Rapport Trimestriel D'activités
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USAID/SENEGAL HEALTH PROGRAM 2016–2021 USAID/NEEMA INTEGRATED SERVICE DELIVERY AND HEALTHY BEHAVIORS Quarterly Activity Report January 1–March 31, 2019 USAID/Neema Quarter Report - January 1–March 31, 2019 1 The “USAID/Neema” Project is an instrument of the USAID Health Program in Senegal for 2016–2021. Cooperative Agreement No.: AID-685-A-16-00004 Project Dates: September 1, 2016–August 31, 2021 Submitted to USAID/Senegal by: IntraHealth International Senegal Country Office Dakar, Senegal Email: [email protected] “USAID/Neema” project IntraHealth International/Senegal Cité Keur Gorgui, Immeuble El Hadji Bara Fall Dakar, Senegal Tel.: (221) 33 869 74 94 Fax: (221) 33 825 65 23 This document was prepared with the support of the American people through the United States Agency for International Development (USAID). The contents are the sole responsibility of IntraHealth International/Senegal and do not necessarily reflect the views of USAID or the United States Government. USAID/Neema Quarter Report - January 1–March 31, 2019 2 LIST OF ABBREVIATIONS AND ACRONYMS ACPP CHANGE, PROMOTION, AND ASSESSMENT AGENT AMTSL ACTIVE MANAGEMENT OF THE THIRD STAGE OF LABOR ANC ANTENATAL CARE ANCS NATIONAL ALLIANCE OF COMMUNITIES FOR HEALTH AYRH ADOLESCENT AND YOUTH REPRODUCTIVE HEALTH AYSRH ADOLESCENT AND YOUTH SEXUAL AND REPRODUCTIVE HEALTH BMWM BIOMEDICAL WASTE MANAGEMENT BREIPS REGIONAL BUREAU OF HEALTH EDUCATION AND INFORMATION SERVICE CAC/GBV COMMUNITY ACTION CYCLE ON GENDER-BASED VIOLENCE CBO COMMUNITY-BASED ORGANIZATION CCA ADOLESCENT COUNSELING CENTER CDS HEALTH DEVELOPMENT COMMITTEE CHA COMMUNITY HEALTH AGENT CNLS NATIONAL AIDS COUNCIL COP CHIEF OF PARTY CREN NUTRITIONAL RECOVERY AND EDUCATION CENTER CSC COMMUNITY HEALTH UNIT DHIS-2 DISTRICT HEALTH INFORMATION SYSTEM-2 DLSI DIVISION OF AIDS/STI CONTROL DRH DEPARTMENT OF HUMAN RESOURCES DSME DEPARTMENT OF MATERNAL AND CHILD HEALTH ECD DISTRICT MEDICAL TEAM ECR REGIONAL MEDICAL TEAM FP FAMILY PLANNING GBV GENDER-BASED VIOLENCE HD HEALTH DISTRICT HP HEALTH POST USAID/Neema Quarter Report - January 1–March 31, 2019 3 HSS+ HEALTH SYSTEM IMPROVEMENT PLUS HWS HAND-WASHING STATION ICP HEAD NURSE iCVAC INTEGRATED COMMUNITY WATCH COMMITTEE IDU INJECTION DRUG USER IMCI INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES IMU INTEGRATED MOBILE UNIT IPT INTERMITTENT PREVENTIVE THERAPY ISD-HB INTEGRATED SERVICE DELIVERY & HEALTHLY BEHAVIORS ISM INFORMATION SYSTEM FOR MANAGEMENT IYCF INFANT AND YOUNG CHILD FEEDING JHU/CCP JOHNS HOPKINS UNIVERSITY/CENTER FOR COMMUNICATION PROGRAMS LLITN LONG-LASTING INSECTICIDE-TREATED BEDNET MCD CHIEF DISTRICT MEDICAL OFFICER MCR CHIEF REGIONAL MEDICAL OFFICER MDSR MATERNAL DEATH SURVEILLANCE AND RESPONSE MNCH MATERNAL, NEWBORN, AND CHILD HEALTH MR MEDICAL REGION MSAS MINISTRY OF HEALTH AND SOCIAL ACTION MSM MEN WHO HAVE SEX WITH MEN NGO NON-GOVERNMENTAL ORGANIZATION PIPE INFECTION PREVENTION AND ENVIRONMENTAL PROTECTION PLHIV PEOPLE LIVING WITH HIV PMP PERFORMANCE MONITORING PLAN PNA NATIONAL PROCUREMENT PHARMACY PNC POSTNATAL CARE PNLP NATIONAL MALARIA CONTROL PROGRAM PPFP POST-PARTUM FAMILY PLANNING PRA REGIONAL PROCUREMENT PHARMACY USAID/Neema Quarter Report - January 1–March 31, 2019 4 PSNSC NATIONAL COMMUNITY HEALTH STRATEGIC PLAN PSP POLICIES, STANDARDS, AND PROTOCOLS RB REGIONAL BUREAU RH REPRODUCTIVE HEALTH SAACAJ POST-ABORTION CARE FOR ADOLESCENTS AND YOUTHS SBCC SOCIAL AND BEHAVIOR CHANGE COMMUNICATION SDP SERVICE DELIVERY POINT SFE STATE REGISTERED MIDWIFE SNEIPS NATIONAL EDUCATION AND HEALTH INFORMATION SERVICE SW SEX WORKER TOP TATARSEN OPERATIONAL PLAN VADI INTEGRATED HOME VISIT VCT VOLUNTARY HIV COUNSELING AND TESTING WASH WATER, SANITATION, AND HYGIENE WISN WORKLOAD INDICATORS OF STAFFING NEED USAID/Neema Quarter Report - January 1–March 31, 2019 5 Table of Contents List of Abbreviations and Acronyms ......................................................................................................................... 3 1. Project Overview .................................................................................................................................................. 8 1.1. Summary Table .......................................................................................................................................... 8 1.2. Project Description .................................................................................................................................... 9 Introduction ......................................................................................................................................................... 9 Background .......................................................................................................................................................... 