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MATERNAL and CHILD SURVIVAL PROGRAM NIGERIA – ROUTINE IMMUNIZATION Quarterly Report Program Year 4 Quarter 1 [October 1 to December 31, 2017]

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MATERNAL and CHILD SURVIVAL PROGRAM NIGERIA – ROUTINE IMMUNIZATION Quarterly Report Program Year 4 Quarter 1 [October 1 to December 31, 2017] MATERNAL AND CHILD SURVIVAL PROGRAM NIGERIA – ROUTINE IMMUNIZATION Quarterly Report Program Year 4 Quarter 1 [October 1 to December 31, 2017] Agreement Number: AID-OAA-A-14-00028 Activity Start Date and End Date: September 1, 2014–December 31, 2018 Activity Manager: Dr. Yakubu Joel Cherima Submitted by: Dr. Femi Oyewole, national immunization technical advisor John Snow, Inc. (JSI) Plot 448 Reuben Okoya Street Wuye, Abuja, Nigeria PROGRAM SUMMARY Maternal and Child Survival Program Nigeria - Program Name Routine Immunization Activity Start and End Dates September 1, 2014–December 31, 2018 Name of Prime Implementing Partner John Snow, Inc. (JSI) Agreement Number AID -OAA -A-14 -00028 National Primary Health Care Development Agency , Expanded Programme on Immunization, The Bill & Melinda Gates Foundation, Dangote Foundation, Solina Health, World Health Organization, United Nations Children’s Fund, US Centers for Disease Control and Prevention N- STOP Project, European Union-funded Support Major Partner Organizations Immunization Governance in Nigeria, Bauchi and Sokoto State Primary Health Care Development Agencies, ministries of local government, local government authorities, Northern Traditional and Religious Leaders’ Council, ward development committees, community-based health volun teers , Chigari Foundation Geographic Coverage (cities and or Abuja FCT, Bauchi and Sokoto States, Nigeria countries) Reporting Period Program Year 4 , October 1 to December 31 , 2017 ACRONYMS AEFI adverse event following imm unization BGRISP Basic Guide for RI Service Providers BMGF Bill & Melinda Gates Foundation BSPHCDA Bauchi State Primary Health Care Development Agency CBHV community-based health volunteer CCE cold chain equipment CDC N-STOP U.S. Centers for Disease Contro l and Prevention N -STOP Project CRG community resource group DHIS2 District Health Information System version 2 DQS data quality assessment HF health facility IPD Immunization Plus Day LGA local government area LIO LGA immunization officer M&E monitoring and evaluation MCSP Maternal and Child Survival Program MOU memorandum of understanding NPHCDA National Primary Health Care Development Agency PHC primary health care PY program year REW Reaching Every Ward RI routine immunization SP serv ice provider SERICC State Emergency for Routine Immunization Coordination Center SPHCDA state primary health care development agency SSPHCDA Sokoto State Primary Health Care Development Agency TFI Task Force on Immunization UNICEF United Nations Children’s Fund USAID United States Agency for International Development VCM village community mobilizer VDC village development committee WHO World Health Organization 1 TABLE OF CONTENTS ACRONYMS ........................................................................................................................................ 1 1. PROGRAM OVERVIEW ............................................................................................................ 3 1.1 Quarterly Achievement Highlights ....................................................................................... 4 2. ACTIVITY IMPLEMENTATION PROGRESS ........................................................................ 8 2.1 Progress Summary .................................................................................................................... 8 Improving coordination of RI management and data quality .................................. 8 2.2 MOU Thematic Area 1: Governance and Accountability ............................................. 10 2.3 MOU Thematic Area 2: Improving Accessibility and Utilization ................................. 13 2.4 MOU Thematic Area 3: Vaccine Security, Cold Chain, and Logistics ........................ 15 Bauchi ................................................................................................................................................ 15 Sokoto ............................................................................................................................................... 16 2.5 MOU Thematic Area 4: Monitoring and Evaluation/Supportive Supervision............ 16 Bauchi ................................................................................................................................................ 16 Sokoto ............................................................................................................................................... 18 2.6 MOU Thematic Area 5: Community Partnership ........................................................... 