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Service Delivery and Support for Orphans and Vulnerable Children

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Service Delivery and Support for Orphans and Vulnerable Children Quarterly Report January 1, 2018 - March 31, 2018 Submitted April 30, 2018 Award No. 656-15-00010 FHI 360 Reference No. 102248.001.001.001 Contents ACRONYMS 4 1 PROJECT OVERVIEW 6 2 HIGHLIGHTS 7 3 SUMMARY OF THE REPORTING PERIOD 7 3.1 CBO Selection, Sub-award Negotiation, Start-up and Close-out 8 3.2 CBO Management 9 3.3 Monitoring and Evaluation Systems 9 4 PROJECT IMPLEMENTATION 11 4.1 IR 1: Increased Utilization of Quality Health, Social and Nutritional Services 11 4.1.1 Mapping existing services 11 4.1.2 Identification of beneficiaries 12 4.1.3 Capacity development for high-quality case management services 13 4.1.4 Case management and service delivery 14 4.1.5 Caseload management 15 4.1.6 Transition assessment and graduation 15 4.1.7 Referrals to HIV and basic health care and other social services 16 4.1.7.1 Linkages and referrals to health providers 16 4.1.7.2 Linkages and referrals with other services 17 4.1.8 Support for adolescents 17 4.1.9 Supportive environment for OVC and healthy life choices 18 4.1.10 Provide structured TA at all levels to support operationalization of guidance and protocols 18 4.2 IR 2: Reduced Economic Vulnerability of OVC Households 19 4.2.1 Meeting basic consumption needs 19 4.2.2 Improve capacity of families to manage money and generate income 19 4.2.3 Transform resources allocation in the household in favor of OVC 20 4.2.4 Technical assistance and supervision 20 4.3 IR 3: Improved Capacity to Provide ECD Services for Vulnerable Children under Age Five 22 4.3.1 Use of quality community child care and development interventions increased 22 4.3.2 Improve parental care and responsiveness for children under five 23 4.3.3 WASH behavior 24 4.3.4 Technical assistance and supervision 25 4.4 IR 4: Capacity of district government and communities to provide essential preventative and protective services to vulnerable families and children 27 4.4.1 Facilitate multi-sectoral coordination meetings to promote collaboration and further the objectives of the project 27 4.4.2 Strengthen capacity of district government and communities to coordinate and respond to OVC needs 27 4.4.3 Develop technical and organizational capacity of CBOs 28 5 EXIT STRATEGY 28 6 PROJECT PERFORMANCE INDICATORS 28 6.1 IR 1: Increased Utilization of Quality Health, Social and Nutritional Services 28 Award AID-656-A-16-00010 FHI 360 – COVida 2 | Page Quarterly Report for period January 1 – March 31, 2018, Submitted April 30, 2018 6.2 IR 2 Reduced Economic Vulnerability of OVC Households 32 6.3 IR 3: Improved Capacity to Provide ECD Services for Vulnerable Children under Age Five 33 6.4 IR 4: Capacity of district government and communities to provide essential preventive and protective services to vulnerable families and children 33 7 PROJECT MANAGEMENT 34 7.1 Approved workplan timeframe 34 7.2 Staffing Changes 34 7.3 Consortium Partner Management 34 7.4 Cost Share 35 7.5 COVida Facebook Page 36 8 MAJOR IMPLEMENTATION ISSUES 36 8.1 Unexpected Spending limitations 36 8.2 Constant Changes 37 8.3 Short timeline for entering beneficiary data 37 8.4 Security in Cabo Delgado 38 8.5 Activista Attrition 35 9 COLLABORATION WITH GOVERNMENT, OTHER DONORS AND STAKEHOLDERS 38 9.1 Collaboration with Mozambican Government 38 9.2 Collaboration with Other Donors and Stakeholders 38 10 UPCOMING PLANS 39 11 EVALUATION/ASSESSMENT UPDATE 40 12 SUCCESS STORIES AND PHOTOS 40 12.1 Success Story 1: “Everything in My Life Changed” 40 12.2 Success Story 2: #ActivistasSãoHerois 41 Success Story 3: Error! Bookmark not defined. 12.3 Savings Groups for Adolescents Error! Bookmark not defined. 12.4 Success Story 3: Siblings gain access to health, education and stability 43 13 FINANCIAL INFORMATION 43 ANNEXES Annex 1 – Gantt Chart (updated with column indicating status) Annex 2 – Closeout Guidance Annex 3 – List of CBOs and FY18 Targets by District Annex 4 – Collaboration on OVC and HTC referrals Annex 5 - Example of a troubleshooting plan for CBOs with structural problems Annex 6 – Draft findings on adolescents from the baseline survey Award AID-656-A-16-00010 FHI 360 – COVida 3 | Page Quarterly Report for period January 1 – March 31, 2018, Submitted April 30, 2018 ACRONYMS ADE Apoio Directo à Escola (Direct School Fund) ADPP Development Aid from People to People AIHA American International Health Alliance AMODEFA Associação Moçambicana para o Desenvolvimento da Família (Mozambique Association for Family Development) APS Annual Program Statement ART Antiretroviral Treatment BCM Basic Case Management CBO Community-Based Organization CCPC Community Child Protection Committee CCS Centro de Colaboração em Saude (Center for Collaboration