quarterly performance report april to june, 2014

QUARTERLY PERFORMANCE REPORT April to June, 2014

Agir Pour La Planification Familiale – AgirPF Agreement No. AID-624-A-13-00004

Submitted to USAID/WA

by EngenderHealth, Inc.

Futures Institute

AgirPF Quarterly Performance Report ● April to June 2014 ii

Table of Contents

ACRONYMS AND ABBREVIATIONS ................................................................................................ iii

I. EXECUTIVE SUMMARY ................................................................................................................ 5

II. DESCRIPTION OF ACTIVITIES COMPLETED/INITIATED .............................................................. 5

III. DISCUSSION OF CHALLENGES TO IMPLEMENTATION ........................................................... 16

IV. ACTIVITIES PLANNED FOR THE FOLLOWING QUARTER……………………………………………………..13

V. FINANCIAL BRIEF ………………………………………………………………………………………………….…………14

VI. OTHER ……………………………………………………………………………………………………………………………15

VII. ANNEXES ………………………………………………………………………………………………………………………16

AgirPF Quarterly Performance Report ● April to June 2014 iii

ACRONYMS AND ABBREVIATIONS

ABBEF Association Burkina Bé de Bien-Être Familial ADESCO Appui au Développement et à la Santé Communautaire AMACACH Association des Militaires, Anciens Combattants, Amis et Corps Habillés ATBEF Association Togolaise pour le Bien-Être Familial BASP96 Bureau d’Appui en Santé Publique 96 BUMESP Bureau Mauritanien en Santé et Population BUMIGEB Bureau des Mines et de la Géologie du Burkina CBRS Comité de Bioéthique pour la Recherche en Santé CHU Centre Hospitalier Universitaire CHR Centre Hospitalier Régional CHW Community health worker CKA Consulting Cabinet Koffi Argoze Consulting CM Country Manager CMA Centre Medical avec Antenne Chirurgicale (District Hospital with Surgical Wards) COP Chief of Party CPT Contraceptive Procurement table CPR Contraceptive Prevalence Rate CNSR Centre National de Santé de la Reproduction CSO Civil Society Organization DAC Direction des Affaires Communes DPLET Direction des Pharmacies, des Laboratoires et des Equipements techniques DQA Data quality assessment DRK Direction Régionale de Koudougou DSF Division de la Santé Familiale ECOWAS Economic Commission of West Africa States EH EngenderHealth FP Family planning HPP Health Policy Project IBC Interventions à Base Communautaire IPPF International Planned Parenthood Federation IRB Institutional Review Board M&E/R Monitoring, Evaluation, & Research MOH Ministry of Health MOU Memorandum of Understanding MSI Marie Stoppes International NGO Non-Governmental Organization ONEA Office Nationale de l’Eau et de l’Assainissement PMP Performance Monitoring Plan PPIUD Post-Partum Intra Uterine Device PSA Professional services agreement RAPID Resources for Analysis of the Population and its Impact on Development RH Reproductive Health

AgirPF Quarterly Performance Report ● April to June 2014 iv

RHO Regional Health Office (USAID/West Africa) SBCC Social and Behavior Change Communication SEED Supply/Enabling Environment/Demand SOFITEX Société des Fibres et Textiles du Burkina SIFPO Support for International Family Planning Organizations SONABEL Société Nationale Burkinabé d’Electricité SPO Senior Program Officer TD Technical Director URCB Union des Religieux et Coutumiers du Burkina URD Demographic Research Unit USAID/WA U.S. Agency for International Development/West Africa WAAF West Africa Ambassadors’ Fund WAHO West African Health Organization WHO World Health Organization WHS Worker health Service

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AgirPF Quarterly Performance Report ● April to June 2014

I. EXECUTIVE SUMMARY

The Agir Pour la Planification Familiale (AgirPF) Project was awarded as a Cooperative Agreement by the USAID/West Africa Regional Health Office to EngenderHealth on July 5, 2013 and was launched in January 2014 in Togo, Burkina Faso and Niger. The purpose of AgirPF Project is to increase access to and use of quality family planning (FP) services in select urban and peri-urban areas of five francophone West African countries: Burkina Faso, Côte d’Ivoire (starting in Year 3), Mauritania, Niger, and Togo. The Project works closely with Ministries of Health (MOHs) and other local partners to support the national action plans for strengthening FP that followed the February 2011 Francophone West Africa Regional Conference on Population, Development, and Family Planning in Ouagadougou, Burkina Faso.

The technical approach of AgirPF includes: (i) improving FP service quality; (ii) bringing FP services to underserved communities; (iii) educating and empowering clients and grassroots advocates; (iv) reducing financial barriers; and (v) solving logistics issues and estimating commodity needs. To achieve its strategic objective, AgirPF aims to achieve three results and six sub-results:

Result 1: Delivery of quality FP information, products, and services strengthened and expanded.o Sub-result 1.1: Partners strengthened to implement evidence-based approaches and deliver

quality FP services.o Sub-result 1.2: Local leaders, civil society, service providers, municipal government support

and promote FP. Result 2: Evidence-based service delivery approaches selected, adapted, and implemented.o Sub-result 2.1: Efficiency and effectiveness enhanced through adaptation and

implementation.o Sub-result 2.2: Lessons documented and disseminated from adaptation and implementation.

Result 3: Efforts to remove policy barriers and improve contraceptive commodity securitycoordinated.o Sub-result 3.1: Policy barriers identified and new/revised policies adopted and implemented.o Sub-result 3.2: Contraceptive commodity needs identified and coordinated among partners

and country commodity security and logistics management committees.

This report represents the fourth quarterly report (April-June 2014) for AgirPF. Key accomplishments during this quarter include:

1. Providing FP refresher training to 35 trainers in Burkina and Niger via Technical Start-upOrientation Workshops;

2. The elaboration of three Memorandums of Understanding (MOUs) with the Ministry ofHealth in Burkina Faso, Niger and Togo;

3. The completion and signing of two important Professional services agreements (PSA) inBurkina and Togo enabling the baseline studies;

4. The development of Sub-grants with the IPPF Member Associations of Burkina (ABBEF) andTogo (ATBEF);

5. Conducting the Baseline study data collection in Togo and Burkina Faso; (vi) Coordinatingefforts to Remove Policy Barriers and Improve Contraceptive Commodity Security; and

Presentation of RAPID Togo to 103 high level officials and stakeholders, and development of RAPID Niger with 36 participants (12 women and 24 men) including representatives from the President and Prime Minister Offices, the National Parliament and Niger strategic Ministries.

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During the reporting period, critical assumptions1 for achieving AgirPF results remained stable.

II. DESCRIPTION OF ACTIVITIES COMPLETED/INITIATED UNDER EACH PROJECT OBJECTIVE/COMPONENT

Project activities continue to be implemented under the leadership of EngenderHealth in partnership with its core partner, Futures Institute2. Activities implemented during this reporting period are summarized in Table 1 and described in more detail below.

Table 1. Major activities and accomplishments in the period April – June 2014

Activities and accomplishments

April – June 2014

AgirPF

Region

Burkina

Faso Togo Niger

Mauri

tania

Staffing

- Hired one Bookkeeper ■ ■

- Hired a Country Manager for Burkina Faso ■ ■

Management and Coordination activities

- Held coordination meetings with partners ■ ■ ■ ■

- Participated in stakeholders and partners meetings ■ ■ ■ ■ ■

- Conducted a Finance and Operations Review in Niger and

Burkina Faso Offices■ ■ ■

Project implementation activities

R1. Delivery of Quality FP Information, Products, and Services Strengthened and Expanded

1.1.2 Plan activities in coordination with partners

- Held Technical Workshop for Trainers skills standardization in Burkina and Niger

■ ■ ■

- Developing a sub-grant with ANBEF ■

- Finalizing sub-grant with ATBEF ■ ■

- Finalizing sub-grant with ABBEF ■ ■

- Sub-grant with AMACACH and CAMEG in progress ■ ■

1.1.3 Conduct baseline assessments

- Baseline study protocol approved by W/IRB and localethics committees

■ ■ ■ ■

- Baseline study team recruited and trained ■ ■ ■ ■

- Baseline study data collection completed ■ ■ ■

- Baseline data being analyzed ■

1Critical assumptions are: (1) Social, political and legal environments will remain favorable to implementation of AgirPF’s interventions; (2) Governments will not implement new policies, standards, or protocols that restrict FP services; (3) Commitment and cooperation from the Ministries of Health and partners to implement the proposed strategy is sustained throughout the life of the project; (4) There will be adequate equipment, expendable supplies and contraceptive products in the intervention areas to support the delivery of FP services; and (5) There will be timely and continuous availability of funding to support work plan implementation.

