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USAID Integrated Health Program USAID INT EGRATED HEALTH PROGRAM Fiscal Year 2019 Quarterly Report 2 (January 1 through March 31, 2019) Submitted May 15, 2019 Approved July 29, 2019 DISCLAIMER: This report is made possible by the support of the American People through the United States Agency for International Development (USAID). The authors’ views expressed in this publication do not necessarily reflect the views of USAID or the United States Government. Recommended Citation: USAID Integrated Health Program. “USAID Integrated Health Program: Fiscal Year 2019 Quarterly Report 2.” Prepared by Abt Associates, Rockville, Maryland, May 15, 2019. Submitted to: Richard Matendo, Contracting Officer’s Representative, Maternal and Child Health Program Specialist, Health Office, USAID/Democratic Republic of the Congo (DRC), (+243 81 555 4514), Kinshasa, DRC. Cover Photo: Credit: Jason Coetzee, Matchboxology for USAID Integrated Health Program (IHP) During a community discussion to elicit inputs for USAID IHP’s human- centered design approach, a young mother from Kasaï-Oriental shares the daily challenges of keeping her children healthy in the context of many other daily household stresses. Abt Associates Inc. 1 6130 Executive Boulevard 1 Rockville, Maryland 20814 1 T. 301.347.5000 1 www.abtassociates.com With: International Rescue Committee (IRC) Pathfinder International BlueSquare Training Resources Group (TRG) Mobile Accord/Geopoll i+Solutions Viamo Matchboxology USAID INTEGRATED HEALTH PROGRAM Fiscal Year 2019 Quarterly Report 2 (January 1 through March 31, 2019) Contract No.: 72066018C00001 DISCLAIMER: This report is made possible by the support of the American People through the United States Agency for International Development (USAID). The authors’ views expressed in this publication do not necessarily reflect the views of USAID or the United States Government. TABLE OF CONTENTS Table of Contents ................................................................................................................... i Acronyms and Abbreviations .............................................................................................. iii Executive Summary ............................................................................................................ vii 1. Introduction ...................................................................................................................... 1 1.1. Programmatic Scope ............................................................................................................................ 1 1.2. Geographic Scope ................................................................................................................................ 1 1.3. Partnerships ........................................................................................................................................... 2 2. Program Management ..................................................................................................... 3 2.1. Program Implementation .................................................................................................................... 3 2.2. Program Staffing .................................................................................................................................... 3 2.3. Program Operations ............................................................................................................................ 4 2.4. Security ................................................................................................................................................... 6 3. Objective 1 ........................................................................................................................ 9 4. Objective 2 ...................................................................................................................... 22 5. Objective 3: ..................................................................................................................... 36 6. Cross-Cutting Areas ....................................................................................................... 45 6.1. Institutionalization and Sustainability of Gender Equality ......................................................... 45 6.2. Conflict Sensitivity .............................................................................................................................. 47 6.3. Capacity Building ................................................................................................................................ 47 6.4. Environmental Mitigation and Monitoring .................................................................................... 47 7. Activity Research, Monitoring and Evaluation ............................................................. 48 8. Lessons Learned.............................................................................................................. 50 Annex A: Performance Indicators, Targets, and Achievements .................................... 52 Annex B: Success Stories ................................................................................................... 67 Annex C: Deliverables Submitted in FY 2019 Quarter 2 ................................................ 70 Annex D: Staff Hired During FY2019 Quarter 2 .............................................................. 71 Annex E: Environmental Mitigation and Monitoring Report Annex E: Environmental Mitigation and Monitoring Report ..................................................................................... 76 USAID IHP: FY2019 QUARTERLY REPORT 2 USAID.GOV | i LIST OF TABLES Table 1: USAID IHP Regions, Provinces, and Zones de Santé ................................................... 2 Table 2: USAID IHP Regional and Provincial Offices as of March 31, 2019 ............................ 5 Table 3: Number and Percentage of USG-Assisted Service Delivery Points that Experienced a Stockout of Tracer Commodities for at Least One Month during FY2019 Quarter 2 ............................................................................................................................... 17 Table 4: Percentage of USAID IHP target ZS with an LMIS Reporting Completeness* Rate Greater Than 95 Percent ..................................................................................................... 19 Table 5: Results of Tuberculosis Search and Testing Campaigns, March 2019 .................... 29 Table 6: Functioning iCCM Sites in USAID IHP-Supported Provinces Having Reported, January to March 2019 .......................................................................................................... 31 Table 7: Causes of Maternal Deaths in Tanganyika ................................................................. 34 Table 8: New Users of Family Planning as a Result of Campaign, by Method ...................... 43 Table 9: Women’s Representation in Human Resources for Health in Haut-Lomami Province ................................................................................................................................. 46 Table 10: Institutional Capacity Building Workshop Participants ......................................... 47 USAID IHP: FY2019 QUARTERLY REPORT 2 USAID.GOV | ii ACRONYMS AND ABBREVIATIONS ACT Artemisinin-based combination therapy ADRA Adventist Development and Relief Agency AMEP Activity Management and Evaluation Plan ANC Antenatal care BCZS Bureau Central de la Zone de Santé (Office of the Health Zone Team) BEmONC Basic emergency obstetric and newborn care CA Conseil d’Administration (Administrative Council) CAC Cellule d’Animation Communautaire (Community Outreach Unit) CC Cycle collar (contraceptive) CCTM Cellule de Coordination de la Tuberculose Multirésistante (Multidrug-Resistant Tuberculosis Coordination Unit) CDCS Country Development Cooperation Strategy CDF Congolese Franc CEmONC Comprehensive emergency obstetric and newborn care CHW Community health worker CNP-SS Comité National de Pilotage du Secteur de la Santé (National Health Sector Steering Committee) COC Combination oral contraceptives CODESA Comité de Développement de l’Aire de Santé (Health Area Development Committee) COOPI Cooperazione Internazionale (Cooperation International) COP Chief of Party CPAEHA Comité Provincial d’Action de l’Eau, l’Hygiène et l’Assainissement (Provincial Water, Hygiene, and Sanitation Action Committee) CPLT Coordination Provinciale de Lutte contre la Tuberculose (Provincial Committee for Tuberculosis Control) CPP-SS Comité Provincial de Pilotage du Système de la Santé (Provincial Health System Steering Committee) CPR Cardiopulmonary resuscitation CRS Catholic Relief Services CSO Community service organization CTMP Comité Technique Multisectoriel Permanent (Permanent Multisectoral Technical Committee) CYP Couple years of protection DBC Distributeurs de base communautaire (community health workers trained in family planning) DEP Direction d’Etude et Planification (Directorate of Planning and Study) DFSA Development Food Security Activities USAID IHP: FY2019 QUARTERLY REPORT 2 USAID.GOV | iii DGOGSS Direction Générale de l’Organisation et de Gestion des Services et des Soins de Santé (Directorate-General for the Organization and Management of Health Care Services) DHIS2 District Health Information System 2 DMPA Medroxyprogesterone acetate DMPA SC Subcutaneous DMPA DPS Division Provinciale de la Santé (Provincial Health Division) DRC Democratic Republic of the Congo E2A Evidence to Action ECZS Equipe Cadre de
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