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Zika Response in Ecuador and Peru

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Zika Response in Ecuador and Peru ZIKA RESPONSE IN ECUADOR AND PERU Implemented by: CARE Cooperative Agreement Number AID-OAA-A-16-00078 Work Plan II Phase, years 2 & 3 Start Date and End Date: October 1, 2017 to September 30, 2019 TABLE OF CONTENTS 1. TECHNICAL NARRATIVE ........................................................................................ 3 1.1. Introduction ............................................................................................................................................................ 3 1.2. Project Overview .................................................................................................................................................... 3 1.3. Project Outcomes, Strategies, Activities and Work plan, Phase I, year 1 ......................................................... 4 1.4. Progress in the development and consolidation of a binational project strategy to strengthen the prevention and control of Zika actions ................................................................................................................. 9 1.5. Relevant context changes ..................................................................................................................................... 11 1.5.1. Political Context ................................................................................................................................................... 11 1.5.2. Adverse hydroclimatic events ............................................................................................................................. 12 1.6. Key partnerships and alliances ........................................................................................................................... 18 1.7. Project Outcomes, Strategies, Activities and Work Plan for Phase II, years 2 and 3 .................................... 19 1.8. Zika Work plan - Oct 2017-Sep 2019 ................................................................................................................. 22 1.9. Cost Share ............................................................................................................................................................. 28 2. MEASUREMENT, MONITORING, EVALUATION AND LEARNING PLAN .......... 29 2.1. Data collection ...................................................................................................................................................... 29 2.2. Monitoring and Evaluation Plans ....................................................................................................................... 30 2.3. Revised logic model .............................................................................................................................................. 30 2.4. Indicator Tables ................................................................................................................................................... 31 3. ENVIRONMENTAL MANAGEMENT & MITIGATION PLAN (EMMP) ................. 38 3.1. Environmental Mitigation and Monitoring Y1 Report: ................................................................................... 38 Following the first year the report is presented. ............................................................................................................ 38 3.2. Years 2 & 3 Environmental Mitigation and Monitoring Plan ......................................................................... 43 4. ANNEXES: ................................................................................................................ 48 2 1. TECHNICAL NARRATIVE 1.1. Introduction This document serves as the second Operational Plan (OP) of the Zika Response Project in Ecuador and Peru, Cooperative Agreement Number: AID-OAA-A-16-00078. The scope of this OP is from October 1, 2017 to September 30, 2019. The OP was designed by the teams of CARE Ecuador and CARE Peru considering the guidelines presented by USAID during the conference call held on June 17, 2017. It is organized in the following way: 1. Technical Narrative, includes (1.1) Introduction, (1.2) Project overview (1.3) relevant context changes, (1.4) key partnerships and alliances, (1.5) project outcomes, strategies and activities for Phase II, (1.6) the Work plan; (1.5) management structure; (1.6) cost share and leverage; 2. Measurement, Monitoring, Evaluation and Learning Plan including (2.1) revised logic model and (2.2) M&E plan with data collection and indicator table as well as reporting schedule; and 3. Environmental Management and Mitigation Plan (EMMP). 1.2. Project Overview Priority areas for implementation will continue to be areas on the tropical coast of Ecuador and Peru where the Aedes aegypti mosquito is widespread, and were affected by an earthquake in 2016 (Provinces of Manabí and Esmeraldas in Ecuador) and by intense rains resulting from the 2017 Coastal Niño Event (Southern Ecuador and Northern Peru), hence undergoing an increased risk for Zika. CARE will continue working in the achievement of the two key objectives identified at the proposal phase: 1. To increase community, local and national capacities to deliver an efficient and timely response to the Zika virus outbreak and other vector-borne diseases through Disaster Risk Reduction (DRR) and human rights approaches. Our approach relies on CARE’s, sustainable community health systems, and community empowerment. The project will utilize community health agents to strengthen and enable the direct involvement of communities, to prevent the spread of the Zika virus. 2. To enhance regional and national efforts to help decrease the rate of Zika transmission by sharing findings and impact results to influence bi-national policy making. Using a deep and rigorous evidence-based approach of best practices and lessons learned in community mobilization and participation, we will prioritize gender sensitive implementation strategies in diverse social and cultural contexts, increase coordination and planning capacities, refine an accurate monitoring system and develop a communication and dissemination strategy. Figure 1 Depiction of the Zika Response Project in Peru and Ecuador 3 1.3. Project Outcomes, Strategies, Activities and Work plan, Phase I, year 1 1.3.1. Best practices in community participation and mobilization on prevention, promotion and practices regarding Zika identified. Rigorous evidence-based analysis (EBA) and Knowledge, Attitudes and Practices (KAP) studies and documentation of best practices and lessons learned in community mobilization, education, communication and participation in the implementation of community health strategies. Emphasis was given to the production of quantitative and qualitative data to better understand “soft” strategies related to community mobilization, participation and Community Based Surveillance and vector control. Gender and cultural norms approaches as well as urban/rural scenarios cross cut the selection of identified areas for EBA and KAP studies. EBA information gathering conducted by high level research teams with the participation of MoH, CARE, UNICEF, the academia and other key partners under the scope of national plans and the political leadership of the MoH. Academy will provide support on technical issues and data gathering procedures to complete the EBA and KAP analysis. Progress Year 1: 4 Evidence based analysis (EBA) on vector control strategies and activities for vector control focused on community members (at the household and municipal levels), their roles, the follow-up and surveillance systems on key prevention practices served to assess the efficiency of vector control practices by local health services, local governments and community agents regarding key activities for early action; while the EBA on community surveillance focused on the role and performance of community health agents, primary level health care providers and other agents accountable for community based surveillance. Reiterative EBA studies to validate change and learning will continue in Years 2 and 3. Ecuador carried out studies 1) On best practices of ZIKA management and control of disease transmission; 2) On best practices in ZIKA community surveillance systems and vector control and proposal adapted to the context of the disease in Ecuador. The identification of best practices is done through documentary review (national or other country experiences), and field visits through the KAP or EBA studies. The experience and the results of its implementation are documented, obtaining a group of proposals that have been shown to contribute to reduce the risk of transmission of vector-borne diseases with community participation. Peru established an Alliance with organizations from the Civil Society, the Ministry of Health and PAHO, to convene the identification and presentation of best practices for which it carried out the competition called: "Best Practices Prize in Prevention and Control of Zika." In order to align the documentation of the applications with the project objectives regarding evidence- based analyses (EBA) of community surveillance and vector control systems, the following categories were established: o Citizen and Community Participation in Vector Control. o Cooperation between Public Agencies in Surveillance and Control. This action identified 23 good practices, the 15 most cost-effective and replicable were prioritized by the Jury for its dissemination. (Annex 4.2). National baseline knowledge, attitudes and practices (KAP) studies to identify individual
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