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PMI/ARM3 QUARTERLY REPORT 15 APRIL 1 – JUNE 30, 2015 __________________________________________________________________ FISCAL YEAR 2015, QUARTER 3 PROGRAM YEAR 4 JULY 2015 PMI/ARM3 Accelerating the Reduction of Malaria Morbidity and Mortality Program (ARM3) Quarterly Report 15 April 1, 2015 to June 30, 2015 Fiscal Year 2015, Program Year 4 Submitted to: Michelle Kouletio, Agreement Officer’s Representative (AOR), USAID/Benin Carrie Rasmussen, Family Health Team Leader (FHT), USAID/Benin Mariam Oke Sopoh, National Malaria Control Program (NMCP) Coordinator Olga Agbohoui Houinato, Maternal and Child Health Director Cover photo: A mother is grateful to health workers in Tanguieta Hospital who saved her daughter using ETAT guidelines Credit: ARM3 PMI/ARM3, Accelerating the Reduction of Malaria Morbidity and Mortality Program (ARM3), is funded by the United States Agency for International Development (USAID), under Cooperative Agreement AID-680-A-11-00001. ARM3 is managed by Medical Care Development International (MCDI) as the prime, in collaboration with Management Sciences for Health (MSH). The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or of the United States Government. Table of Contents Acronyms .............................................................................................................................................. 3 Acknowledgements ............................................................................................................................... 5 Executive Summary .............................................................................................................................. 6 Introduction ......................................................................................................................................... 11 Result 1: Implementation of Malaria Prevention Programs in Support of the National Malaria Strategy Improved ............................................................................................................................. 12 Sub-Result1.1a: IPTp Uptake Increased ................................................................................................................................... 12 Sub-Result 1.1b: Upgrade Skills of Health Workers through Pre-Service and In- Service Training .......................................... 17 Sub-Result 1.2: Supply and Use of LLINs Increased ................................................................................................................. 18 Result 2: Malaria Diagnosis and Treatment Activities in Support of the National Malaria Strategy Improved ............................................................................................................................. 19 Sub-Result 2.1: Diagnostic Capacity and Use of Testing Improved .......................................................................................... 19 Sub-Result 2.2: Case Management of Uncomplicated and Severe Malaria Improved .............................................................. 23 Sub-Result 2.3: Integrated Community Case Management (iCCM) Improved .......................................................................... 28 Result 3: The National Health System’s Capacity to Deliver and Manage Quality Malaria Treatment and Control Interventions Strengthened ....................................................................... 32 Sub-Result 3.1: The NMCP’s Technical Capacity to Plan, Design, Manage, and coordinate a Comprehensive Malaria Control program ........................................................................................................................................................................ 32 Sub-Result 3.2: Capacity to Collect, Manage and Use Malaria Health Information for M&E and Surveillance Improved ......... 34 Sub-Result 3.3: Capacity in Commodities and SCM Improved ................................................... Error! Bookmark not defined. Result 4: Cross Sectional Activities ................................................................................................ 51 Financial Summary ........................................................................................................................... 57 Annex 1: Cumulative Financial Report, October 3, 2011 through June 30, 2015 ................................. 58 Annex 2: SF 425 .................................................................................................................................. 59 Annex 3: Progress on ARM3 Year 4 Work Plan .................................................................................. 