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Save the Children in Partnership with SNV Projet USAID Nutrition Et Hygiène À Sikasso Cooperative Agreement No. AID-688-A-13-0

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Save the Children in Partnership with SNV Projet USAID Nutrition Et Hygiène À Sikasso Cooperative Agreement No. AID-688-A-13-0 Save the Children in partnership with SNV Projet USAID Nutrition et Hygiène à Sikasso Cooperative Agreement No. AID-688-A-13-00004 Quarterly Report January 1, 2015– March 31, 2015 Contact Information for this report: Maurice Gerald Zafimanjaka, MSc, MPH Project Director, Projet USAID Nutrition et Hygiène Email: [email protected] 1 Contents Acronyms ................................................................................................................................................................... 3 Introduction............................................................................................................................................................... 4 Context and Project Objectives: ................................................................................................................................ 4 Planned activities for the reporting period (Y2Q2): .................................................................................................. 4 Achievements during Y2 Q2: ..................................................................................................................................... 6 Success Story ........................................................................................................................................................... 19 Challenges and Constraints ..................................................................................................................................... 20 Lessons Learned ...................................................................................................................................................... 21 Gender Integration Achievements .......................................................................................................................... 21 Major Activities Planned for Year 2, Quarter 3 (Y2Q3) ........................................................................................... 22 Future Events Planned during the First Quarter of FY2 .......................................................................................... 23 Indicator Reporting Table ........................................................................................................................................ 24 Environmental compliance ...................................................................................................................................... 26 Conclusions.............................................................................................................................................................. 26 Annexes ................................................................................................................................................................... 26 2 Acronyms ASC Agent de Santé Communautaire AEA Agriculture Extension Agents ASACO Associations de Santé Communautaire ASDAP L’Association pour le Soutien du Développement des Activités de Population ATPC Assainissement Total Piloté par la Communauté or CLTS BDS Business Development Services CAP Community Action Plans CLAN Community Leaders for Action on Nutrition CLTS Community Led Total Sanitation or ATPC CM Community Mobilization CMAM Community-Based Management of Acute Malnutrition CSCOM Centre de Santé Communautaire DRA Direction Régionale de la Santé DRACPN Direction Régionale de l’assainissement et du Contrôle des Pollutions et des Nuisances ENA Essential Nutrition Actions FARN Foyer d ’Apprentissage et de Réhabilitation Nutritionnelle FFMSy Family Farming Management Systems FFS Farm Field Schools FSL Food Security and Livelihoods GOM Government of Mali HKI Helen Keller International ICRISAT International Crops Research Institute for the Semi-Arid Tropics IER Rural Economy Institute IPC Interpersonal Communication IYCF Infant and Young Child Feeding MAM Moderate Acute Malnutrition MLA Maman Leader Animatrice MUAC Mid-Upper Arm Circumference NG Neighborhood Groups OD Open Defecation OHADA Organisation pour l’Harmonisation du Droit des Affaires en Afrique OTP Outpatient Therapeutic Feeding Program PLW Pregnant and Lactating Women RUTF Ready-to-Use Therapeutic Foods SACCN Senior Advisors for Client Counseling and Negotiation SAM Severe Acute Malnutrition SBC Social and Behavior Change SBCC Social and Behavior Change Communication SIS Système d'Information Sanitaire SFP Supplementary Feeding Program SOW Scope of Work TA Technical Assistance TOR Terms of Reference USG United States Government VCA Value Chain Analysis WASH Water Sanitation and Hygiene 3 Introduction Projet USAID Nutrition et Hygiene is in its second year of implementation and the reporting period, with January 1 through March 31, 2015 signaling the completion of its sixth quarter of implementation. The project is actively present in six health districts, in 46 of health facilities, and in 232 out of 251 full package communities. Context and Project Objectives: Save the Children leads the implementation of the Projet USAID Nutrition et Hygiene or Nutrition and Hygiene Project (the Project), implemented in partnership with SNV. The project’s goal is to improve the nutritional status of pregnant and lactating women and children under two years of age in six health districts (Bougouni, Nièna, Sikasso, Koutiala, Kignan, and Kadiolo) of Sikasso Region. Sikasso Region is considered to be Mali’s breadbasket, agriculturally productive and a trade center, and is also one of the most densely regions of Mali and host to high rates of malnutrition . The project’s three strategic objectives are: - SO1: To increase the adoption of optimal behaviors to supports nutrition, health, hygiene and sanitation - SO2: To increase the production and accessibility of nutrient-rich foods - SO3: To improve the delivery of nutrition services to address acute malnutrition The project’s approach is grounded in community mobilization and social and behavior change. It works through community structures to facilitate change and promote specific behaviors, engaging community members in Community Led Total Sanitation, committees for action on nutrition, Farmer Field Schools (FFS), and Family Farmer Management Systems (FFMSy). The project also supports the Malian Ministry of Health and ASACO in addressing acute malnutrition through CMAM and encouraging interpersonal communication (IPC) through client- patient exchanges as a means of instigating the adoption of recommended behaviors. Over the course of the five year the project will reach at least 13,000 pregnant and lactating women (PLW) and 53,000 children under 2 years of age in six health districts in the Sikasso Region with the totality of its interventions. Planned activities for the reporting period (Y2Q2): Cross-cutting activities: - Conduct workshop to share the results of the formative research; - SBC strategy development using the results of formative research/ baseline study; SO1: To increase the adoption of optimal behaviors to support nutrition, health, sanitation and hygiene IR1.1 Households and caregivers have adopted recommended behaviors to support health and nutrition - Conduct barrier analysis - Develop SBCC materials - Develop facilitation curricula - Training of SBC agents on facilitation curricula - Organize and orient community coordination committees - Facilitate development of community action plans 4 - Mentor implementation of community action plans - Facilitate the organization of action groups for nutrition (CLAN, Care Groups, JFAN) - Flipchart production and multiplication - Orient/train action groups for nutrition - Train mother leader animators on lessons - Monitor action groups for nutrition IR1.2 Households and communities undertake actions to support optimal hygiene and sanitation - Pre-trigger communities in CLTS - Trigger communities in CLTS - Post-trigger monitoring - Joint evaluation of triggered villages for eventual certification - WASH committee members sensitize households on WASH - Identify private sector collaborators (sanplat producers, etc.) SO2: To increase production and accessibility of nutrient -rich foods - Disseminate results of value chain analysis study for cowpeas, groundnut, and soya crops IR 2.1: Producer groups are strengthened - Contract Local Capacities Builders (LCB) - Organize livelihood producer groups - Organize meetings between female producers and land owners to facilitate women’s access to land - Identify land for gardening - Conduct a feasibility study on the installation of a micro-irrigation system - Install micro-irrigation equipment and fencing for gardens - ToT of AEAs on micro-irrigation techniques - Train peer farmers on micro-irrigation techniques - Train extension agents and animators (peer farmers) on the maintenance of micro-irrigation systems IR 2.2: Improved farm management techniques adopted - Train extension agents in FFMSy (CEF) - Identify and orient animators (peer farmers) on CEF - Train extension agents on improved agriculture techniques - Identify farmer field schools (FFS) IR 2.3: Smallholder access to agricultural inputs improved - Facilitate access to agricultural inputs - Evaluate the needs and launch request of logistics for agricultural inputs - Identify, select and contract microfinance institutions - Identify and establish a committee for revolving funds - Train extension agents on revolving fund management - Facilitate smallholders in their development of credit applications IR 2.4: Linkages between producers, processors, and markets improved - Conduct market study
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