2 Futures Institute has contributed to the design and implementation of planned activities in the area of advocacy and policy in close

collaboration with the AgirPF policy advisor.

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Activities and accomplishments

April – June 2014

AgirPF

Region

Burkina

Faso Togo Niger

Mauri

tania

1.1.6 Building training systems around Centers of Excellence

- Center of Excellence identified ■ ■

1.1.8 Organize industry-based activities, including health fairs

- Industry-partners identified ■ ■ ■

- Health Fair organized in collaboration with MOH ■

R2. Evidence-Based Service Delivery Approaches Selected, Adapted, and Implemented

2.1.2 Secure necessary approvals, including MOUs

- Draft MOUs revised by EH/NY and USAID and transmittedto MOH for review and signature

■ ■ ■

- MOU with MOH signed ■ ■

R3. Efforts to Remove Policy Barriers and Improve Contraceptive Commodity Security coordinated

3.1. Policy barriers identified and new/revised policies adopted and implemented

- Training in SPECTRUM held and RAPID Model developed ■ ■

- Conducted advocacy activities, including the firstpresentation of the RAPID model to stakeholders

■ ■

3.2 : Contraceptive commodity needs identified and coordinated among partners, country commodity security,

and logistics management committees (in collaboration with DELIVER)

- Participated in Togo’s Contraceptive logistics tools reviewworkshop organized in collaboration with DELIVER

■ ■

- Orientation of AgirPF Team on new Reality Check tool ■ ■

- Provided Technical Assistance for the logisticmanagement system design in Mauritania incollaboration with DELIVER PROJECT

■ ■

- MOU with UNFPA signed ■

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2.1 - PROGRAM MANAGEMENT ACTIVITIES

Staffing A total of two new staff members were hired this quarter. This includes a Bookkeeper for AgirPF Niger, M. Soumana Abdoulaye, and the Country Manager for Burkina Faso, M. Koalga Djabada Oscar. M. Koalga is a Burkina Faso native, and holds a master in Planning and Development. He has 29 years of experience in managing projects in Burkina Faso and in West Africa Region. He worked with several local and international NGOs including: (i) ABBEF, IPPF affiliate in Burkina Faso as Executive Director; (ii) Caritas International as National Coordinator; (iii) Oxfam Great Britain as Zonal Program Manager for Burkina Faso, Ghana, Mali and Niger; (iv) Axios Foundation as National Activities Coordinator in Burkina Faso; and (v) Oxfam-Quebec as Country Representative in Burkina Faso. He is experienced in family planning, reproductive health, HIV/AIDS, and youth reproductive health with a great knowledge in gender equity, women and youth rights, a vast experience in civil society organization capacity building and empowerment, and in community based services development. He will start on July 25, 2014. ■ Management and coordination of meetings At the regional and countries levels, AgirPF held coordination meetings with partners, participated in several stakeholder and partner meetings, and organized regular monthly country office staff meetings as well as AgirPF All staff meetings. In particular, coordination meetings with partners enabled AgirPF staff to identify potentials for sub-grants in Togo, Burkina Faso and Niger as indicated in the table below. Process for finalizing these sub-grants is underway.

Country IPPF-MA Other Sub-Grants WAAF Grants

Togo ATBEF (CoE)3 ADESCO AMACACH

Burkina Faso ABBEF TBD (CoE) URCB, RH/FP Champions Network

Niger ANBEF CNSR (CoE) RH/FP Champions Network of Niger

It is also noteworthy to mention the potential for collaboration between AgirPF and the Peace Corps Management team in Togo as well as between AgirPF and the US Embassy in Togo through AMACACH, an organization of military and veterans of Togo Armed Forces providing health care support to health facilities based in military bases and camps of Togo. First, AgirPF met with the Togo Peace Corps Management team to discuss possible avenues for cooperation that include: (i) recruiting a 3rd year Peace Corps volunteer to work with AgirPF as an intern, (ii) including Peace Corps volunteers in AgirPF FP training for CHWs so they can use it in their respective locations, (iii) using the PC volunteers that are in AgirPF intervention areas to support our project objectives, and (iv) using the Peace Corps Summer Camps organized in 2014 in Togo to develop and provide IEC and SBCC messages for youth. The collaboration with the Peace Corps can be formalized by a simple Letter of Commitment. The two parties agree to develop a SOW to move forward. Secondly, AgirPF team met with a US Embassy Togo team working on HIV/AIDS programs and AMACACH, which receives support from the US Embassy to assist the military health facilities on HIV/AIDS prevention, care and treatment. Given that military health facilities do not provide FP services, AgirPF is considering filling this gap through a WAAF grant on recommendation of the embassy.

3 CoE: Center of Excellence

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Thirdly, the Regional Finance and Operations Manager undertook a field visit in Burkina Faso and Niger from 8 to 24 June 2014 to orient Bookkeepers and strengthen the internal control system. As accountable for the use of USAID funds, one of the regional project responsibilities is ensure that the two offices are adequately equipped and the management of resources at their disposal complies with the "Standard Operating Procedures" (SOPs) in place. During this field visit, the activities performed in the two countries included the following:

Procurement procedures

Procedures for Travel: Travel Authorization Form (TAF), Travel Expenses Report (TER), and Per diem policy

Procedures for the preparation of the financial report and close of the month

Use of QuickBooks and Insight reports

Internal control

Budget management

Cost sharing between projects

Reconciliation of balance sheet accounts and work year-end

The grading system and internal control At the end of this review, a debrief session was made to stress some recommendations for Finance and Operations improvements in the two country offices (see Appendix 1).).

2.2 - IMPLEMENTATION OF ACTIVITIES APPROVED IN THE WORKPLAN

R1. Delivery of Quality FP Information, Products, and Services Strengthened and Expanded

1.1.3. Conduct baseline study During the reporting period, a substantial amount of time was devoted for the design and

implementation of the baseline study which is by far the most important activity carried out in

terms of time and budget allocations. Key activities implemented include: the study standard

protocol and tools ethical and technical review by EngenderHealth in-house ethical review process;

their review and approval by the Western Institutional Review Board (WIRB)4, a US based

Institutional Review Board on April 22; their adaptation to Togo, Burkina Faso and Niger local

contexts; the submission and approval of these study protocol and tools by local Health Research

Ethics Committees in Togo on April 10th, in Burkina Faso on May 20th and in Niger on June 16th; the

recruitment and orientation of a research group for the implementation of the baseline study in

Togo, Burkina Faso, Niger and Mauritania. In addition, four local research groups including URD,

BASP 96, CKA CONSULTING and BUMESP were competitively selected for the implementation of the

baseline study respectively in Togo, Burkina Faso, Niger and Togo; and two Professional Services

Agreements (PSA) were signed with URD and BASP 96 in Togo and Burkina and negotiations are

underway with CKA CONSULTING and BUMESP Niger and Mauritania. The two research groups for

Togo and Burkina Faso recruited and trained data collection teams, and organized field data

collection in these two countries.

