I PJ)-A,6i-3;2

I I I I I I I I I I I I I I I I I I I I

PJ)-A,6i- 3;2/

Healthy Mother/Healthy Child Results Package

Quarterly Performance Monitoring Report

Quarter Eleven October 1- December 31,2000

John Snow, Inc. Arabic Software Engineering (ArabSoft)

Clark Atlanta University The Johns Hopkins University

The Manoff Group, Inc. TransCentury Associates

In collaboration with

The Ministry of Health and Population Cairo, Egypt

and

USAID/Egypt (Contract No. 263-C-OO-98-00041-00)

January 31, 2000

II

jmenustik

Rectangle


CONTENTS

INTRODUCTION .......................................................................................................................................... 1

GANTT CHART LEGEND .......................................................................................................................... 2

MAPS OF TARGET GOVERNORATES ................................................................................................... 3

Contract Section C.4. Quality of Essential Matemal, Perinatal and Child Health Services Improved (Result 5.1.1) ............................................................................................................................... 13

TASK ONE Basic Package of Essential Services Established and Standards Defined ........................ 13

TASK TWO Training in Standards Included in Medical and Nursing Curricula plus Clinical Practice and Pre/in-service Training System Designed to Disseminate Standards ...................................................... 19

Contract Section C.5. Implementation of Essential Maternal, Perinatal and Child Health Services in Target Governorates (Result 5.1.2) ......................................................................................... 23

TASK THREE Public and Private Providers in Partnership with Communities to Develop and Manage District Plans ........................................................................................................................................... 23

TASK FOUR Monitoring System in Place to Track Utilization and Impact and Provide Feedback .... 27

TASK FIVE Research Activities ............................................................................................................ 29

Contract Section C.6. Established National Child Survival Programs Sustained (Result 5.1.3) .............................................................................................................................................................. 33

TASK SIX National Child Survival Programs Sustained .................................................................... 33

Contract Section C.7. Increased Knowledge and Improved Health Behavior in Households (Result 5.1.4) ............................................................................................................................ 35

TASK SEVEN Better Social Community Services ............................................................................... 35

TASK EIGHT IEC Campaign ................................................................................................................ 39

TASK NINE Student Medical Insurance Program (SMIP) .................................................................... 43

Contract Section C.S. Supporting Activities ............................................................................................ 45 TASK TEN Small Grants Program ........................................................................................................ 45

TASK ELEVEN Commodity Procurement Program ............................................................................. 49

Contract Administration ............................................................................................................................. 51

Annexes ......................................................................................................................................................... 53

I I ACRONYMS

ANC Antenatal Care

I ARI Acute Respiratory Illness

AWP Annual Work Plan

BASICS Basic Assistancc Supporting Institutionalization of Child Survival

I BBP Basic Bcnefits Packagc

BEOC Basic Essential Obstetric Care

I BMC Basic Maternal Care

CAPMAS Central Agency for Population, Mobilization and Statistics

CBC Competency Based Curriculum

I CBT Competency Based Training

C-CDC Central Curriculum Development Committee

CCIC Central Committee for Infection Control

I CDC Centers for Disease Control COD Control of Diarrheal Disease

I CEOC Comprehensive Essential Obstetric Care

CGC Credit Guarantee Company

CHC Community Health Committee

I CME Continuing Medical Education

CMEC Continuing Medical Education Committee

CNA Community Needs Assessment

I COP Chief of Party

CSSD Central Sterilization and Supply Department

CSP Child Survival Project

I CTO Cognizant Technical Officer

DANIDA Danish International Development Agency

I DCOP Deputy Chief of Party

DDM Data for Decision Making

DHC District Health Committee

I DT2 Dcvelopment Training Two

DHT District Health Team DMT District Management Team

I EDHS Egypt Demographic and Health Survey

ENC Essential Neonatal Care

I ENMS Egyptian National Medical Syndicate

ENPCP Egyptian National Perinatal Care Program EOAC Essential Obstetric Anesthesia Care

I EOC Essential Obstetric Care

EONC Essential Obstetric Neonatal Care

EPI Expanded Program of Immunization

I EU European Union FETP Field Epidcm iology Training Program

I FGC Female Genital Cutting

FilS Fac i I ities 1m provcment In formation System FinBI Finance and Banking International

I FMT Facility Management Team

GIIC Glwcrnorate llealth COll1m itlee

GIS (Ieographic Information System

I C

GMT GOE

GTZ GUI

GWU

HIO HIS

HM/HC

HM/HC-RP

HPSP

Governorate Management Team Government of Egypt German Development Agency Graphical User Interface George Washington University Health Insurance Organization

Health Information System

Healthy Mother/Healthy Child

Healthy Mother/Healthy Child Results Package

Health Policy Support Program

IC Infection Control I-CDC

ICP IEC IFB liE IL

IMCI

IMR IPC

IR IRM

IT

JHU JHU/PCS

JSI

KAP

LAG MCH MHIS

MIS

MOE MOHP

MOl MOSA

MVA MW

NCNW NICHP

NICU

NGO NMMS

OJT OR/CSSD

PES Pile

PIIR PI!.

Institutional - CUlTiculum Development Committee Infection Control Program

Information, Education and Communication

Invitation for Bids Institute of International Education Implementation Letter Integrated Management of Childhood llIness Infant Mortality Rate Interpersonal Communication Intermediate Results

Information Resources Management Inforn1ation Technology

Johns Hopkins University

Johns Hopkins University Population Communication Services John Snow, Inc.

Knowledge, Attitudes and Practices Local Area Group

Maternal Child Health Management and Health Information System Management Information Systems

MinistlY of Education Ministry of Health and Population

Ministry of Inforn1ation Ministry of Social Affairs Manual Vacuum Aspiration Married Women National Council of Negro Women National Information Center for Health and Population Neonatal Intensive Care Unit Non Governmental Organization

National Maternal Mortality Study On-the-Job Training

Operations Room I Ccntral Sterilization & Supply DcpaJ1mcnt Packagc of Esscntial Scrviccs Primary Ilealth Care Pal1nership for I Iealth Rcform Project Implemcntation Letter

I I I I I I I I I I I I I I I I I I

I I PMW

PYO

I QA

QID QPMR

I RFP RP

SFD

I SHB SHIP

I SIS

SHIP SO

I SOW STTA

SPAAC

I TA TCA

I TO

TOT TT

I UN UNICEF

USAID

I USVPO

WB

I WHO

I I I I I I I I

Pregnant Married Women Private Yo I untary Organ ization Quality Assurancc Quality Improvement Directorate Qualicrly Performance Monitoring Report Request for Proposal Results Packagc Social Fund for Development Selected Health Bureau Student Health Insurance Program State Information Service Student Health Insurance Program

Strategic Objective Statement of Work Short Term Technical Assistance Social Planning Analysis and Administration Consultants Technical Assistance TransCentury Associates Tetanus Diphtheria Training of Trainers Tetanus Toxoid United Nations United Nations Children's Fund United States Agency for Intemational Development U.S. Private Voluntary Organizations

World Bank World Health Organization


.lSI Quarterly Performance Monitoring Report-11M/He Results Package October I - December 3 I. 2000

INTRODUCTION

Pursuant to Section F.4.1 of the John Snow, Inc/U.S. Agency for International Development (JSIIUSAID) Contract No. 263-C-00-98-00041-00, lSI is required to submit Performance Monitoring Reports "summarizing progress of the major activities in process in relation to the requirements of the contract indicating any problems encountered, and proposing remedial actions as appropriate." These reports are to be submitted quarterly (for calendar quarters ending the last day of March, June, September and December) for each year of the Contract.

This current Quarterly Performance Monitoring Report (QPMR XI) covers the period from October I through December 3 I , 2000, representing the eleventh quarter of the Contract.

This QPMR is organized according to the eleven Tasks of the Contract, plus sections on coordination, contract administration, and monitoring and evaluation. Each Task contains a narrative with the following parts:

• Accomplishments + Constraints + Proposed Actions to Overcome Constraints

]n addition, each Task contains a Tracking Gantt Chart that indicates the percentage completion of each activity and the accomplishment of milestones, targets and benchmarks. The percentage completion of activities is indicated by solid black bars inside the activity bars, or a vertically hatched bar inside summary activity bars. Percentage completion is based on the best professional judgement of JSI's technical assistance team, considering the level of effort expended on completing the task. Milestones, targets and benchmarks are shown as hollow symbols once completed. Completion of these progress markers is objectively verifiable, usually in the form of stand-alone documents.

Nine Perfonnance Milestones due during the QPMR period were completed and relevant documentation submitted:

+ Health Educator's Guide and education materials/hr use in schools dneloped (Task 9) • HMIHC Curricula taught in 6 medical and 6 nursing schools (Task 2) + SMIP nutrition education and anemia supplementation program implemented in one

governorate (Task 9) + Development of HA11HC Procurement Planfor additiollal SJ.362,OOO in commodities

(Task II) + Implementation of basic health package in 10 districts (Task I) + 50 small grants awarded to NGOs in target districts (Task 10) + 20 District health plans and monitoring 5ystems developed and implemented (Task 3) + Community Action Plans developed and implemented in 20 districts (Task 7) + Neonatal centers linked with comprehensive perinatal programs in 25 target districts

(Task 6)

A comprehensive chart showing the end-of-quarter status of each of the 46 Performance M i1cstones in the Results Package may be found in Annex A.

For information regarding staffmobilizatiol1. a Contract Staff List is included ill Anllex B.

--_.- .-~--.. - ~-----

I -lSI Quarterly Performance Monitoring Report-I-1M/I-IC Results Package October 1 - December 3 I. 2000

GANTT CHART LEGEND I The following symbols are used in the Gantt charts throughout the QPMR.

Activities are indicated in the Gantt charts as bars: I Within each Task. activities and subactivities are represented as bars. I ] I Summaries of these activities and subactivities are represented by I I solid bars.

Percentage Completion of activities is indicated by a solid bar inside of an activity bar. I I Progress Markers, which include Performance Milestones, Perfomlance Targets and Benchmarks, are

I I

indicated with various symbols (the month and day are indicated to the right of each symbol): Performance Milestones -- contractually binding, planned • 11/15 accomplishments that were specified by JSI in its proposal are I represented by solid stars. Once a planned milestone has been

0 11/15 achieved it is represented by a hollow star.

Performance Targets -- contractually binding, planned accomplishments that were specified by US AID in the RFP are ~ 11/15

I represented by solid diamonds within circles. Once a planned target has been achieved it is represented by a hollow diamond inside a © 11115 I circle. Benchmarks are interim accomplishments required to achieve

* milestones and targets; they are represented in the Gantt charts by 11/15 I solid diamonds. Once a planned benchmark has been achieved it is represented by a hollow diamond. * 11/15 I Dependencies between activities are shown in the Gantt charts that indicate the link between those activities: Finish-to-Start dependencies exist when activity B cannot start until activity A finishes. L A

I I

I B i I Start-to-Start dependencies exist when activity B cannot st3l1 until activity A starts. I 7'\

I I [ B I

Finish-to-Finish dependencies exist when activity B cannot finish until activity A finishes. [_ Pi:. I I

I B I I Stal·t-to-Finish dependencies exist when activity B cannot finish until activity A starts. I A ~

L B-=-] I I I I

I I I I I I I

JSI Quarterly Performance Monitoring Rerort-I-IM/II_~ Results Package October I - December 3 1. 2000

MAPS OF TARGET GOVERNORATES

The maps on the following eight pages provide a schematic representation of the location of the target districts and facilities (CEOC BEOC and MHIS centers). The maps are computer generated and will form pal1 of the Geographic Information System (GIS) which is currently under development. The following information should prove useful when reviewing the maps:

•

•

•

Only the maps for Aswan, Luxor and the southern pa!1 of Qena are complete since the exact target facilities have been identified for those governorates only. In the northern part of Qena, Beni Suef and Fayoum, the district/general hospitals are indicated (CEOC centers), but not the BEOC centers since the exact facilities have yet to be identified. The maps for Assiut, Menya and Sohag indicate only the MHIS centers since that is the extent of programmatic involvement in those governorates.

I The Legend below pertains to the maps.

I I I I I I I I I I I I

LEGEND

Directorate MIllS Center Upgraded

District MIllS Center Established

Neonatal Care Center Upgraded

CEOC Center Upgraded

BEOC Center Upgraded

No Yes

• <;

• 0

* I.

.,.~

."-l,

• 0

II 0

I I I I I I I I I I I I I I I I I

II

I

ASWAN

-EI-Hegz Unit Busalleya Bahary Integrated Ha

\

\ Rudayseya Hasp. District Hasp. -l--fJ ~:r _

EI-Ramady Quebly Integrated Hasp.--\

c\\ d SalwaBahary - - \0\ .,-DIStrlct Hosp

District Hasp.-- ;-Ii' \ \m '/

1 I ~~oo

I fJ EI Manshiya Integrated Haspt---- I }- --Balana Integrated Hasp

[------'--

\ "-' ~1_---- /--Maternity Center Benban Integrated Hasp -------~, fJ [1-- / --District Hasp

I /

~ [J,~----Gaafra Unit ~~ {I

\ :--::Abu-EI-Reesh Bahary Hasp , ,

- --"r ~ J Gharb Aswan Integrated Hasp. Abu-EI-Reesh Quebly Untt

Aswan Teaching Hasp--

Gharb Saheil Unit

PREVIOUS PAGE BLANK

LUXOR

~

\ Karnak=- 0

Sheikh Mousa ! D 00

Luxor Geneml HZ~_ __~_~_ Zaneya Hospital

/'

/ Oabeya Integrated HosPital--/~

o

Bayadeya District Hospital -7------ ~:~~'

I

Odaysat Integrated HosPitalt--o \

c

I I I I

I I I I I

I 'I I I I I I -I

I I I I BENISUEF

~~--/

II

I I

• t

--------

Abu Salr EI Malak Integrated H --c-B /~aymaun Integrated Hasp. ,

~,./ II 0 "t : , \ I

/------_____ Barout I.HL ' / EI Awawna Integrated He -- -------;-11 - :----------If 1/. __ -~ Belfia Integ. Hasp.

~ II~), /11;' 'lI,-~: -EI Ghamrawee Urban He

Shater Zada Integrated He -------:c:~. / ' f'! III '* ~ ~ ~ , _ __ - - -- __ 1 I • --- East Nile Urban HC ~ ~ '-.-=:::;;---- --Tansa Integrated Hasp ~U~ g _ _ i---:'saft EI Rasheen Compound Unit

.. _________________ II /.. * /~

, I In,' _____________ • Seds Integrated Hosp Talt Compound Health Unlt~ _____ .:

• *()

.. EI Fant Integrated Hosp. Delhanes Compound Health Unit iii

I

I I I 1

FAYOUM

Snouress--7'

·0

0* II

Fayoum Rural / Sheikh Hassan Urban H

EI-Shaw,"''"' Iot"""ted 7/ · ~ -*0

E-- EI Edwa HC

Ibshway Maternity Center / • I .I-------i-Zawiatt EI Kradsa Integrated H

----.iI-r;:-------?'--Desla Integrated HC EI-Agameen Integrated Has . 11-7- --EI Lahan Integrated Hasp.

Ibshway I Hadka Urban HC

EI-Nazla Integ. H.Center--+-----------1II o· .. Kauta Integrated Has .-. / I.

Etsa /

/ I

i /

~ / I ~ ---- .~

./ ~- I ,

--------

Fayoum Urban

/~L + ----~\ \ / -~- : .

