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Regional Projects Periodic (Quarterly, Biannual and Annual) Report Outline

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Regional Projects Periodic (Quarterly, Biannual and Annual) Report Outline A’AGO PROJECT - IMPROVING SEXUAL AND REPRODUCTIVE HEALTH STATUS OF AFARI YOUNG PEOPLE SECOND YEAR ANNUAL PROGRESS REPORT (JULY 2018-JUNE 2019) Submitted to: Embassy of Kingdom of the Netherlands, Addis Ababa, Ethiopia Submitted by: EngenderHealth, Inc September 2019 EngenderHealth A’AGO Project, Yr 2 Annual Report, July 2018–June 2019 I. Contents I. Contents ............................................................................................................................................. ii II. Acronyms ........................................................................................................................................... ii III. Project Profile.................................................................................................................................... iii IV. Executive Summary .......................................................................................................................... iv V. Introduction .......................................................................................................................................1 VI. Goal and Objectives ...........................................................................................................................2 VII. Major planned activities accomplished by objective .........................................................................2 1. Objective 1: Increase demand for SRH information and services to youth and adolescents .............2 2. Objective 2: Increase access to quality sexual and reproductive health (SHR) services ................ 10 3. Objective 3: Improve the enabling environment for youth and adolescents to exercise their SRH entitlement ................................................................................................................................................ 18 4. Monitoring, Evaluation and Learning ............................................................................................. 21 VIII. Lessons Learnt and Success factors ................................................................................................. 23 IX. Challenges encountered and measures taken .................................................................................. 24 X. Annexes: ........................................................................................................................................... 27 Annex 1: A'ago project year 2 annual plan and achievement summary, July 2018 – June 2019....................................... 27 Annex 2: Contraception and CAC services provided by age and Sex category in A’ago supported health facilities, July 2019- June 2019 ....................................................................................................................................................... 31 EngenderHealth A’AGO Project, Yr 2 Annual Report, July 2018–June 2019 II. Acronyms ANC Ante Natal Care AY Adolescent and Youth AYH Adolescent and Youth Health AYSRH Adolescent and Youth Sexual and Reproductive Health BEmONC Basic Emergency Obstetric and Neonatal Care CC Comprehensive Contraception CAC Comprehensive Abortion Care CMC Clinical Monitoring and Coaching CSE Comprehensive Sexuality Education DHIS District Health Information System FGM Female Genital mutilation FMOH Federal Ministry of Health HC Health Center HEWs Health Extension Workers HIV Human Immune Virus HMIS Health Management Information System HQ Head Semimanual HP Health Post HW Health Worker IPFS Individual Providers follow up and Support IUCD Intrauterine Contraceptive Device LAFP Long acting Family Planning LARC Long Acting and Reversible contraceptive MA Medical Abortion MHM Menstrual Hygiene Management PHCU Primary Health Care Unit PMTCT Prevention of Mother to Child Transmission PNC Post Nata Care PTFS Post Training Follow up and Support RBI Rapid Breakthrough Initiative SAC Safe Abortion Care service SOJT Structured on the Job Training SRH Sexual and Reproductive Health SRHR Sexual and Reproductive Health Right STIs Sexually Transmitted Infections WDA Women Development Armies WSWM World Starts With Me WTP Woreda Transformation Plan YFS Youth Friendly Services ii III. Project Profile Table 1: A’AGO Project Profile 1.1. Name of project Lead Partner: EngenderHealth Inc. 1.2. Contact person: Jemal Kassaw, EngenderHealth Ethiopia, Country Representative 1.3. Project consortium partners: EngenderHealth Inc, Amref Health Africa, Triggerise and Philips Health Africa 1.4. Name of Project: A’ago Project – Improving Sexual and Reproductive health status of Afar Young People. 