USAID Scaling Up Nutrition Technical Assistance

Quarterly Progress Report April 1 – June 30, 2020

Submission Date: July 30, 2020 Revised August 31, 2020

Contract Number: 72061119C00002 Contract Period: February 18, 2019 – February 17, 2023 COR Name: ACOR Name:

Submitted by: , Chief of Party DAI Global LLC

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This document was produced for review and approval by the United States Agency for International Development/.

USAID SUN TA 72061119C00002

TABLE OF CONTENT

ACRONYMS AND ABBREVIATIONS ...... 3

1. PROJECT OVERVIEW ...... 5

2. EXECUTIVE SUMMARY ...... 5

3. ACTIVITY IMPLEMENTATION PROGRESS ...... 7 3.1 Agriculture and Livelihoods ...... 7 3.2 Health and Nutrition ...... 8 3.3 Water, Sanitation and Hygiene (WASH) ...... 9 3.4 Cross Cutting Activities ...... 12 3.5 Implementation Challenges ...... 12 3.6 AMELP Update ...... 13

4. COMMUNICATION ...... 14

5. STAKEHOLDER PARTICIPATION AND INVOLVEMENT . 15

6. MANAGEMENT AND ADMINISTRATION ...... 16 6.1 Human Resources ...... 16 6.2 Procurement ...... 16 6.3 Finance and Compliance ...... 16 6.4 Information Technology...... 17

7. PLANNED ACTIVITIES FOR NEXT QUARTER ...... 17

8. Annex A: Indicator Performance Tracking Table ...... 19

9. ANNEX B: Q2 Progress on Individual Capacity-building by Technical Area ...... 21

10. ANNEX B: Updated Organizational Chart ...... 22

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ACRONYMS AND ABBREVIATIONS

AMELP Activity Monitoring, Evaluation and Learning Plan APMs Area Pump Menders CBVs Community Based Volunteers CCs Community Champions CEOs Camp Extension Officers CHAs Community Health Assistants CLTS Community Lead Total Sanitation CSA Climate Smart Agriculture CSLG Community Savings and Loans Groups DNCC District Nutrition Coordination Committee D-WASHE District Water, Sanitation, Hygiene and Education EHTs Environment Health Technicians GRZ Government of the Republic of Zambia IVR Interactive Voice Recording IYCF Infant and Young Child Feeding MCDP II Phase Two of 1,000 Most Critical Days Program MCDSS Ministry of Community Development and Social Services MEL Monitoring, Evaluation and Learning MLGH Ministry of Local Government and Housing MOH Ministry of Health MWDSEP Ministry of Water Development, Sanitation and Environmental Protection NFNC National Food and Nutrition Commission ODF Open Defecation Free ORS Oral Rehydration Salt SAGs Sanitation Action Groups SBC Social and Behavior Change SMSG SUN Mother Support Groups

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SUN TA Scaling Up Nutrition Technical Assistance TOT Training of Trainers TWG Technical Working Group USAID United States Agency for International Development VPN Virtual Private Network V-WASHE Village Water Sanitation, Hygiene, and Education WASH Water, Sanitation and Hygiene WNCC Ward Nutrition Coordinating Committee

Cover picture Area Pump Menders during the water needs assessment in Sunkutu Village, . © SUN TA, June 2020

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1. PROJECT OVERVIEW

The U.S. Agency for International Development (USAID) Scaling Up Nutrition Technical Assistance (SUN TA) Project Quarterly Progress Report (Q2 2020) covers activities implemented from April 1, 2020 to June 30, 2020.

The USAID SUN TA is a four-year (February 18, 2019 - February 17, 2023) contract (72061119C00002) with three additional options years for a total of seven (7) years between DAI Global LLC and the U.S. Agency for International Development (USAID). The Scaling Up Nutrition Program is a cross-ministry and multi-donor program to reduce stunting in Zambia through implementation of the Government of the Republic of Zambia (GRZ) 1,000 Most Critical Days Program. USAID has contracted DAI Global, LLC to implement the USAID SUN TA Project and contribute to the reduction of stunting among children under two years of age in Zambia. This Project is currently implemented in 13 selected districts of Central Province (, Mumbwa, Chibombo, Kapiri Mposhi), (, ), (Mansa, Samfya, Nchelenge), and Northern Province (Kasama, Mbala, Kaputa, Luwingu). SUN TA is targeting women of reproductive age 15 - 49 with at least one child under 2 years of age, and pregnant women. In addition, the Project is targeting the SUN most vulnerable households (a household that includes one or more of the following: a teenage pregnant woman, a pregnant woman with low body mass index/MUAC, a woman with an infant under 6 months of age with recorded low birth weight, or a maternal mortality within 6 months of delivery).

To achieve the goal for this Project, USAID has identified two main objectives that address stunting:

• Adequate Quantity and Quality of Dietary Intake among Target Groups • Adequate Health Conditions for Biological Utilization of Nutrients

As part of the larger SUN effort, the USAID SUN TA Project provides technical assistance and direct implementation support to sub-national local government departments and staff in the selected districts to plan, implement, coordinate, and monitor integrated nutrition-sensitive and nutrition-specific activities to significantly reduce the rate of stunting among Zambian children under two.

SUN TA evidence-based interventions will increase access to and availability of safe, diverse, nutritious food; encourage the adoption of better child feeding and household hygiene practices; and increase access and use of improved health, water and sanitation services. The Project prioritizes sustainability by improving both intra-household joint decision-making and capacity-building among local government and stakeholders including private sector to ensure coordination, accountability, social and behavior change, and learning replicating the Scaling Up Nutrition theory of change model.

2. EXECUTIVE SUMMARY

This quarter, the USAID SUN TA supported 13 districts with SUN high-impact interventions in Agriculture and Livelihoods, Health and Nutrition and WASH. Key activities and achievements include:

Agriculture & Livelihoods SUN TA trained 588 Lead Farmers who will in turn train 15 Follower Farmers each with the goal of improving the production of nutritious vegetables and legumes.