Abu Gandeer Integrated HC EI-Garak Integrated Hasp. Defna Urban H.Center Kalmshaa Integrated H.Center


I I

QENA I ~-~---- ---- -----~- --- --~---

• •

~ I i

I I

I i

• !

-I I I I

Sidl Abdel Rahman Maternity Center I

Abu Manaa Bahary Integ. Hosp. ! Dandara Integ. Hosp /

~",Deshna Mat~rnlty Center j---_I / Madlnet EI.Omaal Urban HC

Abu 5ho",h' Io;:':::=r~ Ho,p . ~J// l,;~?<:~~_~_ -~ - - vtLad Amro Integ. HC ---------',

~ Karm Omran Uj}lt

.~O. ~ \ EI Bousa Rural HU • \

O _______ ~ ~ O.

EI Araky In rated Hosp. _____ _ hstrict Hosp --~ /

~ •• 0

/ Gharby Bahgora Health Group

X/ "-

. \ 8 H'''':';:;;'''y loteg. Ho'l>. I

Hew Integrated Hosp.

~-------~~

District Hosp _~i - --~ I I I

~, !

/ i

Nage EI-Sebae

Garagos Hosp.

I (

Armant EI-Heit Center--+- -.---- ---8 \-- -~----------

Democrat Rural Center-~ -"l

, ,

\

District Hosp.

\

Kiman EI-Matana Integrated Hos'

\ '\

ASSIUT

1

_- ------ --

I

o

o __ ~[9)

o !~:~-~~

/0

I I I I I II I I il

;1 :1

I I I I I I I I I

I I I I

I i

I !

• I

I

I ,

I I I

i

I

MENYA

Mallawi •

Sohag

• u~---- •

~

I

t

vi .I

,r

\

- /t?<-

• \ --

I I I I I I I

! I : I

I I

I I I I I I I I I I


.lSI Quarterly Performance Monitoring Report-11M/He Results Package October I ~ Dcccmbcr 31. 2000 ~----------------~------------------------------

Contract Section CA. Quality of Essential Maternal, Perinatal and Child Health Services Improved (Result 5.1.1)

TASK ONE Basic Package of Essential Services Established and Standards Defined

Accomplishments Activity 1.1 Finalize the Maternal Child Health (MCH) component of the Basic Benefits Package (BBP) 1.1.1 Quarterly meetings with the consensus group were held to review the BBP:

• A consensus meeting was conducted on September 13 to complete a technical review of the EOC and Neonatal QA Service Standards and Monitoring Checklist, Commodity Catalogues, Structural Specifications, Protocols and CBT Modules. Based on the outcomes of this meeting and revisions made in these materials, on October! 0, Dr. Esmat Monsour, Undersecretary for Primary Health and Basic Health Care and Executive Director HM/HC Project agreed that these documents should be considered "final" and ready for publication.

• HM/HC staff participated in the Workshop: Finalize EOC Resource Manual (Alexandria. Nov. 9-11).

• HM/HC staff participated in the Workshop: Adapt CEOC CST Modules to SEOC CST Modules (Cairo, Dec. 10-12).

• HM/HC staff, lSI Master Trainers, Clinical Supervisors and university faculty participated in the Workshop: Finali::e EOC Flo)1' Charts (Cairo, Dec. 12).

• In the Task One Milestone Report (15 Nov.) materials development, field-testing, finalization and publication status of all materials and supporting resources (400 plus materials/resources) for all eleven tasks were document and appended to the report. Subsequent to this report, an Action Plan for tracking all materialslresource publications \vcre developed for each task. It is the responsibility of each Task Manager to tack their publication activities with the Task Eight Publishing Team.

• During this quarter the EOC Protocols for Physicians (reference manual), first edition. completed a technical review. The second edition was submitted for publication. final formatting was completed. and bids for publication were solicited (Task 8).

• HM/HC staff. lSI Master Trainers. Clinical Supervisors and university faculty participated in the Workshop: Finalize EOC Flow Charts (Cairo, Dec. 12).

• All CEOC CBT (clinical module, 12 of the 16 total) Modules were submitted for pHblication this quarter: o All clinical CEOC CBT Modules were adapted to BEOC level CBT Modules (Cairo,

Dec. 10-12). The adaptation of supporting CEOC materials (protocols, skill checklists and other resources) to the BEOC level was also initiated.

o The development/publication status of non-clinical CBT Modules which will be used to train OB/Gyn service providers at both the CEOC and BEOC levels are as follows:

Ethics and Practices of Obstetrics was submitted for publication. Interpersonal Communication and Counscling is being revised by the Task Eight team. Maternal Mot1ality is bcing up-datcd by the Task Five team.

- Health Information Systcm is in thc proccss of being finalized by a Task One working group to assure that the content reflects the nc\v forms. registers and repot1ing instruments that have evolved since the beginning of the project. i.e .. the finalized OB/Gyn Admission Sheet and accompanying Pa11ogralll.

I ' -'

.lSI Quarterly Performance Monitoring Report-11M/He Results Package October I -- Deccmbcr :1 1_ 2000

o The supervisory monitoring instruments, "Medical Record Audit Booklet" and "Case Presentation Booklet" continued to be field-tested by the Task One team. Combining these two booklets into one document is still under consideration.

o The adaptation and field-testing continued this quat1er of The Physicians Training Booklet EOC Competence and Mastery "Passport" which were published and distributed last quarter for Essential Obstetric Anesthesia Care (EOAC). Opcrating Room and Central Supply and Sterilization Depal1mcl1t (OR/CSSD). Essential Obstetric Nursing Care (EONC) and Essential Neonatal Care (ENC).

o The EOC and neonatal clinical component of the Quality Assurance Service Standards and Monitoring Checklist that were revised during the last quarter continued to be reviewed this quarter.

o Work continued on the development and field-testing of Essential Obstetric Anesthesia Care (EOAC) technical materials (anesthetic sheet, anesthesia booklet. data record for anesthetic files, data records for staff, anesthesia machine checklist, anaphylaxis protocol, manual for CPR) and CBT Module. These materials are scheduled for submission for publication during January 200 I.

o The Operating Room and Central Supply and Sterilization Department (ORlCSSD) Reference Manual was submitted for publication this quarter. The ORlCSSD CBT Module and supporting protocols, skill checklists, equipment and supply list will be submitted early next quarter.

o The package of Essential Obstetric Nursing Care (EONC) training materials addressing infection control, interpersonal communication, normal delivery. use of the partogram to monitor nonnal delivery, normal delivety and how to recognize and refer complications of delivery were turned over to the two newly recruited nursing consultants for technical review so these materials can be finalized.

o The Nurse Midwifery package consisting of a syllabus, curriculum, proccdure book, skill checklists and monitoring system were approved by the Executive Director of the HM/HC. The example text graphics are in the process of being finalized. These materials are scheduled for publication next quarter.

o A review of all existing infection control training/resource materials was conducted to assure that the draft Infection Control Policies and Procedures Manual reflects MOHP IC policies and procedures.

o Training of Trainers (TOT) manual Overview: Competency-based Training (CBT) . Methodology was specifically adapted for presentation to The i h International Scientific Nursing Conference, Alexandria, Nov. 23. This manual was then converted to a "generic" Overview: Competency-Based Methodology and Curriculum Development, which will be used for training both medical and nursing faculty. as well as during TOT for CBT program trainers/supervisors. It is anticipated that the companion data-show/CD-ROM can be used for self-instruction and "revision"lrcvicw.

o In collaboration with the Task Six team and Neonatal Trainers/Clinical Supervisors, the technical and educational finalization of the Neonatal CBT Modules and supporting resources materials was initiated Dec. 17-20.

14



.lSI Quarterly Performance Monitoring Report--HM/HC I~esuIts Package October I - December 3 I, 2000

Activity 1.2 Implement HM/HC Package of Essential Services in 10 Districts 1.2.1 Stages 1-4: Selection of Anchor Facilities in Aswan and Luxor:

• Aswan Governorate: Five Districts: o Aswan District (five facilities): Aswan Teaching Hospital (CEOC) and four BEOC

anchor facilities are all upgraded and providing services. o Daraw District (four facilities): Daraw District Hospital (CEOC) and three BEOC

anchor facilities are all providing services. o Edfu District (five facilities): Edfu District Hospital (CEOC) and four BEOC anchor

facilities are all providing services. o Kom Ombo District (three facilities): Kom Ombo District Hospital (CEOC) and two

BEOC anchor facilities are providing services. o Nasr District (two facilities): Nasr District Hospital (CEOC) and one anchor facility.

The facility assessment and selection of interim space for EOC services were completed for Nasr District Hospital, but full service delivery awaits extensive renovationl reconstruction of the hospital by the MOHP. The BEOC anchor facility is providing interim level services.

• Luxor Governorate: Two Districts: o Luxor City (three facilities): Luxor General Hospital (CEOC) is providing services;

assessment and training have been completed. o Bayadeya District (four facilities): Bayadeya District Hospital (CEOC) and three

anchor facilities are all providing services. Minor renovation was completed for Bayadeya District Hospital in OB/Gyn DepL Neonatal and OR. Supplemental furniture, equipment and supplies were provided to Bayadeya District Hospital, as well as Bayadeya District Anchor Facilities.

1.2.2. Stages 1-2: Selection of Anchor Facilities in Qena, Beni Suef and Fayoum: • Qena Governorate: Eleven district-level CEOC Anchor Facilities have been selected and the

facility assessments completed. Three in South Qena are upgraded and providing services. Selection of interim space for EOC services was completed in the six district hospitals in Middle and North Qena.

• South Qena (Esna, Armant and Qous Districts): o Esna District (two facilities): Esna District Hospital (CEOC) and one BEOC anchor

facility. o Armant District (three facilities): District Hospital (CEOC) and two BEOC anchor

facilities. o Qous District (four facilities): Qous District Hospital (CEOC) and three BEOC anchor

facilities. In the above facilities, renovation and provision of equipment/supplies were completed.

• Middle Qena (Qena, Deshna and Nekada Districts): o Three district-level CEOC Anchor Facilities have been selected and the facility

assessments completed. Selection of interim space for EOC services was accomplished. o Selection and assessment of 10 BEOC Anchor Facilities was completed.

• North Qcna (Naga Hammadi, Farshout and Abu Tesht Districts): o Three district-level CEOC Anchor Facilities have been selected and the t:1cility

assessment completed. Selection of interim space for EOC services \vas completed in the district hospitals.

o Selection and assessment of eight of the nine BEOC Anchor faci lities \\ as completed.

15

lSI Quarterly Performance Monitoring Report-11M/He Results Package October 1- December 3 I, ~OOO --~----~--------------~~-------------------=----------------

• Beni SuefGovernorate (Beni Suef, Ehnasia and Wasta Districts): o Seven district-level CEOC Anchor Facilities have been selected and facility

assessments completed. Selection of interim space for EOC services was completed. o Selection and assessment of 14 BEOC Anchor Facilities was completed.

• Fayoum Governorate: o Five district-level CEOC Anchor Facilities were selected and facility asscssmcnts

completed. o Selection and assessment of 15 BEOC Anchor facilities was completed.

1.2.3 Stage 7: Train Service Providers 1.2,3.1 Training nurses for midwifery skills

• Orientation (six participants) and TOT for Nurse/Midwife trainers (10 participants) was conducted in Fayoum. This was followed by the initiated action of the four-month training of nurses (24 participants) in midwifery skills, Nov. 19.

1.2.3.2 Training nurses in Operating Room, Central Supply and Sterilization Department (CSSD) skills

• OJT for nurses in ORlCSSD skills continued this quarter in Fayoum, Beni Suef and Qena.

1.2.3,3 Training in anesthesia skills • OJT for anesthesia skills continued this quarter in Fayoum and Qena.

1.2.3.4 Integrated (coordinated) training program for service providers • These training activities continued to be managed by the HM/HC Project staff this quarter

in Beni Suef.

1.2.4 Stage 8: Plan Implementation in Districts • Governorate and District-Level Management was initiated in Fayoum, as was Quality

Assurance Training. • In Aswan and Luxor, monthly self-assessment by Anchor Facility staff, quarterly

monitoring and evaluation visits by district management teams to Anchor Facilities, and monitoring and evaluation visits by governorate management teams to Anchor Facilities, took place regularly during the quarter.

Activity 1.3 Establishment and Strengthening of a Referral System for the HM/HC Package 1.3.1 The identification of the current referral system within the MOHP has been incorporated

into the Facility Management Guidelines by the Task 3 team. These Guidelines will be used to train Facility Management Teams.

Activity 1.4 Promotion of Quality Services (the Gold Star Approach) • The "Gold Star Approach" is currently undergoing revision to develop a method of

certifying facilities that achieve 100% compliance with critical standards. A proposal for such a program will be discussed with the HM/HC Executive Director during the next quarter.

Other Related Activities • The Mid-Project Assessment RCpOli was reviewed and written commcnts in response to the

'recommendations' were submitted to the COP and DCOPs (October). • Thc Task Onc Performancc Milcstone RCPOli, Implemcntation of Basic Benefits Package in

Tcn Districts was finalized and submitted to USAID (Novcmber).

16



.lSI Quarterly Performance Monitoring Report-HM/HC Results Package October I - December 3 I. 2000

• In collaboration with the HM/HC staff and Curative Care Department. MOHP. the Task One Implementation Specialist and the Task Three team co-facilitated a Commodities Management Workshop in Luxor. Nov. 18-20. There were approximately 100 participants in the workshop.

• In collaboration with the Task Two Manager, the Task One Manager made a panel presentation on Competency-based Methodology and Curriculum Development during The ill International Scientific Nursing Conference in Alexandria, Nov. 23.

• An "in-service" was conducted for one Task One EOC Master Trainer and all EOC Clinical Supervisors as well as Task Two trainers on anesthesiology and Manual Vacuum Aspiration (MV A), Dec. 21.

• The monthly meeting for EOC Clinical Supervisors, Master Trainers, JSI Field MCH Coordinators and Training Consultants (EOC OB/Gyn, anesthesiology, OR/CSSD) continued this quarter. This meeting was expanded to include Neonatal Trainers/Supervisors.

• The Trip Report Form was 'streamlined' so activities, recommendations and follow-up responsibilities can be noted at a glance. A one-page Governorate wide follow-up summary report to be completed by Master Trainers and the JSI Field Staff was developed and is being field-tested.

• The JSI Annual Work Plan, March 15 - September 15, 2001 was modified to reflect contract modifications.

Constraints • Nursing training in EOC skill is behind schedule. The two nursing consultants have had to

assist with the nurse/midwifery training Fayoum. • Renovation of anchor facilities in districts 10-20 is behind schedule. • The addition of one EOC Master Trainer is required to oversee governorate wide

training/supervisory interventions.

Proposed Actions to Overcome Constraints • Nursing training in EOC skill is scheduled to restart in January 2001. • The multi-task Implementation Task Force started meeting more frequently to monitor

facility renovation as well as all other PES implementation activities so that the next Task One Milestone due March 15, 200 I can be met. In addition, meetings were held with Engineer Ragi, MOHP, to facilitate the renovations.

• One EOC Clinical Supervisor was identified to be assigned '-Master Trainer" responsibilities.

• Additional trainers for EOC interventions are being recruited.

17


HM/HC Training of Personnel in Target Facilities As of December 31,2000

Governorate District

PREVIOUS PAGE BLANK

Phase EOC Training

;1-

Assessment: Complete

Renovation: Complete

Construction ~.

Contract Bidding

Plans

Commodities: Complete

Partial Available On Order

Training: Complete In Process

Upgrade Status: Upgraded

Interim

Facility Upgrade Status Definitions (to be used with Upgrade Status tables)

Assessment completed and report available.

