Maternal and Child Survival Start Up Report - · PDF fileBEmONC Basic emergency obstetric and newborn care BMGF Bill & Melinda Gates Foundation CCM Community case management ... INAP

Maternal and Child Survival Start Up Report March 17–September 30, 2014 FINAL: 27 February 2015 START UP REPORT PERIOD COVERS SIX MONTHS (Final Submission: 27 February 2015) (Re-submission: 31 January 2015) (Original Draft Submission: 01 December 2014) Submitted to: United States Agency for International Development under Cooperative Agreement # AID-OAA-A-14-00028 Submitted by: Jhpiego Corporation in cooperation with Save the Children Federation, Inc., John Snow, Inc., ICF International, Results for Development Institute, Program for Appropriate Technologies in Health, Population Services International and CORE Group Along with Associate Partners—Broad Branch Associates Johns Hopkins Bloomberg School of Public Health, Communications Initiative, Venture Strategies Innovations and Futures Institute

This report is 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-OAA-A-14-00028. The contents are the responsibility of the Maternal and Child Survival Program and do not necessarily reflect the views of USAID or the United States Government. The Maternal and Child Survival Program (MCSP), is a global U.S. Agency for International Development (USAID) cooperative agreement to introduce and support high-impact health interventions in 24 priority countries with the ultimate goal of ending preventable child and maternal deaths (EPCMD) within a generation. MCSP supports programming in maternal, newborn and child health, immunization, family planning and reproductive health, nutrition, health systems strengthening, water/sanitation/hygiene, malaria, prevention of mother-to-child transmission of HIV, and pediatric HIV care and treatment. MCSP will tackle these issues through approaches that also focus on health systems strengthening, household and community mobilization, gender integration and eHealth, among others. Visit www.mcsprogram.org to learn more.

Maternal and Child Survival Start Up Report i

Table of Contents Abbreviations and Acronyms ........................................................................................................ iii

Executive Summary ........................................................................................................................ 1

Objective 1: Scaling up and sustaining RMNCH coverage in 24 priority countries ........................................ 3

Objective 2: Closing innovation gaps to increase equitable coverage and integrated services across the continuum of care ....................................................................................................................................... 4

Objective 3: Effective policy, program learning, and accountability for improved RMNCH utcomes across the continuum of care ..................................................................................................................... 5

Summary of Achievements by Technical Area ............................................................................ 8

Maternal Health ............................................................................................................................................................... 8

Newborn Health ............................................................................................................................................................. 9

Child Health ................................................................................................................................................................... 10

Immunization .................................................................................................................................................................. 12

Family Planning/Reproductive Health ....................................................................................................................... 13

Malaria .............................................................................................................................................................................. 15

Nutrition ......................................................................................................................................................................... 16

WASH .............................................................................................................................................................................. 17

Africa Bureau .................................................................................................................................................................. 18

Asia Bureau ..................................................................................................................................................................... 19

LAC bureau .................................................................................................................................................................... 19

Summary of Achievements by Cross-Cutting Area .................................................................. 20

Health Systems Strengthening .................................................................................................................................... 20

Community Health and Civil Society Engagement ................................................................................................ 22

eHealth ............................................................................................................................................................................ 24

Measurement, Monitoring and Evaluation, Learning (MMEL) ................................................. 25

Partnerships ................................................................................................................................... 27

Saving Mothers, Giving Life (SMGL) ......................................................................................................................... 27

Mobile Alliance for Maternal Action (MAMA) ....................................................................................................... 28

mPowering Frontline Health Workers (mPowering) ........................................................................................... 29

Strategic Communications .......................................................................................................... 29

Challenges and Opportunities ..................................................................................................... 32

Challenges ....................................................................................................................................................................... 32

Opportunities ................................................................................................................................................................. 33

ii Maternal and Child Survival Start Up Report

Annex A: Year One Financial Summary ..................................................................................... 35

Annex B: Learning Questions ...................................................................................................... 36

MCSP Action-Oriented Learning Agenda, PY1 ...................................................................................................... 36

Annex C: Country Results Matrix ................................................................................................ 44

Annex D: List of Communication Events ................................................................................... 53

Annex E: List of Peer-Reviewed Publications ............................................................................. 55

Annex F: Project Monitoring Plan ............................................................................................... 56

Annex G: Success Stories ............................................................................................................. 80

Maternal and Child Survival Start Up Report iii

Abbreviations and Acronyms AAP American Academy of Pediatrics

ACNM American College of Nurse-Midwives

ACS Antenatal corticosteroids

AFRO World Health Organization Africa Regional Office

AIDS Acquired immune deficiency syndrome

ANC Antenatal care

APC Advancing Partners and Communities

ART Antiretroviral therapy

ASH African Strategies for Health

BCC Behavior change communication

BEmONC Basic emergency obstetric and newborn care

BMGF Bill & Melinda Gates Foundation

CCM Community case management

CHNRI Child Health and Nutrition Research Initiative

CHP Community health platform

CHW Community health worker

CSHGP Child Survival and Health Grants Program

CSO Civil society organization

DoB Day of Birth

DRC Democratic Republic of Congo

ECSB Essential Care for Small Babies

EmONC Emergency obstetric and newborn care

ENA Essential Nutrition Action

ENAP Every Newborn Action Plan

ENC Essential newborn care

EPCMD Ending preventable child and maternal deaths

EPI Expanded Program on Immunization

FP Family planning

FY Fiscal year

Gavi GAVI Alliance (formerly the Global Alliance for Vaccines and Immunization)

GDA Global Development Alliance

GF Global Fund

HBB Helping Babies Breathe

HIS Health information system

HIV Human immunodeficiency virus

HMIS Health management information system

iv Maternal and Child Survival Start Up Report

HSS Health system strengthening

iCCM Integrated community case management

IFA Iron-folic acid

IIP Immunization in Practice

IMCI Integrated management of childhood illness

INAP India Newborn Action Plan

IRB Institutional Review Board

IYCF Infant and young child feeding

IYCN Infant and young child nutrition

JHU Johns Hopkins University

JSI John Snow, Inc.

K4H Knowledge for Health

KMC Kangaroo Mother Care

KPC Knowledge, practice, coverage

LAC Latin America and the Caribbean

LARC Long-acting reversible contraception/contraceptive

LiST Lives Saved Tool

M&E Monitoring and evaluation

MAMA Mobile Alliance for Maternal Action

MCH Maternal and child health

MCHIP Maternal and Child Health Integrated Program

MCSP Maternal and Child Survival Program

MDG Millennium Development Goal

MDSR Maternal death surveillance and response

MHTF Maternal Health Task Force

MIP Malaria in pregnancy

MIYCN Maternal, infant and young child nutrition

MMEL Measurement, monitoring, evaluation, and learning

MNCH Maternal, newborn, and child health

MNH Maternal and newborn health

MOH Ministry of Health

MSH Management Sciences for Health

NGO Nongovernmental organization

OIC Organization of Islamic Cooperation

OR Operations research

ORS Oral rehydration salts

PAC Postabortion care

PAHO Pan American Health Organization

Maternal and Child Survival Start Up Report v

PD Program Description

PDSR Participatory disease surveillance and response

PMI U.S. President’s Malaria Initiative

PMNCH Partnership for Maternal, Newborn & Child Health

PMP Performance monitoring plan

PNC Postnatal care

PPFP Postpartum family planning

PPH Postpartum hemorrhage

PSI Population Services International

PY Program Year

RBM Roll Back Malaria

REC Reaching Every Community

RI Routine immunization

RMNCH Reproductive, Maternal, Newborn, and Child Health

S&T Survive & Thrive

SBCC Social and behavior change communication

SEC Soins Essentiels Communautaires

SLAB Saving Lives at Birth

SMGL Saving Mothers, Giving Life

TA Technical assistance

TOR Terms of Reference

TWG Technical working group

UNCoLSC UN Commission on Life Saving Commodities

UNEPI Uganda National Expanded Programme on Immunization

UNICEF United Nations Children’s Fund

USAID United States Agency for International Development

WASH Water, sanitation, and hygiene

WMDA Whole Market District Approach

WHO World Health Organization

WHO/AFRO World Health Organization/Regional Office for Africa

vi Maternal and Child Survival Start Up Report

Maternal and Child Survival Start Up Report 1

Executive Summary The Maternal and Child Survival Program (MCSP) is a global $500 million dollar, five-year, U.S. Agency for International Development (USAID)-funded cooperative agreement to introduce and scale up high-impact health interventions in 24 priority countries with the ultimate goal of ending preventable child and maternal deaths (EPCMD) within a generation. The Maternal and Child Survival Program supports programming in maternal, newborn and child health, immunization, family planning (FP) and reproductive health, nutrition, health systems strengthening, water/sanitation/hygiene, malaria, prevention of mother-to-child transmission of HIV, and pediatric HIV care and treatment. MCSP engages governments, policymakers, private sector leaders, health care providers, civil society, faith-based organizations, and communities in adopting and accelerating proven approaches to address the major causes of maternal, newborn, and child mortality such as postpartum hemorrhage, birth asphyxia, and diarrhea, respectively, and improve the quality of health services from household to hospital. MCSP will tackle these issues through approaches that also focus on health systems strengthening, household and community mobilization, gender integration, and eHealth, among others. The Maternal and Child Survival Program carries forward the momentum and lessons learned from the highly successful USAID-funded and Jhpiego-led Maternal and Child Health Integrated Program (MCHIP), which has made significant progress in improving the health of women and children in over 50 developing countries throughout Africa, Asia, Latin America, and the Caribbean. MCSP is implemented by a consortium of agencies let by Jhpiego and aims to allocate 20% of field funds to local institutions. MCSP is motivated by a vision of self-reliant countries equipped with the analytical tools, effective systems, and technical and management capacity to eliminate preventable maternal, newborn, and child deaths. By design, we will inform global debate and catalyze countries to develop approaches, apply tools, and devote resources toward building a sustainable system from the household to the hospital to address the major causes of maternal, newborn, and childhood mortality. This report covers program start-up activities implemented from March 17, 2014 to September 30, 2014. The startup period involved intensive work on two critical tracks: 1) supporting USAID’s engagement in global technical and policy fora to keep focused momentum on Ending Preventable Child and Maternal Deaths (EPCMD) and 2) startup activities in many of the 24 priority countries that are linked to both global priorities as well as country-relevant needs. Intensive program start-up and planning included several months of active discussions with USAID to develop the technical priorities of MCSP and introduce new partners and cross-cutting teams to MCSP structures. Extensive work was put into the development of an 18-month workplan including active collaboration and coordination across technical teams, through iterative discussions with USAID and further refinement of integrated approaches such as Better Care on the Day of Birth and the Whole District Market Approach. Additional focus revolved around rapid field buy-in and implementation in 13 countries (see Objective 1). A notable success for MCSP was USAID’s approval of its first 18-month workplan on August 8, 2014. Simultaneously, teams worked hard to ensure a seamless transition from MCHIP to MCSP. Between March 17, 2014, and September 30, 2014, many activities and products were jointly funded by MCHIP and MCSP. The accomplishments below reflect this joint funding and activities and results linked to both projects. One of MCSP’s largest contributions to supporting USAID’s role in global technical and policy dialogue on EPCMD included support to analytical work and country collaboration related to the 2014 “Acting on the Call” event and report. On June 25, 2014, USAID held an event to discuss new efforts to save the lives of 15 million children and nearly 600,000 women by 2020. More than 400 participants were in attendance,

2 Maternal and Child Survival Start Up Report

including 23 Ministers of Health and representatives from USAID’s priority countries. During the event, USAID released an action plan entitled Acting on the Call: Ending Preventable Child and Maternal Deaths. MCSP worked closely with USAID to prepare the 24-country analysis of child lives that could be saved in USAID priority countries, comparing a baseline case of historic trends in intervention coverage with a “best performer” case of accelerated intervention coverage, both based upon modeled estimates. The analysis, developed using the Lives Saved Tool (LiST), was highlighted in the report which was disseminated at the event and online (http://www.usaid.gov/sites/default/files/documents/1864/USAID_ActingOnTheCall_2014.pdf). As a result of this analytical work supported by MCSP, USAID has established key milestones to track in each of its 24 priority countries. These milestones have also been supported by host countries and the report has been a touchstone for many stakeholders in taking a collaborative approach to addressing the key drivers of mortality. MCSP provided all logistical support for Ministerial representation from 23 USAID priority countries for the event including travel, accommodation and transportation of participants. MCSP also coordinated closely with Legislative and Public Affairs on the luncheon program. This included remarks, press release and media outreach, MCSP collateral and social media efforts. As a result of MCSP’s support, USAID’s 24 prioirty countries were able to engage deeply in the Acting on the Call events, resulting in deeper engagement between global and country-level leaders and decision-makers. Ariel Pablos-Mendez, Assistant Administrator for Global Health at USAID, announced the Agency’s new flagship Maternal and Child Survival Program, during a lunch panel at the “Acting on the Call” event. This offered a prime opportunity for the Agency to highlight their new global health project and the investment of the American People in maternal and child health (MCH).

MCSP Director Koki Agarwal is greeted on stage by USAID’s Assistant Administrator for Global Health at USAID, Dr. Ariel Pablos-Méndez.


Objective 1: Scaling up and sustaining RMNCH coverage in 24 priority countries

Across the reproductive, maternal, newborn, and child health (RMNCH) continuum of care, MCSP is focusing on supporting host countries to improve coverage of high impact interventions and achieve results at scale. Achieving and sustaining scale requires that MCSP apply a consistent health systems strengthening (HSS) lens to our work, including the institutionalization of scalable and integrated service delivery, quality improvement, and community health platforms, and that we emphasize building the value added by civil society in working with public health systems. The core workplans for all MCSP technical and cross-cutting teams specify how MCSP draws on country experience to inform global debate and to catalyze work at the country level to develop approaches, apply tools and devote resources to reach and sustain effective coverage at scale. As part of these workplans, MCSP made progress in development and widespread dissemination of concept notes on two new focus areas including the Whole Market District Approach and Scalable, Integrated Community Health Platforms. MCSP is working to apply the concepts in differing country contexts and is drafting products to help advance different components of the concepts. See Summary of Technical and Cross-Cutting Achievements below for more details on MCSP core investments. MCSP got off to a fast start for field buy-in and implementation. During the start up period, 13 program descriptions (PDs) came out for Haiti Social Marketing, Ethiopia (two), Ghana, Kenya, Madagascar, Malawi, Mali, Nigeria, Rwanda, Tanzania, Uganda, and Zambia, and two USAID missions—Haiti (EPCMD) and Nigeria (immunization)—requested assessment/planning missions to guide development of additional PDs. MCSP undertook assessment/planning visits in ten countries—Ethiopia, Ghana, Haiti, Kenya, Malawi, Mali, Namibia, Nigeria, Tanzania, and Uganda. Eight workplans were submitted during the reporting period for Haiti (social marketing), Ethiopia (community-based newborn and basic emergency obstetric and newborn care), Malawi, Mali, Nigeria (polio), Tanzania, and Uganda; the other workplans were expected to be finalized in October. Of the eight workplans submitted before the end of the reporting period, three were approved (Haiti social marketing, Mali, Nigeria polio).


In Haiti and Mali, activities began in accordance with their workplans. While awaiting workplan submission and/or feedback, significant preparatory activities began in all countries, to ensure a quick and efficient start-up after approval. In former MCHIP countries, some level of technical assistance also continued as expectations for MCSP were clarified. (See Annex C for a summary of country achievements during the reporting period.) Several other USAID missions have expressed interest in buying into the MCSP mechanism and PDs are expected during the next quarter for Burma, Democratic Republic of the Congo (DRC), Egypt, Guinea, Haiti (EPCMD), Namibia, and Nigeria (immunization). Based on the program descriptions received and expected from USAID missions, MCSP’s country work will focus primarily on the strengthening of maternal and newborn care, family planning, and immunization, with a few missions also investing in child health, nutrition, malaria, and HIV-related assistance.

Objective 2: Closing innovation gaps to increase equitable coverage and integrated services across the continuum of care

To ensure alignment across MCSP with respect to work in innovations, discussions were held across teams to clarify how MCSP would define our work in the area of innovations. However, identifying the high-impact interventions that need to be delivered is only part of the solution, understanding how to deliver these interventions is critically important to reach the goal of equitable coverage at scale. To that end, MCSP anticipates that our work will support four general areas:

Countries with program descriptions


• New products: Introducing a product or drug new to a particular program or service delivery system. This may be adapted from another country or setting. See Saving Lives at Birth Landscape Analysis below for additional details on progress made during the reporting period.

• New use of existing products: Using an existing or known product in a new way or application or by a new user (e.g. Ketamine as anesthetic in Emergency Obstetric Care, chlorhexidine for umbilical cord care, using rapid diagnostic tests for intermittent screening and testing of pregnant women).

• New “processes”: Implementing a new process aimed at improving coverage, quality, and/or equity for one or more high impact interventions on which MCSP is focusing (e.g., task shifting, such as allowing new cadres of providers to offer services, new processes for data capture, visualization and/or use, performance-based financing or incentives approaches, m/eHealth innovations for patient tracking and HIS).

• New configuration or combination of existing “processes”: Delivering a package of high impact interventions that have not been combined in that setting previously or have not been combined effectively (e.g., integrating TB screening or gender-based violence screening into the ANC platform, ensuring better care on the day of birth, stronger integration of services across antenatal and postnatal care platforms).

During the reporting period, consultations across technical teams on the Day of Birth and Strengthening ANC-PNC platforms took place. It is anticipated that more detailed concept notes will be shared with USAID in early 2015 which will include related strategies to strengthen clinical governance and measurement and data use. Country implementation is expected to begin in spring 2015, with focus countries of Nigeria, Tanzania, and potentially Rwanda. Further to the request of USAID, MCSP conducted a landscape analysis of the Saving Lives at Birth (SLB) portfolio to determine which emerging innovative solutions are good candidates for MCSP program introduction, either in the short term or for tracking as the evidence of these solutions and alignment with MCSP priorities evolves. The team is now finalizing the analysis in consultation with USAID. Some of the examples of highlighted innovations include the Uterine Balloon Tamponade (Massachusetts General Hospital), the Pumani bubble Continuous Positive Airway Pressure (bCPAP) device (Rice University and 3rd Stone) and some earlier stage innovative ideas such as PharmaChk (Boston University) and innovations focusing on detecting and managing newborn sepsis or pneumonia. Following the Saving Lives at Birth Development Exchange from July 29–August 1 the landscape analysis was further developed and specific follow-up meetings have taken place to gather additional information about the status of the projects. The team expects to have further interaction, even in an informal way, to learn more about the emerging or earlier stage innovation ideas of interest.

Objective 3: Effective policy, program learning, and accountability for improved RMNCH outcomes across the continuum of care

Contributing to effective policy and accountability is central to MCSP’s global and country-level approaches to work. A focus on monitoring progress (balancing feasibility with validity of information), putting data to use, and learning from practice at the country level is central to carrying out sharpened country plans. To this end, the MCSP MMEL team developed the overarching framework for the Action-oriented Learning Agenda. The themes will be:

1. Effective approaches for reaching sustainable impact at scale for high-impact interventions

2. Quality Improvement (QI) for service provision and essential implementation processes


3. Equity of preventive and curative service provision, including gender equity

4. How best to strengthen key components of local and district level Health Systems, including civil society organization (CSO) and private sector (focusing on the components of service provision, human resources, and health information)

5. Community and household production of health, including behavior change interventions

6. Innovations, especially e/mHealth approaches to strengthen and streamline the key health systems components outlined in Point #4

7. Gaining efficiencies and improving “fit to context” through smart integration of interventions and innovations within existing systems

The types and approaches to action-oriented learning also agreed upon are presented in Table 1.

Table 1: MCSP Action-Oriented Learning Needs, Types, and Approaches

Action-oriented learning need

Types and Approaches to learning to address the need

Illustrative examples

EXPLAIN How and why did an intervention work?

Evaluations that include process documentation / strength of implementation

What are the factors associated with success of the Mozambique Model Maternities Initiative?

INFLUENCE DECISION-MAKERS Can we improve an intervention? Expansion / Scale-up Phase: Did an intervention improve coverage, quality, and equity? Was an intervention cost-effective and sustainable? Introduction Phase: Was an intervention feasible and acceptable?

Large program/ intervention evaluations This could be dose-response, stepped wedge, time series studies

Was the national rollout of Helping Babies Breathe (HBB) successful in Malawi?

Small-scale special studies Operations research, participatory learning, and action

Can an audit/feedback QI approach improve provider performance for delivering antenatal corticosteroids?

Project-based monitoring & learning (“program learning”) Routine health information system (his) or project data with additional qualitative information

Is on-the-job training more effective than traditional classroom training for improving maternity care practices?

EXPLORE Characterize a situation to help plan the best intervention strategy.

Formative / descriptive analyses Qualitative investigations

• Multi-country situation analysis for postpartum hemorrhage (PPH) prevention

• What are barriers and facilitators for use of community Kangaroo Mother Care (KMC)?

PREDICT What would be the impact of an intervention or set of interventions?

Planning analyses for activity prioritization Modeling using Lives Saved Tool (list), onehealth, or Marie Stopes Family Planning Policy Tool

LiST analysis of 24 USAID priority countries for prioritization of RMNCH interventions

* Table is based on Table 5 in Peters, et al., 2013. “Implementation Research in Health: A Practical Guide,” WHO, Geneva. The learning questions for core technical teams for PY1 were finalized (see Annex B), in consultation with USAID. Technical assistance was provided to 12 country teams as they developed their workplans, in order to achieve alignment with the Program’s overall action-oriented learning agenda. It was also agreed that teams


would develop short (one- to two-page) “Learning Activity Concept Notes” for learning activities that will not need Institutional Review Board (IRB) approval. MMEL also developed and submitted to USAID for review a draft of the global performance monitoring plan (PMP) for MCSP. Finally, the MMEL team has been working closely with technical teams, specifically, maternal health, newborn health, and family planning teams to create data dashboards to facilitate program management and ultimately data use. Gender, Quality, and Equity Ensuring effective coverage at scale includes increasing coverage while addressing quality and equity. MCSP is committed to ensuring that all of our work maintains a consistent focus on quality and equity, including gender. Key accomplishments during start up of MCSP include laying the foundation for introducing gender, quality, and equity approaches to technical and cross-cutting teams and working to integrate these approaches into MCSP activities. Gender, equity, and quality indicators have been included in the PMP to measure key processes and outcomes. For example, gender indicators will track whether country programs have conducted a gender analysis or have a gender strategy and the extent to which women are able to make decisions with respect to their health care. In addition, gender questions have been added to baseline surveys and assessments, namely the Quality of Care health facility survey and the Knowledge, Practices and Coverage household survey, and the Malaria in Pregnancy intervention mapping, in order to measure how well services have addressed gender and understand gender-based constraints in access to services and maintaining health practices. At the country level, gender strategies and activities have been included in the Tanzania, Nigeria, and Namibia workplans. Finally, MCSP has formed an internal Gender Working Group, with 14 representatives from technical and country teams, to promote learning and coordination on strategies to integrate gender into the program. The first meeting was held in October and focused on the review of a gender analysis toolkit that Jhpiego is developing to help programs collect data to assist with gender analyses. Specific activities related to quality, equity, and gender are described throughout the technical sections.


Summary of Achievements by Technical Area Maternal Health

MCSP’s strategic approach for maternal health aligns with and supports USAID’s Maternal Health Vision for Action and emphasizes an integrated, outcomes-focused, systems-oriented approach to reducing direct and indirect causes of maternal morbidity and mortality. During start up, the maternal health team initiated planning and design exercises to define strategies and implementation approaches including strengthening the quality of care on the day of birth, improving antenatal and postnatal care, improving metrics and measurement for improved quality of maternal and perinatal care, and making strides in global leadership on key maternal health global initiatives and knowledge sharing. Program efforts during this period produced initial drafts of the Better Care on the Day of Birth strategy, and promoted the inclusion of MCSP Maternal Health approaches into the design for MCSP field programs. Program activities in Global Leadership for Maternal Health (e.g., engagement with the United Nations Commission on Life Saving Commodities [UNCoLSC] Technical Working Group [TWG] on antenatal corticosteroids [ACS], Maternal Health Task Force [MHTF], and Bill & Melinda Gates Foundation [BMGF]) enabled information sharing and consultative discussions which also informed the PY1 workplanning process. Accomplishments

• MCSP maternal health team members began actively engaging with field teams to support program design in the countries where USAID Missions expressed interest in funding a field program. Team members traveled to Haiti, Nigeria, and Tanzania to support program design, meeting with local USAID Missions, MCSP field teams, and local partners and stakeholders. Remote support was provided to other MCSP workplanning efforts including Kenya, Ethiopia, Madagascar, Ghana, Egypt, Burma, and India.

• MCSP initiated design activities toward the integrated theme of strengthening service delivery in antenatal and postnatal care, with emphasis on incorporation of screening and management of infectious diseases into those service delivery platforms. This activity is co-funded by the Africa Bureau (13.1.1). Design of this integrated approach to strengthening ANC and PNC services was initiated in the start up period, and a design workshop is planned for early in PY2.

• MCSP contributed to the UNCoLSC- and BMGF-supported Antenatal Corticosteroid for Preterm Birth Technical Working Group meeting in August 2014, sharing program implementation lessons learned and research findings with this key stakeholders group. MCSP’s contribution to the ACS TWG included presentation of preliminary findings from the MCHIP Asia Bureau study on ACS, and contributions to priority-setting exercises and program implementation strategies. MCSP will continue to actively participate in this TWG in PY2, with particular focus on programmatic responses to findings from the antenatal corticosteroids trial. Engagement with this TWG enables MCSP to contribute to the global conversation on ACS and management of preterm birth, to solicit feedback on and buy-in for MCSP program activities (such as the training materials), and to help shape the global research agenda for ACS.

• MCSP finalized the design and plans for the collaboration with the Organization of Islamic Cooperation (OIC) during this reporting period. A detailed workplan and budget were developed for the OIC collaboration, in partnership with OIC, USAID, the Statistical, Economic and Social Research and Training Centre for Islamic Countries (SESRIC), and the World Health Organization (WHO). Survey tools were drafted and circulated for feedback from collaborating partners. These important first steps will enable the activity objectives of better understanding the common challenges and issues that limit full achievement of EPMM goals and WHO guidelines and recommendations among OIC countries.


• Learning priorities were drafted and presented for discussion with USAID in August 2014. After subsequent workplan design and prioritizations, a final list of Action-Oriented Learning Priorities was submitted to USAID for approval, which was granted in October 2014.The Action-Oriented Learning Priorities are drawn from MCSP maternal health workplan activities and will enable the team to capture learning on priority activities in a systematic way.

Newborn Health

MCSP will strengthen country-led program planning, implementation, and M&E of quality, high-impact newborn health interventions to address the three major causes of newborn death—intrapartum-related complications, newborn infections and complications arising from prematurity—and reduce the incidence of stillbirths. During the reporting period, the newborn team worked to provide technical support to critical global initiatives (e.g., Every Newborn Action Plan[ENAP], UNCoLSC Technical Resource Teams, Survive & Thrive [S&T]) and to provide technical assistance to countries developing workplans with newborn activities under MCSP. Accomplishments

• The MCSP newborn team supported the global launch of the ENAP at the Partnership for Maternal, Newborn & Child Health (PMNCH) Partners’ Forum in Johannesburg, South Africa, in July 2014, and committed significant time in Q4 to support the global ENAP secretariat to begin to determine the status of ENAP rollout in selected countries. This is significant, because ENAP tracking and support feature prominently in the MCSP team’s global workplan, as the ENAP initiative provides guidance, avails technical resources, and helps to drive momentum for countries’ newborn survival programs.

• In September 2014, MCSP supported the American Academy of Pediatrics (AAP) and the Kathmandu Medical College to undertake beta testing of the Essential Care for Small Babies (ECSB) curriculum and learning materials in Nepal, in coordination with the Survive and Thrive Global Development Alliance (GDA). Rich feedback was received from the participants of the two rounds of training—first the facilitators’ training and the second the service providers’ training. In addition, valuable feedback and input were received from observers, including WHO, the United Nations Children’s Fund (UNICEF), and USAID. This was a critical step in the process of finalizing the ECSB materials, which MCSP will support to introduce and scale up in selected countries.

• The MCSP newborn team actively participated in India’s “Helping 100,000 Babies Survive & Thrive” national stakeholders’ meeting and the launch of the India Newborn Action Plan (INAP) in September 2014, in coordination with the Survive and Thrive GDA. The former was facilitated by the Indian Academy of Pediatrics and the National Neonatology Forum, and resulted in agreement to develop an implementation plan to include the rollout of the Helping Babies Survive (HBS) suite of materials in 10–15 initial districts. The INAP is a significant effort by the government of India to reduce the newborn mortality rate to a single digit by 2030—from 29/1,000 live births, ahead of the global deadline of 2035. As India accounts for approximately one-quarter of the world’s annual newborn deaths, achievement of this ambitious target is especially important. The INAP spells out six key principles to achieve its targets and includes quality of care around the time of birth, partnership, accountability, and improving care around the day of birth, with efforts focused on care for both the laboring mother and her newborn baby. The MCSP newborn team is poised to provide technical assistance to these efforts through its engagements in the global S&T GDA as well as through an MCSP country program, should USAID/India buy in.


• MCSP participated in key newborn technical working groups and technical resource teams—on KMC acceleration, newborn indicators, neonatal resuscitation, chlorhexidine, ACS, and injectable antibiotics—as well as in the Survive & Thrive Global Development Alliance. MCSP’s engagement served dual functions, ensuring that MCSP’s global newborn experience and leadership are well-represented to and informed by the work of other partners, donors, projects, and researchers. Particularly in this start-up phase of MCSP, the newborn team’s regular and robust participation on Technical Resource Teams and TWGs was critical to strengthening MCSP’s position to provide technical assistance to new country programs.

• During the start up period, the newborn team developed, refined, and secured USAID’s approval for five learning questions that are to be initiated or answered by September 2015. The questions were approved and countries proposed or selected for each question. The perinatal death audits to improve care for laboring women and newborn learning questions were included in the MCSP Tanzania country workplan, proposed for the MCSP Nigeria country workplan, and exploratory discussions held with the Malawi Ministry of Health (MOH), stakeholders, and implementing partners. Mutual commitment was made by MCSP global newborn, maternal, and MMEL teams to collaborate on respective perinatal death audits, maternal death surveillance and response (MDSR), and testing of intrapartum stillbirth indicator efforts. To understand the effect of training that integrates essential newborn care (ENC) with basic emergency obstetric and newborn care (BEmONC) on provider competence in both essential newborn care and in selected labor management competencies, potential countries identified include Tanzania and Kenya. Learning around key barriers to post-training provider performance of newborn resuscitation could be studied in Bangladesh, Malawi, and Tanzania. Finally, MCSP will identify a questions related to: 1) possible severe bacterial infections (PSBI) in newborns by Q3 (April – June); and 2) quality improvement of newborn health services in Q4 (July–September 2015).

Child Health MCSP’s work in child health builds on rich MCHIP experiences. Under MCSP, Child Health continues to play a global role as the Integrated Community Case Management (iCCM) Task Force Secretariat to collaboratively work with UNICEF, WHO, Save the Children, and other iCCM partner organizations in an effort to develop and make accessible information and tools to improve iCCM implementation and scale-up. Unlike MCHIP, the MCSP Child Health approach is to strengthen facility-based integrated management of childhood illness (IMCI) services, with particular attention to developing strong links between facility- and community-based services including promoting appropriate household health practices. MCSP will collaborate with partner organizations (e.g., Management Sciences for Health [MSH], Save the Children, and Futures Institute) to draw on existing tools, databases, research, and expertise to effectively and efficiently accomplish PY1 core workplan key tasks and deliverables. Accomplishments

• Provided technical support to the global dialogue with the Global Fund on implications for integrating diarrhea and pneumonia in community-based malaria case management, co-funding for non-malaria drugs and supplies, iCCM indicators, procurement and supply chain systems, and overall capacity at country level to implement integrated programs.


