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Usaid Kenya and East Africa Afya Jijini Year 2 Annual Work Plan

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Usaid Kenya and East Africa Afya Jijini Year 2 Annual Work Plan USAID KENYA AND EAST AFRICA AFYA JIJINI YEAR 2 ANNUAL WORK PLAN JULY 2016 This publication was produced for review by the United States Agency for International Development. It was prepared by IMA World Health. USAID KENYA Afya Jijini YEAR 2 ANNUAL WORK PLAN Award No: AID-615-C-15-00002 Prepared for Ms. Katherine Farnsworth United States Agency for International Development/Kenya and East Africa c/o American Embassy United Nations Avenue, Gigiri P.O. Box 629, Village Market 00621 Nairobi, Kenya Prepared by: IMA World Health 1730 M Street N.W. • Suite 1100 Washington, DC 20036 DISCLAIMER The authors’ views expressed in this report do not necessarily reflect the views of the United States Agency for International Development or the United States Government. CONTENTS Introduction........................................................................................................................ 1 Afya Jijini Y2 Proposed Activities ..................................................................................... 2 Sub-Purpose 1: Increased Access and Utilization of Quality HIV Services ................ 2 OUTPUT 1.1: eMTCT .................................................................................................. 3 OUTPUT 1.2 AND OUTPUT 1.3: HIV CARE, SUPPORT, AND TREATMENT SERVICES .............................................................................................. 5 OUTPUT 1.4: HIV TESTING AND COUNSELING (HTC), VOLUNTARY MEDICAL MALE CIRCUMCISION (VMMC), GENDER- SENSITIVE HIV PREVENTION, AND DREAMS ..................................................... 8 GENDER-SENSITIVE HIV-PREVENTION SERVICES .......................................... 12 DREAMS ......................................................................................................................... 14 OUTPUT 1.5: TB / HIV CO-INFECTION SERVICES .......................................... 17 Sub-Purpose 2: Increased Access and Utilization of Focused Maternal- Newborn Health (MNH), FP, WASH, and Nutrition Services ................................... 20 OUTPUT 2.1: MNH SERVICES ................................................................................. 21 OUTPUT 2.2: CHILD HEALTH ............................................................................... 25 OUTPUT 2.3: FP .......................................................................................................... 27 OUTPUT 2.4: WASH SERVICES .............................................................................. 29 OUTPUT 2.5: NUTRITION SERVICES ................................................................... 32 Sub-Purpose 3: Strengthened and Functional County Health Systems .................... 35 OUTPUT 3.1: PARTNERSHIPS FOR GOVERNANCE AND STRATEGIC PLANNING ........................................................................................... 35 OUTPUT 3.2: HRH ...................................................................................................... 37 OUTPUT 3.3: HEALTH PRODUCTS AND TECHNOLOGIES ....................... 38 OUTPUT 3.4: STRATEGIC M&E SYSTEMS ........................................................... 41 OUTPUT 3.5: QI SYSTEMS ....................................................................................... 43 III. Project Management ........................................................ Error! Bookmark not defined. Annexes and Attachments .................................................... Error! Bookmark not defined. ATTACHMENT 1: GANTT CHARTS .................................................................... 46 ANNEX I: YEAR II BUDGET ........................ Error! Bookmark not defined. ANNEX II: PROPOSED INTERNATIONAL TRAVEL Error! Bookmark not defined. USAID/KENYA AFYA JIJINI YEAR 2 WORK PLAN i ACRONYMS AND ABBREVIATIONS ACF Active Case Finding ADR Adverse Drug Reaction ADT ARV Dispensing Tool AGYW Adolescent Girls and Young Women AJSGP Afya Jijini Small Grants Program AMTSL Active Management of Third Stage of Labor ANC Antenatal Care AOC Ambassador of Change ARI Acute Respiratory Infection ART Antiretroviral Therapy AWP Annual Work Plan AYSRH Adolescent Youth Sexual and Reproductive Health BCC Behavior Change Communication BEmONC Basic Emergency Obstetric and Newborn Care BFHI Baby-Friendly Hospitals Initiative BMI Body Mass Index CBD Community-Based Distribution/Distributor CBHIS Community-Based Health Information System CBO Community-Based Organization CCC Comprehensive Care Centre CEmONC Comprehensive Emergency Obstetric and Newborn Care CHEW Community Health Extension Worker CHMT County Health Management Team CHV Community Health Volunteer CME Continuing Medical Education CNTF County Nutrition