Maternal and Child Survival Program (MCSP) Quarterly Report Democratic Republic of Congo (DRC) Year 3, Quarter II January 1 – March 31, 20I8 Submitted to: United States Agency for International Development Under Cooperative Agreement # AID-OAA-A-14-00028 Submitted by: Jhpiego Corporation in cooperation with John Snow, Inc. (JSI) Table of Contents Abbreviations and Acronyms ...................................................................................................................3 Program Overview ....................................................................................................................................5 Introduction ..............................................................................................................................................6 Summary of Activities and Accomplishments ..........................................................................................7 Priorities for Next Quarter .................................................................................................................... 24 Annexes ................................................................................................................................................. 26 Abbreviations and Acronyms ASF Association de Santé Familiale BCZS Bureau Central de la Zone de Santé – District Medical Office CDR Centrale de Distribution Régionale (Regional Distribution Center) CH Centre Hospitalier CMF Centre Modèle de Formation COP Chief of Party CS Centre de Santé CST Country Support Team CTMP Permanent Multisectoral Technical Committee for Family Planning CUSO Canadian University Service Overseas D5 Directorate for Primary Health Care Development D9 National Division of Hygiene and Sanitation D10 Dixième Direction du Ministère de la Santé Publique (Direction de la Santé de la Famille et de Groupes Spécifiques) D11 Onzième Direction du Ministère de la Santé Publique (Direcorate of Continuing Education) DEP Division des Etudes et Planification (Department of Studies and Planning) DHIS-2 District Health Information System 2.0 DPS Division Provinciale de la Santé DRC Democratic Republic of Congo DSNIS Cinquième Direction du Ministère de la Santé Publique (Direction de formation Continue) Directorate of National Health Information Systems ENAP Every New Born Action Plan FP Family Planning HBS Helping Babies Survive HCF Healthcare facility HGR Hôpital Général de Référence iCCM Integrated Community Case Management IHP+ Integrated Health Project IMCI Integrated Management of Childhood Illness IMNCI Integrated Management of Newborn and Childhood Illness IUD Intrauterine Device KSPH Kinshasa School of Public Health LiST Lives Saved Tool MCSP Maternal and Child Survival Program MCZS Médecin chef de Zone de santé – «District Medical Officer » MOH Ministry of Health MSP Ministère de la Santé Publique ONIC Ordre Nationale des Infirmiers de Congo (National College of Congolese Nurses or ONIC) PATH Program for Appropriate Technology for Health PICAL Participatory Institutional Capacity Assessment and Learning Index PMI-EP President’s Malaria Initiative Expansion Project (PMI-EP) PMP Performance Monitoring Plan PNECHOLMD Programme National d’Elimination de Cholera et de lutte contre les autres Maladies Diarrhéiques (National Program for the Elimination of Cholera and other Diarrheal Diseases; formerly the PNLMD) PNLMD National Diarrheal Disease Control Program PNSA Programme National de Santé de l’Adolescent PNSR National Reproductive Health Program PNDS Plan National de Développement Sanitaire PNIRA National Acute Respiratory Program PNLP National Program for the Fight against Malaria PPFP Postpartum Family Planning PRONANUT National Program for Nutrition PROSANI-Plus Projet Santé Intégré PSI Population Services International RECOSITE Relais Communautaire Sites des Soins (CHW responsible for iCCM sites) RMNCAH Reproductive, Maternal, Newborn, Child and Adolescent Health RMNCH Reproductive, Maternal, Newborn, and Child Health SCOGO Société Congolaise de Gynécologie et d'Obstétrique SNIS Système National d’Information Sanitaire SOPECOD Société de Pédiatrie du Congo Démocratique STTA Short-Term Technical Assistance UNAAC Union Nationale des Accoucheurs et Accoucheuses au Congo USAID U.S. Agency for International Development WASH Water, Sanitation and Hygiene Program Overview Program Name: MCSP/Democratic Republic of Congo (DRC) Reporting Period: Year 3, Quarter 2: January 1, 2018-March 31, 2018 Program Duration: January 1, 2015 – June 30, 2019 (estimated) Program Goal: To support the DRC in institutionalizing effective organizational plans, structures, and processes for the sustainable implementation of evidence-based reproductive, maternal, newborn, and child health (RMNCH) practices, with a focus on care for newborns and sick children. Program Objectives: 1. To accelerate reductions in maternal and child mortality by strengthening national Ministry of Health capacity to strategically scale up cost-effective, evidence-based interventions. 