PPP ECD programming CA AID-656-A-16-00002 (GDA ECD Programming) Fiscal Year 2018 Year 3: April 2018–March 2019 Quarterly Report: Q2 July–September 2018 Submitted on: October 30, 2018 Submitted to: United States Agency for International Development Cooperative Agreement No. AID-656-A-16-00002 Submitted by: PATH Street address: 2201 Westlake Avenue, Suite 200 Seattle, WA 98121, USA Mailing address: PO Box 900922, Seattle, WA 98109, USA Tel: 206.285.3500; Fax: 206.285.6619 www.path.org This work is made possible by the support of the American people through the United States Agency for International Development (USAID). The contents of this document are the sole responsibility of PATH and do not necessarily reflect the views of USAID or the United States Government 1 Contents Abbreviations.................................................................................................................................2 1. Overview of the reporting period .................................................................................... 3 2. Project objectives ........................................................................................................... 4 3. Results framework/Logical framework ............................................................................ 5 4. Indicators ....................................................................................................................... 6 Indicator 1 .....................................................................................................................................6 Progress and issues ............................................................................................................................... 6 Indicator 2 .....................................................................................................................................8 Progress and issues ............................................................................................................................... 8 Indicator 3 .....................................................................................................................................8 Progress and issues ............................................................................................................................... 9 Indicator 4 ................................................................................................................................... 10 B. Semi-annual reflection meetings with DPS/DPGCAS and SDSMAS. ......................................... 11 Indicator 5 ................................................................................................................................... 12 Progress and issues ............................................................................................................................. 12 Indicator 6 ................................................................................................................................... 15 Indicator 8 ................................................................................................................................... 16 Indicator 9 ................................................................................................................................... 19 Progress and issues ............................................................................................................................. 19 Indicator 10 .................................................................................................................................. 20 Progress and issues ............................................................................................................................. 20 Indicator 12 .................................................................................................................................. 24 Progress and issues ............................................................................................................................. 25 Indicator 13 .................................................................................................................................. 25 Progress and issues ............................................................................................................................. 25 Indicator 14 .................................................................................................................................. 26 Progress and issues ............................................................................................................................. 26 Indicator 16 .................................................................................................................................. 27 Progress and issues ............................................................................................................................. 27 5. Monitoring and evaluation ........................................................................................... 28 6. Upcoming plans ............................................................................................................ 33 7. Administrative update .................................................................................................. 34 8. Financial information .................................................................................................... 34 9. Appendices ................................................................................................................... 35 i Abbreviations ANC antenatal care APE agente polivalente elementar (community health worker) ART antiretroviral therapy CBO community-based organization CCD Consulta da Criança Doente (sick-child consultation) CCR Consulta da Criança em Risco (child-at-risk consultation) CCS Consulta de Criança Sadia (child well-being consultation) CDC Centers for Disease Control and Prevention CHC child health committee CHW community health worker CPC child protection committee DPGCAS Provincial Directorate of Gender, Children and Social Welfare DPS Provincial Health Directorate ECD early childhood development EGPAF Elizabeth Glaser Pediatric AIDS Foundation FANTA Food and Nutrition Technical Assistance GDA Global Development Alliance HF health facility IEC information, education, and communication IMCI Integrated Management of Childhood Illness IR intermediate result LOP life of project MCH maternal and child health MCSP Maternal and Child Survival Program MGCAS Ministry of Gender, Children and Social Action MOH Ministry of Health NGO non-governmental organization OVC orphans and vulnerable children PEPFAR US President's Emergency Plan for AIDS Relief PES Plano Económico e Social (Social and Economic Plan) PMTCT prevention of mother to child transmission PNC postnatal care PPP public-private partnership PRN Programa de Reabilitação Nutricional (Nutrition Rehabilitation Program) S-ECD Scaling Up Early Childhood Development SDSMAS District Directorate of Health, Women and Social Welfare TDI Tratamento da Desnutrição em Internamento (in-patient treatment of malnutrition [TDI]) TOT training of trainers UNICEF United Nations Children's Fund USAID United States Agency for International Development WEI World Education International WHO World Health Organization 2 1. Overview of the reporting period The Integrating Early Childhood Development (ECD) Global Development Alliance (GDA) Programming is a public-private partnership (PPP) between the United States Agency for International Development (USAID), the Conrad N. Hilton Foundation, and PATH, which works to integrate early childhood development programming in Mozambique. This PPP focuses on improving child development outcomes for vulnerable children 0–3 years in targeted areas of Mozambique, through an integrated health, nutrition, sensitive care, and stimulation intervention for health and social services provided by government and partners. This PPP is a three-year cooperative agreement that started on April 6, 2016. This progress report summarizes the accomplishments of the project during the second quarter (July to September 2018) of the third year of project implementation. PATH has continued to support the Ministry of Health and Ministry of Gender and Social Action (MGCAS) in developing activities to reinforce the integration of ECD in health facilities (HFs) and communities with the objective to improve the life of children ages 0–3 years. To achieve these results, PATH combines innovation and provision of technical assistance for strengthening ECD service delivery through HFs and community-based organization (CBOs). During this quarter, the PPP team continued working with the Child Health, Nutrition, and Health Promotion departments and technical working groups of the Ministry of Health (MOH) to review and follow up relevant documents for integrating ECD—such as stimulation posters for the maternity ward and child health supervision tools. Also during the quarter, the final report of the national ECD workshop held in late March was approved by the MOH. The report includes a draft of a national action plan for the integration of ECD into health services. This report was disseminated to all 11 provinces in Mozambique. The distribution process for posters on developmental milestones and nutrition counseling to all provinces with logistic support of several PEPFAR implementing partners was concluded during this quarter. PATH was invited by MOH to participate in two national neonatal and child supervision