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Plan Nepal Rautahat/Bara Program Child Survival XIII Cost Extension Project NEPAL

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Plan Nepal Rautahat/Bara Program Child Survival XIII Cost Extension Project NEPAL Cooperative Agreement No: FAO-A-00-97-00042-00 FOURTH ANNUAL REPORT (OCTOBER 2004 – SEPTEMBER 2005) IMPLEMENTING AGENCY Plan Nepal Country Office in partnership with HMG/N Ministry of Health LOCATION Bara District, Nepal October 2005 Beginning Date: 30 September 2001 Ending Date: 29 September 2006 Name and position of individuals involved in writing and editing this report Written by: Dr. Kedar Prasad Baral - National Health Coordinator, Bhagawan Das Shrestha - Child Survival Project Coordinator and Dr. Chandra Kumar Sen - District Program Coordinator in consultation with the following staff: S.N. Name Designation Organization 1. Biswonath Khatri Senior CHO Plan Nepal, CSP, Bara 2. Krishna Kumar Shrestha A&FO Plan Nepal, CSP, Bara 3. Subarna Raj Gurung TC Plan Nepal, CSP, Bara 4. Dipak Dahal HMISC Plan Nepal, CSP, Bara 5. Sudarshan Paudel BCCC Plan Nepal, CSP, Bara 6. Nitu Acharya AA Plan Nepal, CSP, Bara 7. Krishna Bahadur Achhami CHO Plan Nepal, CSP, Bara 8. Sharmila Budhathoki ACHO Plan Nepal, CSP, Bara 9. Yogendra Giri CHO Plan Nepal, CSP, Bara 10. Raj Kishor Chaudhary ACHO Plan Nepal, CSP, Bara 11. Mohhmad Firaj ACHO Plan Nepal, CSP, Bara 12. Hari Dev Sah CHO Plan Nepal, CSP, Bara 13 Bijaya Kumar Sah CHO Plan Nepal, CSP, Bara 14. Shiva Dayal Ray Yadav ACHO Plan Nepal, CSP, Bara 15. Sajit Kumar Adhikari CHO Plan Nepal, CSP, Bara 16. Pawan Kuamr Rai ACHO Plan Nepal, CSP, Bara 17. Indira Mainali ACHO Plan Nepal, CSP, Bara 18. Yam Bahadur Thapa CHO Plan Nepal, CSP, Bara 19. Ramesh Kumar Sah ACHO Plan Nepal, CSP, Bara 20. Sharmila Khadka ACHO Plan Nepal, CSP, Bara 21. Sarswoti Kharel CHO Plan Nepal, CSP, Bara 22. Devendra Kumar Sen ACHO Plan Nepal, CSP, Bara 23. Jay Mangal Thakur ACHO Plan Nepal, CSP, Bara 24. Hari Shankar Raut ACHO Plan Nepal, CSP, Bara 25. Rajendra Prasad Sah CHO Plan Nepal, CSP, Bara 26. Renu Devi Chaudhary ACHO Plan Nepal, CSP, Bara 27. Premchandra Pd. Jaiswal ACHO Plan Nepal, CSP, Bara 28. Ezaj Ansari ACHO Plan Nepal, CSP, Bara 29. Diwakar Mishra CHO Plan Nepal, CSP, Bara 30. Sanjay Kumar Das CHO Plan Nepal, CSP, Bara ACRONYMS AA - Ayurvedic Ausadhalaya ACHO - Assistant Community Health Officer AHW - Auxiliary Health Worker (HP, Sub-HP) ANM - Auxiliary Nurse Midwife (HP, Sub-HP) ARI - Acute Respiratory Infection BBO - Bara Branch Office BCC - Behavioral Change Communication CBO - Community Based Organization CDD - Control of Diarrheal Disease CHO - Community Health Officer CDP - Community Drug Program CS - Child Survival CSTS - Child Survival Technical Support CWS - Child Welfare Society (Nepali NGO) DD - Diarrhoeal Disease DHO - District Health Office DIP - Detailed Implementation Plan DR - Drug Retailer EPI - Expanded Program of Immunization FA - Field Area FAS - Field Area Supervisor FCHV - Female Community Health Volunteers FP/MNC - Family Planning / Maternal and Newborn Care GTOT - General Training of Trainers GWP - General Welfare Pratisthan (Nepali NGO) HA - Health Assistants (HP, SHP) HF - Health Facility HFMC - Health Facility Management Committee HMIS - Health Management Information System HP - Health Post IH - International Headquarters (Plan) IHFA - Integrated Health Facility Assessment IEC - Information Education and Communication IMCI - Integrated Management of Childhood Illness KPC - Knowledge, Practice and Coverage LQAS - Lot Quality Assurance Sampling MCHW - Maternal and Child Health Worker (SHP) MoH - Ministry of Health, HMG/Nepal MoLD - Ministry of Local Development, HMG/Nepal MTOT - Master Training of Trainers NBO - North Branch Office (Plan Nepal) NCO - Nepal Country Office (Plan Nepal) NEPAS - Nepal Pediatric Society NFE - Non-Formal Education NFHP - Nepal Family Health Project NID - National Immunization Day NTAG - National Technical Assistance Group (Nepal NGO) OSM - Operation Support Manager OSU - Operation Support Unit PC - Project Coordinator PHC - Primary Health Care Center PU - Program Unit PWG - Pregnant Women Group SBO - South Branch Office (Plan Nepal) SC - Support Center SCM - Standard Case Management SC/US - Save the Children/ United States SHP - Sub Health Post SO2 - Strategic Objective Two TBA - Traditional Birth Attendants TFH - Transformation for Health TH - Traditional Healer USAID - United States Agency for International Development USNO - US National Office (Plan International) VDC - Village Development Committee VHW - Village Health Worker (SHP) Table of Contents 1.0 PLAN NEPAL CHILD SURVIVAL COST EXTENSION PROJECT AT A GLANCE ........................1 2.0 MAIN ACCOMPLISHMENTS OF YEAR FOUR.....................................................................................2 2.1 MAJOR ACHIEVEMENT ON DIP