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PPP ECD Programming PPP ECD programming CA AID-656-A-16-00002 (GDA ECD Programming) Fiscal Year 2018 Year 3: April 2018–March 2019 Quarterly Report: Q3 October– December 2018 Submitted on: January 31, 2019 Submitted to: United States Agency for International Development Cooperative Agreement No. AID-656-A-16-00002 Submitted by: PATH Street address: 2201 Westlake Avenue, Suite 200 Seattle, WA 98121, USA Mailing address: PO Box 900922, Seattle, WA 98109, USA Tel: 206.285.3500; Fax: 206.285.6619 www.path.org This work is made possible by the support of the American people through the United States Agency for International Development (USAID). The contents of this document are the sole responsibility of PATH and do not necessarily reflect the views of USAID or the United States Government 1 Contents Abbreviations.................................................................................................................................2 1. Overview of the reporting period .................................................................................... 3 2. Project objectives ........................................................................................................... 4 3. Results framework/Logical framework ............................................................................ 5 4. Indicators ....................................................................................................................... 6 Indicator 1 .....................................................................................................................................6 Progress and issues ............................................................................................................................... 6 Indicator 2 .....................................................................................................................................8 Progress and issues ............................................................................................................................... 8 Indicator 3 .....................................................................................................................................8 Progress and issues ............................................................................................................................... 9 Indicator 5 ................................................................................................................................... 12 Progress and issues ............................................................................................................................. 12 Indicator 6 ................................................................................................................................... 15 Indicator 8 ................................................................................................................................... 17 Indicator 9 ................................................................................................................................... 18 Progress and issues ............................................................................................................................. 18 Indicator 10 .................................................................................................................................. 19 Progress and issues ............................................................................................................................. 19 Indicator 12 .................................................................................................................................. 23 Progress and issues ............................................................................................................................. 23 Indicator 13 .................................................................................................................................. 24 Progress and issues ............................................................................................................................. 24 Indicator 14 .................................................................................................................................. 25 Progress and issues ............................................................................................................................. 25 Indicator 16 .................................................................................................................................. 27 Progress and issues ............................................................................................................................. 27 5. Monitoring and evaluation ........................................................................................... 29 6. Upcoming plans ............................................................................................................ 31 7. Administrative update .................................................................................................. 31 8. Financial information .................................................................................................... 32 9. Appendices ................................................................................................................... 33 Appendix A. Success story ............................................................................................................ 33 i Abbreviations ANC antenatal care APE agente polivalente elementar (community health worker) ART antiretroviral therapy CBO community-based organization CCD Consulta da Criança Doente (sick-child consultation) CCR Consulta da Criança em Risco (child-at-risk consultation) CCS Consulta de Criança Sadia (child well-being consultation) CDC Centers for Disease Control and Prevention CHC child health committee CHW community health worker CPC child protection committee DPGCAS Direcção Provincial do Género, Criança e Acção Social (Provincial Directorate of Gender, Children and Social Welfare) DLI Disbursement Linked Indicators DPS Provincial Health Directorate ECD early childhood development EGPAF Elizabeth Glaser Pediatric AIDS Foundation GDA Global Development Alliance HF health facility IEC information, education, and communication IMCI Integrated Management of Childhood Illness IR intermediate result LOP life of project MCH maternal and child health MGCAS Ministry of Gender, Children and Social Action MOH Ministry of Health NGO nongovernmental organization OVC orphans and vulnerable children PEPFAR US President's Emergency Plan for AIDS Relief PES Plano Económico e Social (Social and Economic Plan) PNC postnatal care PPP public-private partnership PRN Programa de Reabilitação Nutricional (Nutrition Rehabilitation Program) S-ECD Scaling Up Early Childhood Development SDSMAS District Directorate of Health, Women and Social Welfare TDI Tratamento da Desnutrição em Internamento (in-patient treatment of malnutrition [TDI]) TWG technical working group UNICEF United Nations Children's Fund USAID United States Agency for International Development WEI World Education International WHO World Health Organization 2 1. Overview of the reporting period The Integrating Early Childhood Development (ECD) Global Development Alliance (GDA) Programming is a public-private partnership (PPP) between the United States Agency for International Development (USAID), the Conrad N. Hilton Foundation, and PATH, which works to integrate early childhood development programming in Mozambique. This PPP focuses on improving child development outcomes for vulnerable children 0–3 years in targeted areas of Mozambique, through an integrated health, nutrition, sensitive care, and stimulation intervention for health and social services provided by government and partners. This PPP is a three-year cooperative agreement that started on April 6, 2016. This progress report summarizes the accomplishments of the project during the third quarter (October to December 2018) of the third year of project implementation. PATH has continued to support the Ministry of Health (MOH) and Ministry of Gender, Child and Social Action (MGCAS) in developing activities to reinforce the integration of ECD in health facilities (HFs) and communities with the objective to improve the life of children ages 0–3 years. To achieve these results, PATH combines innovation and provision of technical assistance for strengthening ECD service delivery through HFs and community-based organization (CBOs). During this quarter, the PPP team continued working with the Child Health, Nutrition, and Health Promotion departments and technical working groups of the MOH to review and follow up on a range of relevant documents for integrating ECD. In partnership with the World Health Organization (WHO) and UNICEF, PATH supported participation of both national and subnational participants in a seven-country regional meeting held in Kenya that introduced the new Nurturing Care Framework within the health sector and initiated the country planning process for its introduction. Although PATH is not directly involved in the clinical treatment of malnutrition, nutritional counseling to caregivers of children 0–5 years was carried out in all HFs supported by the project as part of the ECD integration strategy. 13,207 children were reached with nutrition interventions by community health workers (agentes polivalentes elementares [APEs]). At the HF level, data collected across all 55 target HFs of the eight target districts covered by the project
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