USAID Kenya Nutrition and Health Program Plus QUARTERLY PROGRESS REPORT January 01 to March 31, 2017 OCTOBER 2016 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 3 QUARTER 2 PROGRESS REPORT January 01– March 31, 2017 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. i TABLE OF CONTENTS TABLE OF CONTENTS .......................................................................................................................................... II ACRONYMS AND ABBREVIATIONS .............................................................................................................. IV EXECUTIVE SUMMARY ........................................................................................................................................... 6 I. INTRODUCTION ........................................................................................................................................... 8 II. PROJECT IMPLEMENTATION PROGRESS AND KEY ACHIEVEMENTS........................................ 8 1 IMPROVED ACCESS AND DEMAND FOR QUALITY NUTRITION INTERVENTIONS AT COMMUNITY AND FACILITY LEVELS .......................................................................................................... 8 1.1 STRENGTHENED LEADERSHIP, ADVOCACY AND POLICY PLANNING .................................................................. 8 1.2 IMPROVED NUTRITION SERVICE DELIVERY MANAGEMENT, COORDINATION AND IMPLEMENTATION ....... 10 1.3 IMPROVED NUTRITION RELATED BEHAVIOR ......................................................................................................... 12 1.4 INCREASED OPPORTUNITIES FOR LEARNING AND SHARING OF BEST PRACTICES IN NUTRITION ............ 12 1.5 INCREASED KNOWLEDGE AND SKILLS OF HEALTH CARE WORKERS IN NUTRITION ................................. 13 2 STRENGTHENED NUTRITION COMMODITY MANAGEMENT ............................................ 15 2.1 IMPROVING PRODUCTION, SUPPLY AND DISTRIBUTION OF NUTRITION COMMODITIES ............................... 15 2.2 IMPROVING QUALITY AND SAFETY OF FOOD COMMODITIES AND AGRICULTURAL PRODUCTS .................. 17 2.3 STRENGTHENING SUSTAINABILITY & INNOVATION IN NUTRITION COMMODITY DEVELOPMENT AND MANAGEMENT .......................................................................................................................................................................... 21 3 IMPROVED FOOD AND NUTRITION SECURITY ......................................................................... 21 3.1 INCREASING MARKET ACCESS AND CONSUMPTION OF DIVERSE AND QUALITY FOODS .............................. 21 3.2 INCREASING RESILIENCE OF VULNERABLE HOUSEHOLDS AND COMMUNITIES .............................................. 22 4 MONITORING AND EVALUATION .................................................................................................... 26 4.1 FACILITY REPORTING ................................................................................................................................................... 26 4.2 ELECTRONIC NUTRITION REPORTING ..................................................................................................................... 27 4.3 NUTRITION PORTAL ...................................................................................................................................................... 27 III. ACTIVITY PROGRESS – QUANTITATIVE IMPACT ....................................................................... 28 IV. PROGRESS ON ENVIRONMENTAL MITIGATION AND MONITORING .................................. 35 V. PROGRESS ON LINKS TO OTHER USAID PROGRAMS .................................................................. 35 V. PROGRESS ON LINKS TO OTHER GOK AGENCIES ....................................................................... 35 VI. SUBSEQUENTQUARTER’S WORKPLAN .............................................................................................. 36 VII. PROJECT ADMINISTRATION ................................................................................................................... 39 VIII. PROJECT ADMINISTRATION ................................................................................................................... 42 VIII.1 CONSTRAINTS .............................................................................................................................................. 42 ANNEXES: PERFORMANCE DATA TABLES .................................................................................................. 