9 USAID/Neema project objectives and strategies .......................................................................................... 10 2. Executive Summary of Quarter Report ........................................................................................................... 10 3. Achievements this quarter ............................................................................................................................... 11 3.1. Progress on challenges identified last quarter ..................................................................................... 11 3.2. Achievements this quarter by sub-component ................................................................................... 12 Objective 1: Increased access to and utilization of quality health services and products in the public sector .................................................................................................................................................................. 12 Objective 2: Increased adoption of healthy behaviors ................................................................................. 33 Monitoring & Evaluation, Research, and Learning........................................................................................ 36 Project management and coordination ......................................................................................................... 39 UNPLANNED ACTIVITIES ...................................................................................................................................... 42 MAIN CHALLENGES AND SOLUTIONS ............................................................................................................... 43 4. Cross-cutting issues .......................................................................................................................................... 44 Gender mainstreaming ......................................................................................................................................... 44 Compliance with environmental regulations ..................................................................................................... 44 Compliance with family planning legislation and regulations ......................................................................... 45 5. Main activities planned for next quarter ........................................................................................................ 46 6. Annexes .............................................................................................................................................................. 47 Annex 1: Progress on Work Plan/Indicators ...................................................................................................... 48 Annex 2: Financial Report ..................................................................................................................................... 54 Annex 3: Tutorat 3.0 implementation in intervention health districts and medical regions ........................ 55 Annex 4: List of medical equipment and supplies for new health posts ........................................................ 57 Annex 5: Status of community-based AYRH package ...................................................................................... 58 Annex 6: Status of the VADI approach ............................................................................................................... 58 Annex 7: Summary of results of integrated mobile unit implementation ...................................................... 59 Annex 8: PIPE supplies provided to districts in the 7 concentration regions ................................................ 60 Annex 9: Summary of the screening campaign ................................................................................................. 61 USAID/Neema Quarter Report - January 1–March 31, 2019 6 Annex 10: Summary of CBO activity ................................................................................................................... 62 Annex 11: Success story ........................................................................................................................................ 63 USAID/Neema Quarter Report - January 1–March 31, 2019 7 1. PROJECT OVERVIEW 1.1. SUMMARY TABLE Project name: USAID/Neema Integrated Service Delivery and Healthy Behaviors (ISD-HB) Project Dates: September 1, 2016–August 31, 2021 Name of Implementing Partner: IntraHealth International Cooperative Agreement No.: AID-685-A-16-00004 Name of AOR: Fatou Ndiaye Name of Subcontractors or Consortium National Alliance of Communities for Health (ANCS) Members: ChildFund Helen Keller International ideas42 Johns Hopkins University/Center