Technical Forum COP Country Operating Plan CWC Child Welfare Clinic CYP Couple Year Protection DDIU Data Demand and Information Use DICE Drop-In Center DOTS Directly Observed Therapy, Short Course DQA Data Quality Assurance DREAMS Determined, Resilient, Empowered, AIDS-Free, Mentored, and Safe Women EBF Exclusive Breastfeeding EBI Evidence-Based Intervention ECD Early Childhood Development EID Early Infant Diagnosis EMMP Environmental Monitoring and Mitigation Plan EmONC Emergency Obstetric and Newborn Care EMR Electronic Medical Record eMTCT Elimination of Mother-to-Child Transmission of HIV EQA External Quality Assurance FMP Family Matters Program FP Family Planning FSW Female Sex Worker GBV Gender-Based Violence GOK Government of Kenya HCA HIV Cohort Analysis HCBF Healthy Choices for a Better Future HCW Health Care Worker HCWM Healthcare Waste Management HEI HIV-Exposed Infant HINI High-Impact Nutrition Intervention HPT Health Products and Technologies USAID/KENYA AFYA JIJINI YEAR 2 WORK PLAN ii HQ Headquarters HR Human Resources HRH Human Resources for Health HRIO Health Records and Information Officer HRIS Human Resource Information Systems HSS Health Systems Strengthening HTC HIV Testing and Counseling HTS HIV Testing Services ICF Intensified Case Finding IEC Information, Education, and Communication IEE Initial Environmental Examination IFAS Iron and Folic Acid Supplementation IMA IMA World Health IMAM Integrated Management of Acute Malnutrition IMCI Integrated Management of Childhood Illness IPC Infection Prevention and Control IPD Inpatient Department IPT Isoniazid Preventative Therapy IPV Intimate Partner Violence KMC Kangaroo Mother Care KQMH Kenya Quality Model for Health LARC Long-Acting, Reversible Contraception M&E Monitoring and Evaluation MCH Maternal Child Health MDR-TB Multi-Drug Resistant TB MER Medication Error Reporting MHMC My Health, My Choice MIYCN Maternal Infant and Young Child Nutrition MNH Maternal-Newborn Health MNCH Maternal, Newborn, and Child Health MOH Ministry of Health MPDSR Maternal and Perinatal Death Surveillance and Response MSM Men Who Have Sex with Men MSW Male Sex Workers MTC Medicines and Therapeutics Committee NAC Nutrition Assessment and Counseling NASCOP National AIDS and STI Control Program NCC Nairobi City County NHP+ Nutrition Health Program Plus OJT On-the-Job Training OPD Outpatient Department ORS Oral Rehydration Solution ORT Oral Rehydration Therapy OVC Orphans and Vulnerable Children PAC Post-Abortion Care PLHIV People Living with HIV PMTCT Prevention of Mother-to-Child Transmission PNC Post-Natal Care PPFP Post-Partum Family Planning PPH Post-Partum Hemorrhage PRC Post-Rape Care PrEP Pre-Exposure Prophylaxis PSM Patient Self-Management PSS Psychosocial Support PSSGs Psychosocial Support Groups PT Proficiency Testing USAID/KENYA AFYA JIJINI YEAR 2 WORK PLAN iii QA Quality Assurance QI Quality Improvement QIT Quality Improvement Team RCM Respectful Care Module RDQA Routine Data Quality Assessment RH Reproductive Health RMNCH Reproductive, Maternal, Newborn, and Child Health RRI Rapid Results Initiative RTK Rapid Test Kit SBA Skilled Birth Attendance SCHMT Sub-County Health Management Team SDA Small Doable Action SMLT Sub-County Medical Laboratory Technologist SOP Standard Operating Procedure SRH Sexual and Reproductive Health STI Sexually Transmitted Infection TA Technical Assistance TB Tuberculosis TOR Terms of Reference TPA Treatment Preparation and Adherence TPS Treatment Preparation and Support TWG Technical Working Group UCLTS Urban Community-Led Total Sanitation VL Viral Load VMMC Voluntary Medical Male Circumcision WASH Water, Sanitation, and Hygiene WHO/AFRO World Health Organization - Regional Office for Africa WIT Work Improvement Team USAID/KENYA AFYA JIJINI YEAR 2 WORK PLAN iv This page is intentionally left blank USAID/KENYA AFYA JIJINI YEAR 2 WORK PLAN v Introduction Afya Jijini is a three-year contract (with two option years) that contributes to USAID/Kenya’s Country Development Cooperation Strategy Sub-Intermediate Result 2.2.2 for “improved county-level institutional capacity and management of health service delivery” in Nairobi City County (NCC) The project’s purpose is to improve and increase access and utilization of quality health services in NCC through strengthened service delivery and institutional capacity of health systems. Afya Jijini seeks specifically to achieve three main sub-purposes: Sub-Purpose 1: Increase access and use of quality HIV services. Sub-Purpose 2: Improve access and uptake of maternal, neonatal, and child health (MNCH); family planning (FP) and reproductive health (RH); Water, Sanitation and Hygiene (WASH); and nutrition services. Sub-Purpose 3: Strengthen county and sub-county health systems. The following priorities guided FY17 work plan development: Overall: Afya Jijini enters Y2 having
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