4 Western Institutional Review Board®

3535 7th Avenue SW l Olympia, WA 98502-5010

Office: (360) 252-2500 l Fax: (360) 252-2498 l www.wirb.com

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Data collection tools used for the study includes the following: Facility Audits Consent Process and

Guide, Provider Interview Consent Process and Questionnaire, Female Household Interview

Consent Process and Questionnaire, Male Household Interview Consent Process and Questionnaire,

Female CHW Interview Consent Process and Questionnaire, Male CHW Interview Consent Process

and Questionnaire, and Key informant Interview Consent Process and Guide.

Five-day interviewer trainings were trainings were organized for the examination and pretest of

these tools in Togo as well as in Burkina Faso. The table below gives the number of personnel

oriented or trained for the data collection in Togo and in Burkina Faso:

Country Researchers Supervisors Interviewers

Togo 3 4 28

Burkina Faso 3 4 32

Data collection is now completed in Togo and in Burkina Faso. In Togo, data entry completed

includes 72 health facilities audited, 149 FP service providers interviewed, 172 CHW interviewed,

811 men and 1607 women interviewed using household questionnaire, and also 42 disabled men

and women interviewed using also the household questionnaire. Detailed information on the study

samples is available in Annex 5. In Togo, six data entry clerks were also trained on CSPro software

for the data entry, which is almost complete.

1.1.6. Building training systems around Centers of Excellence (CoE) Selection of Center of Excellence5

5 The desired Model of Centre of Excellence integrates EngenderHealth facility audit tool. It combines five key elements

and fundamental domains, and Quality Improvement as follows: - (i) Accessibility and Availability of services and commodities for clients and their families, (ii) Security (availability of

skilled providers and high quality services), (iii) Service integration, (iv) Respect of Health Ethics with respect of client rights, and (v) Social responsibility (taking care of the poorest clients)

- Fundamental domains for a Centre of Excellence: (i) Knowledge Management taking into account the 3 learning dimensions (knowledge, Skills and attitudes), (ii) Good management of Processes of care, (iii) Good practices in

Photo 2: Data collection in a Household at Sokodé, in Togo

Photo 1: Data collector with a Sokodé District Health manager in Togo

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The process for identifying a health facility to become a Center of Excellence is completed in Togo, but is underway in Burkina Faso and Niger. AgirPF/Burkina collected information in four major Health Facilities in Ouagadougou: CMA de Kossodo, CMA de Pissy, and CMA du secteur 30. But the analysis of this information collected indicates that these health facilities do not meet the standard of criteria for selection. Burkina Faso continues the exploration to finalize the choice of a Center of Excellence. In Niger, the final decision for CoE identification is awaiting for the baseline audit study results.


The process for the identification of Industry Partners continues in Burkina Faso and in Niger, while at the same time there was an opportunity to organize a health fair in collaboration with the MOH of Niger. Selection of industries and companies for health fairs

The selection of sites for "health fairs” is complete in Togo. Three industries have been selected: “La Brasserie du Benin”, “Port Autonome de Lomé” and “Société Mèche Amina”. AgirPF is still awaiting the signature of a MOU with these industries. In Burkina Faso, a total of 11 sites were selected in the three focus cities for fixed and outreach

service delivery strategies. Health fairs at these sites will be organized to provide information about

FP and immediate access to services for interested clients. These events will be used as an

opportunity to strengthen the capacity of the companies’ health facilities to provide quality FP

services. Specifically, the health fairs will be used as a forum for strengthening providers’ skills in FP

counseling and method provision, as well as addressing gaps in essential FP equipment and

instruments at these sites The list of selected sites is given in the table below.

In Niger, AgirPF is still exploring the possibilities of partnering with Microfinance Bank of ASUSU,

Ecobank, Niger Enterprises’ and Societies Coalitions against AIDS, Tuberculosis and Malaria to

collaborate in the organization of health fairs. In the meantime, during the reporting period, AgirPF,

in collaboration with the MOH, organized a health fair in three health centers: the National Center

for Reproductive Health, and the Integrated Health Centers of Taladjé and Lazaret. A total number

of 1400 women and men benefited from FP Counselling Services, STI/HIV/AIDS screening,

precancerous lesions and FP service provision.

terms of client right-based service provision, (iv) Able of showing tangible results, (v) Demonstrates good Leadership provision (good governance, quality data production, good level of communication), (vi) Improved Facility Environment, (Vii) Satisfaction of Provider needs, (Viii) Community Participation

- Finally, Quality improvement

Region/City Fixed Sites strategy Sites for Outreach strategy

Ouagadougou Rood Wooko, SITARAIL, Roads General Direction, OST MCH Clinic

ONEA, BUMIGEB

Bobo-Dioulasso SOFITEX, SN Citec SONABEL

Koudougou SOFITEX, Centre de la DRS

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Health Fair activity results in Niger (June 06 – 11, 2014)

Activities Health Facilities

Total CSI Talladje CSI Lazaret CNSR

Uterus and Cervix Pre-cancer screening 78 155 355 588

HIV Testing 63 17 154 234

Family Planning (PF) 94 86 283 463

HIV Counseling and Testing for Young people 0 0 84 84

HIV Counseling and Testing for Adult 0 0 37 37

Blood collection 0 0 43 43

1449

R2. Evidence-Based Service Delivery Approaches Selected, Adapted, and Implemented

2.1.2 Secure necessary approvals, including Memorandum of Understandings (MOUs)

MOUs between AgirPF and the MOHs were already signed in Burkina Faso and in Niger. However,

due to USAID/WA RHO request to involve USAID/US Embassy in the approval and signature of the

MOUs, the last versions of the MOU were sent back to the US Embassy.

Country MOU status

Burkina Faso Signed on May 26, 2014

Niger Signed on June 4, 2014

Togo Not signed6

2.4. FP trainers’ skills standardization workshop preparation for Burkina Faso and Niger.

Two Technical Start-up workshops were organized in Burkina Faso and Niger. Their purpose was to orient AgirPF staff and partners to EngenderHealth’s approaches, tools, resources and policies for improving the quality of technical assistance provided for clinical services supported by AgirPF. Their specific objectives were to:

1. Explain EngenderHealth’s SEED programming model, 2. Orient participants to EngenderHealth’s and US Government’s policy requirements, 3. Orient participants to the Ensuring Clinical Quality framework and its components, 4. Provide an update on counseling using the REDI model, and on Infection Prevention, 5. Provide an update on contraceptive technology, 6. Standardize skills for the provision of long-acting reversible contraceptives (IUD and

implants), and 7. Identify action points and next steps in the implementation of AgirPF work plan.

Fifteen participants from Burkina Faso and twenty from Niger attended these training. The disaggregation of these participants by city, sex and profile is given in Annex 5. All training

6 USAID/WA RHO requested AgirPF country offices to send back the MOUs for review, approval and signature by USAID or US

Embassies.

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participants in Burkina Faso and all but three participants in Niger mastered the IUD and Jadelle clinical skills using anatomic models. In both countries, teams at each workshop developed action plans for their next steps.

Technical Start-up workshop participants from Burkina Faso Technical Start-up workshop participants from Niger

Some key next steps, among others include: - The MOH/Burkina Family Health Direction Team of Trainers FP Skills standardization using

EngenderHealth technical approaches - The Review MOH Supervision tools integrating EngenderHealth new FP counseling approach

(REDI) on counseling and IDU and Implants service provision. - The Integration into MOH Policy, Norms and Protocol as well as in FP training curriculum,

EngenderHealth technical approach of providing IUD and Implant

R3. Efforts to Remove Policy Barriers and Improve Contraceptive Commodity Security coordinated

3.1. Policy barriers identified and new/revised policies adopted and implemented In this reporting period, in-country training on SPECTRUM7 and RAPID8 Models development workshops were prepared for Mauritania, Burkina Faso and Niger. The training on SPECTRUM was held and RAPID Models developed for Niger and Mauritania with support from Futures Institute. In addition, the first presentation of the RAPID model to stakeholders, as well as the advocacy training to stakeholders, was conducted in Togo.

