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Quarterly Report Mayer Hashi Family Planning Project in Bangladesh (MH-II) QUARTERLY REPORT Reporting Period: January 1– March 31, 2016 Project Year 3, Quarter 2 Report Submitted to: Office of Population Health, Nutrition and Education United States Agency for International Development USAID/Dhaka By MH-II Project Associate Cooperative Agreement No. AID-388-LA-13-00002 Under Leader Award No. GPO-A-00-08-00007-00 Date of Submission April 30,2016 Table of Contents Acronyms and Abbreviations ......................................................................................................... 2 Executive Summary ........................................................................................................................ 5 Appendix 1. Activity Description and Achievements by IR ........................................................ 16 Appendix 2: Indicator Tracking Table ........................................................................................ 137 Appendix 3: Findings from QA and FP Compliance Monitoring Visit...................................... 141 Appendix 4: Number of districts coverage with MH-II key Intervention in Q2 ........................ 143 1 Acronyms and Abbreviations ANC Antenatal care AUFPO Assistant Upazilla Family Planning Officer BRAC Bangladesh Rural Advancement Committee BCC Behavior change communication BCCWG Behavior Change Communication Working Group BEPZ Bangladesh Export Processing Zone BGMEA Bangladesh Garment Manufacturers and Exporters Association BKMI Bangladesh Knowledge management Iniative BMRC Bangladesh Medical Research Council BSR Business Social Responsibility CAR Contraceptive Acceptance Rate CC Community Clinic CCSDP Clinical Contraceptive Services Delivery Program CHCP Community health care provider CHW Community health worker CLP Chars Livelihoods Programme CMES Centre for Mass Education in Science CSBA Community Skilled Birth Attendants CTU Contraceptive technology Update CYM Court Yard Meeting CYP Couple-years of protection DD Deputy Director DG Director General DFID Department for International Development DGFP Directorate General of Family Planning DGHS Directorate General of Health Services DQA Data quality assessment ECP Emergency contraceptive pill EdM Enfants du Monde EHB EngenderHealth Bangladesh EH NY EngenderHealth New York EH HQ EngenderHealth Headquarters FAQ Frequently Asked Questions FGD Focus Group Discussion FP Family planning FPCST Family Planning Clinical Supervision Team FSDP Field Services Delivery Program FWA Family Welfare Assistant FWC Family Welfare Center FWV Family Welfare Visitor GOB Government of Bangladesh HEU Health Economics Unit H&FWC Health and Family Welfare Centre HQ Headquarters ICV Informed choice and voluntarism ICT Information Communication Technology iDQA Internal Data Quality Assessment IPC Interpersonal communication IEC Information, Education, Communication 2 IEM Information, Education, and Monitoring ILO International Labor Organization IR Intermediate Result IUD Intra-uterine device KM Knowledge Management LARC Long-acting reversible contraception LD Line Director MAB Municipal Association of Bangladesh MCWC Maternity and Child Welfare Center MEC Medical Eligibility Criteria (of the World Health Organization) ME&R Monitoring, evaluation, and research MIH Marketing Innovation for Health MIS Management Information System MH-II Mayer Hashi Family Planning Project in Bangladesh MNHI Maternal and Neonatal Health Initiative (UNFPA) MO Medical Officer MOHFW Ministry of Health and Family Welfare MOLGRD&C Ministry of Local Government and Rural Development and Cooperatives MOU Memorandum of Understanding MOY Ministry of Youth MR Menstrual regularization MSD Merck Sharp & Dohme MSDCT Mobile Service Delivery Care Team NGO Nongovernmental organization NHSDP NGO Health Service Delivery Project NSV No-scalpel vasectomy NTC National Technical Committee Ob-Gyn Obstetrics and Gynaecology OGSB Obstetrics and Gynecological Society of Bangladesh QAT Quality Assurance Team OJT On-the-job training Q1 Quarter 1 OP Operational plan PAC Postabortion care PM Permanent method (of contraception) PNC Postnatal care POC Person of collaboration PPFP Postpartum FP PPIUD Postpartum IUD PPBTL Postpartum bilateral tubal ligation PSTC Population Services and Training Center PY Project year Q Quarter QA Quality assurance RHSPO Reproductive Health Service Promotion Officer RTMI Research, Training, and Management International SACMO Sub-Assistant Community Medical Officer SHOPS Strengthening Health Outcomes through the Private Sector SIAPS Systems for Improved Access to Pharmaceuticals and Services Program SMC Social Marketing Company SOP Standard Operating Procedure 3 SSN Senior Staff Nurse TA Technical assistance TOT Training of trainers UHC