Further, these farmers have established 288 community gardens and 22 health facility gardens at Project sites which will produce healthy, nutritious food and promote increased nutrient intake. The gardens also

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In SUN TA most vulnerable households, 1,338 families have been provided with start-up agriculture inputs (high-quality vegetable seeds) including Amaranthus, carrots, spinach, and biofortified Mbereshi beans.

As a way to continue providing improved, high-quality seeds, SUN TA drafted and submitted an MOU for USAID’s review. The MOU engages two private sector partners to increase access to high-quality seed and facilitate market access. Good Nature Agro will provide improved seeds as well as training, and First Wave Group will buy soybeans from SUN TA smallholder farmers.

SUN TA hosted a training-of-trainers workshop for 222 participants to scale up Community Savings and Loan Groups. These trainers will go on to train Community Facilitators, who will form and supervise Community Savings and Loans Groups. Further, Community Facilitators made progress in forming 84 Community Savings and Loans Groups in Q2 with a cumulative membership of 1,712 (1,284 females and 428 males). These groups aim to improve access to financial services such as savings, loans and insurance.

Health & Nutrition In Q2, SUN TA trained 407 Health Facility Staff and 1,490 Community-based Volunteers (CBVs) on how to form and manage SUN Mother Support Groups.

CBVs have formed 373 SUN Mother Support Groups across most target districts. Each SUN SMG includes 15 women at the community level, which translates to 5,595 households reached this quarter with health and nutrition interventions and messaging.

SUN TA also trained 119 Community-Based Family Planning Providers (71 females and 48 males) in Mansa and Kapiri Mposhi Districts to reach women of reproductive age and adolescent girls with FP messages and commodities.

WASH In Q2, 379 professionals were trained in WASH-related activities including: • 40 Community-led Total Sanitation Trainers • 97 Environmental Health Technicians/Community Health Assistants • 163 Laboratory Technicians • 79 Community Champions

The Community Champions are triggering households with the Community Led Total Sanitation approach and have helped form 111 Sanitation Action Groups. Each SAG has 10 members who oversee and follow- up on the construction and use of adequate household latrines with the goal of attaining Open Defecation Free status in 111 villages.

SUN TA also established 64 Village Water, Sanitation and Hygiene Education (V-WASHE) committees to further community ownership and management of water points.

Three (3) Architectural and Engineering firms (Rankin Engineering, WRC Consultants Ltd, and East Consult Engineering Consultancy) have tendered to conduct siting, design, water quality analysis and supervision for hand pump and water scheme borehole drilling.

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3. ACTIVITY IMPLEMENTATION PROGRESS

3.1 Agriculture and Livelihoods The agriculture and livelihoods component aims to increase reliable access to safe and nutritious food through nutrition-sensitive agriculture and financial inclusion. To achieve increased access to safe and nutritious foods, SUN TA addresses household food, income and nutrition security through increased production, productivity and profitability of diverse (nutrient-dense) vegetables, legumes, field crops and livestock at community and household level, using climate smart agricultural (CSA) practices.

Financial inclusion is attained through community savings and loans groups (CSLGs) linked with micro, small and medium enterprises development (creating an opportunity for alternative livelihoods) at community level. In rolling out these interventions, SUN TA works with the Ministry of Agriculture, Ministry of Fisheries and Livestock, Ministry of Commerce and Trade, Ministry of Community Development and Social Services structures from national to district and community levels. During the period under review, activities were conducted as follows:

▪ Lead Farmers Trained: 588 Lead Farmers were trained this quarter (bringing the cumulative total to 1,253 (37 females and 916 males). At sub-district level, 71 Camp Extension Officers (22 females and 49 males) were trained in the establishment and management of gardens, bringing the total to 85. The 85 CEOs have trained 812 Lead Farmers who are providing training and capacity building to about 12,180 Follower Farmers in good agriculture practices. Out of the 812 Lead Farmers trained, 681 have fully established gardens which are being used as farmer field schools for the Follower Farmers to enhance continuous learning and demonstrations.

▪ Provision of starter-packs to SUN households: This reporting period, 1,338 (589 females and 749 males) most vulnerable households accessed start-up agriculture inputs - nutritious vegetable seeds (carrots, rape, spinach, Amaranthus) and bio-fortified Mbereshi beans to boost the diversity of nutritious vegetables available at the household level.

▪ Establishment of vegetable gardens: 85 health facility staff in Kasama (49), Mbala (15), Kaputa (10) and Mumbwa (11) districts were trained in the establishment and management of vegetable gardens. Out of the 85 trained, 81 have established health facility gardens in Mansa (16), Samfya (16), Kasama (25), Mbala (12), Kaputa (3), and Mumbwa (9) districts and are expected to benefit households in information dissemination and learning.

▪ Building local chicken value chain: This quarter, SUN TA held preliminary meetings with the Ministry of Fisheries and Livestock in six of the 13 districts targeted for poultry interventions (Mbala, Kasama, Luwingu, Mansa, Kabwe, Mumbwa). An initial survey on availability of Agrovet/feed dealers in the six districts is complete. SUN TA visited a hatchery in Mkushi called Zikulu Nkuku to ascertain their ability to supply local day-old chicks (DOC). The firm was assessed and ready to supply chicks to the would-be district Anchor Farmers, especially for districts in Northern and Luapula Provinces. The hatchery indicated willingness and capacity to supply 5,000 DOCs centrally at any given time.

▪ Training of Government staff in CSLG: 222 government staff (112 females and 110 males) were trained in community savings and loans group formation methodology to improve access to financial services (savings, loans and insurance). Further, 364 community facilitators (225 females and 139 males) have been trained and group formation has started with 84 groups formed with membership of 1,712 (1,284 females and 428 males). Furthermore, groups in Mansa and Samfya Districts have started savings.

