FIOVANA Quarterly Report FY2021 Q1 October 1 – December 31, 2020

Awardee Name and Host Country ADRA International /

Award Name FIOVANA

Award Numbers 72-DFFP-19-CA-00005

Start Date/End Date October 01, 2019 / September 30, 2024

Reporting Period – FY/Qtr/Dates FY2021, Q1, October–December, 2020

Report Submission Date January 29, 2021

Awardee HQ Contact Name Emanuel da Costa, Senior Program Manager

Awardee HQ Contact Address 12501 Old Columbia Pike, Silver Spring, MD 20904

Awardee HQ Contact Email Address [email protected]

Host Country Office Contact Name Luis Miguel Acevedo, Country Director

Host Country Contact Address B.P. 8218, 101, Madagascar

Host Country Contact Email Address [email protected] ADRA International Madagascar FIOVANA TABLE OF CONTENTS ...... i List of Acronyms ...... iii I. PROGRAM OVERVIEW TABLE ...... iv II. Introduction ...... 1 III. activity Progress during the reporting period ...... 1 A. Activity Summary ...... 1 B. Activity Outputs ...... 1 Activities under Purpose 1: Sustained improvement in health and nutritional status of WRA, adolescent girls, and CU5s ...... 1 Activities under Sub – Purpose component 1.1: Sustained consumption of optimal diets by WRA, adolescent girls, and CU5s ...... 1 Activities under Sub – Purpose component 1.2: WRA, adolescent girls and CU5s receive timely, high-quality preventive and curative health care ...... 1 Other Health and Nutrition Activities ...... 2 Activities under Purpose 2: Households incomes and production are sufficient to access food and non-food essentials and build savings ...... 2 Activities under Sub – Purpose component 2.1: Increased agricultural production by women, youth and men ...... 2 Other Agriculture and Livelihoods Activities ...... 2 Activities under Purpose 3: Enhanced social and ecological risk management ...... 2 Activities under Sub-Purpose component 3.1: Enhanced cooperation and governance of organizations and institutions ...... 2 Activities under Sub-Purpose 3.2: Improved management of shocks and risk by households and communities ...... 2 Activities under Sub-Purpose component 3.3: Ecosystems restored and protected...... 3 Activities under cross -cutting components ...... 3 Food Commodity Management: ...... 3 Gender, Youth and Social Dynamics ...... 3 Social Behavior Change ...... 3 C. Implementation Quality ...... 3 Monitoring & Evaluation (M&E) Activities ...... 3 Commune, Fokontany, and Household Selection ...... 3 Finalization of M&E plan development ...... 4 Research and learning ...... 4 D. Challenges...... 5 V. Plans for the Next Reporting Quarter: JANUARY - MARCH 2021 ...... 5

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LIST OF ACRONYMS AAR After Action Review ADRA Adventist Development and Relief Agency AVSF Agronomes et Vétérinaires Sans Frontières (Agronomists and Veterinarians Without Borders) BHA Bureau of Humanitarian Affairs CLA Collaborating, Learning, and Adapting CU5 Children Under Five Years CLD Comité Local de Distribution (Local Committee of Distribution) CSB Centre de Santé de Base (Local Health Center) RFSA Resilience Food Security Activity DIP Detailed Implementation Plan DPMP Disaster Preparedness and Management Plans DRMC Disaster and Response Management Committee DRR Disaster Risk Reduction FFA Food for Assest FFP Food for Peace FFS Farmer Field School FFW Food for Work FHI Family Health International FY Fiscal Year HH Household HLSA Household Livelihood Security Assessment IGA Income Generating Activity IMA Infrastructure Management Associations IPTT Indicator Performance Tracking Table IRB Institutional Review Board LCD Local Committee for Food Distribution LOA Life of Activity M&E Monitoring and Evaluation MCH Mother and Child Health MMCA Make Me a Change Agent MT Metric Tons NRM Natural Resources Management ONN National office for Nutrition (Office National de Nutrition) P1 Purpose 1 P2 Purpose 2 P3 Purpose 3 PIRS Performance Indicator Reference Sheet PPI Poverty Probability Index PPR Program Performance Report PLW Pregnant and Lactating Women R&I Refine and Implement SBC Social and Behavior Change TANGO Technical Assistance to NGO’s TIPs Trials of Improved Practices USAID United States Agency for International Development VSLA Village Savings and Loan Associations WASH Water, Sanitation, and Hygiene WRA Women of Reproductive Age

