USAID - IMA World Health Counter Gender-Based Violence Program Quarter 3: April 1- June 30, 2018 Quarterly Report

Submitted July 30th, 2018

Cooperative Agreement No. 72066018CA00001 Cooperative Agreement No. 72066018CA00001

Table of Contents List of Acronyms ...... 3 I. Executive Summary ...... 5 II. Highlights of Q3 ...... 8 III. Progress towards Project Indicators ...... 17 IV. TIP Report...... 32 V. Project Monitoring Table ...... 33 Annex A: Q4 Scope of Work ...... 48 Annex B: Financial and Audit Report ...... 52 Annex C: Training Report (total Q2 – Q3) ...... 53 Annex D: Miscellaneous Deliverables ...... 55 Annex E: Mapping of Health Areas and Health Centers of C-GBV/ Tushinde Ujeuri-assisted Health Zones ...... 60

List of Acronyms

ABA-ROLI American Bar Association Rule of Law Initiative ADR Alternative Dispute Resolution APS Agent Psycho-social (psycho-social counselor) AOR Assistant Officer Representative BCZS Health Zone Central Bureau CBO Community Based Organization CBTH Community Based Trauma Healing C-GBV Counter Gender Based Violence project CODESA Community Health Development Agency CoP Chief of Party CPT Cognizant Processing Therapy CSO civil society organization DRC Democratic Republic of Congo EMMP Environmental Mitigation Monitoring Plan FARDC Armed Forces of Democratic Republic of Congo FP Family Planning FY fiscal year GBV Gender-Based Violence HIV human immunodeficiency virus HZ Health Zone IE Impact Evaluation IGA Integrated Governance Activity IMA IMA World Health IR Intermediate Result IT Infirmier Titulaire (lead nurse) IYDA Integrated Youth Development Activity JHU Johns Hopkins University MCZ Médecin Chef de Zone (Zone Lead Doctor) M&E monitoring and evaluation MEL Monitoring, Evaluation and Learning MoH Ministry of Health MoU Memorandum of Understanding NGO Non-governmental organization OSC Overseas Strategic Consulting PEP Post-Exposure Prophylaxis PMP Performance Monitoring Plan PNSR National Reproductive Health Program PTA Parent Teacher Association SBCC Social and Behavior Change Communication SFCG Search for Common Ground SGBV Sexual and Gender Based Violence SPR Solutions for Peace and Recovery STI Sexually Transmitted Infections TEP Tribune Expression Populaire TO Task Order UN United Nations USAID U.S. Agency for International Development USG US government UW University of Washington VLSA Village savings and loan association

I. Executive Summary

The USAID Counter Gender-Based Violence (C-GBV) Program is a comprehensive program to help communities respond to and prevent gender-based violence in the Democratic Republic of Congo (DRC). The USAID funded program is made possible by the generosity of the American people and implemented by IMA World Health.

Goal: Strengthen community-based prevention of and response to GBV in Eastern Congo The overarching project goals of the C-GBV program are to strengthen community-based prevention of and response to gender-based violence (GBV); effectively reducing GBV incidence and improving the quality of and access to holistic care for survivors, particularly among vulnerable groups. The project works in an integrated manner across three intermediate results (IRs) as noted below.

Intermediate Results areas: IR 1: Target communities demonstrate greater acceptance of positive gender roles. IR 2: Availability of community-level GBV-related services improved. IR 3: Perceptions of stigma surrounding reintegrated survivors reduced.

Community-Based Approach The program approach includes rolling out an evidence-based social and behavior change communication (SBCC) campaign that shifts community norms to adopt positive gender roles, resulting in decreased GBV incidence while reducing stigma and negative attitudes that prevent survivor reintegration. The program is designed to create informed, equipped, and resilient communities that actively speak out to prevent GBV and, in doing so, support survivors to access quality services.

Consortium Team Members The C-GBV program incorporates a coordinated and seasoned team with DRC experience and proven competency in a range of technical areas (community-based GBV prevention, holistic and comprehensive care for survivors, stigma and violence reduction, evidence based SBCC, and research-based monitoring and evaluation. The project is implemented under the direction of IMA World Health and includes two implementing partners (HEAL Africa, Panzi Foundation) and five technical partners (Search for Common Ground, University of Washington, Johns Hopkins University, Overseas Strategic Consulting, and American Bar Association Rule of Law Initiative).

Geographic Scope The C-GBV program is implemented in five health zones (HZ) in North and South Kivu Provinces of the DRC. Community-based services in North Kivu Province (two HZs) are implemented under Heal Africa while Panzi Foundation is implementing in South Kivu Province (three HZs)

Summary of Key Achievements in the Reporting Period The three-month reporting period of April-June 2018 included the completion of training for service providers and continued startup of activities in all five supported health zones. Safe- houses in the two new health zones of Nyangezi and Bunyakiri were established and staff were recruited and put in place during this period.

Consolidated data from consortium partners reveal that a total of 1,732 persons presented for services this quarter (medical, legal, psychosocial, and socioeconomic) an increase of 84% from the previous quarter. As community organizations complete training and outreach activities commence, the number of persons receiving services is expected to continue to increase accordingly.

There was significant progress on the elaboration of the Impact Evaluation (IE), to be undertaken by a USAID sub-contractor (NORC) with input from USAID/DHA/OTI in Washington DC and the affiliated investigators from Columbia, Harvard, and Amsterdam. However, due to the concern of biasing the study areas (40 Aires de Santé and three Zones de Santé), a number of the IR1 and IR3 project activities related to outreach have been delayed. This will have a short-term negative impact on project indicators. IMA representatives (CoP and ME Advisor) visited the USAID mission in May 2018 to provide updates on the roll-out of the IE evaluation and potential impact on both budget (long term) and performance (short term). The CoP followed up this visit with a letter to the AOR outlining the points made during that meeting and advising the Mission of the potential impact. The report is referenced in Annex A of this quarterly report.

Highlights of this quarter included:

 Visits to projects sites by Senator Merkley (D-OR), and later by USAID Mission Director Christophe Tocco  Technical consultants from Johns Hopkins University and University of Washington to assist with development of updated M&E tools and CPT training  The completion of the Gender & Conflict Analysis  Workshops in SBCC design  RDQAs in two health zones  Two provincial- based conferences on ‘Do No Harm”  Reception of new PEP Kits from DPS/UNICEF, and,  Handover of four new project vehicles.

Handover of Project Vehicles and Signature of Protocols and Accords (June 2018) II. Highlights of Q3

1. U.S. Senator visits C-GBV/Tushinde project and meets with recipients of services. (April 2018) The C-GBV/Tushinde project hosted a delegation led by U.S. Senator Jeff Merkley (D-OR and Ranking Member, Senate Foreign Relations Committee) and Jennifer Haskell, Chargé d’Affaires US Embassy. IMA presented the holistic components of the IMA-GBV project (medical, psychosocial, livelihood, and legal) to the ten-person USG delegation. Senator Merkley also had the opportunity to speak to three survivors (including a 7- year-old sexual assault victim and her mother). Senator Merkley congratulated the C-GBV team on responding to a significant and widespread problem in eastern DRC using a practical and effective response and method of response and prevention.

2. Policies & Procedures for C-GBV Coordination-Management Staff (April 2018) During the months of April and May, IMA sent technical staff from IMA headquarters in Washington DC and country office in Kinshasa for updated training and use of revised tools for (1) Finance Reporting, Coding & Analysis, and Request for Disbursements (2) Donor Compliance and Fraud Reporting (3) and Acquisition, Procurement, and Inventory. Members of the C-GBV Coordination Team participated in these three day IMA-sponsored meetings.

3. Submission of “Conflict and Gender Analysis” by Search for Common Ground (May 2018) Search for Common Ground was contracted to carry out a Conflict and Gender Analysis in the C- GBV supported zones. Their final report, shared with project stakeholders was submitted to USAID in May. The report underscores the significant incidence of trauma related events in the lives of individuals and communities in areas served by the C-GBV/Tushinde project, and the ultimate impact of trauma as a driver of gender and sexual based violence. The report based on surveys of 854 individuals (from focus groups and key informant interviews) in 4 health zones, also showed the preponderance of youth as both perpetrators and victims of violence; a finding that will have an impact on both programming (outreach and awareness), as well as SBCC tools.

4. PEP Kit Packing (May 2018) IMA continues its mandate to facilitate the packing and shipping of PEP kits for North and South Kivu Provinces. This past quarter, IMA received sufficient medicine to pack over 1,000 PEP kits (adult and pediatric) for 33 health zones in North Kivu Province. IMA receives the product from UNICEF, the dosing and labeling instructions of unit packs from the DPS, and under the authority of the Inspector of Pharmacies, packs all into sealed kits for distribution to health facilities. Due to the contribution of the C- GBV/Tushinde program, all C-GBV health zones are assured sufficient kits for quarterly needs. IMA continues to track reception and use of PEP Kits by IP reports and the DHIS-2 based GBV-IMS database.

5. RDQA in South Kivu Province (May 2018)

The C-GBV M&E Team carried out RDQA audits in the South Kivu health zones of Katana and Nyangezi to evaluate the quality and completeness of data submitted during the previous reporting period (Q2). IMA and the implementing partner, Panzi Foundation, brought together stakeholders from each zone (nurses, counselors, members of noyaus/CODESAs etc) to collectively review and cross-check reported data. The meeting focused on the importance of data validation and established directives for ongoing collection and reporting as well as validated quarterly data.

6. USAID Director visits the C-GBV supported health zone of Katana (May 2018)

USAID Director Christophe Tocco accompanied by William Hall (Deputy Director Economic Growth) visited stakeholders of the C-GBV/ Tushinde Project in the South Kivu health zone of Katana. The team aimed to assess the effectiveness of the one-stop or comprehensive approach to SGBV response at the community level, as well as understand challenges and obstacles in service delivery; including the need to confront cultural norms and overcome long standing harmful practices. Mr. Tocco told the community that “they came to Katana to find out if the assistance which the community solicited from USAID (Tushinde) was indeed present and making a difference” Mr. Tocco affirmed after meeting with community stakeholders that the expectation was indeed met and encouraged the community and team to work together to solidify gains and progress.

7. Developing SBCC tools based on Formative Research-Bukavu (May 2018)

One principal factor underlying the prevalence of SGBV is the lack of knowledge and awareness of the issue, especially among young people. SFCG, along with IMA World Health, using qualitative data and findings obtained during the recent conflict and gender analysis, worked with a wide group of stakeholders (C-GBV/Tushinde SBCC coordinators from all five zones, project managers and supervisors, government authorities and others) to devise a strategy of communication and to identify appropriate tools for SBCC messaging. The data-collection and sharing meeting was followed by the crafting of key messages, which were shared during the June Tushinde partner’s meeting and refined among working groups. The agreed- upon messages, which will be disseminated by radio, posters and banners, are shared in annex D of this report.

Groupe de Travail (Nyangezi and Katana)

8. Johns Hopkins University assists C-GBV team members in revising evaluation and monitoring tools for CPT

Dr. Sarah M. Murray, from the Department of Mental Health at Johns Hopkins Bloomberg School of Public Health traveled to Goma in June to hold a one-week workshop with C-GBV/Tushinde M&E officers and psychologists from IMA, Panzi, and Heal Africa to improve monitoring and reporting of cases, as well as the development of tools for screening, referral, and measuring progress.