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▪ Establishment of Savings Information System: An online management information system (SAVIX MIS) has been established for generating information on activities of savings groups. Each district will feed data into the system based on operations of their groups, thus contributing to an interactive database that will be accessible to all districts. This system will contribute to the national database managed by the National Savings Network (SaveNet).

▪ Engagement with Private Sector: SUN TA has partnered with two private sector partners (Good Nature Agro and First Wave Group of Companies) and submitted the draft MOU to USAID for final review aimed at increasing access to improved seeds, inoculant and give market access to smallholder farmers. Good Nature Agro will provide seeds and training, while First Wave Group of Companies will buy soybeans from farmers in the Project sites. Additionally, SUN TA has identified and engaged six private service providers in Mansa and Kasama Districts to supply the necessary saving kits to savings groups. So far, 90 kits have been supplied to the saving groups in Mansa District. This is one way of linking the private sector to savings groups from inception. Going forward, SUN TA will nurture this relationship to ensure service providers continue getting referrals from existing groups for more kits for new savings groups.

▪ Technical Supervisory Visits: The Agriculture and Livelihoods Expert and staff from TechnoServe undertook technical and supervisory visits to Mansa, Samfya, Kasama, Kabwe and Kapiri Mposhi districts to monitor progress of implementation and provide support to district technical officers and Government staff. In addition, the team monitored the established vegetable gardens and checked on the trained Lead Farmers, individual beneficiaries and institutional beneficiaries such as health facilities who received a range of seeds such as Amaranthus, carrots, spinach and iron-rich beans.

3.2 Health and Nutrition The Health and Nutrition component of SUN TA aims at improving IYCF, caring practices, and Maternal and Adolescents Nutrition. SUN TA uses nutrition-specific, high-impact interventions (antenatal care, early initiation of breastfeeding, exclusive breast feeding, complementary feeding, and systems strengthening for iron, folate and vitamin A supplementation including ORS/Zinc for treatment of diarrhea) targeting pregnant, breast feeding women, teenage pregnant adolescent and children under two years of age. This is to be achieved by working with the Ministry of Health and other related key line ministries through formation and management of SUN Mother Support Groups to reach beneficiaries at community and household levels.

During this reporting period, the following activities were conducted:

▪ Training of Trainers for SMSGs: 87 GRZ staff (54 females and 33 males) from Ministry of Health and other line ministries trained as trainers in SUN Mother Support Group formation in Chibombo, Kabwe, Kapiri Mposhi, Ndola, Kitwe, Luwingu and Nchelenge districts. The trained officers are leading the training of sub-district staff, resulting in subsequent formation of SMSGs.

▪ Training of Sub-District Staff in SMSGs: A total of 407 sub-district staff (234 females and 173 males) drawn mainly from the health facilities within each district were trained in the formation and management of SMSGs as follows; Mumbwa (62), Chibombo (80), Kabwe (79), Kapiri Mposhi (45), Kaputa (29), Nchelenge (36), Kitwe (52) and Ndola (24). The sub-district staff are to cascade the SMSG training model to the CBVs within their various catchment areas. SMSG is the platform for the delivery of key interventions such as infant and young child feeding, maternal and adolescent nutrition, family planning, hygiene promotion, food preparation, child growth monitoring and promotion, and

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early childhood development.

▪ Training of CBVs in SMSGs: A total of 1,490 CBVs were trained at health facility catchment level across eight districts except for Kitwe, Kapiri Mposhi, Kaputa, Luwingu and Nchelenge. These trainings will continue in the next quarter for these remaining districts.

▪ Formation of SUN Mother Support Groups: 373 SUN Mother Support Groups (MSG) were established in Kasama (284) and Mansa (89) with 5,595 households reached at community level. The formation of SMSGs is expected to increase rapidly in the next quarter as all districts would by then have completed training of CBVs. The CBVs managing the SMSGs have already started delivering the high-impact messages including promotion of breastfeeding, importance of attending antenatal care, importance of under-5 clinics and growth monitoring and promotion. Integration of family planning is added to the group discussions once the CBVs have been trained.

▪ Community-level Family Planning: SUN TA trained 119 community-based family planning providers (71 females and 48 males) in Mansa and Kapiri Mposhi Districts. The trained CBVs will provide services and contraceptives to women of reproductive age and adolescent girls, including SMSG members within health facility catchment areas. CBVs will be given sufficient supply of FP commodities, and they will be required to report and submit returns to the health facility accordingly.

▪ Technical Supervisory Visit: The Nutrition and Child Health Expert visited Chibombo, Mumbwa, Kasama, Kaputa and Nchelenge districts to offer technical and supervisory support to the district teams. Working with the national and provincial SMSG trainers, the team supervised ongoing trainings in SMSG and monitored implementation of other ongoing health and nutrition activities such as formation of SMSGs.

3.3 Water, Sanitation and Hygiene (WASH) The WASH thematic area focuses on reducing exposure to causes of diseases, environmental pathological load and the risk of diarrheal diseases, intestinal and respiratory infections. SUN TA worked with the Ministry of Local Government and Housing (MLGH) and Ministry of Water Development, Sanitation and Environmental Protection (MWDSEP) to increase access to safe water, sanitation and hygiene at household and community levels. During this reporting period, SUN TA supported the following activities:

▪ Training of D-WASHE Members in Water Needs Assessments: SUN TA WASH Expert and Water Systems Engineer facilitated training of 43 D-WASHE members (three for each of the 13 districts plus four provincial staff from Northern and Central provinces) on how to conduct water needs assessments and borehole rehabilitation. In addition, the SUN TA WASH District Technical Officers from the 13 districts participated in the training. The Project also developed the Standard Operating Procedures (SOPs) for water needs assessments and borehole rehabilitation to guide districts on the identification of communities in need of new handpump boreholes, water scheme reticulation systems and water points requiring rehabilitation.

