ARM3 7TH QUARTERLY REPORT APRIL 1 – JUNE 30, 2013 _________________________________________________________________ FISCAL YEAR 2013, QUARTER 3 PROGRAM YEAR 2 . July 30, 2013 This report was produced for the United States Agency for International Development (USAID) by Medical Care Development International (MCDI). ARM3 Accelerating the Reduction of Malaria Morbidity and Mortality Program 7th Quarterly Report: April 1, 2013 to June 31, 2012 Fiscal Year 2013 Program Year 2 Submitted to: Dr. Emile Bongo, Agreement Officer Representative (AOR), USAID/Benin Dr. Milton Amayun, Family Health Team Leader, USAID/Benin Cover photo: World Malaria Day in Parakou ARM3, Accelerating the Reduction of Malaria Morbidity and Mortality Program (ARM3), is funded by the United States Agency for International Development (USAID), under Cooperative Agreement AID - 680- A -11-00001. ARM3 is managed by Medical Care Development International (MCDI) as the prime, in collaboration with sub-grantees Africare, Johns Hopkins University – Center for Communications Program (JHU-CCP) and Management Sciences for Health (MSH). The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or of the United States Government. Table of Contents Table of Contents .......................................................................................................................................... 1 List of Acronyms ............................................................................................................................................ 2 Acknowledgements ....................................................................................................................................... 5 Executive Summary ...................................................................................................................................... 6 Introduction.................................................................................................................................................. 10 Result 1: Implementation of malaria prevention interventions in support of the National Malaria Strategy improved...................................................................................................................................................... 10 Sub-Result 1.1: Implementation of malaria prevention programs in support of the National Malaria Strategy improved............... 10 Sub-result 1.1a: IPTp uptake increased ...................................................................................................................................... 11 Achievements ...................................................................................................................................... 11 Sub-result 1.1.b: Upgrade skills of health workers (public and private sectors) through pre-service and in-service training ......... 12 Results ................................................................................................................................................ 13 Sub-Result 1.2: Supply and Use of LLINs Increased ................................................................................................................... 13 Achievements ...................................................................................................................................... 14 Results ................................................................................................................................................ 15 Result 2: Malaria diagnosis and treatment activities in support of the National Malaria Strategy improved 16 Sub-Result 2.1: Diagnostic Capacity and Use of Testing Improved ............................................................................................. 16 Achievements ...................................................................................................................................... 16 Results ................................................................................................................................................ 18 Sub-Result 2.2: Case Management of Uncomplicated and Severe Malaria Improved ................................................................. 18 Sub-result 2.2.a: Upgrade skills of health workers on clinical management ................................................................................. 19 Achievements ...................................................................................................................................... 19 Sub-result 2.2.b: Implementation of the Performance Improvement Approach (PI) in participating health zones and hospitals ... 20 Achievements ...................................................................................................................................... 20 Sub-result 2.2.c: Enhance integrated supervision on IPTp, malaria diagnostics and clinical case management of malaria .......... 22 Achievements ...................................................................................................................................... 22 Results ................................................................................................................................................ 22 Sub-Result 2.3: Integrated Community Case Management (iCCM) improved ............................................................................. 25 Achievements ...................................................................................................................................... 25 Result 3: The national health system’s capacity to deliver and manage quality malaria treatment and control interventions strengthened .............................................................................................................. 25 Sub-result 3.1: The National Malaria Control Program’s technical capacity to plan, design, manage, and coordinate a comprehensive malaria control program enhanced .......................................................................................................................... 26 Achievements ...................................................................................................................................... 26 Results ................................................................................................................................................ 27 Sub-Result 3.2: Capacity to Collect, Manage and Use Malaria Health Information for M&E and Surveillance Improved .............. 27 Achievements ...................................................................................................................................... 28 Results ................................................................................................................................................ 32 Sub-Result 3.3: Capacity in Commodities and Supply Chain Management Improved ................................................................. 32 Achievements ...................................................................................................................................... 33 Results ................................................................................................................................................ 40 Cross Sectional Activities ............................................................................................................................................................ 40 Results ................................................................................................................................................ 46 Program Management ................................................................................................................................ 47 Field Office ................................................................................................................................................................................. 47 Home Office Backstopping and Reporting................................................................................................................................... 47 Achievements ...................................................................................................................................... 47 Major Activities Planned for next quarter (July – September): .................................................................... 50 Financial Summary ..................................................................................................................................... 53 Annex 1: Quarterly Financial Report .......................................................................................................... 54 Annex 2: Cumulative Financial Report ........................................................................................................ 55 Annex 3: SF 424 ......................................................................................................................................... 56 Annex 4: OTSS Round 12........................................................................................................................... 57 List of Acronyms AAA/3A Akpro Misserte – Avrankou – Adjarra ABC Analysis of stock value, turnover, and volume ABD Adjohoun – Bonou - Dangbo ABFC Association Béninoise de Femmes Chanteuses ACPB Association des Cliniques Privées du Bénin ACT Artemisinin Combination Therapy AIRS Abt’s Indoor Residual Spraying Program AL