semi-Annual Report, Year 4: FY2019: October 1, 2018 to March 31, 2019 Photo credit: Phongsamay Soukpaseuth USAID Nurture Semi-Annual Report, Year 4: FY2019: October 1, 2018 to March 31, 2019 Cooperative Agreement Number: No. AID-486-A-16-00001 USAID/RDMA, Attn: Kongchay Vongsaiya, AOR Submitted by Delailah Borja, Chief of Party, USAID Nurture, May 8, 2019 Revised July 12, 2019 [email protected] CONTENTS Contents ...................................................................................................................................................... 2 List of Tables ............................................................................................................................................... 3 List of Figures.............................................................................................................................................. 3 Acronym List .............................................................................................................................................. 4 USAID Nurture Summary ....................................................................................................................... 7 In the first half of Year (YR) 4, USAID Nurture achieved the following milestones:................. 8 Targets Reached Across Intermediate Results ................................................................................. 10 Program Implementation Progress ...................................................................................................... 14 New and Existing Sub-Award and Contract Status ......................................................................... 17 Major Impacts and Accomplishments by Intermediate Result ...................................................... 17 Intermediate Result 1: Improved IYCF and WASH Behaviors in Household with Pregnant Women and Children under Two .................................................................................................. 17 Intermediate Result 2: Improved Use of Quality Nutrition and Nutrition-Sensitive WASH Services/Facilities ................................................................................................................................. 24 Health Service Delivery .......................................................................................................................... 27 Cross-cutting Approach: Improved Enabling Environment for Multi Sectoral Nutrition and WASH Programs among Government Officials, Service Providers, and Communities ..... 28 Deviations from Expectations for Performance Indicators ............................................................ 29 Integration of Crosscutting Issues and USAID Forward Priorities .............................................. 30 Environmental Compliance .................................................................................................................... 31 Science, Technology, and Innovation .................................................................................................. 32 Stakeholders Participation and Involvement ...................................................................................... 32 Cost Sharing .............................................................................................................................................. 33 Planned Tasks/Interventions for the Next Reporting Period ........................................................ 33 Appendix 1: Remaining Scale up of iNuW Districts ........................................................................ 36 Appendix 2: Number of People Trained During the Reporting Period of October 1, 2018 – March 31, 2019......................................................................................................................................... 38 Appendix 3: The USAID Nurture Key Demographic Data In Its Target Areas ........................ 41 Appendix 4: Poster of “iNuW – Community Work ....................................................................... 42 Appendix 5: Cover Page of CF Guide ................................................................................................. 43 Appendix 6: CF Coaching Guide .......................................................................................................... 45 Appendix 7: Summary of Toilet Prices ............................................................................................... 47 Appendix 8: Pictures of Implementation in the Community ......................................................... 48 Appendix 9: Success Story #1: Influence of a Sales Agent ............................................................. 52 Appendix 10: Success Story #2: Enabling a Community Facilitator ............................................. 53 2 LIST OF TABLES Table 1. Number of Children Under Five (0-59 months) Reached by USG-Supported Nutrition Programs, Disaggregated by Sex (Indicator Sub-IR2.1.3, HL.9-1) ............................................ 10 Table 2. Number of Children Under Two (0-23 Months) Reached with Community-Level Nutrition Intervention through USG-Supported Programs, Disaggregated by Sex (Indicator Sub-IR2.1.3, HL.9-2) ................................................................................................................. 11 Table 3. Number of Pregnant Women Reached with Nutrition Interventions through USG Supported Programs, Disaggregated by Age (Indicator Sub-IR2.1.4, HL.9-3) ......................... 12 Table 4. Number of People Gaining Access to a Basic Sanitation Facility as a Result of USG- Assistance, Disaggregated by Sex (Indicator Sub-IR2.2.2, HL.8.2-2) ....................................... 12 Table 5. Number of Individuals Receiving Nutrition-Related Professional Training through USG-Supported Programs, Disaggregated by Sex (Indicator CCA-Output 2, HL.9-4) .............. 13 Table 6. Custom Indicator: Number of Mother/Caregivers of Children 0-23 Months Who Received Other Direct Maternal Infant and Young Child Nutrition Counseling through USG- Supported Programs, Disaggregated by Sex ............................................................................ 13 Table 7. Custom Indicator: Percentage of Household Visits Conducted by Community Facilitators Attended by Both Men and Women (Indicator IR1-Output 1) ............................. 14 Table 8. iNuW Toolkit Key Features ......................................................................................... 18 Table 9. Key Features of CF Home Visit and Coaching Guides ................................................ 19 Table 10. Rollout Training of iNuW .......................................................................................... 20 Table 11. Number of Private Vendors Engaged in WASH Marketing ...................................... 25 Table 12. 1000 Days Nutrition Counseling Course Schedule ................................................... 27 Table 13. Q1 and Q2 FY 2019 Health Care Provider Capacity Building ................................... 27 Table 14. Q1 and Q2 FY 2019 District Nutrition Multi-Sectoral Committee Meetings ........... 29 Table 15. Key non-GoL Stakeholders ....................................................................................... 32 Table 16. Key GoL Stakeholders ............................................................................................... 32 LIST OF FIGURES Figure 1. Finalized iNuW Process ....................................................................................................... 23 3 ACRONYM LIST ANC Antenatal Care AR Annual Report ARMI Association for Rural Mobilization and Improvement AW Abundant Water Organization A&T Alive & Thrive BFHI Baby Friendly Hospital Initiative BMS Breastmilk Substitute CF Community Facilitator CIEH Center for Information and Health CLA Collaborating, Learning, and Adapting CLTS Community Led Total Sanitation COP Chief of Party CSA Civil Society Alliance CSO Civil Society Organization DAFO District Agriculture and Forestry Office DDD Digital Data Divide DESB District Education and Sports Bureau DHC Department of Health Care DHO District Health Office DHIS2 District Health Information System 2 DHHP Department of Hygiene and Health Promotion DHR Department of Healthcare and Rehabilitation DNC District Nutrition Committee DP Development Partner DPO District Project Officer DQA Data Quality Assessment EENC Early Essential Newborn Care EPA Eicosapentaenoic Acid EPI Expanded Program on Immunization EU European Union FDD Food and Drug Department FY Fiscal Year GL Guideline GLEE Global Learning and Exchange GoL Government of Lao PDR 4 IFA Iron and Folic Acid IR Intermediate Result HCP Health Care Provider HH Household HPA Health Poverty Action INGO Non-Governmental Organization iNuW Integrated Nutrition and WASH IR Intermediate Result IYCF Infant and Young Child Feeding KHM Khammouane Province LAK Lao Kip LANI Lao American Nutrition Institute Lao PDR Lao People’s Democratic Republic LMIC Low and Middle Income Country LOA Life of Activity MCH Maternal and Child Health MCHC Maternal and Child Health Center MIYCN Maternal Infant and Young Child Nutrition MEL Monitoring, Evaluation and Learning M&E Monitoring and Evaluation MOH Ministry of Health MOU Memorandum of Understanding MSN Multi-sectoral Nutrition Strategy NIoPH National Institute of Public Health NMV Nutrition Model Village NNC National Nutrition Center Nam Saat National Center for Environmental Health and Water Supply NNS National Nutrition Strategy NPA Non-Profit Agency NPAN National Plan of Action
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