20 2.7 MOU Thematic Area 6: Capacity Building and Training ................................................ 23 Bauchi ................................................................................................................................................ 23 Sokoto ............................................................................................................................................... 24 2.8 National-Level Support ......................................................................................................... 25 2.9 Learning Activities .................................................................................................................. 25 2.10 Implementation Challenges .................................................................................................. 27 3. Management and Administration ............................................................................................ 27 4. Sub-Agreements ......................................................................................................................... 28 5. Activities Planned Next Quarter ............................................................................................ 29 2 1. PROGRAM OVERVIEW The Maternal and Child Survival Program (MSCP) is a global U.S. Agency for International Development (USAID) cooperative agreement to introduce and support high-impact health interventions in 24 priority countries, including Nigeria, with the ultimate goal of preventing maternal and child deaths (EPCMD) within a generation. MCSP engages governments, policymakers, private sector leaders, health care providers, civil society, faith-based organizations, and communities in adopting and accelerating proven approaches to address the major causes of maternal, newborn, and child mortality, such as postpartum hemorrhage (PPH), birth asphyxia, and diarrhea, respectively, and to improve the quality of health services from the household to the hospital. Program approaches focus on health systems strengthening, household and community mobilization, gender integration, and eHealth, among others. MCSP has launched multiple activities in Nigeria. These include a routine immunization (RI) technical assistance program in Bauchi and Sokoto States, a project aimed at reducing maternal, newborn, and child (MNCH) deaths in Kogi and Ebonyi States, and a public-private partnership through the Mobile Alliance for Maternal Action (MAMA). This quarterly report covers MCSP/Nigeria RI program assistance to Bauchi and Sokoto States. The program aims to strengthen systems to increase and sustain RI coverage and reduce childhood illness and death. USAID MCSP’s RI program is fully operational at the national level (in Abuja), and in Bauchi and Sokoto. MCSP/Nigeria RI program objectives: • Objective 1: Support state-led and -owned efforts to achieve >80 percent RI coverage in every ward of Bauchi State by the end of December 2017, and in Sokoto State by the end of December 2018. • Objective 2: Support state-led and -owned efforts to expand the availability and quality of RI services by providing technical assistance in the areas of capacity building and training, supportive supervision, monitoring and use of data, supply/cold chain, and community engagement. • Objective 3: Promote the transition of all responsibility for sustaining and building on these gains to Bauchi State by January 2018, and to Sokoto State by January 2019, by improving capacity to promote, deliver, and monitor RI services at the state, local government area (LGA), health facility (HF), and community levels. MCSP has been supporting implementation of the Bauchi State Primary Health Care Development Agency’s (BSPHCDA’s) quadripartite RI-strengthening memorandum of understanding (MOU) since January 2015,1 and the Sokoto SPHCDA’s quadripartite RI-strengthening MOU since October 2015. The program has been tasked by each state’s SPHCDA and the three remaining MOU signatories—USAID, the Bill & Melinda Gates Foundation (BMGF), and the Dangote Foundation—to focus on providing four areas of technical assistance: 1) monitoring and use of data; 2) supportive supervision; 3) community partnership; and 4) capacity building and training This report covers the period from October 1 to December 31 2017 of program year 4 (PY4 Q1). It should be noted, however, that MCSP/Nigeria RI PY follows a calendar-year cycle, in line with Nigerian state government annual planning cycles. Included in this report is a summary of program achievements for the quarter, planned activities for the second quarter, and challenges, opportunities, and recommendations. 1 Skeletal operations started in January 2015; full program implementation started in July 2015. 3 1.1 Quarterly Achievement Highlights BAUCHI MOU Thematic Area 1 – Governance and Accountability The harmonized MOU workplan for 2018 has been developed and approved by the state task force for immunization (TFI). MCSP contributed technical
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