▪ Water Needs Assessment: This quarter, D-WASHE members conducted the water needs assessments in all 13 districts and identified beneficiary villages for handpump boreholes and community water schemes. The D-WASHE committees used the application for boreholes at the local councils to conduct desk appraisals, and later field appraisals to select needy villages. The table below shows the number of new handpump boreholes, water schemes reticulation systems, and boreholes targeted for rehabilitation per district. Also, the water scheme sites were appraised by the Water Systems Engineer to ensure they met the guidelines stipulated in the SOPs that SUN TA

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developed and shared with D-WASHE members.

WATER HANDPUMP BOREHOLES FOR PROVINCE DISTRICT SCHEME BOREHOLES REHABILITATION BOREHOLES Kasama 25 2 54 Mbala 24 2 54 NORTHERN Luwingu 24 2 54 Kaputa 24 2 54 Sub-total 97 8 216 Mansa 25 2 54 Samfya 25 2 54 LUAPULA Nchelenge 26 2 54 Sub-total 76 6 162 Ndola 15 2 53 COPPERBELT Kitwe 15 2 53 Sub-total 30 4 106 Kabwe 24 2 54 Mumbwa 25 2 54 CENTRAL Kapiri Mposhi 24 2 54 Chibombo 24 2 54 Sub-total 97 8 216 GRAND TOTAL 300 26 700

▪ Training in Water Sampling and Quality Analysis: A total of 163 GRZ staff (62 females and 101 males) comprising Laboratory Technologists, Environmental Health Technologists, Environmental Health Officers and Public Health Officers were trained in water sampling and quality analysis. The trained staff were from the following districts: Chibombo (10), Kaputa (12), Kitwe (15), Mbala (12), Mumbwa (13), Kabwe (15), Ndola (12), Kapiri Mposhi (10), Samfya (13), Kasama (13), Mansa (14), Nchelenge (12) and Luwingu (12). The National Institute for Scientific and Industrial Research (NISIR) and SUN TA conducted the joint training. During the water point rehabilitation needs assessment and actual rehabilitation in each district, the trained staff will be responsible for water sampling and the analysis of Arsenic, Lead, Fluoride, Fecal Coliforms, Nitrates, Iron, Electrical Conductivity, Total Dissolved Solids, pH and Turbidity. In each district (except for Chibombo which does not have a Potalab), the trained staff will use the Potalab to measure the physical parameters on site and conduct the quality analysis for fecal coliforms and nitrates in the Ministry of Health laboratory. SUN TA will facilitate provision of laboratory reagents for all the district Potalabs. The samples for the analysis of heavy metals (Arsenic, Lead, Fluoride and Iron) will be preserved, packaged and transported to the NISIR or the Alfred H. Knight laboratory for analysis.

▪ CLTS Training of Trainers: SUN TA worked with the MWDSEP which mobilized 5 CLTS national coaches to conduct the training of trainers (TOT) in CLTS for 40 D-WASHE members (eight females and 32 males) in the following districts: Chibombo (6), Kapiri Mposhi (5), Kabwe (6), Ndola (5), Kitwe (5), Nchelenge, (5), Luwingu (4) and two provincial officers - Provincial Water Supply and Sanitation

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Officer and Chief Environmental Officer for Central and Copperbelt Provinces, respectively. The trained district trainers are responsible for cascading the CLTS training to health facility staff (EHTs and CHAs) and community-based volunteers community champions) as well as in orienting heads of government departments, and civic and traditional leaders in their respective districts. The goal is district-wide implementation of CLTS to ensure universal access to adequate sanitation and hygiene and ultimately reach ODF status at catchment area and district levels.

▪ CLTS Training of EHTs, CHAs and Community Champions: 97 (45 females and 52 males) Environmental Health Technicians (EHTs) and Community Health Assistants (CHAs) were trained (Mansa – 21, Kapiri Mposhi – 36, and Chibombo – 40) in CLTS to increase access to sanitation and hygiene at community level. In addition, 79 (17 females and 62 males) community champions (CCs) were trained in Mansa (35), and Samfya (44). The trained community champions are rolling out CLTS to trigger households and promote universal access to adequate sanitation and hygiene in 350 Mansa District villages and 584 villages.

▪ Promotion of Handwashing: The Project supported 738 community champions (Kasama 70, Mbala 42, Kaputa 40, Mansa 126, Samfya 40, Mumbwa 50, Kabwe 80, Chibombo 80, Kapiri Mposhi 72, Kitwe 40, Ndola 30, Luwingu 34, and Nchelenge 34) under the supervision of the EHTs/CHAs to conduct door-to-door visits to engage with heads of households to promote frequent handwashing with water and soap, use of adequate sanitation and household water treatment. To ensure that the community champions are adequately prepared to reach out to households, the D-WASHE members provided an orientation on critical times for handwashing as well as how to correctly wash hands with soap. This was done to trigger heads of households and fight infectious diseases such as diarrhea and COVID-19. Additionally, SUN TA procured public address systems that were used to reach out to communities in both rural and urban areas with messages on WASH as well as other prevention measures on COVID-19.

▪ Formation of Sanitation Action Groups: 111 Sanitation Action Groups (SAGs) were formed with 10 members each to oversee and follow-up the construction and use of adequate latrines to attain Open Defecation Free (ODF) status in 111 villages (Mumbwa - 25, Samfya - 35, Kasama - 30, and Mansa – 21). This quarter, a total of 352 villages were triggered and SAGs established that will be oriented in their roles and responsibilities in the next quarter. The triggering of villages is being done in smaller groups due to COVID-19 restriction on gatherings.

▪ Formation of V-WASHE Committees: 64 V-WASHE committees were formed and trained in their roles and responsibilities by EHTs/CHAs to promote community ownership of waterpoints. The sub-district level EHTs/CHAs are taking a leading role to form and train the V-WASHE committees. Each V-WASHE committee has a membership of 10 people. Thus, a total of 640 members have been trained to spearhead water point management. The formed V-WASHE committees have developed constitutions guiding the management of the water points including water fees paid by the households.

