USAID Kenya Nutrition and Health Program Plus QUARTERLY PROGRESS REPORT April 01 to June 30, 2019 JULY 2019 This publication was produced for review by the United States Agency for International Development. It was prepared by Kenya Nutrition and Health Program plus Kenya Nutrition and Health Program plus Year 5 Quarter 3 Progress Report April 01 – June 30, 2019 Award No: AID-615-H-15-00001 Prepared for Ruth Tiampati United States Agency for International Development/Kenya C/O American Embassy United Nations Avenue, Gigiri P.O. Box 629, Village Market 00621 Nairobi, Kenya Prepared by FHI360 Nutrition and Health Program plus 2nd Floor Chancery Building, Valley Road P.O Box 38835 00623 Nairobi, Kenya DISCLAIMER The authors’ views expressed in this report do not necessarily reflect the views of the United States Agency for International Development or the United States Government. TABLE OF CONTENTS TABLE OF CONTENTS ............................................................................................................................................ I ACRONYMS AND ABBREVIATIONS ................................................................................................................ III EXECUTIVE SUMMARY ......................................................................................................................................... VI I. INTRODUCTION ........................................................................................................................................ 10 II. PROJECT IMPLEMENTATION PROGRESS AND KEY ACHIEVEMNETS..................................... 10 I. IMPROVED ACCESS & DEMAND FOR QUALITY NUTRITION INTERVENTIONS AT COMMUNITY & FACILITY LEVELS ........................................................................................................................................................................................ 11 1.1. Strengthening Leadership, Advocacy and Policy Planning ......................................................................... 11 1.2 Improved Nutrition Service Delivery Management, Coordination and Implementation ..................... 14 1.3 Improved Nutrition Related Behaviour ......................................................................................................... 16 1.4 Increasing Opportunities for Learning and Sharing of Best Practices in Nutrition ............................... 19 1.5 Increased Knowledge and Skills for Health Care Workers ......................................................................... 22 2. STRENGTHENED NUTRITION COMMODITY MANAGEMENT ................................................................................ 23 2.1 Improving Production, Supply and Distribution of Nutrition Commodities ......................................... 23 2.2 Improving Quality and Safety of Food Commodities and Agricultural Products .................................. 29 2.3 Strengthening Sustainability and Innovation in Nutrition Commodity Development & Management 29 3.0 IMPROVED FOOD AND NUTRITION SECURITY ........................................................................................................ 31 3.1 Increased Market Access and Consumption of Diverse and Quality Foods ..................................................... 31 3.2 Increased Resilience of Vulnerable Households and Communities .......................................................... 49 4.0 MONITORING AND EVALUATION ................................................................................................................................... 57 4.1 Facility Reporting ............................................................................................................................................... 57 4.2 Electronic Nutrition Reporting ........................................................................................................................ 57 4.3 Nutrition Portal................................................................................................................................................... 58 4.4 SMART Surveys .................................................................................................................................................. 58 I. ACTIVITY PROGRESS – QUANTITATIVE IMPACT .......................................................................... 62 II. RESEARCH AND DEVELOPMENT .......................................................................................................... 68 III. PROGRESS ON LINKS TO OTHER USAID PROGRAMS ................................................................. 73 IV. PROGRESS ON LINKS TO OTHER GOK AGENCIES ...................................................................... 73 KNAP LAUNCH ACTIVITIES................................................................................................................................................... 73 CNAP DEVELOPMENT ............................................................................................................................................................ 73 COHA KENYA STUDY............................................................................................................................................................. 73 V. IMPLEMENTATION CHALLENGES ........................................................................................................ 74 VI. LESSONS LEARNT ....................................................................................................................................... 74 VII. SUBSEQUENT QUARTER’S WORKPLAN ............................................................................................ 75 STATUS OF ACTIVITIES PLANNED FOR THE REPORTING PERIOD .................................................................................. 75 PLANNED ACTIVITIES FOR THE SUBSEQUENT QUARTER ................................................................................................. 77 VIII. FINANCIAL INFORMATION .................................................................................................................... 79 IX. PROJECT ADMINISTRATION INFORMATION ................................................................................. 83 X. PAYMENT OF FIXED FEE – SCHEDULE AND PERFORMANCE ................................................... 85 XI. SUCCESS STORIES ....................................................................................................................................... 86 ANNEX I: PERFORMANCE DATA TABLES ................................................................................................... 90 ANNEX 1: SUMMARY OF COMMODITIES DISTRIBUTED ................................................................................................. 90 ANNEX 2: NUMBER OF HIV POSITIVE CLINICALLY MALNOURISHED CLIENTS WHO RECEIVED THERAPEUTIC AND/OR SUPPLEMENTARY FOOD ....................................................................................................................................... 92 ANNEX 3: NUMBER OF PLHIV NUTRITIONALLY ASSESSED VIA ANTHROPOMETRIC MEASUREMENT .......... 94 ANNEX 4: NUMBER OF CHILDREN UNDER 5 WHO RECEIVED VITAMIN A FROM USG SUPPORTED PROGRAMS ...................................................................................................................................................................................................... 96 ANNEX 5: NUMBER OF PEOPLE TRAINED IN CHILD HEALTH AND NUTRITION THROUGH USG-SUPPORTED PROGRAMS) ............................................................................................................................................................................... 97 i FY 19 Q3 April– June Quarterly Report ANNEX 6: NUMBER OF CHILDREN UNDER FIVE (0-59 MONTHS) REACHED WITH NUTRITION SPECIFIC INTERVENTIONS BY USG-SUPPORTED NUTRITION PROGRAMS ............................................................................... 98 ANNEX 7: NUMBER OF PREGNANT WOMEN REACHED WITH NUTRITION-SPECIFIC INTERVENTIONS THROUGH USG-SUPPORTED PROGRAMS (RAA) ............................................................................................................ 99 ANNEX 8: COMPREHENSIVE NACS IMPLEMENTED PROVIDING SERVICES BEYOND CCC/ART SITES ..... 100 ANNEX II: GIS INFORMATION ON AGRI NUTRITION GROUPS/ACTIVITIES ............................ 103 ii FY 19 Q3 April– June Quarterly Report ACRONYMS AND ABBREVIATIONS AIDS Acquired Immune Deficiency Syndrome AMPATHplus Academic Model for Providing Healthcare Plus AMREF African Medical and Research Foundation ANC Antenatal Care APHIAplus AIDS, Population and Health Integrated Project ART Antiretroviral Therapy ASAL Arid and Semi-Arid Lands ASDSP Agricultural Sector Development Support Programme AVCD Accelerated Value Chain Development BCC Behavior Change Communication BFCI Baby Friendly Community Initiative BFHI Baby Friendly Health Facility Initiative CCC Comprehensive Care Centers CDC Centers for Disease Control CEC County Executive Committee CECM County Executive Committee Member CHEW Community Health Extension Worker CHIS Community Health Information System CHV Community Health Volunteer CME Continuous Medical Education CMLAP County Measurements, Learning and Accountability Program CNAP County Nutrition Action Plan CNTF County Nutrition Technical For a COHA Cost of Hunger Africa COR Contracts Officer Representative CORPS Community Own Resource Persons CPHR Centre for Public Health Research CSC CPHR Scientific Committee CU Community Unit DD Dietary Diversity DD-W Dietary Diversity