Sudan Health Transformation Project (SHTP) II
Total Page：16
File Type：pdf, Size：1020Kb
Sudan Health Transformation Project (SHTP) II FY 2009 Q4 PROGRESS REPORT Report Type: Quarterly Report Award No. GHS-I-00-07-00006-00 Task Order 4 Period Ending: July 1st – September 30th, 2009 Prepared for Patrick Kollars September 30, 2009 United States Agency for International Development/Sudan Algeraif West (1/H) Menshia Alhara Aloola (1/H) Plot No. 43/3 Khartoum, Sudan American Consulate General USAID/Sudan Compound Juba, Sudan Prepared by Management Sciences for Health 784 Memorial Drive, Cambridge, MA 02139 Contents ACRONYMS AND ABBREVIATIONS ................................................................................................... 1 I. SHTP II EXECUTIVE SUMMARY .................................................................................................. 3 II. PROGRAM PROGRESS AND KEY ACHIEVEMENTS: ............................................................... 4 III. PROGRESS ON INDICATOR TARGETS (QUANTITATIVE IMPACT) ........................................ 8 IV. MONITORING .............................................................................................................................. 23 V. LIST OF NEXT QUARTER’S WORK PLAN ............................................................................... 23 VI. PROJECT ADMINISTRATION ....................................................................................................... 25 VII. CONSTRAINTS AND CRITICAL ISSUES ..................................................................................... 26 VIII. FINANCIAL STATUS REPORT .................................................................................................... 28 ANNEX ONE: LIST OF DELIVERABLE PRODUCTS ......................................................................... 29 ANNEX TWO: ASSESSMENT REPORTS ........................................................................................... 41 ACRONYMS AND ABBREVIATIONS AAH Action Africa Help AIDS Acquired Immune Deficiency Syndrome ANC Antenatal Care AWD Acute Watery Diarrhea BCC Behavior Change Communication CBHW Community-Based Health Worker CBOs Community-Based Organizations CHMT County Health Management Team CHMC Community Health Management Committees CHD County Health Department CHW Community Health Worker COP Chief of Party CTO Cognizant Technical Officer DPT Diphtheria, Pertussis, Tetanus DQA Data Quality Assessment EPI Expanded Program on Immunization FFSDP Fully Functional Service Delivery Point FY Fiscal Year FP Family Planning GoSS Government of Southern Sudan GoSSHA -2 Government of Southern Sudan Health Assembly - 2 HIV Human Immunodeficiency Virus HMIS Health Management Information System IMC International Medical Corps INGO International Nongovernmental Organization (NGO) IPT Intermittent Presumptive Treatment IRC International Rescue Committee JSI JSI Research & Training Institute, Inc. LLITN Long Lasting Insecticide Treated Nets LMIS Logistic Management Information System LNGO Local Non-Governmental Organization MCH Maternal and Child Health MCHW Maternal and Child Health Worker M&E Monitoring and Evaluation MoH Ministry of Health MSH Management Sciences for Health NID National Immunization Day NR No Report OJT On the Job Training ORS Oral Rehydration Salts PBC Performance-Based Contracting PBF Performance-Based Financing PHCC Primary Health Care Center PHCU Primary Health Care Unit PSI Population Services International Page 1 RTC Regional Health Training Center SCP Subcontracting Partner SHTP Sudan Health Transformation Project STI Sexually Transmitted Infection STTA Short Term Technical Assistance TBA Traditional Birth Attendants ToT Training of Trainers TT Tetanus Toxoid USAID United States Agency for International Development USD United States Dollar WHO World Health Organization VCT Voluntary Counseling and Testing VHC Village Health Committees Page 2 I. SHTP II EXECUTIVE SUMMARY This report covers the period July 1 through September 30, 2009 of the Sudan Health Transformation Project Phase two (SHTP II). During the quarter, MSH continued to work with the implementing partners of SHTP I to provide health care services at the over 160 health facilities in its twelve focus counties. Although reports from the field suffer incompleteness, and other data quality issues, nevertheless available data indicates that the project made some progress. Over 9,709 LLINs were distributed; 4,605 children less than 12 months of age received DPT3 and 5,942 received Vitamin A; 2,699 deliveries were performed by trained health workers; and 35,011 mothers received iron folate during Ante-natal visits. ACT supply to SDP were coordinated with MoH for all the partners in SHTP II focus counties SHTP II developed a comprehensive Performance Based