Construction work completed and facility turned over to MOHP. Construction work in process. Contract awarded Undergoing bidding process Plans and Bills of Quantity drawn up, but construction not yet started

All critical commodities delivered to and installed in Facility. Most critical commodities delivered to and installed in Facility. Most critical commodities procured and in storage in JSI Commodities in process of being procured

Critical personnel at facility have been trained in EOC skills. Critical personnel at facility are being trained.

All required improvements made and facility offering upgraded servIce. All required improvements not completed, but improved level of services being provided in temporary location in facility.



HM/HC

1

Governorate District Facility

Upgrade Status of EOC Facilities As of Dec 31,2000

QPMR 11 Facility Upgrade Status

HM/HC

2


Upgrade Status of EOC Facilities As of Dec. 31,2000




HM/HC

3


Upgrade Status of EOC Facilities As of Dec. 31, 2000


HM/HC Upgrade Status of EOC Facilities As of Dec 31,2000 I I I I I I I I I I I

Number of Number of Milestone Due Date Phase Facilities Districts I

15/03/99 I 26 7 15/11/00 II 9 3 15/03/01 III 42 10 I 15/09/01 IV 19 5

Total 96 25

I I I I I I

4 QPMR 11 Facility Upgrade Status I

- - - - - - - - - - - - - - - - - -tD

1

10

11

69

70

73

74

75

76

7;

82

90

95

110

111

112

113

114

115

116

117

118

119

120

121

122

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1 TASK ONE: Basic ES package of essential services established and standards defined

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1.3,1 Luxor and Aswan: Districts 1·7 -- I i 100%

1.3,2 Qena: Districts 8·10 81%

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Thu 06105199 210 days r Tue 15102100

Sun 17105198 894 days , Sat 15109101 I

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_ .. __ .~ ~~'nal selection of the anchor faCIlities In Districts 6·10 .... __ .1_ .. _._. L __ ~ O~.~~_~_T_h~ 17~~9~_~~ .! Wed 301~6/99 1 324 Benchmark ~ ill Anchor facilities ill Districts 8~'1 0 1 I 100% j Wed 30106199! 0 days I Wed 30106199

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1 3 2 10 1 Deployment of dlstnct management / supervisory AH 1 100% Mon 01111/99 ________ tea.ms..'"Dlstricts 8·10 uSing HM/HC service standards checklist: __ _

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I 608 days Sat 15109/01

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1 3.2 10,2 Monthly self·assessment by the anchor facilities t 1 80% Mon 15111199 47 days staff In Districts 8·10 __ ._-L 1 ~_.

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158 1 34 922 Conduct Training course for nurses on IC and I 30% I Wed 15/11/00 89 days : Thu 15/03/01 IPCs I' -I

159 --·1.3:19,3Training of nurses for midwifery skills In Fayoum DCOP; C I 88% I Wed 15/11/00 89 days . j Thu 15/03/01

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1,4 Activity 4: Establish and strengthen a referral system for the HM/HC 0% Thu 01/07/99 I ________ l'~ckage ( With Task 3 ) -i---

1 4 1 Identify current referral systems within the MOHP AH + 0% I WedOl112/99

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1 4 2 Develop a referral system that supports the HM/HC package AH I 0% I Thu 01/07/99

---- - ---- -143Teslthemodellnselecteddlstncts n ____ ------ T ,/;H--; -- O~~- H rU01/07ig9

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wt-1OO% 1 52 1 DeSign a HM/HC IEC Gold Star model Sun 25/07199

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1 5 2 6 Implement Gold Star In the remaining 4 governorates AH I 0% Wed 01103100

- - - - - - - - -

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126 days T ue 09/05/00

22 days I Sun 01/08/99

131 days 1- Thu 30112/99 !

22 days '--, Sat 29/01/00

33 days 1 Sun 12103/00

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.lSI Quarterly Performance Monitoring Report-HM/HC Results Package October I - December 3 I. 2000

TASK TWO Training in Standards Included in Medical and Nursing Curricula plus Clinical Practice and Pre/In-service Training System Designed to Disseminate Standards to Public and Private P.·actice

Accomplishments

Activity 2.1 Medical School Training: Revision of Medical School Curricula and Upgrade of Faculty Training Skills to Incorporate HM/HC Basic Benefits Package (BBP)

• During this quarter, two Memoranda of Cooperation were signed with Menoufia Medical School and Ain Shams Medical School.

• During this quarter, Task 2 prepared and conducted several workshops for the Neonatology Department at Assiut Medical School, and a TOT for the OB/Gyn Department at Cairo Medical School to increase the number of trainers in the Department. Orientation workshops were also conducted for both departments at Menia Medical School and Menoufia Medical School.

• Task 2 developed a commodity plan for training classrooms which will be implemented in the remaining Medical Schools.

• Task 2 received the training report from the group which attended the curriculum design implementation and evaluation course given by the Department of Family Medicine at the University of California, Irvine, California, USA. This report will help prepare for a second group to maximize the benefits from this offshore training.

• Task 2 prepared for a group of Heads of Ob/Gyn Departments and faculty to attend the annual Meeting of Maternal Fetal Medicine Society in Reno, Nevada, and to participate in an observation tour in GWU. The group represented different Medical Schools.

Activity 2.2 Nursing School Training: Revision of Nursing School Curricula and Upgrade of Faculty Training Skills to Incorporate HM/HC BBP

• During this quarter, two Memoranda of Cooperation were signed: Menoufia Faculty of Nursing and Ain Shams Faculty of Nursing.

• Task 2 conducted an Orientation Workshop for the Menoufia Faculty of Nursing and Menya Faculty of Nursing. The second part of the TOT Workshop was also conducted for the Mansoura Faculty of Nursing and a TOT workshop for the Menya Faculty of Nursing.

• JSI, represented by Task 2. participated in the Annual International Conference of Alexandria Faculty of Nursing by facilitating a pre-conference workshop conducted by a consultant from Washington Children's Hospital, Dr. Suzan Norris. Task 2 also supported a session regarding the new CBC developed in the MCH area for Nursing Faculties.

• The Central Committee for Secondary Nursing Schools Curriculum finalized the content of CB curriculum for these schools. The nomination list was received of school teachers, Directors and Supervisors working in Secondaty Nursing Schools in Upper Egypt in the five target Governorates from the Manpower Resources in MOHP. Preparation has begun for two TOT Workshops to increase training capabilities of these teachers and prepare them to use their content as part of their curriculum.

Activity 2.3 In-Service Clinical Training • This activity is covered under Task one.

19

JSI Quarterly Performance Monitoring Report-11M/He Results Package October 1 - December 3 I, 2000

Activity 2.4 Improve clinical training capabilities • Improve clinical training workshops.

Activity 2.5 Training beyond the MOHP (Private Sector)

• MIS: o Continuing the completion of database for trained private physicians and pharmacists.

• Training: o Private Ob/Gyn specialists training courses stalied in Fayoum, Aswan, Luxor and south

Qena and in middle Qena and Beni Suefwhere five courses were conducted and 66 participants were trained.

o Private pharmacists training seminars started in middle Qena and Beni Suefwhere two courses were conducted and 63 participants were trained.

o Development ofa first draft of private pediatrician's curriculum outline is finished. o Development of a first draft of private anesthesiologists' curriculum outline is

completed.

• Research: o Analysis of data collected from the field on behaviors of private physicians was

completed.

• Quality Assurance: o Quality Assurance Standards and checklists of the HMHC RP, which were

implemented in the public sector, were adapted and used in training of private physicians,

o Development of the outlines of the monitoring system for private clinics was completed.

• Credit Guarantee Company (CGC): o Coordination activities continued with CGC via calIs and faxes to share information

about field activities. o Concerned CGC staff attended and conducted sessions in every training course for

physicians and pharmacists to orient patiicipants on understanding and utilizing the guaranteed loans offered by CGC and needed to upgrade their private facilities.

+ IEC: o Distribution of copies of IEC materials developed by Task 8 to private outlets was

completed. o Meetings were held with some pharmaceutical companies (Pfizer, Mededince) to

discuss how they could support the private sector activities of HMHC RP. • Networking:

o Cooperation with the Egyptian Medical Syndicate and the National Pharmacist Syndicate continued. Both Syndicates considered private sector training for physicians and pharmacists as part of their CEMS.

o Both Syndicates shared in distribution of HMHC IEC materials to their members in our targeted Governorates.

o Cooperation with local medical and pharmacist Syndicates continued in the five targeted Governorates in private sector activities. Also, these local Syndicates shared in distribution of HM/HC IEC materials to their members.

o Work continued with Task 3 to ensure that private sector representatives from community and MOIIP and private sector depaliments at Governorates and District levels arc included on the District and Governorate Health COIllIll ittees and that District/Govcrnorate Ievcl plans include private sector activities.

20



.lSI Quarterly Performance Monitoring Rcport-HM/HC Results Package Oetobcr I - Deccmber 3 I. 2000

• Accreditatiol1: o Work continued with National Medical Syndicate (with other HMHC/JSI staff) to

supp0l1 cff0l1s in addressing the issue of licensing and subsequent re- testing of all the accrcditation/certification of service facilities in meeting the established standards of quality care for scrvicc provision.

Other Activities

• infection COl1tro/: The Private Sector Specialist coordinates the infection control program at HM/HC RP where: o Gathering and collecting information and materials for infection control at other

programs and projects has been done. o The infection control strategy was developed and approved. o Fonnulation of hospital infection control committees and teams in the five

Governorates was started. o Review of materials and guidelines developed by other programs was started. These

materials after reviewing will be used by HM/HC during development of the infection control training materials.

o The research outlines of the infection control program were discussed in cooperation with Task 5.

• TOT: The Private Sector Specialist shares in the preparation for and conducting of training sessions at TOTs held for: o Ob/Gyn Department at Mansoura Medical School o Ob/Gyn Department at Cairo Medical School o Neonatology Department at Assiut Medical School

~ Essential Ohstetric Care courses:

o Private scctor specialist developed the module for "Ethics in Obstetrics".

Constraints

• None.

Proposed Actions

• Nonc.

21

-10 I Activit

199

200

201

202

203

204

205

~ .. ~ 209

210

211

212

213

214

215

216

- - - - - - - - - - -2 TASK TWO: Design of Training System and Inclusion of ES Package/Standards In SchoOICur..r!.c!1la _ _ ___ _________ __ !

2,1 ActiVity 1, ReVISion of med, school cUrricula & upgrade faculty training I'

skills to Inco.rpor3!.e-':!_MIHC Packag!.. __________ ~ _ ___ ____ " 45% Thu 15104199 656 days

2,1.1 ReVision of 8 medical schools cUrricula & upgrade faculty 81% Thu 15104199 656 days traln.<rt9 skills _~ -1--------~-- _____ _+_

2 1 1 1 Signing of Memorandum of Cooperalion with 8 Medical I 90% I Thu 15/04/99 Schools I I

385 days

2 1 1 i Tr~,~,n~fa~ulty memb;rs In CBT -~h~;I~gy : - 90% I"ThU -15/04/99 - 385 days ___ -,- - __ , ________ ----- _i ___ ------I

2 1 1 3 CUrricula Development Committee (CDC)

-----------------------2 1 1 3 1 Establishment of committee

2 1 1 32 Gathering of Input from department faculty

2 1 1 33 Finalization HM/HC medical school CUrricula deSign

2 1 1 34 Development of HM/HC medical school CUrricula ImplementaJIO-'1j~Jla~n~ __

2,1,1 4 Improve the pre-service tralnln9 penod

2 1 1 4 1 Incorporation of HM/HC package Into pre-service ______ ~_ ,training program

2,1,1,5 Train high-level faculty members out·of·country In new __ medl_ca}.t~l1.oJogi~e~s _____ _

2 1 1 5 1 Identify high-level faculty members

92% Thu 15104199 385 days

Thu 15/04/99 385 days Thu 14/09/00

Thu 15/04/99 385 days Thu 14/09/00

Thu 15/04/99 L' 247 days ' Wed 15/03/00

-- -- --,--- - ---- - ------j ! Thu 15/04/99 _~ 385 days

, 90% : Thu 15/04199 I 385 days ._j-----------I---------------

90% Thu 15/04/99 I 385 days

----- -j--

90% Thu 14/09/00

Thu 14109100

Thu 14/09/00

81% I Wed01109199

I t -100%--t Wed 01109/99 I , ,

554 days ! Thu 13/09101

22 days Thu 30/09/99

Tue 29/02/00 2 1 1 52 Train high-level faculty members - i ---t-1Oo"o/;-' Sun 03/10/99 114 days

21153 Newly trained high level faculty members disseminate 1-- -1--75% Wed 01103/00 405 days I Thu 13/09/01 ____ ~~~tllize new knowledge to In-coui1try tralnee~h _______ "--____ _ _ __ ~ __ ___ _ _ L -I

2,1,1,6 Establishment of HIS in medical schools i: 41% Thu 15104199 656 days I Sun 16109101

-----------21161 ReVieWing the present HIS system ___ ==L_=1=100~__ _ Sun 02/04/00 - 116days I Thu 31/08100 w------- 2116 21denlify HIS faculty members __ ~_-.-l __ ~~ __ Thu 15/04/99 385 days i Thu 14/09/00

2 1 1 6 3Traln selected HIS faculty members I I 0% ! Mon 18/09100 57 days i Thu 30/11/00 218

219

220

221

222

223

224

225

226

-..3; -

--------21164 Follow-up for HIS and Its Impact on services ----t-__ -r- 0% Thu 04/01/01 188 days J--sun 16/09/01

2,1, 1.7 Establishment of maternal and child health library I --t~ 97% Thu 15104199 397 days I Sat 30109100

2 1 1 7 1 Select proper sources and reference matenals

2,1 1 7 2 Dlstnbutlon of reference to all medical schools

2,1,2 ReVision of remaining 5 medical schOOls curricula & upgrade . __ facll~tyJl:a!.'!.!!19 skills

2 1 2 1 Signing of Memorandum of Cooperation With 8 Medical Schools

21 22 Training of faculty members in CST methodology

2,1,2,3 CUrricula Development Committee (CDC)

+------f-~ Thu 14/09/00

____ +-_1_9_9 _da_ys_ j Sat 30/09/00 _=i~'-I Th"'~",

90% I Thu 15104/99

-0'%-+ Sun 24109100 265 days I Sun 16109101

0% Sun 24/09/00 265 days Sun 16/09101

Sun 24/09/00 265 days Sun 16/09101

Sun 24109100 265 days Sun 16109101

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10 227

228

229

230

231

232

233

234

235

236

237

238

239

240

241

242

243

244

245

246

247

248

249

250

251

252

253

254

3t:2. -

I Activit

-

Start

21231 Establishment of committee _____ ~

2 1 232 Gathering of Input from department faculty I I ! 1

-----+----T--2 1 2 3 3 Finalization HM/HC medical school curncula design I

1

0% Sun 24/09/00

0% Sun 24/09/00

0% I Sun 24/09/00

0% I Sun 24/09100 2 1 234 Development of HM/HC medical school curncula Implementation plan

2 1 24 Improve the pre·service trarnlng period _ 1. _____ -+--

0% : Sun 24/09/00

21 241 Incorporation of HM/HC package Into pre-s~rvlc;---l" - - - --j -O'A,- - -1--S~4/09100-training program 1

--T---. --2 1.2.5 Trarn high-level faculty members out-of-country rn new 0'10 1 yU" "'U",UU

