Mali End of Project Report Submitted February 16, 2017 Submitted to: United States Agency for International Development Cooperative Agreement No. AID-OAA-A-14-00028 Submitted by: Jhpiego in collaboration with John Snow, Inc. Save the Children Population Services International May 1, 2014 – June 30, 2015 www.mcsprogram.org The Maternal and Child Survival Program (MCSP) is the United States Agency for International Development’s (USAID) flagship program to introduce and support high-impact health interventions for MNCH/FP, malaria, nutrition and WASH that focus on ensuring women, newborns and children equitable access to quality health care services that save lives. This program and report were made possible by the generous support of the American people through USAID under the cooperative agreement number AID-OAA-A-14-00028. The content of this report is the responsibility of MCSP and is the result of a collaborative process, from the community level upwards it does not necessarily reflect the views of USAID or the United States Government. Table of Contents Table of Contents ........................................................................................................................... i List of Tables .................................................................................................................................. ii List of Graphs ................................................................................................................................ ii List of Photos ................................................................................................................................ iii Acronyms and Abbreviations ...................................................................................................... iv Acknowledgements ....................................................................................................................... v Country Summary ....................................................................................................................... vi Key Achievements........................................................................................................................vii Introduction ................................................................................................................................... 1 Context .......................................................................................................................................... 1 Program Objectives ...................................................................................................................... 4 Achievements by Objective ............................................................................................................ 4 Objective 1 ..................................................................................................................................................................... 4 Objective 2 ..................................................................................................................................................................... 8 Objective 3 ................................................................................................................................................................... 21 Ebola Update ................................................................................................................................................................ 29 Activity Matrix ............................................................................................................................. 30 Environmental Management ...................................................................................................... 35 Summary of Challenges, Lessons Learned, and Recommendations ...................................... 36 Challenges ..................................................................................................................................................................... 36 Lessons Learned .......................................................................................................................................................... 37 Recommendations ...................................................................................................................................................... 37 Annex 1: Success Stories ............................................................................................................ 39 Family Planning: A Blessing for Sitan ....................................................................................................................... 39 Community Health Workers, Saving Lives ........................................................................................................... 40 Community Health Worker Reverses Health Trends in Tibere ..................................................................... 41 Annex II: Performance Monitoring Plan (PMP) ....................................................................... 42 Attachments: ............................................................................................................................... 47 Annex III: KMC Case Study (French) ........................................................................................ 47 Annex IV: SEC Study Manuscript (DRAFT) ............................................................................. 47 Annex V: SMC Evaluation, Kita (French) ................................................................................. 47 Annex VI: SMC Results PowerPoint .......................................................................................... 47 Mali End-of-Project Report i List of Tables Table 1. MCSP Intervention Zones ............................................................................................. 3 Table 2. Number of DTC who were Paid to Provide Training Supervision to the CHWs, Volunteers and Women’s Groups By District. ........................................................... 12 Table 3. New, Replacement ASCs Trained on the SEC Package in Kayes ........................... 12 Table 4. New, Replacement DTCs Trained in the SEC Packet from Kayes and Sikasso .... 13 Table 5. Distribution of Socially Marketed Commodities in Q3 2014 ................................... 15 Table 6. Number of Family Planning Commodities Sold in Q4 versus Q3, Q1 and Q2 ...... 15 Table 7. Health Workers (Kita District Health Team, DTC, Midwives, Nurses, CHWs, and Volunteers) Trained for SMC Implementation and Management of Cases of Malaria in Kita. ........................................................................................................................................... 17 Table 8. DTCs Trained By District in MIP by Rank and Sex In Sikasso ................................. 21 Table 9. Health Providers Trained on KMC and Neonatal Sepsis in Bougouni and Kita ..... 24 Table 10. Health Providers Supervised For IP Activities by Role and Health District ........ 24 Table 11. Healthcare Providers Supervised In Jadelle Implant Insertion by Role and Health District ............................................................................................................................. 26 Table 12: Health Providers Supervised On IUD Insertion by Cadre and Health District ... 26 Table 13. Youth Radio Show Aired during the project ........................................................... 28 List of Graphs Graph 1. Comparison of monthly meeting indicators in Kayes and Sikasso from September to October 2014, and November to February 2015 .... Error! Bookmark not defined. Graph 2. Comparison of Number of Children Treated by CWH’s by Illness between the Last Year of MCHIP and MCSP ................................................................................................. 13 Graph 3. Comparison of Provision of FP by CHWs by Method between the Last Year of MCHIP and MCSP ................................................................................................................. 14 Graph 4. Rate of SMC Coverage of Children Receiving at Least One Dose of SMC During the Campaign in Kita by Percentage ............................................................................ 20 Graph 5. Comparison of Family Planning Use at the Facility Level between the Last Year of MCHIP and MCSP................................................................................................................... 27 Graph 6. Comparison of Integrated Package Indicators for MNH between the Last Year of MCHIP and MCSP................................................................................................................... 27 ii Mali End-of-Project Report List of Photos Photo 1. Members of the National Chlorexhedine Sub-Committee Conducting Interviews for the Qualitative Study in Koutiala. .................................................................................7 Photo 2. Medicine Chef delivers an Opening Speech during Monthly Meeting in the District of Kolondièba ...................................................................................................................... 11 Photo 3. A Handwashing Demonstration by DTC to Students in Sikasso ............................................. 16 Photo 4. Mothers and Children Receive SMC in Bendougouba ........................................................... 17 Photos 5 and 6. Preparing the Malaria Treatment Medicine (putting into sachets), July 2014, Kita ..... 18 Photo 7. PMI