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I. PROGRAM OVERVIEW TABLE

Geographic Focus: Region Districts: Atsimo Atsinanana , , Vatovavy-Fitovinany Manakara, Mananjary, Program Goal: Sustainable improvement of food and nutrition security and resilience of vulnerable populations in the Atsimo Atsinanana and Vatovavy-Fitovinany regions of southeastern Madagascar Purpose 1: Sustained improvement in health and nutritional status of WRA, adolescent girls, and CU5s Sub-purposes: 1.1. Sustained consumption of optimal diets by WRA, adolescent girls, and CU5s 1.2. WRA, adolescent girls and CU5s receive timely, high-quality preventive and curative health care 1.3. Reduced exposure to pathogens in HH and community environments Purpose 2: HHs incomes and production are sufficient to access food and non-food essentials and build savings Sub-purposes: 2.1. Increased agricultural production by women, youth and men 2.2. Women, youth and men actively engage in profitable IGAs Purpose 3: Enhanced social and ecological risk management Sub-purposes: 3.1. Enhanced cooperation and governance of organizations and institutions 3.2. Improved management of shocks and risks by HHs and communities 3.3. Ecosystems restored and protected. Cross-cutting components: Gender equity and integration; youth empowerment; CLA; environment and disaster risk management; and SBC Target Beneficiaries Participants 428,800 participants (71,467 households) Roles and Responsibilities: • The FIOVANA project is implemented by a consortium composed of the Adventist Development and Relief Agency (ADRA) as prime and sub-awardees: FIANTSO, AVSF, TANGO International, and FHI 360. • ADRA leads in technical areas including health, nutrition, WASH, agricultural production, and DRR; and ensures (i) approaches for gender integration, SBC, and governance; (ii) quality control, compliance, and robust M&E and adaptive management; and (iii) a cohesive technical approach and timely, quality adaptive management. • FIANTSO focuses on governance strategies, and rights-based approaches, and supports advocacy campaigns on critical issues such as land rights. • AVSF focuses on technical support for market strengthening and livestock interventions, develops linkages and opportunities for local private sector engagement, and supports development and strengthening of farmer organizations and cooperatives. • FHI 360 leads the SBC and youth approaches. • TANGO supports the M&E and learning agendas.

FIOVANA, 72-DFFP-19-CA-00005 Quarterly Report 1 – FY2021 Page iv ADRA International Madagascar FIOVANA II. INTRODUCTION This quarterly program performance report (PPR) was prepared for the United States Agency for International Development – Bureau of Humanitarian Affairs (BHA), which is supporting the FIOVANA project a Resilience Food Security Activity (RFSA) project in Madagascar. As the project was awarded – in September 30, 2019 – for a period of five years (October 2019- – September 2024), this PPR documents progress made during the first quarter of Year 2 (October 1 to December 31, 2020) III. ACTIVITY PROGRESS DURING THE REPORTING PERIOD A. ACTIVITY SUMMARY During the period under review, the project launched a phased community entry, engagement, and visioning process in a cohort of 20 communes. This process is being conducted through a cohort- based approach with three phases, designed to reach 20 communes in each cohort, with a facilitated learning and reflection process following each phase. For the first cohort of 20 communes, the community engagement and visioning process started in mid-October and concluded in December 2020. In parallel, the project conducted the fieldwork for the Community Consultations during this period (part of the R&I Year Workplan but delayed due to COVID-19). The project focus was primarily on the implementation of and learning from these community engagement processes in the first cohort of communes to improve subsequent phases, as well as completing R&I Year research and learning objectives that were delayed as a result of COVID-19 restrictions.

