USAID|Mikolo Quarterly Progress Report Period
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USAID|Mikolo Quarterly Progress Report Period: January 1-March 31, 2014 John Yanulis April 30, 2014 USAID|MIKOLO is a five-year project (2013-2018), funded by USAID and implemented by Management Sciences for Health (MSH) with Catholic Relief Services (CRS), Overseas Strategic Consulting (OSC), and local partners. The project will increase community-based primary health care service uptake and the adoption of healthy behaviors among women of reproductive age, young children, and newborns under 5 years old. [Primary health care – USAID – Community health services] This report was made possible through support provided by the US Agency for International Development and the USAID Madagascar, under the terms of Contract Number AID-687-C-13-00001 and Jacky RALAIARIVONY. The opinions expressed herein are those of the author(s) and do not necessarily reflect the views of the US Agency for International Development. USAID|MIKOLO Management Sciences for Health 200e Riv rs Edge Drive Medford, MA 02155 Telephone: (617) 250-9500 http://www.msh.org Table of Contents List of Acronyms........................................................................................................................ ii Project Summary ........................................................................................................................ 1 Introduction .............................................................................. Error! Bookmark not defined. Technical Progress towards Sub-Purposes................................................................................. 5 Sub-purpose 1: Sustainably develop systems, capacity, and ownership of local partners................... 5 Sub-purpose 2: Increase availability and access to primary health care services in all communes in the project's six intervention regions ................................................................................................. 15 Sub-purpose 3: Improve quality of community-level primary health care services .......................... 17 Sub-purpose 4: Increase adoption of healthy behaviors and practices .............................................. 19 Monitoring and Evaluation....................................................................................................... 24 Cross-cutting Activities ............................................................................................................ 28 Youth approach.................................................................................................................................. 28 Gender approach ................................................................................................................................ 29 Sustainability ..................................................................................................................................... 30 Environmental Compliance ............................................................................................................... 31 Project Management................................................................................................................. 31 Project start-up ................................................................................................................................... 31 Collaborations and meetings with other partners............................................................................... 34 Attachments.............................................................................................................................. 40 Appendix 1: Success stories .............................................................................................................. 40 Appendix 2: List of CHV equipment for the 375 communes ............................................................ 48 Appendix 3: Terms of Reference for CHVs Trainers ........................................................................ 48 Appendix 4: CHVs Supervision Package .......................................................................................... 53 Appendix 5: Communication Strategy .............................................................................................. 56 Appendix 6: Knowledge Sharing Strategy ........................................................................................ 61 Appendix 7: Copy of English version of MIKOLO Bulletin ............................................................ 62 Appendix 8: Summary of Activities Implemented in the Communes under the Kaominina Mendrika Salama Project ................................................................................................................................... 61 Appendix 9: Summary of NGO Training Conducted by the Project ................................................. 62 Appendix 10: Updated Organizational Chart, March 31, 2014 ......................................................... 63 Appendix 11: Administrative and Technical Assistance Visits......................................................... 67 Appendix 12: Trip Reports ................................................................................................................ 68 i | P a g e List of Acronyms AIM Association Inter Cooperation Madagascar ARI acute respiratory infection ARH adolescent reproductive health ASOS Action Socio-sanitaire Organisation Secours BCC behavior change communication BHC basic health center CCDS Commune-Level Development and Health Committee CHV community health volunteer C-IMCI community-based integrated management of childhood illness CLT Country Leadership Team CMO Community Mobilization Officer COP Chief of Party COR Contracting Officer Representative COSAN Comité de Santé CRS Catholic Relief Service DCOP Deputy Chief of Party DHIS District Health Information System DQA data quality assessment EMMP Environmental Mitigation and Management Plan FP Family Planning GFATM Global Fund for AIDS, Tuberculosis, and Malaria GWG Gender Working Group IEC information, education, and communication ITEM Institut de Technologie de l’Education et du Management MAHEFA Malagasy Heniky ny Fahasalamana M&E monitoring and evaluation MIS management information system MNCH maternal, newborn, and child health MOU memorandum of understanding MSH Management Sciences for Health MSI Marie Stopes International NGO nongovernmental organization OCA Organizational capacity assessment OCAT Organizational Capacity Assessment Tool ODDIT Organe de Développement du Diocèse de Toamasina PENSER Population Environment Services PACO Processus d’Auto-évaluation des capacités organisationelles PIRS Performance Indicator Reference Sheet PMI President’s Malaria Initiative PPHP Prevention of Post Partum Hemorrhage ii | P a g e PPR Performance Plan and Reporting PSI Population Services International RH reproductive health SAGE Service d’Appui à la Gestion de l’Environnement SALFA Sampan’asa Loterana Momba ny Fahasalamana SALOHI Strengthening and Accessing Livelihoods Opportunities for Household Impact SILC Savings and Internal Lending Communities TA Technical Assistants ToR Terms of reference TWG Technical working group UNFPA United Nations Population Fund UNICEF United Nations Children's Fund WASH Water, sanitation, and hygiene YPE Young peer educator iii | P a g e Project Summary USAID|MIIKOLO is a five-year project (2013-2018) that aims to increase community-based primary health care service uptake and the adoption of healthy behaviors. The following four sub- purposes are designed to achieve these results: 1) to sustainably develop systems, capacity, and ownership of local partners; 2) to increase the availability and access to primary health care services in target communes; 3) to improve the quality of community-level primary health care services; and 4) to increase the adoption of healthy behaviors and practices. Four major cross-cutting themes underpin each of the four sub-purposes and will remain at the heart of the project throughout its duration: 1) a robust monitoring and evaluation system, 2) key activities focusing on youth and gender, 3) a sustainability strategy guiding implementation as a whole, and 4) an environmental monitoring and mitigation plan. The project focuses on six regions of Madagascar: Antsinanana, Vatovavy-Fitovinany, Amoron’I Mania, Haute Matsiatra, Ihorombe, and Atsimo-Andrefana. It builds on past and current successes in integrated community-based service delivery to promote optimal health behaviors and quality services, in order to improve the health status of the Malagasy people and contribute toward achieving the maternal and child Millennium Development Goals. The project also embraces USAID Forward procurement reforms by enhancing local ownership through capacity building. USAID|MIIKOLO is implemented by Management Sciences for Health (MSH), with international partners, Catholic Relief Services (CRS) and Overseas Strategic Consulting (OSC), and Malagasy partners Action Socio-sanitaire Organisation Secours (ASOS), and Institut Technologique de l’Education et du Management (ITEM). The project uses a community-based, gender-centered, and sustainable approach to improve the lives of the poorest and most vulnerable women, youth, children and infants. By empowering the Malagasy people to adopt healthier behaviors and giving them access to integrated services in family planning (FP), reproductive health (RH), maternal, newborn, and child health (MNCH), and malaria services, and through actively engaging civil society, the USAID|MIKOLO project will advance Madagascar’s