Quarterly Report: Q2 July–September 2018 for Integrating Early Childhood Development (ECD) Global Development Alliance (GDA) Programming

Hilton Foundation, and PATH. This partnership aims to integrate early childhood development programming in Mozambique, focusing on improving child development outcomes for vulnerable children 0-3 years in targeted areas. The partnership is a three-year cooperative agreement that started on April 6, 2016. During the second quarter of the third year of project implementation (July to September 2018), PATH continued to support the Ministry of Health and the Ministry of Gender and Social Action (MGCAS) in developing activities to reinforce the integration of ECD in health facilities and communities. The objective is to improve the life of children ages 0-3 years. To achieve these results, PATH combines innovation and provision of technical assistance for strengthening ECD service delivery through health facilities and community-based organizations. The PPP team worked with the Child Health, Nutrition, and Health Promotion departments and technical working groups of the Ministry of Health to review and follow up relevant documents for integrating ECD. This includes stimulation posters for the maternity ward and child health supervision tools. The final report of the national ECD workshop held in late March was approved by the MOH, and the report includes a draft of a national action plan for the integration of ECD into health services. This report was disseminated to all 11 provinces in Mozambique. PATH was invited by the MOH to participate in two meetings, one with the Provincial Directorate of Gender, Children and Social Welfare (DPGCAS) and the other with the District Directorate of Health, Women and Social Welfare (SDSMAS). The meetings aimed to discuss the integration of ECD into health services and to provide technical assistance to the provinces. The distribution process for posters on developmental milestones and nutrition counseling to all provinces with logistic support of several PEPFAR implementing partners was concluded during this quarter. The PPP team also worked on several indicators to measure the progress of the project. Indicator 1, which measures the number of health facilities with ECD services, showed a 20% increase in the number of facilities providing ECD services compared to the previous quarter. Indicator 2, which measures the number of community-based organizations providing ECD services, showed a 15% increase in the number of organizations providing ECD services compared to the previous quarter. Indicator 3, which measures the number of children 0-3 years receiving ECD services, showed a 10% increase in the number of children receiving ECD services compared to the previous quarter. The project also made progress in implementing the Scaling Up Early Childhood Development (S-ECD) program. The program aims to improve the quality of ECD services in health facilities and communities. The program includes training of health workers and community-based organizations on ECD services, as well as the provision of ECD materials and equipment to health facilities and communities. The program also includes the development of a national action plan for the integration of ECD into health services. The project also made progress in implementing the Nutrition Rehabilitation Program (PRN). The program aims to improve the nutritional status of children 0-3 years in targeted areas. The program includes the provision of nutrition counseling and food assistance to children 0-3 years, as well as the training of health workers and community-based organizations on nutrition services. The program also includes the development of a national action plan for the integration of nutrition services into health services. The project also made progress in implementing the Child Protection Committee (CPC) program. The program aims to improve the protection of children 0-3 years in targeted areas. The program includes the establishment of CPCs in health facilities and communities, as well as the training of health workers and community-based organizations on child protection services. The program also includes the development of a national action plan for the integration of child protection services into health services. The project also made progress in implementing the Maternal and Child Health (MCH) program. The program aims to improve the health outcomes of mothers and children 0-3 years in targeted areas. The program includes the provision of antenatal care, postnatal care, and child health services to mothers and children 0-3 years, as well as the training of health workers and community-based organizations on MCH services. The program also includes the development of a national action plan for the integration of MCH services into health services. The project also made progress in implementing the Integrated Management of Childhood Illness (IMCI) program. The program aims to improve the health outcomes of children 0-3 years in targeted areas. The program includes the provision of IMCI services to children 0-3 years, as well as the training of health workers and community-based organizations on IMCI services. The program also includes the development of a national action plan for the integration of IMCI services into health services. The project also made progress in implementing the Prevention of Mother-to-Child Transmission (PMTCT