43 ANNEX 1: SUMMARY OF COMMODITIES DISTRIBUTED ...................................................................................................... 43 ANNEX 2: NUMBER OF PLHIV NUTRITIONALLY ASSESSED VIA ANTHROPOMETRIC MEASUREMENT ...................... 45 ANNEX 3: NUMBER OF HIV POSITIVE CLINICALLY MALNOURISHED CLIENTS WHO RECEIVED THERAPEUTIC AND/OR SUPPLEMENTARY FOOD .......................................................................................................................................... 47 ANNEX 4: NUMBER OF CHILDREN UNDER 5 WHO RECEIVED VITAMIN A FROM USG SUPPORTED PROGRAMS .... 49 ANNEX 5: NUMBER OF PEOPLE TRAINED IN CHILD HEALTH AND NUTRITION THROUGH USG-SUPPORTED PROGRAMS) ................................................................................................................................................................................ 50 ANNEX 6: NUMBER OF CHILDREN UNDER FIVE (0-59 MONTHS) REACHED WITH NUTRITION SPECIFIC INTERVENTIONS BY USG-SUPPORTED NUTRITION PROGRAMS ....................................................................................... 51 ii ANNEX 7: NUMBER OF PREGNANT WOMEN REACHED WITH NUTRITION-SPECIFIC INTERVENTIONS THROUGH USG-SUPPORTED PROGRAMS (RAA) .................................................................................................................................... 52 ANNEX 8: COMPREHENSIVE NACS IMPLEMENTED PROVIDING SERVICES BEYOND CCC/ART SITES .................. 53 ANNEX 9: QUARTERLY REVIEW MEETING (JULY – SEPTEMBER 2016) ACTION POINTS ........................................... 54 iii ACRONYMS AND ABBREVIATIONS AIDS Acquired Immune Deficiency Syndrome Ag-Nut Agriculture and Nutrition AMPATH Academic Model for Providing Access to Healthcare APHIAplus AIDS, Population and Health Integrated Project ART Antiretroviral Therapy AWP Annual Work Plan BFCI Baby Friendly Community Initiative CBO Community-Based Organization CCC Comprehensive Care Centers CDC Centers for Disease Control CHANIS Child Health and Nutrition Information System CHEW Community Health Extension Worker CHMT County Health Management Team CHV Community Health Volunteer CLTS Community-Led Total Sanitation CME Continuous Medical Education CNTF County Nutrition Technical Fora CO Country Office COP Chief of Party CRISP Central Regional Integrated Program CU Community Health Unit DCOP Deputy Chief of Party DHIS District Health Information System EDL Economic Development and Livelihoods EmOC Emergency Obstetric Care EMR Electronic Medical Records EMMP Environmental Mitigation and Monitoring Plan ENA Essential Nutrition Actions EPZ Export Processing Zone FAFSA Food Aid and Food Security Assessment FANTA Food and Nutrition Technical Assistance Project FAO Food and Agriculture Organization FBF Fortified Blended Food FBP Food by Prescription FFP Food for Peace FHI Family Health International FNSP-IF Food and Nutrition Security Policy Implementation Framework FtF Feed the Future GAIN Global Alliance for Improved Nutrition GIS Geographic Information System GMP Good Manufacturing Practice GOK Government of Kenya HACCP Hazard Analysis and Critical Control Points HEA Household Economic Assessment HFP Household Food Production HiNi High impact Nutrition interventions HIV Human Immunodeficiency Virus HNDU Human Nutrition and Dietetics Unit HTC HIV Testing and Counseling IFAS Iron Folic Acid Supplementation IMAM Integrated Management of Acute Malnutrition IP Implementing Partner iv IR Intermediate Result IYCF Infant and Young Child Feeding IYCN Infant and Young Child Nutrition KARI Kenya Agriculture Research Institute KEBS Kenya Bureau of Standards KDHS Kenya Demographic and Health Survey KEMSA Kenya Medial Supplies Authority KFDA Kenya Food and Drug Administration KHCP Kenya Horticultural Competitiveness KNDI Kenya Nutritionists and Dieticians Institute KPPB Kenya Pharmacy and Poisons Board LMIS Logistics Management Information System MAM Moderate Acute Malnutrition M&E Monitoring and Evaluation MEDS Mission for Essential Drugs and Supplies MCH Maternal Child Health MIYCN Maternal and Child Health Integrated Program MNCH Maternal Newborn and Child Health MOALF Ministry of Agriculture Livestock and Fisheries MOH Ministry of Health MT Metric Ton NACS Nutritional Assessment, Counseling and Support NASCOP National AIDS and STI Control Program NDMA National Drought Management Authority NFSNSC National Food and Nutrition Security Secretariat NHP Nutrition