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MOZAMBIQUE INTEGRATED MALARIA PROGRAM Quarterly Technical Progress Report: Year 2 (October 2018–September 2019)

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MOZAMBIQUE INTEGRATED MALARIA PROGRAM Quarterly Technical Progress Report: Year 2 (October 2018–September 2019) Second Quarter Report: January to March 2019 April 30, 2019 This publication was produced for review by the United States Agency for International Development. It was prepared by Chemonics International Inc. for the Integrated Malaria Program, contract number 720-656-18C-00001. MOZAMBIQUE INTEGRATED MALARIA PROGRAM Quarterly Technical Progress Report: Year 2 (October 2018 – September 2019) Second Quarter Report: January to March 2019 Contract No. 72065618C00001 The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. Contents 1. Program Overview ............................................................................................................... 4 2. Summary of the Reporting Period ..................................................................................... 5 3. Detailed Report of Activities ............................................................................................... 6 Objective 1: Support the implementation of proven malaria interventions at community and facility levels, in alignment with MSP ..................................................................................................................................... 6 Objective 2: Strengthen management capacity of the provincial and district Ministry of Health personnel to provide oversight and supervision of malaria interventions .................................................... 25 Objective 3: Improve HMIS data reporting, analysis, and use at the provincial and district levels ......... 26 4. Other Activities Requested by the DPS ........................................................................... 30 5. Challenges and Actions Taken to Meet Targets ............................................................. 31 6. Success Stories ................................................................................................................... 31 7. Monitoring and Evaluation ................................................................................................ 32 Integrated Malaria Program, Quarter Technical Progress Report - Project Year 2, pg. i Acronyms ANC antenatal care ACT artemisinin based combination therapy ADPP Ajuda para o Desenvolvimento do Povo para o Povo ADR adverse drug reactions AL Artemether-Lumefantrine APE community health worker (agente polivalente elementar) DDM district medical warehouse (Depósito Distrital de Medicamentos) DDS District Health Directorate DFO director of finance DPS Provincial Health Directorate DQA data quality assessment CBO community-based organization CSO civil society organization CHAI Clinton Health Access Initiative CMAM Central Medical Store (Central de Medicamentos e Artigos Médicos) CUAMM Médicos com África FHI360 Family Health International 360 FDC Foundation for the Development of the Community (Fundação para o Desenvolvimento da Comunidade) GHSC-PSM Global Health Supply Chain-Procurement and Supply Management Project GUC grants under contract HCN Nampula Central Hospital (Hospital Central de Nampula) HF health facility HMIS health management information system ICSN Health Sciences Institute of Nampula IMaP Integrated Malaria Program in Mozambique IPC interpersonal communication ITNs insecticide treated nets IPTp intermittent preventive treatment in pregnancy JHU Johns Hopkins University MA Medical assistant (agente de medicina curativa) M&E monitoring and evaluation MEL monitoring, evaluation, and learning MCSP Maternal and Child Survival Program MCH Maternal and Child Health MIP malaria in pregnancy MoH Ministry of Health MT Medical technicians (técnico de medicina curativa) NED nucleus of district statistics (núcleo de estatística distrital) NMCP National Malaria Control Program MSP Malaria Strategic Plan PES Social and economic Plan (Plano económico social) PIRS performance indicator reference sheets Integrated Malaria Program, Quarter Technical Progress Report - Project Year 2, pg. ii PIRCOM Interfaith Program Against Malaria (Programa Inter-Religioso de combate a malaria ) PMI President’s Malaria Initiative PNAPE National Program of APE (Programa Nacional de Agentes Polivalentes Elementares) PMT Preventive medicine technicians RDT rapid diagnostic tests SBCC social and behavior change communication SDSMAS District Women's Health and Social Action Services SESP education for public health sector (sector de educação para a saúde) SIS-MA Health Information Systems for Monitoring and Evaluation SiFO Training Information System (Sistema de informação para a Formação) SME surveillance, monitoring, and