Contribution to the preparation of training session on SPECTRUM and Country and Urban RAPID Model development workshops in Burkina Faso, Mauritania and Niger

These preparations concern training on SPECTRUM, RAPID models for Burkina Faso, Mauritania and Niger as well as the urban RAPID models for Ouagadougou, Koudougou, Bobo-Dioulasso, Nouakchott, Niamey and Maradi . The process includes the participation of UNFPA, WAHO, HPP, DELIVER and other partners.

7 SPECTRUM is a suite of easy-to-use policy models which provide policy makers with an analytical tool to support the decision-

making process. 8 RAPID means “Resources for Analysis on Population and its Impact on Development” and is a powerful advocacy tool that highlights

the overarching importance of family planning for most socio-economic development sectors. It encourages decision makers to put promotion of family planning in their agenda as a priority.

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3.1.2. Develop RAPID models

Training on SPECTRUM and Mauritania RAPID model and Nouakchott Urban RAPID model development workshop at Mauricenter hotel in Nouakchott from May 26-29, 2014

A four-day workshop, including 25 participants (8 women and 17 men), was organized to train on SPECTRUM and develop RAPID Mauritania 2014 and specific Urban RAPID model for Nouakchott in the view of providing Mauritania with performing advocacy tools.

SPECTRUM Training and RAPID models development workshop, June 24-27, 2014 at Africa Hall

in Niamey.

This workshop gathered 36 participants (12 women and 24 men) including participants from the President and Prime Minister Offices, the National Parliament and Niger strategic Ministries. The purpose of the workshop was to develop RAPID Niger 2014 as well as RAPID models specifically for Niamey and Maradi in order to provide national and municipal partners with tailored advocacy tools. The RAPID models developed in Mauritania and Niger have clearly illustrated the great benefits of fertility control on a range of socio-economic development sectors in these countries and constitute powerful tools to support advocacy campaigns designed to eliminate FP political barriers. At the end of each RAPID development process, the following next steps are planned in close collaboration with the West African Health Organization (WAHO):

- Advocacy Training, including analysis of political barriers to contraception and development of advocacy plans to remove the said barriers

- Technical and financial support (through grants) to advocacy networks to implement their advocacy plans and remove political barriers to contraception

- Support for the development of specific tools for advocacy towards religious leaders to help improve the socio-cultural environment of contraception

- Training for networks of religious leaders in advocacy, including the development of advocacy plans

- Technical and financial support (through grants) to Networks of Religious Leaders, in

collaboration with WAHO in order to implement their advocacy plans and then to improve

the socio-cultural environment of contraception.

3.1.3. Build the capacity of a coalition of advocates that effectively and expediently implement

AgirPF advocacy strategies

Presentation of RAPID Togo 2014 to 103 high level authorities and various stakeholders on May 13 at EDA OBA hotel in Lomé

This activity was organized in collaboration with HPP during the launch ceremony of the National Family Planning Action Plan of Togo 2013-2017. A presentation on the 2014 RAPID model illustrated the benefits of family planning on a range of socio-economic development sectors in Togo. Participants included US and France Ambassadors, UNFPA Representative, MOH General Secretary and 21 Press representatives.

Advocacy training workshop at Kpalimé in Togo, June 11-13, 2014.

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This workshop brought

together 33 participants (9

women and 24 men) from the

Ministries of Health, Social

Action and Women Promotion,

the Network of Advocacy

Champions for Adequate

Funding of Health (RCPFAS),

the West African Health

Organization (WAHO), and

UNFPA, the regional health

teams of Lomé, Sokodé and

Kara, and representatives of

other civil society

organizations of Lomé, Kara and Sokodé. The specific objectives of the training were to (1)

Familiarize participants with policy barriers to FP in Togo; (2) Help participants understand the

importance of data in policy dialogue in addressing political barriers on access and use of PF in

Togo; (3) Involve participants in the design of advocacy plans to address policy barriers to FP in

Togo; (4) Familiarize participants with the advocacy tools developed9; and (5) Provide opportunities

to plan for the implementation of an advocacy strategy by using Togo RAPID model 2014, Urban

RAPID models for Lomé, Kara and Sokodé. WAHO was deeply satisfied with the training and sought

AgirPF technical and financial support for the finalization and implementation of the drafted

advocacy action plans10.

3.2: Contraceptive commodity needs identified and coordinated among partners, country

commodity security, and logistics management committees (in collaboration with DELIVER)

AgirPF Team Orientation on Reality Check New version

In Year-1 Work plan, AgirPF included the introduction of Reality Check tool in the improvement of contraceptive Quantification exercises. On May 9, 2014, from 9:00 to 13:00, the Togo AgirPF Country Manager and the senior project Manager participated to a Reality Check Orientation workshop. Organized by EH/HQ, Program Associate in M&E/R in collaboration with AgirPF Technical Director, and the Regional Contraceptive Security Program Officer. USAID DELIVER Project Country Program Officer participated to the workshop. The workshop aimed to introduce Reality Check to AgirPF staff and discuss about the next steps for the tool introduction in the other AgirPf implementing countries and at the MOHs officials’ levels. The workshop focused on PPT presentations, exercises on the use

9 Togo RAPID model 2014, Urban RAPID models for Lomé, Kara and Sokodé.

10 After a thorough analysis of the political barriers to FP within a country, it is held one for which an advocacy plan is

developed, detailing the purpose of that plan, a description of decision-making process, activities/actions to be implemented, the method and tools for policy dialogue, audiences (primary and secondary), alliances required, messages/data, the period of performance and indicators for monitoring and evaluation.

Small group work facilitated by AgirPF Policy Advisor

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of the new tool, and the participants to the workshop decided to prior introduce Reality check to MOH officials, convince them and then expose the tool to the CPT Team members before training Districts’ team and providers to the use of the tool.

Technical assistance for Mauritania logistic management system design In May, AgirPF participated to a workshop in Nouakchott organized by the National Program

for Reproductive Health (PNSR) of MOH/Mauritania in collaboration with DELIVER PROJECT,

and UNFPA. The purpose of the workshop was to improve the availability of contraceptives

at all levels of the FP service delivery system in Mauritania. The next step is to organize a

national training on the contraceptive procurement chain and quantification of supplies for

key logistics management personnel at all levels of the system.

Development of a sub-grant between AgirPF and CAMEG in Togo.

Following the signature of a MOU between UNFPA and EngenderHealth, a sub-grant is being

developed between AgirPF and CAMEG11. The purpose of this sub-grant is to contribute to

reducing stock-outs at the health center level in the region of Lomé-Maritime.

III. DISCUSSION OF CHALLENGES TO IMPLEMENTATION AND THEIR IMPLICATIONS FOR ACHIEVING ANNUAL RESULTS

The challenges AgirPF faced this quarter are as follows: (i) The implementation of planned activities in Mauritania is still pending EngenderHealth

registration in this country. The challenge for AgirPF is to secure this approval prior to the end of the FY1.

(ii) Secure all necessary approval from EngenderHealth CCU and USAID/WA for our sub-grants with ABBEF, ATBEF, AMACACH and CAMEG.

(iii) AgirPF ended its partnership with EXP Agency due to unsatisfactory performance in meeting expected deliverables. The challenge for the project will be to quickly fill this gap to avoid delays in the implementation of SBCC activities.

IV. ACTIVITIES PLANNED FOR THE FIFTH QUARTER (Q5)

The following activities will be undertaken during the next quarter:

Project management activities

Complete hiring and orientation of project staff for open positions;

Sign contracts with the research study consultant and implementation of baseline survey in Niger and Mauritania;

Obtain the registration of EngenderHealth in Mauritania and launch the project; Identify, secure and equip office spaces in Mauritania; Procure project vehicles for Togo, Burkina Faso and Niger; Procure a generator for the Niger Office; Develop AgirPF Year 2 Workplan; and Identify a new partner for demand generation activities.