• Improved opportunities for the expansion of country iCCM programs by supporting several countries applying for funding under the GF NFM through the iCCM Task Force. At global level, supported the dialogue with the Global Fund on implications for integrating diarrhea and pneumonia in community-based malaria case management, co-funding for non-malaria drugs and supplies, iCCM indicators, procurement and supply chain systems, and overall capacity at country level to implement integrated programs. At country level, supported dialogue on the role of iCCM in improving access to curative services, conducted financial and program gap analyses in Ghana and Zambia, and developed integrated malaria and iCCM concept notes to the Global Fund under the NFM. The provisions of technical assistance from submitted concept notes for Ghana and Zambia (revised concept note); MCSP headquarters is also providing TA to Burkina Faso on concept note development and to Uganda on operational planning, building on successful TA under MCHIP that resulted in a successful application.

• Created the iCCM Demand Generation subgroup and created a new TOR under the iCCM M&E subgroup as part of the iCCM Task Force. These subgroups support development and dissemination of tools to improve community utilization of iCCM services and routine M&E of programs. These are key gaps conveyed at the 2014 iCCM Evidence Symposium in Ghana.

• Published the article, “The Child Health and Nutrition Research Initiative exercise in setting global research priorities for integrated community case management as part of the iCCM Child Health and Nutrition Research Initiative (CHNRI) Advisory Group”, in collaboration with the Community Case Management Operational Research Group (CCM ORG). This article will help to harmonize partners and governments implementing or scaling up iCCM programs by identifying research gaps and prioritizing the need for resources for sustainable iCCM programming.

• Developed a manuscript for publication based on the report developed under MCHIP: “Feasibility of Measuring the iCCM Task Force Indicators through Existing Monitoring Systems in DRC, Niger, Madagascar, Senegal, South Sudan and Zambia Synthesis Report.” The report highlights opportunities and challenges related to measuring iCCM indicators, aiming to assist governments and partners to monitor and evaluate their national iCCM programs. The manuscript will be submitted to the Journal of Global Health in November 2014.

• Indicators through Existing Monitoring Systems in DRC, Niger, Madagascar, Senegal, South Sudan, and Zambia Synthesis Report” developed under MCHIP. The report highlights opportunities and challenges related to measuring iCCM indicators, aiming to assisting governments and partners to monitor and evaluate their national iCCM programs. This manuscript will be submitted in November 2014 to the peer-reviewed journal Health Policy.

• The major priorities are to conduct research that will be able to inform and improve iCCM and facility-based child health services. Learning agenda research priorities were approved in late September 2014. Progress was made in two research priority areas:

1. What is the feasibility of implementing iCCM in the Bondo District, Kenya? We conducted the Bondo District midline assessment and the Kenya policy landscape analysis in late August/early September. Both reports are being drafted and will be finalized at the end of the first quarter. Lessons from both documents will be used to inform the standardization of Kenya’s iCCM guidelines and to advocate for a supportive policy allowing community-based health workers to treat pneumonia in children less than five years of age with antibiotics.


2. Country and global experiences in resource mobilization for iCCM scale-up: a case study of joint malaria/iCCM applications to the Global Funds under the New Funding Model. To inform future iCCM program planning for countries applying for funding under the Global Fund New Funding Model (GF NFM), we will draw lessons from the collaboration and dialogue processes among country-level MCH and malaria program stakeholders who submitted a joint application. We created a TOR and will be hiring consultants to carry out the work in November–December 2014.

Immunization MCSP strategically uses core and Africa Bureau funding to offer TA to selected Missions to strengthen immunization programs to address the following: stagnating, declining, or inequitable routine immunization (RI) coverage; low capacity to make good use of expensive new vaccines; inadequate engagement of civil society and nongovernmental organizations (NGOs); imbalanced partner approaches that overlook core functions; and inadequate service quality. MCSP works with country MOHs and partners, providing technical support at country-level, while sharing this experience through regional- and global-level mechanisms to amplify the program’s learning, in addition to sharing promising approaches across countries. MCSP infuses the strategic and operational plans of key partners with pragmatic, operational considerations. Immunization core support is also used to exercise leadership and advocacy in shaping global policy, as well as focus on strategic country investments to build capacity to strengthen RI systems, introduce new vaccines, and link countries to global and regional initiatives. MCSP engages and collaborates with WHO, UNICEF, Gavi, and the Vaccine Alliance in the above-mentioned efforts. Accomplishments MCSP/Immunization provided technical support to WHO, UNICEF, and Gavi in the following capacities:

• MCSP contributed to the design and drafting of the new WHO-led Global Routine Immunization Strategic Plan (GRISP). Once finalized, it will be used throughout the world to guide routine immunization planning.

• As a member of an expert advisory group on Global Immunization Data Management, MCSP provided technical input to WHO, UNICEF, and partners to guide strategic areas on improving data quality and use in immunization programming at national, regional, and country levels. MCSP reviewed research findings and provided technical input to the development of a guide for home-based vaccination records that WHO will be publishing to improve the design and use of home-based records for immunization programs.

• As a member of the WHO-led Immunization Practices Advisory Committee (IPAC), MCSP provided technical advice on inactivated polio vaccine (IPV) introduction, programmatic suitability of vaccine pre-qualification, home-based records, immunization supply chain and logistics, and Uniject field studies.

• WHO is in the process of updating its cold chain and logistics guidelines, which are used by countries to develop and refine national-level policies. MCSP provided technical input for the updating of: 1) vaccine volume calculation and cold chain capacity analysis; 2) cold chain maintenance; 3) vaccine forecasting; and 4) a stock management module.

• MCSP provided input into the development and finalization of the Gavi’s immunization supply chain strategy that guides Gavi’s support to immunization programs.

• MCSP provided support in the development of WHO Tools and Approaches for Understanding Health Worker and Caregiver Interactions for Immunization. MCSP continues to coordinate with WHO/Kenya to explore a pilot-test of the tool.


PPFP Integration study findings: This study took an in-depth mixed method look at how FP services are integrated within MNCH in two countries, and two subnational areas each in India and Kenya. Provider, community health worker (CHW), and client interviews show the two states in India had a higher proportion of ANC clients and providers discussing FP during ANC. In Bondo sub-county in Kenya, where MCHIP implemented maternal, infant, and young child nutrition-family planning (MIYCN-FP), integration was shown to be more evenly distributed among child health clients as well as ANC, with lower rates for intrapartum clients, which reflects the program emphasis. Embu county ANC and intrapartum clients reported integration in fewer instances, but still at levels that demonstrate that PPFP/postpartum IUD (PPIUD) efforts in 2007 to 2009 were sustained. Perhaps unsurprisingly, provider reports of integration are at higher levels than what clients report, though the methods of reporting this are not directly comparable. Client flow analysis data are still being analyzed to examine the extent to which clients received integrated MNCH-FP services, but so far correlate well with client reports.

Polio

• MCSP provided technical input to USAID/W and partners on the global polio legacy.

• MCSP provided support to polio campaigns in Kenya.

• MCSP has provided technical input into a Nigeria research study, led by Communications Initiative, on understanding household decision-making and attitudes on routine immunization and polio in Bauchi, Kano, and Sokoto States. Preliminary findings will be presented in Abuja in November 2014.

Additionally, MCSP provided technical support to three country programs transitioning from MCHIP to MCSP including workplan development and initiation of start-up activities in Malawi, Kenya, and Uganda. During this implementation period, Malawi transitioned from MCHIP to MCSP, developed and submitted a PY1 workplan, PMP, and budget, which is currently being reviewed and awaiting approval. Activities in Kenya focused on the successful national rollout of the rotavirus vaccine launch in July 2014. In Uganda, MCSP provided technical input for an updated Uganda immunization policy 2014, which was approved by the Cabinet.

Family Planning/Reproductive Health MCSP’s strategic approach to FP centers on preventing unintended pregnancies, with a focus on those linked with poorer health outcomes such as giving birth too soon after a prior pregnancy, high-parity women, older women, and girls. This approach will be implemented using the following key strategies to accelerate achievements toward FP2020 and EPCMD goals:

• Expand and scale up postpartum family planning (PPFP) and integration of FP along the maternal, newborn, and child health (MNCH) continuum of care;

• Expand FP and PPFP method choices; and

• Reach young girls/adolescent mothers, their partners, and gatekeepers, with appropriately targeted FP communications and services (linked when appropriate with MNCH services).

Accomplishments

• Guinea postabortion care (PAC)/long-acting reversible contraception (LARC) study writing workshop. MCSP FP held a writing workshop in August 2014 with colleagues from Guinea to produce a draft manuscript from a study conducted under MCHIP. The study was to confirm the reported high level of FP and LARC integration and uptake within PAC services and to offer lessons for other countries. For example, 95% of PAC clients are counseled, 73% accept FP, and 30% leave with a LARC method, mostly IUDs, as implants were only recently made widely available in Guinea.


• PPFP integration study in Kenya and India writing workshop. Colleagues from India joined FP and M&E team members to pore through both quantitative and qualitative data of a descriptive study implemented under MCHIP. Two manuscripts are being prepared, one with general results triangulating all data sources, and the second with detailed analysis of the client flow, generated by week-long data collection on content of care for all pregnant women and women accompanying a child under two.

• USAID/WHO PPFP meeting. In September 2014, members of the MCSP FP team met with officials from USAID and WHO to discuss ways in which to actively orient and engage USAID priority countries on the “Programming Strategies for Postpartum Family Planning” document authored by WHO, USAID, and MCHIP. MCSP.

• As co-chair of the Maternal, Infant and Young Child Nutrition and Family Planning (MIYCN-FP) Working Group with the John Snow, Inc. (JSI) Strengthening Partnerships, Results and Innovations in Nutrition Globally (SPRING) project, MCSP conducted a working group meeting in October 2014. Program experiences from Guinea and Bangladesh were shared, along with an update from the Health Communication Capacity Collaborative (HC3) project.

• Social and behavior change communication (SBCC), return to fertility, and MIYCN/FP in Tanzania. The purpose of this activity is to explore new ways to communicate the concepts of lactational amenorrhea, return to fertility, and pregnancy risk in the postpartum period. The purpose is also to explore alternative strategies to trigger timely transitions, for example, from exclusive breastfeeding to complementary foods, and for uptake of a FP method. A concept note was developed iteratively and shared with the USAID Mission in Tanzania.

• Comprehensive PPFP program in Ethiopia. The proposed activity in Ethiopia seeks to broaden previous PPFP efforts and will explore whether women and their newborns can be tracked from the time of pregnancy through to complete immunization. The approach will determine if systematically offering family planning at every health contact point (community and facility) will increase the uptake of FP in the extended postpartum period, increase optimal birth spacing, and improve immunization coverage for a triple benefit on child and maternal survival in Ethiopia.

• Age and stage counseling for adolescent sexual and reproductive health in Nigeria. A concept note was drafted and modified following a field visit and will focus on a set of provider counseling tools and training and youth-defined quality improvement (using Partnership Defined Quality for Youth [PDQ-Y]). This work will be complemented with development of global age and stage counseling materials and tools. MCSP met twice with colleagues at HC3 to coordinate efforts in the development of adolescent-friendly materials. HC3 is planning to develop training videos for providers to encourage the provisions of LARCs to adolescents.

• Development of draft research protocol for a retrospective chart review to examine incidence of method failure among implant users who are living with HIV and on

Site visit at a Primary Health Center in Lokaja, Kogi State, Nigeria. This Center was located next to a market not far from the State Ministry of Health office.


antiretroviral therapy (ART). The primary purpose of this study is to conduct a retrospective record review to identify cases of contraceptive implant method failure among women living with HIV on antiretroviral therapy and compare these to the published rates of method failure for HIV-negative women. Country selection is under way and we will seek IRB approval (both Johns Hopkins University [JHU] and in-country) by the end of 2014.

• Support to field workplanning. MCSP FP team members have been actively engaged in reviewing program descriptions (e.g., Nigeria, Madagascar, Egypt, Ghana) and providing input and reviewing several field workplans (Mali, Ethiopia, Tanzania, Nigeria, and Kenya). Team members visited both Yemen (MCHIP Associate Award) and Nigeria. In addition, the team developed an HIV&FP Brief for technical staff in the field to synthesize the new WHO guidelines on FP provision for women living with HIV. Lastly, The FP team organized HIV and FP compliance training for program and technical staff at the MCSP office. USAID policy staff from the Population and Reproductive Health (PRH) project and Office of HIV/AIDS (OHA) conducted the training. A headquarters-level compliance plan has been drafted and team members will work with each country office to ensure that field compliance plans and trainings have taken place and regular monitoring tools are being used.

• The MCSP-FP team has identified five learning areas for PY1. Four of those five are centered around new activities (described above). Initial planning, design, and country selection is under way.

Malaria The MCSP strategic approach for malaria recognizes that malaria is an MNCH disease, disproportionately affecting pregnant women and young children. Our approach is inherently woman-focused, addressing the needs of pregnant women and young children—building malaria prevention and control services into MNCH service platforms, such as antenatal care services, across the continuum of care. This approach, with a focus on those most vulnerable, builds equity, affording pregnant women and young children access to prevention and control measures. An underpinning of the MCSP malaria approach fosters building partnerships between MCH programs and malaria control programs as well as with HIV/AIDS and tuberculosis programs, and focusing on building country-level capacity and ownership to deliver quality services that will lend to sustained gains in malaria programming. Building on the achievements of MCHIP, MCSP focuses on accelerating scale-up of proven approaches and innovative practices in countries that have not achieved nationwide coverage, and supporting countries to maintain malaria control where transmission levels have declined or are declining. MCSP targets two key technical areas of malaria prevention and control—malaria in pregnancy (MIP) and integrated community case management. At the global level, MCSP is advancing the global dialogue to ensure that WHO policies are disseminated effectively at the country level. MCSP is supporting MOHs to strengthen health systems at the country level at all points of care to achieve institutionalized quality services for both MIP and iCCM. Please refer to the Child Health section for more information on iCCM.


Accomplishments

• MCSP has developed a tool to map MIP efforts across the 19 President’s Malaria Initiative (PMI) focus countries. The mapping will look specifically, by country, at what MIP programming PMI is supporting, as well as other key donors, and what are the MIP program gaps or needs. From this exercise, MCSP and PMI will define two or three countries and specific TA that MCSP will provide to help address gaps and move country-level MIP programs closer to meeting their MIP targets. Use of the findings and recommendations from the 19-country MIP document review and the MIP health management information system review (HMIS) review, both developed during MCHIP, will inform the TA.

• MCSP has contributed substantially to advancing the objectives of the Roll Back Malaria-Malaria in Pregnancy Working Group. Key achievements include: 1) participation in the PMNCH Partners’ Forum in Johannesburg, South Africa, in July 2014 highlighting the new WHO MIP policy on intermittent preventive treatment during pregnancy and the importance of addressing anemia in pregnancy; 2) input to the final Malaria Implementation Guidance in support of the preparation of Concept Notes for the Global Fund and input to an accompanying presentation targeting countries preparing GF proposals; 3) input to and writing of specific chapters for the Roll Back Malaria (RBM) Progress and Impact Series focused on maternal health and malaria; and 4) organization of and participation in annual RBM MIP Working Group meeting, which led to identification of key priorities for consideration into the 2014/15 workplan.

• MIP learning questions were finalized in September 2014. Each question directly links with the MIP workplan activities and will be answered based on the findings from the mapping, including country-level follow-up and continued collaboration with the RBM MIP Working Group.

Support to CSHGP

• MCSP provided support to a total of 15 projects with malaria interventions in 12 countries. This included checks to verify data quality in final knowledge, practice, coverage (KPC) reports for three projects that had ended in FY13. Four projects ending in FY14 received final evaluation support from EnCompass via a subgrant managed by MCSP. For those grantees doing community case management (CCM), MCSP recommended additional optional indicators they could use to benchmark the status of CCM implementation in conjunction with final evaluations. Results will become available with the submission of final evaluation reports by the end of December.

Nutrition MCSP is supporting new and existing evidence-based intervention approaches in the first 1,000 days—during pregnancy through two years of age—which is the period that has greatest impact in preventing maternal and child malnutrition. This includes continuing work begun under MCHIP of supporting global efforts to improve the coverage of effective anemia prevention and control programs. The Nutrition MCSP programmatic strategy is to work at the facility and community levels to improve maternal and child nutritional status in two ways: 1) using an integrated approach to prevent and control anemia; and 2) addressing the barriers to optimal MIYCN to prevent poor birth outcomes, stunting, and overweight. Through MCSP, the nutrition team seeks to implement strategies to address barriers to good nutrition by integrating with other sectors and teams, including MNCH, water and sanitation, malaria, and family planning. The nutrition team will explore social barriers to optimal nutrition including maternal autonomy, gender-based violence and gender differences in care-seeking behaviors, and wealth.


Accomplishments

• A brief on giving folic acid in malaria-endemic areas was prepared and has been review by the maternal health and malaria teams at MCSP and malaria experts from the Centers for Disease Control and Prevention, USAID, and UNICEF. After incorporating these comments, the draft will be sent to the Nutrition Team at USAID before finalization.

• At the request of USAID, the nutrition team will be preparing a brief on maternal nutrition. A draft outline was developed and shared with the USAID Nutrition Team, which gave their approval to move forward on this activity.

• The Kenya experience in anemia prevention and control was featured in September on the Knowledge for Health (K4H) Integrated Anemia Prevention and Control Toolkit. It includes six videos of an interview with the Head of the Division of Nutrition along with Kenya policies, strategies, behavior change communication (BCC) materials, and other resources related to anemia prevention and control.

• A presentation by the MCHIP/MCSP nutrition team leader at the Annual Malaria in Pregnancy Working Group Meeting in July resulted in a commitment by the working group to develop and issue a consensus statement to countries in malaria-endemic areas to remove the five mg dose of folic acid from essential drug lists and supplies. The consensus statement was developed in collaboration with the MCHIP/MCSP malaria team and is under review by other members of the MIP Working Group and WHO.

• Three manuscripts are under development from the Egypt stunting study on the Trials for Improved Practices. The first manuscript related to in-depth interview portions “Exploring why junk foods are ‘essential’ foods and how culturally tailored recommendations improved feeding in Egyptian children” was written, submitted, and accepted for publication by the Maternal and Child Nutrition journal. Another manuscript from the Egypt stunting study entitled, “The rise in stunting in relation to avian influenza: a comparison of the 2005 and 2008 Egypt Demographic and Health Surveys” was prepared and submitted to BMC Public Health in September. A third manuscript and a detailed report for the Egypt stunting study on longitudinal follow-up of child growth is in preparation. A preliminary analysis of findings has been shared with USAID.

• The nutrition team learning priorities include improving infant and young child feeding and maternal diet by examining junk food consumption among young children as well as unaddressed barriers to exclusive breastfeeding and barriers to adequate maternal diet.

• Initial literature searches have been conducted for three of the MCSP nutrition team’s learning questions regarding junk food consumption of mothers and young children; addressing barriers to exclusive breastfeeding; and addressing barriers to adequate food intake during pregnancy. Review of the literature for junk food consumption has begun and an outline has been drafted.

• The nutrition team’s fourth learning area is regarding how messages about infant and young child feeding (IYCF) during and after illness are incorporated into child health and diarrhea corners and how effective they are. This activity is under the Kenya workplan, which is being reviewed by USAID.

WASH The MCSP WASH program works to support the three broader MCSP teams of maternal, newborn, and child health. Our maternal work seeks opportunities to support mothers, influencers, community workers, and clinic-level staff to prepare for a clean birth and a healthy, hygienic newborn period. Our newborn work focuses primarily on reducing infection on the day of birth and during the first month of life through improved handwashing. The child health work looks to reduce stunting in under-twos and diarrheal disease in under-fives by integrating with other technical sectors, most notably nutrition.


Accomplishments

• Significant effort went into the coordination of the MCSP Kenya newborn handwashing initiative including study design and implementation planning. A scoping visit is scheduled from November 12–21, a calendar for final study design and implementation has been developed, and a division of roles and responsibilities has been outlined. A number of consultations with global partners including World Bank’s Water and Sanitation Program (WSP), MCSP Kenya, Unilever, Children’s Investment Fund Foundation (CIFF), and Population Services International (PSI)-Kenya guided the iterative process in developing questions and initial program design considerations. These meetings culminated with a one-day think tank (September 9, 2014), which led to refinement of the study design.

• Initial discussions with the Child Health team have resulted in a terms of reference for the evaluation of an MCHIP activity looking at introduction of Zinc and oral rehydration therapy corners for diarrhea treatment as a platform to deliver hygiene messages.

• The Kenya newborn handwashing activity is looking at the following question: What suite of interventions (communications platform and messages, use of mobile SMS messaging, inclusion of handwashing devices), and at what intensity (only at clinic level versus household level), will induce caregivers of newborns to increase the frequency of washing their hands before handling the newborn. The study is a randomized controlled trial with four potential arms: just messaging at clinic level; messaging at clinic level and at household level without handwashing device provision; messaging at clinic level and at household level with handwashing device provision; and a control group. Mobile SMS messaging will be implemented across groups, as will soap distribution. While the study will not assess the effect of SMS messaging, there is interest in understanding how it affects the results and people’s perceptions, e.g., did people who reported receiving the SMS messages perform better than those that did not? Soap is being provided to eliminate any questions regarding availability of soap.

Africa Bureau Maternal Health The overall strategy for the Africa Regional Bureau maternal and newborn health activities includes support to integrated MCSP program efforts to strengthen service delivery in antenatal and postnatal care, with emphasis on incorporation of screening and management of infectious diseases into those service delivery platforms. Design of this integrated approach to strengthening ANC and PNC services was initiated in the start up period, and a design workshop is planned for December 2014. Additionally, an integrated maternal health/newborn activity is planned with the Africa Regional Bureau, with initial discussions focused on exploration of opportunities to support MDSR in the Africa region. MCSP will work with partners and global leaders in this area including WHO/Africa Regional Office (AFRO), African Strategies for Health (ASH), and others. Accomplishments

• The MCSP team held consultative discussions with the ASH program to gather information on planned activities and consider opportunities for collaboration on MDSR and participatory disease surveillance and response (PDSR) in the Africa region. Collaborative activities may include identifying countries with potential for integration of MDSR into existing integrated disease surveillance and response (IDSR) or PDSR programs.


Child Health The MCSP Child Health Africa Bureau workplan builds on activities from the PY1 child health core workplan with a specific Africa region focus. Our strategy is to collaborate with our existing partner networks and build new partnerships with WHO/AFRO and UNICEF/East and Southern Africa Regional Office (ESARO). These partnerships will allow us to draw on existing African-based databases, research, and expertise. As with our MCSP PY1 core workplan, we will collaborate across MCSP’s technical areas (e.g., newborn, nutrition, and immunization) and cross-cutting team expertise (WASH, equity, community and civil society). Accomplishments

• The child health team met with MSH’s Africa Bureau-funded African Strategies for Health (ASH) Project to share tools used to study iCCM underutilization in Mali that were developed under MCHIP. Using these tools in additional African countries will improve our understanding of underutilization of iCCM and help to shape programming for iCCM in Africa.

• Additionally, ASH shared their Africa regional institutional briefs that were developed for a landscape analysis activity. We are using these brief as part of our literature review for mapping the leadership for child health in sub-Saharan African countries.

Asia Bureau The overall strategy for the Asia Bureau maternal and newborn health activities includes supporting the Asia region in accelerating progress toward EPCMD through technical assistance to Missions or other stakeholders (in response to field support requests) and the generation of information through implementation research and analysis in multiple countries. The planned implementation research will be led by an integrated research team from MCSP and will include a literature review and landscape analysis, as well as a review of regional epidemiology, to inform the research questions and study design. Initial discussions with the Asia Bureau were held in the start up period to share ideas for technical assistance to Missions in the region and to narrow the focus of the planned implementation research. Structured plans for TA and study design are planned for early in the next reporting period. Accomplishments

• The MCSP team drafted an implementation research concept note on facility- and community-based patient tracking for improved postnatal care and shared it with the Asia Bureau for consideration. A series of discussions was held to discuss the concept as well as targeted TA to Missions in the region.

LAC Bureau MCSP continues to support regional efforts to reduce maternal and newborn morbidity and mortality in Latin America and the Caribbean (LAC) through the utilization of and participation in regional platforms. Under MCHIP, the LAC Neonatal Alliance served as a key mechanism through which TA and programmatic support were provided to the region. Globally, the Alliance has achieved a “seat at the table” through its participation in

Participants in the Third Annual LAC Alliance meeting represented 19 countries in the region. Brianna Casciello/ PATH.


the Technical Advisory Group for ENAP and other global strategies. The ongoing participation of MCSP as a member of the Alliance steering committee maximizes limited funding available in the region, and continues to be a successful strategy under MCSP to promote and scale up regional and global priorities addressing the main causes of newborn mortality: complications of prematurity, sepsis, and asphyxia. MCSP also provides technical leadership in the Regional Maternal Mortality Reduction Task Force to promote information-sharing and scale-up of evidence-based practices in MNH. Other key activities include strengthening Caribbean regional leaders in midwifery education, and South-to-South learning to support the launch and implementation of a competency-based education midwifery curriculum in Paraguay and Guatemala. Accomplishments

• With technical assistance from MCSP, an abstract on the achievements of the Caribbean Regional Midwifery Association was submitted to the American College of Nurse-Midwives (ACNM) for their 60th Annual Meeting in June 2015.

• In September 2014, MCSP co-organized the Third Annual Meeting of the LAC Neonatal Alliance in Bogota, Colombia, convening the most widely representative group to date with nearly 100 participants from 19 countries in the region. The draft workplan for 2015 was discussed among all partners and will be finalized by November 2014, which allows for the continuation of activities to support country plans focused on newborn health.

• The LAC Neonatal Alliance now has 20 members, including non-profit and international organizations, regional professional associations, and MOHs. During this reporting period, the Alliance welcomed its two newest members, the Dominican Kangaroo Program and the Latter Day Saints Charities. The continued expansion of the LAC Alliance allows for wider representation in countries where partners implement programs, contributing to the scale-up of priority newborn health interventions.

• Building on successful experiences in scaling-up of KMC in the LAC region, MCSP has assumed an advisory role in global efforts for KMC implementation and measurement as a member of the KMC Every Newborn Action Plan metrics task team. This will provide the opportunity to share lessons learned in scaling up KMC in LAC with other regions of the world.

• During the annual meeting, MCSP co-organized an expert consultation on newborn mortality surveillance. Participants shared useful country experiences and tools; a key output of the meeting was a group recommendation that a standardized approach for the LAC region could be useful. As a result of the meeting, a TWG will be formed and MCSP will continue to be part of the efforts.

• Pending funding, MCSP will test the effectiveness of newborn death surveillance in one LAC country.

Summary of Achievements by Cross-Cutting Area Health Systems Strengthening

Health systems strengthening (HSS) and equity are cross-cutting approaches MCSP seeks to incorporate throughout core and field-funded work. Such approaches are critical to ensuring that MCSP can scale and sustain its technical interventions equitably to accelerate progress toward eliminating preventable maternal, newborn, and child deaths. HSS and equity approaches include leveraging the efforts of other USAID projects and previous applications of health systems tools to ensure that MCSP applies a systems approach in addressing bottlenecks to achieving effective, equitable, and sustainable RMNCH coverage. Key highlights for


the reporting period include: Obtaining strong understanding of former MCHIP work and new MCSP opportunities to inform HSS and equity approaches under MCSP; defining the HSS and equity workplan, indicators, and learning agenda, and initiating workplan activities; and integrating HSS and equity approaches into MCSP strategy and planning for core and country work. Accomplishments

• Identified opportunities for cross-team collaboration through more than twenty consultations with MCSP Technical and Cross-cutting teams (approximately 45 individuals).

• Participated in global workplanning, MMEL, gender, and country planning meetings to help integrate an HSS and equity approach into MCSP workplans and products. Produced HSS and equity activity workplan and learning agenda, and contributed to broader MCSP strategy, PMP indicators, and planning at global and country levels.

• Devised and proposed the concept of the WMDA as one of the MCSP “big ideas,” prepared a detailed workplan, conducted research to further develop the WMDA concept, and presented the concept to MCSP staff through 20 consultations and at three “big ideas” presentations with MCSP technical and cross-cutting teams and country staff. Currently working with MCSP partner Broad Branch Associates to conduct a literature review to compile lessons from past initiatives with similar objectives and plan to share these findings with and seek feedback from MCSP teams in early 2015. The following stages of work will be to draw on these lessons to develop a diagnostic framework, tools, and practical steps that can be used at the country level to apply the WMDA and to begin working with one or more MCSP countries to adapt and introduce the approach.

• Developed diagnostic tool to identify health system strengths and weaknesses on the Day of Birth, with the aim to strengthen these systems to better support Day of Birth technical interventions. Participated in Better Care on the Day of Birth kickoff meeting with the maternal and newborn health teams and intervention package development workshop.

• Produced a draft Health Systems Diagnostic Checklist for MCSP, a tool to help MCSP country planning teams to 1) document the presence and status in a given MCSP country of key health system components employing the WHO systems framework (leadership and governance, information, financing, service delivery, human resources, and medicines and technology) in order to 2) identify ongoing health systems gaps or challenges related to the initiatives that MCSP should consider working on in the country and 3) gather information on which health systems items and potential activities are of highest priority for MCSP work in the country. This check-list was adapted for the Country Assessment Tool but can also be shared with MCSP teams and USAID in its entirety.

MCSP’s Marty Makinen conducts focus group during the MCSP Ghana workplanning visit to CHPS compounds


• Collaborated with MCSP Community Health team to produce the first draft of the Country Assessment Tool, a compilation of key data needs from each technical and cross-cutting team at MCSP to inform the country planning process.

• Created a repository of tools and resources (e.g. Health Systems Assessment Approach) that can be used/applied by MCSP project members and partners to incorporate or strengthen health systems dimensions of the project. This database tracks which tools have been applied in MCSP countries, and can also be used to identify opportunities to apply HSS tools to support MCSP work. This database will be finalized and made available to MCSP teams in PY2.

• Supported MCSP country planning activities in Ghana, Tanzania, Ethiopia, Uganda, Kenya, and Haiti to incorporate HSS approaches and tools. For Ghana, participated in a workplanning visit from August 18–28, presented trip findings to the MCSP team, and co-led the development and submission of the Ghana country workplan.

Community Health and Civil Society Engagement MCSP’s vision is to strengthen and inform the institutionalization of community health as a fundamental and necessary strategy for ending preventable maternal and child deaths in priority countries. The community health strategy is focused on the institutionalization of scalable and integrated community health platforms (CHPs), the advancement of action-oriented learning, and the development of enabling policies from national to global levels, with an emphasis on building the value added by civil society in working with public health systems. Civil society provides resources and key stakeholders for successful community health efforts, health services delivery, and shared accountability with and advocacy to governments. Support to local civil society networks and their relationships to government are thus central to this strategy. This strategy is implemented by supporting synergies with field funding and technical streams of activity, thus creating opportunities to build the four pillars of viable CHPs: 1) optimizing intervention packages (health promotion, preventive and curative services) for country and subnational contexts; 2) strengthening the CHW workforce and its required support through community/social structures; 3) more effective government-civil-private partnerships to institutionalize and coordinate community health; and 4) an emphasis on use of local information for equity, learning, and adaptation. Accomplishments

• The Community Health and Civil Society Engagement Team developed a concept for Scalable, Integrated Community Health Platforms in response to an identified need to address community health from an integrated, systems perspective, cutting across discrete technical interventions. It was shared broadly to disseminate the concept and solicit country engagement. The Team is engaging with other technical teams to apply the concept in differing country contexts, and products to help advance different components of the concept are in process.