1.5. Project Activity No: 4000000122 1.6. Project Period: September 2017- August 2021 1.7. Reporting period: July 2018- June 2019 1.8. Target Country: Ethiopia 1.9. Target Region Originally in Afar and expansion in Oromia, Amhara and SNNP Regions to expand access for comprehensive abortion care (CAC) Beneficiary / Stakeholder Description Total Beneficiary Total Target population All age 399,700 Adolescents and Youth Young People 92,500 1.10. Final beneficiaries &/or target Districts # of Districts 49 groups (if different) (including # of women and men): Private Health Facilities Private Clinics 34 Public Health Facilities Health Centers and 125 Hospitals Health Posts 103 Schools Schools 34 1.10: Project Budget 11,040,274 USD iii IV. Executive Summary This report comprises year two (July 2018-June 2019) A’ago project key achievements implemented by partners namely: EngenderHealth, Amref Health Africa, Triggerise and Philips Africa. The report summarizes project supported demand creation, quality SRH service expansion, creating an enabling environment and, monitoring evaluation and learning. As part of the effort to increase awareness and demand for SRH among adolescent and youth, comprehensive sexuality education (CSE) was successfully initiated in 30 schools (21 primary schools and 9 high schools). Following which, a total of 1,016 students have been registered for CSE, and 967 (64% female) students completed the course in the reporting period. To facilitate community engagement towards adolescent and youth SRH services; 711 Youth Facilitators, Traditional birth attendants (TBAs), Women Development Army’s (WDAs), Religious Leaders and Health extension Workers (HEWs) were trained and supported to actively engage in awareness and demand creation for SRH services. Community-Facility referral linkages were also strengthened across project areas, with more than 12,000 clients referred and served for different SRH services. As a result of project awareness creation effort, young people and community representatives have also started to strongly challenge some of the rampant socio- cultural barriers to SRHR. On supply side, the project has introduced integrated comprehensive contraception (CC) and comprehensive abortion care (CAC) services at 36 public health facilities (11 private clinics). On the other hand, Basic emergency Obstetric and Neonatal Health Care (BEmONC) service is strengthened at 11 public health facilities. As a result, uptake of CC, CAC and post-natal care (PNC) were significantly improved where 7,177 (207% of 3,464 clients planned for CC), 554 (146% of 380 clients planned for CAC) and 1,399 (195% of 718 clients planned for PNC) were served at project supported sites. As BEmONC services required significant time to ensure service readiness (service initiation was achieved in the fourth quarter); service uptake for ANC and delivery were relatively lower but increasing over time. To create an enabling environment for SRHR, different community-level structures were strengthened and community gatekeepers trained and supported. Besides, to create buy-in for SRHR from high level political and community leaders, regional forums and safe motherhood workshops were support. Major stakeholders from the regional public sectors have conducted joint supportive supervision among project sites both at community and facility levels and provided their feedback to strengthen the existing support the project is providing to the region. During the reporting period, the project has also encountered challenges; including security problem, flood and draught, weak community and HEWs structure, high staff turnover among government facilities and delays in purchase of medical equipment’s. The project partners has exerted efforts to address these challenges and ensured the successful implementation of the project. Generally, the project progress has significantly expanded access to SRHR information and service to the public in general and young people in particular, serving a total of 33,557 clients. The major success factors in the reporting period include competency based clinical training supported by strong clinical mentoring, use of diversified community engagement approaches and close coordination with government partners. The project in the reporting period has utilized a total of 3,103,448 USD. iv V. Introduction Ethiopia has managed to register promising progress in achieving most of the Millennium Development Goals (MDGs). Progress in Maternal, Neonatal and Child Health (MNCH) and Sexual and Reproductive Health (SRH) relatively has shown progressive improvement in the last two decades. However, the country has continued to face critical challenges in reducing maternal mortality and ensuring equitable access to quality SRH service. The Government of Ethiopia, recognizing the burden of high rate of the maternal mortality and related SRH problems has made reproductive and maternal health one
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