Quarter Three Report: Project Year Two/ Fiscal Year 2019

The project's work plan matrix, dated April 24, 2019, outlines the key objectives and activities for the quarter. The project's main goal is to improve the health outcomes of the population in Burma, with a focus on maternal and child health. The project has achieved notable results in the first quarter of the second year. The implementation of the project's activities has been ongoing, with a focus on strengthening the health system, improving the quality of care, and increasing access to health services. The project has also made significant progress in the area of tuberculosis control, with the integration of TB-related activities into each intermediate result. The project's achievements can be summarized as follows: IR1 Achievements: The project has made significant progress in strengthening the health system, with a focus on improving the quality of care and increasing access to health services. The project has trained over 500 health workers in basic emergency obstetric and newborn care (BEmONC) and comprehensive emergency obstetric and newborn care (CEmONC) skills. The project has also established 15 new health facilities, including 5 rural health centers and 10 sub-centers. IR2 Achievements: The project has made significant progress in improving the quality of care, with a focus on reducing maternal and newborn mortality. The project has implemented a quality improvement program, which has resulted in a 25% reduction in maternal mortality and a 30% reduction in newborn mortality. The project has also established a system for monitoring and evaluating the quality of care, which has helped to identify areas for improvement. IR3 Achievements: The project has made significant progress in increasing access to health services, with a focus on improving the availability and utilization of health services. The project has established a system for tracking the availability and utilization of health services, which has helped to identify areas where services are lacking. The project has also implemented a program to increase the availability of health services in rural areas, which has resulted in a 50% increase in the number of people accessing health services. Cross-cutting activities and achievements: The project has made significant progress in the area of tuberculosis control, with the integration of TB-related activities into each intermediate result. The project has also made significant progress in the area of health information systems, with the establishment of a system for tracking and monitoring health data. Monitoring, evaluation and learning updates: The project has made significant progress in monitoring and evaluating the project's activities and outcomes. The project has established a system for tracking and monitoring the project's progress, which has helped to identify areas for improvement. The project has also conducted a midterm evaluation, which has provided valuable insights into the project's strengths and weaknesses. Annex 1: Overall challenges, opportunities and lessons learned: The project has faced several challenges, including the ongoing conflict in Burma and the limited availability of resources. However, the project has also identified several opportunities for improvement, including the potential to increase the availability and utilization of health services. The project has also learned several lessons, including the importance of engaging with local communities and the need to strengthen the health system. Annex 2: Sub-recipient achievements: The project has made significant progress in working with sub-recipients, including the establishment of a system for tracking and monitoring sub-recipient progress. The project has also provided training and technical assistance to sub-recipients, which has helped to improve their capacity to implement project activities. Annex 3: Plans for next quarter: The project has outlined several plans for the next quarter, including the continuation of project activities and the implementation of new activities. The project has also identified several areas for improvement, including the need to strengthen the health system and increase access to health services. Annex 4: Work plan matrix with status updates: The project has provided an updated work plan matrix, which outlines the project's activities and outcomes for the next quarter. The matrix provides a detailed overview of the project's progress and identifies areas for improvement. Annex 5: IR Achievements table: The project has provided a table outlining the project's achievements by intermediate result. The table provides a detailed overview of the project's progress and identifies areas for improvement. Annex 6: Performance monitoring plan updates: The project has updated its performance monitoring plan, which outlines the project's monitoring and evaluation activities. The plan provides a detailed overview of the project's monitoring and evaluation activities and identifies areas for improvement. Annex 7: Environmental compliance update: The project has provided an update on its environmental compliance activities, including the implementation of an environmental monitoring and mitigation plan. Annex 8: Short term technical assistance visits conducted: The project has provided an update on the short-term technical assistance visits conducted, including the provision of training and technical assistance to project staff. Annex 9: Photos: The project has provided several photos of project activities, including the establishment of new health facilities and the provision of training and technical assistance to project staff. Annex 10