UGANDA INDOOR RESIDUAL SPRAYING PROJECT PHASE II QUARTERLY PERFORMANCE REPORT January 1 – March 31, 2015 Contract No. AID-617-C-12—00004 April 2015 This publication was produced for review by the United States Agency for International Development. It was prepared by Uganda IRS Project Phase II, Abt Associates. Recommended Citation: Uganda Indoor Residual Spraying (IRS) Phase II Project Quarterly Performance Report: January 1 through March 31, 2015 Uganda Indoor Residual Spraying Phase II Project, Abt Associates Inc. UGANDA INDOOR RESIDUAL SPRAYING (IRS) PROJECT PHASE II QUARTERLY PERFORMANCE REPORT Contract/Project No.: AID-617-C-12-00004 Submitted to: Mr. Joel Kisubi, Contracting Officer’s Representative United States Agency for International Development/Kampala, Uganda Cover Photo: Spray operators in Tororo Abt Associates 4550 Montgomery Avenue, Suite 800 North Bethesda, Maryland 20814 Tel: 301.347.5000. Fax: 301.913.9061www.abtassociates.com Abt Associates Uganda IRS Project Phase II P.O.Box 37443 / Plot 3 Solent Avenue Kampala, Uganda. Tel: 256 (0).414.251.300 Abt Associates Uganda IRS Project Phase II,Tororo Plot 20 Masaba Rd, Tororo Municipality Tel: 256 (0).392.177.264 DISCLAIMER The views expressed in this document do not necessarily reflect the views of the United States Agency for International Development or the United States Government. TABLE OF CONTENTS Acronyms ............................................................................................................................................ iii Executive Summary ............................................................................................................................ 1 1. Background .................................................................................................................................. 2 2. Technical Management Including IRS Implementation, Capacity development and M&E ..................................................................................................................................... 3 2.1 Result 1: High quality, safe and effective IRS program implemented ............................... 3 A. Spray operations ..................................................................................................................................... 4 2.2 Result 2: Capacity building and innovative approaches in IRS implemented ............. 11 B. Capacity development ........................................................................................................................ 11 2.3 Result 3: Comprehensive monitoring and evaluation (M&E) of the IRS program performed ........................................................................................................................... 12 C. Monitoring and Evaluation (M&E) ............................................................................................... 13 3. Business Management ............................................................................................................... 15 4. Innovations ................................................................................................................................ 15 5. Relationship building ................................................................................................................ 16 6. Project surveillance ................................................................................................................... 17 7. Cost considerations ................................................................................................................... 18 8. Challenges .................................................................................................................................. 18 9. Lessons learned/recommendations .......................................................................................... 19 10. Plans for next reporting period ................................................................................................ 19 Annex 1: Summary maps of capacity dashboard scores by district ............................................. 21 Annex II: Map of Kibuku district showing proposed parish stores ............................................. 24 LIST OF TABLES Table 1: Result 1: Summary of output indicators for quarter two January 1- March 31, 2015 ... 3 Table 2: TOT participants in group B districts ................................................................................. 5 Table 3: Spray teams recruited for round one in the group B districts ........................................... 6 Table 4: Number of parish stores by district ...................................................................................... 7 Table 5: Summary of key IRS indicators for round one, new districts, December 2014 – February, 2015 ............................................................................................................................. 10 Table 6: Result 2: Summary of output indicators for quarter two January 1- March 31, 2015 . 11 Table 7: Result 3: Summary of output indicators for quarter two January 1- March 31, 2015 . 12 Table 8: Comparison of the results of pre- and post-IRS PSCs in group A districts, October 2014 and February 2015 respectively ........................................................................................ 14 LIST OF FIGURES Figure 1: Uganda IRS project Phase II target districts ..................................................................... 2 Figure 2: Colored blocks by project area show progression from red (low) to green (high) capacity levels ............................................................................................................................... 12 ii ACRONYMS BCC Behavior Change Communication CAO Chief Administrative Officer CDC Centers for Disease Control and Prevention CDFU Communication for Development Foundation Uganda CHC Communication for Health Communities Project (USAID Funded) COP Chief of Party COR Contracting Officer’s Representative DFID-UK Department for International Development – United Kingdom DHE District Health Educator DHO District Health Officer DHT District Health Team DSO District Supplies Officer ECM Environmental Compliance Manager FAQ Frequently Asked Question FC Field Coordinator FY Fiscal Year GISO Gombolola Internal Security Officer IEC Information, Education and Communication IPC Interpersonal Communication IRS Indoor Residual Spraying IVM Integrated Vector Management LC Local Council MIS Malaria Indicator Survey M&E Monitoring and Evaluation MEO Mission Environment Officer MoH Ministry of Health MOP Malaria Operational Plan MP Member of Parliament NDA National Drug Authority NMCP National Malaria Control Program NU-HITES Northern Uganda Health Integration to Enhance Services (USAID-Funded) PMI President’s Malaria Initiative PMP Performance Management Plan PSC Pyrethrum Spray Catch RDC Resident District Commissioner iii SEA Supplementary Environmental Assessment SK Store Keeper SM Store Manager SMT Senior Management Team SO Spray Operator TOT Training of Trainers UMSP Uganda Malaria Surveillance Project USAID United States Agency for International Development VCO Vector Control Officer VHT Village Health Team WHO World Health Organization iv EXECUTIVE SUMMARY This quarterly report covers the period, January 1 – March 31, 2015 of the United States Agency for International Development/President’s Malaria Initiative (USAID/PMI), and the Department for International Development – United Kingdom (DFID-UK) funded Uganda Indoor Residual Spraying (IRS) Phase II Project. During this second quarter of project year three, the project completed spraying the seven group A districts of the Lango sub region: Alebtong, Amolatar, Dokolo, Kaberamaido, Lira, Otuke and Tororo, and prepared to spray the group B districts of: Budaka, Bugiri, Butaleja, Kibuku, Namutumba, Pallisa and Serere (round one, starting on April 20, 2015). Spraying in the five districts of Alebtong, Amolatar, Dokolo, Kaberamaido and Otuke is being funded by DFID- UK, while the remaining nine are funded by USAID/PMI. In all previous Phase II spray rounds, the October-November, spray round was completed within quarter one of that fiscal year (FY), however in year three, the project deviated from the norm, as the debut of spraying the new group A districts was delayed. Multiple factors which caused the delay are documented in the project’s quarter one, and the end of spray reports, which were submitted to the client. Briefly, the project was required to wait until the Malaria Indicator Survey (MIS) was completed in the new districts, and the approval of the Supplementary Environmental Assessment (SEA), secured. The holiday season also required a two week pause in the spraying activities, pushing the spray season into quarter two of FY 2015. The preparations for this particular spray season were also atypical for the project. The uncertainties of timing due to pending approvals, created a compressed time frame, and imposed limited mobilization of government officials, who are the gateway to community mobilization. Spray round one in the seven new districts commenced on December 08, 2015 and was completed on February 19, 2015. Initiating IRS in these Lango region districts, met with significant resistance from different factions, including local sub-county and political leaders, religious leaders, organic farmers, health workers, and community members. This significant and persistent resistance derailed spraying in many areas,