60 ARM3 Quarterly Report 15, April – June 2015 2 | Page Acronyms ACPB Association des Cliniques Privées du Bénin ACT Artemisinin Combination Therapy AIRS Africa Indoor Residual Spraying Project AMCES Association des Œuvres Médicales Privées Confessionnelles et Sociales ANC Antenatal care ANCRE Advancing Newborn, Child and Reproductive Health Program APC Advancing Partners and Communities Project ARM3 Accelerating the Reduction of Malaria Morbidity and Mortality Program BCC Behavioral Change Communication CAME Centrale d’Achat des Médicaments Essentiels (Central Medical Stores) CDC Centers for Disease Control and Prevention CEBAC-STP Coalition des Entreprises Béninoises et Associations Privées Contre le SIDA, la Tuberculose, et le Paludisme CHW Community Health Workers CNAPS Comité National d’Approvisionnement des Produits de Santé / National Committee of the Supplies in Health Commodities DDS Direction Départementale de la Santé/ Departmental Directorate of Health DHS Demographic Health Survey DNSP Direction Nationale de la Santé Publique DPMED Direction de la Pharmacie du Médicament et des Explorations Diagnostiques DRZ Dépôt Répartiteurs de Zone (HZ Depots) DSME Direction de la Santé de la Mère et de l’Enfant/Directorate of Maternal and Child Health DTS Dried Tube Specimen ETAT Emergency Triage, Assessment and Treatment EUVS End Use Verification Survey FHT Family Health Team GFATM Global Fund to Fight AIDS, Tuberculosis, and Malaria GOB Government of Benin HF Health Facility HFS Health Facility Survey HMIS Health Management Information Systems HO Home Office HZ Health Zone HZT Health Zone Training Teams iCCM Integrated Community Case Management IMCI Integrated Management of Childhood Illness IPC Interpersonal Communication IPTp Intermittent Preventive Treatment for Pregnant Women JHU-CCP Johns Hopkins University – Center for Communication Programs LLIN Long Lasting Insecticide-Treated Nets LMIS Logistical Management Information System LNCQ Laboratoire National de Contrôle de la Qualité des Médicaments LOP Length of Project LQAS Lot Quality Assurance Sampling MCDI Medical Care Development International M&E Monitoring & Evaluation MEDISTOCK Commodities Management Program MC-LMIS Medical Commodities LMIS MOH Ministry of Health MOU Memorandum of Understanding MOP Malaria Operational Plan MSH Management Sciences for Health NGO Non-Governmental Organization NMCP National Malaria Control Program ARM3 Quarterly Report 15, April – June 2015 3 | Page OTSS Outreach Training Support and Supervision PBF Performance Based Financing PIHI-C Paquet d'Intervention à Haut Impact Communautaire PISAF The Integrated Family Health Project PITA Integrated Annual Work Plan PMI President’s Malaria Initiative QA Quality Assurance RDT Rapid Diagnostic Test RDQA Routine Data Quality Assessment RMIS Routine Malaria Information System ROBS Réseau des ONG Béninoises de Santé/ Network of Beninese Heath NGOs SCM Supply Chain Management SNIGS Système National d’Information et de Gestion Sanitaires SOP Standard Operating Procedures SP Sulfadoxine-Pyrimethamine TOR Terms of Reference TWG Technical Working Group UNICEF United Nations Children’s Fund USAID United States Agency for International Development USG United States Government WHO World Health Organization ARM3 Quarterly Report 15, April – June 2015 4 | Page Acknowledgements ARM3 wishes to thank everyone who helped create this document as well as various technical and financial partners for providing constant support to Benin in the fight against malaria, including the National Malaria Control Program and the Directorate of Maternal and Child Health from the Ministry of Health, the Representations of the United Nations Children’s Fund (UNICEF) and the World Health Organization (WHO) as well as our private sector partners: Coalition des Entreprises Béninoises et Associations Privées Contre le SIDA, la Tuberculose, et le Paludisme (CEBAC-STP); Association des Œuvres Médicales Privées Confessionnelles et Sociales (AMCES); Réseau des ONG Beninoises de Santé (ROBS); and Association des Cliniques Privées du Bénin (ACPB). In addition, we would like to acknowledge the USAID Benin Mission personnel for their technical guidance and financial support in the implementation of the ARM3 Project. ARM3 Quarterly Report 15, April – June 2015 5 | Page Executive Summary ARM3 Results Sub-Results Key Achievements/Challenges 1. Implementation of 1.1: IPTp uptake Analyzed IPTp data in preparation for meetings malaria prevention Increased with the NMCP programs in Provided technical assistance to the NMCP for support of the the supervision of CHWs in BCC, IPTp, Malaria National Malaria Strategy improved Case Management, and LLIN distribution Evaluated the effectiveness of ARM3 BCC activities Disseminated mass media messages on malaria prevention and treatment
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