• CHW workforce investment is an important part of strengthening community health platforms. To date, MCSP has initiated planning for a CHW Forum, scheduled for November 12, to bring together various USAID partners working with CHWs to advance application of learning around large-scale CHW program implementation. Meanwhile, MCSP has initiated development of a CHW Modeling Tool to assist program planners in considering the impact of multiple variables on CHW program design. Also, information on the CHW Reference Guide was disseminated at the Health Systems Research symposium in Cape Town in September 2014.


• Civil society strengthening is central to MCSP’s Community Health and Civil Society Engagement Strategy. Accomplishments include creation of a draft civil society profile for Haiti, groundwork to leverage the CORE Group’s Polio Secretariat for advancement of the Every Newborn Action Plan in Ethiopia, and many activities of the CORE Group Community Health Network, including:

• Hosted a Technical Advisory Group Meeting with Food and Nutrition Technical Assistance (FANTA) to update the Nutrition Program Development Assistant Guide; and Developed Essential Nutrition Action (ENA) case studies, posted to the CORE website.

• Hosted webinars, including "Social Capital and Maternal and Child Health in Low- and Middle-Income Countries: Evidence from India" on June 30,2014, by Will Story; “Systematic Review of Evidence for WASH Behavior Change” in collaboration with the Johns Hopkins Bloomberg School of Public Health; “Images Save Lives: Improving Health Communications and Messaging Through Images” with Hesperian Health Guides; and “Applying Learning Principles to Our Work in the World” in collaboration with Global Learning Partners,

• Community Child Health Working Group Co-Chair Alfonso Rosales represented CORE Group at the Latin America Alliance on Newborn Care, held in Bogota, Colombia. on September 23–25, 2014.

• Continued development of Make Me a Change Agent SBC Toolkit for CHWs in collaboration with TOPS.

• Support provided to the CSHGP grantees during start up included:

• Data quality checks for 13 grantees with final KPC surveys completed in 2013—important for maintaining the integrity of individual project findings and cross-project analyses;

• Completion of Technical Reference Materials (with CORE Group Working Group input) and eToolkits on the following topics: malaria, immunization, social and behavior change, and quality improvement; and

• KPC survey module revisions on the sick child, malaria, and immunization.

• Additionally, MCSP worked with EnCompass to provide technical assistance to 10 Child Survival and Health Grants Program (CSHGP) grantees with final evaluations that took place in fiscal year (FY14). EnCompass reviewed evaluator scopes of work, provided feedback to grantees on their respective results frameworks, and identified common learning themes across projects for which they also developed a graphic and tools to support related data collection that grantees could choose to apply to their evaluations. EnCompass also reviewed draft evaluation reports and provided feedback to improve the final content, due December 31, 2014. Later deliverables will include two-page summaries of each project evaluation and a white paper based on the learning themes and findings from all projects in the cohort. MCSP has also coordinated with the Evidence Project to monitor learning from FY 2014 CSHGP Grantees.

• The MMEL and Community Health and Civil Society Engagement teams have reviewed the list of grantee projects ending in FY 2015–2017, and plan to map grantee learning questions (primarily operations research [OR] but also evaluation) to MCSP core- and field-funded learning agenda questions. MCSP has been developing a plan to take on technical assistance to these grantees on both evaluation and OR starting in January 2015, following which the two teams will extract and disseminate lessons learned, including through involvement of Country Program Officers and MCSP country leadership.


• The Community Health and Civil Society Engagement PY1 learning agenda consists of four learning questions, with two related to major global issues around community health, including CHW programs and supportive community infrastructure, and two related to specific workplan activities. The first question aims to increase the knowledge base about the key characteristics and components of large-scale CHW programs in the 24 priority countries. Collaboration has begun with Advancing Partners and Communities (APC) to add relevant questions to their community health assessment tool, which will be included in the next round of country profiles. The second question will follow a similar methodological process (collaboration with APC on their community health community tool) to understand the functionality and success at scale of community structures, both formal and informal, and their roles in health decision-making, policy, accountability, access/use, and supervision of CHWs. The third question will involve collaboration with Johns Hopkins University–Institute for International Programs to apply a system thinking model to complex problems facing MCSP. The last question is related to a pilot activity to document lessons learned around civil society engagement in the Every Newborn Action Plan.

eHealth The goal of the eHealth team under MCSP is to identify and support the implementation and scale-up of eHealth solutions for improved equity in RMNCH programs and to incorporate these solutions systematically into country health systems. Toward that end, the eHealth team is working to improve understanding of eHealth solutions and their systematic uses in country programs by providing resources, TA, and training across technical teams and within the country Missions. Accomplishments

• Met with technical teams to a develop prioritization framework, which links eHealth solutions to support high-impact RMNCH interventions and supports country workplanning processes.

• Developed a visual framework for a patient tracking system to aid technical teams and Missions in understanding how eHealth interventions can be implemented as part of a larger health information system.

• Developed guidance for data collection tools that supports systematic development, better integration with national and international guidelines, and adherence to Greentree principles.

• MCSP Ghana finalized the eLearning feasibility study that began under MCHIP, which showed that users appreciated the methodology, and lessons were learned about the need for information technology support at the schools. This study will inform further scale-up of eLearning to support pre- and post-service midwifery training in Ghana.


Stregthening iCCM M&E The iCCM Task Force sought to assess the feasibility of collecting the Indicator Guide for M&E of iCCM’s indicators through existing monitoring systems. The MCHIP review of 10 countries’ systems summarized the opportunities and challenges for collecting the Indicator Guide’s 18 routine monitoring indicators: four studies in Ethiopia, Malawi, Mali, Mozambique, DRC, Madagascar, Niger, Senegal, South Sudan, and Zambia. A document review of iCCM monitoring tools, protocols, reports, and related documents was conducted. The findings show that the information needed to calculate many of the Indicator Guide’s routine monitoring indicators is already being collected through existing monitoring systems, although much of this information is available only at health facility level, not district and national levels. The findings also highlight the limitations of relying on supervision checklists as a data source, maintaining accurate CHW deployment data, and defining meaningful

Measurement, Monitoring and Evaluation, Learning (MMEL)

MCSP has advanced its MMEL priorities for PY1, including: 1) providing global leadership for improved metrics, tools, and methodologies; 2) strengthening country-level routine data collection, quality, visualization, sharing, and use; 3) enhancing information for program planning, performance monitoring, and accountability; and 4) supporting action-oriented learning to improve RMNCH outcomes. Gender analyses are being considered from program outset in workplanning sessions, and gender indicators/analyses are currently part of the Yemen and Tanzania workplans. Key strategies to achieving these priorities include linking global and country experiences, enhancing M&E systems and practices, and leveraging routine data, process documentation, and studies to create a thoughtful, explicit, and organized learning strategy.

Accomplishments

• As referenced above, MCSP prepared the 24-country analysis of child lives that could be saved in USAID priority countries, which was disseminated in the A Promise Renewed report (http://www.usaid.gov/sites/default/files/documents/1864/USAID_ActingOnTheCall_2014.pdf). This work focused on child lives that could be saved, comparing a baseline case of historic trends in intervention coverage with a “best performer” case of accelerated intervention coverage, both based upon modeled estimates.

• As part of its global leadership role in improving RMNCH metrics, leading the newborn resuscitation coverage task team under the Every Newborn Action Plan (ENAP) Metrics working group at the request of the co-chairs, WHO and the London School of Hygiene and Tropical Medicine. The task team is charged with identifying feasible intervention coverage indicators as well as program-related indicators.

• The final version of the short Quality of Care survey labor and delivery checklist that incorporates findings from the pilot test in Tanzania is now available along with a brief summarizing the results. The MCSP Tanzania program is planning on using the shortened checklist as part of their supervision activities. The MCHIP Yemen and MCHIP Mozambique Associate Award programs are using the shortened checklist as part of health facility surveys that will serve as a baseline and endline, respectively.


• In March 2014, the iCCM Task Force published an Indicator Guide for Monitoring and Evaluating iCCM—a “menu” of indicators with agreed definitions and methodology—to encourage routine and episodic monitoring of iCCM programs. Based on a review conducted by MCHIP in 10 countries of the extent to which they are monitoring the indicators recommended in the guide, MCSP drafted a manuscript for publication to be submitted to Health Policy and Planning (see highlights from review in text box). Findings from the review will support further development and use of the Indicator Guide, and help MOHs and implementing partners as they continue to develop their own, contextually appropriate monitoring systems for iCCM.

• Planning for the Mapping Maternal Mortality meeting began. The purpose of the meeting is to “Identify the progress, challenges, and opportunities and vision for routine mapping of maternal deaths in countries with high maternal mortality.” The meeting will take place in January 2015 and recommendations from the meeting will be presented at the WHO/World Bank/USAID-sponsored “Measurement Summit” to be held in March 2015. A steering committee has been established and has developed a draft agenda, concept note, and list of participants. A “save the date” has been sent out to ensure good participation, and a venue has been secured.

• An “umbrella,” or multi-country, IRB protocol for the KPC survey has been developed and submitted to USAID for review. The WASH questionnaire modules are under preparation. The MCSP gender advisor has been working with USAID for input on gender components of the KPC, some of which will be included in the Yemen MCHIP KPC survey.

• In this start-up phase of the new global MCSP award, we have been working closely with USAID on finalization and approval of the global PMP, especially the global performance indicators. This has been an iterative process. While the finalization process has been under way, we have shared the draft global indicators with country programs. To maximize harmonization between the MCSP global and country program PMPs, each update on the PMP has been shared through email and SharePoint with country- and US-based teams.

• Work to improve monitoring of intrapartum stillbirth and very early neonatal death has advanced. The concept note has been shared across the program team and feedback is being incorporated. A literature review is in process and protocol is being drafted. A technical advisory group member list has been created, and invitations will be sent out in November. The country selection process continues, with Tanzania confirmed, and Pakistan (MCHIP Associate Award) a possibility.

• The MMEL team oversaw the development of the global PY1 Learning Agenda and life-of-project learning activities and will track these moving forward. It has worked with USAID and technical and country teams to develop their learning agendas (see Learning Questions in Annex B). MMEL has also developed a Learning and Studies Database, which is currently operational. The database allows comprehensive tracking and management of all learning activities, both human subjects research being submitted to IRB and other learning activities, and helps identify needs for targeted technical assistance to country and technical teams. Use of the database will facilitate completion of activities and dissemination of practical information to improve programming.

• The MMEL team provided technical assistance to MCSP countries that issued PDs during the reporting period, including Tanzania, Ethiopia, Uganda, Kenya, Madagascar, and Ghana, to assist with the formulation of the learning agenda during workplan development and the design of monitoring and evaluation plans and formative assessments, as in Madagascar. Assistance was provide to the Zimbabwe Associate Award, and previous MCHIP experience was leveraged to formulate learning portfolio development tools—a learning agenda development workshop and procedures and formats for developing concept notes.


• MCSP held an introductory, two-day workshop on systematic support for and study of scale-up with ExpandNet personnel as facilitators and participation of MCSP headquarters staff, USAID Agreement Officer’s Representatives (AORs), and key implementation science experts from JHU. The results of the workshop included providing MCSP with a common framework and language for scale-up and discussing approaches to operationalize “real time” use of monitoring for learning and action, systematic documentation of processes, and a focus on impact at scale. Follow-up meetings with technical teams to plan the way forward have been held. The workshop will be adapted for delivery to MCSP focus countries starting in early 2015, with priority for those identified as participating in MCSP’s scale-up case studies. A headquarters Scale-up Resource Team will be convened to formulate a scale-up strategy that includes guidance on process and outcome documentation, including recommended indicators, and tools; and best practice guidance on implementation strategies. Interventions to be studied in depth will be misoprostol for PPH prevention, newborn resuscitation (HBB), and possibly iCCM/IMCI, with addition of chlorhexidine at the end of the start up period.

• As a critical part of the broader MCSP’s knowledge management strategy, a new MCSP SharePoint site has been launched as a document library and sharing platform for MCSP. Early in the next quarter, SharePoint experts and super-users will begin the delivery of targeted training to headquarters staff in order to meet each team’s needs and to enhance collaboration and knowledge-sharing throughout MCSP. Rollout of SharePoint to field staff will be piloted in three to five countries in the next quarter.

• The Learning Advisor and the Knowledge Management Advisor, working with JHU staff, have adapted a curriculum for implementation research that will be used to deliver a monthly practitioner seminar series for MCSP staff beginning in calendar year 2015. The seminar series will build capacity in order to mainstream implementation research competencies throughout MCSP, and will focus on the program’s learning themes (scale-up, quality improvement, equity, integration, and community/social systems).

Partnerships Saving Mothers, Giving Life (SMGL)

Launched in 2012, Saving Mothers, Giving Life (SMGL) is a public-private partnership that supports countries where women are dying at alarming rates during pregnancy and childbirth to aggressively reduce maternal mortality. MCSP enables the function of the secretariat of SMGL, provides management, operations, and administrative support, and provides technical expertise as well as technical oversight on deliverables. Accomplishments

• MCSP coordinated timely and efficient hiring and onboarding for Susan Rae Ross, SMGL Initiative Manager, and Melinda Pavin, M&E Advisor., two key SMGL staff whose roles are critical for MCSP’s support of the partnership. Although both Susan and Melinda had already been selected by USAID, we made sure that all compliance issues in their hiring mechanisms were taken care of efficiently and smoothly, to prevent any disturbances to the scope of work.


• MCSP has provided logistical and administrative support to the consultants, including travel arrangements, concurrence, and processing of expense reports and invoices.

• Refer to the Zambia section of this report for MCSP’s progress under SMGL as the primary emergency obstetric and newborn care (EmONC) and ENC clinical implementing partner for three districts, and as the ENC clinical implementing partner for all U.S. Government-supported SMGL target districts.

Mobile Alliance for Maternal Action (MAMA)

Mobile Alliance for Maternal Action (MAMA) delivers vital health information via mobile phones to new and expectant mothers living in poverty throughout the developing world. Hosted by the United Nations Foundation, MAMA provides age- and stage-based messages aligned with global best practices, empowering women to make the best decisions for themselves and their families. With a an intentional focus on countries where high maternal and newborn mortality rates intersect with an increasing proliferation of mobile phones, MAMA directly assists programs in Bangladesh, South Africa, and India. Additionally, we support a growing community of more than 300 organizations in over 70 countries who utilize our tools and information. By bringing together leaders from a cross-section of industries, MAMA harnesses the strengths and assets from the corporate, non-profit, and government sectors. MAMA was launched in 2011 by then Secretary of State Hillary Clinton as a public-private partnership between USAID, Johnson & Johnson, United Nations Foundation, mHealth Alliance, and BabyCenter. Accomplishments

• MAMA played a significant role at the high-level PMNCH forum, hosting a panel, “Bridging the Digital Divide: Making Mobile and ICTs a Reality for All,” as well as a reception, and conducted site visits for UNF press fellows, the MAMA Advisory Board, and potential funders. Furthermore, MAMA was an active participant at the United Nations General Assembly, during which MAMA’s Executive Director spoke on a panel hosted by Unilever; other participants included Unilever CEO Paul Polman and USAID Administrator Dr. Rajiv Shah.

• MAMA Bangladesh has already reached its 1,000,000th user, a noteworthy milestone along its continued trajectory of success. MAMA South Africa has reached more than 500,000 users, surpassing its goal of reaching this number in two years. In Bangladesh, an external evaluation is being conducted by the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), and in South Africa, a seminal research study is being launched that will use clinic data to asses change at the health outcome level among MAMA users.

• MAMA Global secured a $5 million commitment over four years from the USAID Nigeria Mission to scale up across the USAID priority states and is currently engaging stakeholders to secure the match funding.

• In August and September, MAMA Global planned its annual in-country workshop, which was held in October in Timor-Leste. It was designed for implementers to learn firsthand from peers about a range of critical topics such as engagement with mobile network operators, content localization, sustainability, and M&E.


Mpowering Frontline Health Workers (Mpowering)

mPowering Frontline Health Workers (mPowering) aims to accelerate the use of mobile technology to improve the skills and performance of frontline health workers, as part of a global effort to end preventable child and maternal deaths. A partnership of USAID and 15 other organizations from the public and private sectors, mPowering focuses on four key areas: global tools; country programs; research/global learning; and advocacy. More than 80 organizations are directly contributing to mPowering activities. The Maternal and Child Survival Program, as mPowering’s Secretariat, provides financial management, human resources, communications, and administrative support to mPowering, as well as technical partnership. Accomplishments

• mPowering provided direct support to mHealth programs in eight countries, including to frontline health worker mHealth programs in India and Ethiopia; and strategic support, development, and fundraising activities for mHealth programs in India, Ghana, Malawi, Sierra Leone, Tanzania, and Zambia, resulting in improved quality, scale, and relevance of in-country mHealth programs.

• mPowering launched Phase I of its Content Platform, which was evaluated by 35 independent individuals from the global health sector; and established the Content Review Team (CRT) and Medical Expert Team (MEP) with membership from 34 organizations. This global tool strengthens the quality and standards of content and training to reach our goal of improving frontline health workers’ skills, and reduces duplication of effort and wasted resources.

• mPowering promoted global learning with a series of six international workshops on the learning needs of CHWs. The workshops were held in five countries, with more than 90 participating organizations, thereby generating engagement in the potential of a global content resource for CHWs to improve standards and consistency for training and furthering the WHO harmonization discussions regarding standardization of CHW competencies and training. Participants of mHealth Solutions’ “What’s the Cost?” workshop also developed an initial framework for costing mHealth programs, which will help inform next stage planning of the Ghana mHealth Strategy.

• With membership in nine Steering Committees and Working Groups, two reports on the learning needs of CHWs, and blog posts in collaboration with K4H, mPowering is establishing strong leadership in mHealth and global health debates related to MCH, and the role of technologies to support frontline health workers.

• mPowering has secured private sector funding for a Knowledge Management Advisor position from GlaxoSmithKline for phase two platform development, as well as in-kind support from USAID Global Development Lab staff.

• A focus on partnership building activities has led to increased engagement from private sector and donor partners, with direct and in-kind representing 49% of the overall mPowering budget by the end of the financial year.

Strategic Communications MCSP laid the foundation to embed a robust communications department within MCSP —growing on the lessons learned and strategic communications capabilities under MCHIP—with the development of a strategic communications workplan. This workplan leverages existing platforms within the global health community to


MCSP Communications used dissemination platforms such as:

Brochure (English and French)

E-Communications

Website

Social media

Traditional news media

Events and conferences

communicate the work of the Program, highlight its impact, disseminate resources, collaborate with like-minded organizations, and share knowledge and lessons learned. During start up, MCSP has, harnessed a variety of communications tools to promote USAID’s new flagship MCSP to strategically interact with key audiences, such as the MCSP website, e-communications, digital and social media, traditional news media, conferences, special events, and key Program informational products. MCSP also instituted a monthly communications working group, which included representation from each of the implementing partner organizations in the MCSP consortium. The group will continue to strategically communicate the project work and leverage the partnership to advocate and promote RMNCH messages. Program Name and Logo Formerly known as USAID’s flagship Reproductive, Maternal, Newborn and Child Health Program (RMNCH), the program underwent a formal process in order to have a unique name associated with it approved by the Agency. The “iconic M” (which was very recognizable as an entity in the MCHIP logo), was incorporated into the final logo design. A revised Branding and Marking Strategy, to include the new name and logo, was submitted to USAID and subsequently approved. Program Launch The communications team worked closely with USAID Legislative and Public Affairs to launch MCSP by means of an Agency press release, in which the new award was announced, and a Jhpiego press release. There were over 20 hits about the new award, and both the MCSP Director and the Administrator participated in interviews to discuss the anticipated work of MCSP. Program Website It was important that MCSP have a web presence in advance of the June 25 launch event, so on June 23, www.mcsprogram.org was launched live online. The site contains a dynamic slideshow feature promoting the mission statement of MCSP, as well as information about us, our vision, approach, the unique partnership, and how to sign up to receive future updates. Program Materials and Collateral To take advantage of the high visibility forum in which MCSP would be announced, communications worked to develop a program brochure, which was distributed at the Acting on the Call event, and since translated into French. Within three months, over 5,000 copies have been disseminated both in the states and worldwide. From July through September, there was a major focus on the development of branding guidance, in adherence to and in association with the aforementioned Branding and Marking Strategy. This guide clearly spells out to MCSP staff branding guidance such as colors, fonts, logo usage, co-marking and co-branding, email signature templates, and the like. Additionally, essential MCSP collateral such as letterhead, envelopes, report cover designs, fact sheet templates, pens, banners and banner stands, business cards, etc. were all designed and finalized. Also, an MCSP Overview Presentation was developed, which presents what is new and different about the Program. A big focus in the initial months in PY2 will be on properly educating Program staff on branding requirements and on which resources/collateral are available to them.

The MCSP website (launched June 25) has had 2,594 sessions and 1,853 new users (according to Google analytics). Forty-two percent of sessions occurred outside of the United States, in countries such as India, Tanzania, Brazil, United Kingdom, Kenya, Pakistan, and Ethiopia.


Special Events MCSP provided all logistical support for Ministerial representation from 23 USAID priority countries for the Acting on the Call event held in Washington, D.C. Associated duties included arranging flights, accommodations (with associated room block at two area hotels), per diem, and transportation, among other support. MCSP was pleased that the efforts were considered a success and that proper protocol was observed when handling the participation of these high-level guests and their delegations. MCSP also organized several other events to include two high-level panels during the United Nations General Assembly week and a booth/panel at USAID’s Frontier’s in Development event. Additional information on special events can be found in Annex D.

Online Engagement MCSP employed several means via online engagement to increase the visibility of MCSP, including via social media, an online digital campaign, and electronic communications to our mailing list. Program Social Media On September 16, we switched over our digital communications resources (Facebook and Twitter) from MCHIP to MCSP to reflect the new program and name, thus enabling us to maintain the followers that we had under MCHIP. We are now MCSP Global across all platforms. We also started new MCSP Flickr and YouTube channels that will be populated with content over time as MCSP grows. As part of this re-brand effort, a digital media toolkit was developed and shared widely, not only with MCSP partners but also others in the larger RMNCH community. The effort was hugely successful, with a 48% increase in fans on Facebook within 24 hours!


#Day456- A Digital Campaign On September 30, MCSP led a 24-hour digital/social campaign online to raise awareness of 456 days left in the Millennium Development Goal (MDG) countdown. MCSP organized and authored a Digital Advocacy Day Toolkit, which included sharable graphics, with input from USAID, and invited like-minded partners to participate. In the 24 hours of this online event, 1,368 tweets were generated with #Day456 600 contributors, resulting in a 1.24M reach and 6.4M timeline deliveries (also known as possible views). Top reach was from @UNFoundation, @HuffPostImpact, @USAIDGH, and top contributors included @USAIDGH, @Jhpiego, @GirlsGlobe, and @JnJGlobalHealth. MCSP also created a “Countdown Clock” (http://mcsprogram.org/MDG-countdown-2014/) that can be embedded on other sites/blogs and shared out via social media. Partners such as CORE Group and Jhpiego have since linked, among others.

Program e-communications MCSP distributed two electronic newsletter notices out to our 8,000 subscribers during September, to include an inaugural e-blast from the Director announcing MCSP and our program work, and another rallying the global health community around Day 456. Both e-blasts had a 26–27% open rate, which is incredibly successful as compared to industry standards. During the month of September alone, our mailing list increased by 2,000 subscribers, thus indicating not only the keen interest in MCSP but also of the success of communication efforts to raise visibility of MCSP.

Challenges and Opportunities Challenges

• Start up has been a period of intense activity. All technical teams spent significant time and effort on core workplan development and selecting countries for core funded activities; the final core workplan was approved in August. Making progress on core workplan activities being implemented in coordination with country programs has been challenging as most country work plans are still in draft and not yet approved by Missions. Simultaneously, teams were working to complete deliverables under MCHIP and continue to support MCHIP AAs as the technical aspects of these awards and the learning from these programs closely align with MCHIP and MCSP priorities.


• Teams are also juggling contributions to the high volume of PDs that have been released during this period. Teams have been actively engaged in reviewing PDs, participating in review and workplanning meetings and supporting the workplan approval process. It has been challenging for some teams to identify which countries would benefit most from country-level support particularly for new areas such as HSS, equity and community health and civil society engagement teams because some countries’ activities under MCSP are envisioned as a continuation of work done during MCHIP. Furthermore, teams are working hard to balance the divergent expectations of USAID staff in Washington D.C. with the expressed needs of Missions.

• New and cross-cutting theme have required concentrated effort to bring internal and USAID colleagues into alignment on common definitions and key concepts and ensuring our approach aligns with that of the extended AOR team. For example, without being too prescriptive or limiting, MCSP needs common language about how we define “innovation” and how we differentiate that from scaling up high impact or “proven” interventions, so that we can better capture, define, and disseminate our innovative solution development, our catalytic role with emerging innovations from country programs and CORE activities. This is likely going to be an ongoing process of reviewing and refining descriptions. Similarly, the eHealth team has experienced challenges in the lack of understanding within our program for how eHealth can impact RMNCH outcomes.

• MCSP provided optional common indicators to benchmarking progress of CCM implementation for those CSHGP grantees implementing CCM and undergoing final evaluations in FY14. However, as this process was beyond their contractual obligations, use of the indicators could not be mandated. Participation will be confirmed upon receipt of the final evaluation reports in December 2014.

• mPowering is increasingly called on for services including strategic support, connections, and advice relating to mHealth programs and research. This has led to unsustainable levels of expectation and delivery for mPowering’s two staff members and constrains the potential of the partnership to respond to new opportunities. In order to increase mPowering’s capacity, we are requesting additional funding for a deputy director as soon as is possible. mPowering needs technical assistance at a senior level to (1) support development of the platform in Phase II; (2) fundraise for Phase II; (3) lead the content review process; and (4) lead the advocacy and outreach work to secure content and promote use of the platform.

Opportunities

• The 20 internal consultations and 3 “big ideas” presentations revealed interest in integrating HSS into MCSP country activities where appropriate, recognizing that MCSP is different than MCHIP. There is particular interest in better understanding what the Whole Market District Approach is and how it might be applied in MCSP countries.

• MCSP is building on the very rich experience of MCHIP learning activities. Under MCSP, the MMEL team is working to develop a strategically-aligned and well-managed portfolio of learning activities. Currently MMEL is focusing on ensuring that country learning agendas are responsive not only to context-specific learning priorities, but are also strategically aligned to the Program’s learning themes. This will increase opportunities for South-South learning as commonalities emerge across the country learning agendas.


• The small immunization team is approached often by multilateral partners and philanthropic institutions; we have the opportunity to influence global policies, strategies and approaches that will affect many countries. We also have the opportunity to provide direct country technical support, however getting the balance right between these two objectives is a challenge.

• Through collaboration with the RBM MIP working group, MCSP contributes to raising visibility for MIP programming at a global level as well as engaging national malaria control and MNH stakeholders in supporting the prioritization of MIP as a comprehensive component of MNH programming.

• An opportunity for the Nutrition Team is to work with the Child Health and WASH teams to evaluate the integration of IYCF messages during and after illness activity as part of the MCSP Kenya work plan and to identify the success and challenges gleaned from the diarrhea corners experience.

• The Nutrition Team is exploring community-based distribution (CBD) of iron folic acid (IFA) supplements as part of the Ghana CHPS program and will be working in Sindh Province in Pakistan to improve CBD through Lady Health Workers.

Per USAID DEC guidelines, this page has been removed as it contains protected information.

36

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Ann

ex B

: Lea

rnin

g Q

uest

ions

M

CS

P A

ctio

n-O

rien

ted

Lea

rnin

g A

gen

da,

PY

1

Lear

ning

que

stio

ns a

re b

eing

fina

lized

in c

onsu

ltatio

n w

ith U

SAID

’s M

&E/

Res

earc

h T

eam

Wo

rkp

lan

Lea

rnin

g Q

ues

tio

n

Lo

cati

on

Scale-Up

Quality Improvement

Equity/Gender

Integration of Services

e/mHealth

Community Action

HSS, incl. CSO/Private

Oth

er M

CS

P T

eam

s C

olla

bo

rati

ng

Gro

up

s

4.4.

2 W

hat

are

the

mos

t ef

fect

ive

stra

tegi

es a

nd d

eliv

ery

mec

hani

sms

for

reac

hing

impa

ct a

t sc

ale?

(Sys

tem

atic

Supp

ort f

or &

Pro

spec

tive

Stud

y of

Sca

le-u

p)

TBD

x

MH

, NB,

CH

, JH

U

Imm

uniz

atio

n in

Pr

actic

e (II

P)

USA

ID G

loba

l D

evel

opm

ent

Lab,

lo

cal i

mpl

emen

ters

, an

d re

sear

ch

inst

itutio

ns

4.1.

5 H

ow fe

asib

le a

nd u

sefu

l are

new

met

rics

for

qual

ity

of in

trap

artu

m c

are?

(fre

sh s

tillb

irth

and

very

ear

ly ne

wbo

rn d

eath

indi

cato

rs)

TBD

x

Mat

erna

l

4.3.

3 W

hat

key

RM

NC

H in

form

atio

n is

incl

uded

in H

MIS

of

the

24

USA

ID p

rior

ity c

ount

ries

? A

ll M

CSP

pr

iori

ty

x

Mat

erna

l, N

ewbo

rn,

Chi

ld

4.3.

2 H

ow c

an w

e im

prov

e m

odel

ing

of t

he im

pact

of

mat

erna

l car

e in

terv

entio

ns?

(LiS

T-re

vised

) A

ll M

CSP

pr

iori

ty

x

IIP, F

utur

es

4.1.

3 H

ow fe

asib

le a

nd u

sefu

l is

it to

inte

grat

e th

e ne

w

stre

amlin

ed la

bor

and

deliv

ery

obse

rvat

ion

chec

klis

t in

to r

outin

e su

perv

isio

n vi

sits

by

dist

rict

hea

lth

man

agem

ent

team

s?

Tan

zani

a;

othe

r M

CSP

pr

iori

ty

coun

trie

s as

fe

asib

le

x

Mat

erna

l, N

ewbo

rn

Mat

ern

al H

ealt

h

5.3.

4 W

hat

are

the

enab

ling

fact

ors

that

sup

port

sca

le-u

p of

mis

opro

stol

for

prev

entio

n of

PPH

at

hom

e bi

rth

in c

ount

ries

?

TBD

x

MM

EL

37

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Wo

rkp

lan

Lea

rnin

g Q

ues

tio

n

Lo

cati

on

Scale-Up

Quality Improvement

Equity/Gender


e/mHealth

Community Action


Oth

er M

CS

P T

eam

s C

olla

bo

rati

ng

Gro

up

s

5.2.

3 U

sing

out

com

e m

easu

rem

ent

as a

dri

ver

of

inte

rven

tion

impl

emen

tatio

n: c

an w

e im

prov

e qu

ality

and

cov

erag

e of

hea

lth s

ervi

ces

on t

he D

ay

of B

irth

by

supp

ortin

g ro

utin

e, fa

cilit

y-ba

sed

mon

itori

ng?