Dr. Murray worked with IMA staff in Goma to review the data results and to generate a plan for revisions and adjustments to the monitoring processes and databases. Screening and monitoring tools were updated in collaboration with project field-based team to ensure ease of utility. Dr Murray worked with senior staff to develop protocols for documenting program implementation in order to allow for evaluation of the village-based psychosocial program and CPT counseling services, and with clinical staff to evaluate pre- post-treatment changes in mental health, functioning, and internalized stigma. The five-day workshop was highly appreciated and enhanced not only the quality of data collection and data tools, but also engaged field staff in the importance of data collection, reporting, and use.

Dr Sara Murphy discussing data collection and analysis with C-GBV consortium members

9. Communication Training (Nairobi Kenya)

Two staff from the IMA C-GBV coordination team (Program Coordinator Joseph Ciza and Gender Advisor, Drocella Mundere) traveled to Nairobi, Kenya in April to participate in an IMA- sponsored communication workshop for country-based staff. The objective was to build the capacity of key staff in the development of success stories and production of photos and films to promote the work of the donors (i.e. USAID), and create purposeful messages of work accomplished for a wider global audience. Participants from Kenya, Tanzania, DRC, and South Sudan acknowledged that the workshop would greatly enhance their ability to craft and tell stories through a wide range of media options.

IMA sponsored communication workshop in Nairobi with C-GBV staff in attendance. 10. Eleven Congolese psychologists pass rigorous Advanced-CPT Training (June 2018)

Following the elaboration of new collection and reporting tools, the University of Washington sent two PhD psychologists (Dr. Cindy Stappenbeck and Dr. Ivan Moulton) for two weeks of intensive training: (foundational for new providers) and (refresher/updates for current CPT providers).

Eleven field and supervisor psychologists from all 5 health zones completed the rigorous twelve- day training, passed examinations, and received certificates. The University of Washington team will continue to mentor and train through weekly phone conferences with project staff for case discussion and support.

University of Washington Faculty with Recipients of CPT Counseling Certificates

11. “Do No Harm Workshop” ...a late but welcome addition to the Tushinde consortium (June 2018)

C-GBV Consortium member, Search for Common Ground, led the entire program staff through two five-day workshops on principles of “Do No Harm” in South Kivu (17 participants) and North Kivu (15 participants). As a group we examined:

 Risk analysis: What are the risks related to the context and to the implementation of the project that would require a follow-up?  Conflict Sensitivity: What can the project do to ensure that it remains conflict-sensitive and respectful of the “Do No Harm” principle?  Risk Evaluation: make evaluations and recommendations for the project planning to ensure that it complies with the “Do No Harm” principle, and that it is constructed in a conflict-sensitive way.

As part of its support to the partners of the C-GBV/Tushinde project, IMA with the technical support of Search for Common Ground carried out training in “Do No Harm”. Key field and coordination personnel from all consortium members were required to attend this training to ensure that the "do no harm" approach is implemented at all project levels from project design to implementation to final evaluation. The Conflict and Gender study conducted by SFCG at the beginning of the project provided key information on the community's perceptions of the actions to be taken by the partners involved in the project.

This activity contributes to meeting intermediate sub-result 2.2, which consists of improving the "quality" of services offered by the project, ensuring that the intervention is adapted to the local context. The aim of “Do No Harm” is to not exacerbate existing tensions (neutral effect on conflict dynamics and SGBV), avoid creation of new tensions (negative effect on conflict dynamics and SGBV), and mitigate tensions through the implementation of activities (positive effect on conflict dynamics and SGBV). The evaluation of participants after the training showed an increase of knowledge of 42% in North Kivu and 39% in South Kivu.

This was the first time that consortium members looked at the important principle of ‘Do No Harm’, particularly in the volatile context of responding to SGBV. The ABA Country Director, who arrived a day late to the workshop due to prior commitments, remarked, “I wish we had this type of training earlier...and I wish I had come on time!”

12. Partner Assessment-Compliance Review facilitated by IMA-Kinshasa team (Jun 2018)

IMA-Kinshasa sent a three-person team to assess all four C-GBV/Tushinde partners (Heal, ABA, SFCG, Panzi) as a follow-up visit to the January 2018 pre-award assessment and to assess progress towards special conditions. The team reviewed the followed the findings from quarterly finance visits conducted by C-GBV grants manager (Alfred Sefu) and C-GBV finance officer (Brenda Mihigo), and reviewed finance reports and transactions.

Field visits to all four partner offices were then made for assessments and compliance visits to assess progress on special conditions. For those who have not made significant progress, a mandatory plan for improvement and monthly follow-up will be inserted in their subsequent agreements. Monitoring of sub-grantees is part of the IMA due-diligence of subcontracts and will have a long-term impact on compliance and sustained performance.

13. 3-day C-GBV/Tushinde quarterly partner’s meeting with deliverables (Jun 2018)

IMA held a three-day workshop with consortium partners. Dr Frank Baer, IMA STTA for C-GBV facilitated the meetings and led the workshops on SWOT analysis, referral pathways, and HZ mapping

 Day 1 (Jun 25): Review of SBCC Formative Research and Key Message themes  Day 2 (Jun 26): Partner Reports/Q4 Work Plan, ME Update, Admin-Fin Policies/Proc.  Day 3 (Jun 27): SWOT Analysis, SBCC message selection, Asset/Vehicle Policies/Proc. Dr Frank Baer leading workshop on SWOT analysis

Deliverables from the workshop are found in annexes A, D and E and include: Q4-Work Plan, SWOT-Analysis, Key Messages, HA/NORC Mapping, an updated referral pathway.

14. Handover of Project Vehicles (June 2018)

Following the three-day partner meeting, IMA organized a vehicle handover ceremony. Four Toyota Landcruisers were purchased in the year-one budget and were allocated for the following use:

 Vehicle 1: (IMA World Health). Replace vehicle given to MSI (Project SPR) ...for operational support and project supervision  Vehicle 2: (Heal Africa): For supervision and support of activities in Walikale (including IE Study) and interim Karisimbi. Current vehicle in Walikale will be brought to Goma to support Karisimbi Health zones  Vehicle 3: (Panzi Foundation: Supervision of activities in Katanga and Nyangezi  Vehicle 4: (ABA) Support and supervision of legal clinics in Karisimbi and client referral to Goma. Will also support two other USG (USAID/RMMP) programs on cost share basis. ABA will assign an additional vehicle (from their fleet) to support the South Kivu zones.

All partners signed agreements with IMA outlining use, restriction, and assignment of vehicles. Vehicles may be re-assigned at the discretion of IMA to meet changing needs in the program.

III. Progress towards Project Indicators

A. PMP/PPR Table

Q2 Jan-March Q1 Oct - Dec 2017 Q3 Apr-Jun 2018 Year 1 Annual 2018 Cumulat Cumulative Target FY18 Quarterly Achievement ive progress to Performance Indicator Q1 Q2 Achieve Achieve (Oct 1 2017 - Q1 Q2 target (Q3) Achieve of quarterly achieve annual Achieve Achieve ments ments Sep 30 2018) Target Target April-June ments target (Q3) as ments target as % ments ments Male Female 2018 Total % GOAL: Strengthen Community-Based Prevention and Response to Sexual and Gender-Based Violence in Eastern Congo G1.1 Prevalence rate of GBV among women, TBD by Survey TBD n/a n/a TBD n/a n/a n/a n/a TBD n/a men, and children in target geographic areas IR 1: Target Communities Demonstrate Greater Acceptance of Positive Gender Roles

IR 1.1 GBV Community Organizational Capacity Strengthened

IR1.1.1 Number of USG-assisted organizations and/or service delivery systems strengthened 774 0 774 82 11% 774 72 9% 154 20% that serve vulnerable populations

Number of VSLA groups 344 0 344 45 344 42 87

Number of youth club groups 86 0 86 12 86 14 26

Number of Noyau/CODESA groups 86 0 86 25 86 16 41

Number of COPA groups 258 0 258 0 258 0 0 IR1.1.1.1 Number of members of USG-assisted organizations and/or service delivery systems 15,480 0 15,480 2,089 13% 15,480 1,319 2,072 3,391 22% 5,480 35% strengthened that serve vulnerable populations Number of VSLA members 8,600 0 8,600 1,199 8,600 661 1,430 2,091 3,290

Number of youth club members 2,150 0 2,150 288 2,150 347 368 715 1,003

Number of Noyau/CODESA members 2,150 0 2,150 602 2,150 311 274 585 1,187

Number of COPA members 2,580 0 2,580 0 2,580 0 0 0 0 Q2 Jan-March Q1 Oct - Dec 2017 Q3 Apr-Jun 2018 Year 1 Annual 2018 Cumulat Cumulative Target FY18 Quarterly Achievement ive progress to Performance Indicator Q1 Q2 Achieve Achieve (Oct 1 2017 - Q1 Q2 target (Q3) Achieve of quarterly achieve annual Achieve Achieve ments ments Sep 30 2018) Target Target April-June ments target (Q3) as ments target as % ments ments Male Female 2018 Total % IR1.1.2 Number of persons trained with USG assistance to advance outcomes consistent with gender equality or female empowerment 2,873 0 360 199 55% 50 87 29 116 232% 315 11% through their roles in public or private sector institutions or organizations

Health service providers trained in clinical 86 0 86 72 0 0 0 0 72 management of SGBV survivors

Psychological counselors on GBV -specific 86 0 86 68 0 0 0 0 68 trauma counselling and orientation Paralegals/Community mediators on customary law, Victims referral pathway and ADR for other 172 0 172 33 30 49 15 64 97 GBV ( Not of sexual violence related matters)

Health care providers trained in family 16 0 16 26 0 0 0 0 26 planning

12 0 0 0 20 14 6 20 20 Counselors and ME in CPT Technique

Noyaux/CODESA community members (Noyaux 1,000 0 0 0 0 0 0 0 0 leaders plus youth)

258 0 0 0 0 0 0 0 0 Teachers and Educators Community leaders on Customary law and DRC - GBV laws and judiciary system (60 persons per 258 0 0 0 0 0 0 0 0 ZS 1 woman and 1 man) Leaders of VSLAs groups and youth club on women's leadership, good governance and 90 0 0 0 0 0 0 0 0 conflict resolution

GBV Prevention, peace building for youth club 344 0 0 0 0 0 0 0 0 leaders (4 youth club / HA) Awareness, identification and orientation of TIP and LGBTIs to existing social services for 172 0 0 0 0 0 0 0 0 CODESA LGBTIs members and youth members at HA and HC level ( 2pers/HA) Community role model mobilizers on GBV 258 0 0 0 0 0 0 0 0 prevention and ADR ( 3Pers/ HA) Q2 Jan-March Q1 Oct - Dec 2017 Q3 Apr-Jun 2018 Year 1 Annual 2018 Cumulat Cumulative Target FY18 Quarterly Achievement ive progress to Performance Indicator Q1 Q2 Achieve Achieve (Oct 1 2017 - Q1 Q2 target (Q3) Achieve of quarterly achieve annual Achieve Achieve ments ments Sep 30 2018) Target Target April-June ments target (Q3) as ments target as % ments ments Male Female 2018 Total % Basic training VSLASs starting and monitoring for VSLA committee members (4pers/ VSLA X 4 55 0 0 0 0 0 0 0 0 piloted group / HA)

VSLA Advanced Group (15) and Literacy 66 0 0 0 32 24 8 32 32 Trainers (REFLET) 20 and Do No Harm (31) IR 1.2 Community tolerance of GBV reduced

IR 1.2.1 Percentage of target population reporting increased agreement that males and TBD by Survey TBD n/a n/a TBD n/a n/a n/a n/a n/a n/a females should have equal access to social, economic and political opportunities

