MATERNAL AND CHILD SURVIVAL PROGRAM NIGERIA – ROUTINE IMMUNIZATION Quarterly Report Program Year 2 Third Quarter Agreement Number: AID-OAA-A-14-00028 Activity Start Date and End Date: September 1, 2014 – December 31, 2018 Activity Manager: Dr. Yakubu Joel Cherima Submitted by: Dr. Femi Oyewole, National Immunization Technical Advisor John Snow, Inc. (JSI) Plot 1015 Fria Close Off Coree Bay Crescent Wuse II, Abuja, Nigeria July 2008 1 PROGRAM SUMMARY Maternal and Child Survival Program Nigeria - Routine Program Name: Immunization Activity Start Date and End Date: September 1, 2014 – December 31, 2018 Name of Prime Implementing John Snow, Inc. (JSI) Partner: Agreement Number: AID-OAA-A-14-00028 National Primary Health Care Development Agency (NPHCDA), Expanded Programme on Immunization (EPI), The Bill & Melinda Gates Foundation, Dangote Foundation, Solina Health, World Health Organization (WHO), United Nations Children’s Fund (UNICEF), US Centers for Disease Control and Prevention N-STOP Project (CDC-NSTOP), Major Counterpart Organizations: European Union-funded Support Immunization Governance in Nigeria (EU-SIGN), Bauchi and Sokoto State Primary Health Care Development Agencies (BSPHCDA and SSPHCDA, respectively), Ministries of Local Government (MoLGs), Local Government Authorities (LGAs), Northern Traditional and Religious Leaders’ Council, Ward Development Committees (WDCs), Community-Based Health Volunteers (CBHVs) Geographic Coverage (cities and or countries) Abuja FCT, Bauchi and Sokoto states, Nigeria Reporting Period Program Year 2, Quarter 3: April 1 to June 30, 2016 ACRONYMS AND ABBREVIATIONS bOPV Bivalent Oral Polio Vaccine BMGF The Bill and Melinda Gates Foundation BSPHCDA Bauchi State Primary Health Care Development Agency CCE Cold Chain Equipment CDC N-STOP U.S. Centers for Disease Control and Prevention N-STOP Project cMYP Comprehensive EPI Multi Year Plan DF Dangote Foundation DHIS-2 District Health Information System version 2 DVD-MT District Vaccine Device-Management Tool DQS Data Quality Self-Assessment EOC Emergency Operations Center EU-SIGN European Union-funded Support Immunization Governance in Nigeria HF Health Facility HMIS Health Management Information System HW Health Worker IPD Immunization Plus Day IPV Inactivated Polio Vaccine LGA Local Government Area LIO LGA Immunization Officer M&E Monitoring and Evaluation MCSP Maternal and Child Survival Program MMR Measles, Mumps, and Rubella vaccine MOU Memorandum of Understanding NITA National Immunization Technical Advisor NPHCDA National Primary Health Care Development Agency NVI New Vaccine Introduction OPV Oral Polio Vaccine PCV Pneumococcal Conjugate Vaccine PHC Primary Health Care PHCUOR Primary Health Care Under One Roof PY Program Year REW Reaching Every Ward RI Routine Immunization SITA State Immunization Technical Advisor SITO State Immunization Technical Officer SPHCDA State Primary Health Care Development Agency SSPHCDA Sokoto State Primary Health Care Development Agency STTA Short-Term Technical Assistance TFI Task Force on Immunization tOPV Trivalent Oral Polio Vaccine TSHIP Targeted States Health Impact Project UNICEF United Nations Children’s Fund USAID United States Agency for International Development VDC Village Development Committee WHO World Health Organization 1 | Page TABLE OF CONTENTS PROGRAM SUMMARY........................................................................................................................ 1 ACRONYMS AND ABBREVIATIONS .......................................................................................... 1 1. pROGRAM OVERVIEW ............................................................................................................ 3 1.1 Introduction .................................................................................................................................. 3 The MCSP/Nigeria RI program’s life of program objectives in Bauchi and Sokoto states are as follows: ........................................................................................................................................ 3 1.2 Quarterly Achievement Highlights (April to June, 2016) .................................................... 5 ACTIVITY IMPLEMENTATION PROGRESS ............................................................................. 10 2.1 Progress Summary ..................................................................................................................... 10 2.2 MOU Thematic Area 1: Governance and Accountability ............................................. 13 2.3 MOU Thematic Area 2: Improving Accessibility and Utilization ................................. 