USAID Ingobyi Activity Annual Progress Report July 27, 2018 - September 30, 2019

The activity began on July 27, 2018, and is scheduled to end on July 26, 2023. The report period for this annual progress report spans from October 1, 2018, to September 30, 2019. The Ingobyi Activity is implemented by IntraHealth International, with sub-awardees including Akros, Ingenuity Ltd., Society for Family Health (SFH), Urunana Development Communication, World Vision Rwanda, Rwanda Association of Midwives (RAM), Rwanda Pediatric Association (RPA), and Rwanda Society of Obstetricians and Gynecologists (RSOG). The total estimated budget for the activity is $48,494,690, with $14,807,993 obligated to date. The activity's objectives include improving the quality of RMNCH and malaria services, increasing access to these services, and strengthening the health system in Rwanda. The expected results include a reduction in maternal and child mortality, an increase in the use of modern family planning methods, and improved malaria case management. Implementation of the activity has focused on several key areas, including family planning and adolescent sexual and reproductive health (ASRH), maternal health, newborn health, child health, malaria prevention and treatment, and Ebola preparedness and prevention. The activity has also emphasized cross-cutting interventions such as strengthening referral systems, social and behavior change, gender integration, infection prevention and control, e-learning for community health workers, quality improvement, community voice and action, and youth-centered innovation. The Ingobyi Activity has made significant progress in the first year of implementation, with notable achievements including the establishment of 15 Isange One Stop Centers (IOSCs) and the training of over 1,000 community health workers in integrated community case management (ICCM). The activity has also supported the development of a national health management information system (HMIS) and has provided technical assistance to the Ministry of Health on data quality and use. Despite these achievements, the activity has faced several implementation challenges, including delays in the procurement of equipment and supplies, and difficulties in engaging with some of the target communities. The activity has also faced challenges in terms of collaboration with other stakeholders, including the Ministry of Health and other implementing partners. The Ingobyi Activity has made significant progress in the first year of implementation, and is well-positioned to achieve its objectives and expected results in the coming years. However, continued support and resources will be necessary to overcome the challenges that the activity has faced and to ensure the sustainability of the gains made to date.