IR 1.2.2 Number of parent teacher associations (PTAs) or community governance 258 258 n/a n/a 258 n/a n/a n/a n/a n/a n/a structures engaged in primary or secondary education supported with USG assistance IR 1.2.3 Number of community members who gained tailored information on GBV prevention, family planning, and conflict resolution thanks to VSLAs and Youth Clubs (disaggregated by province, Number of 158,190 0 39,548 17,232 44% 39,548 17,808 24,212 42,020 106% 59,252 37% males, Number of females, Number of males age 10-14, Number of females age 10-14, Number of males age 15-19, Number of females age 15-19, Number of learners with disabilities). Number of children aged 10-14 706 3,289 3,465 6,754 7,460

Number of children aged 15-19 5,282 4,474 5,534 10,008 15,290

Number of adults (20+) 11,244 9,975 15,121 25,096 36,340

Number of learners with disabilities reached 0 70 92 162 162 IR 1.2.4 Percentage of target population that views GBV as less acceptable after participating in or being exposed to USG TBD by Survey TBD n/a n/a TBD n/a n/a n/a n/a n/a n/a programming

Q2 Jan-March Q1 Oct - Dec 2017 Q3 Apr-Jun 2018 Year 1 Annual 2018 Cumulat Cumulative Target FY18 Quarterly Achievement ive progress to Performance Indicator Q1 Q2 Achieve Achieve (Oct 1 2017 - Q1 Q2 target (Q3) Achieve of quarterly achieve annual Achieve Achieve ments ments Sep 30 2018) Target Target April-June ments target (Q3) as ments target as % ments ments Male Female 2018 Total % IR 2: Availability of community-level GBV-related services improved

IR 2.1: Increased provision of health, psychosocial, and legal services IR 2.1.1 : Number of people reached by a USG funded intervention providing GBV services 3,760 0 940 337 36% 940 152 1,243 1,395 148% 1,732 46% (e.g. health, legal, psychosocial counselling, shelters, hotlines, others) Number of children (< 18) 80 21 231 252 332

Number of adults (>18) 257 131 1,012 1,143 1,400

People reporting SGBV Incident 194 17 638 655 849

People reporting GBV Incident 132 135 552 687 819

People reporting fistula and vaginal prolapse 11 0 53 53 64

Total people receiving medical support (60%) 2,256 0 564 216 38% 564 37 554 591 105% 807 36% Number of children (< 18) receiving medical 60 3 132 135 195 support Number of adults (>18) receiving medical 156 34 422 456 612 support Total people receiving psychosocial support 3,685 921 326 35% 921 140 1,187 1,327 144% 1,653 45% (98%) Number of children (< 18) survivors receiving 79 20 219 239 318 psychosocial support Number of adults (>18) survivors receiving 247 120 968 1,088 1,335 psychosocial support Total people receiving legal support (40%) 1,504 0 376 5 1% 376 27 243 270 72% 271 18% Number of children (< 18) receiving legal 1 8 76 84 85 support Number of adults (>18) receiving legal support 4 19 167 186 190 IR 2.1.2 Number of vulnerable people (TIP survivors, LGBTI persons, persons with 1,414 0 354 81 23% 354 30 282 312 88% 393 28% disabilities and children) benefitting from USG-supported social services Number of children (< 18) 23 20 231 251 274 Q2 Jan-March Q1 Oct - Dec 2017 Q3 Apr-Jun 2018 Year 1 Annual 2018 Cumulat Cumulative Target FY18 Quarterly Achievement ive progress to Performance Indicator Q1 Q2 Achieve Achieve (Oct 1 2017 - Q1 Q2 target (Q3) Achieve of quarterly achieve annual Achieve Achieve ments ments Sep 30 2018) Target Target April-June ments target (Q3) as ments target as % ments ments Male Female 2018 Total % Number of adults (>18) 58 10 51 61 119

IR 2.1.3 Number of USG-assisted community health workers (CHWs) providing Family 86 0 86 n/a n/a 86 n/a n/a n/a n/a n/a n/a Planning (FP) information, referrals and/or services during the year

IR 2.1.4: Percentage of GBV survivors receiving at least 2 of 3 GBV-related services (medical, 30% 0% 30% 63% 210% 30% 43% 55% 54% 210% 55% 185% psychosocial, and legal assistance)

Numerator: Total Number of survivors receiving at least 2 or 3 GBV-related services 0 212 66 681 747 959 (medical, psychosocial, and legal assistance) Denominator: Total Number of survivors benefiting from USG supported social services 0 337 152 1,243 1,395 1,732 (e.g. health, legal, psychosocial assistance) IR 2.1.5 Percentage of vulnerable persons (TIP survivors, LGBTI persons, persons with disabilities and children) receiving at least 2 of 30% 0% 30% 84% 280% 30% 41% 68% 65% 218% 69% 231% 3 GBV-related services (medical, psychosocial, and legal assistance) Numerator: Total Number of vulnerable (TIP survivors, LGBTI persons, persons with disabilities and children) receiving 0 68 12 192 204 272 at least 2 of 3 GBV-related services (medical, psychosocial, and legal assistance) Denominator: Total Number of vulnerable (TIP survivors, LGBTI persons, 0 81 29 283 312 393 persons with disabilities) benefitting from USG- supported social services) IR 2.1.6 Number of service providers trained to identify GBV and TIP survivors at intake

172 n/a 172 140 81% 0 0 0 140 81%

Q2 Jan-March Q1 Oct - Dec 2017 Q3 Apr-Jun 2018 Year 1 Annual 2018 Cumulat Cumulative Target FY18 Quarterly Achievement ive progress to Performance Indicator Q1 Q2 Achieve Achieve (Oct 1 2017 - Q1 Q2 target (Q3) Achieve of quarterly achieve annual Achieve Achieve ments ments Sep 30 2018) Target Target April-June ments target (Q3) as ments target as % ments ments Male Female 2018 Total % IR 2.2: Improved quality of health, psychosocial, and legal services

IR 2.2.1 Percentage of PEP-eligible rape 100% 0% 100% 96% 96% 100% 100% 100% 100% 100% 99% 99% survivors who were administered a PEP Kit

Numerator: Total Number of rape 0 72 9 226 235 307 survivors receiving PEP kits Denominator: Total Number of rape survivors receiving care within 72 hours of 0 75 9 226 235 310 incident IR 2.2.2 Percentage of GBV survivors discharged from psychosocial counselling who 80% 0% 80% 20% 25% 80% 47% 42% 42% 53% 38% 47% report being optimistic about rebuilding life after GBV incident) Numerator: Total Number of GBV survivors discharged from psychosocial 0 65 66 495 561 626 counselling who report being optimistic about rebuilding life after GBV incident) Denominator: Total Number of 0 326 140 1,187 1,327 1,653 survivors receiving psychosocial support IR 2.2.3 Percentage of vulnerable persons (TIP survivors, LGBTI, persons with disabilities and children) discharged from psychosocial 80% 0% 80% 14% 18% 80% 54% 46% 47% 59% 46% 58% counselling who report being optimistic about rebuilding life after GBV incident) Numerator: Total Number of vulnerable persons (TIP survivors, LGBTI, persons with disabilities and children) discharged from 0 1 15 125 140 141 psychosocial counselling who report being optimistic about rebuilding life after GBV incident) Denominator: Total Number of vulnerable persons (TIP survivors, LGBTI, persons with 0 7 28 271 299 306 disabilities ) receiving psychosocial support IR 2.2.4. Average stock out rate of contraceptive commodities at Family Planning 100% n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a (FP) service delivery points Numerator: Number of structures that n/a n/a n/a n/a n/a n/a did not report a stock out in PF inputs Q2 Jan-March Q1 Oct - Dec 2017 Q3 Apr-Jun 2018 Year 1 Annual 2018 Cumulat Cumulative Target FY18 Quarterly Achievement ive progress to Performance Indicator Q1 Q2 Achieve Achieve (Oct 1 2017 - Q1 Q2 target (Q3) Achieve of quarterly achieve annual Achieve Achieve ments ments Sep 30 2018) Target Target April-June ments target (Q3) as ments target as % ments ments Male Female 2018 Total % Denominator: Number of health structures n/a n/a n/a n/a n/a n/a supplied with PF inputs IR 2.2.5 Percentage of court case judgments 20% 0% 20% 0% 0% 20% 0% 100% 100% 500% 67% 333% that resulted in a conviction of the perpetrator Numerator: Number of judgments 0 0 0 4 4 4

Denominator: Cases taken to court 0 2 0 4 4 6

IR 2.3: Reduced barriers of access to health, psychosocial, and legal services:) IR 2.3.1 Percentage of target population reporting increased awareness of how to TBD by Survey n/a TBD n/a n/a TBD n/a n/a n/a n/a n/a n/a access GBV-related community services IR 2.3.2 Percentage of target population reporting disagreement with identified TBD by Survey n/a TBD n/a n/a TBD n/a n/a n/a n/a n/a n/a barriers to accessing GBV-related community services IR 2.3.3 Median time elapsed (days) from SGBV incident to care-seeking at health care 2 n/a 2 1 200% 2 n/a n/a 182 1% 1% provider IR 2.3.4 Median time elapsed (days) from SGBV incident to reporting of assault to a 2 n/a 2 0 0% 2 n/a n/a 110 2% 2% police station IR 3: Perceptions of stigma surrounding reintegrated survivors reduced

IR 3.1: Alternative Conflict Resolution (ADR) mechanisms piloted IR 3.1.1 : Number of ADR resolutions that 35 n/a 9 0 0% 9 n/a n/a 34 378% 34 0% include reparations to the survivor IR 3.1.2 Number of GBV-related disputes 115 n/a 29 1 3% 29 n/a n/a 57 197% 58 50% resolved through ADR IR 3.1.3 Number of gender-equitable community-based dispute resolution 3 n/a 1 0 0% 1 n/a n/a n/a 0 0% mechanisms in place IR 3.1.4 Number of forums held for consensus building 172 n/a 43 0 0% 43 n/a n/a 60 140% 60 35%

Q2 Jan-March Q1 Oct - Dec 2017 Q3 Apr-Jun 2018 Year 1 Annual 2018 Cumulat Cumulative Target FY18 Quarterly Achievement ive progress to Performance Indicator Q1 Q2 Achieve Achieve (Oct 1 2017 - Q1 Q2 target (Q3) Achieve of quarterly achieve annual Achieve Achieve ments ments Sep 30 2018) Target Target April-June ments target (Q3) as ments target as % ments ments Male Female 2018 Total % IR 3.2: Socio-economic reintegration services provided IR 3.2.1 Number of learners in secondary schools or equivalent non-school based 30,100 0 7,525 0 0% 7,525 390 493 883 12% 883 3% settings reached with USG education assistance. Number of children aged 10-14 0 0 0 0 0

Number of children aged 15-19 0 0 98 126 224

Number of adults (20+) 0 0 292 367 659

IR 3.2.3 Number of survivors who received training in literacy and/or vocational skills 55 0 14 0 0% 14 0 0 0 0% 0 0% (definition adapted)

IR 3.2.4 Number of educators who complete instructor training for literacy and/or 10 0 2 0 0% 2 0 0 0 0% 0 0% vocational skills programs

IR 3.2.5 Number of GBV survivors participating 352 0 88 0 0% 88 7 227 234 266% 234 66% in VSLA

B. IR 1: Communities demonstrate greater acceptance of positive gender roles

Overall status of progress towards objectives

The C-GBV/Tushinde project began with a rapid assessment of gaps in service-provision for victims of SGBV and existing structures in the 5 target health zones in order to guide the support of community-based organizations in the subsequent identification and revitalization of these structures. A reinforcement program started with Q2 and continued in this quarter.