Upazilla Health Complex UP Union Parishad UPFO Upazilla Family Planning Officer UPHCSDP Urban Primary Health Care Service Delivery Project UNFPA United Nations Population Fund USAID United States Agency for International Development VPKA Voluntary ParibarKallayon Association VSC Voluntary Surgical Contraception WHO World Health Organization YMC Young Married Couple YPSA Young People in Social Action 4 Executive Summary Mayer Hashi II (MH-II) is a follow-on project to Mayer Hashi, a four-year family planning (FP) project in Bangladesh (October 1, 2013—September 30, 2017) Leader with Associate Cooperative Agreement awarded by the United States Agency for International Development (USAID). MH-II aims to advance the use of reproductive health (RH) and FP services with a focus on informed and voluntary use of long-acting reversible contraception (LARC) and permanent methods (PMs). MH-II provides in-country capacity development to strengthen RH service delivery by providing support to Bangladesh’s National FP and Maternal Health (MH) program and other FP implementing partners in the country. This progress report covers the reporting period of quarter two (Q2) of project year three (PY3); January 1– March 31, 2016. During this reporting quarter, MH-II continued its ongoing collaboration with the Directorate General of Family Planning (DGFP) and the Directorate General of Health Services (DGHS) of the Ministry of Health and Family Welfare (MOHFW), Government of Bangladesh (GOB). MH-II has formed new partnerships and consolidated and strengthened existing partnerships with various non-governmental organizations (NGOs) and international, national, local, and private sector entities to provide quality FP and RH services, particularly LARC and PMs. Overall, the project is ahead of target for three indicators, on target for one, and behind target for six performance benchmarks. The MH–II Performance Tracking Table (Appendix 2) and summary of district coverage with key interventions and its follow-up (Appendix 4) provides information on 14 indicators (two USAID standard indicators and 12 project-required indicators or custom indicators and overall coverage of districts. By the end of Q2, MH-II performance indicators reflect the following: • Against USAID standard indicator F:3.1.7.1, the couple-years of protection (CYP) the project achieved 81% of the quarterly benchmark and 39% of the annual benchmark, and 63% of the overall project benchmark. (BEHIND) • Of the project’s remaining 13 indicators, the performance is noted as following: o For USAID standard indicator # F:3.1.7.3 (% of USG-assisted service delivery sites), MH-II achieved 96%. The total number of sites was 3483 and the project target for PY3 is 3,642. (AHEAD) o For custom indicator 2, mobile teams achieved 44% of the benchmark. The total number of clients who received services were 56,891 against the total clients targeted for PY3 is 127,977. (BEHIND) o The project achieved 43% of custom indicator 3 on postpartum FP (PPFP) uptake (6397 clients). The total project target for PY3 is 15,010 clients. (BEHIND) 5 o For custom indicator 5 (providers receive training/or on-the-job training, orientation or mentoring) MH-II achieved 93%. The total number of service providers trained were 13911, The total project target for PY3 is 15,009 clients. (AHEAD) o For custom indicator 6 (% of MH-II trained service providers who performed at the national standard), 73% were found to be performing at national standard. (BEHIND) o For custom indicator 7 (# of service providers trained regional training center established by USG funds) achieved 84% of the benchmark of PY3 target. (BEHIND) o Gender indicator -3 (The proportion of service providers who report increased clear understanding on gender after the USG supported training) was finalized and added to the MH-II Tracking Table in September 2015. In Q2, 88 participants have received orientation on gender issues. The participants were from the DGFP, DGHS, and NGO clinical staff. The main objective of this training is to increase service providers’ awareness on providing gender sensitive services. The result from the post- test after the orientation showed that from the 88 participants 93% understood gender concepts achieving a score of more than 80%. o For custom indicator 8 (# of supported sites that received at least one supervisory visit) MH-II achieved 74%, the total number of visit was 156 and the total project target of PY3 is 210. (BEHIND) o Indicator 11a and 11b (communication materials developed and distributed), MH-II reached 73% and 20%, respectively. (BEHIND) o For custom indicator 15 (# of organizations/agencies including other ministries that incorporate FP messages and activities into their training programs, and the nature of the
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