_____ ..m.edlcal technologies ._~' __ _ 21 251 Identify high-level faculty members 0% 1 Sun 24/09/00

2 1 2 5 2 Train high-level faculty members '---T--- i ------~-- .. --

! 0% I Sun 24/09/00

------------------+_~ i , 0% I Sun 24/09/00

__ ..i __ -----L 2 1 253 Newly trained high level faculty members disseminate

__ . _____ and utilize new knowledge to In-country trainees

2.1 2 6 Establishment of HIS In medical schools 0% 1 Sun 24/09/00 I I ! -----j - ------r------ -+----

----IL _ L __ O'_v'_1_s_un_2_4_/09/00----,i--___ . 2 1 26 1 ReVieWing the present HIS system

2 1 262 Identify HIS faculty members ! 0% i Sun 24/09/00

2 1 263 Trarn selected HIS faculty members ---1-- 0% Sun 24/09/00

21 264 Follow-up for HIS and ItS Impact on services 1 ""1 0% nun 24/091150 I I

2.1.27 Establishment of maternal and child health lib~a~ _. __ J _... ..II-------oo/.,--Isun 24109lo0--f----

2 1 27 1 Select proper sources and reference materials 1 0% I Sun 24/09/00

2 1 2 7 2 Distribution of reference to all medical schools

2 1 3 Sponsorship of periodic conferences topical to the HM/HC Package

-----_.- --._-- .... _ .. -2.2 ActiVity 2: Revision of nursing school curricula & upgrade faculty

_ tralnl_'!9_s~.!9.~n_co!]lorate HM/HC Packa9!.. ______ _ 2,2.1 Revision of 8 Nursing Schools Curricula and upgrade faculty tralnlne skills

22 1 1 Signing of Memorandum of Cooperation I I

I -l

1

0%

60%

35%

38%

40%

Sun 24109/00

Thu 15/04/99

Tue 15/06/99

Tue 15106/99

Tue 15/06/99

T ue 15/06/99 2 2 1 2 Training of faculty members In CST methodology '-i--- I 40%

".,3 C,,''"'' D ... 'opm," Comm'", ,COC, __ m --- j- _--run", T .. '"".9 2,2 1 3.1 Establishment of committee 1, 100% Tue 15/06/99

-2 2 1 3 2 Gathering of Input from department faculty and students

22 1 33 Finalization HM/HC nursing school curncula deSign

- - - -100% Sun 18/07/99

100% Thu 15/07/99

40% Thu 15/07/99

- - - - - - -

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- - - - - - - - - - - - - - - - - - -ID ACIIVlty Resp % Complete Start Duration Finish

2.2.1.4 Improve the pre-service training period 255

~---17% I Tue 15/06/99 I 612 days i Sun 16109101

----~--- ---I 256 ___ ~~n1,n~ ~;~~~;~ratlon of HM/HC package Into pre-servl: ___ not _____ J __ 17% I Tue 15/06/99 1

607 days Sun 16/09/01

268 days Sun 16109101 257

258

259

260

22.1.5 Train high-level faculty members out-of-country In new I r 0% I Tue 19109100 I ___ nLlrSl~~chn_0I.0Jll9S _.L ____ l _____ 1.------1 L ____ _

22~~entlfYhlgh-~eVelfac~~tymembers ______ oj _ i 0~ ___ 1~ueI9/09/00 _I 46 days : _ ThuI6/11/00

22152Tralnhlgh-levelfacultymembers j 0% ! Tue21/11/00~08dayS : Sun 15/04/01 I' I

----------------- --- I --- --L - -- --- 1------1 2 2 1 53 Newly trained high level faculty members disseminate i 0% I Tue 17104/01 111 days Sun 16/09/01

261 _______ a_nd ulilize new knowledge to In-country trainees _ -L- i I

2,2.2 ReVISion of 5 Secondary Nursing Schools Curricula In Upper 25% I Wed 01103100 420 days Sun 16109101 Egyp.!~i~g!ade school members training skills ________ ___ _ ____ ~ +I ______ +-. __ _ r---i-

262

I----263

1---1--- --264

222 1 Establishment of Curncula Development Committee (CDC) I '100% I Wed 01/03100 , I

2222 ReVISing MCH CUrricula In 5 seco~da~ -n-~r~,~-g schools 1 100% I -M;-nOiiOs/()O - - ____________ L I , ----- .... --------

100% T ue 01/08/00 2223 Finalization HM/HC secondary nursing school curricula deSign I I

h651- ----;;;; 2 4-Tralnlng of secondary school members on f;M1Hc~~7r~~------ ----r-----------

0% ! Sun 03/09/00

48 days Sun 30/04/00

----- ---~ ----23 days Wed 31/05/00

----23 days Thu 31/08/00

33 days Sun 15/10100 ~ _ _ _____ ~2P.e-,-lID'fltJ 1_

266 I 22 2 5 Development of HM/HC nursing school CUrricula I

_ __ l_~_+ __ 0% is un 22/10/00

L-

243 days ' Sun 16/09/01 I L.--J _________ ~~emen:.:.:t",at::::lo,,-n "'pl"'an-'--_______ '

I 267 I 223 Sponsorship of periodic conferences topical to the HM/HC Package 25% Thu 14/09/00 _1.

267 days ' Sun 16/09/01

268 ----2JActlvlty 4: Improve training capabilities --r II 52% ! Wed 15107198 1 , I

852 days Sun 16109101

852 days Sun 16109101 269 --.. -- --- - -2:3:1 Training of Trainers -------t---r- 52% - t ----11--~--~---+_--

270 2 3 1 1 Medical schOols i ! 55% Thu 15/04/99 651 days Sun 16/09/01 _____________________ -L --+

271 23 1 2 NurSing schools I ! 40% Tue 15/06/99

-------- t-----

272 23 1 3 In·servlce training I Task 1 I 60% Wed 15107/98

273 ~~!:!.ML!:iQ~l!!!!Ib.lin2~MlQZ.!ll!.illruJ~ I ~ Irni __ ~_ =Mile~ne: ~~l!!!!Ib.lin§~ and~n~rSi~g :~OIS ____ 11_~Oo/:..J Sun 17/09/00

1mI- ~~!:!.ML!:iQ~l!!!!Ib.lin1Q~MlQ1Qnurslng~ l-~~---tl---276 U. Milestone. HMIHC ~ l!!!!Ib.l in jl medical and jl.!ll!.illruJ ~ I 0%

Sun 16/07/00

Thu 15/03/01

Sun 16/09/01

---------------277 2.8 Activity 5: Training beyond the MOHP (Private Sector) 24% Mon 15/11199

--------~- --278 28.1 MIS 92% Mon 15/11/99

,

279 -- -28'1 1 Collecting numbers and dlstnbutlon of PS prOViders at project IpSA, FO i 90% Mon 15/11/99

affiU I I

---.----607 days I Sun 16/09/01

~I -585 days Sun 16/09/01

o days Sun 16/07/00

o days Sun 17/09/00

o days Thu 15/03/01

o daY;-- r Sun 16/09/01

~ 502 days Sat 15109101

105 days t Th~ 30103100 -

104 days I Thu 30/03/00

!----19 day-;-! Wed 15/03/00

I

-l-12 days I Thu 30/03/00

!

hBo1--------28i2Mo-dlfy currently used forms at EOC to add Information about PSA, M&'t-I---lOOO;O Mon 21/02/00

PS _ __--I~--281 I 28 1 3 Development of blo-data sheets to be used dUring pharmaCists PSA, M& 100% Wed 15/03/00

1--:-:-:--+---282

training sessions 1. 2.8.2 Research I 50% Sat 01101100 142 days I Sat 01107100

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1 283 1 ____ 2~_ 21 Before Private Sector Activities (PSA) launch I I 86% I Sat 01/01/00 r-60 days i Wed 15/03/00 . ' . ~

2 8 2 1 1 Development of questlonnaICe --*SA, Tl 100% I Sat 01/01/00 26 days T ue 01/02/00 ' I 284

2 8 2 1 2 Test questionnaire -----+:SA, T5 I 100% I Thu 03/02/00 7 days ! Thu 10102/00 i 28213 Modifications - PSA, T51100% I Sat 12/02/00 5 days I Wed 16/02/00 I

285

286

287 282 1 4 Final questionnaire -L-11.~-~

IpSA, T5 100% ! Thu 17102/00 2 days i Sun 20102100 , I f...-2-a-a-+---------2-8-2-1-5-lm-p-le-m-e-nt-at-,o-n O-f-q-Ue-st-lo-nn-a-,re-------+-T-5 I 100% i Mon 21/02/00 9 days Wed 01/03/00 ' .• ~

-----~-----

70% I Wed 01/03/00 5 days Tue 07103/00 I ---J. - - .... ,. ,.

2 8 2 1 6 Data analYSIS T5 289

290 2 8 217 Final report IPSA, TS ' 0% i Tue 07103100 7 days ! Wed 15/03/00 ~

291 ---2822 After PSA launch - ---IPSA, -TS-t---o;;---tT;-02/05100 44 days ~ -s;Ql107100

292 --- 2s3P~~~OliOn ---------1 -- --i--380/:--- hved 15/03100 26 days I 293 -- -- - .------ 2,8,3.1 PSA lEe materials ----------r -~- 56;/: -- t-Wed 15/03/00~6 days j Sat 15/04/00

I I I I

294 ---- - ----- ---- ---28:l11Coordlnatlon meetings With Task 8 to review __ -1-PSA~T8 ---10()'f:--red 15/03/00 14 days j Sun 02/04/00 develoJled matenals used for Rubllc I

295 _______ .~3n~a~ee;r~~~ne~~on meetlng~ -for qu;k relerenceg~'delines . _ PSA,:a _. _ __~% __ T u~ 0';;04/00 -'11days - _ I. Sat 15/04/00

296 2,8.3,2 PSA logo I I 0% I Wed 15/03/00 12 days I Thu 30/03/00

~; u - -28 '" ... "' ... T~"" ,,~"''' '" ,""",M 1-"'" i"-iwoo '","'0 " .. ' i Th. '''''TOO possIbilities __ __

298 _____ 2,8.4 Traini~g --I 11% Tue 01/02/00 442 days Thu 13/09/01

299 2,8.4,1 Private Physicians (OB/GYNs) I 78% Tue 01102100 72 days Sun 30/04100 --______ ---L-___ ----

_____________ 2,8.4,1,1 OB/GYNs =f-~ 100% i TueOl/02/00

2,8.4,1,2 Pediatricians 25% Thu 23/03/00

f...---1--28 4 1 21 CUrriculum development =±' ___ ~' _ ~% Thu 23/03100

300

306

307

72 days

32 days 1 1

12 days

Sun 30/04/00

Sun 30/04/00

Thu 06/04/00

308

309

~ 310

311

1---+---- ----312

318

1----1--- -- -319

284 1 22 ReView cUrriculum I 0% Sat 08104/00 7 days Sat 15/04/00 _______________ L ___ 1-1 __ _

284 1 23 Task analySIS I I 0% i Sun 16/04100

284 1 24 Pilot sesslon-- j----0;;---[ Sat 22104/00 4 days l Tue 25/04/00

. ______ ._ 28 41 2,5 Modifications and flnal~~r~~lu-;;;--. - -- - ~_-~ [_- - 0'10 --~ _Tue 25/04/00 4 days -I Sun 30/04/00

2,8.4 2 Private pharmacists ~ 100% Wed 08/03/00 43 days Sun 30/04/00

-----,

6 days Sat 22/04/00

284 3 1 ReVise Daya training program 264 days Thu 15/03/01

28.4,3 Daya - - ---jl--- -00;'-- 1- Thu 30/03/00 397 days Thu 13/09/01

------- j T6 - . -- -0"0/;-- -j'- T-hu-30-I03/00

[ -T6-- ----0-%-- - T-h-u 2-0/-04-100 1---1---------.-------------28432 Organlzelconduct TOT workshop 145 days 320 I

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- - - - - - - - - - - - - - - - - - -10 Actlvlly Resp I % Complele I Start Duration Finish

321 28433 Organize training of Daya ! T6! 0% I Sun 21/05/00 167 days Sun 31/12/00

~22 28434 Strengthen Daya supervision system - - -----t- T6 i - 0%--r--Mo~-05/06/00 - 345 days Thu 13/09/01 , I I '

323 -- ----- ---- ----- ----, SO, ""'d.ro"",'''","''''''OO",;;~M'' I u--r -0% I "'" 0","" "do,' -""" ,,",roo I :

324 --- ---- - -------- 284342 Developlflnallze training cUrriculum and training ---:-- -0;;;---, Man 03/07/00 I 45 days Thu 31/08/00 matenals I I I :

:::-=:-~=- ::: ::: ::::~::::~""~l=-i-~ j~~~::; I~~~;:: ::::: --------------------------=+-- -L ----J-~~- -L--- -----327 .__ ___ 28434 5 Implementation of supervlsory~~~__ ____ _ ___ J _. _ O~~ ___ l Tue 10/10100 i 250 days Thu 13/09/01

328 2.B.5 Quality Assurance _______ ._. __ . .----f _ __"I ._. ~~~'I'-.l~~:~~- 96 days ,. Sun 30/04/00

~_ _. _2~~.~~t:o:k~n_g . _____ . ____ 1 ___ J ___ ~o/~_..J Mon 15/11/99 502 days ' Sat 15/09/01

1 33e I 2.B.6.1 Local Medical and PharmaCists syndicates I .1 __ 100% Mon 15/11/99 23 days Wed 15/12/99

~_ 2.B 6.2 JOint Meetings 1_._1. 43% I Sat 01/04/00 26 dayS;. Sun 30/04/00

~ 2 8 6 21 Develop agenda for meellngs IpSA, SYlj 40% I Sat 01/04/00 14 days Sat 15/04/00 ~ I I I I

344 2862 iE';plore how ;;-d~Z~t~-;;;n support 10lnt meetings 1 PSA' I 60% ., -Sat;5i04ioo "-13d;;-345 . - -- --- 286 2 3 Develop Implementation plan ! PSA, SYij ----30o/;-·-tsat (5/0411)0' - 13 days Su;;"30104/00

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346 -- '--2.8.63 Pharm~~~:~co:!:_ni~s _ . I --1-~.!-~e~~~/oo I

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-- 48 days. i Sun 30/04/00

347 28631 List potential companies IPSA. T8 i 70% I Wed 01/03/00 7 days

348 28632 Contact determined companies iPSA, T8 i 50% Wed 15/03/00 -----12 day~ ---- j---; - .1------

349 28633 JOint meetings to explore ways of support IPSA, T8 1 50% I Thu 06/04/00

Sun 30/04/00

~~;-

Thu 09/03/00

-----Thu 30103/00

-----Sun 30/04/00

hsoI-- .- ---. 2.B.6.4 Health and Management Committees-- -- -- --j --- -; -- 68%W;d01I03100 -i"418d;Y;-- . Th~3109/01

rolea~d--+PSA,-T3 r' 30~/: '+V'i~d-Ol/-03/00- -i1da-ys-' Wed 15/03/00

_-,esRonslbllltles I ---1---- -------J------- t-----2864 2 Determine the PS representative responSibilities PSA: T3 I 30% I Wed 15/03/00 12 days Thu 30103/00

~ .----... - - - ---·2864 3 Ensure pnvate sector representatives at health and ! -. 70% --t Tue 28/03/00 394 days , Thu 13/09/01 I VVV I ____ -'mc-a::.:-nagementcommlttees ._ I ____ L _____ ~ 1------1

354 28 6.5 Infection Control Program l I 0% I Wed 20/12/00 198 days Sat 15/09/01

355 2.8.6.5.1 Formulation of Infection Control Commltee and I PSA-;-F'O t-1

---O% ·--t Wed 20/12/00 58 days 1 - Wed 07/03/01 Te~ms at the governorate, distnctand facility Levels _ n I _ J _ _____ _" _ . __

356 ____________ ~:n~ ~u~i ;~;~~~)lIOn of HClC (Aswan. Luxor. Qena. I DCOprr. ' __ ~~.:...._ I Wed 20/12100 13 days Sun 07/01/01

357 28651 2 Nomination of ICTs In prolect facilities (Aswan. DCOPIT 1 0% I Wed 20/12/00 13 days Sun 07/01/01 Qena, Luxor, Fayoum, 8~ __ . L __ -L-______ _. ____ _

~--.