Strengthening of community structures was the first priority, and, as of the end of this quarter, a total of 154 community groups have received support. 87 VSLAs, 27 Youth Clubs and 41 Noyaux/CODESA community groups from former Ushindi-supported health zones have been activated since startup of activities, while new groups are being created in the new health zones of Nyangezi and Bunyakiri. These and other additional groups will be added in Q4 to significantly increase the number of community groups. 5,480 members have been enrolled in these 154 groups to date.

Total of 154 community groups established in Q2 and Q3, towards annual target of 774

Number of new members of C-GBV community groups in Q2 and Q3, for a total of 5,480 toward an annual target of 15,480 C-GBV/Tushinde has an ambitious training agenda for the first two years, with a target of 2,873 persons to be trained in the first year and extended into year two. Training thus far has focused on smaller yet focused groups (health care workers, paralegals, authorities) for a cumulative total of 325 persons (199 Q2 plus 116 -Q3). Trainings of Noyau’s and community members, which are much larger groups, are planned for Q4.

325 key persons trained in Q2 and Q3, of an anticipated 2,873 in year one

As part of the reduction of tolerance to sexual violence based on gender, the community has received information on GBV through campaigns, VSLAs, Noyauxs and youth clubs. In Q3 alone 106% (42,020 of a target of 39,548) were reached by awareness messages; a significant improvement compared to Q2 (44%), for a cumulative total of 59,252 to date. This is explained by the revitalization of the 154 groups and the multiplication of community-based interventions at the level of these groups

A total of 59,252 community members reached with GBV messaging in Q2 and Q3, of a year one target of 158,190 persons

Explanation of variances

Annual targets included the period of Q1 where C-GBV/Tushinde focused on procurement, recruitment, and submission of deliverables to USAID (Implementation Plan, MEL Plan, and EMMP Plan). Q2 largely involved largely training and re-revitalization of existing community groups. It was only in Q3 where all components were in place and activities launched in all five health zones that activities were in full mode. Once all components were in place Q3 indicators for persons reached (IR1) and persons served (IR2) have already exceeded quarterly targets.

C. Availability of community-level GBV-related services improved

Overall status of progress towards objectives Provision of quality services for survivors of SGBV (Medical, Legal, Psychosocial) are key components of the C-GBV/Tushinde project and the framework of IR-2. Among the 1,395 survivors who received C-GBV assistance during this reporting period, 18% (252) were children (231 girls and 21 boys) and 81% adults (1,012 female and 131 male). 312 (22%) of assisted people were classified as vulnerable. Psychosocial counselling was the most sought-after service (1,327 or 95% of those who presented for services received counseling), while 591 or 42% received medical services and 270 or 19% received legal services. Among the 1,395 persons who presented, 54% received at least 2 or 3 SGBV-related services.

Distribution of 1,935 service recipients by sector (Q3) Among those 591 survivors who received medical services, only 235 (40%) arrived within the recommended 72h to receive a PEP kit (100% of eligible persons received a PEP kit this quarter). The median time between incident and request for assistance was 182 days. While that may seem extreme, there were a number of women who presented for service in new areas where C- GBV/Tushinde recently opened (i.e. safe-houses and counseling services), who were sexually assaulted up to 3-5 years ago and presented for the first time. Such cases may have skewed the median time, but it is noteworthy that survivors presented for services even after several years. As services become more established and better known, the time for reporting will be decreased. UNFPA has agreed to release family planning commodities to IMA World Health to distribute to health facilities in the health zone of Karisimbi, where C-GBV/Tushinde has completed training of clinical nurses in all supported health facilities. Delivery of commodities is planned for Q4. In addition, during the training of CODESAs in Q4, the Relais Communautaires and others will be informed of the presence of FP commodities in health centers, and provided with instructions and guidance on referring women to such facilities for FP services. This will contribute to the indicator of community health workers who are facilitating access to FP services.

Explanation of variances

Progress in service-related indicators has been step-wise and steady as anticipated. There were no service activities in the first quarter, which was focused on recruitment and procurement. IR-2 activities started in Q2 after training and establishment of safe houses in three zones and thereafter were extended to five health zones as of Q3. As such, there has been a steady progression in IR 2.1.1 (number of people reached by a USG funded intervention providing GBV services) as seen from the table to the right. With a quarterly target of 940 persons, C- GBV/Tushinde is on track to meet the year one annual target.

Service Recipients have increased three fold in the past quarte CPT Level Services CPT has been delivered by psychologists trained by under the former USHINDI project since activities start-up in the second quarter. During Q3, two specialists from the University of Washington traveled to Bukavu for refresher and new training of 11 CPT therapists and two supervisors, to both scale-up CPT implementation in the new health zone and strengthen current therapist and supervisor capacities. Therapists are currently being redeployed in pairs (former and new) in the new C-GBV zones to allow CPT delivery to start in the new zones as of August 2018. Among the 1,395 survivors who received project services, 1,327 (95%) survivors received psychosocial support. Among these, 723 (54%) were screened for CPT. Among the 723 screened survivors, 502 (69%) were eligible for CPT based on updated and standardized criteria. This is a significant difference from the “global’ situation where 30-35% of screened survivors are typically eligible for CPT. IMA will be discussing these findings with project-level psychologists, as well as the staff from University of Washington during our weekly phone conference. Overall, 275 persons have started CPT therapy, 79 have been discharged and 2 dropped out (0,7%). There still are 227 survivors awaiting CPT therapy.

Categories of SGBV This quarter, 1,395 persons presented to C-GBV service sites for services. SGBV by cause is categorized on client intake forms. The following graph depicts the specific causes of SGBV reported this past quarter by incident.

Explanation of variances

With services underway in all five health zones and recent number of 1,395 survivors served (surpassed quarterly target of 940 persons), we expect to see a steady rise in performance by this indicator. The chart below shows progress to date against annual targets. Quarter 2 included four to six weeks of training before starting up activities in three health zones. It was not until Q3 when all sites were active that full delivery was in place. We are confident this trend will continue, and quarterly and annual targets will be met.

Progress of indicators (orange) against targets (blue) following two quarters of field activity

D. IR 3: Perceptions of stigma surrounding reintegrated survivors reduced

Overall status of progress towards objectives

Sub-IR 3.1: ADR mechanisms piloted. Following the Conflict and Gender Analysis carried out in four health zones at the beginning of the project to examine drivers of conflict and priority needs, the project started to organize alternative dispute resolution mechanisms (ADR) at the level of legal clinics, with the goal of resolving disputes and mitigating conflict and risk of retribution. With ADR mechanisms in place in legal clinics in five health zones during this past quarter, 57 GBV-related conflicts have been addressed and resolved, of which 34 of the 57 resulted in reparations to the victim. Sixty forums or meetings were held in advance of the ADR sessions; typically, with larger stakeholder groups to explain and later facilitate ADR resolution.

In Q4, C-GBV/Tushinde will be initiating community-based ADR in the health zones of Walikale and Karisimbi, where the impact evaluation will not be conducted. This activity will significantly increase the number of conflicts addressed by ADR and serve to lessen conflict and retribution.

Q3 Activities Related to ADR , Community Forums, and GBV Survivor Enrollement in VSLAs against Targets 250 234 200 150 88 100 60 43 57 50 29 0 Quarterly target (Q3) April-June 2018 Q3 Achievements Apr-Jun 2018

IR 3.1.2 Number of GBV-related disputes resolved through ADR IR 3.1.4 Number of forums held for consensus building IR 3.2.5 Number of GBV survivors participating in VSLA

Sub-IR 3.2: Socio-economic reintegration services provided For the Q3 period, the project continued to supervise and support existing groups in the three former zones, while starting the process of training additional VSLA groups in the new Nyangezi and Bunyakiri zones, with a focus on integration of vulnerable persons, including victims of SGBV.

Compared to Q2 where no SGBV survivors were recorded as members of the VSLAs groups, out of an expected target of 88 for the Q3 period, 234 survivors of SGBV (7 male, 227 female) were integrated into VSLAs. These groups already offer savings and credit services to their members, and are the entry points for GBV awareness, family planning and other project topics.

Lastly, 883 persons (390 male, 493 female) out of 7,525 planned for Q3, are enrolled in secondary schools or equivalent and have received project support. These are principally in Karisimbi. The project plans to intensify school interventions in four other health zones during Q4. IMA has met with recipients of ACCELERE funding, as well as with the new EDC group “USAID/DRC Integrated Youth Development Activity – IYDA”, to further enhance the integration of students in Q4 and beyond.

The activity of the literacy circles is planned for the second year of the project; the preparatory stages will be done in the Karisimbi zone during Q4.

Explanation of variances

While program targets were not achieved in Q3, there was significant and progressive improvement from Q1 and Q2. One of the principal handicaps in roll-out of IR1 and IR3-related services was the prolonged planning process of the Impact Evaluation (IE) and expressed request from the IE team to limit C-GBV activities to principally IR2 activities in the 40 aires de santé where the IE study will be conducted (see Impact Evaluation Background and Impact) Annex D.

Approval for limited IR-1 and IR-3 activities was only obtained during Q3, and in some cases restricted to non-IE zones. While C-GBV/Tushinde is in agreement with the long-term value of evaluating the impact of key interventions, the roll-out of the study and baseline itself has delayed and hampered progress during year one of implementation. It is our expectation that following the IE, the project will progressively and rapidly attain all IR-1 and IR-3 targets.

IV. TIP Report The Counter Gender-Based Violence project places an emphasis on prevention and re-integration of SGBV, and includes a research component to measure the impact of key interventions. Field activities were initiated during Q2 in three of five health zones (March 2018), and continued during Q3, scaling to full implementation of services in all five health zones. The project focused this past quarter on providing services and using the data collection and intake tools to track victims of sex trafficking. In Q2, 142 persons (nurses, intake workers, and counselors) had been trained specifically on identifying victims of trafficking, unique issues of stigma, access to assistance, and the need to integrate TIP survivors into the comprehensive medical, legal, and psychosocial services of the project. With all five health zones now on line, uptake has increased notably in this quarter. There were a total of 25 cases of TIP recorded during this quarter: 23 females and 2 males. Among the 25 cases, seven are children. Of the TIP survivors, 92 % (23 persons) were recorded from the health zones of Karisimbi and Walikale, in North Kivu (Heal Africa). IMA will review the collection methodology from South Kivu Province to ensure that cases are being sufficiently captured. TIP represents 8% (25 of the 312) cases of vulnerable people: TIP survivors, LGBTI persons, persons with disabilities and children benefitting from USG-supported social services this past quarter. Low numbers represent in part insecurity reported in covered areas, reluctance to report, and the introduction of new reporting guidelines for TIP. Follow-up is being done to ensure service providers are tracking this data correctly and comprehensive services remain open and accommodating, especially to vulnerable victims of SGBV.

