USAID Mikolo Quarterly Progress Report

The project aims to reduce maternal, child, and infant mortality by increasing the use of primary healthcare services at the community level and promoting healthy behaviors in women of childbearing age, children under five, and infants. During the first quarter of fiscal year 2017, the project strengthened its partnership with the Ministry of Public Health (MoPH) at the central and district levels in the eight target areas. The project also focused on the implementation and scale-up of its program to reduce maternal, child, and infant mortality. Sub-objective 1: Sustainably develop systems, capacity, and ownership of local partners. A total of 237 Support Technicians (STs) and STs were trained on Leadership and Management knowledge and skills, surpassing the FY 2017 target of 234 people. Ten local organizations were subcontracted to manage the implementation of the project in the 14 districts across the eight target areas. Additionally, 60 SILC groups were established at the community level, which is 9% of the FY 2017 target. Sub-objective 2: Increase the availability of and access to basic healthcare services in the project's targeted communes. The project reached 27,965 new users of family planning services and 92,000 regular users, bringing the current rate of success relative to the set target for FY 2017 to 21% for new users and 68% for regular users, respectively. Additionally, 10,026 new users (37% of the total new users) were adolescents (ages 15-17). The project also reported a stock-out of oral contraception products in 6% of the CHVs and a stock-out of DMPA products in 7% of the CHVs, both of which fully meet the FY 2017 targets. The project also reported the following results: 8,915 ANC clients were referred by CHVs, which is 28% of the annual target. 1,154 newborns received umbilical care, which is 500% more than the number treated in the first quarter of FY 2016. 18,315 children under five received treatment for pneumonia, which meets 17% of the annual goal and represents a 95% treatment rate. 11,026 children under five suffering from diarrhea received Oral Rehydration Therapy (ORT) by CHVs, reaching 20% of the FY 2017 target. 120 health workers were trained in ACT management and 120 were trained in malaria diagnostics, both meeting 19% of the respective annual targets. CHVs have surpassed the annual goals for the level of stock-outs of ORS/Zinc and Pneumonia. The project also reported the following results: 80% of children with a positive malaria Rapid Diagnostic Test (RDT) received ACT, which meets 100% of the FY 2017 target. CHVs have also surpassed the annual goals for the level of stock-outs of ORS/Zinc and Pneumonia.