evaluation SP sulfadoxine-pyrimethamine STA senior technical advisor ToT training of trainers TWG technical working group USAID United States Agency for International Development WV World Vision Integrated Malaria Program, Quarterly Technical Progress Report - Project Year 2, Second Quarter, pg. iii 1. Program Overview Program Duration: October 2017 to October 2022 Start Date: October 31, 2017 Life of Project Funding: $23,797,392.34 Geographic Focus: Zambézia, Nampula, Cabo Delgado, and Tete Provinces Program Purpose The United States Agency for International Development’s (USAID’s) five-year Integrated Malaria Program (IMaP) in Mozambique is led by Chemonics International with support from Family Health International 360 and Vanderbilt University Medical Center – Friends in Global Health (VUMC-FGH). IMaP aims to strengthen implementation of the Malaria Strategic Plan (MSP), as aligned with global and the Mozambican President’s Malaria Initiative (PMI) strategies and the identified needs of the National Malaria Control Program (NMCP). IMaP builds on previous malaria investments and harnesses the potential of the Ministry of Health (Ministério de Saúde, MISAU), the NMCP, health directorates, communities, and other stakeholders to maximize its impact. IMaP works side by side at the national, provincial, and district levels to strengthen capacity and facilitate systemic improvements for better decision-making, planning, and guidance. As part of this process, IMAP will use a systematic process for identifying ways to address challenges and opportunities for technical support. IMaP also supports civil society and community-based organizations (CSOs/CBOs) to improve individual health-seeking behaviors through social and behavior change communication (SBCC). IMaP has incorporated data collection into each objective, which feeds into our monitoring, evaluation, and learning (MEL) system and gives access to adequate, timely, and accurate information to monitor performance, evaluate progress, and make adjustments to generate continual improvements. IMaP promotes sustainability by cultivating leadership skills and building ownership of malaria control efforts by health directorates and their partners. Goals and Objectives IMaP’s overall goal is to contribute to reducing malaria-associated mortality, morbidity, and parasitemia in four high-malaria-burden provinces (Zambézia, Nampula, Cabo Delgado, and Tete). IMaP will achieve this goal through three objectives: 1. Support the implementation of proven malaria interventions at community and facility levels, in alignment with MSP. 2. Strengthen management capacity of the provincial and district Ministry of Health (MISAU) personnel to provide oversight and supervision of malaria interventions. 3. Improve health management information system (HMIS) data reporting, analysis, and use at the provincial and district levels. Integrated Malaria Program, Annual Technical Progress Report - Project Year 1, pg. 4 2. Summary of the Reporting Period During this reporting period, IMaP activities were implemented in all four target provinces, including Cabo Delgado, which kicked off activities during this reporting period in early January 2019. In line with its work plan, IMaP implemented a number of critical activities across all provinces. In Zambézia, IMaP worked hand in hand with the provincial health directorate (DPS) to train 73 supervisors from all districts, as well as 66 Agentes Polivalente elementar (APEs) trainers. Seven provincial and two district-level supervisor trainings were held. During the quarter, IMaP also hosted data discussions in six districts which brought together district directors, chief medical officers, malaria focal points, Maternal and Child Health (MCH) supervisors, pharmacy officers, and health facility (HF) officials. The project also co-hosted a coordination meeting, led by the Deputy Head of Malaria Program from DPS, and with representatives of IMaP, World Vision, PIRCOM (Interfaith Program Against Malaria), Global Health Supply Chain – Procurement and Supply Management (GHSC-PSM) and Johns Hopkins University (JHU). Among other notable activities implemented in this quarter, training was carried out on the implementation of blind re-observation of malaria microscopy slides according to the National Guideline for Blind Re- Observing of Malaria Microscopy, with 38 laboratory technicians participating. During this period, provincial supervision was carried out in seven districts and district supervision for peripheral HFs in two districts In Nampula, IMaP supported the training of 660 health providers in seven districts on malaria case management update and treatment standards in Mozambique. The project supported provincial supervision and mentoring in nine districts and
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