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PEPFAR Ethiopia In-Country Reporting System STRENGTHENING ETHIOPIA‘S URBAN HEALTH PROGRAM Annual Report 2017 STRENGTHENING ETHIOPIA’S URBAN HEALTH PROGRAM ANNUAL REPORT OCTOBER 2016 – SEPTEMBER 2017 Cooperative Agreement No.AID-663-A-13-00002 SUBMITTED TO: USAID/Ethiopia PREPARED BY: John Snow, Inc. (JSI) CONTACT INFO FOR THIS REPORT: HIBRET ALEMU TILAHUN, PHD JSI/SEUHP CHIEF OF PARTY EMAIL: [email protected] TEL: +251114700402/45 DISCLAIMER: This document is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of JSI Research & Training Institute, Inc. (JSI) and do not necessarily reflect the views of USAID or the United States Government. - 2 - ACRONYMS AND ABBREVIATIONS AAU/SPH Addis Ababa University School of Public Health AACARHB Addis Ababa City Administration Regional Health Bureau ANC Antenatal care ARM Annual review meeting ART antiretroviral therapy AWD acute watery diarrhea (cholera) AYRH adolescent youth reproductive health BCC behavior change communication C/THO city/town health office CHIS community health information system DQA data quality assessment EDA Emmanuel Development Association EPHA Ethiopian Public Health Association (EPHA) EPI Expanded Program on Immunization Extension Program FANC Focused antenatal care FMOH Federal Ministry of Health FHC family health card FHT Family health team FP family planning FY fiscal year HBHTC home-based HIV testing and counseling HC h ealth center HDA health development army HEW health extension worker HH household HIV human immunodeficiency virus HMIS health management information system HRM human resource management HSPH Harvard School of Public Health HSTP health sector transformation plan HTC HIV testing and counseling ICU Intensive care unit IEC information, education, and communication IR intermediate result IRT integrated refresher training ISS integrated supportive supervision IUSHS Integrated Urban Sanitation and Hygiene Strategy JSI John Snow, Inc. JSS joint supportive supervision KMC kangaroo mother care LBW low birth weight LMG leadership, management and governance LQAS Lot Quality Assurance System - 3 - MARPs most at risk populations M&E monitoring and evaluation MNCH maternal, newborn, and child health NCD non-communicable disease OCA organizational capacity assessment OPD outpatient department PEPFAR President's Emergency Plan for AIDS Relief PHC primary health care PLHIV people living with HIV PMP performance monitoring plan PMTCT prevention of mother-to-child transmission (of HIV) PNC postnatal care QI quality improvement QII quality improvement initiative RDT rapid diagnostic test RH reproductive health RHB regional health bureau SBCC social behavior change communication SEUHP Strengthening Ethiopia‘s Urban Health Program SNNPR Southern Nation and Nationalities People Region SDRT service data recording tool TB tuberculosis THO town health office TOT training of trainer TTG think tank group TWG technical working group UHEP urban health extension program UHE-p urban health extension professional USAID United States Agency for International Development WASH water, sanitation, and hygiene - 4 - TABLE OF CONTENTS ACRONYMS AND ABBREVIATIONS ............................................................................................................ - 3 - TABLE OF CONTENTS ......................................................................................................................................... - 5 - I. REPORTING PERIOD ............................................................................................................................................... - 6 - II. PUBLICATIONS/REPORTS ..................................................................................................................................... - 6 - III. TECHNICAL ASSISTANCE ..................................................................................................................................... - 7 - IV.TRAVEL AND VISITS ................................................................................................................................................ - 8 - V. ACTIVITY ..................................................................................................................................................................... - 9 - PART 1: ACCOMPLISHMENTS AND SUCCESS DURING THE REPORTING YEAR ............................... - 13 - PART 1.1 IMPROVED QUALITY OF COMMUNITY-LEVEL URBAN HEALTH SERVICES ...................... - 14 - PART 1.2: INCREASE DEMAND FOR FACILITY-LEVEL URBAN HEALTH SERVICES (IR 2) ................ - 34 - PART 1.3: STRENGTHEN REGIONAL PLATFORMS FOR IMPROVED IMPLEMENTATION OF THE NATIONAL URBAN HEALTH STRATEGY (IR 3) ................................................................. - 44 - PART 1.4: IMPROVE SECTORAL CONVERGENCE FOR URBAN SANITATION AND WASTE MANAGEMENT (IR 4) ................................................................................................................................................ - 66 - PART 1.5: OTHER KEY ACTIVITIES ....................................................................................................................... - 87 - PART 1.6: SEUHP COMMUNICATION AND DOCUMENTATION-RELATED KEY ACTIVITIES AND ACCOMPLISHMENTS ...................................................................................................................................... - 92 - PART 1.7: OPERATIONS AND FINANCE: KEY ACTIVITIES AND ACCOMPLISHMENTS ................... - 95 - PART 1.8: DATA QUALITY ISSUES DURING THE REPORTING PERIOD ................................................. - 99 - PART 1.9: CHALLENGES AND PLANS TO OVERCOME THEM DURING THE REPORTING PERIOD......................................................................................................................................................................... - 102 - PART 1.10 MAJOR ACTIVITIES PLANNED IN THE NEXT REPORTING PERIOD ............................... - 103 - ANNEXURE ................................................................................................................................................................ - 105 - Annex 1a: Success story-1........................................................................................................................................ - 105 - Annex 1b: Best practice-2 ........................................................................................................................................ - 107 - Annex 2: Summary of Emergency WASH construction Activities: Progress in FY17 ............................... - 109 - - 5 - I. REPORTING PERIOD From To October 1, 2016 September 30, 2017 II. PUBLICATIONS/REPORTS Did your organization support the production of publications, reports, guidelines, or assessments during the reporting period? No/Not Applicable Yes X If yes, please list below: Publications/Reports/Assessments/Curriculums Title Author Date Strengthening Ethiopia‘s Urban Health Program (SEUHP): DECEMBER JSI/SEUHP Annual Report Summary 2016 Urban Health Extension Program Integrated Refresher Training Modules (Six Modules on SBCC, RMNCH, Wash, FMOH FEB. 2017 Major Communicable Diseases, NCD, And Basic First Aid- Facilitator‘s Guide And Participant‘s Manual for Each) Revised UHEP Implementation Manual For Oromia (In OROMIA RHB FEB. 2017 Afaan Oromo) Urban Primary Health Care (PHC) Reform in Addis Ababa: AAU/SPH JAN. 2017 Expert Appraisal (Technical Report) Social Determinants Of Urban Health In Ethiopia: Call for AAU/SPH JAN. 2017 Equity (Policy Brief) Integrated Urban Sanitation and Hygiene Strategy FMOH APRIL 2017 Joint Committee on Implementing National Hygiene and Environmental Health & Integrated Urban Sanitation and FMOH APRIL 2017 Hygiene Strategy Demographic and Societal Patterns of Urban Populations in JSI/SEUHP/FMOH 2017 Ethiopia Key Findings of the Mapping Exercise on the Existing Public JSI/SEUHP/FMOH 2017 Latrines In 28 SEUHP-Targeted/Cities/Towns in Ethiopia Integrated Urban Sanitation And Hygiene Strategy – IUSHS: JSI/SEUHP/FMOH May 2017 Summary of the Strategy –Extracted from the Main Strategy - 6 - Document Ethiopia‘s Urban Productive Safety Net Project JSI/SEUHP/FMOH March 2017 Ethiopia‘s Primary Health Care Reform: Practice, Lessons, JSI/SEUHP/FMOH March 2017 and Recommendations Ethiopia‘s Primary Health Care System in Urban Areas JSI/SEUHP/FMOH March 2017 Ethiopia‘s Urban Health Extension Program JSI/SEUHP/FMOH March 2017 Strengthening Ethiopia‘s Urban Health Program (SEUHP) JSI/SEUHP/FMOH March 2017 annual report summary Ethiopia‘s 1st Annual National Conference On Urban Health: Conference Proceedings, Hilton Hotel Addis Ababa, JSI/SEUHP/FMOH May 2017 Ethiopia, April 3-4, 2017 III. TECHNICAL ASSISTANCE Did your organization utilize short-term technical assistance during the reporting period? No/Not Applicable Yes X Please list below: Consultants/TDYers Name Arrival Departure Organization Type of Technical Assistance Provided Angela Murray September November JSI To provide technical support on WASH. 2016 2016 Maceda Alemu March 14 2017 March 16 JSI To provide administrative support by 2017 coordinating with other business trip. Christele Joseph- March 13 2017 March 17 JSI To provide operations and finance support pressat 2017 by coordinating with other business trip. Shaina Bauman Aug. 16-2017 Sep. 08,2017 JSI To provide support for communication and documentation work Matthew Zinck Aug 16, 2017 Sep. 04,2017 JSI To attend the FY 2018 work plan
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