352

-------I I

28651 3 SelecllOn of ICTs members (Aswan, Luxor. Committe I 0% I Man 15/01/01 40 days Wed 07103/01 ~ Qena, Benl Suet, Fa oum I 359 1-- -- -- .- --- ----- 28652 Development a"'-nd-=-d"-i"'-ss-e-m-in-at-io-n-o-t-he-a-It-h---+-PS-A-:-M& 1 0% Mon 15/01/01 91 days Tue 15/05/01

communication materials I

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2 8 6 5 2.1 Complete task analysIs, and KAP to Identify the tOPICS to be Included In the IEC matenals for Infection

286522 Coordination mtgs with Task 8 to discuss sUQoested tOPICS and develop first draft

286523 Production of approved lEG matenals

2 8 6 5 2 4 Dissemination of produced matenals to all health facililies

Resp % Complete PSA, T8, 0%

PSA, T8, 0%

T8 0%

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Thu 01/02/01 22 days Wed 28/02/01

Thu 01/03/01 23 days Sat 31/03/01

Sun 01/04/01 33 days Tue 15/05/01

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Wed 28/02/01

366 286532 Development of IC training needs Tl, PSA I 0% Mon 08/01/01 9 days 1 Thu 18/01/01

367 -------. 286533 Conduct IC training needs assessment IpSA, MC 10% Sun 21/01/01 9 days Wed 31/01/01 ______________________________________ -+'_ -L

I 368 I 2 8 6 5 3 4 Analyze IC needs assessment data I T~' PS;A ~ 0% I Wed 31101/01 7 days Wed 07/02/01

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Sun 31/12/00 370

~----371 I ~------

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2.8.6.5.4 Integrated training of Infection Control Committees; i 0% : Thu 01/02/01 156 days : Thu 30/08/01

and Teams on infection control -L~ +' I 286541 Conduction of LCIC onentatlon workshops IpSA. T3 0% Thu 01/02/01 12 days Thu 15/02/01

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.lSI Quarterly Performance Monitoring Report-I-IM/I-IC Results Package October I - December 3 1,2000 --------~~------------------------------

Contract Section C.S. Implementation of Essential Maternal, Perinatal and Child Health Services in Target Governorates (Result 5.1.2)

TASK THREE Public and Private Providers in Partnership with Communities to Develop and Manage District Plans

Accomplishments Twenty district health plans were reviewed and approved by the Governorate Management Teams in the five Target Governorates, Integration of the MCH and reproductive health plans took place during the development of the district health plans for this year, Also, the district health plans incorporated the results of the community needs assessment done by the CHCs. Facility Management Teams were established in all anchor facilities in Luxor and South Qena districts and in Aswan districts. Orientation of the Governorate and Three District Health Committees in Qena, Deshna and Nekkada (Qena Governorate) to the HM/HC package of services and to the project's activities were done during this quarter. Training of five new District Management Teams, three in north Qena (Naga-Hamadi, Abu Tesht and Farshout) and two in Beni-Suef(Beba and EI-Fashn) in Management/Planning and Quality Assurance took place during this quarter. Submission of Task Three milestone "Twenty district Health Plans and Monitoring System Developed and Implemented was accomplished during this quarter.

Activity 3.1. Facility/Community-levellnvolvement • Thirty-six Facility Management Teams (FMT) were established in 36 anchor facilities in

Aswan, Luxor and south Qena districts (Table I). Also, a Facility Management Team was established in Fayoum General Hospital. Moreover, a facility filing system was installed to enable facility staff to store and retrieve HM/HC related protocols, training manuals, selfassessment forms and similar materials. This system aims at improving the management practice in target facilities. It will be expanded to all other project facilities.

• Establishment of Community Health Committees (CHC) is addressed under Task Seven. Selection and orientation of the CHC members was accomplished. Community Needs Assessments were conducted in some catchment areas and the results were incorporated into the district health plans for this year. The results of the Community Needs Assessment will be discussed by district management teams and will be incorporated in the district health plans. The CHC and the facility management teams will meet quarterly to discuss/follow-up with the implementation of the plans.

l' --'

lSI Quarterly Pcrformancc Monitoring Rcport-IIM/He Results Package Octobcr I - Deccmbcr 31, 2000

Table I Formation of Facility Management Team (FMT)

Governorate Districts No.ofFMT Aswan Aswan 5

Daraw 4 Kom-Ombo

..., J

Edfu 5 Nasr 2 Total 19

Luxor Bayadeya 4 Luxor Urban 3

Total 7 Qena Esna 3

Qous 4 Annant 3 Total 10

Fayoum Fayoum Urban 1

Total 37

Activity 3.2. District-level Interventions (see the table at the end of the Task Three section) 3.2.1 Development of Guidelines for District Planning and Monitoring

+ This activity was completed in December 1998. Copies of the guidelines are available in each target district to guide the planning and monitoring activities.

3.2.2 Establishment of District Teams and Committees + District Management Teams in twenty districts within Aswan, Luxor, Fayoum, Beni Suef

and Qena Governorates have been meeting regularly on a monthly basis. The District Management Teams in the target districts conducted 60 meetings during this quarter, 19 of which were joint meetings with District Health Committees. During the meetings the teams reviewed/discussed the activities during the month, the accomplishments and problems/constraints. Also, teams reviewed reports, discussed QA reports and solved problems of non-compliance with the standards.

+ Each Management Team maintains a file to store and retrieve meeting attendance sheets, agendas and meeting minutes.

3.2.3 District Teams/Committees Training + Management/Planning and Quality Assurance training was conducted for five new

District Management Teams. The training included Naga Hamadi, Abu Tesht and Farshout District Management Teams in Qena Governorate and Beba and EI-Fashn Districts in Beni-Suef.

+ Orientation to the HM/HC MCH package of services was conducted for the three Middle Qena District Health Committees during this quarter.

3.2.4 District Planning + Twenty district health plans were reviewed and approved by the Governorate

Management Teams in Aswan, Luxor, Fayoul11, Beni Suef and Qena Governorates. Integration of the MCH and reproductive health plans took place during the development of the district health plans for this year. Accordingly, the district health plans include all HM/HC and reproductive health activities, which should be accomplished. also the service

24



.lSI Quarterly Performance Monitoring Report-11M/He Results Package October 1 - December 3 I. 2000

targets on the facility and district levels. The district health plans incorporated the results of the Community Needs Assessment performed by the CHCs.

• The District Management Teams in Nagh-Hamadi, Abu Tesht and Farshout Districts in Qena Governorate and Beba and EI-Fashn Districts in Beni-SuefGovernorate developed drafts of five new district health plans during this quarter.

3.2.5 District Supervision • The Quality Assurance Monitoring data are being entered on a routine basis in all lSI field

offices in Luxor, Aswan, Qena, Fayoum and Beni-Suef. Quarterly quality reports are being produced and submitted to district and governorate management teams in all governorates to be used for purposes of monitoring and evaluation. Teams reviewed the reports and used them to improve performance through problem solving methods to correct problems of noncompliance.

• During the next quarter the Quality Assurance Monitoring Program will be installed in all the district information centers after finalizing it.

Activity 3.3. Governorate-level Participation (see the table at the end of the Task Three section) 3.3.1 Establishment of Governorate Teams/Committees

• Management Teams in Aswan, Luxor, Beni Suef, Fayoum and Qena Governorates met at least once quarterly to monitor the implementation process. Governorate Management Teams in the target Governorates conducted six meetings during this quarter, four of which were joint meetings with Governorate Health Committees.

3.3.2 Governorate Team/Committee Training • The Qena Governorate Health Committee was oriented to the HM/HC MCH package of

services during this quarter.

3.3.3 Governorate Participation • The Governorate Management Teams of Luxor, Aswan, Qena, Beni Suef and Fayoum

met monthly to monitor the implementation of District plans I activities. In their regular meetings. they reviewed district team meeting minutes and reports to assess performance. provide guidance and to help in solving problems, if any. During the meetings. Governorate Management Teams also reviewed reports and discussed QA reports, using the problem-solving methodology to correct the problems of non-compliance with standards.

Activity 3.4. National-level Oversight • Copies of the meeting minutes of Governorate and District Management Teams are

compiled monthly and submitted to the HM/HC Project and lSI Cairo Office for review. • Dr. Nevien Khatab, the HM/HC Training Manager participated in all the management

training courses conducted during the quarter. • Dr. Nabieh Ismael, Director of the Quality Assurance Unit. HM/HC Project also participated

in all the Quality Assurance and Service Standards training courses conducted during the quarter.

Activity 3.5. Establishment of .lSI Regional Field Offices • The renovation, staffing and equipping of all .lSI Field Offices has been completed. The

offices are now functioning at full capacity.

25

lSI Quartcrly Pcrformance Monitoring Rcport-HM/HC Rcsults Packagc October 1 - Dcccmbcr 3 I, 2000

Activity 3.6. Other Activities 3.6.1 New Activities (not included in the A WP)

• During last quarter lSI assisted the MOHP in Luxor in conducting training programs about the referral system. This is part of the Healthy Mother / Healthy Child Results Package plans to strengthen the aspects of referral that are related to the package of essential services by implementing a system that can be practically applied in target districts and governorates using the "Guidelines for Referral System of Primary Health Care Staff'. Orientation of the community about referral system was done during the joint meeting of GMT and DMT with the health committees conducted in this quarter. The referral system will be implemented in Luxor Governorate and its districts during the next quarter.

3.6.2 Coordination • During the next quarter, lSI will plan a conference to review and share lessons learned from

implementing the district level involvement in the first districts, to adjust the working strategy and to discuss expansion to the next districts.

• A meeting with all lSI field office management specialists to coordinate the activities was conducted. Such meetings will be conducted on a monthly basis for more coordination between the field offices and Cairo office.

• The Task Three Manager attended several meetings with Pathfinder International (POP IV) to ensure the integration ofthe Quality Assurance Systems developed for family planning and MCH services.

• The Task Three Manager attended several meetings with the Egyptian Medical Syndicate as a member of the Supreme Committee for Accreditation of Private Health Facilities.

Constraints

• None.

Proposed Actions

• None.

26

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= Not Applicable = Plans available for 2 consecutive years

HM/HC Management Improvements at Governorate Level As of December 31,2000

If) ..... (,) Districts by

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391 8 Submit commun:ty plans to DMTs and DHC, for Incorporation IntG dlstrlc:t ~lans~Jlproprlate _________ __ 3 Y 1 9 OA monitoring and continuous Improvement

-------------- ----392 Dlstnct Level Interventions

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3 11 65 MOHP reviews and approves referral system

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.lSI Quarterly Performance Monitoring Rerort-HM/IlC Results Package October I - Dcccmber 3 I, 2000

TASK FOUR Monitoring System in Place to T.'ack Utilization and Impact and Provide Feedback

Accomplishments Activity 4.1 Assess and Create an Integrated and Standardized Nationwide Management and Health Information System

• Assessed 20 district MHIS centers in Menya and Sohag. Identified personnel for MHIS training.

Activity 4.2 Assist the MOHP to Set up 65 MHIS Centers at the District Level • Launched data management activities in 44 District MHIS centers and five directorate MHIS

centers in Aswan, Luxor, Qena, Assiut, Beni Suef and Fayoum. • Coordination between HM/HC RP and Family Planning is taking place considering the

MHIS center rooms in Menya and Sohag. The two parties agreed verbally on using one room for the Information Center in each district to serve all MHIS and Family planning information system.

• Coordination with DT2 started in order to plan for the third round of MHIS training in Menya and Sohag. A letter was sent to USAID to request DT2 assistance.

• Renovations in four districts in Qena (Naga Hamady, Farshout, Abu Tesht, and Nekada) started and are expected to be complete next quarter.

• Renovations in Assiut districts are completed. The HM/HC project will send the civil engineer responsible for renovations in the project by January 2001 to receive the renovated sites from the contractor.

• Family Planning started renovations for District Information Centers in Menya, which are expected to be complete in four months.

• The blue prints for district information centers in Sohag were completed. Renovation will take place during the first quarter in 2001.

Activity 4.3 Design User-friendly Software for MHIS • The final version of the HM/HC Monitoring System application was completed. It includes

the service quality standards checklist. district planning, and HM/HC results package monitoring indicators. Complete documentation for the application was developed. Training material for the monitoring software was designed, developed and finalized.

• Software was installed in JSI field offices for pilot testing in Aswan, Luxor, Qena, Fayoum and Beni Suef. The objective of the pilot implementation is to test the data flow mechanisms and the quality of the software with respect to data entry and report output before roll ing out to the MOHP.

• Training for District MHIS centers and DMT on the implementation of the computer-based system is scheduled to start in Aswan in April 2001.

Activity 4.4 Establish Monitoring Data Collection Mechanisms at Facility and Community Levels • Coordination between Task Three, Task Four, the HM/HC Project led to the development of

an outline for workshops on data interpretation and activity monitoring. The aim ofthcse workshops will be to review with District Managers the objectives of the IIMIlIC and outcome and monitoring indicators. The workshops will also aim at expanding the skills of the district level in data collection from different sources and improving ski lIs of data analysis regarding IIM/HC activities. The curriculum will focus on important indicators related to the HM/IIC package of services and indicators that support the district mangers to develop district health plans.

27

.lSI Quarterly Performance Monitoring Rcport--IIM/HC Results Package Octoher I - December 3 I , 2000

• FETP Graduates and IIM/HC Project - HIS Unit members will paJ1icipate as instructors in these workshops.

Activity 4.5 Upgrading of Governorate MHIS Centers • A workshop has been planned for the GICs to improve their management skills. The

workshop material is based on the Manual of MHIS procedures. The Workshop is scheduled to take place in March 200 I.

Constraints • Four trained technicians are transferred out ofthe MHIS centers. In Markaz Fayoum and

Esna (Qena) the two staff members were transferred to other sites after the training was completed.

Proposed Actions to Overcome Constraints • Retraining for statistical Technicians in Esna of Qena, Markaz Fayoum will take place

during the training of Menya and Sohag.

28

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.lSI Quarterly Performance Monitoring Report ~-IIM/HC Results Package

TASK FIVE Research Activities

Accomplishments Activity 5.1 Assessment of Current Research Needs

October I - Decembcr :> I. 2000

• Based on the recommendations of the midterm evaluation. the agenda for research proposals was revised and additional titles and pre-proposals were forwarded.

Activity 5.2 Development of Research Proposals and Identification of Departments and/or Institutes to Conduct the Research

• Study on Quality o/Care in the Private Sector: This study completed all data analysis and the draft report is finished and it is expected to be finalized in January 2001.