INDICATORS:...........................................................................................7 2.1.1 Objective on Behavior:...................................................................................................................7 2.1.2 Objective on increased access to Services and Supplies:...............................................................7 2.1.3 Objective on Quality of Care: ........................................................................................................8 2.1.4 Institutional objectives:..................................................................................................................9 2.1.5 Sustainability: ................................................................................................................................9 3.0 SUSTAINABILITY PLAN:...............................................................................................................................10 4.0 PHASE OUT PLAN: ..........................................................................................................................................10 5.0 CONTRIBUTING FACTORS FOR SUCCESS:.............................................................................................10 6.0 HINDRANCE FACTORS: ................................................................................................................................11 7.0 REQUIRED TECHNICAL ASSISTANCE......................................................................................................11 8.0 CHANGE IN PROJECT DESIGN ...................................................................................................................11 9.0 OVERALL MANAGEMENT OF THE PROJECT........................................................................................11 9.1 FINANCIAL MANAGEMENT........................................................................................................................12 9.2 HUMAN RESOURCES .................................................................................................................................12 9.3 COMMUNICATION SYSTEM AND TEAM DEVELOPMENT.............................................................................13 9.4 RELATIONSHIP WITH LOCAL PARTNERS....................................................................................................13 9.5 PVO COORDINATION/COLLABORATION IN COUNTRY ..............................................................................13 9.6 OTHER RELEVANT MANAGEMENT SYSTEMS ............................................................................................14 10.0 RELATIONSHIPS WITH LOCAL MISSION..............................................................................................14 11.0 RESPONSE TO PRIORITY RECOMMENDATIONS ON MID-TERM EVALUATION.......................15 12.0 OTHERS ...........................................................................................................................................................17 13.0 WORK PLAN FROM OCTOBER 2005 TO SEPTEMBER 2006 ...............................................................18 14.0 CSHGP DATASHEET……………………………………………………………………………………….20 Annexes: Annex 1: LQAS report July 2005 Annex 2: Brief Report on CSSA Framework Workshop Annex 3: Monitoring Board Indicators Annex 4: Concept and Approach: Pregnant Women Group (PWG) Annex 5: List of Pregnant Women Group (PWG) Plan Nepal, Child Survival Project XIII, 4th Annual Report – October 2005 1.0 PLAN NEPAL CHILD SURVIVAL COST EXTENSION PROJECT AT A GLANCE Project duration 30 September 2001 – September 29, 2006 Project area 98 VDCs in Bara district of the central Terai plain Total population in 525,799 the project Area: Target beneficiaries 266,313 MOH health facilities 1 hospital, 3 PHC centers, 11 HPs, 84 SHPs and 2 AAs and staff, volunteers in project area Social and economic The inhabitants of the project comprise various ethnic groups dominated by a caste system. profile of population Percentage of distribution of some of the major ethnic and caste groups in the district in the project area include; Yadav 20%, occupational castes 20%, Muslims 17%, so called untouchables 10%, Malaha 9% Kurmi and others 5%. The target group lives below the subsistence level working mostly as tenant farmers. As the project area lies in the bordering area of India there are large numbers of migrants groups. The literacy rate in female aged above 5 yrs. in the district is 14% while it is 42% in males. Population in the most of the project area lives without proper sanitation (a few latrines) and safe drinking water. Overall Goal To assist the MOH to improve the health status of children aged under five and women of reproductive age (15-49 years) in Bara district. Project interventions - Diarrhea Case Management (DCM) - Pneumonia
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