▪ Engagement of A&E firms: SUN TA started the process of engaging Architectural and Engineering (A & E) firms for borehole siting, design, water quality analysis and supervision of borehole drilling and construction. The EOI was issued, and five firms (Rankin Engineering, WRC Consultants Ltd, East Consult Consulting Engineers, BCHOD and Ansco) were shortlisted. The RFP which was developed by SUN TA and reviewed by USAID was sent to all five firms out of which three firms (Rankin Engineering, WRC Consultants Ltd, and East Consult Consulting Engineers) tendered. SUN TA completed the RFP proposal evaluation and is in the process of awarding the contract to the successful bidder. There are two lots: Lot 1 comprising seven districts in Northern and Luapula Provinces with

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173 handpump boreholes and 14 community water schemes; and Lot 2 comprising six districts in Central and Copperbelt Provinces has 127 handpump boreholes and 12 community water schemes.

▪ Technical Supervisory Visits: The SUN TA WASH Expert undertook technical and supervisory visits to Chibombo, Kapiri Mposhi, Kitwe, Samfya, Kasama, Mansa and Kaputa districts to monitor and support the implementation of CLTS activities. The focus in Kasama, Mansa and Kaputa was SAG formation and orientation and CLTS reporting by SAGs, community champions and EHTs to monitor the progress toward increased access to sanitation and hygiene practices. Some catchments and villages were sampled to conduct spot checks on reporting at health facility level. The technical visit to Chibombo, Kapiri Mposhi and Kitwe was to check on the district CLTS TOTs for community champions and EHTs/CHAs. The district trainers were supported by a national CLTS coach in each district and delivered the trainings with the expected quality. To ensure the sub-district cadre are fully mentored and coached to support implementation of CLTS at scale, the CLTS national coaches will be making follow ups on district trainers. Additionally, the USAID SUN TA Water Systems Engineer conducted supervisory and technical support visits to all the districts to provide technical advice on the water needs assessments and appraise the sites selected for community water schemes.

3.4 Cross Cutting Activities

▪ Updating of Six District Workplans: SUN TA worked with SUN LE, NFNC and line ministries represented in the DNCCs to update workplans for Mumbwa, Kasama, Kaputa, Mbala, Mansa and Samfya districts. The six workplans expired at the end of March and were updated to include activities that will be implemented from April to December 2020. Partnering with SUN LE worked well as their dissemination of the SUN baseline findings was meant to inform prioritization of activities and planning based on data. Starting January 2021, all 13 districts will have the same duration of workplans. A recurring challenge in all districts is one of expectations. Despite SUN TA’s technical and financial guidance, there are continued attempts by districts to introduce activities outside SUN TA’s scope.

▪ SUN TA hosts USAID for first virtual site visit: SUN TA hosted USAID Zambia for the first- ever Project virtual site visit. USAID officials, SUN TA senior leadership, field staff, Government officials and beneficiaries were dispersed between and three different sites in Kasama District of Northern Province where SUN TA showcased its work in health and nutrition; agriculture and livelihoods; and water, sanitation and hygiene. The District Commissioner and senior Government officials including the District Administrative Officer, District Health Director, Senior Agriculture Officer, the Town Clerk and the National Food and Nutrition Commission (NFNC) Provincial Coordinator thanked USAID for the support and gave an overview of how SUN TA has supported and collaborated with various Government departments to reach households and achieve results thus far. USAID staff from four offices (Economic Development, Program Office, Health Office, and Office of Acquisition and Assistance) interacted with Project beneficiaries including Lead Farmers, Community Champions, Community Facilitators and SUN mother support group members via livestream. All observers could see gardens providing households with a variety of nutritious vegetables, CBVs and groups of mothers learning about better childcare practices, new infrastructures contributing to improved sanitation and hygiene, and the community development staff facilitating training of community-based volunteers in savings and loans groups.

3.5 Implementation Challenges

▪ Non-functional D-WASHE committees in Kitwe, Ndola and Nchelenge, whereas in the rest of the ten districts the committees were very weak. The only active member department/ministries are

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Water Resources, Local Authority and MOH. SUN TA is working with the Provincial Water Supply and Sanitation Officers under MWDSEP, to revamp, train and orient D-WASHE committees in their roles and responsibilities to ensure effective coordination and implementation of WASH interventions. In strengthening D-WASHE committees, SUN TA has started engaging Town Clerks who are chairpersons of the D-WASHE committees to take a leading role. Currently, most of them prefer delegating to junior officers, a situation that sometimes renders the D-WASHE committees less important and less effective.

▪ Almost all Project activities entail gathering people for meetings and trainings. But the restrictions brought about by COVID-19 meant a scale down in the number of participants per activity and an increase in the number of activities required to meet targets. For instance, trainings planned for up to 50 participants have had to be conducted over a longer period of time in multiple waves of smaller groups not to exceed 15 participants (in line with restrictions on the numbers of people that can gather). However, despite the limitations, SUN TA carried on with activities while diligently respecting all public health guidelines and regulations.

3.6 AMELP Update

MEL is a critical component of the Project, enabling design of the monitoring plan, tools, and tracking of results. SUN TA’s M&E system draws on and uses the existing government district and sub-district reporting structures and systems. Where there are capacity gaps and system weaknesses, SUN TA builds capacity and strengthens the existing systems. In Q2 2020, the SUN TA M&E Team undertook the following activities:

▪ Capacity Building for SUN TA staff and Partners: Training on the MEL system and utilization of data collection instruments targeted SUN TA staff, community-based volunteers, and front-line government personnel. 61 SUN TA staff, 303 front-line government personnel, and 89 lead farmers were trained on the MEL system and data collection instruments. The training covered both paper- based and electronic data collection instruments for WASH, health and nutrition, agriculture, and livelihoods, data quality management and its processes, data management schedule for data collection timelines, feedback loops, and data reporting deadlines. Also, the training covered the revised strategy on household registration and the identification of SUN-eligible households for the delivery of goods and services to beneficiaries. It is expected that through the training provided to SUN TA staff and partners, data will be consistent, timely, and of high quality.

