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Quarterly Report Mindanaohealth Project

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Quarterly Report Mindanaohealth Project Quarterly Report MindanaoHealth Project Program Year 4 Quarter 3 (March 1 – June 30, 2016) Submitted: July 30, 2016 Submitted by: Dolores C. Castillo, MD, MPH, CESO III Chief of Party MindanaoHealth Project E‐‐‐mail: [email protected] Mobile phone: 0917795430 On the cover: Top left: Trained Bagumbayan Rural Health Unit (RHU) midwives administer the Unang Yakap (First Embrace) to a mother and her newborn baby in the RHU’s PhilHealth-accredited birthing facility assisted by USAID’s MindanaoHealth Project. (Photos by: Jhpiego) Bottom left: USAID-trained Usapan (interactive health conversation) Facilitator conducts Usapang Buntis (pregnant women) to participants from Maguindanao as part of the province’s outreach activity spearheaded by the Maguindanao Integrated Provincial Health Office. (SAlih/Jhpiego) Top right: AJA-trained personnel and Adolescent Health and Youth Development Coordinator Sheila Amata-Dy (left) talks to a teen client inside the Health Promotions and Counseling Office in the RHU and conducts a psychosocial risk assessment to determine his risky behaviors and health services needed. (Cossid/Jhpiego) Bottom right: An NDP nurse from the village of Tipo-Tipo in Basilan (center) reviews the Target Clients List from Tipo-Tipo health station to check on the quality of data entries and to examine its correctness and consistency, with support from USAID-trained personnel of Basilan PHO. (RResurreccion/Jhpiego) This report was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Cooperative Agreement AID‐492‐A‐13‐00005. The contents are the responsibility of the Maternal, Neonatal, Child Health/Family Planning (MNCHN/FP) Regional Projects in Luzon, Visayas, and Mindanao and do not necessarily reflect the views of USAID or the United States Government. Contents List of Abbreviations ..................................................................................................................................... 1 Executive Summary ....................................................................................................................................... 1 Introduction .................................................................................................................................................. 3 Progress Against Performance Indicators ..................................................................................................... 4 Analysis of CYP and Current FP Users, Overall and by Region .................................................................... 12 Narrative of Key Achievements and Recommended Measures by Strategy .............................................. 16 Strategy 1: Strengthening MNCHN/FP/RH service delivery.................................................................... 16 Strategy 2: Increasing the Demand for MNCHN/FP Services.................................................................. 20 Strategy 3: Removal of policy and systems barriers to service delivery and its utilization .................... 26 Strategy 4: Strengthening the Capabilities of DOH Regional Offices and Provincial Health Offices in Program Development, Management and Oversight ............................................................................. 29 Program Management ................................................................................................................................ 32 Challenges and Solutions ............................................................................................................................ 35 Success Stories and Evolving Initiatives ...................................................................................................... 38 Financial Expenditure and Cost Share ........................................................................................................ 43 Annexes Annex A: List of Certified Trained Health Service Providers and Trainers by FP/LAPM/LARC in Q3PY4 .... 45 Annex B: List of Trainings and Participants in Q3 PY4 ................................................................................ 48 Annex C: Distribution List of IEC Materials ................................................................................................ 81 Annex D: Safety and Security ...................................................................................................................... 