B. ACTIVITY OUTPUTS Purpose 1: Sustained improvement in health and nutritional status of WRA, adolescent girls, and CU5s Activities under Sub – Purpose component 1.1: Sustained consumption of optimal diets by WRA, adolescent girls, and CU5s The main activity under Sub – Purpose 1.1 was setting up and training 121 Committees for food Distribution (LCD). Initially, the project planned to establish 210 LCDs, corresponding to two to three LCDs per commune in the 60 communes of intervention. However, after the operational assessment, the initial projection was cut to just over 50% as 121 distribution points were sufficient to cover all the fokontany. These committees support the Food Distributor Agents before (ensure communication at the fokontany level, preparation of distribution site), during (food handling, physical count, scooping), and after the distribution (cleaning of distribution sites). Furthermore, the project began the analysis for the R&I Year TIPs Formative Research Study, led by FHI 360. Activities under Sub – Purpose component 1.2: WRA, adolescent girls and CU5s receive timely, high-quality preventive and curative health care The project’s focus under Sub-Purpose 1.2 was Community Health Workers (CHVs, ACNs, health agents). The team identified 695 community health workers in 176 out of 476 the Fokontany targeted by the project, representing an average of 4 CHVs per Fokontany. This ratio considers the responsibilities of CHVs to avoid an overburdening of their schedules. This process will continue during the next quarter. The P2 team also supported the Health Facilities Assessment, an R&I Year learning activity delayed due to COVID-19.

FIOVANA, 72-DFFP-19-CA-00005 Quarterly Report 1 – FY2021 Page 1 ADRA International Madagascar FIOVANA Activities under Sub – Purpose component 1.3: Reduced exposure to pathogens in HH and community environments Concerning the development of interventions focused on interrupting fecal-oral transmission pathways for children, the P1 team also held several meetings about the Pathogen Pathways Study with potential local and international university partners, supported by PRO-WASH. Other Health and Nutrition Activities: To note the ONN/FAFI project's launch in the Vatovavy- Fitovinany region. To foster collaboration, the Purpose 1 team started technical coordination sessions with the Nutrition Regional Coordinator, in charge of ONN/FAFI, for both Vatovavy- Fitovinany and Atsimo Atsinanana. Purpose 2: Households incomes and production are sufficient to access food and non-food essentials and build savings Activities under Sub – Purpose component 2.1: Increased agricultural production by women, youth and men Particularly relevant for this purpose wasidentifying 113 Farmer Field School (FFS) and 66 Village Saving and Loan Associations (VSLA) groups in the 20 communes of the first cohort. Training and technical supervision for these groups will start in the second quarter.

Other Agriculture and Livelihoods Activities: Other activities conducted during the reporting period included: a) Participation in a coordination workshop with the Food Security/Livelihood cluster in the Atsimo Atsinanana region, and a coordination workshop of VSLA actors in the Vatovavy-Fitovinany region; b) Organization of meetings with MIARAKAP, (a local consulting firm on Impact Investments) to launch the consultancy and establish a plan to set up the Impact Investment activities; c) Training of P2 specialists and field staff on technical approaches (such as Permagarden techniques supported by SCALE, Agroecosystem, FFS approach; VSLA approach and; d) Launching the Household Livelihood Security Assessment (HLSA), another R&I Year learning activity delayed due to COVID-19 restrictions. Purpose 3: Enhanced social and ecological risk management Activities under Sub-Purpose component 3.1: Enhanced cooperation and governance of organizations and institutions With sub purpose 3.1, the P3 team established 42 Disaster and Response Management Committee (DRMCs) and revitalized 18 out of 20 DRMCs in the 20 communes. These DRMCs, which serve as an entry point for program delivery in each community, will empower community members by building social capital, linking them to government and other stakeholders for strategic relationship building. Activities under Sub-Purpose 3.2: Improved management of shocks and risk by households and communities The main activity conducted under this sub purpose was the preliminary analysis of the data collected during the R&I Year Resilience and Resilience Capacities Assessment, led by TANGO International. In October 2020, the project launched the quantitative portion of the Land Tenure Assessment, an analysis of each commune's land tenure situation. These two assessments are R&I Year learning activities were delayed due to COVID-19, with preliminary findings discussed during the pre-culmination workshop planned in January 2021.

FIOVANA, 72-DFFP-19-CA-00005 Quarterly Report 1 – FY2021 Page 2 ADRA International Madagascar FIOVANA Activities under Sub-Purpose component 3.3: Ecosystems restored and protected. The sub-purpose aims to protect and improve forest and coastal ecosystem services in targeted communities. During the reporting quarter, all planned activities were achieved (100%): a) setting up six tree nurseries; b) Identifying local providers of fuel-efficient cookstoves, and c) Identifying existing local platforms for coastal and marine management. Activities under cross-cutting components Food Commodity Management:

At the end of the current reporting quarter, all commodities from the first Call forward of the FY 2020 arrived: 120 MT of rice, 20 MT of beans, 60 MT of vegetable oil, and 394 MT of CSB. The commodities received during the quarter were vegetable oil and rice. Although the arrival of commodities was delayed, no major issues were encountered during the reception and clearing processes. The project started transferring food from the transit warehouse in Tulear to the regional warehouses in Manakara and Farafangana. The first distribution for MCH and FFA activities will take place in mid-February, 2021. Gender, Youth and Social Dynamics Training sessions on GYSD: Training sessions were held for youth associations in Manakara and Farafangana from October 19-22, 2020. The aim was to strengthen partners’ capacities in key GYSD concepts and approaches for GYSD integration. Representatives of SIMIRALENTA (National gender observatory) also attended to these sessions. 16-day campaign of activism: Concerning the “UN 16 Days of Activism Against Gender-Based Violence”, the GYSD team conducted sensitization campaign in 16 communes of the first cohort under the theme "Orange the World: Fund, Respond, Prevent, Collect!". The aim was to raise awareness of the local government and population on the need for action against gender-based violence. Social Behavior Change SBC Qualitative Research: After completing the fieldwork, consortium member FHI 360 began the data compilation, analysis for the R&I Year TIPs Formative Research Study. Make Me A Change Agent Workshop: Both Maharo (CRS) and FIOVANA (ADRA) SBC teams co-organized a “Make Me a Change Agent” (MMCA) Training of Trainers (TOT) workshop (November 30 – December 4). This training targeted community workers and focused on water, sanitation, and hygiene (WASH) interventions, agriculture, and livelihoods. PRO-WASH and SCALE facilitated this training. SBC Summit: The SBC team organized an SBC Summit on December 9 and 10. The objectives were to: a) share updates on current activities and planning streams and b) launch the process of integrating FIOVANA field activities into a comprehensive SBC strategy. One outcome of the SBC Summit was identifying a list of key essential actions/behaviors to be promoted by the project for P1, P2 and P3. Promotion of health actions for specific life stages supported by “Family Scorecards” is currently being piloted.

C. IMPLEMENTATION QUALITY Monitoring & Evaluation (M&E) Activities Commune, Fokontany, and Household Selection Community Entry process: The project adopted a phased implementation approach and learning from community entry, engagement, and visioning processes in the first cohort of communes to

FIOVANA, 72-DFFP-19-CA-00005 Quarterly Report 1 – FY2021 Page 3 ADRA International Madagascar FIOVANA improve subsequent phases. These processes allowed the project to: (i) gain the trust of the project’s participants (essential for establishing a climate of trust between the project staff and the project beneficiaries); (ii) to identify needs, interests, and aspirations of – and develop buy-in and support for the project among – key officials, influencers, and target populations to maximize project engagement and impact (iii) to incorporate sustainability from the beginning, starting by building community-wide incentives and putting in place the foundation for longer-term links before introducing FIOVANA investments in capacity and resources; (iv) to position communities as the bearers of changes and improvements that FIOVANA will help them to achieve. Program participants Census: The last phase of the targeting process was initiated with the beneficiary census (October 6 – 30, 2020). An initial 44,409 out of the 76,446 potential program participant households (58%) were identified, with the process continuing in January. Participatory Wealth Ranking (PWR) and Poverty Probability Index (PPI) survey: A second PWR survey was carried out during the reporting quarter to cover all of the remaining fokontany not covered by the April - 2020 PWR survey. This second PWR was conducted concurrently with a PPI survey to validate and confirm that households identified as the most vulnerable households by the PWR are effectively living under the poverty line. As a result of these surveys, 15,211 additional households were identified, of which 9,718 poor and very poor households, based on the local community definition of poverty. Overall, 108,895 households were identified, of which: 4,225 are rich (4%); 28,224 are moderately rich (24%); 45,424 are poor (42%); and 31,022 are very poor households (28%). The number of identified poor and very poor households (76,446) represents 70% of the total. The most vulnerable households identified through PWR and PPI exercise will be included in the project. The survey results and findings will also help in segmenting and selecting households for different project components. Finalization of M&E plan development Finalization of the DIP: A five-day workshop was held with the FIOVANA M&E and Technical team during the quarter (Oct 5-9, 2020) to finalize the FY 2021 development FIOVANA DIP. A Full DIP with annual and LOA targets will be finalized during the next quarter. Finalization of the IPTT: The M&E team led the target setting process for the FIOVANA IPTT annual and LOA targets. It is anticipated that changes may take place in the IPTT after the culmination workshop planned for April 2021. Finalization of the Performance Indicator Reference Sheets (PIRS): The PIRS for P1 and P2 components were developed and revised by the M&E team to reflect BHA’s comments. The PIRS for P3 component is under revision to address BHA’s comments. Training on environmental compliance: A training session on environmental compliance for program and support staff was held in Manakara on December 9-11, 2020. The training aimed for participants to learn, incorporate and engage in environmental efforts and compliance. Research and learning During the reporting period, the project advanced R&I Year research and learning activities that delayed due to COVID-19, namely: 1) started the analysis for the Resilience Capacities Assessment and TIPs Formative Research Study, 2) launched and completed the training and fieldwork for the Community Consultations, The Land Tenure Assessment (quantitative), and the Household Livelihood Security Assessment (HLSA); 3) Started the analysis for the Health Facilities Assessment (HFA); 4) completed the Natural Resources Management (NRM) mapping; 4) conducted multiple pilot planning sessions; 5) continued planning and preparing for the Gender Analysis and Economic Analysis, planned to launch in early February 2021; and 6) held several meetings about the Pathogen Pathways Study with potential local and international university partners, supported by PRO-WASH.