14 Sokoto: .............................................................................................................................................. 17 2.4 MOU Thematic Area 3: Vaccine Security, Cold Chain, and Logistics ........................ 18 2.5 MOU Thematic Area 4: Monitoring and Evaluation/Supportive Supervision............ 19 2.6 MOU Thematic Area 5: Community Partnership ........................................................... 20 2.7 MOU Thematic Area 6: Capacity Building and Training ................................................ 23 3. National-Level Program Support .............................................................................................. 25 5. IMPLEMENTATION CHALLENGES ....................................................................................... 26 5. MANAGEMENT AND ADMINISTRATION ......................................................................... 27 1. ACTIVITIES PLANNED NEXT QUARTER ......................................................................... 29 Appendix A: Indicator Reporting Matrix* ................................................................................... 31 Appendix B: Success Story 1 .......................................................................................................... 38 2 | Page 1. PROGRAM OVERVIEW 1.1 Introduction 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 24 priority countries, including Nigeria, with the ultimate goal of ending preventable maternal and child deaths (EPCMD) within a generation. MCSP engages governments, policymakers, private sector leaders, health care providers, civil society, faith-based organizations, and communities in adopting and accelerating proven approaches to address the major causes of maternal, newborn, and child mortality such as postpartum hemorrhage (PPH), birth asphyxia, and diarrhea, respectively, and to improve the quality of health services from the household to the hospital. The program will tackle these issues through approaches that focus on health systems strengthening, household, and community mobilization, gender integration, and eHealth, among others. MCSP has launched multiple activities in Nigeria. These include a routine immunization (RI) technical assistance program in Bauchi and Sokoto states, a project aimed at reducing neonatal and maternal deaths in Kogi and Ebonyi states, a public-private partnership through the Mobile Alliance for Maternal Action (MAMA), and a child health program that is currently under development. In line with MCSP’s contractual agreement with USAID and close partnership with the State Primary Health Care Development Agency (SPHCDA) and other public and private partners, MCSP-RI program assistance aims to strengthen the RI system to increase and sustain RI coverage and reduce childhood illness and death. USAID MCSP’s RI program is now fully operational at the national level (in Abuja), and in Bauchi and Sokoto states. The MCSP/Nigeria RI program’s life of program objectives in Bauchi and Sokoto states are as follows: Bauchi • Objective 1: Support State-led and State-owned efforts to achieve >50% RI coverage in every ward of Bauchi State by the end of December 2016, and >80% RI coverage in every ward of Bauchi State by the end of December 2017. • Objective 2: Support State-led and State-owned efforts to expand the availability and quality of RI services by providing technical assistance in the areas of capacity building and training, supportive supervision, monitoring and use of data, supply/cold chain, and community engagement. • Objective 3: Promote the transition of all responsibility for sustaining and building on these gains to Bauchi State by January 2018, by improving capacity to promote, deliver, and monitor RI services at the State, Local Government Area (LGA), health facility (health facility), and community levels. Sokoto In close coordination and collaboration with state and other RI partners, MCSP will: • Objective 1: Support state-led and state-owned efforts to achieve >80 percent RI coverage in every ward by the end of December 2018. • Objective 2: Support state-led and state-owned efforts to expand the availability and quality of RI services by providing technical assistance in the areas of capacity building and training, supportive supervision, monitoring and use of data, supply/cold chain, and community partnership. 3 | Page • Objective 3: Promote the transition of all responsibility for sustaining and building on these gains to the State by January 2019, by improving capacity to promote, deliver, and monitor RI services at the state, LGA, health facility, and community levels. MCSP has been supporting implementation of the Bauchi State Primary Health Care Development Agency’s