TARGETED STATES HIGH IMPACT PROJECT (TSHIP) Advancing Health in Bauchi and Sokoto States PROJECT YEAR TWO ANNUAL PROGRESS REPORT October 1, 2010 – September 30, 2011 Submitted to USAID Nigeria by JSI Research and Training Institute, Inc. USAID Cooperative Agreement No. 620-A-00-09-00014-00 October 31, 2011 TSHIP Year 2 Annual Report (October 1, 2010 – September 30, 2011) 1 PROJECT YEAR TWO ANNUAL PROGRESS REPORT TSHIP Central Project Office, Bauchi October 31, 2011 This report is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of JSI Research and Training Institute, Inc. and do not necessarily reflect the views of USAID or the United States Government. TSHIP Year 2 Annual Report (October 1, 2010 – September 30, 2011) 2 ACTIVITY SUMMARY Implementing Partner JSI Research & Training Institute, Inc. (JSI) Activity Name Targeted States High Impact project (TSHIP) Activity Objective To increase the use of high impact integrated maternal, newborn and child health and family planning/reproductive health interventions Life of Activity (start and end August 12, 2009 – August 11, 2014 dates) Total Estimated Agreement $85,453,015 Amount Current Obligation $30,326,798 Current Pipeline Amount $7,335,0741 Accrued Expenditures this Quarter $5,131,0092 (4th Quarter, FY11) Activity Cumulative Accrued $22,991,7243 Expenditures to Date Estimated Expenditure Next $5,500,000 Quarter Report Submitted By Mr. Marc A. Okunnu, Sr., Chief of Party Submission date October 31, 2011 1 Current pipeline amount includes funds that have been committed to sub partners and vendors for program activities and procurement. 2 Accrued expenditure this quarter includes accrued field office expenses up to the end of September 2011 that have not yet been processed in the home office system. 3 Activity cumulative accrued expenditures to date includes accrued field office expenses up to the end of September 2011 that have not been processed in the home office system. TSHIP Year 2 Annual Report (October 1, 2010 – September 30, 2011) 3 TABLE OF CONTENTS ACTIVITY SUMMARY .......................................................................................................................................... 3 ACRONYMS ........................................................................................................................................................ 5 EXECUTIVE SUMMARY ....................................................................................................................................... 7 INTRODUCTION ................................................................................................................................................ 10 TSHIP ANNUAL TARGETS CHART ...................................................................................................................... 11 PROGRAM ACTIVITIES AND ACCOMPLISHMENTS ............................................................................................ 17 Sub-objective 1: Strengthen state and local government capacity to deliver and promote use of high impact MNCH and FP/RH interventions ..................................................................................................... 21 Sub-objective 2: Increased access and utilization of MNCH & FP/RH services ........................................ 29 Sub-objective 3: Community mobilization and participation ...................................................................... 35 Sub-objective 4: Policies, advocacy and financing ..................................................................................... 38 PROJECT SUPPORT ........................................................................................................................................... 45 Grants .......................................................................................................................................................... 45 Operations Research .................................................................................................................................... 46 Knowledge Management and Communications ......................................................................................... 47 Monitoring and Evaluation .......................................................................................................................... 50 COORDINATION AND COLLABORATION .......................................................................................................... 53 FINANCE, MANAGEMENT AND ADMINISTRATION .......................................................................................... 55 CHALLENGES AND OPPORTUNITIES ................................................................................................................. 57 SUCCESS STORIES Shuni Dispensary Boasts of Better Health Care Services ............................................................................ 59 Primed to Improve Access To Family Planning Services ........................................................................... 60 Community Heads Help in the Fight Against Polio .................................................................................... 61 Ending Maternal Mortality: A new initiative by women volunteers ........................................................... 64 ANNEXES .......................................................................................................................................................... 65 Annex 1: Updated PY 2 Target Coverage Rates (Quarter 4 update) ........................................................... 66 Annex 2: Detailed Calculation Sheet for HMIS Completeness ................................................................... 70 Annex 2: Detailed Calculation Sheet for HMIS Completeness ................................................................... 70 Annex 3: Policies, Programmes and resource allocation at State and Federal levels improved. (Bauchi and Sokoto) ........................................................................................................................................................ 76 TSHIP Year 2 Annual Report (October 1, 2010 – September 30, 2011) 4 ACRONYMS ACT - Arthemisinin Combination Therapy AMTSL - Active management of third stage labor ARH - Adolescent reproductive health ARFH - Association for reproductive and family health BACATMA - Bauchi State Agency for Control of HIV/AIDS, Tuberculosis and Malaria BCC - Behavior change communication BSPHCDA - Bauchi State Primary Health Care Development Agency CAC - Community action cycle CBO - Community-based organization CEDPA - Center for Education, Development and Population Activities CHEW - Community health extension worker CIDA - Canadian International Development Agency CLMS - Contraceptive logistic management system COMPASS - Community Participation for Action in the Social Sectors COP - Chief of Party CSO - Civil society organization DCOP - Deputy Chief of Party D&G - Democracy and governance DELIVER - USAID DELIVER Project DSNO - District surveillance notification officer DPRS - Director of planning research and statistics DPT - Diphtheria, pertussis, tetanus EmONC - Emergency obstetric and newborn care FANC - Focused antenatal care F&SS - Finance and support services FMOH - Federal Ministry of Health of Nigeria FOMWAN - Federation of Muslim Women Association of Nigeria FP - Family planning FSS - Finance and support services GHAIN - Global HIV/AID Initiative-Nigeria HDCC - Health Data Consultative Committee HF - Health facility HIV/AIDS - Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome HMIS - Health management information system HSMB - Hospital Services Management Board IEC - Information, education and communication IMCI - Integrated management of childhood illnesses IPD - Immunization Plus Days IPT - Intermittent preventive treatment ISS - Integrated supportive supervision ITN - Insecticide- treated bed net IUCD - Intra-uterine contraceptive device JSI - JSI Research & Training Institute, Inc. KMC - Kangaroo mother care KM&C - Knowledge management and communication LEAD - Leadership, empowerment, advocacy, and development LGA - Local government area TSHIP Year 2 Annual Report (October 1, 2010 – September 30, 2011) 5 LGASMC - Local government Area Social Mobilization Committee LLIN - Long-lasting insecticide treated bed nets MCH - Maternal and child health MDA - (Government) Ministry, department, agency MDG - Millennium Development Goals M&E - Monitoring and evaluation MIP - Malaria in pregnancy MOH - Ministry of Health (or SMOH, State MOH) MLG - Ministry of Local Government MNCH - Maternal, newborn, and child health MSA - Management Strategies for Africa MSN - Marie Stopes Nigeria MSS - Midwives service scheme NDHS - Nigeria Demographic and Health Survey NEI - Northern Education Initiative NGO - Non-governmental organization NID - National Immunization Day NPHCDA - National Primary Health Care Development Agency NPI - National program on immunization NSHDP - National Strategic Health & Development Plan NYSC - National Youth Service Corps OPV - Oral polio vaccine ORS - Oral rehydration solution ORT - Oral rehydration therapy PHC - Primary health care PMP - Performance monitoring plan RDT - Rapid diagnostic test RH - Reproductive health RI - Routine immunization SDP - Service delivery point SHDSP - State Health Development Strategic Plan SMOH - State Ministry of Health SHDP - Strategic