FIOVANA, 72-DFFP-19-CA-00005 Quarterly Report 1 – FY2021 Page 4 ADRA International Madagascar FIOVANA Other research and learning activities: 1) multiple facilitated working sessions to review and develop detailed action plans to address lessons learned and recommendations from the ASOTRY and Fararano evaluations; 2) further development and use of the project’s overall action plan to improve adaptive management practices; 3) multiple After Action Reviews (AARs) conducted at the district level to facilitate reflection and capture learning from the project’s first community entry cohort; 4) developed a monthly reflection process and tool for field agents to capture learning to improve activities, monitor workload, and elevate issues and risks from the field; 5) continued holding regular project Research Advisory Board (RAB) meetings; and 6) developed the first draft of a Collaborating, Learning, and Adapting (CLA) Strategy for the project. D. CHALLENGES Security issues: The 60 communes of the intervention included 476 Fokontany, but the PWR surveys and census were carried out only in 472 Fokontany. Four fokontany, in commune were not covered due to security issues. These fokontany are: Anambakaka, Mahavelo, , and Marovary. To complete the FIOVANA targeting process, program participants must be identified in these four fokontany. The project will monitor the security situation and complete the targeting exercise once the situation returns to normal. In case the security issues persist, the project may consider replacing the Iabohazo commune. Drought: The tree nursery activities are affected by the drought in , causing seed planting delays. If this situation persists, it could affect the availability of seedlings for reforestation activities. The project will monitor the situation and may consider relocating the tree nursery site. V. PLANS FOR THE NEXT REPORTING QUARTER: For the next quarter, the key activities are: 1. Continue to carry out the second round of the community engagement process 2. Set up/ revitalize DRMCs and train their members on DRM, and establishing DPMP 3. Conduct commodity distribution for MCH and FFA activities 4. Continuing the capacity building sessions of field staff on different project approaches 5. Set-up of FFS demonstration plots and train program participants in agricultural technics 6. Set up /revitalize new/existing SLA structures and train their members in SLA process. 7. Training provided in fruit arboriculture and agroforestry. 8. Continue to analyze behavior change barriers and design SBC approaches. 9. Organize consultation meetings on the importance of integrating young people and women in IGA activities 10. Set up and train Fokontany platforms on Issues of Public Interest Approaches 11. Develop the Go Green Strategy and train staff on Go Green Approach and implementation 12. Test alternative solutions for cooking 13. Conduct training, fieldwork, and initial analysis for both Gender and Economic Analysis 14. Finalize analysis and begin reporting for the TIPs Formative Research Study; Resilience and Resilience Capacities Assessment; Community Consultations; Household Livelihood Security Assessment (HLSA); Land Tenure Assessment; Health Facilities Assessment; and NRM mapping. 15. Plan, prepare for and conduct two internal “Pre-Culmination” workshops (January 2021 and late March-early April 2021, respectively). 16. Finalize the project’s CLA Strategy. 17. Conduct multiple co-creation workshops to undertake sustainability planning. 18. Conduct After Action Reviews (AARs) following the second and third community entry phases

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