1 MindanaoHealth Project Program Year 6 Accomplishment Report (October 2017- September 2018) Vol. 01: PY6 Accomplishment Report Submitted: November 15, 2018 Submitted by: Dolores C. Castillo, MD, MPH, CESO III Chief of Party MindanaoHealth Project E-mail: [email protected] Mobile phone: 09177954307 ii On the cover: Top left: USAID’s MindanaoHealth Project with Jhpiego represented by Chief of Party Dr. Dolores C. Castilo (center) launches the USAID-supported Social Media for Adolescent-Youth Reproductive Health (SoMe4AYRH) campaigns starting in the region of Caraga, to increase points of contact with young people through platforms familiar to them, which is the social media, for them to be provided with accurate, appropriate and needed health information and services. Also present during the launch were (from left to right) Department of Education-Agusan del Norte Division Superintendent Arsenio T. Cornites Jr., CESO V; Commission on Population Caraga Director Alexander A. Makinano, CESE; and Department of Health Caraga OIC-Assistant Regional Director Dr. Gerna Manatad. (MCossid/Jhpiego) Bottom left: In conflict-affected areas such as in Lanao del Sur, health providers are continually providing health services including family planning especially to women with unmet need who could not easily access services from health facilities. (RTindugan/Jhpiego) Top right: A trained health provider from Zamboanga del Sur explains family planning to a postpartum mother teaching her to protect herself from unplanned immediate pregnancy. (Photo by: Jhpiego) Bottom right: A teacher-participant undergoes teaching demonstration of Health and Sexuality Education using lesson plans they developed during a USAID-supported training. (FMorales/Jhpiego) This report was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Cooperative Agreement AID-492-A-13-00005. The contents are the responsibility of the Maternal, Neonatal, Child Health/Family Planning (MNCHN/FP) Regional Projects in Luzon, Visayas, and Mindanao and do not necessarily reflect the views of USAID or the United States Government. 3 Table of Contents Table of Contents Table of Contents .......................................................................................................................... 3 List of Acronyms (to be updated once finalized) ...................................................................... 5 1. Activity Overview/ Executive Summary .................................................................................. 9 1.2 Program Description/Introduction ............................................................................................................... 9 1.3 Description of Key Achievements: ............................................................................................................. 10 1.4 Key Challenges .................................................................................................................................................. 11 2. Key Achievements and Challenges ........................................................................................ 12 2.1 Key Achievements for the year ................................................................................................................... 12 2.2 Standard Indicators Update ......................................................................................................................... 17 Indicator FP 1: No. of Modern FP Current Users in USG-Assisted Areas ....................................... 17 Indicator FP 2: Couple Years Protection (CYP)* in USG-Assisted Areas ......................................... 23 Indicator FP 3: Average Stock- Out Rate of Contraceptive Commodities at Family Planning Service Delivery Points (SDPs) ....................................................................... 25 Indicator FP 4: Percent of USG-assisted SDPs Providing FP Counseling and Services to Couples, Men, Women, Youth and Adolescents of Both Sexes .......................... 29 Indicator FP 5: Number of USG-assisted community health workers (CHWs) providing family planning (FP) information, referrals, and/or services during the year . 31 Indicator N 1: Percent of LGUs conducting data quality checks (DQC) ........................................ 39 Indicator N 4: Number of USG-assisted SDPs Providing FP-RH Services for Adolescents and Youth ................................................................................................. 32 Indicator HL.6.2.1: Number of Women Giving Birth who Received Uterotonics in the Third Stage of Labor through USG- supported program ................. 38 Indicator NI 1: No. of Women of Reproductive Age that Have Been Profiled and Identified as Having Unmet Need for FP ............................................................ 42 Indicator NI 2: Percent of women of reproductive age that have been profiled and identified as having unmet need who have been provided with FP services. 43 Indicator NI 3: Percentage of PPFP/PPIUD Trained Providers that Have Been Certified by the Department of Health in USG Assisted Sites ............................. 45 4 Indicator NI 4: Number of Newborns Not Breathing at Birth who were Resuscitated in USG-Supported Programs .......................................................................................... 47 Indicator NI 5: Number of SDPs in Marawi City with Functional Health Service Provision. .. 48 Indicator NI 6: Percent of Audience recall of hearing and/or seeing MH-supported FP/RH Key Messages........................................................................... 51 Indicator CAA1: Number of Health Outreach Conducted ................................................................... 52 Indicator CAA2: Number of Civil Society Organizations Trained to Effectively Engage with Local Governments .................................................................................. 53 Indicator CAA3: Number of youth trained as peer educators .......................................................... 54 Indicator CAA4: Number of clients reached during health outreach activities .......................... 55 3. Cross-Cutting Issues ................................................................................................................ 55 3.1 Updates on Gender ......................................................................................................................................... 55 3.2 Update on Sustainability and Self-Reliance ........................................................................................... 57 3.3 Update on Environmental Compliance and Climate Risk Mitigation ........................................... 58 3.4 Update on Family Planning Compliance (no ARMM report) .......................................................... 61 4. Collaboration, Learning and Adapting ................................................................................. 62 5. Management, Administrative and Financial Issues ............................................................. 64 6. High-Level Planned Activities for October-December, 2018 ............................................. 64 6.1 High level turn-over of supply support to Marawi and its Corridors in December 2018 ..... 64 6.2 Regional Dissemination/Turn For-over Activities: October–November 2018 ........................... 64 5 List of Acronyms AND Agusan del Norte ADNPH Agusan del Norte Provincial Hospital ADS Agusan del Sur AJA Adolescent Job Aids ANC Antenatal Care APMC Amai Pakpak Medical Center ARMM Autonomous Region of Muslim Mindanao AY Adolescent and Youth AYRH Adolescent and Youth Reproductive Health BaSulTa Basilan, Sulu, and Tawitawi BEmONC Basic Emergency and Obstetric Newborn Care BHW Barangay Health Worker BTL Bilateral Tubal Ligation CAA Conflict Affected Area CDI Cities Development Initiative CDOC Cagayan de Oro City CEmONC Comprehensive Emergency Obstetric and Newborn Care CHO City Health Office CHT Community Health Team CHW Community Health Worker CIP Costed Implementation Plan CPR Contraceptive Prevalence Rate COE Center of Excellence CRMC Cotabato Regional Medical Center CSO Civil Society Organization CSR Cotraceptive Self Reliance CU Current Users CYP Couple-Years of Protection 6 DOH-CO Department of Health- Central Office DOH-RO Department of Health- Regional Office DQC Data Quality Check DRMC Davao Regional Medical Center EO Executive Order EOP End of Project FBD Facilty Based Delivery FHA Family Health Associate FHSIS Field Health Services Information System FP/AY Family Planning/Adolescent Youth FPOP Family Planning Organization of the Philippines GIDA Geographically Isolated and Disadvantaged Area GTLMH Gregorio T. Lluch Memorial Hospital (LGU hospital in Iligan City) HEEADSS Home environment, Education and employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, and Safety HSP Health Service Provider HUC Highly Urbanized City ICV Informed Choice and Voluntarism IEC Information, Education, and Communication ILHZ Inter-Local Health Zone IPHO Integrated Provincial Health Office IUD Intrauterine Device LAM Lactational Amenorrhea LAPM Long Acting and Permanent Method LARC Long Acting Reversible Contraceptive LARC-PM Long Acting Reversible Contraceptive-Permanent Method LCE Local Chief Executive LDS Lanao del Sur LDN Lanao del Norte LGUs Local Government Units LIPH Local Investment Plan for Health 7 LTO License to Operate