NHSDP Annual Performance Report - Year Two

The project's contract was modified to include an additional $28 million from DFID, bringing the total grant size to $82 million. This modification aligns with the UK's Framework for Results for improving Maternal and New-born Health in the Developing World (2010) and USAID's commitment to the Paris Declaration to work in donor harmony. The project's focus on delivering the Essential Services Package (ESP) in an integrated manner led to improved service quality, enhanced coverage of the poor, and strengthened collaborations. Local NGO partners were supported to deliver ESP, with a focus on expanding reach, particularly for the poor and underserved. The project's capacity building efforts resulted in improved institutional capacity of all NGO partners, with two local NGOs transitioning to direct USAID grantees. The project's performance was measured against several intermediate results (IRs), including expanding the client base, especially for the poor, for a quality ESP. Substantial progress was made in improving access to ESP, particularly for the poor, through a cohesive network of NGO static clinics, satellite clinics, and community service providers. Partnerships and coordination with Government of Bangladesh authorities and other USAID-supported projects were strengthened, and innovative financing structures were implemented to enhance the sustainability of ESP delivery. The project also focused on promoting optimal healthy behavior, with behavior change communication and knowledge management efforts leading to improved healthy behaviors and care-seeking practices. Communities were actively engaged in promoting healthy behaviors and care-seeking practices, with a focus on adolescent sexual and reproductive health, maternal and child health, and family planning. The project's performance-based grants (PBGs) were also a key component, with grants awarded to local NGOs based on their performance against specific indicators. The project collaborated with other USAID and non-USAID funded activities, including the Global Health Initiative and the Feed the Future program. The project's monitoring and evaluation efforts were robust, with regular assessments and evaluations conducted to measure progress against the project's objectives. The project's success stories, including the My Body, My Say initiative and the Abul Hossain and Tazun Nahar's Story, demonstrate the project's impact on improving maternal and new-born health in Bangladesh. Overall, the second year of the NHSDP was marked by significant progress in key components of service delivery, with a focus on improving service quality, expanding reach, and strengthening collaborations. The project's capacity building efforts and performance-based grants also contributed to its success, with a focus on achieving the project's objectives and improving maternal and new-born health in Bangladesh. The project's geographic focus was on Bangladesh, with a specific emphasis on improving maternal and new-born health in the country. The project's timeframes were from October 1, 2013, to September 30, 2014, with a contract modification adding an additional $28 million from DFID and extending the project period to December 31, 2017. The project's recommendations for future implementation include continuing to support local NGO partners to deliver ESP in an integrated manner, expanding reach, particularly for the poor and underserved, and strengthening collaborations with Government of Bangladesh authorities and other USAID-supported projects. The project's success stories and lessons learned will inform future implementation efforts, with a focus on achieving the project's objectives and improving maternal and new-born health in Bangladesh.