ANCRE ADVANCING NEWBORN, CHILD AND REPRODUCTIVE HEALTH PROGRAM QUARTERLY REPORT JANUARY 1–MARCH 31, 2018 APRIL 2018 ANCRE Advancing Newborn, Child and Reproductive Health Program Quarterly Report No. 15: January 1 to March 31, 2018 Distribution: Athanase Hounnankan, USAID/Benin Agreement Officer Representative Michelle Kouletio, USAID/Benin Agreement Alternate Officer Representative File Cover photo: Good storage conditions_Covè HZ_COZO HZ This report was prepared for the United States Agency for International Development by University Research Co., LLC (URC) in partnership with Dimagi, Inc. and Results for Development (R4D). ANCRE is made possible by the generous support of the American people through the United States Agency for International Development (USAID)/Benin in Cooperative Agreement No. AID-680-A-14-00001. The program is implemented by University Research Co., LLC (URC), with its sub-recipients Dimagi, Inc. and Results for Development Institute (R4D). DISCLAIMER: The points of view expressed by the author in this publication do not necessarily reflect those of the United States Agency for International Development of the United States government. ANCRE - Quarterly Report No. 15 from January 1 to March 31, 2018 TABLE OF CONTENTS TABLE OF CONTENTS .......................................................................................................................... ii ACRONYMS AND ABBREVIATIONS ..................................................................................................... iii INTRODUCTION .................................................................................................................................5 Principal approaches used during the quarter .....................................................................................7 CHALLENGES ......................................................................................................................................8 MAJOR ACCOMPLISHMENTS IN THE QUARTER - ANCRE ......................................................................9 INTERMEDIATE RESULT 1: IMPROVED PUBLIC HEALTH SECTOR PERFORMANCE ...............................9 Sub-intermediate result 1.1: Improved planning and management of health systems and services, especially at the decentralized level ..................................................................................................... 9 Sub-intermediate result 1.2: Improved quality of service delivery in public health facilities, especially for women and young children ............................................................................................ 9 Sub-intermediate result 1.3: Essential commodities more available at service delivery and distribution points ............................................................................................................................... 10 INTERMEDIATE RESULT 2: IMPROVED PRIVATE HEALTH SECTOR PERFORMANCE ........................... 11 Sub-intermediate result 2.1: Improved private sector policies, oversight and supervision of private sector health care delivery.................................................................................................................. 12 Sub-intermediate result 2.2: Improved quality of service delivery in private health facilities, especially for women and young children .......................................................................................... 14 INTERMEDIATE RESULT 3: IMPROVED PREVENTION AND CARE-SEEKING BEHAVIOR OF AN EMPOWERED POPULATION .......................................................................................................... 14 Intermediate sub-result 3.1: Increased appropriate health promoting behaviors made by households and especially women ..................................................................................................... 14 Sub-intermediate result 3.2: Informed families make appropriate choices for accessing public and private sector health services and commodities ................................................................................ 16 Intermediate sub-result 3.3: Strengthened community-level contributions to health sector decisions and financing ....................................................................................................................................... 18 GENDER ........................................................................................................................................... 19 PROJECT MANAGEMENT .................................................................................................................. 20 PERFORMANCE MONITORING .......................................................................................................... 