TIP LGBTI Age Male Female TOTAL Male Female TOTAL <18 years old 0 7 7 0 0 0 7 > 18 years old 2 16 18 1 0 1 19 Totals... 2 23 25 1 0 1 26

Number of cases of TIP and LGBTI presenting for C-GBV services (April-June 2018

V. Project Monitoring Table GOAL: Strengthen community-based prevention and response to Sexual and Gender-Based Violence in Eastern Congo

Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) Project Start-up

1. Recruit, Hire, and Place IMA Staff Goma X Contracting of Key Staff (Nov 7-10) 2. Conduct pre-award assessments (PAA) IP Offices X Pre-Award Assessment (IMA Kinshasa-based compliance team) a. Heal Africa (Dec 4th- 5th) b. b. SFCG (Dec 7th-8th) c. Panzi Foundation (Dec 11th-12th) d. ABA-ROLI (Dec 14th- 15th) 3. Issue sub-awards to all 5 C-GBV IP Offices x x Sub-awards issued to all C- OSC subaward is pending until after partners GBV partners with the completion of baseline by NORC exception of OSC (pending end of October 2018 baseline) 4. Conduct initial meetings with USAID All HZs X X X 1. Meeting with USAID and other stakeholders (e.g, USAID COPs, Global Health Research Medecins Chef du Zone) Team (Goma, Nov 7-10) 2. USAID Partner’s Meeting (Bukavu, Nov 13-14) 3. USAID Partner Meetings (for planning of synergy and collaboration) a. IGA (Kinshasa Nov 22 and Bukavu Dec 11th) b. SPR (Goma Nov 29th c. ACCELERE (Bukavu Dec 11th) d. PROSANI (Bukavu Dec 12th) 5. Submit final proposed Year 1 Goma X X Submitted and Approved Implementation Plan to USAID (with proposed research work) Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 6. Submit M&E Plan to USAID (90 days Goma X X Submitted and Approved post-award) 7. Conduct environmental assessment Goma X X Submitted and Approved and submit report with the implementation plan 8. Develop sustainability road map Goma X X MA undertook rapid assessment in Q2 which included assessment of community structures and service delivery systems. 9. Initiate and complete all large-scale Goma X X X Procurement (Vehicle, procurement Motos, Laptops, etc.) (Jan)

10. Develop MOUs with government North and X MOU signed between MoU with the Division Provinciale structures for project implementation and South Kivu Implementing partners and de Sante and the Ministry of follow up the five supported health Gender are pending due to zones (BCZS), but pending agreements between IPs and DPS. with the Division provinciale These collaborative institutions are de la Sante and the Ministry involved in trainings, supervision, of Gender. elaboration and approval of PEP kits, and semi-annual program evaluation.

Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 11. Develop MOUs with USAID projects North and South Kivu X Discussions have occurred No formal MOU signed with other for coordination and synergy and ongoing with SPR, USAID funded programs to date, Prosani, IGA, and Accelere. but discussions were held with Will discuss form of ACCELERE Activity 1 for enrollment agreement during USAID of survivors in alternative school partner meeting. and vocational training programs. Advanced discussions with PROSANI program were put on hold when MSH lost the follow-on (and IMA will meet with new recipient of IHP project once confirmed to collaborate on the provision of STIs medicines and family planning commodities to cover unmet need for survivors of rape. IGA program ended in South Kivu. SPR program trained C-GBV senior staff on their do no harm approach in South and North Kivu. The intended MOU with SPR program ended as this SPR activity ended in Walikale territory. IMA in new discussions with EDC program and new ACCELERE stakeholders.

Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 12. Overall participation of IMA in X X X Participation in 16-Days of Campaigns to promote Women’s Activism (Nov 25-26th), Leadership and fight against GBV Festival Amani, and International Women's Day

13. C-GBV Project coordination Partner Meetings X X X X C-GBV Partner Meetings a. Panzi Foundation (Nov 14th) b. Heal Africa (Nov 16th) c. Search for Common Ground (Nov 27th) d. ABA-ROLI (Nov 29th) e. OSC (email planning) f. All Partner Meeting (Feb and June 2018) 14. Other coordination meetings X X X Government and UN Agency Meetings a. ISP (North and South Kivu) b. UNFPA (Dec 2017) Meeting USAID Global Health and NORC a. Goma (weekly phone meetings) b. Washington DC (Dec 22nd) 15. Conduct Baseline Evaluation 4 HZs X Baseline will be undertaken by NORC from mid-August to mid- September 16. Establish IMA presence in South Kivu Bukavu X X X IMA has roving staff in by permanent, roving, or assigned staff Bukavu ~ 3 of 4 weeks (Finance, Compliance, Management, Technical) Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 17. Organize kick off ceremony for C-GBV BKU and X Kick off in Bukavu and Goma project Goma with government and USAID representatives 18. Small Grant pool for other National TBD Will be implemented in year two as NGOs part of literacy. Discussion of MoU with local partners started. IR 1: Target communities demonstrate greater acceptance of positive gender roles IR 1.1 GBV Community Fora Organizational Capacity Strengthened 19. Conduct a needs assessment and All health X Rapid Assessment situational analysis to guide capacity of zones with completed within 5 CGs and Community Structures (combined focus on 2 supported health zones with service mapping) new HZs (February 2018) 20. Update CODESA training curriculum 2 new HZs X 602 Noyaux Members have to include GBV prevention and response as been identified and an addendum supported in Q2 with material and mentoring. Formal training of Noyauxs/Codesas will be in Q4 with GBV SBC addendum from formative research. The GBV national module is still in progress so we will proceed with formal training in Q4 regardless 21. Support CGs (youth groups, Noyau All health X X X 45 VSLAs, 12 Youth Clubs, Ongoing activity approved for Q4 communautaire, CODESA, men groups, zones and 25 Noyaux’s have been parents’ groups, and other groups) to retained from Ushindi and implement routine community level have been recognized and prevention activities (SBCC) and mass associated with startup. campaigns (e.g: International Women's Formal training will start in Day) Q4 Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 22. Roll-out trainings for community core All health X Under the CBTH we will be Men’s groups and Parenting Groups groups: (youth groups, Noyaux zones supporting 80 community are not formal community groups communautaire, CODESA, men groups, discussion groups monthly counted in the 774 community parents’ groups, and other groups) over 12 months which will groups. However, the CBTH groups CODESA; conduct refresher training for incorporate issues are formal groups and will be Noyaux Communitaire in existing health concerning men as well as counted zones women. Parenting groups have been removed from the IE but parenting skills are part of the Noyaux and CODESA group functions IR 1.2 Community tolerance of GBV reduced

23. Conduct formative research for SBCC All health X Completed with SFCG key messages zones 24. Develop SBCC tools for community Goma, X X Review of SBCC strategy, and awareness (material such as posters, Bukavu messaging completed in pamphlets, tee shirts, banners) June. Adapted SBCC tools will be printed and distributed to community groups in Q4 25. Expand school-based SBCC including All health X Recently approved by AOR for Q4 in creation of PTA groups and dissemination zones all zones of the Code of Good Conduct

26. Train youth club leaders in prevention All health X Recently approved by AOR for Q4 in of GBV, gender equity, and SBCC zones non-IE zones methodology

Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 27. Implement SBCC through All health X X Started in two health zones Pending in IE targeted health zones interpersonal communication led by zones (non-IE) in Q3 nurses, lay counselors, youth clubs, men's groups, gender discussions, VSLAs, CODESA, and other community structures (schools, churches, ……)

28. Sensitize community on GBV laws All health X X Paralegals trained in 3 of 5 zones zones and the rest planned for Q4. Awareness ongoing in all zones with paralegals

29. Roll-out participatory theater All health This is part of the indicator 1.2.3 zones (number of community members reached with tailored messages) This activity will be in IE zones and part of the CBTH in year two 30. Develop and conduct mobile cinema All health This is part of the indicator 1.2.3 accompanied by facilitated discussion zones (number of community members reached with tailored messages) This activity will be in IE zones and part of the CBTH in year two 31. Develop and implement radio All health x This is part of the indicator 1.2.3 programming zones (number of community members reached with tailored messages) and will start in Q4 following message validation in non-IE zones of Bunyakiri and Karisimbi.

Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) IR 2: Availability of community-level GBV-related services improved IR 2.1: Increased provision of health, psychosocial, and legal services

32. Conduct a needs assessment and All health X X Was part of rapid situational analysis to guide targeting and zones with Assessment. GPS settings approaches for health service provision focus on 2 have been collected and and waste management (combined with new HZs updated during June 2018 CPS mapping above) partner meeting. Mapping of HCs and Villages has been done and shared with NORC. 33. Establish and maintain operations of All health X X X 5 Centre Social Tushinde ongoing activity during the project Tushinde Houses, one per health zone zones (CST) are established and life cycle provided with food and nonfood item on monthly basis within Karisimbi, Walikale, Katana , Nyangezi and Bunyakiri 34. Train 1-2 nurses per Health area All health X X This was completed in four Training for 1-2 per Health zone was (FOSA) in PEP KIT administration and zones zones and pending in the postponed in Katana health zone waste management fifth. Numbers were due to Immunization activity, it will reported in the Trainet and be completed in August 2014. in the report 35. Adapt counseling tools and messaging All health X X Activity was completed at for use by APS including revision to assess zones the close of Q2 and reported response in Q3 36. Train lay counselors (APS) All health X X X Refresher and New Training Training of lay counselors was zones with (APS and ITs) (March) postponed in Katana health zone focus on 2 due to other training programs new HZs from DPS South Kivu; this activity was budgeted in Q3 and will be completed in Q4. 37. Provide psychosocial services for All health X X Ongoing ongoing activity during the project survivors of SGBV zones life cycle Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 38. Provide medical services to survivors All health X X X Ongoing ongoing activity during the project of SGBV zones life cycle 39. Train CPT-level therapists All health X Completed in Q3, and will be (psychologists) zones maintain during the project life cycle 40. Establish CPT services in two new HZs All health X Completed in Q3 ongoing activity during the project and revision/adaptation of counseling zones life cycle tools

41. Expand safe space accommodation All health X Discussion with BCZs identified from 1/HZ to 18/HZ zones limited space in existing centre de sante - mutual agreement is concluded to hosting within supported CS/ Hospital to any outpatient survivors in need of safety or in transit for referral of services 42. Set up child friendly spaces in all All health X Activity will be completed in Q4 Centre Social Tushinde /safe houses zones

43. Set up legal clinics in all safe houses All health X X Completed and reported in zones all 5 HZs

44. Train community-based paralegals All health X X Completed in Karisimbi HZ Activity postponed in other zones zones until the implementation plan approved for Q4. It will be carried out within 4 HZ sites to increase number of participants. 45. Provide legal assistance to SGBV/TIP All health X Completed and reported in ongoing activity during the project survivors zones all 5 HZs life cycle

Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) IR 2.2: Improved quality of health, psychosocial, and legal services

46. Ensure service provider training All health X X SGBV clinical management, Will be completed in Katana including proper intake procedures zones STIs treatment and proper medical service providers. It was intake procedures postponed as trainers from the completed within 4 of 5 HZ, MoH were not available. exception to Katana 47. Train police and healthcare workers All health X X Discussion started in Q3 with Will be extended to complete C- on documentation for evidentiary use zones Physician for Human Rights- GBV local supervisor, health zone training of C-GBV service medical supervisor, and police providers (medical staff , officers from North and South Kivu police officers , and lawyers) in Q4 with PHR fund in Bukavu completed in Bukavu in Q3 48. Train paralegals on customary laws in X X Training for paralegals on This training was postponed for Q4 DRC, referral protocols for victims, ADR for customary laws in DRC, for paralegals of Nyangezi, cases not related to sexual violence referral protocols for Bunyakiri and Katana as lawyers victims, ADR for cases not and medical staff of south Kivu related to sexual violence. were attending the forensic Paralegals have been trained evidence training organized by PHR. in ADR of Karisimbi HZ 49. GBV -specific trauma to include TIP X GBV-specific trauma to Will be completed in Katana for and LGBTIs counselling and orientation for include TIP and LGBTIs newly recruited lay counselors (6 Health area - based Psychosocial counselling and orientation aires de santé, and refresh training counselors (APS) for Health area - based for other 12 counselors who served Psychosocial counselors in Ushindi project. It was postponed (APS). This was included in as trainers from the MoH were not APS training and is available. segregated in reporting 50. SGBV cases assessed for criminal All health X Training completed. Activity ongoing activity during the project prosecution and processed in DRC court zones in Q3 life cycle system

Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 51. Monitor availability of key PEP kits and All health X X X X accomplished and ongoing ongoing activity during the project FP commodities zones life cycle

52. Furnish PEP kits and FP commodities All health X X X X accomplished and ongoing ongoing activity during the project to HZs zones life cycle

53. Mentoring and supervision of All health X X X accomplished and ongoing ongoing activity during the project psychosocial activities zones life cycle

54. Supportive supervision for service All health X X X accomplished and ongoing ongoing activity during the project delivery and reporting in concert with the zones life cycle HZ Management Team

55. Strengthen referral system All health X X X accomplished and ongoing ongoing activity during the project zones life cycle

IR 2.3: Reduced barriers of access to health, psychosocial, and legal services

56. Update intake forms and use them to All health X Intake forms have been better track vulnerable populations and zones revised and printed their needs (Improved referral system for LGBTI, TIP, and disabled persons with assured confidentiality) 57. Ensure that C-GBV trainings include All health X X accomplished and ongoing ongoing activity during the project LGBTI rights and inclusiveness zones life cycle

58. Routinely assess and monitor barriers All health X X accomplished and ongoing ongoing activity during the project to referral strengthening for LGBTI, TIP, zones life cycle and disability cases 59. Implement mobile courts if DRC All health This is a year 2 activity as funding system unable and pathways to referral zones allows are blocked Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) IR 3: Perceptions of stigma surrounding reintegrated survivors reduced

IR 3.1: Alternative dispute resolution mechanisms piloted

60. Conduct a conflict and gender analysis All health X X Completed and submitted to in the targeted HZs zones USAID 61. An evaluation and dissemination of X X This has been completed in the completed analyses will comprise part Bukavu and Goma of a ‘Do No Harm’ workshop planned for the last week of February 2018 in Bukavu and Goma 62. Conduct community forums (TEPs) All health Postponed due to IE and will be part Tribunes d'Expression Populaire. zones of CBTH 63. Include reintegration in discussion 2-3 HZx Part of TEP above with community level groups, including TEP 64. Pilot ADR Activity and gain 2-3 HZx X Paralegals and police ADR within community starts in Q4 community stakeholder buy-in officers have been trained within non-IE HZ with concurrence on ADR approach in from AOR Karisimbi, and ADR is effective for non-sexual violence matters . 65. Train and coach justice sector staff, 2-3 HZx X Completed in Q3 for Planned for Q4 in Bunyakiri if access paralegals, and community-based ADR Karisimbi community based - is assured enablers enablers or para-jurists, lawyer and police officers IR 3.2: Socio-economic reintegration services provided

66. Scale-up and strengthen VSLAs All health zones X Planned for Q4 For reason of effective follow up (establish VSLA+ approach) and monitoring , new VSLA start with the Fiscal year. Some auto initiated additional VSLAs started their VSLA with the fiscal year one . Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 67. Conduct leadership training through All health X Planned for Q4 IMA is in talk with the external VSLA plus including women’s leadership zones consultant to set up the VSLA plus since ending September 2018 68. Set up Literacy programs for GBV All health X The process of selection and Planned for Year two following the survivors and vulnerable population in zones subcontracting with local availability of the list of eligible select HZs with assistance from national NGOs started in Q2 survivors, and after MoUs or NGO subcontract are issued to local partners. 69. Involve VSLA members in expanded Selected X IMA discussing strategy for VLSA + GBV related activities HZs with local consultant and will share strategy with AOR for piloting in Karisimbi in Q4 and 70. Training of women in democracy All health X Training early in Year 2: training process and good governance zones module is in review in Q4 with SFCG technical support

71. Refer young SGBV survivors to school All health X Activity will start in Year 2 in reintegration / vocational training zones collaboration with Accelere, and Integrated Youth and Development Activity (IYDA or ADIJ) Activity to increase socio economic reintegration of youth survivors of sexual violence and other marginalized youth. Project Management and MEL activities

72. Develop new project data base Goma X X X Completed

73. Update project input and collection Goma X X X Completed tools 74. Conduct quarterly Routine Data C-GBV partners X X Completed and ongoing ongoing activity - next planned in quality Audit (RDQA) with all C-GBV week 4 of July 2018 partners Activity Proposed Q1 Q2 Q3 Planned Completed in Q1-Q3 Reasons for Variance Location (Nov-Dec (Jan-Mar (Apr-Jun for Q4 of Activity '17) '18) '18) (July - Sept) 75. Conduct quarterly IP audit C-GBV X X Completed in June by IMA partners Compliance and finance team with all C-GBV partners 76. Hold quarterly partner technical Goma/Buk X X X Next meeting in September meetings avu 2018

77. Conduct supervision visits All HZs X X X Ongoing

78. M&E training X X X Quarterly Activity Planned for week 2 of July 2018

ANNEXES

Annex A: Q4 Scope of Work

Activity by Intermediate Result Q4 (Jul-Sep 2018) Site/Zone de santé Responsible Budget holder July Aug Sept Prime partner Technical partner IR 1: Target Communities demonstrate greater acceptance of positive gender roles Sub-IR 1.1: Community organizational capacity strengthened. Review and disseminate the cartographie des structures "communautaires" ( noyaux, X CODESA, churches, schools, centre social) involved in SBCC and Impact evaluation study all 5 HZ HA, PF IMA NA Print and distribute CODESA/Noyau training modules with C-GBV adapted themes and X messages Goma, Bukavu IMA - GBA SFCG, DPS IMA CODESA/NOYAUX training/ refresh on reviewed SBCC strategy for SGBV prevention and Katana , Nyangezi, X X response ,and community ownership, sustainability, management and leadership , Bunyakiri F. Panzi, HA SFCG, DPS,IMA F. Panzi, HA Support C-GBV Community groups ( youth club, CODESA, men's group) to implement SBCC: X X X planning and reporting data forms All zones F. Panzi, HA IMA,SFCG,ABA F. Panzi, HA

Sub-IR 1.2: Community tolerance of GBV reduced. Printing and distributing new module of SBCC key messages linked to Conflict & Gender X X analysis findings All zones IMA C-GBV partners IMA Expand school-based SBCC interventions : awareness campaign with Comite des parents X X X COPAs and students ; dissemination of the Code of Good Conduct. All zones F. Panzi, HA IMA,SFCG F. Panzi, HA Train community core groups including youth clubs on sexual and reproductive health (SGBV, family planning, STI/HIV) gender equity, and appropriate SBCC messaging for youth X X in non IE HZ Karisimbi, Bunyakiri F. Panzi, HA DPS, IMA IMA Implement SBCC through interpersonal communication sessions led by nurses, lay counselors, youth clubs, men’s groups, gender discussions, VSLAs, CODESA, Champion X X X Communities, and other existing community structures. (Seeking Approval for Q4 for non IE Zones all Zones) All zones F. Panzi, HA SFCG,IMA F. Panzi, HA Develop and implement radio programming to include interviews, discussions, call-ins, in Karisimbi and X X X non IE Zones (Approved Q3 for non IE zones) Bunyakiri F. Panzi, HA SFCG,IMA F. Panzi, HA 3 GBV prevention , Peace building, Youth clubs leaders - 2 youth/HA x 5 days in X X X Karisimbi and Bunyakiri Karisimbi, Bunyakiri F. Panzi, HA SFCG.IMA F. Panzi, HA; IMA

IR 2: Availability of community-level GBV-related services improved Sub-IR 2.1: Increased provision of health, psychosocial, and legal services Provision of psychosocial services to all survivors of GBV ,and other marginalized people ( LGBTI) All zones F. Panzi, HA DPS Complete Establishment and maintenance of “Tushinde” Houses in each of 5 HZ X X X All zones F. Panzi, HA IMA,DPS F. Panzi, HA Provison of social support ( shelter , food ,and non food items) to aux SGBV survivors in need of protection or in transit at Centre Social Tushinde, Centre de sante, maison X X X communautaire All zones F. Panzi, HA IMA,DPS F. Panzi, HA Establish and equip safe space within Centre sociaux Tushinde X X X All zones F. Panzi, HA IMA,DPS F. Panzi, HA Establish and equip a child friendly safe space for children under 14 years old within X X X Centre sociaux Tushinde for recreaction activities, and child - focused counseling All zones F. Panzi, HA IMA,DPS F. Panzi, HA CPT level –therapists from the three former health zones will be retained and used in both X X X health facility and outreach capacities for CPT-level needs - 5 HZ All zones F. Panzi, HA IMA,DPS F. Panzi, HA Dissiminate and review new counseling tools for aire de sante - based lay counselors( APS) X X X All zones F. Panzi, HA IMA,DPS F. Panzi, HA Conduct weekly Supervision visits and feedback towards CPT providers , IMA and UW X X X All zones F. Panzi, HA IMA,DPS F. Panzi, HA Conduct monthly Supervision towards lay counselors by psychologists within targeted X X X aires de sante . All zones F. Panzi, HA IMA,DPS F. Panzi, HA Establish visiblity of safe houses (pancard, logos, etc) X X X All zones F. Panzi, HA IMA,DPS F. Panzi, HA Startup plans for Community-Based Trauma Healing Activity in 3 IE health zones per CBTH SoW presented by SFCG (start up to include design, printing curriculum, recruitement X Katana, of facilitators Nyangezi,Walikale F. Panzi, HA SFCG,IMA F. Panzi, HA Continue to roll-out ADR pilot activity in legal clinics in 5 targeted health zones and gain X X X community stakeholder buy-in ( - under ABA supervision All zones F. Panzi, HA SFCG,IMA F. Panzi, HA Introduce community based - ADR pilot activity for 2 non IE Zones supervised by SFCG X X X project assistants Bunyakiri, Karisimbi F. Panzi, HA SFCG, IMA F. Panzi, HA Provision of medical care ,and support to survivors of SGBV,and other marginalized people ( LGBTIs, patients with prolapsus or fistula) Provision of free care at 86 CS (1st contact care, history, documentation, and provision of X X X PEP kits if indicated) All zones F. Panzi, HA DPS, IMA F. Panzi, HA Referal to General Hospital at health zones level for advanced care with support from X X X project All zones F. Panzi, HA DPS, IMA F. Panzi, HA Provision of social assistance( transport fees , food) to patients suffering with fistula and X X X prolapse, and referred at HEAL Africa , and Panzi Hospital All zones F. Panzi, HA DPS, IMA F. Panzi, HA Provision of family planning services within 1 HZ of North Kivu X X X Karisimbi F. Panzi, HA UNFPA, DPS,IMA UNFPA,IMA