Result 1. Delivery of Quality FP Information, Products, and Services Strengthened and Expanded

11

Togolese-Essential Generic Drugs Procurement Centre

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Develop sub-awards with ABBEF in Burkina Faso, ATBEF, CAMEG and AMACACH in Togo and RH

Champions in Niger;

Assess local partners’ management, planning, and leadership capacity at baseline using

EngenderHealth’s participatory Organizational Capacity Assessment Tool (OCAT)

Follow up with US Embassy Togo for eligibility of AMACACH as WAAF grantee.

Identify and establish agreements with industry partners for Health Fairs

Adapt the facility walk-through methodology and tools,

Develop draft tools for the “3 Is” approach,

Recruit a consultant to start working on SBCC strategy ,

Organize providers training on FP counseling using the REDI model include a component on

couples FP counseling in Togo and Burkina Faso,

Organize TOT session on MAP for AgirPF staff in Niger, Mauritania and Lomé.

Result 2. Evidence-Based Service Delivery Approaches Selected, Adapted, and Implemented

Hold consultative meetings with stakeholders to select best practices in Togo;

Research and adapt "Gold Circle" materials,

Develop and Adapt job aids on the selected best practices.

Result 3. Efforts to remove policy barriers and improve contraceptive commodity security

coordinated

3.1. Operational Policy barriers identified and new/revised policies adopted and implemented

Organize a SPECTRUM training and RAPID models development workshop in Burkina Faso

Organize an advocacy training workshop in Burkina Faso, as well presentation sessions of

the country RAPID model and urban RAPID models of Ouagadougou, Bobo-Dioulasso and

Koudougou to the national and city level authorities

Organize an advocacy training workshop in Niger, as well presentation sessions of the

country RAPID model and urban RAPID models of Niamey and Maradi to the national and

city level authorities.

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V. FINANCIAL BRIEF

At the end of the quarter, the financial status of AgirPF project presents the following: The expenditures for the quarter is $995,322 with the breakdown below:

- AgirPF Regional Office: $461,562

- AgirPF Togo: $336,421

- AgirPF Burkina Faso : $85,785

- AgirPF Niger: $91,800 - AgirPF Mauritania: $19,754

The cumulative expenditures as of June are $3,115,364 which represents 55.13% of the initial obligated amount ($5,651,222).

On 16 June, USAID obligated an additional amount of $3,500,000 to ensure that AgirPF has sufficient funds to implement activities from now to December 2014. This new Obligation will be programmed during the next quarter.

At the close of June 2014, the total obligated amount is $9,151,222 which brings up our pipeline at $6,035,658.

The historical average monthly burn rate is about $332,000. With the end of data collection in Togo and Burkina Faso, we expect to see spending increase in the next quarter (July, August and September) especially as additional staff come onboard in Burkina Faso; vehicles and a generator will be purchased; the project will be launched in Mauritania and related activities will be implemented. We are slightly overspending under ODC mainly in Occupancy and Other. This is related mainly to two causes: the extended period of rental of vehicles for project use which was not planned to go beyond six months and is only now being resolved with the acquisition of vehicles for Togo and Burkina, and the payment of VAT imposed on the project in Burkina and Togo (even though the VAT paid in Burkina will be reimbursed at the end of the year). Based on the previous expenditures, projected expenditures on this line item from July, August and September 2014 represents $71,752 which will create a slight increase in the ODC line item of our approved budget. However, this variation represents less than 1% of the overall Year 1 approved budget.

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VII. ANNEXES

ANNEX 1. Year 1 Implementation table showing activities completed and yet to be completed *In the following implementation plan, Q1 corresponds to the partial quarter from July 5 to September 30, 2013. Q5 refers to July 1 to September 30, 2014. Result 1. Delivery of Quality FP Information, Products, and Services Strengthened and Expanded

Activity/Tasks Q1 Q2 Q3 Q4 Q5* Illustrative Output/Result

(Year 1)

Status

SR 1.1: Partners strengthened to implement evidence-based approaches and deliver quality FP services

1.1.1 Staff and equip offices

Complete hiring and orientation of project staff

X X 26 staff members hired and oriented

Activity underway

Register EngenderHealth in Mauritania

X X EngenderHealth registered

Initiated but not yet completed

Identify and secure office spaces in Burkina Faso and Togo

X Two leases signed Completed

Identify and secure office spaces in Mauritania and Niger

X X Two leases signed Completed for Niger and initiated but not completed for Mauritania

Equip offices in Burkina Faso and Togo

X X Two offices equipped

Completed

Equip offices in Mauritania and Niger

X X X Two offices equipped

Completed for Niger and not completed for Mauritania

Establish Standard Operating Procedures for offices

X X X SOPs available for four offices

Completed for Togo, Burkina, under review in Niger but yet to be completed in Mauritania

Procure project vehicles X X X Five vehicles procured

Activity underway

1.1.2 Plan activities in coordination with partners

Establish sub-agreementwith Futures Institute

X X sub-agreement signed

Completed

Identify local partners and finalize sub-awards

X X X X At least one sub-award signed per country (ongoing)

initiated but not yet completed

Finalize Year 1 work plan and budget, including initial country work plans

X X Regional work plan approved

Completed

Develop Performance Management Plan (PMP)

X X Regional PMP approved

Completed

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(Year 1)

Status

Refine country-level work plans through consultative meetings with local stakeholders, aligning work plans with countries’ Ouagadougou action plans

X X X X Four country work plans completed and available

Completed

Conduct a participatory review of processes, flow, and reporting systems for FP data in the Health Management Information System of each country

X X Review conducted Yet to be completed

Develop/adapt monitoring tools and databases

X X X X Monitoring tools available for each PMP indicator

Yet to be completed

Develop financial and performance reports

X X X X X Quarterly reports submitted on time

Completed

Hold project launch meetings in Burkina Faso and Togo

X X Two launch meetings held

Completed

Hold project launch meetings in Mauritania and Niger

X X Two launch meetings held

Completed for Niger and Yet to be completed for Mauritania

1.1.3 Conduct baseline assessments

Develop protocol and tools for baseline facility audits and stakeholder interviews (for FP effort index); secure necessary approvals

X Four protocols approved

Completed

Train data collectors in Burkina Faso and Togo

x Six data collectors trained per country

Completed

Collect data in Burkina Faso and Togo

X Data collected Completed

Train data collectors in Mauritania and Niger

X Six data collectors trained per country

Initiated but to be completed

Collect data in Mauritania and Niger

X X Data collected Activity underway

Analyze data; draft reports and presentations

X X X Four reports and presentations completed

In progress

1.1.4 Identify and implement quick wins

Identify quick win strategies; update strategy based on facility audit results

X X X One strategy developed and updated per country

Initiated

Provide quick win assistance (e.g., FP equipment) to facilities and MOHs in Burkina Faso and Togo

X X X Assistance provided Activity underway, Niger Center of Excellence has been partially equipped

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(Year 1)

Status

Send out call for proposals from CSOs/NGOs eligible for WAAF grants

X Proposals solicited Yet to be completed

Award and monitor WAAF sub-awards/grants

X X Sub-grants awarded WAAF grant for Togo underway

Assess local partners’ management, planning, and leadership capacity at baseline using EngenderHealth’s participatory Organizational Capacity Assessment Tool (OCAT)

X X X Four capacity assessments conducted and reviewed with partners

Yet to be completed

1.1.5 Improve curricula for FP services

Integrate exercises on gender sensitivity, couples counseling, and youth and male-friendly services into the FP curricula for Burkina Faso and Togo; validate updated curricula

X X Two updated curricula validated

Activity underway:

- FP manual that includes more gender exists;

- There is a half-day training curriculum on couples FP counseling;