• Study of Emollient Applicationfor Preterms During Their Stay in the NCU: The contract for this research was signed in December 2000. This delay was due to the cancellation of the visit by Dr. Gary Darmstadt in November. The procedure manual, the data collection forms and computer programs are being revised. The Kasr EI-Aini Neonatal Care Unit will provide the number of neonates that are required for good evaluation of the intervention during 8 months period. The required bacteriology laboratory equipment and supplies were purchased and installed. The sample size for the study is going to be considered after a pilot study period, to decide on the use of the two proposed emollients or only use of the locally produced sunflower oil.

• Study on Infection Control Practice in the Facilities: Details of the intervention study that will evaluate different approaches towards improving infection control practices in the facilities was prepared in collaboration with the JSI Infection Control Committee. Selection of the trial facilities is dependent on the implementation of the infection control plan in a sufficient number of facilities; six facilities are required for this study. The interventions suggested will address the behavior change of health providers and their collaborators. The suggested long-term infection control plan that was developed by JSI will form the basis for the intervention activities. The idea of this study was based on previous observation studies. and the need for a trial of a practical approach for infection control was confirmed by the recent observational study of assessment of care practices in health facilities of some of the governorates of the proj ecl.

• Birth kit as a promotion/or infection control practice during deli\'ery: JSI has added some more items to the MOHP birth kit, to achieve cleaner deliveries. In collaboration with the MOHP as well as Task 8, a more comprehensive intervention study is proposed to have not only a clean delivery, but also a safe one. Ihnasia district of Beni Suef Governorate was chosen for this intervention study. Rapid assessment of the situation as regards cleanliness of the delivery at different places in Ihnasia was done in August, which included interviews with recently delivered women and birth attendants, and also included observation of nine deliveries at home and in the hospital. This rapid assessment showed substandard infection control practices during delivery, especially those carried out in homes. The protocol for birth kit distribution as well as safe delivery communication materials is being developed in collaboration with MOHr personnel. This study is going to evaluate the feasibility of the use of these kits. methods of distribution and the short term impact of the birth kit on clean delivery and site delivery.

• Stl{({v of Home Care Packagefhr Maternal and Neonatal Care Pmcfice. Task 8 (lEe) is planning to prepare materials for postnatal care in collaboration with both Tasks 6 and 7. Substandard practices as regards the level of care provided for neonates at home during their first week of life as well as the care for mothers \\ ill be addressed to develop and test simple messages. These messages of the essentials of care will be delivered at home by trained

29

50

JSI Quarterly Performance Monitoring Report- 11M/He Results Package October I -~ December 3 I, 2000

Community Health Workers to the infant's caretakers and mothers. Task 7 will help in providing the trained community workers and will choose the areas to stmi this first phase of the intervention study.

Activity 5.3 Train appropriate staff in "applied research" methodologies • The actual training of community workers is in progress in collaboration with Task 7. This

training includes use of data collection tools, simple tallying of data. drawing of indicators and some simple interpretation of the indicators.

• Governorate and District Management Teams are receiving problem solving training in conjunction with the Quality Assurance component of Task Three. A supplementary training on operational research methodologies that is required for more advanced problem solving that will be implemented in the next quarter.

Activity 5.4 Create research findings dissemination strategy • The completed studies were distributed as copies to all the field offices and the Task

Managers. This internal dissemination was also supplemented by a brief explanation of the studies in meetings.

• Collaborating with the HM/HC and MOHP personnel the strategy for workshops and/or meetings, selection of the participants as well as the number of these workshops is in preparation aiming at maximization of the benefits.

Activity 5.5 Conduct the 1999/2000 Maternal and Perinatal Mortality Survey • Over 6000 cases of female deaths and 500 cases of maternal deaths have been repolied. • Fieldwork ofthe study is on going in 27 governorates. Cases are in process of being

collected, starting from January 2000 till December 31, 2000. • Several Local Advisory Group (LAG) meetings were held at governorate level to discuss

cases identified every month. • A Technical Advisory Committee meeting was held to evaluate the causes and avoidable

factors of the maternal death forms for the National Maternal Mortality Study (NMMS) 2000. The Technical Advisory Committee members are professors from Assiut. Mansoura, Alexandria, Cairo and Ain Shams Universities.

• Three clinical supervisors from the HM/HC RP started attending the LAG committee meetings every three weeks for the other three target governorates (Suez, Kafr EI Sheik, Assiut). Their scope of work includes presenting a case scenario for all maternal death cases discussed by the LAG group in the eight target governorates.

• Progress report for the 4th phase ofDHS component of the National Perinatall Neonatal Mortality Study 2000, received from EI Zanaty & Associates on November 16.2000. The report has been reviewed and found acceptable. It includes a computer print out of data frequencies, final data dictionary, draft report of results and a report of the fieldwork.

5.5.1 Training • Training was conducted for the newly appointed SHB directors.

5.5.2 Technical activities for the National Maternal Mortality Study • In some cases the LAG and physician forms needed fllliher explanation. so field visits werc

conducted to explain the correct filling of the form. • Data are being cntered on a regular basis. • lSI and MOHr clinical supervisors will be pat1icipating in LAG meetings in eight target

governorates. Clinical supervIsors \'vill report on each case of maternal death in terms of avoidable factors and the actions that are required to prevent future maternal deaths.

----" --------------"---~~~---~ -~ "-

30



.IS! Quarterly Performance Monitoring Report--II M/HC Results Package October 1 - Dccemher 31, 2000

• Regular field visits by lSI staff & rETP Graduates physicians were conducted to the governorates to supervise and monitor the flow of work, discuss the LAG reports on the maternal cases, and also for checking the quality assurance of maternal deaths at different governorates.

• The Technical Advisory Committee meeting was going on every Thursday to discuss and review each maternal case.

• A meeting for the Central and Technical Advisory Committee was held at Dr. Esmat Mansour's office at the project for reviewing the progress of preliminary results for both NMMS 2000 and National Stillbil1h/ Neonatal Mortality Study.

• The DHS data collection for National Stillbirth/ Neonatal Mortality Study was reviewed by Dr. Oona Campbell, some of cases needed correction and the preliminary tables for the report produced.

• Dr. Oona Campbell from the London School of Hygiene and Tropical Medicine conducted a consultancy visit from 21-31 October 2000. During her visit Dr. Oona reviewed progress of the study and prepared a presentation about the progress of the NMMS 2000 and the NPNS 2000 for the Central Technical Advisory group held at Dr. Esmat Mansour's office. Also she reviewed the DHS data collection for National Stillbirth/ Neonatal Mortality Study 2000 and produced some cross tabulation and tables for the DHS study.

• A staff member from CAPMAS went weekly to all governorates to get all female and maternal cases from MCH directors.

• A field visit to the governorates was carried on by the FETP Graduates group and CAPMAS staff to check the study quality and log book for all female and maternal death registration and to confirm the status of female or maternal deaths.

5.5.3 Future activities for the National Maternal Mortality Study • The Technical Advisory Committee finished their task about evaluation for maternal death

forn1s for the National Maternal Mortality Study 2000. • Dr. Oona Campbell of the London School of Hygiene and Tropical Medicine and Dr. Jelka

Zupin from WHO at Geneva will visit JSI in January 200 I, to attend the meeting of central technical committee for the National Perinatal! Neonatal study and present the preliminary results of the study.

• Complete the processing of collecting all female and maternal death forms from the governorates to December 31.2000.

Constraints

• None.

Proposed Actions to Overcome the Constraints

• None.

31

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JSI Quarterly Performance Monitoring Report--HM/He Results Package October I - December 31 . 2000

Contract Section C.6. Established National Child Survival Programs Sustained (Result 5.1.3)

TASK SIX National Child Survival Programs Sustained

Accomplishments

Activity 6.1 Strengthen Immunization Services • No specific activity was conducted during this quarter with the EPI Program.

Activity 6.2 Strengthen Acute Respiratory Illness (ARI) and Control of Diarrheal Disease (COD) Programs

• Task 6, in collaboration with ARI/CDD component of HM/HC Project, arranged a training course on ARI/CDD activities in Aswan for PHC physicians who work in Anchor Facilities in Aswan. The course started on 30th of September for six days and finished on October 5.

• During the period from November 19 ~23, the Task Manager attended the IMCI regional meeting arranged by WHO, EMRO in Alexandria. Dr. Gipson, the COP attended the first day of the meeting. During the first day a country meeting was held to discuss the achievements and constrains of IMCI in Egypt.

Activity 6.3 Support the Neonatal Program During this quarter the following sub-activities were achieved:

• Four neonatal clinical supervisors were recruited during the month of October to conduct clinical supervision and on-the-job training for neonatal unit staff in the target governorates.

• A TOT course on neonatal care for nurses was held in Cairo during the period from October 9-12. Eight nurse master trainers attended this course.

• During the period from October 15-19, a training course on basic neonatal care was held in Fayoum. Sixteen participants attended the course.

• Dr. Ayman EI-Mohandes visited Egypt during the period from October 22-25 to assess the progress of work with Task 6. During his visit he had a field trip to Luxor and Aswan to assess the neonatal units there. He attended a workshop for integration of perinatal services, which was held in Luxor.

• A meeting was held on October 17 at the HM/HC Project to discuss the cooperation on training between Task 6 neonatal program and ENPCP. The progress in the national assessment of neonatal units was also discussed. Dr. Esmat Mansour, Dr. Nahed Matta, Dr. Emad Yanni, Dr. Ashraf, Dr. Shaban, and lSI staff attended the meeting.

• The Task 6 group attended the meeting held on October 26 with the COP and the Maternal Mortality Survey group, Dr. Ayman. and Dr. Oona Campbell to discuss some of the results of maternal and neonatal mortality.

• Dr. Lamia, the neonatal consultant. conducted a session on neonatal resuscitation for the participants of the EOC course in Fayoul11 on October 12 in Fayoul11.

• Two courses for advanced neonatal care were held in Fayoum and Beni Suef during the month of November.

• Dr. Lamia attended the commodity workshop held in Luxor during the period from November 19-21. They discussed the reallocation of commodities between different facilities. and identified problems and constraints in the management of commodities.

• A workshop on integration of perinatal services between obstetricians and neonatologists in Fayoum and Beni Suef governorates was held in Fayoum on November 26_

33

.lSI Quartcrly Pcrft)[Jnancc Monitoring Rcport---HM/HC Rcsults Packagc Octobcr I - Deccmber :1 I, 2000

• Many supervisol)' visits were made to neonatal units by the neonatal clinical supcrvisors to assess the performance of and conduct on-the-job training for neonatal unit staff.

• On December 14 the neonatal milestone (Neonatal services at centers are linked with comprehensive perinatal care programs in 25 target districts) was submitted to USAID.

• A workshop was conducted at the lSI office for three days December 17-19 to finalize the neonatal physicians CBT modules.

• On December 21, a meeting was conducted at the JSI office with neonatal nurses mastcr trainers to discuss the development of technical materials needed to conduct the first training course for neonatal nurses.

• During the month of December a data entry specialist was hired to design a program for data entry and then enter the data.

Activity 6.4 Strengthen the Daya Training Program During this quarter the following activities were conducted:

• A d~ya training course was conducted in Aswan district during the period from October 1-5. The course was attended by 13 dayas.

• Task 6, in collaboration with HM/HC Project, conducted a TOT for dayas in Qena governorate during the period from November 7-9. The course was attended by 21 participants.

Coordination During this quarter the following coordination with HM/HC Project took place:

• Coordination to conduct daya training courses and a TOT for the daya program. • Coordination with HM/HC Project Perinatal Unit: to assess neonatal units.

Constraints • None.

Proposed actions to overcome constraint • None.



HM/HC Upgrade Status of Neonatal Centers As of Dec. 31,2000

Upgrade Status

Assessment: Complete

Renovation: Complete

Construction Contract Bidding

Plans

Commodities: Complete

Partial Available On Order

Training: Complete In Process

Upgrade Status: Upgraded

Interim

Facility Upgrade Status Definitions (to be used with Upgrade Status tables)

Assessment completed and report available.

Construction work completed and facility turned over to MOHP. Construction work in process. Contract awarded Undergoing bidding process Plans and Bills of Quantity drawn up, but construction not yet started

All critical commodities delivered to and installed in Facility. Most critical commodities delivered to and installed in Facility. Most critical commodities procured and in storage in lSI Commodities in process of being procured

Critical personnel at facility have been trained in EOC skills. Critical personnel at facility are being trained.

All required improvements made and facility offering upgraded serVIce. All required improvements not completed, but improved level of services being provided in temporary location in facility.

I I I I I I I I I I I I I I I I I I I

;~ I

I HM/HC


Facility-level Training of Personnel


, Beni Suef Governorate Beni Suef District EI Wasta District EI Fashn District Beba District

I 17 11 2 2 2

NCU Training(")

I 0 I 0 0 0 0

As of December 31, 2000

17

,""~~'H ~~ (",:~-<; ~":~' .~. ' , , I ' ,I", '0,:",,1',' ,81 ~'~"'" ,"","'" "'[otals' ,,' 81 , ::o:\';;I~::::t':'~:.",:,-~~ ,I,::r:" "~I~~i~~ _ \". - I ., .' (*) Trainees received both baSIC and advanced NCU training

n Nurses only started receiving NCU Training In January 2001

- - - - - - - - - - - -10 I Activity Resp % Complete Start DuratIOn Finish

718 I 6 TASK SIX' Established National Child Survival Programs Sustained ! 68% Sun 17/05/98 894 days Sun 16/09/01

~---. i I 719 6,1 Develop an Analysis Matrix to determine areas that require technical I ,100% Thu 01/10/98 25 days Wed 04/11/98

assistance (TA) i ! I 726 62 Conduct workshop to collectively plan Integration of CSP activities into i I 100% Mon 01/03/99 28 days ' Wed 07/04/99

HM/HC --L-i- !

