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Usaid Kenya (Aphiaplus Nairobi-Coast Health Service Delivery Project USAID KENYA (APHIAPLUS NAIROBI-COAST HEALTH SERVICE DELIVERY PROJECT QUARTERLY PROGRESS: FY 2014, Q2 REPORT APRIL – JUNE 2014 USAID/APHIAPLUS NAIROBI - COAST HEALTH SERVICE DELIVERY PROJECT FY 2013 Q4 PROGRESS REPORT (01 APRIL – 30 JUNE, 2014) AWARD NUMBER: USAID/KENYA RFA NO: 623-10-000009 PREPARED FOR: AOR: MS. JERUSHA KARUTHURI UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT/KENYA C/O AMERICAN EMBASSY UNITED NATIONS AVENUE, GIGIRI P.O. BOX 629, VILLAGE MARKET 00621 NAIROBI, KENYA PREPARED BY PATHFINDER INTERNATIONAL THE WATERMARK BUSINESS PARK, KAREN, FOUNTAIN COURT, 1ST FLOOR NDEGE ROAD, OFF LANGATA ROAD P. O. BOX 1996 – 00502 KAREN, NAIROBI, KENYA OFFICE: +254-20-3883142/3/4 MOBILE: +254-733-618359/+254-722-516275 FAX: [+254 20] 2214890 WWW.PATHFINDER.ORG | FACEBOOK | TWITTER The authors’ views expressed in this report do not necessarily reflect the views of the United States Agency for International Development or the United States Government. c USAID-APHIAplus Nairobi-Coast Health Service Delivery Project Q2, 2014 Report Page i TABLE OF CONTENTS ACRONYMS AND ABBREVIATIONS ..................................................................................................................................................III LIST OF FIGURES ............................................................................................................................................................................. VI LIST OF TABLES ............................................................................................................................................................................. VII LIST OF PHOTOS ........................................................................................................................................................................... VIII SECTION I: EXECUTIVE SUMMARY .................................................................................................................................................... 9 SECTION II: QUALITATIVE PRESENTATION OF KEY ACHIEVEMENTS ................................................................................................. 14 RESULT 3: INCREASED USE OF QUALITY HEALTH SERVICES, PRODUCTS AND INFORMATION....................................... 14 3.1: INCREASED AVAILABILITY OF AN INTEGRATED PACKAGE OF QUALITY HIGH-IMPACT INTERVENTIONS AT COMMUNITY AND HEALTH FACILITY LEVELS .............................................................................................................. 14 3.1 INCREASED AVAILABILITY OF AN INTEGRATED PACKAGE OF QUALITY HIGH-IMPACT INTERVENTIONS AT COMMUNITY AND HEALTH FACILITY LEVELS. ............................................................................................................. 29 3.2 INCREASED DEMAND FOR AN INTEGRATED PACKAGE OF QUALITY HIGH-IMPACT INTERVENTIONS AT COMMUNITY AND FACILITY LEVELS ............................................................................................................................ 30 .3.2: INCREASED DEMAND FOR AN INTEGRATED PACKAGE OF QUALITY HIGH-IMPACT INTERVENTIONS AT COMMUNITY AND HEALTH FACILITY LEVELS. ............................................................................................................. 38 RESULT 4 – SOCIAL DETERMINANTS OF HEALTH ADDRESSED TO IMPROVE THE WELL-BEING OF TARGETED COMMUNITIES AND POPULATIONS ........................................................................................................................... 41 4.1: MARGINALIZED, POOR AND UNDERSERVED GROUPS HAVE INCREASED ACCESS TO ECONOMIC SECURITY INITIATIVES THROUGH COORDINATION AND INTEGRATED WITH ECONOMIC STRENGTHENING PROGRAMS. ......... 41 4.3 MARGINALIZED, POOR AND UNDERSERVED GROUPS HAVE INCREASED ACCESS TO EDUCATION, LIFE SKILLS, AND LITERACY INITIATIVES THROUGH COORDINATION AND INTEGRATION WITH EDUCATION PROGRAMS ............ 47 4.4: INCREASED ACCESS TO SAFE WATER, SANITATION AND IMPROVED HYGIENE. ................................................... 48 4.5 STRENGTHENED SYSTEMS, STRUCTURES AND SERVICES FOR PROTECTION OF MARGINALIZED, POOR AND UNDERSERVED POPULATIONS .................................................................................................................................... 49 4.6: EXPANDED SOCIAL MOBILIZATION FOR HEALTH ................................................................................................. 50 CROSS-CUTTING ISSUES ............................................................................................................................................... 51 CONTRIBUTIONS TO HEALTH SYSTEMS STRENGTHENING: RESULTS AREAS 1 AND 2 ................................................... 