1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 ANCRE 34 ADVANCING NEWBORN, CHILD AND 35 REPRODUCTIVE HEALTH PROGRAM 36 37 QUARTERLY REPORT 10 38 October 1 to December 31, 2016 39 January 31, 2017 1 ANCRE Advancing Newborn, Child and Reproductive Health Program Quarterly Report No. 10 October 1 to December 31, 2016 Distribution: Athanase Hounnankan, United States Agency for International Development (USAID)/Benin Agreement Officer Representative Michelle Kouletio, United States Agency for International Development (USAID)/Benin Agreement Alternate Officer Representative Souleymane Kanon, ANCRE Chief of Party ANCRE Subcontractors: Results 4 Development and Dimagi File This report was prepared by the USAID/Benin Advancing Newborn, Child and Reproductive Health (ANCRE) program ANCRE is made possible by the generous support of the American people through the United States Agency for International Development (USAID)/Benin in Cooperative Agreement No. AID-680-A-14- 00001. The program is managed by University Research Co., LLC (URC), in collaboration with Dimagi, Inc. and the Results for Development Institute (R4D). DISCLAIMER: The points of view expressed by the author in this publication do not necessarily reflect those of th United States Agency for International Development of the United States government. ANCRE - Quarterly Report No. 10 // October 1 to December 31, 2016 TABLE OF CONTENTS ACRONYMS ............................................................................................................................................ i INTRODUCTION ..................................................................................................................................... 2 SUMMARY TABLE OF ACHIEVEMENTS DURING THE PERIOD ................................................................... 3 MAJOR ACCOMPLISHMENTS IN THE QUARTER ...................................................................................... 11 INTERMEDIATE RESULT 1: IMPROVED PUBLIC HEALTH SECTOR PERFORMANCE ..................................................... 11 Intermediate sub-result 1.1: Improved planning and management of health systems and services, especially at the decentralized level ............................................................................................................................................ 11 Intermediate sub-result 1.2: Improved quality of service delivery in public health facilities, especially for women and young children .................................................................................................................................................. 13 Intermediate sub-result 1.3: Essential commodities more available at service delivery and distribution points . 16 INTERMEDIATE RESULT 2: IMPROVED PRIVATE HEALTH SECTOR PERFORMANCE .................................................... 18 Intermediate sub-result 2.1: Improved public health sector policies, oversight and supervision of private sector health care delivery ................................................................................................................................................. 18 Intermediate sub-result 2.2: Improved quality of service delivery in private health facilities, especially for women and young children .................................................................................................................................... 20 INTERMEDIATE RESULT 3: IMPROVED PREVENTION AND CARE-SEEKING BEHAVIOR OF AN EMPOWERED POPULATION ............................................................................................................................................................... 21 Intermediate sub-result 3.1: Increased appropriate health promoting behaviors made by households and especially women .................................................................................................................................................... 21 Intermediate sub-result 3.2: Informed families make appropriate choices on accessing public and private sector health services and commodities ............................................................................................................................ 24 Intermediate sub-result 3.3: Strengthened community-level contributions to health sector decisions and financing .................................................................................................................................................................. 27 PROJECT MANAGEMENT ...................................................................................................................... 29 PARTNERSHIPS AND COLLABORATION .................................................................................................. 31 PERFORMANCE MONITORING .............................................................................................................. 32 MAJOR ACCOMPLISHMENTS IN THE QUARTER-EBOLA VIRUS DISEASE (EVD) ......................................... 39 INTERMEDIATE RESULT 1: IMPROVED PUBLIC HEALTH SECTOR PERFORMANCE ..................................................... 39 Intermediate sub-result 1.1: Improved planning and management of health systems and services, especially at the decentralized level ............................................................................................................................................ 39 ANCRE - Quarterly Report No. 10 // October 1 to December 31, 2016 INTERMEDIATE RESULT 3: IMPROVED PREVENTION AND CARE-SEEKING BEHAVIOR OF AN EMPOWERED POPULATION ............................................................................................................................................................... 41 Intermediate sub-result 3.2: Informed families make appropriate choices on accessing public and private sector health services and commodities ............................................................................................................................ 41 APPENDICES ....................................................................................................................................... 45 APPENDIX 1: Table of progress in programmed activities during the period October to December 2016 ............... 45 APPENDIX II: Table of progress in planned Ebola activities during the period October to December 2016 (EPA) .... 52 APPENDIX III: Table of technical assistance missions and consultants received ........................................................ 55 APPENDIX IV: Table of changes in ANCRE performance indicators ............................................................................ 57 APPENDIX V: Health system’s preparation for the response to the Ebola virus/viral hemorrhagic fevers (VHF) ..... 61 ANCRE - Quarterly Report No. 10 // October 1 to December 31, 2016 ACRONYMS ABMS/PSI Beninese Association for Social Marketing / Population Service International ACPB Association of Private Clinics in Benin AMDEC Analysis of Failures and their effects and severity AMTSL Active Management of the Third Stage of Labor ANCRE Advancing Newborn, Child and Reproductive Health APC Advancing Partners & Communities Project APROSOC Support for Social Protection ARM3 Accelerated Reduction of Maternal Mortality and Morbidity Due to Malaria Project AS Abomey-Calavi / Sô - Ava AZT Allada – Ze – Toffo BEmONC Basic Emergency Obstetric and Newborn Care C/SPIRS Head of the Planning Department, Computer Science and Health Research CBHG Como – Bopa – Houéyogbé – Grand Popo CBO Community-Based Organizations CEmONC Comprehensive Emergency Obstetric and Newborn Care CHW Community Health Worker COGECS Health Center Management Committee COZO Cove – Zagnanado – Ouinhi CPN - R Refocused Prenatal Consultation DCO Djougou – Copargo – Ouaké DDS Regional Health Department DHIS2 District Health Information System 2 DIP Directorate of Information and Pre-archiving DNEHS National Directorate of Hospitals and Health Care Institutions DNSP National Directorate of Public Health DPMED Directorate of Pharmacies and Medicines DPP Directorate of Programming DSME Directorate of Maternal and Child Health EEZS Health Zone Management Team EFP Essential Family Practices EmONC Emergency Obstetrical and Newborn Care ERPA Rapid Evaluation of Health Worker Performance FP Family Planning FTP Financial and Technical Partner GROPERE Association for the Promotion and Exploitation of Environmental Resources HBB Help Babies Breathe HC Health Center HF Health Facility HP Heads of Post (Chefs du poste) HZ Health Zone iCCM Integrated Community Case Management i ANCRE - Quarterly Report No. 10 // October 1 to December 31, 2016 ICP Integrated Communication Plan IUD Intra Uterine Device IWD International Women's Day JSI John Snow Inc. KGS Kandi – Gogounou –- Ségbana LMIS Logistics Management and Information System LQAS Lot Quality Assurance Sampling MCH Maternal and Child Health MCZS Health Zone Medical Coordinator MGS Monthly Group Supervision MHO Mutual Health Organization MNCH Maternal, Neonatal and Child Health MOH Ministry of Health NGO Non-Governmental Organization PHF Private Health Facility PIHI Package of High Impact Interventions PIRS Performance Indicator Reference Sheet PMP Project Monitoring Plan PRPSS Health System Performance Reinforcement Program PSSP Private Health Sector Platform QI Quality Improvement QIP Quality Improvement Plan R4D Results for Development Initiative RAMU National Health Insurance Scheme RAS Health Alliance Network REMUSA Health Cooperative