731 63Activity 1: Strengthen Immunization services ~"--~-~ I ! 87% Sun 17/05/98 854 days i Sun 22107/01 ,

732 63 1 Develop a list of EPI TA pnontles according to the AnalySIS Matnx, With I MS t 100% Sun 17/05/98 10 days I Thu 28/05/98 Input of Steenng Committee I ~_ ~ ~ I

733 632 Assess current status of EPI pnOritles, missed opportunities, and MS 100%, Sun 31/05/98 44 days ' Wed 29/07/98 obstacles In target districts ~',-t I

734 633 Prepare and distribute report of EPI assessment MS, EPI 100% I Thu 30107/98 10 days I Wed 12/08/98

~35 ~ ill Benchmark'EPI assessment@QQjjQ@Qillillj and distributed MS, EPI 100% I Wed 12/08/98 0 days i Wed 12/08/98 I

736 --'---6-35 Based on EPI assessment, strengthen management, IEC and r- MS I 100% 'I Thu 13/08/98 164 days [I Tue 30103/99 ~ ___ " '" outreach activities, and EPllntegratlOn Into HM/HC I ' __ + __ ,__ ~ ,

737 636 Monitor reliability and quality of service delivery and coverage rates, I MS r 100% i Sun 13/06/99 120 days i Thu 25/11/99 IdentifYing corrective actions With Input from Steenng Committee i~~-- ~ i I I

738 6 3 7 Re~assess current status of EPI actiVItieS, re,dlrect program actiVities MS 100% I Sun 28/11/99 20 days i Thu 23/12/99

739 '----~-- -:;~ ~:;~!:sr~ryRe,assessment @QQjj prepa;;d and distributed I MS -EPI: 100%---jThu23/12/99 0 days i~- Thu 23/12/99

740

I-::--i ~ .. 741

639 Based on EPI re,assessment, strengthen manage~ment IEC and I MS EPI :--10'0;;: -: Sun 26/12/99' 340 days outreach act",I!'~_S, and IntegratIOn of EPllntoHM/HC ___ _ ______ _ I --f---'~-~-' __ _

Sun 18/03/01

63 to Monitor reliability and quality of service delivery and coverage rates, II EPI I 100% I Tue 04/07100 200 days ~ ~_, Idenjlfy.'l19_CClrrectlve actions With Input from Steering CorTHT1I1tef', _" __ ~~,~'~ ,_' : _, L_,~ __ ~,~ ___ ~, I 742 I 6311 Evaluate achievement of Pertormance Target MS 0% I Tue 10104/01 75 days

~----

Sun 22/07101

f---~-+~--'- ---, ,-- -,~,-~--~---~:-~--,- ~ I--~~--, 1-1---743 6312 Collaborate on research of Immunization and vaCCIne development I MS 0% i Sun 24/01/99 I 60 days

_~~, tOP'CS I the teagbill!Y..Q!. new vaccine Introductlon__ , ~ _ ~,~~~ I ' ~~ ____ , 744 6,4 ActiVity 2, Strengthen ARI and COD programs I 59'10! Wed 23/12/98 677 days

,________ - ____ L,~ __ l_~_ -__ ~_ I ~ ____ ~ + ___ _ 745 ,~~~~:~~:g With IMCI Coordinator to explore areas ofTechnlcal _ J-_~_~ __ ~w:~ Wed 23/12/98 1 day ~I' Wed 23/12/98

746 642 Develop a list of TA PriOrities according to the meeting I MS I 100% I Thu 24/12/98 41 days Tue 26/06/01

747 _~~ ___ ~ 643DeslgnEg;p~~;;~~ZlMcI~;;- -i: 100% 1'~S~~~O~3/Oi199 ~ 21 days 1 &;;;31101199

748 6.4.4 Milestone, Completion Qf Egypt·specific Integrated Sick Child I 100% ~a,!agement l!MQ) Plan I I 64 5 Translation of IMCI Matenals into ArabiC ~~ MS 100%

64 6 First central,level course of IMCI __ ,~___ 100~o 'Mon 01/02/99 20 days I Sun 28/02/99 I

647 Second central,level course of IMCI 100% Mon 15/03/99 20 days r Sun 11/04/99 _, ____ ~_____ -------L-- '

752 648 Assess ARIICDD pnorltles & obstacles In target districts to find ways IMC Prog I 100% Man 12/04/99 14 days I Thu 29/04/99 , __ , -'0 Integ@~~ ARI & COD actiVities mto HM/HC __ ,~ ~

753 ill Benchmark ARI/CDD ~ [gQQ[! prepared and distributed MS,IMCI 100% Thu 29/04/99 0 days Thu 29/04/99

754~- -6:; ~108a~;d on ARI/CDD assessment & IMCI plan, strengthe~- ,--~~ ~MS,IMC'i 1 OO~h~- Sun 02/05/99 175 days Wed 29/12/99 I ,_ _~rna~§'Qe.rnent. MIS and IntegratIOn of ARl/CDD/lMCllnto HM/i::I~~-:-::--1 __ ---l ___ ~ ____ ~ ___ , I

755 64 11 ASSist MOHP With the Integration of the ARI and COD MISs In 27 I MS, IMCli 70% S~2/05/99 ,~~ 240 days Tue 21/03/00

~-----

Thu 15/04/99

Tue 26/06/01

o days Mon 15/03/99 Mon 15/03/99

Thu 24/12/98 48 days Man 01/03/99 749

~~~-~~~-751

Governorates

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Wed 22/03/00 64 12 Monitor ARI/COO/IMCI strengthening activities, IdenllfYlng corrective I MS, IMCli 100% _______ ~tlons with Input from Steenng Commlliee

Tue 18/04/00 757 64 13 Re·assess current status of ARI/COOIIMCI acllvltles, re·dlrect MS 100% Tue 28/03/00 20 days ___ Lpr,,09 ram activities & TA as necessary ---t--- 1, _____ -1

758 §..i.H Benchmark Re-assessment £rulQ!! ~ 2lli! distributed MS I 0% Mon 24/04/00 0 days I Mon 24/04/00

759 64 15 Based on ARI/COOIIMCI re·assessment, strengthen management, MS -r -- 30%--- T~e 25/04/00 260 days 1 Mon 09/04/01 ___ ._ MIS~ncJlI1)ggratlon of ARl/COOIIMCllnto HM/H_C __ ._____ _ I ._. __ ~--. ___ !------t

760 64 16 Assist MOHP with the IntegratIOn of the ARI and COD MISs In 27 1 MS: 0% I Wed 13/09/00 159 days I Wed 11/04/01

761 -~~~r ARI/COOIIMCI strengthening activities, 'deni,~ng correctIYeJ-- MS -J-' -0%-- --+ Tue 07111/00 i- 120 days 1 Mon 16104/01

762 ----6-5 A:t~~~~s3~~:;:~~f;~; nS~~~~~;1 ~~:~~t~e _ --~-=------=~-----l- ~0_-i_~-~:~1-6_/~0-6/9~E; Sat 15/09/01

763 taln 100 neonatal centers I i 71% 1 Tue 16/06198 I 815 days Sat 30106101

~- - - - 65 1 I Assess the 108 neonatal centers --.-. --- - ---I MS 100% - i -T~e 16106/98 65 days Mon 14109/98

-_-6.5'~2-~Assessmentofneonatal~~ter~ conducted~=! M~j_ .1000;::-_ f_~~9/9~ _~-I tj-

766

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6513 Develop a workplan for cooperation with MOHP MS : 100% I Tue 15109/98 I 15 days ' Mon 05110/98

6514 Identify 1 center In Aswan, Luxor, Benl Suef In which to pilot i -'MSr--1000;:'- t Tue 06/10/98~-1 structural, educational and service programs ___ .----L ____ (.__ _ ___ _ _ _____ ..1-____ . ______ _ 6.5.1,5 Training of staff 'I I 86% I Tue 01112/98 197 days I Tue 31/08/99

6 5 1 5 1 Identify a US· based university MS I 100% 1 T ue 01/12/98 22 days Wed 30/12/98

651 52 Identify 2·4 Egyptian unlver;'lIes-;t~-;g~t ~r;a00-'I: 1-' 100% r- Tu;Qm2/98 22 days serve as training sites I! 65 I 53 Prepare for TOT on neonatal care I ';;;S-T'-'-0-00-10---'-1 -T-h-u-3-1-/1-2/-98 -+-----~------I

6 5 1 5 4 Conduct workshop i" -100% -I Mon 01/02/99

65 1 55 Identify 15·20 pediatriCians for U S faculty training _ 100% Sun 14/02/99-1------__ _

65 1 56 Train pediatriCians In neonatal care and service MS 100% Sun 02/05/99 delivery With U S faculty -' _u ___ 1------ --+-----f 65 I 57 Train at least 15 pediatriCians In neonatal care service I ~I 00% Mon 24/05/99 dellve at U S ·based univerSil __ ~ ___ ._ _--+ ____ -] 65 1 58 Benchmark Train ill ~.a pediatriCians ill Neonatal MS I 100% Sun 13/06/99 Care and service delivery In US·based unlverslty, _____ --;;;s[--'- .! 651 59 Organize In-country nursing training program to be MS 50% I' Sun 04107/99 Instituted In target governorates -----'-_ _ _____ ~ _____ I ______ 1---___ _

for neonatal care 6 5 I 6 ReView and revise the existing phYSICian and nursing manuals 1 MS 100% I Tue 01/12/98

---'--6517 Benchmark Flnlsh!@illilll ill MenyaS~h~g;~d·~ l - ·o;/, --1'5at 30/06/01

6,51 8 Identification and procurement of additIOnal e~UlP~e;;;-- ~--J 100% Sun 04110198

779

780

785

~--. 786

787

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788

~ o"'"'UP'""''' ""U ""P'""" 6 5 1 12 Facilitate the Incluslo.n.o. f nalianal program pnontles In the MS! 50% I Wed 14/04/99 141 days Tue 26/10/99 ,-.. -,-----, -----'--ontallOn ~ dlstnct plans _____ ~-__ -+ ___ _ 55 1 13 Improve referral system linking the different program areas MS 40%, Sun 25/04/99 301 days Wed 31/05/00

_and_the vanQus levels of I!!.e heallh~ysler11 _____ -- -- -- _I _____ _

790 Q21.H Benchmark FmalizallOn ill neonatal competency-based 100% Thu 20104/00 0 days Thu 20/04/00 training modules __

791 Sun 15/10100

l---l --651 15 Benchmark Estabtishment of Neonatal Supervisory Teams 1 -1-00-0;'-0 -+-S-un-15-/l-0-10-0-+--0-d-ay-S-

792 6 5 1 16 Benchmark Finish @!lQ!! about assessment ill neonatat unlls 0% T ue 28/11/00 o days T ue 28/11/00

793 6.5.2 Mitestone: Neonatal Centers linked with comprehensive perinatal MS 100% Sun 17/12100 o days Sun 17/12100 ro rams in fQ tar et districts

794 6.5.3 Milestone: Services Improvedm 100 neonatal centers 0% Sun 15/07/01 o days Sun 15/07/01

795 654 Target 100 neonatal centers prOViding acceotable care 0% Sat 15/09/01 o days Sat 15/09/01

+ I 795 I 6.6 ActiVity 4' Stren9then the Oaya training program J 54% Sun 10/01/99 724 days _! Sun 16/09/01

~ 66.1 Conductformatlve research I 100% Sun 10/01/99 178 days I Tue 14/09/99

" 802 66 2 Identify mechanisms for linking dayas to the formal health sy~temj MS! 70% Tue 14/09/99 40 days I Man 08/11/99 ---- ~Jl..atthedlstnctlevel) ______ --1_ _ _ 1 __

80:1 66.3 Strengthen Daya training I 72% Tue 09/11/99 506 days

804 6631G~vernoratelevel ------- -MSl--80;/o--T~e09/11/99-- -- 20days -r Mon06/12/99 ]

805 6632D~st:~:I_______ __ ____ _ _____ ]' MS [_ 7~O/o _____ Tue07/12/~9 30day~_ i~:5101/00 806 663 3 Facility level MS 70% Tue 18/01/00 40 days I Tue 07103/00

807 --~3-4 Target Upgraded f2EyQ tra,","gcou~;7iedW.§}JZ2-I- -MS ----0-;;:--1' Sun 16/09/01 0 days 1- Sun 16/09/01 dlstr,.,lct .. s ___________ _

808 66.4 Strengthen Daya supervision & monitoring - 31% I Tue 09/11/99 178 days Wed 26/06/00

809 6 6 4 1 Governorate level

/----1- -810 6 6 4 2 D,slncllevel

________________ , MS _(_ 5~~~ __ li TU~09/11~~9 __ 1~dayS I MS : 50% Tue 07/12/99 30 days

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813 6 644 1 Gain support for Daya Involvement I MS l' 25% J Thu 09/03/00 20 days i Tue 04/04/00

814 -------- ---- __ ~~y~!~,~~:rove Sklll:::~glng supervls~ng an~_~O~1 ~_~J _-~20%_ J_~hU 06/04/00 30 days - I Thu 11/05/00 1

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workers and health managers strengthened and Improved + ' 817 -- -- ------66 5 Benchmark Reach 11 consensus about lhft duration and contents ill i -- - 100% I Thu 30/03/00 0 days i Thu 30/03/00

the QllYll refresher course I: I 1

818 666 E~pan_~n-;f Daya training progra~~_~~~t:CIS ~o~~~e;~~~csp- MS J -_ __:~ ___ 1- _ThU 29/0~~- "314-dayS j--Mon 27/08/01

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-


.lSI Quarterly Performance Monitoring Report~~-I 1M/He Results Package October I - December 3 I. 2000

Contract Section C. 7. Increased Knowledge and Improved Health Behavior in Households (Result 5.1.4)

TASK SEVEN Better Social Community Services

Accomplishments

Activity 7.1 Establish Community Interest Groups • Community public meetings were held in 14 communities in Madinet El Omaal in Qena

district (Qena Governorate); Belfia and Barout in Beni Suef District, Abu Sair E Malak in Wasta District (Beni SuefGovernorate); Kalmshaa, Abu Gandeer, Defno and EI-Garak in Etsa District, EI-Shawashna, EI-Nazla, Kouta and EI-Agameen in Ibshway District, EI-Hadka and EI Sheikh Hassan in Fayoum Urban District (Fayoum Governorate).

• By the end of the 14 community public meetings, 376 community leader participants were introduced to the project, and oriented to services provided by the newly upgraded maternal services. A free listing of key problems and barriers to access health care were forwarded by the participants and discussions of ways and means to alleviate these problems and remove barriers took place. By the end of the meetings the participants were able to establish 14 CHCs and select their representatives in these Committees.

Activity 7.2 Inventory of Partners • A Protocol was developed to define, identify and assess community-based organizations.

The inventory was completed in the five target governorates.

Activity 7.3 Development of a Community Needs Identification and Decision-Making Tool • C HC Training on Community Needs Assessment (CNA) and conducting community

Interviews: 151 community leader members of 14 CHCs were trained on CNA. These CHCs are:

Governorate District Community Qena Armant EI Democrat

Qena District Madinet El Omaal EI Mahrousa Awlad Amro Karm Omran

Luxor Luxor EI Sheikh Mousa Fayoum Etsa District Defno

EIGarak Kalmshaa Abu Gandeer

Beni-Suef Beni-Suef District Belfia Barout

Wasta District Abu Sair EI Malak EI Maymoun

35

JSI Quarterly Performance Monitoring Report-I-IM/I-IC Results Package October 1 - Dcccmbcr 3 1 , ~OOO

+ Recruitment and training of Community Outreach Workers to conduct the rapid house hold survey: Survey teams of 261 female Community Outreach Workers from 16 communities were selected and trained on the Rapid Household Survey and manual tabulation of the results. They were recruited from the following communities.

Governorate District Community

Qena Qena District Dandara El Mahrousa Awlad Amro Madinet El Omaal Karm Omran

Armant District Armant EI Democrat Luxor Luxor EI Sheikh Mousa A~wan Kom Ombo District Selwa Bahary

Daraw District Benban Fayoum Fayoum District Desia

EI Lahon Beni-Suef Wasta District Abu Sair EI Malak

EI Maymoun Beni Suef EI Ghamrawee

Belfia Barout

+ Sampling: A complete list of births registered at the health facility within a year was obtained. Names of mothers and locations are recorded on this list. Using simple random sampling, 60-70 households were selected. The number of households selected exceeded the number that was needed for the sample (50) to meet unforeseen circumstances. The allocation of households to each community outreach worker took into consideration the village to which she belongs. so that she would be more familiar with and better understands her community, and have easy access to households. Furthermore, this would ensure that logistics \""ould not constitute a problem.

+ Conduct the Assessment: After training the community outreach workers, a CNA was conducted in the 16 communities mentioned above.

+ Develop Community Action Plans: Following the implementation of the CNA, CHCs in the 16 communities held meetings to review the results of the CNA. Based on the results, Community Action Plans were developed to meet those prioritized problems/needs that were within the capacity and control of the community organizations. The community outreach workers who conducted the rapid household survey presented the results to the CHCs and participated in the discussions. The total number of CHCs and community outreach workers who pat1icipated in these meetings was 367.

36



.lSI Quarterly Performance Monitoring Report--HM/HC Results Package October I - December 31. 2000

+ Review Progress of Implementation of Community Action Plans: Six CHCs (67 members) ofthree districts (Beni SuefGovemorate) met to review progress achieved in implementing the Community Action Plans.

Activity 7.4 Health Provider Sensitization + Thirty-two health providers from Farshout and Abu Tesht Districts, Qena Governorate were

sensitized to community beliefs, perceptions and knowledge related to maternal and child health care. The community attitudes and the concept of client rights and satisfaction were discussed and introduced. A second round of health provider sensitization that will focus on changing behaviors and attitudes of health providers is under development in cooperation with Task 8.

Activity 7.5 Testing Different Partnership Schemes + The results of the implementation ofthe Community Needs Identification and Decision

making tool yielded a number of partnership schemes at the community and district levels. These partnerships have been identified through the implementation of the small grant program. A number of the grants, particularly in Luxor, Aswan and Qena were based on problems and needs identified by the communities through the process of implementing the tool. The types of needs identified generated the initiation of partnership schemes which are related mostly to community health communications.

+ The results of the Community Needs Assessment conducted in the three middle districts of Qena and all the districts ofBeni Suefwere presented to the NGO representatives who attended the training course on project proposal writing in early December 2000. To build the capacity of the NGOs awarded with small grants, technical assistance was provided to new 30 NGOs to reach a total of 52 such NGOs. Part of the technical assistance involved converting the NGOs' proposals to work plans with detailed quarterly implementation activities and human and financial resources required.

Activity 7.6 Implementation of the Most Promising Partnerships + A close monitoring process of these partnership schemes by the lSI Field Offices in Aswan,

Luxor and Qena is on-going to see that what has been agreed upon is implemented.

Activity 7.7 Community Education + Task List for Community Outreach Workers:

The first step in involving and mainstreaming the community outreach workers closely related to the HM/HC interventions is to define their role and tasks. A Task List for Community Outreach workers was developed refined and produced. The primary job of the outreach worker working with the HM/HC is to promote healthy behavior of household and community level through working with the Community Health Committee (CHC), NGO. women's clubs and home visits. The HM/HC community outreach worker reports to the designated local health facility (LHF) nurse or to her NGO supervisor, who coordinates with the LHF nurse. Outreach workers provide appropriate IEC materials and messages to mothers and their families. The tasks were tailored specifically to enable them to perform these tasks in a systematic way.

+ IIM/HC Community Olltreach Workers' Manual: A draft operational guidelines manual was produced. This manual is for outreach workers of NGOs, ministries, and other organizations working with the 11M/He. The manual was produced with the help of many outreach workers. It is based on the Task List mentioned above and by observing the Community Outreach Workers in their routines and seeing what problems they face and discussing possible actions to address the problems. Supervisors of

37 b~

.lSI Quarterly Performance Monitoring Report-HM/HC Results Package October I - December 3 I , 2000

outreach workers would also find the manual useful. The manual is designed to serve as a resource for outreach workers to consult for help with their tasks. It will explain how to perform tasks that outreach workers are asked to carry out with HM/HC. It will answer questions and provide guidance to handle difficult situations that may arise. The Manual is under technical review before testing it in the field.

+ Training Community/NGOs Outreach Workers: The manual supports and is supported by outreach worker training. It is not a substitute for training. As mentioned above, the types of needs identified and generated in the proposals of NGOs for small grants are related mostly to community health communications. The manual is designed to be used in conjunction with HM/HC materials for community members. The community outreach workers training manual and trainer manual were developed, tested, refined and consolidated. The table below shows the number of community outreach workers trained during this quarter and topics on which they were trained. Next year will witness wide expansion of conducting training courses for community outreach workers:

Subject Outreach NGOs involved Workers

Breastfeeding 62 5 Diarrhea & Nutrition 41 2 FGC 19 4 Pre & Postnatal Care 158 12 Total 280 24

+ Health and Literacy Materials Development: World Education delivered health literacy learner materials that use a storyboard format. Each focused on an important HM/HC health message. The materials include a teacher guide for delivery of the five lessons and are intended to enhance the IEC materials produced

Constraints + None.

Proposed Actions to Overcome Constraints + None.

38



HM/HC

Governorate

District Facility

Target Facilities Total

Community Level Activities As of December 31, 2000

Number of Facllitlesl Community Community Level of Service Providers Health Needs

Community Phase

Sensitized Committee Assessment Action Plan

CEOC BEOC Total Established Conducted

Developed

31 72 10 89 54 54 42

HM/HC


Community Level Activities

Providers Sensitized

As of December 31,2000

Community Health

Community Needs

Community Action Plan Developed

I I I