TBD

x

Fam

ily P

lann

ing,

MM

EL,

New

born

TBD

A

sia

Bure

au R

esea

rch

ques

tion:

TBC

in

deve

lopm

ent

with

Asi

a Bu

reau

and

dep

ende

nt o

n co

untr

y se

lect

ion

and

regi

onal

bur

eau

prio

ritie

s.

TBD

New

bo

rn H

ealt

h

6.3.

2 W

hat

are

the

key

barr

iers

to

post

-tra

inin

g pr

ovid

er

perf

orm

ance

of n

ewbo

rn r

esus

cita

tion

and

how

can

th

ose

barr

iers

be

addr

esse

d?

TBD

xx

M

MEL

Savi

ng N

ewbo

rn

Live

s, lo

cal

acad

emic

/res

earc

h in

stitu

tes

6.3.

4 W

hat

is t

he e

ffect

of t

rain

ing

that

inte

grat

es E

NC

w

ith B

EmO

NC

on

prov

ider

com

pete

nce

in e

ssen

tial

new

born

car

e an

d in

sel

ecte

d la

bor

man

agem

ent

com

pete

ncie

s?

TBD

x

Mat

erna

l, M

MEL

Savi

ng N

ewbo

rn

Live

s, lo

cal

acad

emic

/res

earc

h in

stitu

tes

14.2

.2.3

U

nder

wha

t co

nditi

ons

do p

erin

atal

dea

th a

udits

im

prov

e ca

re fo

r la

bori

ng w

omen

and

new

born

s?

1 LA

C

coun

try

x

Mat

erna

l, M

MEL

TBD

M

CSP

will

iden

tify

a qu

estio

n re

late

d to

pos

sibl

e se

vere

bac

teri

al in

fect

ions

(PS

BI)

in n

ewbo

rns

by

Nov

. 201

4.

TBD

C

hild

, MM

EL

TBD

M

CSP

will

iden

tify

a qu

estio

n re

late

d to

qua

lity

impr

ovem

ent

of n

ewbo

rn h

ealth

ser

vice

s by

Q4

(July

–Sep

t. 20

15).

TBD

x

MM

EL

38

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Wo

rkp

lan

Lea

rnin

g Q

ues

tio

n

Lo

cati

on

Scale-Up

Quality Improvement

Equity/Gender


e/mHealth

Community Action


Oth

er M

CS

P T

eam

s C

olla

bo

rati

ng

Gro

up

s

Ch

ild H

ealt

h

7.1.

1 W

hat

are

feas

ible

mea

sure

s fo

r tr

acki

ng t

he

addi

tiona

l cov

erag

e ac

hiev

ed fr

om im

plem

entin

g iC

CM

? W

hat

are

feas

ible

mea

sure

s fo

r qu

ality

of

iCC

M p

rogr

ams

usin

g ro

utin

e in

form

atio

n sy

stem

s?

TBD

x

xM

MEL

PSI

13.2

.2

Wha

t is

the

cou

ntry

and

glo

bal e

xper

ienc

e in

re

sour

ce m

obili

zatio

n fo

r iC

CM

sca

le-u

p?

TBD

x

Mal

aria

, HSS

, C

omm

unity

, MM

EL

PMI

7.3.

1 W

hat

is t

he fe

asib

ility

of i

mpl

emen

ting

iCC

M in

K

enya

? (C

arrie

d ov

er fr

om M

CHIP

: Bon

do o

pera

tiona

l st

udy.)

Ken

yax

M

MEL

7.3.

2 H

ow c

an e

xist

ing

QI t

ools

and

app

roac

hes

be

adap

ted

to m

onito

r an

d im

prov

e qu

ality

of c

are

in

child

hea

lth s

ervi

ces?

TBD

x

MM

EL, H

SST

BD

Imm

un

izat

ion

13.3

.1 &

13

.3.2

W

hat

proc

ess

indi

cato

rs a

re a

ppro

pria

te fo

r pr

ovid

ing

real

-tim

e ro

utin

e im

mun

izat

ion

syst

em

data

tha

t ar

e pr

edic

tive

of im

mun

izat

ion

perf

orm

ance

?

TBD

x

xM

CSP

is u

nlik

ely

to

lead

wor

k on

thi

s qu

estio

n, b

ut r

athe

r w

ill p

artic

ipat

e in

ef

fort

s th

at G

avi

and

othe

r pa

rtne

rs

are

high

ly li

kely

to

be in

itiat

ing

with

in

the

next

12–

24

mon

ths.

13.3

.2

Wha

t st

eps

and

proc

esse

s ar

e ne

eded

to

impr

ove

the

gene

ratio

n an

d ac

tive

use

of r

elia

ble

rout

ine

imm

uniz

atio

n (R

I) da

ta?

TBD

x

HSS

, MM

EL

39

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Wo

rkp

lan

Lea

rnin

g Q

ues

tio

n

Lo

cati

on

Scale-Up

Quality Improvement

Equity/Gender


e/mHealth

Community Action


Oth

er M

CS

P T

eam

s C

olla

bo

rati

ng

Gro

up

s

13.3

.2

Wha

t ap

proa

ches

are

mos

t ef

fect

ive

and

effic

ient

to

build

hea

lth w

orke

r ca

paci

ty fo

r ro

utin

e im

mun

izat

ion?

TBD

x

HSS

, MM

EL

13.3

.2

How

can

the

com

mun

ity e

ngag

e in

bir

th t

rack

ing

to

impr

ove

rout

ine

imm

uniz

atio

n an

d ot

her

inte

rven

tions

?

TBD

x

xM

ater

nal,

New

born

, m

Hea

lth, F

P, M

MEL

, C

omm

unity

Fam

ily P

lan

nin

g

9.1.

4 W

hat

are

effe

ctiv

e m

echa

nism

s an

d m

odel

s of

PPF

P im

plem

enta

tion

for

inte

grat

ing

FP w

ith M

NC

H

serv

ices

incl

udin

g im

mun

izat

ion

and

nutr

ition

? (D

issem

inat

e th

roug

h co

untry

-leve

l im

plem

enta

tion,

So

uth-

to-S

outh

lear

ning

/exc

hang

e, a

nd g

loba

l le

ader

ship

.)

Ken

ya, I

ndia

x M

ater

nal,

New

born

, N

utri

tion,

Im

mun

izat

ion

SPR

ING

, Int

egra

In

itiat

ive,

Jhpi

ego

9.2.

2 Id

entif

y an

d te

st n

ew t

rack

ing

and

refe

rral

sys

tem

s to

follo

w w

omen

thr

ough

the

con

tinuu

m fr

om

preg

nanc

y to

2 y

ears

pos

tpar

tum

, and

from

co

mm

unity

-bas

ed t

o fa

cilit

y-ba

sed

care

, to

ensu

re

that

eve

ry w

oman

is o

ffere

d a

met

hod

of

cont

race

ptio

n pr

ior

to t

he r

etur

n of

her

fecu

ndity

af

ter

a bi

rth.

Ethi

opia

x

xM

MEL

, Im

mun

izat

ion,

C

omm

unity

, HSS

9.2.

3 T

est

age-

and

sta

ge-s

peci

fic c

ouns

elin

g to

ols

and

tech

niqu

es t

o im

prov

e th

e qu

ality

of s

ervi

ces

for

adol

esce

nt g

irls

/you

ng m

othe

rs a

nd e

xpan

d PP

FP

utili

zatio

n by

thi

s ag

e gr

oup.

Nig

eria

xx

x

Mat

erna

l, N

ewbo

rn,

MM

EL

40

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Wo

rkp

lan

Lea

rnin

g Q

ues

tio

n

Lo

cati

on

Scale-Up

Quality Improvement

Equity/Gender


e/mHealth

Community Action


Oth

er M

CS

P T

eam

s C

olla

bo

rati

ng

Gro

up

s

9.2.

1 T

est

new

app

roac

hes

for

com

mun

icat

ing

abou

t th

e la

ctat

iona

l am

enor

rhea

met

hod

(LA

M)

and

tran

sitio

n in

con

text

of o

ptim

al m

ater

nal,

infa

nt a

nd

youn

g ch

ild n

utri

tion

(MIY

CN

) pr

actic

es.

Tan

zani

a

Nut

ritio

n, M

MEL

9.1.

1 W

hat

does

a c

hart

rev

iew

rev

eal a

bout

the

in

cide

nce

of m

etho

d fa

ilure

in im

plan

t us

ers

in

rela

tion

to s

peci

fic a

ntir

etro

vira

l the

rapy

reg

imen

s?

TBD

H

IV

Mal

aria

10.1

.1 &

10

.2.1

W

hat

are

effe

ctiv

e ap

proa

ches

to

ensu

re c

ount

ries

m

aint

ain

and

diss

emin

ate

upda

ted

MIP

gui

danc

e?

PMI f

ocus

co

untr

ies[

1]

M

ater

nal

10.1

.2

Wha

t ar

e th

e m

ost

effe

ctiv

e M

IP s

trat

egie

s fo

r at

tain

ing

targ

et o

utco

mes

? (C

arrie

d ov

er fr

om M

CHIP

- G

hana

.)

PMI f

ocus

co

untr

ies[

1]

x

Mat

erna

l

10.1

.3

Wha

t ar

e th

e m

ost

effe

ctiv

e co

mm

unity

eng

agem

ent

stra

tegi

es t

o im

prov

e m

alar

ia in

pre

gnan

cy

outc

omes

?

PMI f

ocus

co

untr

ies[

1]

x

Com

mun

ity

Nu

trit

ion

11.2

.1

Wha

t in

nova

tive

appr

oach

es a

re p

rogr

ams

taki

ng t

o ad

dres

s th

e m

ajor

bar

rier

s to

and

als

o fa

ctor

s fa

cilit

atin

g/m

otiv

atin

g ex

clus

ive

brea

stfe

edin

g (E

BF)

in t

he fi

rst

6 m

onth

s?

Mal

i, T

anza

nia,

K

enya

, Y

emen

x

Mat

erna

l, N

ewbo

rn,

Chi

ld

WH

O, U

NIC

EF

11.2

.2

Is t

he c

onsu

mpt

ion

of ju

nk fo

od b

y m

othe

rs a

nd

child

ren

<2

year

s a

nutr

ition

pro

blem

in t

he U

SAID

-M

CSP

24

prio

rity

cou

ntri

es, a

nd w

hat

are

the

driv

ers

behi

nd t

he c

onsu

mpt

ion

of t

hese

food

s?

MC

SP

prio

rity

xM

ater

nal,

New

born

, C

hild

, MM

EL

41

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Wo

rkp

lan

Lea

rnin

g Q

ues

tio

n

Lo

cati

on

Scale-Up

Quality Improvement

Equity/Gender


e/mHealth

Community Action


Oth

er M

CS

P T

eam

s C

olla

bo

rati

ng

Gro

up

s

11.2

.3

Wha

t ar

e th

e m

ajor

bar

rier

s to

ade

quat

e fo

od

inta

ke d

urin

g pr

egna

ncy,

and

wha

t ar

e pr

ogra

ms

doin

g to

add

ress

the

pro

blem

in t

he 2

4 U

SAID

-M

CSP

cou

ntri

es?

MC

SP

prio

rity

xM

ater

nal,

New

born

11.2

.4

Form

ativ

e re

sear

ch o

n ke

y m

essa

ges

for

IYC

N

duri

ng/a

fter

chi

ld il

lnes

s.

MC

SP

prio

rity

11.2

.4

How

are

mes

sage

s ab

out

infa

nt a

nd y

oung

chi

ld

feed

ing

(IYC

F) d

urin

g an

d af

ter

illne

ss in

corp

orat

ed

into

chi

ld h

ealth

(C

H)

and

diar

rhea

cor

ners

(D

C),

and

wer

e th

ey e

ffect

ive

at c

hang

ing

beha

vior

s on

IY

CF

duri

ng a

nd a

fter

illn

ess?

Ken

ya

MH

, NB

Fiel

d Is

com

mun

ity-b

ased

dis

trib

utio

n (C

BD)

of ir

on-fo

lic

acid

(IF

A)

supp

lem

ents

pra

ctic

ed in

the

24

USA

ID-

MC

SP p

rior

ity c

ount

ries

, and

wha

t ar

e th

e ba

rrie

rs

in m

ovin

g C

BD o

f IFA

sup

plem

enta

tion

forw

ard?

MC

SP

prio

rity

xC

omm

unity

HIV

N

othi

ng C

urre

ntly

Pla

nned

(N

o St

art

Up

Fund

ing

Ava

ilabl

e)

42

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Wo

rkp

lan

Lea

rnin

g Q

ues

tio

n

Lo

cati

on

Scale-Up

Quality Improvement

Equity/Gender


e/mHealth

Community Action


Oth

er M

CS

P T

eam

s C

olla

bo

rati

ng

Gro

up

s

Co

mm

un

ity

2.5.

4 W

hat

are

the

key

com

pone

nts

and

char

acte

rist

ics

(suc

h as

pol

icy,

ince

ntiv

es, s

cope

s of

wor

k, a

nd

inte

rven

tion

pack

ages

) of

gov

ernm

ent

CH

W

prog

ram

s in

the

24

prio

rity

cou

ntri

es?

Add

ition

ally

, in

2–4

MC

SP p

rior

ity c

ount

ries

with

sig

nific

ant

com

mun

ity h

ealth

eng

agem

ent,

we

will

con

duct

fu

rthe

r an

alys

is t

o un

ders

tand

how

the

key

co

mpo

nent

s an

d ch

arac

teri

stic

s ar

e be

ing

impl

emen

ted

and

docu

men

t su

cces

ses/

chal

leng

es,

incl

udin

g eq

uity

and

gen

der

issu

es.

MC

SP

Prio

rity

xFa

mily

Pla

nnin

g, H

SS,

Imm

uniz

atio

n,

Mat

erna

l, M

MEL

, N

ewbo

rn, N

utri

tion

APC

2.5.

4 D

oes

polic

y in

the

24

prio

rity

cou

ntri

es a

ddre

ss

heal

th fa

cilit

y co

mm

ittee

s, v

illag

e/lo

cal d

evel

opm

ent

com

mitt

ees,

wom

en’s

gro

ups,

and

oth

er s

imila

r ty

pes

of c

omm

unity

str

uctu

res?

In 2

–4 p

rior

ity

coun

trie

s: W

hat

are

the

char

acte

rist

ics

of

com

mun

ity h

ealth

/dev

elop

men

t co

mm

ittee

s an

d/or

in

form

al c

omm

unity

par

ticip

atio

n/gr

oups

and

the

co

ntex

ts in

whi

ch t

hey

oper

ate?

How

do

thes

e st

ruct

ures

sup

port

CH

W p

rogr

amm

ing

and

mob

ilize

th

e co

mm

unity

for

impr

oved

hea

lth?

MC

SP

Prio

rity

xC

hild

, Fam

ily P

lann

ing,

Im

mun

izat

ion,

M

ater

nal,

MM

EL,

New

born

, Nut

ritio

n

APC

2.5.

3 H

ow c

an s

yste

ms

scie

nce

inno

vatio

ns b

e pr

actic

ally

ap

plie

d to

com

plex

que

stio

ns in

MC

SP c

ount

ries

to

achi

eve

EPC

MD

?

Glo

bal

xx

xJH

U II

PU

SAID

Glo

bal

Dev

elop

men

t La

b

2.2.

3 W

hat

are

the

less

ons

lear

ned

from

a p

ilot

coun

try

activ

ity t

o ha

rmon

ize

civi

l soc

iety

ess

entia

l new

born

ca

re b

ehav

ior

chan

ge m

essa

ging

for

fam

ilies

and

co

mm

uniti

es a

t sc

ale,

usi

ng N

GO

hea

lth a

nd

deve

lopm

ent

plat

form

s in

ord

er t

o in

fluen

ce

TBD

x

MM

EL, N

ewbo

rn

43

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Wo

rkp

lan

Lea

rnin

g Q

ues

tio

n

Lo

cati

on

Scale-Up

Quality Improvement

Equity/Gender


e/mHealth

Community Action


Oth

er M

CS

P T

eam

s C

olla

bo

rati

ng

Gro

up

s

poss

ible

rep

licat

ion

in o

ther

cou

ntri

es w

here

NG

Os

have

a la

rge-

scal

e pr

esen

ce?

(Max

imiz

ing

civil

socie

ty

enga

gem

ent i

n EN

AP.)

Lo

cal H

SS

1.2.

2 H

ow c

an M

CSP

mob

ilize

var

ious

act

ors,

incl

udin

g pr

ivat

e co

mm

erci

al, p

riva

te n

ot-fo

r-pr

ofit,

pub

lic,

com

mun

ity-b

ased

, and

info

rmal

pro

vide

rs, t

o in

crea

se c

over

age

and

utili

zatio

n, q

ualit

y, a

nd e

quity

of

RM

NC

H in

terv

entio

ns?

Gha

na; o

ther

M

CSP

pr

iori

ty

coun

trie

s as

fe

asib

le

x

Chi

ld, C

omm

unity

, Fa

mily

Pla

nnin

g,

Imm

uniz

atio

n,M

alar

ia,

Mat

erna

l, N

ewbo

rn,

Nut

ritio

n

1.1.

1 W

hat

are

the

mos

t fr

eque

nt a

nd h

ighe

st p

rior

ity

heal

th s

yste

ms

issu

es/c

onst

rain

ts r

elat

ed t

o hu

man

re

sour

ces

for

heal

th s

uper

visi

on fo

r R

MN

CH

se

rvic

es, a

nd w

hat

are

the

com

pone

nts

of a

n ef

fect

ive

supe

rvis

ion

mod

el (

tech

nica

l, fin

anci

al,

man

ager

ial,

etc.

) in

cou

ntri

es w

here

MC

SP w

ill w

ork

duri

ng P

rogr

am Y

ear

1?

Gha

na; o

ther

M

CSP

pr

iori

ty

coun

trie

s as

fe

asib

le

x

3.1.

1 W

hat

are

the

mos

t fr

eque

nt a

nd h

ighe

st p

rior

ity

heal

th s

yste

ms

issu

es/c

onst

rain

ts r

elat

ed t

o ef

fect

ive

care

on

the

Day

of B

irth

in c

ount

ries

whe

re M

CSP

w

ill w

ork

duri

ng P

rogr

am Y

ear

1?

TBD

x

Com

mun

ity, M

ater

nal,

New

born

44

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Ann

ex C

: Cou

ntry

Res

ults

Mat

rix

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Cou

ntri

es w

ith a

ppro

ved

wor

kpla

ns p

rior

to

the

end

of t

he r

epor

ting

peri

od

Hai

ti So

cial

M

arke

ting

App

rove

d 6/

30/2

014

• W

ith M

CSP

, the

fiel

d te

am w

ill b

uild

upo

n le

sson

s le

arne

d fr

om a

pre

viou

s pr

ojec

t PR

OM

AR

K (

cont

ract

with

PSI

for

the

past

5

year

s) t

o im

plem

ent

its w

ork.

Dur

ing

this

qua

rter

, man

y m

eetin

gs a

nd c

onfe

renc

e ca

lls w

ere

cond

ucte

d to

lead

the

dis

cuss

ion

and

the

proc

ess

in o

rder

to

final

ize

the

tran

sfer

of a

ctiv

ities

from

PR

OM

AR

K t

o M

CSP

so

as n

ot t

o in

terr

upt

the

diffe

rent

act

iviti

es a

t th

e fie

ld le

vel.

• D

urin

g th

is p

erio

d, M

CSP

upd

ated

and

ada

pted

its

trai

ning

cur

ricu

lum

for

supp

ort

grou

ps (

com

pose

d of

wom

en le

ader

s in

the

co

mm

unity

). T

wen

ty s

uppo

rt g

roup

s, w

hich

incl

ude

5 w

omen

eac

h, h

ave

been

tra

ined

on

the

new

cur

ricu

lum

. The

se s

uppo

rt g

roup

s co

nduc

ted

inte

rper

sona

l com

mun

icat

ion

activ

ities

and

rea

ched

the

follo

win

g in

divi

dual

s: 5

2,65

5 w

ith F

P m

essa

ging

, 46,

973

(WA

SH),

and

34,6

02 (

MC

H).

•

In c

olla

bora

tion

with

par

tner

PO

Z, M

CSP

impl

emen

ted

a yo

uth

hotli

ne t

hat

prov

ides

acc

ess

to in

form

atio

n ab

out

FP s

ervi

ces

(incl

udin

g re

ferr

als)

to

youn

g gi

rls

and

wom

en in

the

com

mun

ity. D

urin

g th

is im

plem

enta

tion

peri

od, t

he h

otlin

e re

ceiv

ed 1

7,54

2 ca

lls.

• T

he t

eam

com

plet

ed 2

2 la

rge

grou

p ev

ents

to

prom

ote

heal

thy

beha

vior

s, r

each

ing

20,4

00 p

eopl

e w

ith k

ey M

CH

, WA

SH, a

nd F

P m

essa

ges.

In a

dditi

on, M

CSP

sup

port

ed M

OH

hea

lth c

ente

rs b

y pr

ovid

ing

them

with

vid

eo d

ocum

enta

ries

tha

t ad

dres

sed

the

diffe

rent

hea

lth m

essa

ges

prom

oted

by

the

proj

ect.

MC

SP a

lso

rene

wed

the

ir m

edia

pla

n (c

ontr

acts

) w

ith r

adio

and

TV

sta

tions

in

thei

r ne

twor

k.

• A

s a

supp

ort

to t

he M

OH

, MC

SP is

als

o pr

ovid

ing

trai

ning

in c

omm

unic

atio

n sk

ills,

cou

nsel

ing,

and

how

to

lead

and

faci

litat

e a

sens

itiza

tion

and

inte

rper

sona

l com

mun

icat

ion

sess

ion

arou

nd F

P, c

hole

ra, a

nd M

CH

to

nurs

ing

scho

ol s

tude

nts

from

pub

lic s

ecto

r sc

hool

s (1

12 t

o da

te).

• M

CSP

con

tinue

d to

exp

and

acce

ss t

o qu

ality

WA

SH, M

CH

, and

FP

bran

ded

prod

ucts

thr

ough

the

follo

win

g ac

tiviti

es:

• A

tot

al o

f 387

pro

mot

iona

l act

iviti

es w

ere

cond

ucte

d fo

r ou

r FP

, WA

SH, a

nd M

CH

pro

duct

s, r

each

ing

a to

tal o

f 164

,539

pe

rson

s.

• So

ld p

rodu

cts

incl

udin

g Pi

lpla

n, in

ject

able

s, IU

D C

onfia

nce

Plus

, Sel

Lav

i, an

d D

lo L

avi T

ab.

• Su

ppor

ted

othe

r pa

rtne

rs in

the

soc

ial m

arke

ting

of t

heir

hea

lth p

rodu

cts

(Uni

vers

ity o

f Not

re D

ame

and

Med

s &

Foo

d fo

r K

ids.

•

Laun

ched

SR

O P

lus

(ora

l reh

ydra

tion

salts

[O

RS]

+ z

inc)

: MC

SP h

as s

hare

d w

ith t

he d

iffer

ent

part

ners

the

pac

kagi

ng d

esig

n fo

r th

e ne

w p

rodu

ct O

raZ

inc.

Afte

r th

e pr

oduc

t’s a

ppro

val b

y U

SAID

/Hai

ti, t

he p

rocu

rem

ent

team

has

sta

rted

the

bid

ding

pro

cess

w

ith t

he fi

nal a

rtw

ork

in o

rder

to

iden

tify

the

vend

or fo

r bo

th p

rodu

cts

(zin

c an

d O

RS)

.

45

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Mal

i A

ppro

ved

8/8/

2014

•

As

a 1-

year

follo

w-o

n pr

ojec

t to

MC

HIP

, MC

SP is

pos

ition

ed t

o co

ntin

ue s

uppo

rtin

g an

d m

aint

aini

ng t

he m

omen

tum

aro

und

high

-im

pact

inte

rven

tions

put

in p

lace

by

its p

rede

cess

or, a

nd s

eeks

to

build

upo

n its

suc

cess

ful f

ound

atio

n. D

urin

g th

is im

plem

enta

tion

peri

od, M

CSP

/Mal

i wor

ked

with

the

gov

ernm

ent

of M

ali,

civi

l soc

iety

, the

pri

vate

sec

tor,

hea

lth c

are

prov

ider

s, a

nd c

omm

uniti

es t

o im

prov

e th

e po

pula

tion’

s ac

cess

to

an a

fford

able

, int

egra

ted

pack

age

of h

ealth

ser

vice

s (M

NC

H/F

P-M

al-N

ut-W

ASH

) th

roug

h th

e fo

llow

ing

activ

ities

: •

Supp

ort

to m

eetin

gs t

o di

scus

s ap

prov

al/fi

nanc

ial s

uppo

rt fo

r th

e St

rate

gic

Nat

iona

l Pla

n fo

r Es

sent

ial C

omm

unity

Car

e (S

EC)

and

also

to

final

ize

the

Stra

tegi

c N

atio

nal P

lan

for

SEC

(so

ins

esse

ntie

ls c

omm

unau

tair

e) (

actio

n pl

ans

crea

ted

for

diffe

rent

reg

ions

).

• M

CSP

par

ticip

ated

in

a tr

aini

ng o

rgan

ized

by

the

Uni

ted

Nat

ions

Pop

ulat

ion

Fund

(U

NFP

A)

to t

rain

the

nat

iona

l H

ealth

In

form

atio

n Sy

stem

Uni

t in

usi

ng t

he M

NC

H S

core

card

sys

tem

. •

MC

SP a

lso

supp

orte

d th

e m

eetin

g of

a t

empo

rary

sub

-tec

hnic

al w

orki

ng g

roup

und

er M

IP t

hat

was

des

igna

ted

to h

arm

oniz

e th

e pr

otoc

ol

for

trea

tmen

t of

ne

gativ

e ca

ses

of

mal

aria

am

ong

child

ren

amon

g th

e na

tiona

l m

alar

ia

prot

ocol

s,

norm

s,

and

proc

edur

es; t

he IM

CI p

roto

col,

and

the

Inte

grat

ed M

anag

emen

t of

Mal

nutr

ition

pro

toco

l. •

The

pro

gram

als

o di

ssem

inat

ed e

xclu

sive

bre

astf

eedi

ng m

essa

ges

thro

ugh

ASC

s to

rai

se c

omm

unity

aw

aren

ess

duri

ng t

he

cam

paig

n in

5 d

istr

icts

in S

ikas

so: 1

,002

hom

e vi

sit

sess

ion

wer

e or

gani

zed

(5,3

21 p

eopl

e re

ceiv

ed m

essa

ges)

and

706

edu

catio

nal

talk

ses

sion

s w

ere

orga

nize

d (1

0,80

4 pe

ople

rec

eive

d m

essa

ges)

. •

MC

SP w

orke

d to

impr

ove

the

qual

ity a

nd e

ffici

ency

of M

NC

H/F

P-M

al-N

ut-W

ASH

ser

vice

s th

roug

h tr

aini

ngs

for

Dire

ctor

Tec

hniq

ue

de ce

ntre

(DT

Cs)

and

ASC

s (c

omm

unity

hea

lth w

orke

rs)

on t

he S

EC p

acka

ge, f

inan

cial

sup

port

for

DT

Cs

to c

ondu

ct s

uppo

rtiv

e su

perv

isio

n an

d na

tionw

ide

dist

ribu

tion

of s

ocia

l mar

ketin

g pr

oduc

ts in

clud

ing

mal

e an

d fe

mal

e co

ndom

s; w

ater

san

itatio

n, A

quat

abs,

or

al r

ehyd

ratio

n sa

lts (

OR

S) a

nd z

inc.

MC

SP a

lso

supp

orte

d th

e na

tionw

ide

diffu

sion

of 8

TV

han

dwas

hing

, and

8 T

V s

pots

on

the

impo

rtan

ce a

nd u

se o

f wat

er t

reat

men

t pr

oduc

ts a

nd e

nsur

ed m

otiv

atio

n pa

ymen

ts fo

r A

SCs

in 7

dis

tric

ts. T

wo

succ

essf

ul r

ound

s of

th

e Se

ason

al M

alar

ia C

hem

opre

vent

ion

(SM

C)

inte

rven

tion

wer

e or

gani

zed,

with

a h

igh

leve

l of c

over

age

for

both

rou

nds.

•

The

pro

ject

con

tinue

d to

impr

ove

acce

ss t

o hi

gh-q

ualit

y in

tegr

ated

MN

CH

/FP

serv

ices

in p

ublic

hea

lth fa

cilit

ies,

pri

vate

clin

ics,

and

Pr

oFam

site

s in

pro

ject

are

as. S

uppo

rt in

clud

ed r

efre

sher

tra

inin

g in

KM

C a

nd n

eona

tal s

epsi

s m

anag

emen

t fo

r st

aff f

rom

the

CSR

EF

(ref

erra

l hea

lth c

ente

r) a

nd C

SCO

M (

com

mun

ity h

ealth

cen

ter)

; tra

inin

g in

life

savi

ng a

ppro

ache

s fo

r pr

emat

ure

infa

nts

for

44 D

TC

s;

finan

cial

sup

port

to

impr

ove

staf

f cap

acity

in M

IP; a

nd o

rgan

izat

ion

of 2

50 in

tegr

ated

FP/

imm

uniz

atio

n da

ys. S

uper

visi

ons

on a

ll re

leva

nt h

ealth

top

ics

wer

e co

nduc

ted.

MC

SP a

lso

rein

forc

ed 9

8 pr

ivat

e cl

inic

s to

pro

vide

com

preh

ensi

ve F

P co

unse

ling

and

serv

ices

to

wom

en o

f rep

rodu

ctiv

e ag

e.

• T

he M

CSP

pro

ject

laun

ched

its

exci

ting

pilo

t in

tend

ed t

o in

crea

se y

outh

acc

ess

to s

exua

l and

rep

rodu

ctiv

e he

alth

ser

vice

s th

roug

h th

e pr

ivat

e se

ctor

. Bui

ldin

g on

the

you

th p

latf

orm

dev

elop

ed u

nder

MC

HIP

, the

PSI

you

th v

olun

teer

tea

m o

rgan

ized

15

yout

h gr

oups

ca

lled

"GR

INS"

in t

he v

icin

ity o

f 15

supp

orte

d pr

ivat

e cl

inic

s to

offe

r yo

uth-

frie

ndly

rep

rodu

ctiv

e he

alth

ser

vice

s in

Bam

ako.

46

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Nig

eria

–

Polio

R

esea

rch

App

rove

d 8/

22/2

014

• T

his

stud

y, w

hich

is b

eing

led

by M

CSP

par

tner

The

Com

mun

icat

ions

Initi

ativ

e, is

to

unde

rsta

nd h

ouse

hold

fact

ors

affe

ctin

g th

e de

man

d fo

r po

lio v

acci

natio

n an

d th

e co

ntin

uing

hig

h ra

tes

of m

isse

d ch

ildre

n in

nor

ther

n N

iger

ia. T

his

rese

arch

initi

ativ

e w

as s

tart

ed

unde

r th

e M

ater

nal a

nd C

hild

Hea

lth In

tegr

ated

Pro

gram

(M

CH

IP)

and

will

be

com

plet

ed a

nd fi

ndin

gs w

ill b

e di

ssem

inat

ed u

nder

the

M

CSP

aw

ard.

•

Fiel

d da

ta c

olle

ctio

n w

as c

ompl

eted

und

er M

CH

IP; M

CSP

the

n as

sum

ed r

espo

nsib

ility

for

final

dat

a cl

eani

ng, i

nitia

l ana

lysi

s, a

nd

dise

emin

atio

n of

the

initi

al fi

ndin

gs a

nd t

heir

val

idat

ion

with

key

sta

keho

lder

s in

Nig

eria

. Res

ults

of t

he v

alid

atio

n w

orks

hops

and

m

eetin

gs w

ith G

over

nmen

t of

Nig

eria

and

oth

er p

olio

par

tner

s re

sulte

d in

a r

evis

ed a

nd e

xpan

ded

plan

for

final

ana

lysi

s an

d di

ssem

inat

ion

of t

he s

tudy

’s fi

ndin

gs.

