PPP ECD programming CA AID-656-A-16-00002 (GDA ECD Programming) Fiscal Year 2018 Year 3: April 2018–March 2019 Quarterly Report: Q4 January– March 2019 Submitted on: April 30, 2019 Submitted to: United States Agency for International Development Cooperative Agreement No. AID-656-A-16-00002 Submitted by: PATH Street address: 2201 Westlake Avenue, Suite 200 Seattle, WA 98121, USA Mailing address: PO Box 900922, Seattle, WA 98109, USA Tel: 206.285.3500; Fax: 206.285.6619 www.path.org This work is made possible by the support of the American people through the United States Agency for International Development (USAID). The contents of this document are the sole responsibility of PATH and do not necessarily reflect the views of USAID or the United States Government 1 Contents Abbreviations.................................................................................................................................2 1. Overview of the reporting period .................................................................................... 3 2. Project objectives ........................................................................................................... 5 3. Results framework/Logical framework ............................................................................ 5 4. Indicators ....................................................................................................................... 7 Indicator 1 .....................................................................................................................................7 Progress and issues ............................................................................................................................... 7 Indicator 2 .....................................................................................................................................8 Progress and issues ............................................................................................................................... 9 Indicator 3 ................................................................................................................................... 10 Progress and issues ............................................................................................................................. 10 Indicator 4 ................................................................................................................................... 11 Progress and issues ............................................................................................................................. 11 Indicator 5 ................................................................................................................................... 12 Progress and issues ............................................................................................................................. 12 Indicator 6 ................................................................................................................................... 17 Indicator 7 ................................................................................................................................... 18 Indicator 8 ................................................................................................................................... 18 Progress and issues ............................................................................................................................. 19 Indicator 9 ................................................................................................................................... 20 Progress and issues ............................................................................................................................. 21 Indicator 10 .................................................................................................................................. 21 Progress and issues ............................................................................................................................. 21 Indicator 11 .................................................................................................................................. 22 Progress and issues ............................................................................................................................. 24 Indicator 13 .................................................................................................................................. 25 Progress and issues ............................................................................................................................. 25 Indicator 14 .................................................................................................................................. 26 Progress and issues ............................................................................................................................. 26 5. Monitoring and evaluation ........................................................................................... 28 6. Upcoming plans ............................................................................................................ 32 7. Administrative update .................................................................................................. 32 8. Financial information .................................................................................................... 33 9. Appendices ................................................................................................................... 33 Appendix A. Success story ............................................................................................................ 33 How two health providers helped Juvêncio survive and thrive ....................................................... 33 i Abbreviations ANC antenatal care APE agente polivalente elementar (community health worker) ART antiretroviral therapy CCD Consulta da Criança Doente (sick-child consultation) CCR Consulta da Criança em Risco (child-at-risk consultation) CCS Consulta de Criança Sadia (child well-being consultation) CHC child health committee CHW community health worker CPC child protection committee CPP Consulta Pós-Parto (post-partum consultation) DPGCAS Direcção Provincial do Género, Criança e Acção Social (Provincial Directorate of Gender, Children and Social Welfare) DLI disbursement linked indicators DPS Direcção Provincial de Saúde (Provincial Health Directorate) ECD early childhood development eECD Expanding Early Childhood Development (Project) EGPAF Elizabeth Glaser Pediatric AIDS Foundation GDA Global Development Alliance GFF Global Financing Facility HF health facility HIV human immunodeficiency virus IEC information, education, and communication IMCI Integrated Management of Childhood Illness IR intermediate result IYCF infant and young child feeding LOP life of project MCH maternal and child health MGCAS Ministério do Género, Criança e Acção Social (Ministry of Gender, Children and Social Action) MOH Ministry of Health NGO nongovernmental organization OVC orphans and vulnerable children PEPFAR US President's Emergency Plan for AIDS Relief PES Plano Económico e Social (Social and Economic Plan) PIN Pacote Integrado Nutrição (integrated nutrition package) PNC postnatal care PPP public-private partnership S-ECD Scaling Up Early Childhood Development (Project) SDSMAS District Directorate of Health, Women and Social Welfare TWG technical working group UNICEF United Nations Children's Fund USAID United States Agency for International Development WHO World Health Organization 2 1. Overview of the reporting period The Integrating Early Childhood Development (ECD) Global Development Alliance (GDA) Programming is a public-private partnership (PPP) between the United States Agency for International Development (USAID), the Conrad N. Hilton Foundation, and PATH, which works to integrate ECD programming in Mozambique. This PPP focuses on improving child development outcomes for vulnerable children 0–3 years in targeted areas of Mozambique, through an integrated health, nutrition, sensitive care, and stimulation intervention for health and social services provided by government and partners. This PPP is a three-year cooperative agreement that started on April 6, 2016. This progress report summarizes the accomplishments of the project during the fourth quarter (January to March 2019) of the third year of project implementation. PATH has continued to support the Ministry of Health (MOH) and Ministry of Gender, Child and Social Action (MGCAS) in developing activities to reinforce the integration of ECD in health facilities (HFs) and communities with the objective to improve the life of children ages 0–3 years. To achieve these results, PATH combines innovation and provision of technical assistance for strengthening ECD service delivery through HFs and community-based organization. During this quarter, the PPP team continued working with the Maternal Health, Child Health, Nutrition, and Mental Health departments and technical working groups (TWGs) of the MOH to review and follow up on a range of relevant documents for integrating ECD and for improvement screening and counselling on maternal depression. PATH provided financial support for the launch of the National Infant and Young Child Feeding (IYCF) Strategy, which was reviewed by the PPP team in previous quarters to integrate specific ECD-related content and was approved in January 2019. The launch event took place