USAID/KENYA & EA TUPIME KAUNTI PROGRESS REPORT FOR Q1 FY 2019

The project's sub-purposes are to increase leadership and management capacity of County governments for effective outcome measurements, learning, and accountability systems, and to increase the availability, analysis, and use of high-quality data for decision making. To achieve the first sub-purpose, the project has made significant progress in institutionalizing M&E at the county level. Kakamega and Homa Bay counties have appointed dedicated M&E officers, and the project has developed a M&E curriculum for county M&E trainings in collaboration with the Kenya School of Government. Continuous collaborative learning has taken place in 7 out of the 8 focus counties during M&E TWG meetings. The project has also provided technical assistance to Kisumu, Busia, Kakamega, and Vihiga counties to develop comprehensive LDG capacity building plans and work plans for FY19. Migori, Kakamega, and Kisii County LDGs were trained using the developed modular training packages. In addition, the project has re-oriented LDGs for Kisumu, Kakamega, Vihiga, and Busia on outcomes measurement, and the counties have re-focused on strategies to accelerate the tracking of health outcomes as per the CHSSIP 2018-2023 through the development of M&E Plans. Kisumu County has adopted the health stakeholder coordination framework for better coordination of stakeholders and resource mobilization. To achieve the second sub-purpose, the project has made significant progress in improving the functionality and use of CPIMS. The project conducted CPIMS Competency Assessments to DCS staff in eight counties and trained 38 DCS staff on CPIMS end-user capacities in 9 counties, including Siaya county. The project has also worked with OVC IPs and HealthIT to harmonize tools for OVC programming, and has witnessed increased leadership support in improving the availability, analysis, and quality of mortality data. The project has also conducted mentorship sessions on mortality analysis and reporting in Busia, Kakamega, Migori, and Vihiga counties among 22 HRIOs, and has conducted CMEs on certification of deaths and mortality reporting in Kisii and Migori. The project has also steered Kisii Teaching and Referral Hospital to establish a medical consultants' quarterly forum for mortality data quality. Furthermore, the project has conducted ICD10 support supervision in 16 health facilities in Homa Bay, Kisii, and Kisumu to review mortality documentation and reporting. In enhancing county capacity in informatics, the project has sensitized 36 health care workers in Busia on programmatic DHIS2 dashboards, 37 health care workers on IDSR tools, reporting, and data quality review, and 21 MoH staff on CHIS tools, reporting, and data quality review. The project's efforts in strengthening data analytics have led to the development of job aids, which enabled Migori, Homa Bay, Vihiga, Busia, and Kisumu to develop information products, such as factsheets and dashboards on HIV, malaria, and RMNCAH. Overall, the Tupime Kaunti project has made significant progress in achieving its sub-purposes, and has contributed to the improvement of leadership and management capacity of County governments, as well as the availability, analysis, and use of high-quality data for decision making.