Prog

ram

s in

dev

elop

men

t du

ring

the

per

iod:

Ethi

opia

–

Com

mun

ity

Base

d N

ewbo

rn

Car

e

PD r

ecei

ved:

5/

6/20

14

In d

evel

opm

ent

• U

SAID

/Eth

iopi

a re

ques

ted

MC

SP t

o su

ppor

t th

e G

over

nmen

t of

Eth

iopi

a’s

scal

e up

of h

igh-

impa

ct e

ssen

tial n

ewbo

rn c

are

inte

rven

tions

in c

omm

uniti

es a

nd p

rim

ary

heal

th c

are

faci

litie

s th

roug

h de

man

d cr

eatio

n, u

nive

rsal

pro

visi

on o

f qua

lity

serv

ices

, and

st

reng

then

ed s

uppo

rt s

yste

ms.

MC

SP w

ill s

uppo

rt t

he im

plem

enta

tion

of t

he G

oE’s

nat

iona

l Com

mun

ity-b

ased

New

born

Car

e Im

plem

enta

tion

Plan

in fo

ur r

egio

ns w

ith t

he o

vera

ll go

al o

f con

trib

utin

g to

red

uctio

ns in

neo

nata

l mor

bidi

ty a

nd m

orta

lity

in E

thio

pia

thro

ugh

capa

city

bui

ldin

g to

pro

vide

hig

h-im

pact

ser

vice

s bo

th a

t th

e co

mm

unity

and

the

PH

CU

leve

l.

• C

ompl

eted

dis

cuss

ions

with

USA

ID/E

thio

pia,

the

bila

tera

l USA

ID In

tegr

ated

Fam

ily H

ealth

Pro

gram

(IF

HP)

and

the

MO

H t

o de

term

ine

the

geog

raph

ic s

cope

and

pac

kage

of M

CSP

tec

hnic

al s

uppo

rt t

hat

will

be

prov

ided

for

scal

e up

of t

he C

BNC

str

ateg

y as

on

e of

the

MO

H’s

pri

mar

y pa

rtne

rs.

• C

ompl

eted

and

sub

mitt

ed a

dra

ft w

orkp

lan

to U

SAID

/Eth

iopi

a on

8/1

5/20

14

Ethi

opia

-

BEm

ON

C

PD r

ecei

ved:

5/

14/2

014

In d

evel

opm

ent

• M

CSP

is in

crea

sing

ava

ilabi

lity

and

utili

zatio

n of

qua

lity

MN

H s

ervi

ces

in t

he U

SAID

pri

ority

reg

ions

.MC

SP w

ill w

ork

with

and

pro

vide

su

ppor

t to

the

FM

OH

and

key

par

tner

s to

impr

ove

capa

city

of h

ealth

faci

litie

s an

d sk

illed

bir

th a

tten

dant

s to

pro

vide

hig

h qu

ality

M

NH

ser

vice

s, p

rior

itizi

ng B

EmO

NC

, to

impr

ove

linka

ges

betw

een

faci

litie

s an

d th

e co

mm

unity

leve

l to

incr

ease

MN

H h

ealth

car

e se

ekin

g pr

actic

es, t

o in

crea

se a

cces

s to

PPF

P an

d st

reng

then

ed F

P se

rvic

e pr

ovis

ion,

to

enha

nce

the

FMO

H’s

cap

acity

to

deve

lop

the

natio

nal o

pera

tions

res

earc

h an

d pr

ogra

m le

arni

ng a

gend

a fo

r M

NH

, and

to

desi

gn a

nd c

ondu

ct M

CSP

spe

cific

ope

ratio

ns r

esea

rch

in

the

abov

e ar

eas.

•

Com

plet

ed d

iscu

ssio

ns w

ith U

SAID

/Eth

iopi

a, t

he b

ilate

ral U

SAID

Inte

grat

ed F

amily

Hea

lth P

rogr

am (

IFH

P) a

nd t

he M

OH

to

dete

rmin

e th

e ge

ogra

phic

sco

pe a

nd p

acka

ge o

f MC

SP t

echn

ical

sup

port

tha

t w

ill b

e pr

ovid

ed t

o su

ppor

t sc

ale

up o

f the

BEm

ON

C

trai

ning

str

ateg

y as

one

of t

he M

OH

’s p

rim

ary

part

ners

. •

Com

plet

ed a

nd s

ubm

itted

a d

raft

wor

kpla

n to

USA

ID/E

thio

pia

on 9

/28/

2014

47

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Gha

na

PD r

ecei

ved:

6/

23/2

014

In d

evel

opm

ent

• T

his

proj

ect

aim

s to

sup

port

the

Min

istr

y of

Hea

lth a

nd t

he G

hana

Hea

lth S

ervi

ces

to im

prov

e he

alth

out

com

es fo

r H

IV, m

alar

ia,

nutr

ition

, fam

ily p

lann

ing

and

mat

erna

l, ne

wbo

rn a

nd c

hild

hea

lth s

ervi

ces

thro

ugh

impr

ovin

g pr

ovid

ers’

com

pete

ncy

and

qual

ity o

f pr

imar

y ca

re t

hrou

gh C

omm

unity

-bas

ed H

ealth

Pla

nnin

g Se

rvic

es.

• C

ontin

ued

MC

HIP

sup

port

for

Pre-

Serv

ice

Educ

atio

n fo

r nu

rses

and

mid

wiv

es

• C

ompl

eted

an

asse

ssm

ent/

plan

ning

mis

sion

to

furt

her

expa

nd t

he e

Lear

ning

asp

ects

of P

SE s

uppo

rt a

nd d

evel

op t

his

com

pone

nt o

f th

e M

CSP

wor

kpla

n •

Com

plet

ed a

n as

sess

men

t/pl

anni

ng m

issi

on t

hat

iden

tifie

d th

e ga

ps a

nd o

ppor

tuni

ties

for

stre

ngth

enin

g th

e na

tiona

l CH

PS p

olic

y an

d its

impl

emen

tatio

n un

der

the

seco

nd c

ompo

nent

of t

he M

CSP

wor

kpla

n •

Wor

kpla

n w

ill b

e fin

aliz

ed a

nd s

ubm

itted

ear

ly in

the

nex

t qu

arte

r.

Ken

ya

PD r

ecei

ved:

7/

28/2

01

In d

evel

opm

ent

• In

July

201

4, U

SAID

-Ken

ya w

orke

d w

ith M

CSP

to

impl

emen

t in

tegr

ated

rep

rodu

ctiv

e he

alth

/FP/

MN

CH

/Nut

ritio

n/W

ASH

act

iviti

es in

M

igor

i and

Kis

umu

coun

ties

(new

ly s

elec

ted)

and

in E

ast

Poko

t an

d Ig

embe

Nor

th s

ub-c

ount

ies,

whe

re w

ork

had

been

sta

rted

und

er

MC

HIP

. The

sco

pe o

f the

pro

gram

was

exp

ande

d to

ref

lect

a c

hang

ing

glob

al R

MN

CH

land

scap

e as

wel

l as

shift

s in

USA

ID's

prio

ritie

s.

• In

Sep

tem

ber

2014

, the

MC

SP t

echn

ical

adv

isor

s w

orke

d to

geth

er, a

nd in

clo

se c

onsu

ltatio

n w

ith c

ount

y go

vern

men

t M

OH

re

pres

enta

tives

, nat

iona

l-lev

el M

OH

tec

hnic

al le

ads,

and

USA

ID t

o de

velo

p a

2-ye

ar w

orkp

lan

that

is p

ract

ical

, ach

ieva

ble,

and

res

ults

-fo

cuse

d. S

peci

fical

ly, C

ount

y Ex

ecut

ive

Com

mitt

ee m

embe

rs fo

r he

alth

(he

alth

min

iste

rs a

t th

e co

unty

leve

l), n

atio

nal-l

evel

MO

H

offic

ials

from

the

Div

isio

n of

Fam

ily H

ealth

, and

MC

SP p

rogr

am m

anag

ers

at U

SAID

-Ken

ya w

ere

in a

tten

danc

e. T

o al

ign

itsel

f to

the

new

focu

s of

ser

vice

del

iver

y at

the

cou

nty

leve

l and

to

the

rene

wed

com

mitm

ent

for

true

inte

grat

ion

of t

echn

ical

inte

rven

tions

, the

pr

oces

s ad

opte

d fo

r th

e de

velo

pmen

t of

the

wor

kpla

n re

pres

ente

d a

sign

ifica

nt d

epar

ture

from

the

pro

cess

tha

t w

as u

sed

duri

ng

MC

HIP

. •

The

wor

kpla

n w

as s

ubm

itted

in O

ctob

er 2

014.

•

[Usin

g co

re fu

nds]

MC

SP fo

cuse

d on

the

suc

cess

ful n

atio

nal r

ollo

ut o

f the

rot

avir

us v

acci

ne la

unch

in Ju

ly 2

014.

48

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Mad

agas

car

PD r

ecei

ved:

7/

21/2

014

In d

evel

opm

ent

• A

n as

sess

men

t of

the

sta

tus

of m

ater

nal,

new

born

,and

FP

serv

ice

deliv

ery

at p

rim

ary

heal

th c

ente

rs, d

istr

ict

hosp

itals

,and

reg

iona

l ho

spita

ls w

as u

nder

take

n in

USA

ID in

terv

entio

n zo

nes.

The

ass

essm

ent

incl

uded

a d

esk

revi

ew o

f pr

evio

us e

valu

atio

ns a

nd r

elev

ant

refe

renc

e do

cum

ents

in

MN

H a

nd F

P, a

cro

ss-s

ectio

nal

read

ines

s as

sess

men

t in

pub

lic h

ealth

fac

ilitie

s, a

nd a

n as

sess

men

t of

pub

lic

mid

wife

ry p

re-s

ervi

ce in

stitu

tions

. •

Maj

or a

ccom

plis

hmen

ts in

ach

ievi

ng O

bjec

tive

1, t

o im

prov

e th

e qu

ality

of m

ater

nal,

neon

atal

, and

chi

ld c

are

in M

adag

asca

r du

ring

the

pe

riod

of J

uly

1–Se

ptem

ber

30, 2

014,

wer

e:

• D

evel

oped

pro

toco

l an

d da

ta c

olle

ctio

n to

ols

for

the

asse

ssm

ent,

and

obta

ined

aut

hori

zatio

n fr

om t

he M

OH

(D

SMER

) to

im

plem

ent

the

eval

uatio

n w

ithin

the

15

regi

ons

(out

of 2

2 re

gion

s) in

Mad

agas

car.

•

Perf

orm

ed a

lite

ratu

re r

evie

w o

n M

NH

and

FP.

•

Ori

ente

d 27

fiel

d in

vest

igat

ors

to a

sses

smen

t an

d da

ta c

olle

ctio

n to

ols

befo

re t

he s

urve

y be

gan.

•

Ass

esse

d 52

pub

lic h

ealth

fac

ilitie

s (6

tea

chin

g ho

spita

ls [

CH

U],

9 re

gion

al r

efer

ral h

ospi

tal [

CH

RR

], 5

dist

rict

ref

erra

l hos

pita

ls

[CH

D],

and

32 b

asic

cen

ters

) an

d 6

publ

ic m

idw

ifery

pre

-ser

vice

inst

itutio

ns.

• T

he d

evel

opm

ent

of t

he Y

ear

1 w

orkp

lan

is in

pro

cess

. The

wor

kpla

n w

ill b

e fin

aliz

ed a

fter

com

plet

ion

of a

n an

alys

is o

f the

as

sess

men

t re

sults

.

Mal

awi

PD r

ecei

ved:

6/

13/2

014

In d

evel

opm

ent

• M

CSP

con

tinue

d pr

ovid

ing

imm

uniz

atio

n te

chni

cal s

uppo

rt t

o th

e M

OH

/EPI

, mos

t no

tabl

y to

upd

ate

the

coun

try

com

preh

ensi

ve

mul

ti-ye

ar p

lan

and

acco

mpa

nyin

g an

nual

pla

n of

act

ion,

whi

le d

evel

opin

g th

e PY

1 (

July

201

4–Se

ptem

ber

2015

) im

mun

izat

ion

wor

kpla

n, P

MP,

and

bud

get.

Subm

issi

on e

xpec

ted

earl

y in

the

nex

t qu

arte

r.

• A

chie

vem

ents

in s

ub-n

atio

nal r

outin

e im

mun

izat

ion

tech

nica

l sup

port

incl

uded

: •

Impr

oved

col

d ch

ain

mai

nten

ance

, vac

cine

dis

trib

utio

n, a

nd u

pdat

ing

of v

acci

ne m

onito

ring

cha

rts

and

stoc

k bo

oks;

use

of

stoc

kboo

ks in

crea

sed

in a

bout

70%

in t

he fa

cilit

ies

visi

ted

in t

he n

orth

ern

regi

on.

• In

Sep

tem

ber

2014

, offi

cial

s fr

om t

rain

ing

colle

ges,

MO

H/E

PI, a

nd M

CSP

rev

ised

and

fina

lized

the

EPI

cur

ricu

la, w

hich

wer

e un

der

final

rev

iew

at

the

end

of t

he p

erio

d. P

rint

ing

and

dist

ribu

tion

is p

lann

ed in

Nov

embe

r 20

14 w

ith M

CSP

sup

port

to

all

inst

itutio

ns.

• A

s re

com

men

ded

from

rec

ent

data

qua

lity

self-

asse

ssm

ent

findi

ngs,

Mal

awi i

s in

the

pro

cess

of i

nteg

ratin

g an

“U

nder

Tw

o R

egis

ter,

” w

hich

will

be

used

to

trac

k ch

ild v

acci

natio

n st

atus

. MC

SP is

pro

vidi

ng t

echn

ical

inpu

t to

the

des

ign

and

layo

ut o

f the

up

date

d re

gist

ers,

and

will

als

o su

ppor

t w

ith t

heir

pri

ntin

g an

d di

stri

butio

n, o

nce

final

ized

. •

MC

SP s

uppo

rted

the

dis

trib

utio

n of

Fri

dge

Tag

s 2,

co-

faci

litat

ed a

nat

iona

l tra

inin

g of

tra

iner

s an

d is

sup

port

ing

EPI t

rain

ings

in

the

sout

hwes

t zo

ne in

sev

en d

istr

icts

. Tra

iner

s w

ill t

rain

Hea

lth S

urve

illan

ce A

ssis

tant

s in

hea

lth fa

cilit

ies

in fu

rtur

e qu

arte

rs.

49

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Nam

ibia

PD

rec

eive

d:

7/23

/201

4 In

dev

elop

men

t

• M

CSP

con

tinue

d su

ppor

t to

the

nat

iona

l Hea

lth E

xten

sion

Pro

gram

(H

EP)

whi

le b

egin

ning

the

deve

lopm

ent

ofth

e PY

1 w

orkp

lan

with

th

e M

OH

and

exp

andi

ng a

nd r

epla

cing

the

form

er M

CH

P st

aff.

•

The

initi

al P

D r

eque

sted

MC

SP s

uppo

rt fo

r th

e sc

ale

up o

f the

HEP

and

min

imal

sup

port

to

cont

inue

wor

k on

impr

ovin

g da

ta q

ualit

y,

also

with

the

MO

H. D

urin

g th

e pe

riod

, a r

evis

ed P

D a

dded

an

HIV

/Sex

ual a

nd R

epro

duct

ive

Hea

lth c

ompo

nent

to

the

prog

ram

and

al

so c

alle

d fo

r st

reng

then

ing

the

HIV

con

tent

of t

he H

EP c

ompo

nent

. Pla

ns w

ere

mad

e fo

r a

plan

ning

vis

it an

d fo

r fo

llow

-up

wor

k to

fu

rthe

r de

velo

p th

e iC

CM

con

tent

of t

he H

EP t

hat

was

dra

fted

at

the

end

of M

CH

IP.

• D

iscu

ssio

ns c

ontin

ued

with

USA

ID/N

amib

ia a

bout

impl

emen

tatio

n of

the

PEP

FAR

Str

ateg

ic In

form

atio

n in

itiat

ive

star

ted

unde

r M

CH

IP a

nd c

hang

es in

PEP

FAR

str

ateg

y w

orld

wid

e th

at w

ill im

pact

the

geo

grap

hic

focu

s of

MC

SP’s

wor

k in

Nam

ibia

. Fur

ther

cha

nges

ar

e ex

pect

ed in

the

PD

onc

e th

e 20

14 M

OP

is a

ppro

ved.

A d

raft

PY

1 w

orkp

lan

will

be

subm

itted

for

Mis

sion

com

men

t an

d pr

ovis

iona

l app

rova

l dur

ing

the

first

qua

rter

of t

he c

omin

g pe

riod

.

Nig

eria

–

Mat

erna

l N

ewbo

rn

Hea

lth

PD r

ecei

ved:

7/

1/20

14

In d

evel

opm

ent

• T

he M

CSP

mat

erna

l and

new

born

hea

lth p

rogr

am d

escr

iptio

n w

as r

ecei

ved

from

USA

ID/N

iger

ia in

July

201

4. In

Sep

tem

ber,

an

MC

SP

desi

gn t

rip

was

con

duct

ed t

o de

velo

p th

e M

CSP

wor

kpla

n “I

mpr

ovin

g M

ater

nal a

nd N

ewbo

rn H

ealth

in E

bony

i and

Kog

i Sta

tes”

. Pr

ogra

m o

bjec

tives

are

: 1)

impr

oved

qua

lity

of fa

cilit

y-ba

sed

mat

erna

l and

new

born

hea

lth (

MN

H)

serv

ices

; 2)

impr

oved

info

rmat

ion

syst

ems

to m

onito

r an

d ev

alua

te h

ealth

out

com

es; a

nd 3

) in

crea

sed

use

of li

fe-s

avin

g in

nova

tions

. •

The

MC

SP t

eam

met

with

the

FM

OH

and

the

Sta

te M

inis

trie

s of

Hea

lth (

SMO

Hs)

from

Kog

i and

Ebo

nyi t

o di

scus

s th

ese

obje

ctiv

es

and

the

FMO

H a

nd S

MO

Hs

pled

ged

thei

r su

ppor

t to

the

pro

gram

. •

MC

SP is

ant

icip

atin

g th

at a

mem

oran

dum

of u

nder

stan

ding

bet

wee

n U

SAID

and

Ebo

nyi a

nd K

ogi s

tate

s w

ill b

e si

gned

ear

ly in

the

nex

t re

port

ing

peri

od. I

n th

e in

teri

m, p

lann

ing

is m

ovin

g ah

ead.

Rw

anda

-

Mal

aria

PD

rec

eive

d:

7/21

/201

4 In

dev

elop

men

t

• M

CSP

sta

rted

the

dev

elop

men

t of

the

PY

1 m

alar

ia w

orkp

lan

(FY

201

3 fu

ndin

g) w

hich

will

res

pond

inpa

rt t

ore

com

men

datio

ns fr

om

the

Mal

aria

Pro

gram

Per

form

ance

Rev

iew

con

duct

ed in

201

1, a

lign

with

the

vis

ion

of t

he d

raft

201

3-20

18 N

atio

nal M

alar

ia C

ontr

ol

Stra

tegy

and

Pla

n to

ach

ieve

pre

-elim

inat

ion

by 2

018,

and

bui

ld o

n in

vest

men

ts m

ade

by P

MI a

nd o

ther

par

tner

s no

tabl

y G

loba

l Fun

d to

impr

ove

and

expa

nd m

alar

ia-r

elat

ed s

ervi

ces.

Pri

mar

y ac

tiviti

es w

ill fo

cus

on m

alar

ia in

pre

gnan

cy, s

tren

gthe

ning

dec

entr

aliz

ed

diag

nost

ic c

apac

ity (

case

man

agem

ent)

, act

ive

surv

eilla

nce

and

case

inve

stig

atio

n in

tw

o ep

idem

ic-p

rone

dis

tric

ts, a

nd b

ehav

ior

chan

ge

com

mun

icat

ions

.

50

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Tan

zani

a PD

rec

eive

d:

3/31

/201

4 St

art-

up p

lan

appr

oved

9/

15/2

014

LOP

stra

tegy

an

d PY

1 w

orkp

lan

in

deve

lopm

ent

• In

the

firs

t qu

arte

r of

impl

emen

tatio

n, M

CSP

focu

sed

on w

orkp

lann

ing,

con

tinui

ngna

tiona

l sup

port

star

ted

unde

r th

e M

AIS

HA

pr

ogra

m, a

nd s

tart

ing

up t

he n

ew p

rogr

am w

ith h

irin

g, e

stab

lishi

ng r

egio

nal p

rese

nce

and

orie

ntin

g re

gion

al p

artn

ers,

and

pro

vidi

ng

TA

to

part

ners

. The

pro

gram

was

intr

oduc

ed t

o K

ager

a an

d M

ara

Reg

ions

via

intr

oduc

tory

mee

tings

with

a fo

cus

on d

eter

min

ing

prog

ram

nee

ds a

nd p

rior

ity R

MN

CH

inte

rven

tions

, and

par

ticip

ated

in r

egio

nal p

lann

ing.

Rea

chin

g Ev

ery

Com

mun

ity (

REC

) su

ppor

tive

supe

rvis

ion

visi

ts w

ere

cond

ucte

d in

Tab

ora,

Kag

era,

and

Sim

iyu

Reg

ions

. MC

SP a

lso

cond

ucte

d as

sess

men

ts in

Mar

a an

d K

ager

a R

egio

ns, i

nclu

ding

of p

re-s

ervi

ce e

duca

tion

inst

itutio

ns, c

omm

uniti

es, t

he Z

onal

Hea

lth R

esou

rce

Cen

tre

in M

wan

za, a

nd

sele

cted

hea

lth fa

cilit

ies.

•

Nat

iona

l-lev

el T

A in

clud

ed s

uppo

rt fo

r an

inte

grat

ed s

uppo

rtiv

e su

perv

isio

n to

ol, d

evel

opm

ent

of k

ey R

MN

CH

mes

sage

s fo

r W

azaz

i na

Mw

ana,

par

ticip

atio

n in

the

PH

FS (

Part

ners

hip

for

HIV

Fre

e Su

rviv

als)

Ste

erin

g C

omm

ittee

, CBH

C S

trat

egic

Pla

n, C

HW

Cad

re

Cur

ricu

lum

, and

Nat

iona

l Roa

d M

ap S

trat

egic

Pla

n to

Acc

eler

ate

Red

uctio

n of

Mat

erna

l, N

ewbo

rn a

nd C

hild

Dea

ths

in T

anza

nia.

T

echn

ical

sup

port

was

ext

ende

d to

the

Imm

uniz

atio

n an

d V

acci

ne D

ivis

ion

(IVD

) in

the

com

pila

tion

of t

he A

nnua

l Pro

gres

s R

epor

ts

of t

he G

avi-s

uppo

rted

HSS

and

Infr

astr

uctu

re S

uppo

rt (

ISS)

; inc

lusi

on/in

tegr

atio

n of

a v

acci

ne m

odul

e in

to t

he e

lect

roni

c Lo

gist

ics

Man

agem

ent

Info

rmat

ion

Syst

em (

eLM

IS);

esta

blis

hmen

t of

an

imm

uniz

atio

n da

ta m

anag

emen

t w

orki

ng g

roup

; and

con

duct

ing

of a

ne

eds

asse

ssm

ent

arou

nd H

IS s

tren

gthe

ning

usi

ng e

nter

pris

e ar

chite

ctur

e.

• M

CSP

pro

vide

d T

A o

n C

HW

inte

rven

tions

to

TU

NA

JALI

and

the

Eliz

abet

h G

lase

r Pe

diat

ric

AID

S Fo

unda

tion

(EG

PAF)

, on

cerv

ical

ca

ncer

pre

vent

ion

to IM

A W

orld

Hea

lth/C

hris

tian

Soci

al S

ervi

ces

Com

mis

sion

, PSI

, and

EG

PAF.

MC

SP w

as r

epre

sent

ed a

t a

num

ber

of n

atio

nal a

nd in

tern

atio

nal m

eetin

gs, i

nclu

ding

Inte

rnat

iona

l Con

fede

ratio

n of

Mid

wiv

es, 2

014

Con

gres

s (Ju

ne, 2

014)

Eas

t, C

entr

al

and

Sout

hern

Afr

ica

Col

lege

of N

ursi

ng, S

avin

g Li

ves

at B

irth

(SL

AB)

, Hel

ping

Mot

hers

Sur

vive

, the

Inte

rnat

iona

l AID

S C

onfe

renc

e,

Stop

Cer

vica

l, Br

east

and

Pro

stat

e C

ance

r in

Afr

ica

Con

fere

nce,

and

the

Ann

ual R

epro

duct

ive

and

Chi

ld H

ealth

Sec

tion

(MO

H)

Mee

ting.

In a

dditi

on, a

spe

cial

ses

sion

was

con

duct

ed fo

r Pa

rlia

men

tari

ans

to e

duca

te t

hem

on

cerv

ical

can

cer

prev

entio

n.

• K

ey a

ctiv

ities

incl

uded

: •

MC

SP in

trod

uced

at

natio

nal l

evel

with

the

Min

istr

y of

Hea

lth a

nd S

ocia

l Wel

fare

, the

Pri

me

Min

iste

r’s

Offi

ce R

egio

nal

Adm

inis

trat

ion

and

Kag

era

and

Mar

a re

gion

al a

utho

ritie

s.

• 3-

year

pro

gram

str

ateg

y an

d Y

ear

1 w

orkp

lan

and

budg

ets

deve

lope

d an

d su

bmitt

ed t

o U

SAID

for

revi

ew.

• K

ey M

CSP

sta

ff hi

red

and

field

offi

ce id

entif

icat

ion

star

ted.

•

Kag

era

and

Mar

a M

CSP

RM

NC

H p

rogr

am p

rior

ities

and

impl

emen

tatio

n st

rate

gies

iden

tifie

d an

d di

scus

sed

with

sta

keho

lder

s to

al

ign

regi

onal

rol

lout

of t

he R

MN

CH

Sha

rpen

ed O

ne P

lan.

•

MC

SP s

tart

-up

wor

kpla

n (Ju

ne–S

epte

mbe

r 20

14)

deve

lope

d, s

ubm

itted

, and

app

rove

d by

USA

ID.

• D

raft

s of

RM

NC

H In

tegr

ated

Sup

port

ive

Supe

rvis

ion

Too

ls (

ISST

s) fo

r ho

spita

ls, h

ealth

cen

ters

, and

dis

pens

arie

s pr

etes

ted.

•

Supp

orte

d de

velo

pmen

t of

RM

NC

H c

linic

al m

ento

rshi

p gu

idel

ines

, Lea

rnin

g R

esou

rce

Pack

age,

and

com

mun

ity h

ome-

base

d ca

re

natio

nal S

trat

egic

Pla

n dr

afts

. •

Con

duct

ed n

atio

nal r

ollo

ut o

f mea

sles

-rub

ella

vac

cina

tion

cam

paig

n.

• C

ondu

cted

ass

essm

ent

of p

re-s

ervi

ce n

ursi

ng a

nd m

idw

ifery

edu

catio

n in

4 n

ursi

ng a

nd m

idw

ifery

sch

ools

in M

ara

and

Kag

era.

•

TA

pro

vide

d to

EG

PAF,

IMA

Wor

ld/C

SSC

, PSI

in t

rain

ing

and

37 V

IA/C

ryot

hera

py-s

kille

d pr

ovid

ers

trai

ned

•

Ass

essm

ent

of H

ealth

Info

rmat

ion

Syst

em (

HIS

) co

nduc

ted

and

repo

rt p

repa

red

51

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Uga

nda

PD r

ecei

ved:

5/

30/2

014

In d

evel

opm

ent

• D

urin

g th

is r

epor

ting

peri

od,

the

final

MC

HIP

act

iviti

es w

ere

impl

emen

ted

and

the

PY1

year

of t

he M

CSP

was

ini

tiate

d. W

hen

appr

opri

ate,

and

bas

ed o

n th

e pr

ogra

m d

escr

iptio

n (P

D)

prov

ided

by

the

USA

ID U

gand

a M

issi

on (

May

30,

201

4),

activ

ities

tr

ansi

tione

d fr

om M

CH

IP t

o M

CSP

with

a c

ontin

ued

focu

s on

str

engt

heni

ng R

outin

e Im

mun

izat

ion

(RI)

at t

he n

atio

nal l

evel

and

in 5

se

lect

ed M

CH

IP/M

CSP

dis

tric

ts.

• Ba

sed

on t

he P

D,

MC

SP c

ontin

ues

to s

uppo

rt t

he c

apac

ity d

evel

opm

ent

of t

he U

gand

a N

atio

nal

Expa

nded

Pro

gram

me

on

Imm

uniz

atio

n (U

NEP

I) an

d di

stri

cts

to d

eliv

er h

igh-

qual

ity im

mun

izat

ion

serv

ices

at

scal

e. M

CSP

focu

ses

on e

xpan

ding

the

pro

mis

ing

wor

k on

Rea

chin

g Ev

ery

Com

mun

ity-Q

ualit

y Im

prov

emen

t (R

EC-Q

I) co

ncep

ts fr

om M

CH

IP, c

ontin

ually

exp

lori

ng p

ossi

ble

solu

tions

to

bot

tlene

cks

to s

ucce

ssfu

l R

EC i

mpl

emen

tatio

n th

roug

h an

swer

ing

poss

ible

pro

gram

lea

rnin

g qu

estio

ns,

inno

vatin

g, a

nd w

orki

ng

with

oth

er p

artn

ers/

stak

ehol

ders

. •

Prog

ress

was

mad

e to

det

erm

ine

key

foca

l ar

eas

and

activ

ities

und

er t

he n

ew M

CSP

aw

ard,

bas

ed o

n th

e PD

. Se

nior

Tec

hnic

al

Imm

uniz

atio

n O

ffice

rs c

ondu

cted

fie

ld v

isits

to

Uga

nda

in J

une

to h

elp

defin

e pr

ogra

m a

reas

for

MC

SP.

Base

d on

the

PD

and

di

scus

sion

s w

ith t

he U

gand

a C

ount

ry S

uppo

rt T

eam

, pro

gram

par

tner

s, U

SAID

Uga

nda,

and

hom

e of

fice

staf

f, an

out

line

for

poss

ible

fu

ture

dir

ectio

ns fo

r im

plem

enta

tion

of R

EC-Q

I was

def

ined

. •

A d

raft

wor

kpla

n w

as d

evel

oped

bas

ed o

n th

e fin

ding

s of

the

se d

iscu

ssio

ns a

nd s

ubm

itted

to

USA

ID (

May

6,

2014

) fo

r fe

edba

ck.

MC

SP a

wai

ts fi

naliz

atio

n of

the

MC

SP P

Y1

wor

kpla

n, w

hich

is li

kely

to

take

pla

ce d

urin

g th

e ne

xt r

epor

ting

peri

od.

• A

com

pone

nt o

f de

velo

ping

the

wor

kpla

n in

clud

ed r

efin

ing

and

revi

sing

the

cos

t es

timat

es f

or R

EC-Q

I im

plem

enta

tion

for

dist

rict

s co

nsid

ered

“st

rong

, med

ium

, or

wea

k.”

Thi

s co

stin

g w

as d

one

by t

he M

CSP

Uga

nda

Fina

nce

Adm

inis

trat

ive

Man

ager

and

sup

port

ive

tech

nica

l tea

ms.