54 SECTION VI: PERFORMANCE MONITORING .................................................................................................................................... 61 SECTION VI: PROGRESS ON LINKS TO OTHER USAID PROGRAMS .................................................................................................... 61 SECTION VII: PROGRESS ON LINKS WITH GOK AGENCIES ................................................................................................................ 62 SECTION VIII: SUSTAINABILITYAND EXIT STRATEGY .................................................................................................... 62 SECTION IX: SUBSQUENT QUARTER’S WORK PLAN ......................................................................................................................... 64 SECTION X: FINANCIAL INFORMATION ........................................................................................................................................... 89 Constraints and Critical Issues ............................................................................................................................. 90 SECTION XIV: SUCCESS STORY GUIDELINES & PREP SHEETS ............................................................................................................ 92 SUCCESS STORY 1: USE OF SMS SERVICES TO IMPROVE ON REPORTING TIMELINES ........................................................................ 92 SUCCESS STORY2: ADOPTION OF REGIONAL TOTS FOR HMIS TOOLS ......................................................................................... 92 SUCCESS STORY 3: MITIGATION FROM COHORT ANALYSIS ....................................................................................................... 92 SUCCESS STORY: 4: USE OF E-HEALTH SMS SERVICES IN DEFAULTER TRACING .............................................................................. 93 CASE STUDY 1: MATHARE NORTH HC HEI LOST TO FOLLOW UP (LFTU) ..................................................................................... 93 SECTION XII: SCHEDULE OF PLANNED ACTIVITIES ........................................................................................................................... 94 ANNEXES ..................................................................................................................................................................................... 108 USAID-APHIAplus Nairobi-Coast Health Service Delivery Project Q2, 2014 Report Page ii ACRONYMS AND ABBREVIATIONS AIDS Acquired Immune Deficiency Syndrome ANC Antenatal Care AOP Annual Operation Plan APHIA AIDS, Population and Health Integrated Assistance APHIAplus AIDS, Population and Health Integrated Assistance People-centered Local Leadership Universal Access and sustainability ART Antiretroviral Therapy ARV Antiretroviral (Drugs) BCC Behavior Change Communication CaCx Cancer of the Cervix CBHIS Community Based Health Information System CBO Community Based Organization CCC Comprehensive Care Center CHC Community Health Committee CHEW Community Health Extension Worker CHS Community Health Strategy CHU Community Health Unit CHW Community Health Worker CLTS Community-led Total Sanitation CLUSA Cooperative League of the USA CME Continuous Medical Education COPE Client Oriented Provider Efficiency CPGH Coast General Provincial Hospital CSA Community Self-Assessment CSI Child Status Index SW Sex workers CU Community Unit CYP Couple Years of Protection CASCO County HIV/AIDS and STI Control Office DBS Dry Blood Samples DHIS2 District Health Information System CHMT County Health Management Team CHRIO County Health Records Information Officer DMOH District Medical Officer of Health DNA Deoxyribonucleic Acid DQA Data Quality Analysis DTC Diagnostic Counseling and Testing DTLC District Tuberculosis and Leprosy Coordinator EBI Evidence based Initiative EID Early Infant Diagnosis EPI Expanded Program on Immunization FBO Faith Based Organizations FGD Focus Group Discussion FP Family Planning FSW Female Sex Workers GBV Gender Based Violence GIS Geographic Information System GoK Government of Kenya HAART Highly Active Anti-Retroviral Therapy HCBC Home and Community Based Care HCM Health Communications and Marketing HCS Home Community Support HTC HIV Counseling and Testing HCW Health Care Workers HEI HIV Exposed Infant USAID-APHIAplus Nairobi-Coast Health Service Delivery Project Q2, 2014 Report Page iii HES Household Economic Strengthening HFG HIV Free Generation HH Household HIM Healthy Images of Manhood HIV Human Immunodeficiency Virus HMIS Health Management Information System HMT Health Management Team HRIO Health Records Information officer HTC HIV Counseling and Testing ICF Intensified case finding IGA Income Generating Activity IMAM Integrated Management of Acute Malnutrition IMC International Medical Corps IMCI Integrated Management of
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