Annual Project Report
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ANNUAL PROJECT REPORT VRIDDHI: Scaling up RMNCH+A Interventions Annual Project report VRIDDHI: Scaling up RMNCH+A Interventions ANNUAL PROJECT REPORT October 01, 2016 - September 30, 2017 Scaling Up Interventions in Reproductive, Maternal, Neonatal, Child, and Adolescent Health (RMNCH+A) USAID Cooperative Agreement No. AID-386-A-14-00001 Submitted by: IPE Global Limited IPE Global House, B-84, Defence Colony, New Delhi - 110 024 www.ipeglobal.com 2 Annual Project report VRIDDHI: Scaling up RMNCH+A Interventions Table Contents EXECUTIVE SUMMARY ......................................................................................................................................... 4 THE CARE AROUND BIRTH APPROACH ............................................................................................................... 6 THEMATIC INTERVENTIONS ............................................................................................................................... 10 REPRODUCTIVE HEALTH ................................................................................................................................ 10 MATERNAL HEALTH ....................................................................................................................................... 10 NEWBORN AND CHILD HEALTH ..................................................................................................................... 13 ADOLESCENT HEALTH .................................................................................................................................... 14 KNOWLEDGE MANAGEMENT ............................................................................................................................ 15 MONITORING AND EVALUATION ...................................................................................................................... 17 STATE ACHIVEMENTS ......................................................................................................................................... 19 ANNUAL ACTIVITY HIGHLIGHTS: DELHI ......................................................................................................... 19 ANNUAL ACTIVITY HIGHLIGHTS: HARYANA .................................................................................................. 20 ANNUAL ACTIVITY HIGHLIGHTS: HIMACHAL PRADESH ................................................................................ 21 ANNUAL ACTIVITY HIGHLIGHTS: JHARKHAND .............................................................................................. 22 ANNUAL ACTIVITY HIGHLIGHTS: PUNJAB ..................................................................................................... 23 ANNUAL ACTIVITY HIGHLIGHTS: UTTARAKHAND ......................................................................................... 24 NATIONAL RMNCH+A UNIT (NRU) ..................................................................................................................... 25 JOHN SNOW INC. (JSI) ........................................................................................................................................ 28 PLANNED ACTIVITIES VS. ACCOMPLISHMENTS -YEAR 3 ..................................................................................... 31 PROJECT CONTACTS ........................................................................................................................................... 41 3 Annual Project report VRIDDHI: Scaling up RMNCH+A Interventions EXECUTIVE SUMMARY Vriddhi: Scaling up RMNCH+A Interventions project has worked closely with governments and key stakeholders (at national and state levels) to facilitate the increase the off-take of RMNCH+A interventions. In year 3, the project has worked towards scaling up key interventions such as Strengthening Care around Birth, Community based Advance Distribution of Misoprostol, Block Level Implementation Strengthening Support (BLISS), Urban Health and Nutrition Day (UHND). Apart from this, the project has continued to provide techno-managerial support to government policies and programs. The project team as a whole has established itself as an important technical resource for the National and state Governments and its work is being recognized and appreciated across stakeholders. Figure 1: Project brochures Highlights of Year 3 activities: National level: The project team continued its technical support for GoI programs and policy documents. Reports from onsite monitoring of PMSMA and feedback of the visits were compiled and shared with the maternal health division, MoHFW on a monthly basis. A concept note was developed on managing and tracking HRPs identified through the PMSMA platform, in collaboration with maternal health division and Jhpiego. Other support included technical inputs for national RMNCH+A intensification plan, standardizing the recording formats of various maternal health programs and interventions, support in developing monitoring indicators for RMNCH+A for the Prime Minister’s Office and monitoring of National programs including National Deworming Day and Mission Indradhanush. The project team has been participating regularly in various task forces and technical core groups and through these contributed to policy and program support. Vriddhi supported the revision of the MDR surveillance guidelines and the preparation of an implementation plan for its roll out across the country. Vriddhi participated in the USAID partner Consultation on ‘Addressing Key Drivers of Maternal and Newborn Mortality’ on October 05, 2016, it also organized the event on behalf of USAID. The different USAID partners and stakeholders presented diverse approaches and methods for improving Intrapartum care. The knowledge hub team of Vriddhi set up a market place at the USAID’s partner’s meeting to disseminate information on project strategies and interventions. Figure 2: Consultation on Addressing Key Drivers of Maternal and Newborn Mortality 4 Annual Project report VRIDDHI: Scaling up RMNCH+A Interventions The Annual Project Review of the Project was held in February 2017. Representatives of USAID, top management from IPE Global and JSI attended the meeting. The entire team came together to discuss the progress till date, achievements, challenges and the way forward for the next one year. During the meeting, the revived and redesigned RMNCH+A website was launched under the domain name www.rmncha.in Figure 3: Launch of VRIDDHI website National Consultation for Developing Strategic Roadmap to Engage Private Health Sector: A national consultation for developing a Strategic Roadmap to Engage Private Health Sector for Maternal, Neonatal and Child Health was held on February 21, 2017 in New Delhi where a roadmap was developed to engage private sector providers in RMNCH+A service delivery within the project geography. Joint Secretary (RMNCH+A), MoHFW, Ms. Vandana Gurnani chaired the meeting and attendees included Deputy Commissioners from MoHFW, representatives from the 6 USAID supported state governments and partner agencies. The meeting provided a platform to discuss and deliberate upon the experiences till date and gather thoughts on the modalities to initiate and strengthen this engagement across the 6 states Supportive Supervision (SS): SS continued in year 3, and a total of 21,421 visits have been made across 182 districts in the country. States transitioned to the revised SS checklist, which has a facility and a community component. This process was facilitated by the national RMNCH+A unit (NRU), who facilitated regional and state level training workshops and introduced the new web based software /data entry tool. Aiming to digitize data and improve its usage the NRU designed an RMNCH+A toolkit app for MoHFW. The app brings all relevant RMNCH+A data from different sources (like NFHS, DLHS, AHS, Census, SRS, HMIS, SSV) on a single platform for each state and respective districts of the country. The app brings data to the fingertips for policy makers, managers, program implementers and researchers. Care around Birth Approach: The Care around birth approach was introduced in two phases Technical Intervention package – I (TIP I - universal interventions for all mothers and newborns) and TIP II (complication management). Together the two sets of technical packages of the Care around Birth approach cover all major interventions enlisted to improve maternal and child survival as part of WHOs QoC framework. During the year, the evidence based practices of TIP I were further strengthened and the TIP II package was designed and rolled out across the project states. The phase II trainings were rolled out in all the project supported HPDs and a total of 651 service providers have been trained. The scale up has begun, the approach has been scaled up to 9 non HPDs in the state of Delhi. Scale up of advanced community based distribution of misoprostol in other states: The dissemination of the learnings and lessons, from the pilot implementation of advanced community based distribution of misoprostol in Himachal Pradesh, at National level has generated interest amongst various states. The state governments of Gujarat and Andhra Pradesh have requested and received the package of documents and materials developed by the project for the pilot implementation of the Misoprostol program in HP, this includes flipbook and Standard Operating Protocols, forms and formats. In the month of June the project supported the Government of Rajasthan and their development partner