Contracting (PBC) Request for Proposals (RFP) and posted it on July 27 via MSH website, the Sudan NGO forum and regional publications. An evaluation committee was formed and evaluation criteria designed. In addition, a questions and answers session was performed and subsequently twenty proposals were submitted by Offerors in time covering all focus counties except for Aweil South. On September 17, Letters of Best and Final Offer (BAFO) were sent to the potential winners to clarify technical and costs queries. Hiring of Sudanese with appropriate skills was very challenging as the protracted 22 years war devastated the populace. The few skilled Sudanese in country are currently employed by INGOs, UN or GOSS. In addition many Sudanese remain outside of Sudan. Nevertheless some key positions such as Technical Director was filled. An elaborate and robust consultation was done between MSH and USAID team in Juba on Water and Sanitation and an RFP was finally developed and posted. MSH technical team conducted county assessments in nine SHTP focus areas, in some of which the assessments were jointly carried out by MOH, USAID and MSH staff and recommendations were made for all the project sites visited. The assessments also provided important baseline information into the capacity of the CHD staff as well as supportive supervision to the PHC facilities and community-based health workers in their respective Counties In compliance with USAID regulations, MSH submitted its plan for safe disposal of medical wastes and mitigation and management plan to USAID and a partial approval have been obtained waiting for final approval by USAID/Environmental Officer. Due to delay in development of the Family Planning Policy document, its analysis and dissemination to our focus counties was not done. However, SHTP II health facilities continue to provide family planning and reproductive health services and information on a limited scale. Overall, most of the challenges from the previous quarter still exist and lessons learned indicates that capacity building in performance based contracting is a process that is to continue throughout most length of the project period. Page 3 II. PROGRAM PROGRESS AND KEY ACHIEVEMENTS: Quantitative and Qualitative Impact: Quarterly Report - Key Achievements 1.1 All the SHTP II implementing agencies in the twelve focus counties continued to provide primary health care services in their respective health facilities (see Annex II) 1.2 PBC RFP Issuance SHTP II developed a comprehensive PBC RFP and disseminated it on July 27 via our website, the Sudan NGO forum and regional publications. SHTP II formed an evaluation committee (see structure below) and designed an evaluation criteria. In addition, SHTP II performed a questions and answers session from August 10 - 17. Twenty proposals were submitted by August 31 covering every county, except for Aweil South. The figure below shows number of bidders per county. 1.3 RFP review and selection procedure, contract negotiation and award On September 3, an evaluation committee was formed consisting of the following: Uche Azie, SHTP II COP John Rumunu, SHTP II Technical Director Page 4 Felix Lado, SHTP II PHC Advisor Michael Andreini, USAID Health Officer Dr. Lueth Garang, MoH DG-PHC Alternates: State DGs-PHC for their respective county In addition, we had two observers, Kamau Lizwelicha, Director of Finance & Contracts and Judy Webb, MSH/Ethiopia Contracts Manager, to ensure the PBC was transparent in accordance to MSH and USAID procurement procedures. These observers also served as the cost proposal committee. The evaluation committee reviewed and ranked the proposals from September 3 -16. Potential winners for each county, except for Aweil South, were selected. On September 17, Letters of Best and Final Offer (BAFO) were sent to the potential winners to clarify questions from the technical evaluation and costs committees. By the time of writing of this report MSH is still reviewing responses from some of the bidders who received the BAFO letter. 1.4 PBC RFP Issuance for Water/Sanitation SHTP II technical team worked jointly with USAID WASH Advisor to develop the scope of work for the RFP that was reviewed and approved by USAID. The RFP will be released in October. 2.1 Facility Supervision & Assessment MSH conducted County assessments in nine SHTP Counties, Mundri (East and West), Mvolo/Wulu, Twic East, Kapoeata North, Terekeka, Juba, Wau, Malakal, and Tonj South, in some of the counties the assessment were jointly conducted with MOH and USAID staff. Recommendations were made for all the project sites visited (see reports in Annex II). Page 5 2.2 Disburse Micro-grants to CSO SHTP II has developed a drafted adminstrative procedures manual with necessary forms and review procedures for micro-grants. It is expected that