The

cos

t es

timat

e en

able

d th

e w

orkp

lan

budg

et fo

r th

e 5

exis

ting

dist

rict

s pl

us s

cale

-up

into

new

MC

SP d

istr

icts

to

be d

efin

ed.

• [U

sing

core

fun

ds],

duri

ng t

his

tran

sitio

n pe

riod

and

sta

rt-u

p of

MC

SP U

gand

a ac

tiviti

es, p

rogr

ess

was

mad

e on

how

to

“lig

hten

” th

e R

EC-Q

I m

odel

, ba

sed

on le

sson

s le

arne

d un

der

MC

HIP

. A k

ey c

ompo

nent

was

to

furt

her

deve

lop

and

refin

e th

e R

EC-Q

I H

ow t

o G

uide

, dev

elop

ing

sect

ions

bas

ed o

n fie

ld w

ork

cond

ucte

d un

der

MC

HIP

. An

aspe

ct o

f th

is p

roce

ss w

as t

o be

tter

und

erst

and

from

pa

rtne

rs w

hat

the

vett

ing

proc

ess

shou

ld b

e, o

nce

the

How

to

Gui

de is

fin

aliz

ed. M

CSP

eng

aged

with

UN

EPI,

UN

ICEF

, WH

O, a

nd

othe

r pr

ogra

m p

artn

ers

to e

nsur

e th

at a

ll st

akeh

olde

rs w

ere

awar

e of

pla

ns t

o de

velo

p th

e H

ow t

o G

uide

, inc

ludi

ng t

he r

evie

w s

tage

, w

here

by p

rogr

am p

artn

ers

will

be

aske

d to

vet

the

Gui

de p

rior

to

diss

emin

atio

n an

d la

unch

. •

[Usin

g co

re fu

nds]

, MC

SP c

ontin

ued

to s

tren

gthe

n U

NEP

I’s in

stitu

tiona

l/tec

hnic

al c

apac

ity t

o pl

an, c

oord

inat

e, m

anag

e, a

nd im

plem

ent

imm

uniz

atio

n ac

tiviti

es a

t na

tiona

l lev

el t

hrou

gh a

ctiv

ities

incl

udin

g ga

inin

g ap

prov

al o

f the

Imm

uniz

atio

n Po

licy

2014

by

the

cabi

net

and

part

icip

atin

g in

the

rev

iew

and

rev

isio

n of

the

tra

inin

g cu

rric

ulum

for

mid

wiv

es in

Uga

nda.

•

To

impr

ove

dist

rict

cap

acity

to

man

age

and

coor

dina

te t

he im

mun

izat

ion

prog

ram

, the

dis

tric

t te

am a

nd in

-cha

rges

for

4 di

stri

cts

wer

e or

ient

ed o

n th

e te

chni

cal s

teps

of i

mpl

emen

ting

REC

-QI,

and

a D

istr

ict

Hea

lth T

eam

inte

grat

ed s

uppo

rtiv

e su

perv

isio

n w

as

cond

ucte

d.

52

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Co

un

try

Nam

e

Wo

rkp

lan

S

tatu

s as

of

Sep

tem

ber

30

, 201

4

Key

Acc

om

plis

hm

ents

Zam

bia

(inclu

des

core

fu

nds)

PD r

ecei

ved:

5/

24/2

014

In d

evel

opm

ent

• Fr

om Ju

ly t

o Se

ptem

ber,

MC

SP Z

ambi

a w

as p

rim

arily

in t

he s

tart

-up

phas

e of

the

pro

ject

with

the

maj

ority

of w

ork

focu

sed

on

deve

lopi

ng a

nd fi

naliz

ing

the

wor

kpla

n an

d bu

dget

, hir

ing

staf

f, an

d in

itiat

ing

proc

esse

s fo

r as

sess

men

ts.

• M

ajo

r st

art-

up a

ctiv

itie

s in

itia

ted

: •

Proc

urem

ent f

or s

uppl

ies

and

mat

eria

ls ne

cess

ary

to c

arry

out

pro

gram

act

ivitie

s in

itiat

ed. P

rocu

rem

ent

incl

udes

mod

els

and

mat

eria

ls

nece

ssar

y to

con

duct

Em

ON

C a

nd E

NC

tra

inin

gs, s

uch

as M

amaN

atal

ies,

Neo

Nat

alie

s, a

nd H

elpi

ng M

othe

rs S

urvi

ve a

nd H

BB

faci

litat

or m

ater

ials

and

lear

ning

gui

des.

As

cert

ain

supp

lies,

esp

ecia

lly m

odel

s, c

an t

ake

long

er t

o pr

ocur

e, it

was

impo

rtan

t to

in

itiat

e th

e pr

oces

s as

ear

ly a

s po

ssib

le t

o en

sure

tha

t ite

ms

wer

e re

ceiv

ed in

tim

e fo

r tr

aini

ngs.

•

Vaca

nt p

ositi

ons

fille

d to

ens

ure

prog

ram

act

ivitie

s ca

n be

ade

quat

ely

carr

ied

out a

nd s

uppo

rted.

Pos

ition

s hi

red

incl

ude

a Pr

ogra

m

Man

ager

, 2 M

NH

Tec

hnic

al O

ffice

rs, a

nd a

n M

&E

Offi

cer.

•

Initi

ated

the

recr

uitm

ent o

f SM

GL

coor

dina

tors

to b

e se

cond

ed to

the

Min

istry

of H

ealth

and

Min

istry

of C

omm

unity

Dev

elop

men

t Mot

her

and

Child

Hea

lth. A

tot

al o

f 6 c

oord

inat

ors

are

bein

g re

crui

ted

to s

uppo

rt 1

2 SM

GL

dist

rict

s in

4 p

rovi

nces

of Z

ambi

a to

st

reng

then

the

cap

acity

of t

he g

over

nmen

t’s p

rovi

ncia

l and

dis

tric

t he

alth

offi

ces

to c

oord

inat

e im

plem

enta

tion

of a

ll SM

GL

activ

ities

. •

Hea

lth F

acilit

y As

sess

men

t IRB

pro

cess

initi

ated

. USA

ID a

nd lo

cal I

RB

appr

oval

com

plet

ed a

nd c

urre

ntly

aw

aitin

g Jo

hns

Hop

kins

ap

prov

al b

efor

e th

e he

alth

faci

lity

asse

ssm

ent

can

be u

nder

take

n.

• P

rovi

ded

co

nti

nu

ou

s su

pp

ort

for

esse

nti

al a

ctiv

itie

s b

ein

g ca

rrie

d o

ver

fro

m M

CH

IP:

• Su

ppor

ted

mon

thly

men

tors

hip

visits

in S

amfy

a an

d Lu

nga

Dist

ricts

, bi-m

onth

ly vis

its in

Man

sa a

nd C

hem

be D

istric

ts. C

ontin

uous

m

ento

rshi

p vi

sits

ens

ure

prov

ider

app

licat

ion

of E

mO

NC

and

EN

C s

kills

as

wel

l as

FP s

ervi

ces

in t

arge

t fa

cilit

ies.

•

Cont

inue

d se

cond

men

t of 6

mid

wive

s to

Man

sa a

nd C

hem

be D

istric

t hea

lth fa

ciliti

es to

alle

viate

con

stra

ints

from

hum

an re

sour

ces

shor

tage

s. •

Par

tici

pate

d in

par

tner

mee

tin

gs. M

CSP

sta

ff pa

rtic

ipat

ed in

qua

rter

ly d

istr

ict

SMG

L m

eetin

gs a

s w

ell a

s th

e m

onth

ly S

MG

L m

eetin

g at

the

nat

iona

l lev

el h

oste

d by

the

Min

istr

y of

Com

mun

ity D

evel

opm

ent

Mot

her

and

Chi

ld H

ealth

. The

nat

iona

l mee

ting

incl

uded

the

par

ticip

atio

n of

all

stak

ehol

ders

invo

lved

in S

MG

L ac

tiviti

es a

t na

tiona

l lev

el.

• P

PH

pre

ven

tio

n t

rain

ing

pac

kage

fin

aliz

ed a

nd

su

bm

itte

d t

o P

erm

anen

t S

ecre

tary

for

final

ap

pro

val.

53

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Ann

ex D

: Lis

t of

Com

mun

icat

ion

Even

ts

Mo

nth

, Y

ear

Nam

e o

f E

ven

t L

oca

tio

n M

CS

P A

ctiv

ity

Sta

ff

Co

-Sp

on

sors

L

ink

June

, 201

4 A

ctin

g on

the

C

all E

vent

W

ashi

ngto

n,

D.C

.

Supp

ort

all l

ogis

tics

for

MO

H a

nd

repr

esen

tativ

es t

o in

clud

e fli

ghts

, ho

tels

, per

die

m, a

ccom

mod

atio

ns,

etc.

Com

mun

icat

ions

T

eam

USA

ID; U

NIC

EF;

Gov

ernm

ent

of

Indi

a

http

://w

ww

.usa

id.g

ov/n

ews-

info

rmat

ion/

pres

s-re

leas

es/ju

ne-2

5-20

14-

usai

d-an

d-pa

rtne

rs-u

nvei

l-new

-effo

rts-

save

-m

illio

ns-w

omen

-chi

ldre

n-pr

even

tabl

e-de

aths

Sept

embe

r,

2014

Fr

ontie

rs in

D

evel

opm

ent

Was

hing

ton,

D

.C.

Boot

h on

Inno

vatio

ns in

Mat

erna

l an

d C

hild

Hea

lth

Com

mun

icat

ions

T

eam

U.S

. Glo

bal

Dev

elop

men

t La

b

http

://w

ww

.usa

id.g

ov/fr

ontie

rs/2

014/

inno

vati

on-m

arke

tpla

ce

Sept

embe

r,

2014

Fr

ontie

rs in

D

evel

opm

ent

Was

hing

ton,

D

.C.

Dem

onst

ratio

n of

life

savi

ng

inte

rven

tions

: Dem

onst

ratio

ns o

f M

amaN

atal

ie, B

abyN

atal

ie

Aly

ssa

Om

'Inia

bohs

, Sa

ra C

hace

, Bl

ami D

ao

U.S

. Glo

bal

Dev

elop

men

t La

b

http

://w

ww

.usa

id.g

ov/s

ites/

defa

ult/

files

/doc

umen

ts/1

5396

/Web

page

_Age

nda.

pdf

Sept

embe

r,

2014

Inno

vatin

g fo

r Im

pact

: Act

ing

to E

nd

Prev

enta

ble

Chi

ld a

nd

Mat

erna

l D

eath

s in

the

Po

st 2

015

Era

Was

hing

ton,

D

.C.

Org

aniz

ed p

anel

dis

cuss

ion

and

inte

ract

ive

expo

of i

nnov

atio

ns in

m

ater

nal a

nd c

hild

hea

lth

Kok

i Aga

rwal

U.S

. Glo

bal

Dev

elop

men

t La

b; H

ealth

Rig

ht

Inte

rnat

iona

l; N

YU

Glo

bal

Inst

itute

of

Publ

ic H

ealth

; U

SAID

Bur

eau

for

Glo

bal

Hea

lth; E

very

M

othe

r C

ount

s;

GE

Foun

datio

n

http

s://h

ealth

righ

t.org

/new

s/he

alth

righ

t-w

eigh

s-en

ding

-pre

vent

able

-mat

erna

l-dea

ths/

54

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Mo

nth

, Y

ear

Nam

e o

f E

ven

t L

oca

tio

n M

CS

P A

ctiv

ity

Sta

ff

Co

-Sp

on

sors

L

ink

Sept

embe

r,

2014

Beyo

nd

Hea

lth

Fina

ncin

g:

Ach

ievi

ng

UH

C

Thr

ough

Eq

uita

ble

Acc

ess

to

Hea

lth

Wor

kers

Was

hing

ton,

D

C

Kok

i Aga

rwal

del

iver

ed r

emar

ks o

n U

HC

. K

oki A

garw

al

One

Mill

ion

Com

mun

ity

Hea

lth W

orke

rs

Cam

paig

n

N/A

Sept

embe

r 20

14

Thi

rd A

nnua

l R

egio

nal

Mee

ting

of t

he

Latin

A

mer

ican

and

C

arib

bean

N

eona

tal

Alli

ance

Bogo

ta,

Col

ombi

a

14.2

.1.1

Gol

dy M

azia

Br

iann

a C

asci

ello

The

LA

C

Neo

nata

l A

llian

ce,

incl

udin

g PA

HO

Sa

lud

Mes

oam

eric

a U

NIC

EF

Col

ombi

a M

inis

try

of

Hea

lth a

nd S

ocia

l Pr

otec

tion

http

://w

ww

.uni

cef.o

rg/la

c/m

edia

_280

70.h

tm

http

://w

ww

.mch

ip.n

et/c

onte

nt/t

wen

ty-

coun

trie

s-re

pres

ente

d-an

nual

-tec

hnic

al-

mee

ting-

prio

rity

-inte

rven

tions

-new

born

-he

alth

- ht

tp://

ww

w.h

ealth

ynew

born

netw

ork.

org/

eve

nt/a

nnua

l-lat

in-a

mer

ica-

and-

cari

bbea

n-ne

wbo

rn-h

ealth

-alli

ance

-mee

ting-

reun

ion-

anua

l-de-

la-a

lianz

a

Sept

embe

r 20

14

Expe

rt

Con

sulta

tion

on N

ewbo

rn

Mor

talit

y Su

rvei

llanc

e in

La

tin A

mer

ica

and

the

Car

ibbe

an

Bogo

ta,

Col

ombi

a 14

.2.2

.2

Gol

dy M

azia

Br

iann

a C

asci

ello

The

LA

C

Neo

nata

l A

llian

ce,

incl

udin

g PA

HO

Sa

lud

Mes

oam

eric

a U

NIC

EF

Col

ombi

a M

inis

try

of

Hea

lth a

nd S

ocia

l Pr

otec

tion

http

://w

ww

.uni

cef.o

rg/la

c/m

edia

_280

70.h

tm

http

://w

ww

.mch

ip.n

et/c

onte

nt/t

wen

ty-

coun

trie

s-re

pres

ente

d-an

nual

-tec

hnic

al-

mee

ting-

prio

rity

-inte

rven

tions

-new

born

-he

alth

- ht

tp://

ww

w.h

ealth

ynew

born

netw

ork.

org/

eve

nt/a

nnua

l-lat

in-a

mer

ica-

and-

cari

bbea

n-ne

wbo

rn-h

ealth

-alli

ance

-mee

ting-

reun

ion-

anua

l-de-

la-a

lianz

a

55

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

Ann

ex E

: Lis

t of

Pee

r-R

evie

wed

Pub

licat

ions

C

hild

Hea

lth

The

Chi

ld H

ealth

and

Nut

ritio

n R

esea

rch

Initi

ativ

e ex

erci

se in

set

ting

glob

al r

esea

rch

prio

ritie

s fo

r in

tegr

ated

com

mun

ity c

ase

man

agem

ent.

(201

4) iC

CM

Chi

ld H

ealth

and

N

utri

tion

Res

earc

h In

itiat

ive

(CH

NR

I) A

dvis

ory

Gro

up.

Ker

ri W

, Sad

rudd

in S

, Zip

ursk

y A

, Ham

er D

H, J

acob

s T

, Kal

land

er K

, Pag

noni

F, P

eter

son

S, Q

azi S

, Rah

aris

on S

, Ros

s K

, You

ng M

, Mar

sh D

R.2

014.

Set

ting

glob

al r

esea

rch

prio

ritie

s fo

r in

tegr

ated

com

mun

ity c

ase

man

agem

ent

(iCC

M):

Res

ults

from

a C

HN

RI (

Chi

ld H

ealth

and

Nut

ritio

n R

esea

rch

Initi

ativ

e) e

xerc

ise.

Jour

nal O

f Glo

bal H

ealth

Dec

; 4(

2):1

–10.

Co

mm

un

ity

Hea

lth

an

d C

ivil

So

ciet

y E

nga

gem

ent

Kim

SS,

Rog

ers

BL, C

oate

s J,

Gill

igan

DO

, Sar

riot

E. 2

014.

Bui

ldin

g Ev

iden

ce fo

r Su

stai

nabi

lity

of F

ood

and

Nut

ritio

n In

terv

entio

n Pr

ogra

ms

in D

evel

opin

g C

ount

ries

. A

mer

ican

Soc

iety

for

Nut

ritio

n.

Sarr

iot

E, K

oule

tio M

. (20

14)

Com

mun

ity h

ealth

sys

tem

s as

com

plex

ada

ptiv

e sy

stem

s: O

ntol

ogy

and

prax

is le

sson

s fr

om a

n ur

ban

heal

th e

xper

ienc

e w

ith d

emon

stra

ted

sust

aina

bilit

y. Jo

urna

l of S

yste

mic

Prac

tice

and

Actio

n Re

sear

ch.

Sarr

iot

EG, K

oule

tio K

, Jah

an S

, Ras

ul I,

Mus

ha A

KM

. 201

4. A

dvan

cing

the

app

licat

ion

of s

yste

ms

thin

king

in h

ealth

: Sus

tain

abili

ty e

valu

atio

n as

lear

ning

and

sen

se-m

akin

g in

a

com

plex

urb

an h

ealth

sys

tem

in N

orth

ern

Bang

lade

sh. H

ealth

Res

earc

h Po

licy

and

Syst

ems.

http

://w

ww

.hea

lth-p

olic

y-sy

stem

s.co

m/c

onte

nt/1

2/1/

45

Lang

ston

A, J

Wei

ss J,

Lan

degg

era

J, Pu

llum

c T

, Mor

row

M, K

abad

eged

M, M

ugen

iC. 2

014.

Pla

usib

le r

ole

for

CH

W p

eer

supp

ort

grou

ps in

incr

easi

ng c

are-

seek

ing

in a

n in

tegr

ated

com

mun

ity c

ase

man

agem

ent

proj

ect

in R

wan

da: A

mix

ed m

etho

ds e

valu

atio

n. G

loba

l Hea

lth: S

cienc

e an

d Pr

actic

e.

http

://dx

.doi

.org

/10.

9745

/GH

SP-D

-14-

0006

7

Fam

ily P

lan

nin

g

Coo

per

CM

, Ahm

ed S

, Win

ch P

J, Pf

itzer

A, M

cKai

g, C

, Baq

uiA

H. 2

014.

Fin

ding

s fr

om t

he u

se o

f a n

arra

tive

stor

y an

d le

afle

t to

influ

ence

shi

fts a

long

the

beh

avio

r ch

ange

co

ntin

uum

tow

ard

post

part

um c

ontr

acep

tive

upta

ke in

Syl

het

Dis

tric

t. Pa

tient

Edu

catio

n an

d Co

unse

ling.

ht

tp://

ww

w.n

cbi.n

lm.n

ih.g

ov/p

ubm

ed/2

5306

103

Imm

un

izat

ion

Tse

ga A

, Hau

si H

, Ste

ingl

ass

R, C

hirw

a G

. Im

mun

izat

ion

trai

ning

nee

ds in

Mal

awi.

2014

. Eas

t Afri

can

Med

ical J

ourn

al O

ct; 9

1(10

).

56

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

Ann

ex F

: Pro

ject

Mon

itori

ng P

lan

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

Ho

use

ho

ld S

urv

ey I

nd

icat

ors

for

cou

ntr

ies

wh

ere

MC

SP

co

nd

uct

s a

ho

use

ho

ld s

urv

ey

S1*

Perc

enta

ge o

f wom

en o

f re

prod

uctiv

e ag

e w

ho a

re

curr

ently

usi

ng F

P in

M

CSP

-sup

port

ed a

reas

Num

erat

or: N

umbe

r of

wom

en o

f rep

rodu

ctiv

e ag

e w

ho a

re

curr

ently

usi

ng F

P D

enom

inat

or: T

otal

num

ber

of w

omen

of r

epro

duct

ive

age

surv

eyed

D

isag

greg

ated

by

coun

try

(nee

d to

spe

cify

age

ran

ges

by

coun

try)

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs,

base

line

and

endl

ine

S2

Num

ber

of c

ount

ries

with

po

pula

tion-

base

d su

rvey

s th

at d

emon

stra

te a

n in

crea

se in

use

of a

m

oder

n co

ntra

cept

ive

met

hod

by p

ostp

artu

m

wom

en w

ithin

12

mon

ths

follo

win

g a

birt

h in

MC

SP-

supp

orte

d ar

eas

Dis

aggr

egat

ed b

y co

untr

y (w

ith p

erce

ntag

e po

int

incr

ease

s)Po

pula

tion-

base

d su

rvey

of

proj

ect

area

, if f

undi

ng is

av

aila

ble

Ever

y 2

to 5

yea

rs

S3

Perc

enta

ge o

f wom

en

who

del

iver

ed in

the

sp

ecifi

ed t

ime

peri

od w

ho

atte

nded

4+

AN

C v

isits

w

ith a

ski

lled

prov

ider

du

ring

the

ir m

ost

rece

nt

preg

nanc

y in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

wom

en w

ho d

eliv

ered

in t

he

spec

ified

tim

e pe

riod

who

att

ende

d 4+

AN

C v

isits

with

a

skill

ed p

rovi

der

duri

ng t

he m

ost

rece

nt p

regn

ancy

D

enom

inat

or: T

otal

num

ber

of w

omen

sur

veye

d w

ho h

ad a

liv

e bi

rth

in t

he s

peci

fied

time

peri

od

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

57

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

S4

Perc

enta

ge o

f wom

en

who

rec

eive

d in

term

itten

t pr

even

tive

trea

tmen

t fo

r m

alar

ia d

urin

g th

eir

mos

t re

cent

pre

gnan

cy in

M

CSP

-sup

port

ed a

reas

Num

erat

or: N

umbe

r of

wom

en a

t ri

sk o

f mal

aria

who

re

ceiv

ed 2

or

mor

e do

ses

of a

rec

omm

ende

d an

timal

aria

l dr

ug t

reat

men

t to

pre

vent

mal

aria

dur

ing

thei

r la

st p

regn

ancy

th

at le

d to

a li

ve b

irth

D

enom

inat

or: T

otal

num

ber

of w

omen

sur

veye

d at

ris

k fo

r m

alar

ia w

ith a

live

bir

th in

the

spe

cifie

d tim

e pe

riod

D

isag

greg

ated

by

coun

try

and

dose

(1,

2, 3

, 4+

)

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S5

Perc

enta

ge o

f wom

en

who

rec

eive

d an

ITN

du

ring

rou

tine

faci

lity-

base

d A

NC

ser

vice

s du

ring

the

ir m

ost

rece

nt

preg

nanc

y in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

wom

en w

ith a

live

bir

th in

the

sp

ecifi

ed t

ime

peri

od p

rior

to

the

surv

ey w

ho r

ecei

ved

an

ITN

dur

ing

a ro

utin

e A

NC

vis

it D

enom

inat

or: T

otal

num

ber

wom

en s

urve

yed

with

a li

ve

birt

h in

the

spe

cifie

d tim

e pe

riod

D

isag

greg

ated

by

coun

try

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S6

Perc

enta

ge o

f liv

e bi

rths

at

tend

ed b

y sk

illed

hea

lth

pers

onne

l (do

ctor

, nur

se,

mid

wife

or

auxi

liary

m

idw

ife)

in M

CSP

-su

ppor

ted

area

s

Num

erat

or: N

umbe

r of

live

bir

ths

in t

he s

peci

fied

time

peri

od p

rior

to

the

surv

ey t

hat

wer

e at

tend

ed b

y sk

illed

he

alth

per

sonn

el (

doct

or, n

urse

, mid

wife

or

auxi

liary

m

idw

ife)

Den

omin

ator

: Tot

al n

umbe

r of

live

bir

ths

in t

he s

peci

fied

time

peri

od a

mon

g w

omen

sur

veye

d

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea if

fund

ing

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S7

Perc

enta

ge o

f liv

e bi

rths

de

liver

ed b

y ce

sare

an

sect

ion

in M

CSP

-su

ppor

ted

faci

litie

s

Num

erat

or: N

umbe

r of

live

bir

ths

in t

he s

peci

fied

time

peri

od p

rior

to

the

surv

ey t

hat

wer

e de

liver

ed b

y ce

sare

an

sect

ion

Den

omin

ator

: Tot

al n

umbe

r of

live

bir

ths

in t

he s

peci

fied

time

peri

od p

rior

to

the

surv

ey

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea if

fund

ing

is

avai

labl

e

Ever

y 2

to 5

yea

rs

58

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

S8

Perc

enta

ge o

f mot

hers

w

ho r

ecei

ved

a po

stna

tal

care

vis

it w

ithin

2 d

ays

of

child

birt

h in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

wom

en w

ho r

ecei

ved

a po

stna

tal

care

vis

it w

ithin

2 d

ays

of c

hild

birt

h (r

egar

dles

s of

pla

ce o

f de

liver

y)

Den

omin

ator

: Tot

al n

umbe

r of

wom

en w

ith a

live

bir

th in

th

e sp

ecifi

ed t

ime

peri

od p

rior

to

the

surv

ey

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S9

Perc

enta

ge o

f wom

en

who

rec

eive

d 18

0 ir

on/fo

late

sup

plem

ents

du

ring

the

ir la

st

preg

nanc

y in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

wom

en w

ho r

ecei

ved

180

iron

/fola

te

supp

lem

ents

dur

ing

thei

r la

st p

regn

ancy

D

enom

inat

or: T

otal

num

ber

of w

omen

with

a li

ve b

irth

w

ithin

the

spe

cifie

d tim

e pe

riod

pri

or t

o th

e su

rvey

D

isag

greg

ated

by

coun

try

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S10

Perc

enta

ge o

f wom

en

with

a c

ompa

nion

pre

sent

du

ring

labo

r or

bir

th in

M

CSP

-sup

port

ed a

reas

Num

erat

or: N

umbe

r of

wom

en w

ith a

live

bir

th in

the

sp

ecifi

ed t

ime

prio

r to

the

sur

vey

who

had

a c

ompa

nion

pr

esen

t du

ring

labo

r or

bir

th

Den

omin

ator

: Tot

al n

umbe

r of

wom

en w

ith a

live

bir

th in

th

e sp

ecifi

ed t

ime

peri

od p

rior

to

the

surv

ey

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S11

Perc

enta

ge o

f wom

en

who

sle

pt u

nder

an

ITN

du

ring

the

ir m

ost

rece

nt

preg

nanc

y in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

wom

en w

ho g

ave

birt

h du

ring

the

sp

ecifi

ed t

ime

peri

od p

rior

to

the

surv

ey w

ho r

epor

ted

that

th

ey s

lept

und

er a

n IT

N m

ost

of t

he t

ime

duri

ng t

heir

mos

t re

cent

pre

gnan

cy

Den

omin

ator

: Tot

al n

umbe

r of

wom

en w

ho g

ave

birt

h in

the

sp

ecifi

ed t

ime

peri

od p

rior

to

the

surv

ey

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

59

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

S12

Perc

enta

ge o

f wom

en

who

wer

e al

low

ed t

o ch

oose

the

ir b

irth

po

sitio

n du

ring

the

ir m

ost

rece

nt d

eliv

ery

in M

CSP

su

ppor

ted

area

s

Num

erat

or: N

umbe

r of

wom

en w

ho g

ave

birt

h du

ring

the

sp

ecifi

ed t

ime

peri

od w

ho r

epor

ted

that

the

y w

ere

allo

wed

to

cho

ose

thei

r bi

rth

posi

tion

whe

n gi

ving

bir

th t

o th

eir

youn

gest

chi

ld

Den

omin

ator

: Tot

al n

umbe

r of

mot

hers

who

gav

e bi

rth

duri

ng t

he s

peci

fied

time

peri

od p

rior

to

the

surv

ey w

ho

wer

e in

terv

iew

ed

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S13

Perc

enta

ge o

f wom

en

who

exp

erie

nced

di

sres

pect

ful c

are

or

abus

e du

ring

the

ir m

ost

rece

nt d

eliv

ery

in M

CSP

- su

ppor

ted

area

s

Num

erat

or: N

umbe

r of

wom

en w

ho g

ave

birt

h du

ring

the

sp

ecifi

ed t

ime

peri

od w

ho r

epor

ted

that

the

y ex

peri

ence

d di

sres

pect

ful c

are

or a

buse

dur

ing

deliv

ery

of t

heir

you

nges

t ch

ild

Den

omin

ator

: Tot

al n

umbe

r of

wom

en w

ho g

ave

birt

h du

ring

the

spe

cifie

d tim

e pe

riod

pri

or t

o th

e su

rvey

who

w

ere

inte

rvie

wed

D

isag

greg

ated

by

coun

try

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S14

Perc

enta

ge o

f wom

en

who

wer

e sc

reen

ed fo

r T

B du

ring

ant

enat

al c

are

serv

ices

in M

CSP

-su

ppor

ted

area

s

Num

erat

or: N

umbe

r of

wom

en w

ho g

ave

birt

h du

ring

the

sp

ecifi

ed t

ime

peri

od p

rior

to

the

surv

ey w

ho w

ere

scre

ened

fo

r T

B du

ring

AN

C d

urin

g th

eir

mos

t re

cent

pre

gnan

cy

Den

omin

ator

: Tot

al n

umbe

r w

omen

who

gav

e bi

rth

duri

ng

the

spec

ified

tim

e pe

riod

pri

or t

o th

e su

rvey

who

wer

e in

terv

iew

ed

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

60

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

S15

Perc

enta

ge o

f new

born

s pl

aced

“sk

in t

o sk

in”

imm

edia

tely

aft

er b

irth

in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

new

born

s in

the

spe

cifie

d tim

e pe

riod

pri

or t

o th

e su

rvey

who

wer

e pl

aced

“sk

in t

o sk

in”

nake

d ag

ains

t th

eir

mot

her'

s ch

est

imm

edia

tely

aft

er b

irth

D

enom

inat

or: T

otal

num

ber

of li

ve b

irth

s in

the

spe

cifie

d tim

e pe

riod

pri

or t

o th

e su

rvey

D

isag

greg

ated

by

coun

try

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S16

Per

cent

age

of n

ewbo

rns

put

to t

he b

reas

t w

ithin

1

hour

of b

irth

in M

CSP

- su

ppor

ted

area

s

Num

erat

or: N

umbe

r of

wom

en w

ith a

live

bir

th in

spe

cifie

d tim

e pe

riod

pri

or t

o th

e su

rvey

who

put

the

new

born

infa

nt

to t

he b

reas

t w

ithin

1 h

our

of b

irth

D

enom

inat

or: T

otal

num

ber

of w

omen

with

a li

ve b

irth

in

the

spec

ified

tim

e pe

riod

pri

or t

o th

e su

rvey

D

isag

greg

ated

by

coun

try

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S17

Perc

enta

ge o

f new

born

s w

ho r

ecei

ved

a po

stna

tal

care

vis

it w

ithin

2 d

ays

of

birt

h in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

new

born

s w

ho r

ecei

ved

a po

stna

tal

care

vis

it w

ithin

2 d

ays

of b

irth

D

enom

inat

or: T

otal

num

ber

of li

ve b

irth

s in

the

spe

cifie

d tim

e pe

riod

pri

or t

o th

e su

rvey

D

isag

greg

ated

by

faci

lity

and

hom

e bi

rths

and

cou

ntry

Popu

latio

n ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to5

year

s

S18

Perc

enta

ge o

f new

born

s w

ho h

ad c

hlor

hexi

dine

ap

plie

d to

the

ir u

mbi

lical

co

rd a

fter

bir

th in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

new

born

s in

the

spe

cifie

d tim

e pe

riod

pri

or t

o th

e su

rvey

who

had

chl

orhe

xidi

ne a

pplie

d to

th

eir

umbi

lical

cor

d af

ter

birt

h at

leas

t on

ce

Den

omin

ator

: Tot

al n

umbe

r of

live

bir

ths

in t

he s

peci

fied

time

peri

od p

rior

to

the

surv

ey

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

61

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

S19

Perc

enta

ge o

f chi

ldre

n ag

ed 0

–59

mon

ths

with

di

arrh

ea r

ecei

ving

ora

l re

hydr

atio

n an

d/or

zin

c in

M

CSP

-sup

port

ed a

reas

Num

erat

or: N

umbe

r of

chi

ldre

n ag

ed 0

–59

mon

ths

with

di

arrh

ea in

the

prio

r 2

wee

ks r

ecei

ving

ora

l reh

ydra

tion

ther

apy

(ora

l reh

ydra

tion

solu

tion

and/

or r

ecom

men

ded

hom

emad

e flu

ids)

and

zin

c D

enom

inat

or: T

otal

num

ber

of c

hild

ren

aged

0–5

9 m

onth

s w

ith d

iarr

hea

in t

he p

rior

2 w

eeks

D

isag

greg

ated

by

oral

reh

ydra

tion

and

zinc

; and

cou

ntry

and

ty

pe o

f hea

lth w

orke

r (fa

cilit

y he

alth

wor

ker

or c

omm

unity

he

alth

wor

ker

and

if C

CM

-tra

ined

)