- There is a 3-day training curriculum on youth-friendly services;

Collaborate with stakeholders on curricula review and update in FP counseling, clinical, and infection prevention for Mauritania and Niger

X X X Two updated curricula validated

Completed in Niger, Mauritania. Initiated in Burkina Faso and Togo

1.1.6 Building training systems around Centers of Excellence

Identify one health facility per urban focus area to become a Center of Excellence

X Nine Centers of Excellence identified

Health centers identified in Togo and Niger, Initiated in Burkina Faso, Yet to be completed in Mauritania

Equip Centers of Excellence to meet service delivery standards

X X X 4 Centers of Excellence equipped

Initiated for Niger (anatomic models provided) and Togo (anatomic models and Audiovisuals materials procured) 2 centers out of 4 have

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(Year 1)

Status

been equipped with anatomic models

Refresh trainers on facilitation skills and orient them to the updated curricula

X X X 10 trainers refreshed/ oriented

Completed

Introduce COPE in Centers of Excellence

X X 9 COPE exercises held

Yet to be completed

Support and coach trainers to train providers

X 80 providers trained 50 providers trained: completed

Produce Gold Circle materials to promote clinics that meet quality standards, starting with Centers of Excellence

X X X Materials produced Initiated but Yet to be completed

1.1.7 Support special and mobile FP services

Coordinate with Ministry of Health to plan Special FP Days and mobile services in Burkina Faso and Togo

X 10 Special Days and mobile services scheduled

Special days and mobile services scheduled with MOHs

Hold Special Service Days in Burkina Faso and Togo

X X X 10 Special Days held Yet to be completed

Conduct mobile services in Burkina Faso and Togo

X X Mobile services conducted

Yet to be completed

Coordinate with Ministry of Health to plan Special FP Days and mobile services in Niger and Mauritania

X X 10 Special Days and mobile services scheduled

Completed

Hold Special Service Days in Niger and Mauritania

X X 10 Special Days held Organized in 3 facilities with 1440 people reached in Niger but Yet to be completed

Conduct mobile services in Niger and Mauritania

X X Mobile services conducted

Yet to be completed


Identify industry partners X X X Agreements established with four industry partners

Industries partners identified in Togo, Niger and Burkina, Agreements and letters of commitment being signed. Yet to be completed in Mauritania

Conduct health fairs X Four health fairs held

Yet to be completed

1.1.9 Support/supervise CHWs and prepare for handover to local political/health authorities (Togo only)

Examine results of AWARE II, RESPOND, and interim support of CHWs by communities;

X X Results documented; strategy designed

Initiated but Yet to be completed

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(Year 1)

Status

design approach to scale-up and sustainability

Hold quarterly meetings to discuss handover with political/health authorities

X X X Strategy validated Yet to be completed

Support/supervise CHWs X X X Services offered by CHWs

Yet to be completed

Organize refresher trainings to CHWs

X X X 420 CHWs trained Yet to be completed

SR 1.2: Local leaders, civil society, service providers, municipal government support and promote FP

1.2.1 Conduct formative/market research 12Conduct Sixth Sense Methodology in Togo

X Sixth Sense workshops held

1 workshop held but to be completed

Conduct Sixth Sense Methodology in Burkina Faso

X Sixth Sense workshops held

Yet to be completed

Develop KAP survey protocol and tools

X Four protocols approved

Completed

Secure necessary approvals X Approvals secured Completed

Conduct KAP surveys in Togo and Burkina Faso

X Data collected Completed

Conduct KAP surveys in Niger and Mauritania

X X Data collected Initiated but yet to be completed

Analyze data X X Four reports produced

Initiated in Togo, Burkina Faso Yet to be completed in Niger and Mauritania

1.2.2 Develop/adapt SBCC strategies and messages

Using formative research findings, adopt/adapt/develop messages and approaches, including radio shows, outreach to youth, social marketing, and mobile technology to engage clients

X X SBCC messages and approaches drafted

Yet to be completed

Adapt EngenderHealth’s Gender Matters curriculum and EXP’s materials for use with youth in AGIR countries

X X X Curriculum for youth adapted

Initiated: Draft curriculum available

1.2.3 Implement SBCC strategies and messages

Air couple communication video in facilities and at outreach events utilizing

X X X Videos aired; outreach events held; participants

Yet to be completed

12

In Q3 Report, there was an error indicating that task 1 of activity 1.2.1. Conduct formative/Market research was

completed. Rather read activity initiated and yet to be completed.

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(Year 1)

Status

existing SBCC materials while new materials are under development

reached

Conduct community events such as theaters presentations

X X X Community events held; participants reached

Yet to be completed

Organize community group conversations using existing messages/materials

X X X Community conversations held; participants reached

Yet to be completed

1.2.4 Develop 3Is package and conduct workshops to create gender-sensitive FP champions

Gather/adapt materials for champions from EngenderHealth and partners

X X Materials gathered Yet to be completed

Develop 3Is resource package (including curricula for engaging religious leaders)

X X X Resource package developed

3Is resource package available excepted Religious engagement curriculum

Train partners in 3Is approach X X 135 partners/facilitators trained

Yet to be completed

Conduct 3Is workshops with champions

X Four workshops held

Yet to be completed

1.2.5 Conduct facility walk-throughs to engage the community in identifying and addressing barriers to service use

Adapt the facility walk-through methodology and tools for Burkina Faso and Togo

X Tools adapted Initiated: Facility walk-throughs methodology exists, Draft Guide exists for Burkina and Togo

Identify and train facilitators for facility walk-throughs in Burkina Faso and Togo

X Facilitators trained Facilitators training initiated in Togo (7 persons oriented) but yet to be done in Burkina Faso and pursued in togo

Hold facility walk-throughs in Burkina Faso and Togo that engage youth, women’s groups, CHWs, and local leaders in identifying and addressing barriers to access

X X 4 walk-throughs held; action plans developed

Yet to be completed

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Result 2. Evidence-Based Service Delivery Approaches Selected, Adapted, and Implemented

Activity/Tasks Q1 Q2 Q3 Q4 Q5* Expected Output/Result

(Year 1)

Status

SR 2.1: Efficiency and effectiveness of approaches enhanced through the adaptation and implementation process

2.1.1 Select best practices to be introduced; adapt approaches to local context

Conduct desk review of best practices and prepare presentation for stakeholders

X X Presentation prepared

Desk review done Presentation prepared but stakeholders not oriented

Hold consultative meetings with stakeholders in Burkina Faso and Togo to select best practices

X X Best practices selected

Yet to be completed

Hold consultative meetings with stakeholders in Mauritania and Niger to select best practices

X X Best practices selected

Yet to be completed

Conduct South-to-South study trip with stakeholders

X X Lessons documented

1 Study trip organized (6 persons from Burkina, Togo and Niger attended the PPIUD) Rapport and next steps available

2.1.2 Secure necessary approvals, including MOUs and IRB approvals

Develop protocol and tools to study best practices; secure necessary approvals

X X X Protocol approved Yet to be completed

2.1.3 Test best practices

Develop/adapt job aids (“how to”) on the selected best practices for ease of implementation by local organizations

X X X Job aids developed: fliers, wall charts, posters

Job aids gathering initiated but to be completed

Conduct workshops to build capacity of local organizations to implement best practices

X Four workshops held

Yet to be completed

SR 2.2: Lessons documented and disseminated on learning from adaptation and implementation processes and experiences

2.2.1 Hold start-up workshops for project and partner staff on learning, documentation, and advocacy (LDA) strategies; develop LDA objectives

Hold start-up workshops on learning, documentation, and advocacy

X X Four workshops held

Yet to be completed

Develop objectives for learning, documentation, and advocacy in collaboration with partners and policymakers

X X Objectives agreed upon

Yet to be completed

2.2.2 Establish a Community of Practice for FP in West Africa

Convene the first meeting of members of a small Core Group to start the process

X X Regional Meeting held

One meeting initiated by AgirPF and held with WAHO for Community of

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(Year 1)