▪ Strengthening the MEL System: In the first quarter of 2020, SUN TA’s MEL team completed streamlining data collection instruments and a relational data model for the monitoring and measurement of results in all thematic areas. In the period covered by this report, the MEL team focused on testing, refining and operating the system, including data collection instruments, through training and mentorship and data needs assessments in all 13 districts. A data pipeline – including data backup and a relational model, dashboards for data quality control and MEL management, as well as dashboards for indicator results calculation and auditability – was developed.

▪ Data Quality Assessment: A data quality assessment was conducted in all 13 districts for activities conducted in the first two quarters. The following issues were observed:

• Agriculture input distribution lists had missing fields such as the name of the distribution center, national registration number of the beneficiaries, mismatched crop quantities against the measurement unit, date of distribution and the type of crop distributed.

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• CBV agreement forms had missing data; national registration number, date of birth, and the specific area of intervention of the CBV for SUN TA. • The training attendance forms had missing locations where the training occurred, original training titles, and incomplete numbers on national registration numbers.

In view of the above findings, the MEL team introduced a revised digital agriculture input distribution form to capture all inputs distributed on one form. The form will capture data using mobile devices as inputs are distributed, reducing the time to capture data per household as well as a significant reduction in the potential for data error.

The form will also eliminate the mis-matched information on the agriculture input unit of measure and quantity. SUN TA and Government staff were oriented on the correct capture of data for CBVs and trainings to eliminate discrepancies.

▪ Staffing and Recruitment: To support efficient data management, SUN TA recruited 13 data associates (one for each district). The data associates are responsible for the whole continuum of data flow and management – from capturing, processing, storage, retrieval and usage. They work under the supervision of the Provincial M&E Officers with technical backstop from the M&E Manager and Data Management Specialist. Real-time data reviews are conducted weekly to check data quality.

▪ Development of Indicator Dashboard: Development of an indicator dashboard for each of the 56 SUN TA monitoring indicators is functional and updated weekly. The dashboard will help the Project track progress made on all the output indicators, track progress on thematic areas by districts, undertake quality measures and generate specific Project reports at different reporting timelines.

4. COMMUNICATION

▪ Launch of Interactive WASH content: Viamo developed and launched in May an interactive game on its 667 service that provides WASH messages. Listeners from different households with an MTN number can call-in to play a game and make real-life scenario-based decisions. During this quarter a total number of 2,191 key messages have been listened to. A total of 182 listeners played the game, 56% of whom were female and 44% were male.

▪ Mobile Messaging for Mothers: Based on the findings and the recommendations from the MNCH pilot report from 500 mothers, Viamo will start the scale-up implementation of the MNCH mobile curriculum for pregnant women. This content has been developed into a weekly outbound curriculum that will be sent out for a period of 42 weeks. The beneficiaries will be pregnant mothers. The mothers will be enrolled in this SBC messaging curriculum based on the stage of the pregnancy measured in weeks. For example, a six weeks old pregnant mother will receive nutritional content relevant to her and she will continue to receive the calls every week adapting the messages to the various stages of pregnancy. Mothers will be given the option to opt-out of the curriculum at any time. The content has been developed and submitted to NFNC for approval.

▪ Rapid Surveys (Digital Data Collection) and Dashboard Integration: In preparation for the annual survey to be conducted in September, a rapid pilot will be undertaken in August. To this effect, rapid survey tools have been developed and the system set up. A draft survey tool (questionnaire) is under review and will be shared with USAID for approval.

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▪ Mobile Remote Training for Community Health Volunteers: After completion of fieldwork to fully understand the challenges and barriers among community health workers, Viamo will develop the Mobile Remote Training for Community Health Volunteers. This training will be sent to Community Volunteers over a specified period at least once a week. The Community Volunteers will pick up an IVR call with a training message for a specific week. So far, Viamo has developed a list of eight (8) modules or topics for this community health volunteer remote training.

▪ SUN TA SBC Strategy: SUN TA developed and submitted for approval to USAID the Project SBC Strategy. The strategy identifies and outlines the key SBC issues, audiences, barriers to change, perceived benefits from the audience’s perspective and the channels of communication. Once approved, the strategy will guide SUN TA’s SBC activities in all 13 districts.

▪ Dissemination of Project Activities: Under the reporting period, SUN TA undertook the following as part of disseminating Project activities:

• Radio programs started airing in districts promoting the SUN/MCDP II government program, highlighting SUN TA’s role and specific interventions, as well as integrating COVID-19 messages. Government officials and SUN TA staff featured on the programs. • SUN TA procured public address systems for all NFNC and SUN TA district vehicles as part of the public sensitization for nutrition and COVID-19. The PA systems are also being used for other SUN-related public mobilizations/public service announcements. • SUN TA also activated its social media presence through establishment of Facebook and Twitter accounts which are used to share Project activities from all the 13 districts.

▪ Project visibility and branding: Three sets of materials were produced and distributed to all districts to enhance Project visibility. The materials include roll-up banners, tear drop banners and backdrop banners. The USAID/GRZ branded materials are used for both indoor and outdoor activities such as trainings, meetings and distributions of program inputs, thus showing the partnership between the two entities.

5. STAKEHOLDER PARTICIPATION AND INVOLVEMENT

▪ Meetings with USAID: In the quarter under review, there were a number of engagement meetings between USAID and SUN TA: Project response to COVID-19 and integration of its activities, Agriculture and Livelihoods presentation, check-in meetings where USAID provided strategic direction to SUN TA SBC strategy, preparation for the virtual site visit, participation in EOI and RFP review of A&E firms for new borehole siting and supervision, and other updates and feedback.

▪ Meetings with Town Clerks: SUN TA WASH Expert held meetings with Town Clerks for Kapiri Mposhi, Mansa and Ndola to brief them on SUN TA’s WASH interventions to ensure that the principal officers were aware and fully updated on SUN TA’s WASH interventions and get their buy-in. Town Clerks are Chairpersons of the D-WASHE committees and are among key decisionmakers on WASH- related matters in the districts.