Dis

aggr

egat

ed b

y se

x an

d if

rece

ived

OR

T, z

inc,

or

both

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S20

Perc

enta

ge o

f chi

ldre

n ag

ed 0

–59

mon

ths

with

su

spec

ted

pneu

mon

ia

take

n to

an

appr

opri

ate

heal

th c

are

prov

ider

in

MC

SP-s

uppo

rted

are

as

Num

erat

or: N

umbe

r of

chi

ldre

n ag

ed 0

–59

mon

ths

with

co

ugh

or d

iffic

ult

brea

thin

g in

the

pri

or 2

wee

ks t

aken

to

an

appr

opri

ate

heal

th c

are

prov

ider

D

enom

inat

or: T

otal

num

ber

of c

hild

ren

aged

0–5

9 m

onth

s w

ith c

ough

or

diffi

cult

brea

thin

g in

the

pri

or 2

wee

ks

Dis

aggr

egat

ed b

y ty

pe o

f hea

lth w

orke

r (fa

cilit

y he

alth

w

orke

r or

com

mun

ity h

ealth

wor

ker

and

if C

CM

-tra

ined

) an

d co

untr

y

Dis

aggr

egat

ed b

y se

x

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S21

Perc

enta

ge o

f chi

ldre

n ag

ed 0

–59

mon

ths

with

fe

ver

for

who

m a

dvic

e or

tr

eatm

ent

was

sou

ght

from

an

appr

opri

ate

heal

th fa

cilit

y or

pro

vide

r in

MC

SP-s

uppo

rted

are

as

Num

erat

or: N

umbe

r of

chi

ldre

n ag

ed 0

–59

mon

ths

with

fe

ver

in t

he p

rior

2 w

eeks

tak

en t

o an

app

ropr

iate

hea

lth

care

pro

vide

r D

enom

inat

or: T

otal

num

ber

of c

hild

ren

aged

0–5

9 m

onth

s w

ith fe

ver

in t

he p

rior

2 w

eeks

D

isag

greg

ated

by

type

of h

ealth

wor

ker

(faci

lity

heal

th

wor

ker

or c

omm

unity

hea

lth w

orke

r an

d if

CC

M-t

rain

ed)

and

coun

try

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

62

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

S22

Perc

enta

ge o

f chi

ldre

n 0–

59 m

onth

s w

ho s

lept

un

der

an IT

N t

he

prev

ious

nig

ht in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

chi

ldre

n 0–

59 m

onth

s w

ho s

lept

un

der

an IT

N t

he p

revi

ous

nigh

t D

enom

inat

or: T

otal

num

ber

of c

hild

ren

0–59

mon

ths

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S23

Perc

enta

ge o

f inf

ants

<6

mon

ths

who

are

ex

clus

ivel

y br

east

fed

in

MC

SP-s

uppo

rted

are

as

Num

erat

or: N

umbe

r of

chi

ldre

n <

6 m

onth

s w

ho w

ere

bein

g ex

clus

ivel

y br

east

fed

at t

he t

ime

of t

he s

urve

y D

enom

inat

or: T

otal

num

ber

of w

omen

with

a li

ve b

irth

in

the

6 m

onth

s pr

ior

to t

he s

urve

y D

isag

greg

ated

by

coun

try

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S24

Perc

enta

ge o

f chi

ldre

n 6-

23 m

onth

s be

ing

fed

a m

inim

um a

ccep

tabl

e di

et

in M

CSP

-sup

port

ed a

reas

Num

erat

or: N

umbe

r of

chi

ldre

n 6–

23 m

onth

s w

ho r

ecei

ved

a m

inim

um a

ccep

tabl

e di

et t

he d

ay b

efor

e th

e su

rvey

D

enom

inat

or: T

otal

of c

hild

ren

6–23

mon

ths

in t

he s

urve

y

Dis

aggr

egat

ed b

y co

untr

y an

d se

x M

inim

um a

ccep

tabl

e di

et:

1) T

o be

bre

astf

ed o

r, if

non

-bre

astfe

d, r

ecei

ve 1

–2 c

ups

of

milk

(ac

cept

able

are

full

crea

m a

nim

al m

ilk, U

HT

milk

, re

cons

titut

ed e

vapo

rate

d m

ilk (

but

not

cond

ense

d) m

ilk,

ferm

ente

d m

ilk o

r yo

gurt

and

com

mer

cial

form

ula)

2)

To

rece

ive

at le

ast

4 ou

t 7

defin

ed fo

od g

roup

s (g

rain

s,

root

s, a

nd t

uber

s; le

gum

es a

nd n

uts;

dai

ry p

rodu

cts;

fles

h fo

ods;

egg

s; v

itam

in-A

ric

h fr

uits

and

veg

etab

les;

and

oth

er

frui

ts a

nd v

eget

able

s)

3) T

o re

ceiv

e 2–

3 m

eals

per

day

for

the

6–8

mon

ths

BF c

hild

an

d 3–

4 m

eals

per

day

with

1–2

add

ition

al s

nack

s, as

des

ired,

fo

r th

e 9–

23 m

onth

BF

child

. The

non

-BF

child

ren

need

s to

1–2

ex

tra

mea

ls pe

r da

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

63

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

S25

Perc

ent

of t

arge

ted

hous

ehol

ds u

sing

a

hand

was

hing

cor

ner

in

MC

SP-s

uppo

rted

are

as

Num

erat

or: N

umbe

r of

indi

vidu

als

surv

eyed

who

rep

ort

thei

r ho

useh

old

has

and

uses

a d

esig

nate

d ha

ndw

ashi

ng

corn

er o

bser

ved

by in

terv

iew

er

Den

omin

ator

: Tot

al n

umbe

r of

indi

vidu

als

surv

eyed

D

isag

greg

ated

by

coun

try

A h

andw

ashi

ng c

orne

r is

a d

esig

nate

d pl

ace

in a

hou

seho

ld o

r in

stitu

tion

whe

re p

eopl

e w

ash

thei

r ha

nds.

To

be c

onsi

dere

d as

bei

ng u

sed,

it s

houl

d ha

ve s

oap

(or

soap

sub

stitu

te)

and

wat

er a

vaila

ble

at t

ime

of t

he s

urve

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

S26

Perc

enta

ge o

f wom

en o

f re

prod

uctiv

e ag

e w

ho

part

icip

ate

in d

ecis

ions

ab

out

thei

r ow

n he

alth

ca

re in

MC

SP-s

uppo

rted

ar

eas

Num

erat

or: N

umbe

r of

wom

en o

r re

prod

uctiv

e ag

e w

ho

repo

rt t

hey

usua

lly m

ake

deci

sion

s al

one

or jo

intly

with

the

ir

husb

and

or s

omeo

ne e

lse

rega

rdin

g th

eir

own

heal

th c

are

Den

omin

ator

: Tot

al n

umbe

r of

wom

en o

f rep

rodu

ctiv

e ag

e su

rvey

ed

Dis

aggr

egat

ed b

y co

untr

y

Popu

latio

n-ba

sed

surv

ey o

f pr

ojec

t ar

ea, i

f fun

ding

is

avai

labl

e

Ever

y 2

to 5

yea

rs

Per

form

ance

In

dic

ato

rs C

olle

cted

th

rou

gh R

ou

tin

e D

ata

So

urc

es

64

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

1 C

oupl

e ye

ars

of

prot

ectio

n (C

YP)

in

MC

SP-s

uppo

rted

are

as*

CY

P is

the

est

imat

ed p

rote

ctio

n pr

ovid

ed b

y co

ntra

cept

ive

met

hods

dur

ing

a 1-

year

per

iod,

bas

ed u

pon

the

volu

me

of

all c

ontr

acep

tives

sol

d or

dis

trib

uted

free

of c

harg

e to

clie

nts

duri

ng t

hat

peri

od. C

YP

is c

alcu

late

d by

mul

tiply

ing

the

quan

tity

of e

ach

met

hod

dist

ribu

ted

to c

lient

s by

a

conv

ersi

on fa

ctor

to

yiel

d an

est

imat

e of

the

dur

atio

n of

co

ntra

cept

ive

prot

ectio

n pr

ovid

ed p

er u

nit

of t

hat

met

hod.

T

he C

YP

for

each

met

hod

is t

hen

sum

med

for

all m

etho

ds t

o ob

tain

a t

otal

CY

P fig

ure.

C

YP

conv

ersi

on fa

ctor

s ar

e ba

sed

on h

ow a

met

hod

is u

sed,

fa

ilure

rat

es, w

asta

ge, a

nd h

ow m

any

units

of t

he m

etho

d ar

e ty

pica

lly n

eede

d to

pro

vide

one

yea

r of

con

trac

eptiv

e pr

otec

tion

for

a co

uple

. The

cal

cula

tion

take

s in

to a

ccou

nt

that

som

e m

etho

ds, s

uch

as c

ondo

ms

and

oral

co

ntra

cept

ives

, for

exa

mpl

e, m

ay b

e us

ed in

corr

ectly

and

th

en d

isca

rded

, or

IUD

s an

d im

plan

ts t

hat

may

be

rem

oved

be

fore

the

ir li

fe s

pan

is r

ealiz

ed.

Dis

aggr

egat

ed b

y co

untr

y an

d m

etho

d

HM

IS/s

ervi

ce s

tatis

tics

Qua

rter

lyH

aiti:

68,

294

Mal

i: 2,

103,

176

2 Pe

rcen

t of

wom

en

deliv

erin

g in

MC

SP-

supp

orte

d he

alth

faci

litie

s w

ho a

ccep

t a

met

hod

of

fam

ily p

lann

ing

prio

r to

di

scha

rge

Num

erat

or: N

umbe

r of

wom

en w

ho d

eliv

ered

at

MC

SP-

supp

orte

d he

alth

faci

litie

s w

ho a

ccep

ted

a m

etho

d of

FP

prio

r to

leav

ing

the

faci

lity

Den

omin

ator

: All

wom

en w

ho d

eliv

ered

in M

CSP

-sup

port

ed

faci

litie

s (o

ver

the

repo

rtin

g pe

riod

) D

isag

greg

ate

by c

ount

ry a

nd F

P m

etho

d (IU

D, t

ubal

liga

tion,

N

SV, L

AM

, con

dom

s, p

roge

ster

one

vagi

nal r

ings

, im

plan

ts,

inje

ctab

le)

HM

IS

Qua

rter

lyM

ali:

63%

3 N

umbe

r of

cou

ntri

es

whe

re M

CSP

incr

ease

d ac

cess

to

perm

anen

t fa

mily

pla

nnin

g m

etho

ds

Cou

ntri

es w

here

MC

SP s

uppo

rted

intr

oduc

tion/

re-

intr

oduc

tion

(aft

er a

t le

ast

one

year

of n

o ne

w a

ccep

tors

) of

ne

w p

erm

anen

t FP

met

hods

. D

isag

greg

ated

by

coun

try

and

met

hods

Prog

ram

rec

ords

Ann

ually

Mal

i: 1

(for

IUD

, LA

M, c

ondo

ms,

im

plan

ts a

nd

inje

ctab

les)

65

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

4 N

umbe

r of

cou

ntri

es

whe

re M

CSP

sup

port

in

clud

es t

rain

ing

of

serv

ice

prov

ider

s an

d/or

pr

omot

ion

of p

erm

anen

t m

etho

ds

Dis

aggr

egat

ed b

y co

untr

y an

d ty

pe o

f met

hod(

s)Pr

ogra

m r

ecor

dsA

nnua

lly

5 N

umbe

r of

clie

nts

atte

ndin

g es

sent

ial

MN

CH

ser

vice

s at

MC

SP-

supp

orte

d fa

cilit

ies

who

ad

opte

d a

FP m

etho

d du

ring

tha

t vi

sit

Dis

aggr

egat

ed b

y po

int

of s

ervi

ce (

AN

C, L

&D

, FP,

OPD

, ot

her)

and

age

(if

poss

ible

) an

d by

cou

ntry

Es

sent

ial M

NC

H s

ervi

ces

incl

ude

AN

C, p

osta

bort

ion

care

, po

stpa

rtum

car

e, w

ell-b

aby/

imm

uniz

atio

n se

rvic

es

HM

IS/s

ervi

ce s

tatis

tics

Qua

rter

ly

6 N

umbe

r of

ser

vice

de

liver

y po

ints

tha

t ex

pand

ed t

he t

ypes

of

cont

race

ptiv

e m

etho

ds

avai

labl

e w

ith M

CSP

su

ppor

t

Thi

s in

dica

tor

coun

ts t

he t

otal

num

ber

of fa

cilit

ies

(pub

lic o

r pr

ivat

e), v

endo

rs, o

r ot

her

serv

ice

deliv

ery

poin

ts t

hat

add

a m

etho

d to

the

con

trac

eptiv

es a

vaila

ble

for

the

first

tim

e (d

urin

g th

e re

port

ing

peri

od).

Of p

artic

ular

inte

rest

is

expa

nsio

n of

LA

RC

and

per

man

ent

met

hods

but

all

met

hods

sh

ould

be

coun

ted

here

. Do

not

coun

t re

-sto

ck o

f a

prev

ious

ly a

vaila

ble

met

hod.

D

isag

greg

ated

by

coun

try

and

cont

race

ptiv

e m

etho

d: IU

D,

impl

ant,

BTL,

vas

ecto

my,

inje

ctio

n, p

ill, c

ondo

m

HM

IS/s

ervi

ce s

tatis

tics

Qua

rter

lyT

otal

: Hai

ti: 1

7 IU

D, 5

1 C

ondo

ms,

38

Inje

ctab

les,

38

OC

s M

ali:

175

SDPs

for

IUD

, LA

M,

Con

dom

s, Im

plan

ts,

Inje

ctab

les

7 N

umbe

r/pe

rcen

tage

of

MC

SP-s

uppo

rted

faci

litie

s th

at o

ffer

deliv

ery

serv

ices

with

MgS

O4

avai

labl

e in

the

del

iver

y ro

om

Num

erat

or: N

umbe

r of

faci

litie

s th

at o

ffer

deliv

ery

serv

ices

w

ith M

gSO

4 av

aila

ble

in t

he d

eliv

ery

room

D

enom

inat

or: T

otal

num

ber

of fa

cilit

ies

that

offe

r de

liver

y se

rvic

es

Dis

aggr

egat

ed b

y co

untr

y

Supe

rvis

ion

repo

rts,

logi

stic

m

anag

emen

t in

form

atio

n sy

stem

, hea

lth fa

cilit

y su

rvey

Ann

ually

66

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

8 N

umbe

r of

wom

en

prov

ided

with

m

isop

rost

ol in

adv

ance

of

deliv

ery

for

prev

entio

n of

po

stpa

rtum

hem

orrh

age

in M

CSP

- su

ppor

ted

area

s

Dis

aggr

egat

ed b

y co

untr

y T

his

pert

ains

to

adva

nce

dist

ribu

tion

of m

isop

rost

ol t

o pr

egna

nt w

omen

for

self-

adm

inis

trat

ion

if ha

ving

a h

ome

birt

h.

HM

IS/s

ervi

ce s

tatis

tics

Qua

rter

ly

9 Pe

rcen

tage

of w

omen

re

ceiv

ing

a ut

erot

onic

in

the

thir

d st

age

of la

bor

in

MC

SP-s

uppo

rted

are

as*

Num

erat

or: N

umbe

r of

wom

en r

ecei

ving

a p

roph

ylac

tic

uter

oton

ic in

the

thi

rd s

tage

of l

abor

(im

med

iate

ly a

fter

bi

rth)

D

enom

inat

or: T

otal

num

ber

of w

omen

giv

ing

birt

h D

isag

greg

ated

by

coun

try

and

faci

lity

and

hom

e bi

rths

M

CSP

will

use

the

new

def

initi

on in

the

WH

O P

PH

prev

entio

n gu

idel

ines

of 2

012

HM

IS/s

ervi

ce s

tatis

tics

Qua

rter

lyM

ali:

(17,

221/

19,2

90)

89%

10

Num

ber

of n

ewbo

rns

adm

itted

to

faci

lity-

base

d K

MC

at

MC

SP-s

uppo

rted

fa

cilit

ies

Dis

aggr

egat

ed b

y bi

rth

wei

ght

if po

ssib

le (

<2,

000g

and

/or

<2,

500g

) A

rat

e m

ay b

e ca

lcul

ated

as

wel

l. T

he d

enom

inat

or o

ptio

ns

wou

ld b

e a

rate

per

100

live

bir

ths

or p

er 1

00 e

xpec

ted

birt

hs.

HM

IS/s

ervi

ce s

tatis

tics

or

prog

ram

rec

ords

Q

uart

erly

Mal

i: 1,

026

11

Perc

enta

ge o

f bab

ies

not

brea

thin

g/cr

ying

at

birt

h w

ho w

ere

succ

essf

ully

re

susc

itate

d in

MC

SP-

supp

orte

d ar

eas.

Num

erat

or: N

umbe

r of

bab

ies

not

brea

thin

g/cr

ying

at

birt

h bo

rn in

MC

SP-s

uppo

rted

are

as t

hat

wer

e su

cces

sful

ly

resu

scita

ted

Den

omin

ator

: Num

ber

of b

abie

s no

t br

eath

ing/

cryi

ng a

t bi

rth

born

in M

CSP

-sup

port

ed a

reas

D

isag

greg

ated

by

com

mun

ity-b

ased

and

faci

lity-

base

d bi

rths

an

d by

cou

ntry

T

his

is o

ne o

f the

Hel

ping

Bab

ies

Brea

the

indi

cato

rs

HM

IS/s

ervi

ce s

tatis

tics

Qua

rter

lyM

ali:

(301

/324

) 93

%

67

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

12

Perc

enta

ge o

f new

born

s bo

rn p

rete

rm a

t M

CSP

-su

ppor

ted

heal

th fa

cilit

ies

who

se m

othe

r w

as g

iven

at

leas

t on

e do

se o

f de

xam

etha

sone

for

prev

entio

n of

co

mpl

icat

ions

of p

rete

rm

birt

h

Num

erat

or: N

umbe

r of

new

born

s bo

rn p

rete

rm (

less

tha

n 35

wee

ks g

esta

tiona

l) at

MC

SP-s

uppo

rted

hea

lth fa

cilit

ies

who

se m

othe

r w

as g

iven

at

leas

t on

e do

se o

f dex

amet

haso

ne

Den

omin

ator

: Num

ber

of n

ewbo

rns

born

pre

term

(le

ss t

han

35 w

eeks

ges

tatio

nal)

at M

CSP

-sup

port

ed h

ealth

faci

litie

s D

isag

greg

ated

by

coun

try

HM

IS/s

ervi

ce

stat

istic

s/su

pple

men

tal

form

s

Ann

ually

13

Perc

enta

ge o

f new

born

s w

ith s

uspe

cted

sev

ere

bact

eria

l inf

ectio

n w

ho

rece

ive

appr

opri

ate

antib

iotic

the

rapy

Num

erat

or: N

umbe

r of

new

born

s w

ith s

uspe

cted

sev

ere

bact

eria

l inf

ectio

n (in

fant

rep

orte

dly

stop

ped

feed

ing

wel

l an

d/or

sto

pped

mov

ing

on it

s ow

n) r

ecei

ving

ant

ibio

tics

D

enom

inat

or: N

umbe

r of

new

born

s w

ith s

uspe

cted

sev

ere

bact

eria

l inf

ectio

n.

Dis

aggr

egat

ed b

y co

untr

y

HM

IS, s

uppl

emen

tal d

ata

colle

ctio

n fo

rm

Qua

rter

ly

14

Num

ber

of c

ount

ries

in

whi

ch in

terv

entio

ns t

o ad

dres

s th

e un

ique

R

MN

CH

nee

ds o

f you

ng,

first

-tim

e pa

rent

s ar

e in

itiat

ed

Thi

s in

clud

es a

ge a

nd s

tage

sen

sitiv

e co

unse

ling

for

youn

g m

othe

rs, y

outh

-sen

sitiv

e Q

I or

valu

es s

ensi

tizat

ion,

etc

. D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

15

Perc

enta

ge o

f chi

ldre

n ag

e 2–

59 m

onth

s w

ith

feve

r du

ring

the

rep

ortin

g pe

riod

(3

mon

ths)

for

who

m a

dvic

e or

tr

eatm

ent

was

sou

ght

from

a C

CM

-tra

ined

C

HW

in M

CSP

-su

ppor

ted

area

s

Num

erat

or: N

umbe

r of

chi

ldre

n ag

ed 2

–59

mon

ths

with

fe

ver

duri

ng t

he r

epor

ting

peri

od (

3 m

onth

s) fo

r w

hom

ad

vice

or

trea

tmen

t w

as s

ough

t fr

om a

CC

M-t

rain

ed C

HW

in

MC

SP-s

uppo

rted

are

as

Den

omin

ator

: Exp

ecte

d nu

mbe

r of

chi

ldre

n ag

ed 2

–59

mon

ths

with

feve

r du

ring

the

rep

ortin

g pe

riod

(3

mon

ths)

in

MC

SP-s

uppo

rted

are

as

Den

omin

ator

will

be

estim

ated

from

bes

t lo

cally

ava

ilabl

e de

mog

raph

ic d

ata

(e.g

., go

vern

men

t ce

nsus

dat

a, D

HS,

or

MIC

S)

Dis

aggr

egat

ed b

y co

untr

y

HM

IS, C

HW

rec

ords

, co

mm

unity

HIS

, if a

vaila

ble

Qua

rter

lyM

ali:

(23,

713/

30,

530)

78

%

68

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

16

Perc

enta

ge o

f chi

ldre

n ag

e 2–

59 m

onth

s w

ith fa

st

or d

iffic

ult

brea

thin

g du

ring

the

rep

ortin

g pe

riod

(3

mon

ths)

for

who

m a

dvic

e or

tr

eatm

ent

was

sou

ght

from

a C

CM

-tra

ined

C

HW

in M

CSP

- su

ppor

ted

area

s

Num

erat

or: N

umbe

r of

chi

ldre

n ag

ed 2

–59

mon

ths

with

fast

or

diff

icul

t br

eath

ing

duri

ng t

he r

epor

ting

peri

od (

3 m

onth

s)

for

who

m a

dvic

e or

tre

atm

ent

was

sou

ght

from

a C

CM

-tr

aine

d C

HW

D

enom

inat

or: E

xpec

ted

num

ber

of c

hild

ren

aged

2–5

9 m

onth

s w

ith fa

st o

r di

fficu

lt br

eath

ing

duri

ng t

he r

epor

ting

peri

od (

3 m

onth

s)

Den

omin

ator

will

be

estim

ated

from

bes

t lo

cally

ava

ilabl

e de

mog

raph

ic d

ata

(e.g

., go

vern

men

t ce

nsus

dat

a, D

HS,

or

MIC

S)

Dis

aggr

egat

ed b

y co

untr

y

HM

IS, C

HW

rec

ords

, co

mm

unity

HIS

, if a

vaila

ble

Qua

rter

lyM

ali:

(6,2

35/6

,235

) 10

0%

17

Num

ber

of c

ases

of c

hild

di

arrh

ea t

reat

ed in

U

SAID

-ass

iste

d (M

CSP

) pr

ogra

ms*

Num

ber

of c

ases

of c

hild

dia

rrhe

a tr

eate

d th

roug

h M

CSP

-su

ppor

ted

prog

ram

s w

ith o

ral r

ehyd

ratio

n sa

lt (O

RS)

AN

D

zinc

sup

plem

ents

D

isag

greg

ated

by

coun

try,

typ

e of

hea

lth w

orke

r (fa

cilit

y-ba

sed

heal

th w

orke

r or

com

mun

ity h

ealth

wor

ker

and

if C

HW

is C

CM

-tra

ined

)

HM

IS/s

ervi

ce s

tatis

tics,

co

mm

unity

HIS

Q

uart

erly

Mal

i: 6,

259

by

CH

W

18

Num

ber

of c

ases

of c

hild

pn

eum

onia

tre

ated

with

an

tibio

tics

by t

rain

ed

faci

lity

or c

omm

unity

he

alth

wor

kers

in U

SG

(MC

SP)-

supp

orte

d pr

ogra

ms*

Dis

aggr

egat

ed b

y co

untr

y, t

ype

of h

ealth

wor

ker

(faci

lity-

base

d he

alth

wor

ker

or c

omm

unity

hea

lth w

orke

r an

d if

CH

W is

CC

M-t

rain

ed)

HM

IS/s

ervi

ce s

tatis

tics,

co

mm

unity

HIS

Q

uart

erly

Mal

i: 6,

235

by

CH

W

19

Perc

enta

ge o

f chi

ldre

n ag

ed <

12 m

onth

s w

ho

rece

ived

DPT

3/Pe

nta3

va

ccin

e in

MC

SP-

supp

orte

d ar

eas

Num

erat

or: N

umbe

r of

chi

ldre

n ag

ed <

12 m

onth

s re

ceiv

ing

3 do

ses

of D

PT/P

enta

3 va

ccin

e in

MC

SP-s

uppo

rted

are

as

Den

omin

ator

: Tot

al e

stim

ated

num

ber

of c

hild

ren

aged

<12

m

onth

s in

the

in M

CSP

-sup

port

ed c

atch

men

t ar

ea

Dis

aggr

egat

ed b

y co

untr

y

HM

IS

Qua

rter

lyM

alaw

i: (3

97,5

03/4

40,1

94)

90%

69

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

20

Perc

enta

ge o

f tar

get

heal

th fa

cilit

ies

with

ap

prop

riat

e ha

ndw

ashi

ng

supp

lies

in t

he d

eliv

ery

room

in M

CSP

- su

ppor

ted

area

s

Num

erat

or: N

umbe

r of

tar

get

heal

th fa

cilit

ies

with

ap

prop

riat

e ha

ndw

ashi

ng s

uppl

ies

in t

he d

eliv

ery

room

D

enom

inat

or: t

otal

num

ber

of t

arge

ted

heal

th fa

cilit

ies

Clin

ics

wor

kers

mus

t w

ash

hand

s be

fore

att

endi

ng t

o a

birt

h.

Supp

lies

incl

ude

soap

and

wat

er o

r ha

nd s

aniti

zer.