Status

practice establishment. But to be pursued

Result 3. Efforts to Remove Policy Barriers and Improve Contraceptive Commodity Security Coordinated


(Year 1)

Status

SR 3.1: Operational policy barriers identified and new/revised policies adopted and implemented (in collaboration with HPP)

3.1.1 Develop a strategic action plan to address policy barriers

Develop advocacy strategy for each country

X X X Strategy documents completed

Advocay strategies exist for Burkina, Togo, Niger but to be completed

3.1.2 Prepare RAPID presentations

Develop or update RAPID presentations for Togo, Burkina Faso, Niger, and Mauritania

X X X Two RAPID presentations prepared

Completed

3.1.3 Build the capacity of a coalition of advocates that effectively and expediently implement AgirPF advocacy strategies

Conduct advocacy training for MOH and local partners, using 3Is tools such as Spectrum and Reality Check

X Four advocacy trainings held; 80 advocates trained

33 from MOH and Local Partners including WAHO trained in Togo 14 partners trained in partnership with WAHO Yet to be completed

3.1.4 Launch initial advocacy activities including outreach to stakeholders

Conduct advocacy activities X X X X Six advocacy activities conducted

1 advocacy activity conducted and 7 to come in the next quarter Yet to be completed

SR 3.2: Contraceptive commodity needs identified and coordinated among partners, country commodity security, and logistics management committees (in collaboration with DELIVER)

3.2.1 Introduce Reality Check in annual CPT exercises

Present and explain Reality Check data to CPT teams during quantification exercises

X Reality Check introduced in annual CPT exercises

Yet to be completed

Hold stakeholder meetings to introduce Reality Check to decision-makers

X Four stakeholder meetings held

Yet to be completed

Train CPT teams and other partners to use Reality Check

X CPT teams trained Yet to be completed

3.2.2 Support DELIVER trainings on monitoring and reporting on stock levels

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(Year 1)

Status

Support DELIVER trainings at the facility level to improve contraceptive security

X 40 facility staff trained Yet to be completed

3.2.3 Establish/support FP committees or Technical Working Groups

Participate in MOH committees and TWGs

X X X X AgirPF involvement in all MOH FP Committees and TWGs held

AgirPF staff already participated to at least 5 Committees and TWGs meeting. To be continued

Hold annual synchronization meeting for CAs and the RHO at the regional level

X Annual synchronization meeting held

Completed

Support quarterly meetings of the MOH and partners to support contraceptive security

X X X Quarterly meetings held

Pending to Meetings organized, AgirPF staff participated to 1 quarterly meeting

3.2.4 Introduce COPE for Contraceptive Security in Burkina Faso and Togo

Analyze COPE for Contraceptive Security baseline information from facility audits (activity 1.1.3) and produce baseline maps

X X Produce baseline map for each urban focus area

Cope for CS available but Yet to be completed

Introduce COPE for Contraceptive Security and Breakthrough Collaboratives at Centers of Excellence and other facilities where basic COPE methodology has been introduced

X Hold nine COPE exercises and Breakthrough Collaboratives

Yet to be completed

3.2.5 Introduce mHealth technology to continuously report on stocks, link with DELIVER advances in logistics systems in each country

Develop SMS stock monitoring system in collaboration with MOHs

X X X SMS stock monitoring system developed

Draft TORs exist for Niger and for AgirPF regional office. But yet to be completed

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ANNEX 3. INDICATOR ACHIEVEMENT BY RESULT *In the following implementation plan, Q1 corresponds to the partial quarter from July 5 to September 30, 2013. Q5 refers to July 1 to September 30, 2014.

INDICATOR UNIT OF

MEASUREMENT Q1 Q2 Q3 Q4 Q5* ANNUAL and/or

LOP BENCHMARK PERCENT ACHIEVED

COMMENTS

SO. Increase access to and use of quality FP services in select urban and peri-urban areas of five francophone West African countries 1. Number of CYP achieved in AgirPF

supported areas

CYP N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

2. Percent of Women of Reproductive Age reported using family planning services

Woman of Reproductive Age

N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

3. Contraceptive Prevalence Rate (CPR)

Prevalence rate N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

4. Total number of FP method users FP method user N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

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INDICATOR UNIT OF MEASUREMENT

Q1 Q2 Q3 Q4 Q5* ANNUAL and/or LOP BENCHMARK

PERCENT ACHIEVED

COMMENTS

5. Number of Acceptors New to Modern Contraception

New Acceptor N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

6. Total number of FP continuing users

FP continuing user N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

Result 1: Delivery of quality FP information, products, and services strengthened and expanded

7. Percent of FP service providers deemed technically competent based on an assessment according to national international or other defined standards

FP service provider deemed technically competent


Sub Result 1.1: Partners strengthened to implement evidence-based approaches and deliver quality FP services

8. Number of health centers receiving “quick wins” services

Health facility N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

9. Number of local organizations with improved organizational and management capacity as measured by a defined organizational assessment tool

AgirPF local implementing partner


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PERCENT ACHIEVED

COMMENTS

10. Number of local organizations following defined guidelines for a monitoring and evaluation plan

Local NGO N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

11. Number of FP curricula updated to include gender sensitivity, couple counseling, youth and male friendly services

FP curriculum N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

12. Custom Number of local non-government organizations trained and providing quality family planning and reproductive health services

Local NGO N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

13. Number of people trained in family planning and reproductive health with USG funds

Person trained in FP and RH

N/A N/A N/A 50 N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

14. Custom Number of local organizations that meet USG financial reporting standards

Local organization N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

15. Number of HIV positive women who received comprehensive FP services

HIV positive woman N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

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PERCENT ACHIEVED

COMMENTS

16. Number of HIV positive pregnant women who received sensitization on FP services during Ante Natal Care (ANC)

HIV positive pregnant woman


17. Number of HIV positive women who received Post Abortion FP (PAPF) services after an abortion


18. Percent of HIV positive women sensitized in FP during ANC who effectively received Post-Partum FP (PPPF) services


19. Number of local organizations following defined guidelines for a monitoring and evaluation plan

Local organization N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

20. Number of Centers of Excellence reinforced

Center of Excellence N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

21. Number of special FP days conducted

Special FP day N/A N/A N/A 1 N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

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PERCENT ACHIEVED

COMMENTS

22. Number of industry based health fairs conducted

Industry based health fair


23. Number of CHWs supported and supervised

CHW N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

24. Number of community-based services that have been transferred to local/national health authorities

Community-based service


Sub Result 1.2: Local leaders, civil society, service providers, municipal government support and promote FP

25. Number of experiential message development workshops held

Experiential message development workshop


26. Number of men and women reached with FP messages through interpersonal communication

Man and woman N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

27. Proportion of women and men reporting increased dialogue with their partner about FP

Man and woman N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

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PERCENT ACHIEVED

COMMENTS

28. Changes in community/religious leaders’ attitudes toward FP

Community/religious leader’ attitude toward FP


29. Proportion of target population with gender-equitable attitudes

Man and woman with gender-equitable attitude


30. Changes in provider attitudes on gender issues

(outcome indicator)

Provider attitudes on gender issues


31. Number of the targeted population reached with individual and or small group level HIV prevention interventions that are based on evidence and or meet standards required

Individual reached with individual and or small group level HIV prevention interventions


32. Number of MARP reached with individual and/or small group level HIV preventive interventions that are based on evidence and/or meet the minimum standards required

Individual in MARP N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

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PERCENT ACHIEVED

COMMENTS

33. Number of individuals who received Testing and Counseling (T&C) services for HIV and received their test results.

Individual who received T&C


34. Number of youth who participate in educational program on gender, FP, and SRH

A young individual N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

35. Number of health facility walk-throughs conducted

Health facility N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

Result R2: Evidence-based service delivery approaches selected, adapted, and implemented

36. Number of BPs for family planning and maternal and child health and/or HIV/AIDS incorporated into local, district or national health protocols or standards

BP for FP and MCH and/or HIV/AIDS


37. Percent coverage of children under five years of age reached with health services (malaria, pneumonia, and diarrhea).