22 APPENDICES .................................................................................................................................... 24 ii ACRONYMS AND ABBREVIATIONS ABMS/PSI : Association Béninoise de Marketing Social/ Population Service International ANCRE : Advancing Newborn, Child and Reproductive Health Project AS : Abomey-Calavi – Sô-Ava AT : Assistant Technique ATZ : Allada– Toffo– Zè CBGH : Comé – Bopa – Grand-Popo – Houéyogbé CoZO : Covè – Zagnanado – Ouinhi CRAMS : Chargé de la Recherche et de l’Appui à la Mobilisation Sociale DCO : Djougou – Copargo – Ouaké DDS : Direction Départementale de la Santé DIHS2 : District Health Information Software version 2 DNSP : Direction Nationale de la Santé Publique DPMED : Direction de la Pharmacie, du Médicament et des Explorations Diagnostiques DPP : Direction de la Programmation et de la Prospective DSME : Direction de la Santé de la Mère et de l’Enfant EAQ : Equipe d’Amélioration de la Qualité EEZS : Equipe d’Encadrement de Zone Sanitaire FSP : Formation Sanitaire Privée FSS : Faculté des sciences de la Santé GDRZ : Gestionnaires de Dépôt Répartiteur de Zone INMeS : Institut National Médico-Social KGS : Kandi – Gogounou – Ségbana MS : Ministère de la Santé MVE : Maladie à Virus Ebola OBC : Organisations à Base Communautaire iii ONG : Organisation Non Gouvernementale PF : Planification Familiale PIHI : Paquet d’Interventions à Haut Impact PITA : Plan Intégré de Travail Annuel POS : Procédures Opérationnelles Standards PSSP : Plateforme du Secteur Sanitaire Privé R4D : Results for Development RC : Relais Communautaires SABA : Savalou – Bantè SMG : Suivi mensuel groupé SMNI : Santé Maternelle, Néo Natale et Infantile SNIGS : Système National d’Information et de Gestion Sanitaires SR : Santé de la Reproduction UNFPA : Fonds des Nations Unies pour la Population UNICEF, : Fonds des Nations Unies pour l’Enfance et la Femme URC : University Research Co., LLC USAID : United States Agency for International Development /Agence des Etats Unis pour le Développement International VBG : Violences basées sur le Genre ZS : Zone Sanitaire iv INTRODUCTION The Advancing Newborn, Child and Reproductive Health Program (ANCRE), financed by the United States Agency for International Development (USAID,) supports Benin’s Ministry of Health (MOH) to address the causes of maternal and child mortality in Benin. This program is implemented by University Research Co. LLC (URC) in collaboration with Results for Development Institute (R4D) and Dimagi in 10 health zones (HZs): Kandi – Gogounou–Ségbana (KGS), Djougou – Copargo – Ouaké (DCO), Tchaourou, Bassila, Savalou – Bantè (SABA), Covè – Zagnanado – Ouinhi (CoZO), Allada – Toffo – Zè (ATZ), Abomey-Calavi – Sô-Ava (AS), Cotonou 2 & 3 and Comè – Bopa – Grand-Popo – Houéyogbé (CBGH) (see map). The expected results of the program are improved public and private sector performance in delivering integrated family health services and improved community behaviors for the prevention and use of quality care. To achieve these results, the ANCRE program works in partnership with several central technical directorates of the MOH: the Directorate of Maternal and Child Health (DSME), the National Direction of Public Health (DNSP), the Directorate of Planning and Policy (DPP), the Directorate for Pharmacy, Medicines and Diagnostics (DPMED) as well as eight (8) departmental health directorates covering the ten HZs of the program. The program also works with the Private Health Sector Platform (PSSP) as well as a network of community actors in the 10 HZs, composed of community-based organizations (CBO) to promote behavior change in populations. Given the closure of the program on July 10, 2018, this report represents the last quarter of implementation of field activities. Starting in April 2018, the support of the ANCRE program will focus on transferring assets to the MOH as well as activities related to the closing of the program, especiallyThe ANCRE the organization of an open house day to share the results of the program with the various stakeholders at the central and decentralized level. project in numbers Jan – Mars 2018 119 health workers in 71 private health facilities (PHF) trained in counseling and the provision of family 5 planning services so that 75% of PHFs report that they provide FP counseling The ANCRE program in numbers January – March 2018 119 health workers in 71 private health facilities (PHF) trained in counseling and the provision of family planning services so that 75% of PHFs report that they provide FP counseling 188 applications for authorization to practice medicine and/or open and operate a health facility for private clients approved by the technical commission in charge 57 private health facilities in the CBGH HZ sensitized on the process