▪ Principles of Collaboration with NFNC: SUN TA developed a draft document to guide engagement between NFNC and SUN TA at all levels from national to sub-district. Following feedback from USAID and NFNC, SUN TA will finalize the document in readiness for signing and execution.

▪ Meeting World Vision and SNV: SUN TA initiated this meeting in Kasama District which was

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chaired by the NFNC’s Provincial Nutrition Support Coordinator. The purpose was to discuss collaboration and synergies to avoid duplication and waste as the three organizations implement similar activities on some interventions and in some geographical areas in the district.

6. MANAGEMENT AND ADMINISTRATION

The Human Resources, Administration, Procurement and Finance teams continued to provide support to the technical departments and district offices to ensure smooth implementation of Project activities. In light of COVID-19, SUN TA responded as follow to ensure the safety of its staff while allowing continued implementation of its activities:

▪ Developed a COVID-19 Contingency Plan which the team continues to monitor and update as the situation evolves. Field operations have continued while adhering to prescribed guidelines from the Ministry of Health. Additional equipment such as printers, MiFis, solar panels and batteries have been procured to allow staff members to be as efficient as possible while working from home.

▪ Staff have been encouraged to work from home while the offices stayed opened with restrictions. Staff have been encouraged to work from home to limit the number of staff simultaneously present in offices. Management has provided pickup and drop-off services to staff without personal cars to avoid the use of public transport.

6.1 Human Resources ▪ This quarter, the number of staff increased from 90 at the end of last quarter to 121 (36 females and 85 males). The 31 new hires include: 13 District Data Associates, 2 District Managers, 2 Provincial M&E Officers, 1 Water Systems Engineer, 4 Accountants, 1 Logistics & Distribution Officer, 1 Livelihood and Financial Inclusion Officer, 1 Regional Manager, 2 WASH District Technical Officers, 2 Health & Nutrition District Technical Officers, and 2 Drivers. (see updated organizational chart in Annex C).

6.2 Procurement ▪ The following procurement were undertaken during the period: 1200 community savings kits for training of CSLGs, 850 rolls of game fencing wire for 425 community gardens, 8,000 child and 5,000 adult MUACS tapes, 13 generators and 13x100m poly pipes for use during the water point rehabilitation needs assessments, 780 heavy duty bicycles for CBVs, Community Champions, and Lead Farmers, and 11,700 nursery trays. In addition, 25 vehicle PA systems, 3,800 handwashing stations, 100,000 bottles of chlorine solution, 76,000 hygienic soap bars, 3,000 x 400 mls bottles of hand sanitizers and 800 x 70 mls bottles of hand sanitizers. The materials are for use in health facilities to promote frequent handwashing with water and soap. The chlorine is for distribution to SUN most vulnerable households to support home-based water treatment.

6.3 Finance and Compliance ▪ Training of Finance Staff: During Q2, District Accountants and the Assistant Accountant in Lusaka received training on how to code for financial transactions, FAS and financial guidelines. This resulted in improved quality and timeliness of financial transactions. The District Accountants and Assistant Accountant are now on the online banking system (ABSA Integrator) and oriented on its use to accelerate payments to GRZ partners. In addition, the compliance team from the Lusaka Office conducted a Finance Training for accountants in Lusaka, Kabwe, Kapiri Mposhi, Ndola, Kitwe and

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Chibombo districts. The objective was to improve the quality of expense reports to facilitate their review and processing. Continued training will be necessary for new staff that have joined the Project in recent months.

6.4 Information Technology ▪ Teleworking: Since mid-March when staff were given the option of working from home in view of the COVID-19, IT has continued to support the system and staff to ensure smooth continuation of Project operation. IT has provided all Project staff with continuous remote support mainly in Virtual Private Network (VPN) connectivity, electronic signatures, and working remotely in FAS and TAMIS.

▪ USAID Virtual Site Visit: IT facilitated the USAID virtual site visit by setting up all the communications channels (laptops and portable devices) that made the visit possible. IT advised on a user-friendly platform and offered guidance on internet connectivity for field officers. Also, IT provided support during the virtual visit that was held via Google Meet and brought together nearly 40 users from multiple locations in Zambia and from the USA.

7. PLANNED ACTIVITIES FOR NEXT QUARTER

2020 Planned Activities Jul Aug Sep Project Management Key staff meet with USAID for project implementation updates X X X Prepare and submit quarterly progress report X Conduct consultative meetings with relevant GRZ structures X X X Recruitment of staff for the remaining positions (including M&E Director) X X Procurement of project equipment, supplies, and materials X X X Nutrition & Health Sub-district level SMSG trainings for Kapiri Mposhi, Luwingu, Mansa and X X X Kabwe Train CBVs in SMSG in Kapiri Mposhi, Luwingu, Kabwe, Kitwe, Mansa, X X X Chibombo districts. Triggering and formation of SMSGs X X X Train CBVs in Family Planning intervention in 11 districts. X X X Hold Health and Nutrition review and planning meeting. X X X Supervisory and mentorship support to SMSGs implementation at X X X community level. WASH Continue CLTS trainings targeting district CLTS TOTs, EHTs/CHA and X X X community champions for remaining districts CLTS (handwashing with soap and latrine) triggering of villages X X X Formation and orientation of SAGs in their roles and responsibilities X X X Formation and training of V-WASHE committees in their roles and X X X responsibilities Training of Area Pump Menders in hand pump repair and maintenance X X Engagement of the Architectural and Engineering Firm and contractor for borehole siting, designing, water quality analysis and supervision of borehole X drilling and equipping with handpumps and submersible pumps Triggering of more villages resulting in formation of Sanitation Action X X X