85 List of Abbreviations ABC Association of Barangay Captains ADNPH Agusan del Norte Provincial Hospital ADPCN Association of Deans of Philippine Colleges of Nursing AJA Adolescent Job Aids AMTSL Active Management of the Third Stage of Labor ANC Antenatal Care AOP Annual Operational Plan APSOM Association of Philippine Schools of Midwifery ARMM Autonomous Region of Muslim Mindanao AY Adolescent and Youth AYRH Adolescent and Youth Reproductive Health BCS + Balanced Counseling Strategy Plus BEmONC Basic Emergency and Obstetric Newborn Care BH Birthing Homes BHS Barangay Health Station BHW Barangay Health Worker BMC Butuan Medical Center BTL Bilateral Tubal Ligation CA Cooperating Agencies CAA Conflict Affected Areas CCT Conditional Cash Transfer CDI Cities Development Initiative CDO Cagayan de Oro CDOHO Cagayan de Oro Health Office CECAP Cervical Cancer Prevention Program CEmONC Comprehensive Emergency Obstetric and Newborn Care CHANGE Communication for Health Advancement through Networking and Governance Enhancement CHO City Health Office CHT Community Health Team CHT‐IS Community Health Team–Information System CMNC Caring for Mothers and Newborns in the Community COE Center of Excellence EBF Exclusive Breastfeeding IEC Information, Education, and Communication ILHZ Inter‐Local Health Zone IPHO Integrated Provincial Health Office LAM Lactational Amenorrhea Method LAPM Long Acting and Permanent Method LARC Long Acting Reversible Contraception LGUs Local Government Units LIPH Local Investment Plan for Health LMT Lactation Management Training M&E Monitoring and Evaluation MCP Maternity Care Package MH MindanaoHealth MLLA Mini Laparotomy using Local Anesthesia MNCHN/FP Maternal, Newborn, and Child Health and Nutrition/Family Planning MOA Memorandum of Agreement MSH Marawi Specialist Hospital MSI Marie Stopes International NCP Newborn Care Package NDP Nurse Deployment Program NHT National Household Targeting System NSV No Scalpel Vasectomy OSCE Objective Structured Competency Evaluation PHO Provincial Health Office PHN Public Health Nurse PMP Performance Monitoring Plan POPCOM Commission on Population PPFP Postpartum Family Planning PPIUD Postpartum Intrauterine Device TCL Target Client List Executive Summary The five-year (2013–2018) MindanaoHealth (MH) Project, a United States Agency for International Development (USAID)-funded project, is primed by Jhpiego in partnership with RTI International. The project’s goal is to improve family health by dramatically increasing the quality and uptake of integrated maternal, newborn, and child health and nutrition/family planning (MNCHN/FP) services at the household level, in communities, and at public and private health facilities, thereby resulting in improved child health and nutrition, reduced maternal and infant deaths, and decreased unmet need for FP services—especially among Mindanao’s lowest wealth quintiles and in conflict-affected areas. The project actively works and collaborates with the Department of Health (DOH)-led scale-up of high-impact services and client-centered information for Mindanao, the southernmost of the three island groups in the Philippines. MH works directly with five DOH-regional health offices (RHOs) of Zamboanga Peninsula, Northern Mindanao, Davao Region, SOCCSKSARGEN, and CARAGA as well as the DOH for the Autonomous Region of Muslim Mindanao (ARMM). The MH partnership involves local government units (LGUs) (provincial/municipal/city/barangays) in 19 provinces, two cities, and 366 municipalities and component cities. Building on the commitment of the DOH, MH made key achievements during the quarter from April 1 to June 30,, 2016: • Accomplished a promising increase in couple years of protection (CYP) from previous quarters especially on fixed provision of PPIUD and the re-introduction of LARC/PSI (both fixed and outreach) through the private sector; however, these FP interventions need to be accelerated to reach the Program Year (PY) 4 target. • Increased family planning (FP) current users (CU) from the previous quarter, with the exception of a few provinces and cities in Zamboanga Peninsula, Davao Region and ARMM. • Grew the network of service delivery points (SDPs) providing FP/reproductive health (RH) services from 535 as of the end of PY3 to 622, representing 96% of the PY4 target. • Achieved a slight increase in the number of women provided information on exclusive breastfeeding (EBF). • Scaled up the implementation of data quality checks (DQCs) in 61 LGUs of Zamboanga Peninsula, Northern Mindanao, Davao and SOCCKSARGEN Regions during the quarter bringing the total to139 LGUs, equivalent to 52% of the PY4 target. • Expanded the number of SDPs providing adolescent and youth reproductive health (AYRH) services. The number of hospitals and RHUs with established Center for Teens increased from 1 as of the end of PY3 to 25 as of the end of this reporting period. For the same period, Adolescent Job Aides (AJA) training expanded in 4 provinces (Zamboanga del Norte, Zamboanga del Sur, Lanao del Norte and Misamis Oriental, with 122
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