in Health) CD Community Dialogue CHASS Clinical HIV/AIDS Services Strengthening CIHO Communications for Improved Health Outcomes CMA Comunidade Moçambicana de Ajuda COP Country Operational Plan CP Consortium Partner CSI Child Status Index DCOP Deputy Chief of Party DPGCAS Direcção Provincial de Género, Criança, e Acção Social (Provincial Directorate of Gender, Child and Social Action DPS Direcção Provincial de Saúde (Provincial Health Directorate) DREAMS Determined, Resilient, Empowered, AIDS-Free, Mentored and Safe ECD Early Childhood Development EGPAF Elizabeth Glaser Pediatric AIDS Foundation FDC Fundação para o Desenvolvimento da Comunidade (Community Development Foundation) FGH Friends in Global Health FY Fiscal Year GAAC Grupo de Apoio à Adesão Comunitário (Community Adherence and Support Group) GBV Gender-based Violence GTCOV Grupo Técnico de COV (OVC Technical Working Group) HES Household Economic Strengthening HF(s) Health Facility(ies) HIV Human Immunodeficiency Virus HTC HIV Testing and Counseling ICAP Columbia University Mailman School of Public Health INAS Instituto Nacional de Acção Social (National Social Action Institute) INEFP Instituto Nacional de Emprego e Formação Profissional (National Professional Training and Employment Institute) IR Intermediate Result MCSP Maternal and Child Survival Program MER Monitoring, Evaluation, and Reporting Award AID-656-A-16-00010 FHI 360 – COVida 4 | Page Quarterly Report for period January 1 – March 31, 2018, Submitted April 30, 2018 M&E Monitoring and Evaluation MGCAS Ministério de Género, Criança, e Acção Social (Ministry of Gender, Children, and Social Action) MINEDH Ministério de Educação e Desenvolvimento Humano (Ministry of Education and Human Development) MOH Ministry of Health MOU Memorandum of Understanding M-SIP Mozambique Strategic Information Project MUAC Mid-Upper Arm Circumference NSTO National Senior Technical Officer NUMCOV Núcleo Multisectoral para Crianças Orfãs e Vulneráveis (Multi- sectoral Steering Committee for Orphans and Vulnerable Children) OGAC Office of the Global AIDS Coordinator PASSOS Integrated HIV Prevention and Health Services for Key and Priority Populations Project PATH Program for Alternative Technologies in Health PEPFAR President’s Emergency Plan for AIDS Relief PMP Performance Monitoring Plan SAAJ Serviços Amigos aos Adolescentes e Jovens, Youth Friendly Services SAVIX Savings Groups Information Exchange SANTAC Southern Africa Network Against Abuse and Trafficking of Children SBCC Social and Behavior Change Communication SCIP Strengthening Communities through Integrated Programming SDSMAS Serviços Distritais de Saúde, Mulher e Acção Social (District Health and Gender, Children and Social Action Services) SIMS Site Improvement through Monitoring Systems SRH sexual and reproductive health TA Technical Assistance ToR Terms of Reference TOT Training of Trainers UNICEF United Nations Children’s Emergency Fund USAID United States Agency for International Development VSL Village Savings and Loan WASH Water, Sanitation, and Hygiene WHO World Health Organization WV World Vision Award AID-656-A-16-00010 FHI 360 – COVida 5 | Page Quarterly Report for period January 1 – March 31, 2018, Submitted April 30, 2018 1 PROJECT OVERVIEW Project name: COVida – Juntos Pelas Crianças (formerly Service Delivery and Support to Orphans and Vulnerable Children (SDS-OVC)) Project duration: Five years Starting date: June 23, 2016 Award Ceiling and Obligated Amount: $84,380,486 and $28,365,460 Geographic focus: COVida implements activities in 64 districts in Maputo City, Maputo Province, Inhambane, Gaza, Sofala, Manica, Tete, Zambezia, Nampula, Cabo Delgado, and Tete. Project objectives: The overall objective of COVida is to improve the health, nutritional status and well-being of orphans and vulnerable children (OVC) living in the President’s Emergency Plan for AIDS Relief (PEPFAR) defined priority districts for epidemic control. The project has four Intermediate Results (IRs): IR 1: To increase utilization of quality social, health and nutritional services; IR 2: To reduce economic vulnerability of OVC households; IR 3: To improve early childhood development (ECD) services; and IR 4: To strengthen capacity of district government and communities to provide support to OVC and their families. By strengthening the capacity of the family and community to protect and care for their children, COVida aims to enhance overall community resilience. Project interventions are aligned with the family-centered, integrated approach approved by the Ministry of Gender, Children, and Social Action (MGCAS) and the Ministry of Health (MISAU), and facilitate access to government and other services. Consortium Partners: The COVida consortium is comprised of six partners with geographic and/or technical responsibilities that provide
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