Child under 5 years old


Sub-result 2.1: Efficiency and effectiveness enhanced through adaptation and implementation

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PERCENT ACHIEVED

COMMENTS

38. Number of new family planning approaches successfully introduced through USG supported programs

New FP approach N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

39. Number of best practices piloted through operations research studies

Best Practice N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

Sub-result 2.2: Lessons documented and disseminated from adaptation and implementation

40. Number and type of lessons from adaptation and implementation that have been documented and disseminated

Lesson documented and disseminated


41. Custom Number of regional technical meetings organized and supported by the Regional Health Office and its partners

of technical meeting, conference call


42. Custom Number of publications, presentations and meetings to disseminate program data to key stakeholders

publication, presentation and meeting


Result R3: Efforts to remove policy barriers and improve contraceptive commodity security coordinated

Sub-result 3.1: Policy barriers identified and new/revised policies adopted and implemented

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PERCENT ACHIEVED

COMMENTS

43. Number of policies, national health standards and guidelines developed or changed, including scale-up

policy, national health standards and guidelines


44. Number of policies or guidelines developed or changed with USG assistance to improve access to and use of family planning and reproductive health services

new policy, law and guidelines


45. Number of advocacy strategies developed by organization

Advocacy strategy N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

46. Number of advocacy presentations created or updated (in collaboration with FI and HPP)

Advocacy presentation


47. Custom Number of new Maternal and Child Health policies implemented after 6 months according to defined standards

New Maternal and Child Health policy


48. Number of advocacy activities conducted

Advocacy activity N/A N/A N/A 1 N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

Sub-result 3.2: Contraceptive commodity needs identified and coordinated among partners and country commodity security and logistics management

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PERCENT ACHIEVED

COMMENTS

49. Number of Contraceptive Procurement Table (CPT) team members and partners trained to use Reality Check

Contraceptive Procurement Table


50. Number of COPE exercises for Contraceptive Security held

COPE exercise N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

51. Number of SDP reporting stock-outs of contraceptives per quarter

SDP N/A N/A N/A N/A N/A N/A All AgirPF technical interventions are pending on baseline data collection and measurements will be available starting on Q5

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ANNEX 4. AgirPF staff positions by country

Country Name Title Sex

Regional staff based in Togo

Rouguiatou Diallo Chief of Party F

Andre Koalaga Technical Director M

Martin H. Laourou Policy Advisor M

Diouratie Sanogo Monitoring, Evaluation, and Research (M&E/R) Advisor

M

Macka Barry Operations and Finance Manager

M

Eric B. Yendoutie Komlambigue

Regional Contract Officer M

Agodomou Adjito Regional Senior Program Officer Contraceptive Security

M

To be filled Regional Senior Program Officer SBCC/Marketing

To be filled Driver

Burkina Faso

Koalga Djabada Oscar Country Manager M

Habibou Romba Ouédraogo Senior Program Officer F

Zakari Congo Regional ME&R Officer M

Salif Savadogo Administrative Assistant/Bookkeeper

M

To be filled Driver

Togo Eloi Ayaménou Koami Amegan

Country Manager M

Cyrille Kossi Mawuko Guede Senior Program Officer (Technical)

M

Adjoa-Sika Amegadjen Ekoue

Administrative Assistant/ Bookkeeper

F

To be filled Driver

Niger Fatimata Moussa Country Program Manager F

Mariama Moussa Senior Program Officer (Technical)

F

Soumana Abdoulaye Administrative Assistant/Bookkeeper

M

To be filled Driver

Mauritania Amadou Kane Country Manager M

To be filled Administrative Assistant/Bookkeeper

To be filled Driver

Total AgirPF

16 full-time staff with 11 men and 5 women 16

of 41


ANNEX 5: Activities tables

Table 1: AgirPF Baseline study samples surveyed in Togo

Summary Table Of Field Data Collection In Togo (AgirPF Baseline study, May 2014)

Site

Health Facilities Community Health Workers Household survey Disabled

Inventory FP service providers Men Women Men Women Men Women

P* R** P R P R P R P R P R

LOME 1 14 14 27 27 28 22 28 16 154 154 308 308 8 10

LOME 2 14 14 34 34 28 18 28 19 154 164 308 321 0 0

SOKODE 21 21 43 43 42 25 42 13 228 235 456 477 7 6

KARA 23 23 45 45 46 34 46 25 249 258 498 501 6 5

TOTAL 72 72 149 149 144 99 144 73 785 811 1570 1607 21 21

Completion rate 100 100 69 51 103 102

*P= Planned; **R = Realized

Table 2: Trained participants during start-up skill standardization workshop in Burkina Faso

Focused Cities in Burkina Faso

Participants Sex and Profile

Total Physicians Medical Assistants Midwives

M F M F F

Ouagadougou 0 0 0 3 6 9

Bobo-Dioulasso 1 0 1 0 2 4

Koudougou 0 0 0 2 2

Total 1 0 1 3 10 15

of 41


Table 3: Trained participants during start-up skill standardization workshop in Niger.

Focused Cities in Niger

Participants Sex and Profile

Total Physicians Technical Health Nurse (TSS)

Midwives

M F M F F

Maradi 1 0 1 0 3 5

Niamey 3 3 1 5 3 15

Total 4 3 2 5 6 20

Table 4: Distribution of workshop participants during Mauritania Training on SPECTRUM and RAPID model in Nouakchott Urban RAPID model elaboration in May 26-29, 2014

Institution Number of participants by sex

Men Women Total

Ministry of Health (central level) 3 3 6

Ministry of Economy and Development 1 0 1

Ministry of Primary and Secondary Education 0 1 1

Ministry of social action and women 1 0 1

Ministry of Agriculture 1 0 1

Ministry of Communication 1 0 1

Ministry of Labor 1 0 1

National Office of Statistics 1 0 1

Regional Health Team Nouakchott 1 1 2

Business coalition 0 1 1

Civil Society Organizations 3 1 4

UNFPA and HPP 2 1 3

CNLS AIDS national committee 1 0 1

AgirPF 1 0 1

TOTAL 17 8 25

of 41


Table 5: Repartition of participants in SPECTRUM Training and RAPID models development

workshop from June 24-27, 2014 at Africa Hall in Niamey

Institution Participants by sex

Men Women Total

Office of the Republic President (FP/RH WAHO

Champions)

0 1 1

Office of the Prime Minister( FP/RH WAHO

Champions)

1 0 1

National Parliament 1 0 1

Ministry of Health (central level) 5 0 5

Ministry of Finances 1 0 1

Ministry of Planning (SP/PDES) 0 1 1

Ministries of Education 2 1 3

African Union (CELTHO) 1 0 1

Ministry of Population 0 1 1

Ministry of Agriculture 1 0 1

Ministry of Communication 1 0 1

Regional Health Teams 2 2 4

Business coalition 1 0 1

Civil Society Organizations 4 4 8

UNFPA and DELIVER PROJECT 3 0 3

AgirPF 1 2 3

TOTAL 24 12 36

Table 6: Distribution of participant in Advocacy training workshop at Kpalimé in Togo from June 11-

13, 2014

Institution

Participants byby sex

Men Women Total

Ministry of Health 2 0 2

Ministry of Social Action and Women Promotion 0 1 1

Regional Health Teams 3 3 6

Network of Advocacy Champions for Adequate Funding of Health

(RCPFAS)

9 2 11

Other Civil Society Organizations 5 1 6

UNFPA 1 1

WAHO 1 1 2

AgirPF 3 1 4

TOTAL 24 9 33

quarterly performance report april to june, 2014

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