USAID Health Service Delivery Quarterly Progress Report April 1, 2020 to June 30, 2020 Submission Date: July 29, 2020 Agreement Number: AID-278-A-16-00002 Agreement Period: March 15, 2016 to March 14, 2021 Agreement Officer’s Representative: Dr. Nagham Abu Shaqra Submitted by: Dr. Sabry Hamza, Chief of Party Abt Associates 6130 Executive Blvd. Rockville, MD 20852, USA Tel: +1-301-913-0500/Mobile: +962-79-668-4533 Email: [email protected] This document was produced for review and approval by the United States Agency for International Development/Jordan (USAID/Jordan). 1 USAID Health Service Delivery FY 20 Q3 Progress Report Submitted to USAID on July 29, 2020 TABLE OF CONTENTS ACRONYMS AND ABBREVIATIONS .................................................................................. III GLOSSARY ...................................................................................................................... VI 1. ACTIVITY OVERVIEW ................................................................................................. 1 A. ACTIVITY DETAILS ........................................................................................................................ 1 B. VISION ............................................................................................................................................ 2 C. MISSION ......................................................................................................................................... 2 D. IMPLEMENTATION APPROACH ..................................................................................................... 2 2. EXECUTIVE SUMMARY ............................................................................................... 4 A. SUMMARY OF REPORTABLE Q3 INDICATORS ............................................................................. 4 B. COVID-19 AND USAID HEALTH SERVICE DELIVERY’S RESPONSE ......................................... 5 C. RMNCH+ SERVICE DELIVERY IMPROVEMENT ........................................................................... 7 D. COMMUNITY ENGAGEMENT ........................................................................................................ 8 E. RMNCH+ COMMUNITY OUTREACH PROGRAM ...................................................................... 9 F. INNOVATION GRANTS ................................................................................................................. 9 G. JORDAN’S MATERNAL MORTALITY SURVEILLANCE AND RESPONSE SYSTEM ........................... 9 H. STRENGTHENING SELF-RELIANCE .............................................................................................. 10 3. ACTIVITY IMPLEMENTATION .................................................................................... 11 SUMMARY OF FY20 Q3 DELIVERABLES ............................................................................... 11 Result 1: Expanded Availability of and Access to Integrated RMNCH+ Services .................................................................................................................. 14 Sub-result 1.1: Increased Uptake of Integrated RMNCH+ Services ........................................... 14 Sub-result 1.2 Increased community involvement to promote and increase demand for RMNCH+ services .................................................................................................................................... 23 Result 2: Improved Quality of Integrated RMNCH+ Services ......................... 28 Sub-result 2.1: Improve provider competency and behavior to deliver evidence-based RMNCH+ services .................................................................................................................................... 28 Sub-result 2.2 Strengthening management to support delivery of high-quality RMNCH+ services ........................................................................................................................................................ 30 USAID Health Service Delivery Support to the National COVID-19 Preparedness and Response Plan 2020 for Jordan ............................................ 34 Support the National COVID-19 Preparedness and Response Plan – Pillar 7 (Case Management) ................................................................................................................................ 34 Support the National COVID-19 Preparedness and Response Plan – Pillar 8 (Operation Support and Logistics) ........................................................................................................ 38 i USAID Health Service Delivery FY 20 Q3 Progress Report Submitted to USAID on July 29, 2020 Support the National COVID-19 Preparedness and Response Plan – Pillar 2 (Risk Communication and Community Engagement) ..................................................................... 