IR 2: Availability of community-level GBV-related services improved (continued) Provison of free of charge legal accompaniement and assitance to survivors of SGBV ,and other marginalized people Complete establishment ,and equippingof legal clinics in all 5 safe houses X X X All zones F. Panzi, HA ABA F. Panzi, HA Develop/distribute data collection forms to CS Tushinde legal clinics X X X All zones ABA ABA ABA DRC Provide direct free of charge legal counseling to all survivors of SGBV ,and other X X X Juridictions,F. marginalized people ( LGBTI. Sex trafficking victims) All zones ABA Panzi, HA ABA DRC Provide direct free of charge legal assistance to survivors of sexual violence with cases X X X Juridictions,F. intoduced in judiciary systems All zones ABA Panzi, HA ABA DRC X X X Provide financial and logistical support to 'roaming prosecutors' Bunyakiri HZ All zones ABA Juridictions,F. ABA Sub-IR 2.2: Improved “quality” of health, psychosocial, and legal services Complete training of Service providers on appropriate management of SGBV, and X documentation for evidentiary use All zones PHR DPS,IMA,Panzi, HA PHR, IMA Training for paralegals on GBV laws and Congolese justice systems,and ADR Bunyakiri, Katana X X mechanisms and Nyangezi ABA SFCG, HA, FP ABA, SFCG Training and mentoring of paralegals on outreach ADR techniques,and community X awareness activities. ABA SFCG, HA, FP ABA, SFCG GBV prevention , Peace bulding, Youth clubs leaders ( 2 youth/HA x 5 days) SFCG X X Karisimbi, Bunyakiri F. Panzi, HA SFCG, IMA F. Panzi, HA Packaging PEP medicines in consolidated kits X Goma, Bukavu F. Panzi, HA DPS IMA Supplying Family Planning commodities from UNFPA for 1 health zone of North kivu X X X Karisimbi F. Panzi, HA Unfpa, DPS IMA University of Washington Weekly follow up of CPT cases X X X F. Panzi, HA IMA, U wash F. Panzi, HA Establish and sustain referral services ( ongoing) X X X F. Panzi, HA F. Panzi, HA F. Panzi, HA Organize a roundtable discussion with community leaders, paralegals, and formal justice sector actors to discuss ways to bridge the gap between formal and informal X X X justice systems. All zones ABA F. Panzi, HA ABA Organize a monthly meeting with para legals and legal clinic based lawyers X X X All zones ABA F. Panzi, HA ABA Continued assessment of SGBV cases for criminal prosecutions in DRC court system X X X All zones F. Panzi, HA Minijust ABA Extend Training of up to 2 nurses per health facility in Clinical Management of Sexual X Violence Katana F. Panzi DPS,IMA F. Panzi Extend training of Lay Counselors (APS) will be identified and trained in all aires de sante in X new HZ, and in added aires in old health zones Katana F. Panzi IMA, DPS F. Panzi

IR 3: Perceptions of stigma surrounding reintegrated survivors reduced Sub-IR 3.1: ADR mechanisms piloted. Walikale, Katana, Train parajurists/,community mediators and legal clinics based lawyers on ADR X X Nyangezi,Bunyakiri ABA F. Panzi, HA ABA Implement community based - ADR pilot activity for non sexual violence matters in X targeted health zones and gain community stakeholder buy-in All zones F. Panzi, HA F. Panzi, HA F. Panzi, HA Support Public awareness activities to promote community dialogue on GBV, and especially the implication of GBV on the community - limited in IE HZ, but widely extended in Non IE X X X HZ All zones F. Panzi, HA SFCG,ABA,JuridictionsF. Panzi, HA Sub-IR 3.2. Implementating Community Based Trauma Healing( CBTH) in 3 IE targeted HZs Organize an elective General assembly of Community - based companions of trauma Walikale, Katana, X healing ( effective Training of companions ,and CBT provision will start in october 2018) Nyangezi SFCG F. Panzi, HA,IMA SFCG Sub-IR 3.3: Socio-economic reintegration services provided. Community role model mobilizers on GBV prevention, and ADR ( 3 member/ HA x 3 X X days)in non IE HZ Karisimbi, Bunyakiri F. Panzi, HA SFCG, IMA F. Panzi, HA Basic training - VSLA starting and monitoring for VSLA committee member ( 4 members/ X X VSLA x 4 piloted group/Health area) All zones F. Panzi, HA IMA F. Panzi, HA Advanced training for Agent de terrain - VSLAs groups and platforms monitoring, data Katana, Walikale, X X entry in SIG and management for field in 3 old HZ Karisimbi F. Panzi, HA IMA F. Panzi, HA Leaders of VSLAs group and Youth club on Women's leadership, good governance and X X conflict resolution -3 members x 56 AS x 3 jours Start up new VSLAs in new health zones X All zones HA,PF IMA Start up new VSLAs plus in 3 health zones peviousely supported by Ushindi project X Karisimbi,Walikale, KatanaHA,PF IMA HA,PF Signing MoU with ACCELERE projects for survivors social reintegration X Goma, Bukavu IMA F. Panzi, HA IMA Refer young SGBV survivors to school reintegration/vocational training to ACCELERE X program All zones HA,PF IMA, ACCELERE HA,PF Pilot Youth Activities (Outreach, Envrionmental Campaigns, School Campaigns, Forums) X Karisimbi HA,PF IMA HA,PF,IMA

Annex B: Financial and Audit Report Quarter Three Budget vs Expenses Quarter 3 Cost Category Quarter 3 Variance Explanation for Q3 Variance Actuals 4/1/18- 4/1/18- Time Period 6/30/18 6/30/18 a. Personnel 103,188 91,330 11,858 Personnel costs are 90% less than anticipated; socioeconic advisor will join team in Q4 to enhance literacy, youth, and VSLA activities b. Fringe Benefits 86,021 57,908 28,113 Benefits are 67% less than anticipated and reflect delayed vacations, home leave, and deferal of CoP hardship benefit c. Travel 16,450 24,047 (7,597) Travel costs are 146% higher than anticipated due in part to enhanced subaward monitoring by compliance and finance d. Equipment - 94,172 (94,172) Line item reflects primarily balance of vehicle payment made in Q3 upon delivery e. Supplies - - f. Contractual 496,034 72,494 423,540 This is the largest variance and reflects delayed payment due to enhanced subawardee monitoring and monthly vs quarterly advances for yr 1 g. Construction - - h. Other Direct Costs 63,906 51,988 11,918 Other direct costs are 86% of anticipated and reflect lower direct costs due to delayed baseline assessment and SBCC tools planned for Q4 i. Total Direct Charges 765,599 391,939 373,660 j. Indirect Charges 88,886 37,134 51,752 k. TOTALS 854,485 429,073 425,412

Year One Budget C-GBV (Expenses vs Actuals for First Three Quarters) Cummulative Q1 Expenses Q2 Expenses Cost Category Quarter 1 Variance Quarter 2 Variance Quarter 3 Q3 Expenses Variance Q3 Variance Q1- Actuals Actuals Q3 11/14/17- 11/14/17- 1/1/18- 1/1/18- 4/1/18- Time Period 12/31/17 12/31/17 3/30/18 3/30/18 7/31/18 a. Personnel 53,395 47,866 5,529 103,188 89,268 13,920 103,188 91,330 11,858 31,306 b. Fringe Benefits 43,212 24,874 18,338 95,771 67,290 28,482 86,021 57,908 28,113 74,933 c. Travel 16,450 6,463 9,987 16,450 26,315 (9,865) 16,450 24,047 (7,597) (7,475) d. Equipment - 571 (571) 184,000 86,010 97,990 - 94,172 (94,172) 3,247 e. Supplies 168 (168) 25,250 6,484 18,766 - - 18,598 f. Contractual 7,450 2,295 5,155 496,034 74,914 421,119 496,034 72,494 423,540 849,815 g. Construction - - 0 - - 0 - - - h. Other Direct Costs 21,293 6,178 15,115 63,906 73,379 (9,473) 63,906 51,988 11,918 17,561 i. Total Direct Charges 141,800 88,414 53,386 984,599 423,660 560,939 765,599 391,939 373,660 987,984 j. Indirect Charges 16,463 10,265 6,198 114,312 49,187 65,125 88,886 37,134 51,752 123,076 k. TOTALS 158,263 98,679 59,584 1,098,911 472,847 626,064 854,485 429,073 425,412 1,111,060 Annex C: Training Report (total Q2 – Q3)

Activities Partner Health Province Start Date End Date Males Females Total Facilitator Zone Participants

Health Service Providers

SGBV clinical management, STIs for Health PANZI Nyangezi South Kivu 3/13/2018 3/17/2018 7 5 12 DPS/PNSR Sud- service providers Kivu + BCZS SGBV clinical management, STIs for Health PANZI Bunyakiri South Kivu 3/20/2018 3/24/2018 26 0 26 DPS/PNSR Sud- service providers Kivu + BCZS SGBV clinical management, STIs Health service HEAL AFRICA Karisimbi North Kivu 2/23/2018 2/27/2018 14 6 20 DPS/PNSR providers (Classic training by year 1, refresher training by year 3) SGBV clinical management, STIs Health service HEAL AFRICA Walikale North Kivu 3/21/2018 3/25/2018 11 3 14 DPS/PNSR providers (Classic training by year 1, refresher training by year 3) Family Planning for Clinic Providers IMA Karisimbi North Kivu 2/19/2018 2/22/2018 16 10 26 DPS/PNSR

Sub TOTAL 74 24 98 Psychosocial and CPT Counselors GBV-specific trauma (to include TIP and PANZI Nyangezi South Kivu 3/13/2018 3/17/2018 0 12 12 DPS/PNSM Sud- LGBTIs) counselling and orientation for Health Kivu + F Panzi area-based Psychosocial counselors GBV-specific trauma (to include TIP and PANZI Bunyakiri South Kivu 3/20/2018 3/24/2018 0 26 26 DPS/PNSM Sud- LGBTIs) counselling and orientation for Health Kivu + F Panzi area-based Psychosocial counselors GBV-specific trauma to include TIP and LGBTIs HEAL AFRICA Karisimbi North Kivu 2/26/2018 2/28/2018 0 16 16 DPS/PNSM counselling and orientation for Health area- based Psychosocial counselors (APS) GBV-specific trauma to include TIP and LGBTIs HEAL AFRICA Walikale North Kivu 3/22/2018 3/24/2018 0 14 14 DPS/PNSM counselling and orientation for Health area- based Psychosocial counselors (APS) CPT Advanced Training (University of IMA Bukavu South Kivu 6/15/2018 6/23/2018 9 3 12 University of Washington) Washington

Sub TOTAL 9 71 80 OPJ, Paralegals and community mediators Paralegals/ Community mediators on ADR for SFCG Karisimbi North Kivu 3/26/2018 3/28/2018 22 11 33 Search For other GBV (Non-sexual violence related Common matters) Ground Training of Paralegals on DRC customary law, HEAL Africa Karisimbi North-Kivu 4/3/2018 4/5/2018 24 11 35 Procureur Victims referral pathway and ADR for other WITANENE GBV (Non-sexual violence related matters) LUWEWE Willy Training of Paralegals on DRC customary law, HEAL Africa Walikale North-Kivu 4/9/2018 4/11/2018 25 4 29 Procureur Victims referral pathway and ADR for other ILUNGA GBV (Non-sexual violence related matters) mukendi Fabrice Sub TOTAL 71 26 97 Consortium Partner Training (Heal, Panzi, SFCG, ABA, IMA) Do No Harm Training (South Kivu based SFCG Bukavu Sud Kivu 5/10/2018 5/12/2018 14 1 15 Trainer from partners) SFCG Do No Harm Training (North Kivu based SFCG Goma Nord Kivu 6/18/2018 6/20/2018 10 7 17 Trainer from partners) SFCG ME Training for Psycho-social data uptake and IMA Goma Nord Kivu 6/4/2018 6/6/2018 5 3 8 Trainer from analysis (Johns Hopkins University) Johns Hopkins University Sub Total 29 11 40 TOTAL 109 108 217

Annex D: Miscellaneous Deliverables

1. Conflict and Gender Analysis (Submitted to USAID in English and French (6.18.18)

2. Update on IE Evaluation

In May 2018 the CoP and MEL Advisor visited the Kinshasa mission to update them on the impact evaluation planning and status of the Baseline Assessment to be carried out by NORC (in lieu of the OSC-IMA baseline). The visit was followed by a formal report which was sent to the AOR and Mission personnel on 5/31/18.