2. To contribute to improved maternal and newborn survival by strengthening the capacity of Congolese health professional organizations at national level to provide quality in-service training and pre-service education on key maternal and newborn health and post-partum family planning interventions. 3. To contribute to improved child survival and uptake of family planning methods in under- served rural communities in Tshopo and Bas-Uélé provinces by providing technical support for integrated community case management (iCCM), integrated management of childhood illness (IMCI), water, sanitation and hygiene (WASH, nutrition, and community- and facility- based family planning interventions. Introduction BACKGROUND The Maternal and Child Survival Program (MSCP) is a global U.S. Agency for International Development (USAID) cooperative agreement to introduce and support high-impact health interventions in 25 priority countries, including the DRC, with the ultimate goal of ending preventable maternal and child deaths (EPMCD) within a generation. In the DRC, MCSP works in close partnership with the Ministry of Health (MOH), USAID, and other reproductive, maternal, newborn and child health (RMNCH) stakeholders to support improved planning, coordination, monitoring, evaluation, documentation, and scale-up of RMNCH activities at the national and provincial levels. To the DRC program, MCSP brings its expertise in maternal, newborn, and child health; family planning (FP); nutrition; water, sanitation, and hygiene (WASH); community engagement; health information systems and other aspects of health systems strengthening; and innovation. At the national level, under Objective 1, MCSP works to strengthen the Ministry of Health Directorate of Family and Specific Groups’ Health, known as the 10th Directorate (D10) to drive policy development and implementation, human resources capacity-building, partner coordination, and financing. MCSP’s efforts are geared towards supporting the D10, through the reproductive, maternal, newborn, child, and adolescent health (RMNCAH) Task Force and associated technical working groups, to increase the coverage and mobilize resources for high-impact interventions and accelerate reductions in maternal, neonatal, and child mortality. Through building MOH technical and organizational capacity to drive the national RMNCAH agenda, MCSP is directly supporting USAID’s DRC Country Development Cooperation Strategy (CDCS) 2014-2019 and its first development objective, that selected national level institutions more effectively implement their mandates. Under Objective 2, MCSP works with the Congolese professional associations of birth attendants/midwives (UNAAC), pediatricians (Société de Pédiatrie du Congo Démocratique, SOPECOD), nurses (l’Ordre Nationale des Infirmiers du Congo, ONIC), and obstetrician/gynecologists (Société Congolaise de Gynécologie et d'Obstétrique, SCOGO) to improve care for mothers and newborns on the day of birth, and to adapt and introduce the Helping Babies Survive (HBS) curricula into in-service training. MCSP is also providing organizational and institutional capacity strengthening to SOPECOD and the ONIC through a sub-agreement with the Canadian University Services Overseas (Cuso) International. Under Objective 3, MCSP is working in 8 health zones in the northeastern provinces of Bas-Uélé and Tshopo. MCSP’s provincial-level activities aim to strengthen the Provincial Health Office (Division Provinciale de Santé [(DPS]) and health zone teams, health facilities, and community care sites, to improve and expand access to child health, family planning, nutrition, and WASH services. This quarterly report covers the period from January 1-March 31, 2018, which corresponds to the second quarter (Q2) of MCSP Program Year 4 (PY4). However, as this is the third year of MCSP implementation in DRC, MCSP has agreed with USAID to refer to this implementation period as Year 3. Quantitative results on selected performance monitoring plan (PMP) indicators are presented in Annex 1. Summary of Activities and Accomplishments Objective 1: To accelerate reductions in maternal, newborn and child mortality by strengthening national and provincial MOH capacity to strategically scale up cost-effective, evident-based interventions In Q2 of Year 3, MCSP’s support at the national level was focused on developing the iCCM database and website; training a pool of national trainers on essential family practices; supporting the development of the integrated contract