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2020 Planned Activities Jul Aug Sep Groups. Undertake rehabilitation of non-functional boreholes with related water X X X quality analysis in health facilities, schools, and communities Conduct Hygiene Promotion Campaign X X X Agriculture & Livelihoods Formation of CSLGs in 11 districts X X X Finalize financing agreements and MOUs with private sector firms X Launch and use CSLG online management information system X X X Commence operations of the local chicken and soybeans value chains X X X Complete private stakeholder mapping (value chain players/actors) e.g. Seed Companies, Herbicide suppliers, Agro Dealers, Hatcheries, Brooders, X X X Agrovet dealers and off takers. Cross-Cutting Support rollout of SBC Strategy upon approval X X Establish and orient district communications and advocacy TWGs. X X X Dissemination of project activities through media channels including radio, X X X TV, Facebook and Twitter. Produce project briefs X X X Viamo to launch series of content awaiting approval from NFNC and ZICTA X X X Integrate dissemination of COVID-19 messages in ongoing activities through X X X radio and public address system M&E Train CBVs in the use of the updated household registration tool. X X Conduct intervention-based registration of beneficiary households (on- X X X going). Support and strengthen the process of DNCC, WNCC, and CBVs data X X X collection and collation at health facility and community levels. Collaborate with SUN LE in support of the Learning Agenda. X X X Finalize and pre-test SUN TA mobile annual survey X X Conduct the SUN TA mobile annual survey X

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8. Annex A: Indicator Performance Tracking Table

Previous Results Annual Cumulative Cumulative achieved Target Results Ref # Indicator Results this period (Jan 2020 - (As of 31 (Apr 1 – Jun (As of 30 Jun Dec 2020) Mar 2020) 30, 2020) 2020) Cross-cutting Number of individuals receiving nutrition- CC2 related professional training through USG- supported programs (HL.9-4) 1,253 Agriculture and Livelihoods 1,721 665 588 (F 337, M 916) 2,260 Health and Nutrition 2,648 276 1,984 (F 1,344, M 916) 989 WASH 1,807 568 421 (F 251, M 738) Objective 1. Adequate Quantity and Quality of Dietary Intake Among Targeted Groups Increased IR 1. Increased, reliable access to safe, nutritious food Number of lead farmers who are providing 812 1.9 training and capacity building in good 1,039 586 226 (F 200, M 612) agriculture practices Number of anchor smallholder commercial 1.10 farmers who are providing production 30 0 11 11 (F 7, M 4) related services to follower farmers 1.11 Number of community gardens established 505 393 288 681 Number of health facility gardens 1.12 115 59 22 81 established Number of SUN most vulnerable 5,238 1.13 households reached with agricultural input 8,657 3,900 1,338 (F 1,807, support M 3,431) Number of individuals participating in USG 1.14 17,314 7,800 2,676 10,476 food security programs Number of community savings and loans 1.15 1,363 0 84 84 groups established Number of individuals participating in USG- 1,712 1.16 assisted group-based savings, micro-finance 20,439 0 1,712 (F 1,284, or lending programs M 428) Cumulative value of savings for community 1.17 4,906,800 0 1,158 1,158 savings and loan groups (ZMW) Objective 2. Adequate Health Conditions for Biological Utilization of Nutrients Improved IR 3. Improved delivery of effective, sustainable health and nutrition services Number of women receiving individual or 3.6 group counseling on maternal and/or child 111,242 0 52,596 52,596 nutrition (HL.9-3b)

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Previous Results Annual Cumulative Cumulative achieved Target Results Ref # Indicator Results this period (Jan 2020 - (As of 31 (Apr 1 – Jun (As of 30 Jun Dec 2020) Mar 2020) 30, 2020) 2020) Number of children under 2 who received 3.7 treatment for severe acute malnutrition TBD 0 0 0 (SAM)1 Number of children under 2 who were 3.8 admitted for treatment of moderate acute TBD 0 0 0 malnutrition (HL.9-If)2 Number of community-based family 119 3.10 993 0 119 planning providers trained (F 71, M 48) Number/percent of women who delivered in a facility and initiated or left with a 3.11 TBD 0 0 0 modern contraceptive method prior to discharge3 Number of SUN Mother’s Support Groups 3.14 8,320 0 373 373 established Number of mothers from SUN households 3.15 who are members of the SUN Mother’s 124,800 0 5,595 5,595 Support Groups IR 4. Healthier, cleaner environment Number of households with new or 4.7 47 0 0 0 upgraded ODF standard latrines Number of sanitation action groups (SAGs) 4.8 1,230 50 111 161 formed Number of Village Water, Sanitation, 4.9 Hygiene & Education (V-WASHE) 466 169 64 233 Committees newly established Number of rehabilitated boreholes in 4.10 200 0 0 0 target communities Number of new boreholes installed in 4.11 100 0 0 0 target communities Number of people receiving improved service quality from an existing basic 4.12 107,450 0 0 0 drinking or safely managed water service as a result of USG assistance (HL.8.1-3)

1 This indicator will be updated by end of July 2020 after consultation with MOH. SUN LE did not provide baseline data. SUN TA will start reporting on this indicator next quarter. 2 This indicator will be updated by end of July 2020 after consultation with MOH. SUN LE did not provide baseline data. SUN TA will start reporting on this indicator next quarter. 3 Evidence from health facilities showed that contraceptives are not given out at the time of discharge, but after six weeks. Therefore, the project will be requesting USAID to revise the indicator to match practice in health facilities. As a result, no information was collected on this indicator this quarter.

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9. ANNEX B: Q2 Progress on Individual Capacity-building by Technical Area

Role # Trained

Health & Nutrition

Health Facility Staff 407

Community-based Volunteers 1,490

Community-based Family Planning Providers 119

Sub-total 2,016

WASH

Community-led Total Sanitation Trainers 40

EHTs/CHAs 97

Laboratory Technicians 163

Community Champions 79

Sub-total 379

Agriculture & Livelihoods

Lead Farmers 588

Community Savings and Loans Group Trainers 222

Sub-total 810

TOTAL TRAINED IN Q2 3,205

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