D

isag

greg

ated

by

coun

try

Hea

lth fa

cilit

y su

rvey

, pr

ogra

m r

ecor

ds

Ann

ually

Mal

i: 10

0%

(175

/175

)

21

Num

ber

of c

hild

ren

unde

r 5

reac

hed

by U

SG

(MC

SP)-

supp

orte

d nu

triti

on p

rogr

ams

Dis

aggr

egat

ed b

y co

untr

y, s

exPr

ogra

m r

ecor

dsA

nnua

llyM

ali:

5,87

9 (2

,717

m

ale;

3,1

62 fe

mal

e)

22

Num

ber

of H

IV-p

ositi

ve

preg

nant

wom

en w

ho

rece

ived

ant

iret

rovi

rals

to

redu

ce t

he r

isk

of

mot

her-

to-c

hild

tr

ansm

issi

on*

The

num

ber

of H

IV-p

ositi

ve p

regn

ant

wom

en w

ho r

ecei

ved

antir

etro

vira

ls (

AR

T)

to r

educ

e th

e ri

sk o

f mot

her-

to-c

hild

tr

ansm

issi

on d

urin

g pr

egna

ncy,

labo

r &

del

iver

y, o

r af

ter

deliv

ery

at t

he h

ealth

faci

lity/

loca

tion/

SDP/

site

. Dis

aggr

egat

e by

: 1)

Sing

le-d

ose

nevi

rapi

ne (

with

or

with

out

a ta

il); 2

) M

ater

nal A

ZT

(pr

ophy

laxi

s co

mpo

nent

of W

HO

Opt

ion

A

duri

ng p

regn

ancy

and

del

iver

y); 3

) M

ater

nal t

ripl

e A

RV

pr

ophy

laxi

s (p

roph

ylax

is c

ompo

nent

of W

HO

Opt

ion

B du

ring

pre

gnan

cy a

nd d

eliv

ery)

; 4)

Life

-long

AR

T n

ewly

in

itiat

ed o

n tr

eatm

ent

duri

ng t

he c

urre

nt p

regn

ancy

(in

clud

ing

Opt

ion

B+),

and

5) L

ife-lo

ng A

RT

alr

eady

on

trea

tmen

t at

beg

inni

ng o

f pre

gnan

cy (

incl

udin

g O

ptio

n B+

)

HM

IS/s

ervi

ce s

tatis

tics

Qua

rter

ly

23

Num

ber

of M

CSP

-su

ppor

ted

coun

trie

s w

ith

pre-

serv

ice

educ

atio

n st

reng

then

ed t

o im

prov

e R

MN

CH

ser

vice

s w

ith

MC

SP s

uppo

rt

Thi

s in

clud

es u

pdat

ing

curr

icul

a an

d im

prov

ing

the

skill

s of

tu

tors

and

str

engt

heni

ng/e

stab

lishi

ng s

kills

labs

D

isag

greg

ated

by

type

of t

echn

ical

are

a st

reng

then

ed a

nd

cadr

e of

pro

vide

r (e

.g.,

mid

wife

, nur

se, c

linic

al o

ffice

r)

Prog

ram

rec

ords

Ann

ually

Mal

awi:

1 (im

mun

izat

ion

for

doct

ors,

nur

ses,

m

idw

ives

, CH

Ws)

U

gand

a: 1

(im

mun

izat

ion)

70

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

24

Num

ber

of p

eopl

e tr

aine

d th

roug

h U

SG-

supp

orte

d pr

ogra

ms*

Dis

aggr

egat

ed b

y te

chni

cal o

r cr

oss-

cutt

ing

area

, tra

inin

g to

pic,

fund

ing

(any

cor

e fu

ndin

g us

ed o

r on

ly fi

eld

supp

ort)

, se

x, t

ype

of p

erso

nnel

, and

cou

ntry

•

Per

son

nel

may

incl

ude:

hea

lth c

are

wor

kers

(do

ctor

s,

nurs

es, m

idw

ives

); co

mm

unity

hea

lth w

orke

rs,

com

mun

ity h

ealth

vol

unte

ers,

non

-hea

lth p

erso

nnel

•

Tec

hn

ical

an

d c

ross

-cut

tin

g to

pics

incl

ude:

chi

ld

heal

th a

nd n

utri

tion,

imm

uniz

atio

n; fa

mily

pl

anni

ng/r

epro

duct

ive

heal

th; m

alar

ia; m

ater

nal;

new

born

; HIV

/AID

S; W

ASH

; M&

E

Tra

inin

g in

form

atio

n m

onito

ring

sys

tem

, tra

inin

g pa

rtic

ipan

t re

gist

ers

Qua

rter

lyH

aiti:

Cor

e fu

nds:

39

8 (2

58 F

P, 1

40

WA

SH)

Mal

i: C

ore

fund

s:15

7 C

H/N

ut: 3

3 M

alar

ia: 9

4 N

ewbo

rn: 1

0 M

&E:

20

Cad

res:

doc

tors

7,

nurs

e 23

, mid

wiv

es

2, C

HW

123

, non

-he

alth

per

sonn

el 2

, M

ale:

26,

Fem

ale:

13

1

25

Num

ber

of M

CSP

-su

ppor

ted

heal

th fa

cilit

ies

activ

ely

impl

emen

ting

a qu

ality

impr

ovem

ent

appr

oach

Num

ber

of M

CSP

-sup

port

ed fa

cilit

ies

that

are

act

ivel

y im

plem

entin

g a

qual

ity im

prov

emen

t ap

proa

ch, s

uch

as

Stan

dard

s-Ba

sed

Man

agem

ent

and

Rec

ogni

tion

or R

API

D

Dis

aggr

egat

ed b

y co

untr

y an

d ty

pe o

f fac

ility

(e.

g.,

disp

ensa

ry/h

ealth

pos

t, he

alth

cen

ter,

hos

pita

l) an

d ty

pe o

f ap

proa

ch

Qua

lity

impr

ovem

ent

asse

ssm

ent

tool

, tra

cer

cond

ition

ass

essm

ent,

heal

th fa

cilit

y su

rvey

, su

perv

isio

n vi

sit

repo

rts

Ann

ually

Mal

i: 17

7 (2

ho

spita

ls, 1

75

heal

th c

ente

rs)

71

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

1: I

ncr

ease

co

vera

ge a

nd

uti

lizat

ion

of e

vid

ence

-bas

ed, s

ust

ain

able

, hig

h-q

ual

ity

RM

NC

H in

terv

enti

on

s at

th

e h

ou

seh

old

, co

mm

un

ity,

an

d

hea

lth

faci

lity

leve

ls

26

Perc

enta

ge o

f MC

SP-

supp

orte

d he

alth

faci

litie

s th

at p

rovi

de R

MN

CH

se

rvic

es w

ith s

tock

out

s of

the

13

lifes

avin

g co

mm

oditi

es

Num

erat

or: N

umbe

r of

MC

SP-s

uppo

rted

hea

lth fa

cilit

ies

that

pr

ovid

e R

MN

CH

ser

vice

s w

ith a

sto

ck o

ut o

f the

13

lifes

avin

g co

mm

oditi

es id

entif

ied

by t

he U

N C

omm

issi

on o

n Li

fe S

avin

g C

omm

oditi

es d

urin

g th

e sp

ecifi

ed r

epor

ting

peri

od

Den

omin

ator

: Num

ber

of M

CSP

-sup

port

ed h

ealth

faci

litie

s th

at p

rovi

de R

MN

CH

ser

vice

s du

ring

the

spe

cifie

d re

port

ing

peri

od

Dis

aggr

egat

e by

cou

ntry

and

num

ber

of c

omm

oditi

es (

0–3,

4–

6, 7

–9, 1

0–13

)

Faci

lity

surv

ey, s

uper

visi

on

repo

rts,

LM

IS

Ever

y 1–

5 ye

ars

27

Num

ber

of c

ount

ries

w

here

MC

SP h

as

supp

orte

d th

e sc

ale

up o

f hi

gh im

pact

RM

NC

H

inte

rven

tions

Dis

aggr

egat

ed b

y co

untr

y an

d in

terv

entio

n. L

ist

of h

igh

impa

ct in

terv

entio

ns T

BD

Prog

ram

rec

ords

Ann

ually

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

2: C

lose

inn

ova

tio

n g

aps

nee

ded

to

imp

rove

hea

lth

ou

tco

mes

am

on

g h

igh

bu

rden

an

d v

uln

erab

le p

op

ula

tio

ns

thro

ugh

en

gage

men

t w

ith

a

bro

ad r

ange

of p

artn

ers

28

Num

ber

of p

eopl

e co

mpl

etin

g an

in

terv

entio

n pe

rtai

ning

to

gend

er n

orm

s th

at m

eets

m

inim

um c

rite

ria

Thi

s in

clud

es a

dults

and

chi

ldre

n co

mpl

etin

g an

inte

rven

tion

in t

he r

epor

ting

peri

od t

hat

had:

1)

a c

ompo

nent

tha

t su

ppor

t pa

rtic

ipan

ts t

o un

ders

tand

and

qu

estio

n ex

istin

g ge

nder

nor

ms

and

refle

ct o

n th

e im

pact

of

thos

e no

rms

on t

heir

live

s an

d co

mm

uniti

es

2) a

cle

ar li

nk b

etw

een

the

gend

er n

orm

s be

ing

disc

usse

d an

d R

MN

CH

D

isag

greg

ated

by

coun

try,

mal

e/fe

mal

e

Prog

ram

rec

ords

Ann

ually

72

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

2: C

lose

inn

ova

tio

n g

aps

nee

ded

to

imp

rove

hea

lth

ou

tco

mes

am

on

g h

igh

bu

rden

an

d v

uln

erab

le p

op

ula

tio

ns

thro

ugh

en

gage

men

t w

ith

a

bro

ad r

ange

of p

artn

ers

29

Num

ber

of c

ount

ries

w

here

MC

SP s

uppo

rted

a

gend

er a

naly

sis.

A g

ende

r an

alys

is in

clud

es: 1

) re

view

of k

ey g

ende

r is

sues

an

d ge

nder

-bas

ed c

onst

rain

ts b

ased

on

publ

ishe

d an

d gr

ey

liter

atur

e,

2) id

entif

icat

ion

of g

aps

in in

form

atio

n, 3

) da

ta c

olle

ctio

n to

fil

l in

targ

eted

info

rmat

ion

gaps

, 4)

asse

ssm

ent

of t

he

inst

itutio

nal s

uppo

rt fo

r ge

nder

mai

nstr

eam

ing,

at

diffe

rent

le

vels

(go

vern

men

t, do

nor,

civ

il so

ciet

y or

gani

zatio

ns, a

nd

proj

ect

man

agem

ent)

, and

5)

rec

omm

enda

tions

for

gend

er in

tegr

atio

n st

rate

gies

, ob

ject

ives

, act

iviti

es, a

nd in

dica

tors

. D

isag

greg

ated

by

coun

try,

Prog

ram

rec

ords

Ann

ually

Mal

i: 1

30

Num

ber

of c

ount

ries

tha

t ha

ve in

tegr

ated

GBV

sc

reen

ing

into

AN

C

serv

ices

with

MC

SP

supp

ort

GBV

scr

eeni

ng is

con

duct

ed d

urin

g A

NC

whe

n th

e pr

ovid

er

susp

ects

the

re m

ay b

e G

BV, a

s w

ell a

s re

ferr

al t

o ap

prop

riat

e tr

eatm

ent

serv

ices

. D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

73

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

2: C

lose

inn

ova

tio

n g

aps

nee

ded

to

imp

rove

hea

lth

ou

tco

mes

am

on

g h

igh

bu

rden

an

d v

uln

erab

le p

op

ula

tio

ns

thro

ugh

en

gage

men

t w

ith

a

bro

ad r

ange

of p

artn

ers

31

Num

ber

of c

ount

ries

tha

t ha

ve in

trod

uced

a h

ealth

se

rvic

e in

nova

tion

with

M

CSP

sup

port

An

inno

vatio

n is

“an

idea

, pra

ctic

e, o

r ob

ject

per

ceiv

ed a

s ne

w b

y an

indi

vidu

al o

r ot

her

unit

of a

dopt

ion.

1)

Intr

oduc

ing

a pr

oduc

t or

dru

g in

to a

pro

gram

or

serv

ice

deliv

ery

syst

em

that

is n

ew t

o th

at s

ettin

g (e

.g.,

an im

prov

ed B

P de

tect

ion

devi

ce; b

CPA

P; u

teri

ne b

allo

on t

ampo

nade

, mis

opro

stol

for

PPH

pre

vent

ion)

. Thi

s m

ay b

e ad

apte

d fr

om a

noth

er c

ount

ry

or s

ettin

g, 2

) U

sing

an

exis

ting

or k

now

n pr

oduc

t in

a n

ew

way

or

appl

icat

ion

or b

y a

new

use

r (e

.g.,

keta

min

e as

an

esth

etic

in e

mer

genc

y ob

stet

ric

care

, chl

orhe

xidi

ne fo

r um

bilic

al c

ord

care

, usi

ng R

DT

s fo

r in

term

itten

t sc

reen

ing

and

test

ing

(IST

for

preg

nant

wom

en),

3) Im

plem

entin

g a

new

pr

oces

s ai

med

at

impr

ovin

g co

vera

ge, q

ualit

y, a

nd/o

r eq

uity

fo

r on

e or

mor

e hi

gh im

pact

inte

rven

tions

on

whi

ch M

CSP

is

focu

sing

(e.

g., t

ask

shift

ing,

suc

h as

allo

win

g ne

w c

adre

s of

pr

ovid

ers

to o

ffer

inje

ctab

le c

ontr

acep

tives

or

PPIU

D; n

ew

proc

esse

s fo

r da

ta c

aptu

re, v

isua

lizat

ion

and/

or u

se),

perf

orm

ance

-bas

ed fi

nanc

ing

or in

cent

ives

app

roac

hes,

etc

. 4)

Del

iver

ing

a pa

ckag

e of

hig

h im

pact

inte

rven

tions

tha

t ha

ve

not

been

com

bine

d in

tha

t se

ttin

g pr

evio

usly

(e.

g., i

nteg

ratin

g T

B sc

reen

ing

or g

ende

r-ba

sed

viol

ence

scr

eeni

ng in

to t

he

AN

C p

latf

orm

, MC

SP’s

initi

ativ

e on

the

“D

ay o

f Bir

th, o

r “W

hole

Mar

ket

Dis

tric

t” a

ppro

ach,

app

licat

ion

of c

omm

unity

ac

tion

cycl

e fo

r co

mm

unity

mob

iliza

tion)

. D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

Mal

i: 1

32

Num

ber

of g

rant

s aw

arde

d to

loca

l non

-go

vern

men

tal i

nstit

utio

ns

to a

dvan

ce R

MN

CH

se

rvic

es

Non

-gov

ernm

enta

l ins

titut

ions

incl

ude

prof

essi

onal

soc

ietie

s,

civi

l soc

iety

org

aniz

atio

ns, a

cade

mic

or

rese

arch

inst

itutio

ns,

faith

-bas

ed o

rgan

izat

ions

, etc

. Thi

s m

ay in

clud

e gr

ants

to

supp

ort

serv

ice

deliv

ery

or k

now

ledg

e ge

nera

tion.

D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

74

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

2: C

lose

inn

ova

tio

n g

aps

nee

ded

to

imp

rove

hea

lth

ou

tco

mes

am

on

g h

igh

bu

rden

an

d v

uln

erab

le p

op

ula

tio

ns

thro

ugh

en

gage

men

t w

ith

a

bro

ad r

ange

of p

artn

ers

33

Num

ber

of lo

cal p

artn

ers

who

se c

apac

ity M

CSP

has

bu

ilt

Cap

acity

bui

ldin

g re

fers

to

enha

nced

abi

lity

impl

emen

t ac

tiviti

es fo

llow

ing

tech

nica

l sup

port

from

MC

SP.

Loca

l par

tner

s m

ay in

clud

e th

e M

OH

, non

-gov

ernm

enta

l in

stitu

tions

, inc

ludi

ng p

rofe

ssio

nal s

ocie

ties,

civ

il so

ciet

y or

gani

zatio

ns, a

cade

mic

or

rese

arch

inst

itutio

ns, f

aith

-bas

ed

orga

niza

tions

, etc

. D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

75

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

2: C

lose

inn

ova

tio

n g

aps

nee

ded

to

imp

rove

hea

lth

ou

tco

mes

am

on

g h

igh

bu

rden

an

d v

uln

erab

le p

op

ula

tio

ns

thro

ugh

en

gage

men

t w

ith

a

bro

ad r

ange

of p

artn

ers

34

Num

ber

of c

ount

ries

tha

t ha

ve u

sed

info

rmat

ion

and

com

mun

icat

ion

tech

nolo

gies

to

impr

ove

the

perf

orm

ance

of h

ealth

sy

stem

s or

sup

port

se

rvic

e de

liver

y w

ith

MC

SP s

uppo

rt

"Im

prov

ing

the

heal

th s

yste

m"

incl

udes

add

ress

ing

defic

ienc

ies

or p

oor

func

tioni

ng a

reas

of t

he h

ealth

car

e sy

stem

and

see

king

to

impr

ove

them

thr

ough

ICT

with

a

spec

ific

focu

s on

enh

anci

ng q

ualit

y, a

cces

s/eq

uity

and

/or

effic

ienc

y. "

Supp

ort

serv

ice

deliv

ery"

incl

udes

: lab

orat

ory

man

agem

ent

info

rmat

ion

syst

ems,

com

mod

ities

tra

ckin

g sy

stem

s, o

r el

ectr

onic

clin

ical

dec

isio

n tr

ees.

Q

ualit

y: IC

T in

terv

entio

ns c

an im

prov

e qu

ality

of c

are

prov

ided

per

clin

ical

or

othe

r st

anda

rds,

for

exam

ple,

usi

ng

smar

t qu

ality

impr

ovem

ent

usin

g el

ectr

onic

dat

a co

llect

ion

and

rapi

d, it

erat

ive

feed

back

to

prov

ider

s an

d ne

ar-r

eal t

ime

com

mun

icat

ion

with

sup

ervi

sors

. A

cces

s/eq

uity

: IC

T in

terv

entio

n ca

n al

low

a p

opul

atio

n ac

cess

to

heal

th in

form

atio

n or

pro

vide

car

e to

rem

ote

and

vuln

erab

le p

opul

atio

ns, f

or e

xam

ple,

SM

S in

form

atio

n sy

stem

s en

able

d w

ith a

sho

rt c

ode

allo

ws

clie

nts

who

nev

er

inte

ract

with

the

form

al h

ealth

sys

tem

to

subs

crib

e to

in

form

atio

n ab

out

preg

nanc

y an

d po

stna

tal c

are.

ICT

can

be

used

to

repo

rt a

nd a

ddre

ss fo

llow

up

to G

BV (

gend

er).

Effic

ienc

y: IC

T in

terv

entio

ns c

an fa

cilit

ate

effic

ienc

y in

tim

e,

finan

cial

res

ourc

es, o

r hu

man

res

ourc

es, f

or e

xam

ple,

mob

ile

data

col

lect

ion/

aggr

egat

ion

of s

ervi

ce d

eliv

ery

stat

istic

s re

duce

s da

ta e

ntry

cos

ts a

nd t

ime

and

impr

oves

the

tim

e th

at d

ata

for

deci

sion

mak

ing

take

s to

rea

ch d

istr

ict,

regi

onal

, an

d ot

her

cent

ral l

evel

s.

ICT

incl

udes

: mob

ile p

hone

s, t

ext

mes

sage

s, e

lect

roni

c m

edic

al r

ecor

ds, L

MIS

Ex

clud

es: r

adio

, tel

evis

ion

cam

paig

ns, r

outin

e H

MIS

D

isag

greg

ated

by

coun

try,

equ

ity, g

ende

r, in

corp

orat

ion

into

na

tiona

l or

subn

atio

nal e

/mH

ealth

str

ateg

y

Prog

ram

rec

ords

Ann

ually

Mal

i: 1

35

Num

ber

of c

ount

ries

tha

t ha

ve in

trod

uced

new

va

ccin

es w

ith M

CSP

su

ppor

t

Thi

s m

eans

a v

acci

ne t

hat

is n

ew t

o th

e ta

rget

cou

ntry

. D

isag

greg

ated

by

coun

try,

vac

cine

typ

e (e

.g.,

rota

viru

s,

pneu

moc

occa

l)

Prog

ram

rec

ords

Ann

ually

76

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

2: C

lose

inn

ova

tio

n g

aps

nee

ded

to

imp

rove

hea

lth

ou

tco

mes

am

on

g h

igh

bu

rden

an

d v

uln

erab

le p

op

ula

tio

ns

thro

ugh

en

gage

men

t w

ith

a

bro

ad r

ange

of p

artn

ers

36

Num

ber

of c

ount

ries

w

here

MC

SP h

as u

sed

inno

vativ

e ap

proa

ches

to

stre

ngth

en r

efer

ral

syst

ems

An

inno

vativ

e ap

proa

ch is

“an

idea

, pra

ctic

e, o

r ob

ject

pe

rcei

ved

as n

ew b

y an

indi

vidu

al o

r ot

her

unit

of a

dopt

ion.

C

ount

ries

will

pro

vide

a n

arra

tive

that

exp

lain

s sp

ecifi

c co

untr

y w

ork

with

ref

erra

l sys

tem

s D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

Mal

i: 1

37

Perc

enta

ge o

f MC

SP

targ

et d

istr

icts

tha

t ha

ve

enga

ged

CSO

s to

dev

elop

co

mm

unity

hea

lth

stra

tegi

es t

hat

incl

ude

inst

itutio

naliz

atio

n of

C

SO in

volv

emen

t

Num

erat

or: n

umbe

r of

MC

SP t

arge

t di

stri

cts

that

hav

e en

gage

d C

SOs

to d

evel

op c

omm

unity

hea

lth s

trat

egie

s th

at

incl

ude

inst

itutio

naliz

atio

n of

CSO

invo

lvem

ent

Den

omin

ator

: tot

al n

umbe

r of

MC

SP t

arge

t di

stri

cts

D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

Mal

i: (1

1/13

) 8

5%

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

3: F

ost

er e

ffec

tive

po

licy,

pro

gram

lear

nin

g an

d a

cco

unta

bili

ty fo

r st

ren

gth

enin

g R

MN

CH

ou

tco

mes

acr

oss

th

e co

nti

nu

um

of c

are

38

Num

ber

of (

natio

nal)

polic

ies

draf

ted

with

USG

(M

CSP

) su

ppor

t*

Thi

s re

fers

to

the

num

ber

of n

atio

nal l

aws,

pol

icie

s re

gula

tions

, str

ateg

y do

cum

ents

, inc

ludi

ng n

atio

nal s

ervi

ce

deliv

ery

guid

elin

es a

nd p

erfo

rman

ce s

tand

ards

, dev

elop

ed o

r re

vise

d w

ith M

CSP

sup

port

to

impr

ove

acce

ss t

o an

d us

e of

hi

gh-im

pact

rep

rodu

ctiv

e he

alth

, mat

erna

l and

new

born

he

alth

, and

chi

ld h

ealth

ser

vice

s. T

he li

st o

f pol

icie

s w

ill b

e pr

ovid

ed.

Dis

aggr

egat

ed b

y co

untr

y an

d te

chni

cal a

rea

Fina

l pol

icy

docu

men

t; pr

ogra

m r

ecor

ds

Ann

ually

Mal

i: 1

(com

mun

ity

heal

th)

Uga

nda:

1

(imm

uniz

atio

n)

77

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

3: F

ost

er e

ffec

tive

po

licy,

pro

gram

lear

nin

g an

d a

cco

unta

bili

ty fo

r st

ren

gth

enin

g R

MN

CH

ou

tco

mes

acr

oss

th

e co

nti

nu

um

of c

are

39

Num

ber

of s

tudi

es

com

plet

ed

Thi

s in

clud

es s

peci

al s

tudi

es, b

asel

ine

and

feas

ibili

ty s

tudi

es

and

eval

uatio

ns c

ondu

cted

with

bot

h co

re a

nd fi

eld

fund

s.

Spec

ial s

tudi

es a

re a

naly

ses

unde

rtak

en t

o ga

ther

info

rmat

ion

rele

vant

for

a pa

rtic

ular

pro

gram

or

activ

ity in

ord

er t

o im

prov

e kn

owle

dge

or u

nder

stan

ding

abo

ut t

he s

tudy

su

bjec

t. Sp

ecia

l stu

dies

exa

min

e un

ique

cir

cum

stan

ces

as

oppo

sed

to a

n en

tire

activ

ity o

r pr

ogra

m. A

bas

elin

e st

udy

reco

rds

the

cont

ext

of t

he h

ost

coun

try

wor

king

en

viro

nmen

t at

tha

t tim

e. S

uch

stud

ies

are

gene

rally

car

ried

ou

t be

fore

pro

gram

act

iviti

es b

egin

or

duri

ng p

rogr

am s

tart

-up

. A fe

asib

ility

stu

dy e

xam

ines

the

con

text

in w

hich

an

antic

ipat

ed a

ctiv

ity w

ould

be

impl

emen

ted

as w

ell a

s th

e vi

abili

ty a

nd p

ract

ical

ity o

f im

plem

entin

g th

e pa

rtic

ular

ac

tivity

. A

stu

dy is

com

plet

ed w

hen

eith

er t

he fi

nal s

tudy

rep

ort,

rese

arch

bri

ef o

r m

anus

crip

t is

com

plet

ed. A

list

of s

tudy

na

mes

will

be

prov

ided

. D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

Mal

awi:

1

40

Num

ber

of a

rtic

les

subm

itted

for

publ

icat

ion

in p

eer

revi

ewed

jour

nals

Thi

s in

clud

es a

ll ar

ticle

s su

bmitt

ed fo

r pu

blic

atio

n in

a p

eer

revi

ew jo

urna

l tha

t M

CSP

pro

ject

sta

ff ha

ve w

ritt

en o

r co

ntri

bute

d to

. D

isag

greg

ated

by

coun

try

Prog

ram

rec

ords

Ann

ually

Mal

awi:

1

41

Num

ber

of t

echn

ical

re

port

s/pa

pers

, po

licy/

rese

arch

/pro

gram

br

iefs

, and

fact

she

ets

prod

uced

and

di

ssem

inat

ed

Thi

s re

fers

to

any

type

of t

echn

ical

rep

ort,

pape

r, p

olic

y br

ief,

rese

arch

bri

ef, p

rogr

am b

rief

, or

fact

she

et p

rodu

ced

and

diss

emin

ated

abo

ut M

CSP

or

wri

tten

by

MC

SP s

taff.

D

isse

min

atio

n ca

n be

ele

ctro

nic

or in

a p

ublic

foru

m s

uch

as

a na

tiona

l or

inte

rnat

iona

l mee

ting

or c

onfe

renc

e.

Dis

aggr

egat

e by

cou

ntry

and

typ

e of

pub

licat

ion

Prog

ram

rec

ords

Ann

ually

Mal

i: 1

(MSC

P fa

ct

shee

t)

78

Mat

erna

l and

Chi

ld S

urvi

val P

rogr

am S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

3: F

ost

er e

ffec

tive

po

licy,

pro

gram

lear

nin

g an

d a

cco

unta

bili

ty fo

r st

ren

gth

enin

g R

MN

CH

ou

tco

mes

acr

oss

th

e co

nti

nu

um

of c

are

42

Num

ber

of M

CSP

-su

ppor

ted

coun

trie

s th

at

have

inte

grat

ed n

ew

RM

NC

H in

dica

tors

into

th

e na

tiona

l HM

IS

To

be r

epor

ted

here

, ind

icat

ors

mus

t be

inst

itutio

naliz

ed a

nd

inco

rpor

ated

into

sta

ndar

d na

tiona

l HM

IS r

ecor

ding

and

re

port

ing

form

ats.

T

his

incl

udes

ser

vice

use

and

qua

lity

of c

are

indi

cato

rs

rela

ted

to m

ater

nity

ser

vice

s, p

ostp

artu

m c

are,

com

mun

ity

case

man

agem

ent,

imm

uniz

atio

n, e

tc.

Dis

aggr

egat

ed b

y co

untr

y

Prog

ram

rec

ords

Ann

ually

43

Num

ber

of M

CSP

-su

ppor

ted

coun

trie

s pi

lot

test

ing

new

RM

NC

H

indi

cato

rs

Thi

s in

clud

es s

ervi

ce u

se a

nd q

ualit

y of

car

e in

dica

tors

re

late

d to

mat

erni

ty s

ervi

ces,

pos

tpar

tum

car

e, c

omm

unity

ca

se m

anag

emen

t, im

mun

izat

ion,

etc

. T

o be

con

side

red

a pi

lot,

the

tool

s m

ust

be u

sed

for

mor

e th

an a

mon

th in

at

leas

t on

e fa

cilit

y.

Dis

aggr

egat

ed b

y co

untr

y

Prog

ram

rec

ords

Ann

ually

Mal

i: 1

44

Perc

enta

ge o

f MC

SP

targ

et d

istr

icts

tha

t ha

ve a

sy

stem

atic

app

roac

h to

tr

ack

and

disp

lay

a pr

iori

ty s

et o

f RM

NC

H

indi

cato

rs

Num

erat

or: N

umbe

r of

tar

get

dist

rict

s (o

r co

untie

s/LG

As/

w

ored

as)

that

hav

e a

syst

emat

ic a

ppro

ach

to t

rack

and

di

spla

y a

prio

rity

set

of R

MN

CH

indi

cato

rs. T

his

may

incl

ude

dist

rict

sco

reca

rds/

dash

boar

ds.

Den

omin

ator

: Tot

al n

umbe

r of

tar

get

dist

rict

s

Dis

aggr

egat

ed b

y co

untr

y

Prog

ram

rec

ords

Ann

ually

Mal

i: (1

3/13

) 1

00%

45

Perc

enta

ge o

f MC

SP

targ

et d

istr

icts

with

re

gula

r fe

edba

ck

mec

hani

sms

supp

orte

d by

th

e pr

ogra

m t

o sh

are

info

rmat

ion

on p

rogr

ess

tow

ard

RM

NC

H h

ealth

ta

rget

s w

ith c

omm

unity

m

embe

rs a

nd/o

r C

SOs

Num

erat

or: N

umbe

r of

tar

get

dist

rict

s w

ith r

egul

ar fe

edba

ck

mec

hani

sms

to s

hare

info

rmat

ion

on p

rogr

ess

tow

ards

hea

lth

targ

ets

to c

omm

unity

mem

bers

and

CSO

s D

enom

inat

or: T

otal

num

ber

of t

arge

t di

stri

cts

Feed

back

mec

hani

sms

may

incl

ude:

reg

ular

mee

tings

dat

a re

view

mee

tings

with

com

mun

ities

and

CSO

mem

bers

in

vite

d, r

epor

ts/s

core

card

s in

com

mun

ity-a

ppro

pria

te

lang

uage

pos

ted

at s

ervi

ce p

oint

s, e

tc.

Dis

aggr

egat

ed b

y co

untr

y

Prog

ram

rec

ords

Ann

ually

Mal

awi:

(0/2

) 0%

Mal

i: (1

3/13

) 10

0%

79

Mat

erna

l and

Chi

ld S

urvi

val S

tart

Up

Rep

ort

#

Ind

icat

or

Def

init

ion

an

d D

isag

greg

atio

n

Dat

a S

ou

rce/

Co

llect

ion

M

eth

od

Fre

qu

ency

of

Dat

a C

olle

ctio

n

FY

2014

Dat

a

Ob

ject

ive

3: F

ost

er e

ffec

tive

po

licy,

pro

gram

lear

nin

g an

d a

cco

unta

bili

ty fo

r st

ren

gth

enin

g R

MN

CH

ou

tco

mes

acr

oss

th

e co

nti

nu

um

of c

are

46

Perc

enta

ge o

f MC

SP

targ

et d

istr

icts

tha

t co

nduc

ted

a da

ta q

ualit

y as

sess

men

t in

the

pas

t ye

ar t

hat

incl

uded

R

MN

CH

indi

cato

rs

Num

erat

or: N

umbe

r of

tar

get

dist

rict

s w

ith o

ne o

r m

ore

heal

th fa

cilit

ies

that

con

duct

ed a

dat

a qu

ality

ass

essm

ent

in

the

past

yea

r th

at in

clud

ed r

epro

duct

ive

heal

th, m

ater

nal a

nd

new

born

hea

lth, a

nd c

hild

hea

lth in

dica

tors

D

enom

inat

or: T

otal

num

ber

of t

arge

t di

stri

cts

Dis

aggr

egat

ed b

y co

untr

y Ex

ampl

es o

f app

ropr

iate

dat

a qu

ality

ass

essm

ent

tool

s ar

e:

RD

QA

, im

mun

izat

ion

DQ

S

Ann

ual H

IS r

evie

w

asse

ssm

ents

A

nnua

llyM

ali:

(7/1

3 )

54%

47

Num

ber

of c

ount

ries

im

plem

entin

g a

mat

erna

l an

d pe

rina

tal d

eath

su

rvei

llanc

e an

d re

spon

se

syst

em w

ith M

CSP

su

ppor

t

Thi

s co

uld

cove

r th

e co

mm

unity

and

/or

faci

lity-

base

d de

aths

an

d m

ay in

clud

e ap

plic

atio

n of

WH

O's

Mat

erna

l Dea

th

Surv

eilla

nce

and

Res

pons

e ap

proa

ch

Dis

aggr

egat

ed b

y co

untr

y

Supe

rvis

ion

repo

rts,

hea

lth

faci

lity

surv

ey, s

urve

illan

ce

repo

rts

Ann

ually

Mal

i: 1

80 Maternal and Child Survival Program Start Up Report

Annex G: Success Stories Community

CORE Group held an expert review meeting May 29–30, 2014, on the scale-up of Care Groups (CG) as a behavior change strategy for improving nutrition and maternal and child health. The meeting began with a review of the current evidence base including the results of a recent comparison of mortality reduction in USAID-funded private voluntary organization CSHGP projects with and without Care Groups; operations research projects funded by the CSHGP; and Food for Peace-funded Title II Projects that used Care Groups. A Care Group is a group of 10–15 volunteer, community-based health educators who regularly meet together with a supervisor, and are responsible for regularly visiting 10–15 of their neighbors, sharing what they have learned and facilitating behavior change at the household level. The evidence base regarding the cost-effectiveness of Care Groups is sufficiently robust now to justify expansion of funding for RMNCH programs using the Care Group strategy, for both NGO as well as government programs. Care Groups have the potential to serve as an implementation strategy to address other health priorities beyond maternal and child health, including FP, gender-based violence, mental health (including depression), HIV, and TB, as well as WASH issues, among other possibilities. This potential represents an exciting new frontier. We are only now beginning to understand how to use participatory women’s groups for the benefit of women and their families. Along with other approaches that enable frequent interpersonal contact between health care workers and community members, Care Groups can help to accelerate global progress in improving RMNCH and other global health priorities. Policymakers and donors now have an opportunity to build on this evidence and experience. The evidence and recommendations can be found in a policy guide produced from the meeting: Perry H, Morrow M, Davis T, Borger S, Weiss J, DeCoster M, Ernst P. 2014. Care Groups – An Effective Community-based Delivery Strategy for Improving Reproductive, Maternal, Neonatal and Child Health in High-Mortality, Resource-Constrained Settings: A Guide for Policy Makers and Donors. CORE Group: Washington, D.C., available at: http://www.coregroup.org/storage/documents/meeting_reports/ Care_Group_Policy_Guide_Final_8_2014.pdf

Documents

Maternal and Child Survival Start Up Report - · PDF fileBEmONC Basic emergency obstetric and newborn care BMGF Bill & Melinda Gates Foundation CCM Community case management ... INAP