3. Pilot study for rejuvenating youth activities in C-GBV/Tushinde

IMA socio-economic and BCC advisor evaluated and proposed a revision of youth club activities in Tushinde-supported zones after results from the Conflict and Gender analysis underscored the need for youth to be informed, engaged, and mobilized to bring messages and change to their communities.

4. New Training Manuals for Legal Clinics and Para-Legals ABA-ROLI with support from C- GBV/Tushinde compiled and printed training manuals for lawyers and para-legals providing services in the five health zone- based legal clinics. The manual provides information on the unique needs of SGBV survivors, alignment of legal services to C- GBV/Tushinde overall support, and outlines strategies in creating awareness of laws and protection against sexual violence as well as assuring legal services and representation for the wide range of GBV rights and transgressions.

5. SBCC Messaging

The following messages were compiled from the SFCG-IMA led formative research workshop and validated following feedback from all consortium partners. The list comes was compiled from over 40 draft messages and underwent multiple revisions and reviews.

6. SWOT Analysis

Results of a Rapid SWOT Analysis As part of the Tushinde Ujeuri Partners’ meeting (June 25-27, 2018) a rapid SWOT analysis was conducted to assess project Strengths, Weaknesses, Opportunities and Threats (FIOM in French). A number of factors were identified and prioritized by the participants for each SWOT category. Table 1 shows (in French) the top five or six factors identified for each SWOT category.

Table 1: Results of the Rapid SWOT Analysis of Tushinde Ujeuri FORCES / STRENGTHS OPPORTUNITES / OPPORTUNITIES  Disponibilité des services gratuits aux  Implication de la communauté pour la survivants (même géographique) réalisation des activités sur terrain  Approche holistique paquet de services sociaux  Acceptation du projet par la communauté  Maîtrise/Partage de connaissances (expertise)  Existence des structures communautaires entre partenaires opérationnelles CODESA COPA Noyaux  L’implication de la communauté dans la mise  Centralisation de kit PEP aux DPS en œuvre du projet augmente l’appropriation  Plusieurs acteurs disponibles qui ont  Disponibilité des kit PEP dans les différentes confiance au projet zones d’interventions et NK SK entier  Accompagnement des institutions Etatiques  Partenaires de mis en œuvre actifs même dans les zones non-accessibles INSUFFISANCES / WEAKNESSES MENACES / THREATS  Retard dans la mise en exécution de plan  Faible coordination des interventions GBV d’implémentation IR1 et IR3 par les services Etatiques  Ressources du projet insuffisant  Une résistance au principe de bénévolat par certains membres de communautés  Questions de motivation au niveau communautaire  Non accessibilités dans certaines aires de santé  Retard d’exécution d’un plan de décaissement  Instabilité du pays  Manque des antibiotiques pour la prise en charge des IST  Insécurité de certaines zones de santé (par ex existence de groups armés)

 Chevauchement des interventions et approches différentes (services concurrentiels)

Participants subsequently discussed how some of the strengths and opportunities may be used to resolve internal project weaknesses and/or to combat external threats. The following ideas were identified for further discussion, planning and potential implementation: 1) Increase planning and coordination with other partners (e.g., UNDP and USAID IHP) to better serve the hard-to-reach health areas where all partners are programmed to work. 2) Continue planning and discussions among the Tushinde consortium partners to identify and implement strategies to catch up on delays for activities related to IR2 and IR3. 3) Harmonize talking points among the Tushinde consortium partners so that the project responds “with one voice” to questions raised by the community. 4) Increase joint supervision within health zones by consortium partners and with HZ personnel. 5) Encourage community ownership and project acceptance as community motivational factors. 6) Jointly Seek with the DPS alternative sources and partners to fund PEP kit materials. 7) Use mapping within health areas to improve coordination with HZ teams and to increase services access to hard-to-reach health areas.

7. Updated Referral Pathway

The C-GBV/Tushinde referral pathway was updated during the June 2018 partners’ meeting to include the role of the ADR and CBTH.

Annex E: Mapping of Health Areas and Health Centers of C-GBV/ Tushinde Ujeuri- assisted Health Zones

IS Health Area Health Facility Longitude Latitude * Albert Barthel AS Albert Barthel CS 29.2091652 -1.65660439 Amani AS Amani CS 29.225 -1.67 * Bujovu AS Bujovu CS 29.2439407 -1.65039482 * Hebron AS Hebron CS 29.1907195 -1.63909523 Kahembe AS Kahembe CS 29.2423867 -1.68132667 Katoyi AS Katoyi CS 29.2232733 -1.66630695 Lubango AS Lubango CS 29.2127902 -1.66063236 Mabanga AS Mabanga CS 29.2271983 -1.67382809 * Majengo AS Majengo CS 29.23 -1.648 * Mugunga AS Mugunga CS 29.1385761 -1.60837825 Murara AS Murara CS 29.231884 -1.6790584 * M. Resurrection AS Muungano Resurection CSR 29.2099775 -1.652 * M. Solidarité AS Muungano Solidarité CS 29.238 -1.67 Ndosho AS Ndosho CS 29.1983516 -1.65442087 * Virunga AS Virunga CS 29.2333 -1.66370741 Baraka AS Baraka CS 29.168 -1.622 Kasika AS (not project-assisted) 29.2419847 -1.67672045 Rapha AS (not project-assisted) M.U. Majengo AS (not project-assisted)

* indicates that the health area has been proposed for NORC Impact Study Note: a 6 or 7 decimal GPS coordinate indicates a precise reading. The other coordinates are estimates.

IS Health Area Health Facility Longitude Latitude * Kirundu AS Kirundu CS 27.874 -1.356 * Bilobilo AS Bilobilo CS 27.8 -1.316667 * Sante Plus AS Sante Plus CS 27.8 -1.171 * Boboro AS Borbora CS 27.8 -1.363 * Biruwe AS Biruwe CS 27.525 -1.183333 Bisie AS Bisie CS 27.368 -1.019 * Kumbwa AS Kumbwa CS 28 -1.023 * Mundindi AS Mundindi CS 27.366667 -1.066667 * Mutakato AS Mutakato CS 28 -1.119 * Ndjingala AS Kanyama PS 27.594 -1.208 Ndofia AS Ndofia CS 27.427 -1.111 Obaye AS Obaye CS 27.8 -1.444 * Sacré Coeur AS Sacré Coeur CS 28 -1.287 * Moria AS Moria CS 28.078751 - 8 è CEPAC AS (not project-assisted) 27.874 1.42921275-1.29 Nyassi8 è CEPAC AS (not CS project-assisted) 28.066667 -1.483333 * Mpofi AS (not project-assisted) 27.765 -1.053 ElibaMpofi AS CS (not project-assisted) 27.681 -1.233 Eliba CS * indicates that the health area has been proposed for NORC Impact Study Note: a 6 or 7 decimal GPS coordinate indicates a precise reading. The other coordinates are estimates.

IS Health Area Health Facility Longitude Latitude * Birava AS Birava CS 28.893 -2.349 * Ciranga AS Ciranga CS 28.835 -2.262 * Cishugi AS Cishugi CS 28.933 -2.308 * Ibindja AS Ibindja CS 28.942 -2.353 * Ihimbi AS Ihimbi CS 28.848 -2.172 * Iko AS Iko CS 28.9001222 -2.23416667 * Irambira AS Irambira CS 28.927 -2.321 * Ishungu AS Ishungu CS 28.959 -2.275 * Izimero AS Izimero CS 28.917 -2.245 * Kabamba AS Kabamba CS 28.846 -2.191 * Kabushwa AS Kabushwa CS 28.8 -2.207 * Kadjucu AS Kadjucu CS 28.9 -2.15 * Nuru AS Katana Nuru CS 28.852 -2.233 * Lugendo AS Lugendo CS 28.942 -2.301 * Luhihi AS Luhihi CS 28.88 -2.277 * Mabingu AS Mabingu CS 28.8 -2.177 * Mugeri AS Mugeri CS 28.85 -2.216 * Mushweshwe AS Mushweshwe CS 28.895 -2.311

* indicates that the health area has been proposed for NORC Impact Study Note: a 6 or 7 decimal GPS coordinate indicates a precise reading. The other coordinates are estimates.

IS Health Area Health Facility Longitude Latitude * Bushigi AS Bushigi CS 28.845 -2.627 * Ibambiro AS Ibambiro CS 28.919 -2.702 * Kahinga AS Kahinga CS 28.849 -2.649 Kalunga AS Kalunga CS 28.933 -2.714 * Kamanyola AS Kamanyola CS 29.002 -2.74 * Kamisimbi AS Kamisimbi CS 28.831 -2.612 * Kashenyi AS Kashenyi CS 28.971 -2.727 * Mazigiro AS Mazigiro CS 28.836 -2.637 * Munya AS Munya CS 28.88 -2.647 * Muzinzi AS Muzinzi CS 28.878 -2.702 Camasiga AS Camasiga CS 28.832 -2.601 * Kalengera AS Kalengera CS 28.859 -2.685

* indicates that the health area has been proposed for NORC Impact Study Note: The estimate GPS coordinates for all health facilities of Nyangezi HZ were derived from the HZ wall map.

IS Health Area Health Facility Longitude Latitude Bagana AS Bagana CS 28.6496055 -2.07146115 Bitale AS Bitale CS 28.6297222 -2.19686389 Bitobolo AS Bitobolo CS 28.55 -2.07 Bunyakiri AS Bunyakiri CS 28.5697722 -2.08708056 Chabunda AS Chabunda CS 28.5333329 -2.03333305 Chinganda AS Chinganda CS 28.599 -2.123 Ciriba AS Ciriba CS 28.596275 -2.04339167 Fumya AS Fumya CS 28.578 -2.192 Hombo Sud AS Hombo Bdom CS 28.45 -1.866667 Irangi AS Irangi CS 28.51 -1.87 Kachiri AS Kachiri CS 28.637 -1.951 Kusisa AS Kusisa CS 28.7315806 -1.83370833 Lwana AS Lwana CS 28.4734555 -1.9801194 Maibano AS Maibano CS 28.6166 -2.09414167 Makuta AS Makuta CS 28.6353056 -2.05861111 Mangaa AS Mangaa CS 28.313 -1.996 Matutira AS Matutira CS 28.72 -1.79849721 Mianda AS Mianda CS 28.68 -1.765 Mingazi AS Mingazi CS 28.5063806 -2.02727221 Miowe AS Miowe CS 28.5984194 -2.13764167 Mulonge AS Mulonge CS 28.6284194 -2.15087222 Muoma AS Muoma CS 28.5942639 -2.10858611 Mushunguti AS Mushunguti CS 28.704 -1.993 Ramba AS Ramba CS 28.714825 -1.98401111 Tshigoma AS Tshigoma CS 28.666 -1.959 Tushunguti AS Tushunguti CS 28.73 -1.79646944

Notes: -Due to security reasons none of the health areas of Bunyakri have been proposed for NORC Impact Study -A 6 or 7 decimal GPS coordinate indicates a precise reading. The other coordinates are estimates