Population Services International (PSI) Support for International Family Planning and Health Organizations 2 (SIFPO2) April 2014 – December 2020 SIFPO2 Year Five Annual Report October 1, 2018 to September 30, 2019 USAID Cooperative Agreement Number: AID-OAA-A-14-00037 CONTENTS Acronyms .............................................................................................................................................. 4 SIFPO2 Year Five Overview .................................................................................................................. 1 October 2018 – September 2019 ........................................................................................................ 1 FY2019 Summary Expenses ................................................................................................................ 3 Success Stories .................................................................................................................................... 4 Year Five Activities and Outputs .......................................................................................................... 6 Result 1: Strengthened organizational capacity to deliver high quality FP/RH services to intended beneficiaries ...................................................................................................................... 6 Sub-Result 1.1 Global organizational systems that strengthen FP and other health program performance improved, streamlined and disseminated ............................................................ 6 Sub-Result 1.2 innovations, tools, and approaches for delivering fp services to intended beneficiaries tested, implemented, and disseminated ............................................................. 14 Result 2: Increase sustainability of country level FP and other health programs ...................... 22 Sub-Result 2.1 Financing mechanisms that improve sustainability of FP and other health services implemented or leveraged. ..........................................................................................22 Sub-Result 2.2 Capacity of local partners to provide quality FP and other health services built. ......................................................................................................................................................25 Sub-Result 2.3 Innovative partnerships to strengthen service delivery networks pursued ... 34 SIFPO2 Surge Funded Programs .......................................................................................................37 Liberia ..............................................................................................................................................39 Madagascar ....................................................................................................................................41 Malawi (FP) .....................................................................................................................................45 Mali ..................................................................................................................................................49 Mozambique ...................................................................................................................................52 SIFPO2 Field Support Funded Programs ..........................................................................................56 Benin ................................................................................................................................................57 Cambodia ........................................................................................................................................60 Dominican Republic ........................................................................................................................63 eSwatini ...........................................................................................................................................65 Ghana ...............................................................................................................................................69 Liberia ..............................................................................................................................................73 Malawi (FP) .....................................................................................................................................74 Malawi (HIV) ....................................................................................................................................75 Somaliland .......................................................................................................................................79 Zambia .............................................................................................................................................83 Zimbabwe ........................................................................................................................................84 Zika (Latin America and the Caribbean) ........................................................................................90 Table 1 Connecting with Sara - Implementation Statistics, October 2018 – September 2019 .... 17 Table 2: FP clients per Tunza Uganda facility .................................................................................. 23 Table 3: DMPA-SC distribution, June – September 2019 ................................................................ 29 Table 4: CYPs generated per quarter Year Five ................................................................................ 45 Table 5: Indicator projections and results by outcome ................................................................... 61 Table 6: Distribution data for FP, MCH and WASH commodities ................................................... 70 Table 7:Distriution figures of socially marketed MCH commodities via private sector in Somaliland, Oct-Dec 2018 ..................................................................................................................80 Table 8: PSI/Somaliland performance against log frame projections agreed with USAID for the period and over the life of the grant ..................................................................................................80 Table 9: AGYW who received voluntary FP methods through new start activities, October - December 2018 ...................................................................................................................................84 Table 10: Voluntary FP services by method and district, October - December 2018 .................... 85 Table 11: Voluntary FP services by Method and District offered through the ProFam public sector sites, October 2018-December 2018 ................................................................................................. 85 Table 12: HTS and Linkage to care of Newly Identified HIV Positive AGYW 15-24, March-December 2018 .....................................................................................................................................................87 Table 13: HTS and Linkage to Care of Newly Identified HIV Positive Men 25-49, March -December 2018 .....................................................................................................................................................87 Figure 1: Lemary (with black hat) attending group counseling ......................................................... 4 Figure 2: Mexine and Lemary with their baby in the Health Center ................................................... 4 Figure 3: A client receives counseling on a wide range of voluntary FP methods ........................... 5 Figure 4:PSI/Malawi youth researchers training workshop, 2019 .................................................... 7 Figure 5: SafeCare pilot timeline and key activities ........................................................................... 8 Figure 6: From 1 to 5, with 1 being very poor and 5 being very excellent, how would you rate the counseling you received from the provider? ..................................................................................... 16 Figure 7: From 1 to 5, with 1 being very poor and 5 being very excellent, how would you rate the provider in giving you enough information to make the best decision about your contraceptive method? ...............................................................................................................................................16 Figure 8: An adolescent in Tanzania reviews interactive, tablet-based content before she is referred for further counseling through the CwS platform .............................................................. 17 Figure 9: Digital voluntary FP counseling companion based in Facebook messenger is linked to CwS platform to provide referrals. It will be integrated with new CwS ‘clinics locator’ tool (right) to help clients find services nearby. ..................................................................................................18 Figure 10: Division of method mix in Niger ....................................................................................... 19 Figure 11: Community health agents receive a training on contraceptive technology ................. 20 Figure 12: Master Trainer training new cadre of national-level Master Trainers in PPIUD insertion at ToT in Bomi county ........................................................................................................................40