40 Support the National COVID-19 Preparedness and Response Plan – Pillar 3 (Surveillance, Rapid Response Teams, and Case Investigation) ................................................... 41 4. COLLABORATION AND KNOWLEDGE SHARING ....................................................... 42 A. USAID HEALTH SERVICE DELIVERY IMPLEMENTING PARTNERS .............................................. 42 B. PARTNER ENTITIES IN HOST GOVERNMENT AND OTHER DONOR AGENCIES..................... 42 5. PLANNED ACTIVITIES FOR NEXT QUARTER ............................................................ 44 6. BRANDING, COMMUNICATIONS AND DISSEMINATION ............................................ 45 A. KEY COMMUNICATION ACTIVITIES IN FY20 Q3 .................................................................... 45 B. CALENDAR OF PLANNED OUTREACH AND COMMUNICATION EVENTS FOR FY20 Q4 ..... 45 ii USAID Health Service Delivery FY 20 Q3 Progress Report Submitted to USAID on July 29, 2020 ACRONYMS AND ABBREVIATIONS ALSO Advance Life Support for Obstetrics AO Agreement Office CDC Centers for Disease Control and Prevention CDD Communicable Diseases Directorate CHWs Community Health Workers CHC Community Health Committee CME Continuing Medical Education COVID-19 Corona Virus Disease 2019 CS Cesarean Section CSC Community Scorecard CSS Client Service Station CYP Couple Years of Protection DAG Directorate Advisory Group EMPHNET Eastern Mediterranean Public Health Network ETITD Electronic Transformation and Information Technology Directorate FBSS Facility-Based Supportive Supervision FGAC Family Guidance and Awareness Center FP Family Planning FPCM Family Planning Compliance Monitoring FY Fiscal Year GBV Gender Based Violence GFA Geographic Focus Area GP General Practitioner HAD Health Affairs Directorates HC Health Center HCC Healthy Community Clinic HCAC Health Care Accreditation Council HCAD Health Communication and Awareness Directorate HCP Health Care Provider HMIS Health Management Information System HPC Higher Population Council HPS Health Promotion Supervisors IDQCD Institutional Development and Quality Control Directorate iii USAID Health Service Delivery FY 20 Q3 Progress Report Submitted to USAID on July 29, 2020 IEC Information, Education and Communication IFH Institute for Family Health ICD International Classification of Diseases ICU Intensive Care Unit IPC Infection Prevention and Control IRC International Rescue Committee ISD Integrated Service Delivery ISDIC Integrated Service Delivery Improvement Collaborative IUD Intrauterine Device IV Intravenous JAFPP Jordanian Association for Family Planning and Protection JMMSR Jordan Maternal Mortality Surveillance and Response JMMSR-IS Jordan Maternal Mortality Surveillance and Response Information System JUH Jordan University Hospital LARC Long Acting Reversible Contraceptive LHSS Local Health Systems Sustainability MCH Maternal and Child Health MOH Ministry of Health MTaPS Medicines Technologies and Pharmaceutical Services MtMBSG Mother-to-Mother Breastfeeding Support Groups NAG National Advisory Group NCDD Non-Communicable Diseases Directorate NGO Non-Governmental Organization NICU Neonatal Intensive Care Unit Ob/Gyn Obstetrics and Gynecology OTJ On-The-Job PHC Primary Health Care Q Quarter RMNCH+ Reproductive, Maternal, Newborn and Child Health including Nutrition, Non-Communicable Diseases and Gender Based Violence RMS Royal Medical Services RHAS Royal Health Awareness Society SBCC Social Behavior Change Communication SDP Service Delivery Point iv USAID Health Service Delivery FY 20 Q3 Progress Report Submitted to USAID on July 29, 2020 TOT Training of Trainers TWG Technical Working Group TWCS Tafilah Women Charitable Society UNFPA United Nations Population Fund USAID United States Agency for International Development WCH Woman and Child Health WCHD Woman and Child Health Directorate WHO World Health Organization WHO-EMRO WHO Eastern Mediterranean Regional Office v USAID Health Service Delivery FY 20 Q3 Progress Report Submitted to USAID on July 29, 2020 GLOSSARY Baseline A method used to assess a current situation to help USAID Health Assessment: Service Delivery identify gaps in delivery of reproductive, maternal, newborn and child health services, and measure progress against the baseline over time. Change Package: A group of interventions designed to improve the health service delivery process and address gaps indicated in the baseline assessment findings as part of the Integrated Service Delivery Improvement Collaborative (ISDIC). Client Service A functional triage unit or station established within the health facility Station (CSS): using existing resources with the aim of improving