USAID/KENYA & EA TUPIME KAUNTI PROGRESS REPORT FOR Q2 FY 2018

The project's strategic focus centers around health systems strengthening for HIV, malaria, and reproductive health, with support in 8 counties of Homa Bay, Migori, Kisii, Kakamega, Busia, Vihiga, Bungoma, and Kisumu. The project uses six interdependent technical approaches to improve MLA systems in the focal counties. Key achievements in quarter 2 of year 2 include improved CHMT leadership and management capacity to develop and implement outcome measurements, learning, and accountability policies, strategies, frameworks, guidelines, and standard protocols. Busia and Vihiga county Department of Health deployed four and one staff, respectively, to their established M&E units. Collaboratively with HIGDA, TK worked with the county teams to develop, pilot, finalize, and adopt four policy implementation monitoring tools. The Measurement Learning and Accountability (MLA) advocacy and orientation workshop for the core health leadership resulted in renewed commitment for establishing/strengthening of M&E Units. Bungoma county finalized their County Health Sector Strategic and Investment Plan (CHSSIP) 2013-2018 End Term Review (ETR), which has documented priorities for CHSSIP 2018-2022. Increased stakeholder contribution in the development of the County Health Sector Strategic and Investment Plan 2018-2023 in six of the eight counties (Busia, Kakamega, Kisumu, Migori, Homa Bay, and Vihiga) was observed. The LDGs who had been trained on policy formulation provided coordination and leadership in the development of their respective strategic plans. Five counties (Busia, Kakamega, Kisumu, Migori, Homa Bay, and Vihiga) disseminated the CHSSIP 2013-2017 ETR reports for five counties at the Kenya Health Forum, and this informed the county presentations. Additionally, a skill-building session on the LDG model was conducted, and some of the project approaches informed the communique. Output 1.2: Strengthening county- and sub-county-level outcomes measurement, learning, and accountability systems, resulted in five counties (Kakamega, Bungoma, Vihiga, Kisii, and Busia) developing the draft quarterly HIV profiles. Incorporating outcomes measurement as part of the data analytics and use guidance document was also achieved. Output 2.1: Improved capacity of county health management teams in data management systems (DHIS2, CHIS, LMIS, EMR, CAPR, CRVS, and CPMIS) to generate high-quality data, was observed in Vihiga county, which developed a DHIS2 integrated dashboard on key indicators for reproductive health, malaria, and HIV. An implementation roadmap on CHIS, CAPR, and IDSR data systems for all the focus counties was also developed. Output 2.2: Increased capacity of county health management teams in data analytics, was achieved through convening a meeting to discuss data analytics and use guidance document. The meeting aimed to strengthen the capacity of county health management teams in data analytics and use. The project's support is crucial in strengthening the MLA systems in the focal counties, and the progress made in quarter 2 of year 2 is a significant step towards achieving the project's objectives. The project's technical approaches are essential in improving MLA systems, and the key achievements observed in quarter 2 of year 2 demonstrate the project's commitment to strengthening the MLA systems in the focal counties.