~~~--~~~~~~~~~~~~~I ~~~~~~~~~~~~I

I ~~~~-r~~~~~+-7-~~~~1

~~~~~~~~~~~~~~~~~I

~~~--+-~~~~~~~~~~I

I ~~~~-.----------r~~~-r~-r~-r--~--+---~--4-~~--~--~--~

~~~~~~~~~~~~~~~~~I

~~~~~~~~~~~--~----+--~I

I ~~~~~~~~~--~~I

~~--~~~~~~~~~I

I ~~--~~~~~~~~~I

I b& I


HM/HC





Community Health

Community • Needs


HM/HC





Community Community Health Needs


-rO


- - - - - - - - - - - - - - - - - - -10 ActlvliL

820

1-----1--821

I---822

7 TASK SEVEN, Better SOCIal Community Services

7,1 ActiVity 1, Establish community "interest" groups

71,1 Phase I Aswan, Luxor & Beni,Suelf

Res~ % COrr1pJete I Start Duration Finish

I - -----)--

I

90% I Sun 12107198 I 853 days Sat 15109101

96%-]-- Sun 12107l98-f853~- Sat 15109101

- - -j ,100% -f Sun 12107198 I 54 days Wed 23109198

.------------ f I ---~ - -~---L __ _ 829 71 2 Phase II. Qena & Fayoum j I 88% Sun 21103199 ~ 33 days : Tue 04105199

a~ u'" "0<""" ro"",,,, ".'W" "' ""0,,"' ,;;;'~;;;"g """-15'''0 r '00% S"' "ffi",g - I --5 d '" u I Th" 25"""

831 -7122 Screen the Inventory to Idenllfy groups of common Interest sM'Fo-tj-- 100% Sun 28103199-+1

3 days Tue 30103199 With HMHC , ____ _

7123 Conduclln- depth Interviews and meellngs t~-e~t;b~';----! SM, FO i 100% I Wed 31103199-1-S;;;;-! Tue 06104199 Interest In HMIHC ----L '

~T --_ ;:g~~~ m" CO,,"""""""" "."'"'~~ 5' CO i '00% r OO~-"'~ Od," T", 0<00B9 834 7125 Develop and negollate the establlshmenl of CHCs I SM 80% Wed 07/04/99 5 days Tue 13/04/99

, , ,

835 7 1 26 Help faCilitate the process of establishing CHc~--I--SM~i-- 80% I Wed 14/04/99- 15 days -~4/05/99 I I I

------ <------ -1-------1 836 ill Milestone: Community Action Plans developed and Implemented ! I 100% Thu 14112/00 0 days ! Thu 14/12/00

___________ In 20 districts -----"- i

832

837 ill Target Community AcMn Plans developed and Implemented In 2Q , 0% Thu 15/03/01 0 days Thu 15103/01 dlstncts !iY the end of Year 3 I i

-------.---~ -- j--- -_.--, ill Milestone: Community Action Plans developed and Implemented i I 0% Sat 15/09/01 0 days Sat 15109101 In 25 districts ' I --I ill Benchmark JQl 1] Communities With acllve Interest ~ en~ -.- - t

l- 0% Sat 15/09/01 0 days

~

~ Sat 15/09101 In HM/HC =-.L I

~40 ill Target Community ActIon Plans developed and Implemented In 2.Q II I 0% Sat 15/09/01 0 days -,. Sat 15/09101

dlstncts !iY the end of Year 4 841 --------- 7,2 Activity 2, Inventory of partners L I 100% Sun 09108198 229 days I Tue 22106199

I I!

f---s5;-- 7,3 Activity 3: Development of a community needs identification and ==1-'- I 100% 'sun 21/03/99 194 days 1 Wed 15/12/99 f--;;-;;;;- ------ ___ ~clslon making tool ___ + I I I

860 7.4 ActiVity 4: Health Care PrOVider SenSitization J 99% Sun 13/12/98 743 days i Sat 15/09/01

~ --~ 741 Conduct sensitization onentatlon for health care prOViders I SM I 100% Sun 13112198 5 days I Thu 17112/98 I L--________ 10rganl,,-at~0~_~~ld§.rs In Aswan and Darawdlstncts uSIf19..~c.stU(Iy.!~~lII!§... _ _ _ __ _ _________ ~___ I I 862 74 2 Conduct sensitization onentatlon for health care SM 100% Sun 07102199 3 days i Tue 09102199

~ovlders/orQanlzatlons prOViders In Luxor and Byaddlah dlstncts uSlna MC I :

74 3 Conduct sensitization onentatlon for health care proViders prOVider SM 100% I Sun 14102199 9 days i Wed 24102199 I I organization In Kom Ombo, Edfu and Nasr dlstncts using MC study results ------L I

ill Benchmark JQl 1] health gg@ prOViders I prOVider organizations that SM 100% i Wed 24102199 0 days J Wed 24102199 f--;;;;;:- participated In sensitization onentatlon j

865 --~- u _~ -~~~~tevlse qualitative research Instrument for community diagnOSIs used C }-. _~O_Oo/:---~ -Sun 21103/99 10 days _! Thu 01/04199 I

~ 7 4 6 Conduct rapid qualitative research In a sample of communities In Benl C I 100% Sun 04104199 90 days ! Wed 04108199 L--____________ SueL Oena and Fayoum on community perc~tlons [email protected];e_s ______ ·

'I_____ I

~- 7 4 7 Development and testing of sensitization onentatlon matenals based C 100% Sun 08/08199 15 days I Thu 26108199 _______ on the conclUSions and resutts of the study ------' -~t--. ____ ~ I I

748 Conduct senSitization onentatlon to health care prOViders to raise r SM 100% Sun 31/10/99 24 days ' Wed 01/12199 __ __~"I.~8!1.~ss of health prOblems and barners to health car~-,-" __ B_enl.Suelf ~ . _____ . I _____________ . _ _ _____ , _____ _

ill Bench marl< JQl225 health care provlderslprovlder organizations j SM i 100% Thu 02/11100 0 days ! Thu 02111/00 Q§,rtlclpated In sensitization onentatlon I I ~ I

LUQ Be.n.ch. ma.rI< JQl375 health care provlderslprovlder organizations I SM I 0% II Sat 15/09101 0 days I Sat 15/09101 ~led In s.ensltlzallilll onentatlon I

863

864

~---

869

870

7/

_U999 12000 12001 MTATMTJfJTAlsjo IN IDI J IF IMIA IMI J I JiAi§ IQjlli.QJJjFJMJA IMI J I J IA Is 10 IN I D I J IF IMIA 1M I JI J IA Is

"'" ,~

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10 Acllvity Finish MIAIMIJ IJ IA IslbINloTJTFlMIf..IMIJ IJjA IslolNlol J IFIMIAIMLLiJ IALsjQl~FIMIAIMIJLJj&s 871 7.5 Activity 5:Testing different partnership schemes Sat 15/09/01 . . -=

i ~

I I 751 Review prevIous experience collect and analyze donors and SM 1 100% Sun 20112198 10 days Thu 31112198 ": .~ . :. 872 I I government expenence with partnership schemes ; .~ . :

75 2 Implement and monitor several different partnership schemes to 8M I 100% Sun 03101199 50 days Thu 11/03199 : •. 873 provide health services at the community level I : : ill Benchmark @ ~ communrty -orovlder partnerships established and I 8~ ..... ' '.' '. 874 M 100% Thu 11/03199 o days Thu 11103199 functlonln with health ~ roviders who l1Qd\ in community as needed

875 ill Benchmark @ ~ ~ ~ emergency obstetncal transport !§ SM 100% Man 15103199 0 days Man 15103199 available fQ! women

876 ill Benchmark @ ~ communities where Jsgy child survival actions SM 100% Man 15103199 0 days Man 15103/99 Including nutntlon actions are available

877 ill Target commumty-provlder oartnershrp seNlces offered!!l ~ dlstncts SM 100% Man 15/03199 o days Man 15/03199 b gnQ of Year 1

878 75 7 Implement and monitor partnerships schemes In other dlstncts 8M 70% I Wed 05101/00 I 50 days I Tue 07103/00

879

880

881

ill Benchmark @ §§ community- prOVider partnerships established and funCtioning With health care ill Benchmark @§§ areas where emergency obstetncal transP~rt!§ 1'- SM available L2J..Q Benchmark @§§ communities where Jsgy child survival actions SM

I L _ 0% Tue 14/03100 o days I Tue 14/03100

0% Tue 14/03100 o days I Tue 14/03100

0% I Tue14103100 o days 1 Tue14103/00

SM ,,- 100'/;-~IT~~Wo3100 0 days] Tue 14/03100 _____ . ______ 'nclucllng nutntlon actlo",n,-,~",r,-,a",v .. a .. lla",b",le,-_______ _

882 Z2l1 Target commumty, orovlder partnership seNlces offered!£11Q f-_..., _____ d/s/nctsJJ:Ll!J_e end of Year 2 883 7 5 12 Conduct workshops With the "interest" community groups to review

______ eartnershlps schemes established so far

884 7 5 13 Identify 2 or 3 models that address the maJonty of community situations for application and replication

885 7514 Conduct a cost-benefit analYSIS for each model

886 Llli Benchmark 75 Community-provider partnerships estbllshed and I-__ f--____ ~functlonl~g With health care

Li16 Benchmark ~ ~ where emergency obstetncal transport !§ 887

SM

SM

SM

60% Sun 26103100 5 days I Thu 30103100

100% Sun 16/04100 10 days I Wed 26/04100

0% Sun 30104/00 22 days I Man 29/05100

0% Sat 15/09101 o days Sat 15109/01

0% Sat 15/09101 o days Sat 15109/01

888 available 1 _____ -+

-7517 Benchmarks 75 comunltles where Jsgy child survival aCllons Including 0% 0 days " Sat 15109/01 nutntlon actions are available

7.6 Activity 6. Implementation of the most promising partnerships I I

- -7 6 1 Oevelop a methodology to help ensure that partnerships maXlmlz;--t---sM-1-1 00% I Tue 30105100 22 days

889

890

75% Tue 30/05/00 142 days Tue 05/12/00

Wed 28106/00

120 days iue 05/12100

: * 11/03· ., .... ' '.' '* 1.5/03: ," ,. ~ ,", " I : *' 15/03'

: @ 15/03:

:iiI * 14/03

* 14/03.

* 14/03

@ 14/03

~

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...

11 1i 1i

Impact In Isolated areas With poor Infrastructure I I f ~- - -- -76 i 1~lement partnerships schemes In the remaining targ~t~~~~ ~ _~~/' - -Thu 29/~6:0

892 77 ActiVity 7 Community Education 85% Sun 18/10198 649 days Thu 15/03/01 I '

\J:1:i:11111 i I I ':1,1 11:11 iii:" :.

893 7 -ilDe:eiop and !e~t a package of community Ihousehold Interper;n~ i SM • -100% - i Su~18110198- 20 days Thu 12/11198 com.rl1u'2'c<3tlCl~atenals to be used by the communltyleaiJerslactors_ 1._ __ ________ _

894 772 Conduct community education to raise awareness and Increas~- - - -I SM 100%' Sun 29/11198 5 days Thu 03/12198 ____ ...Q.emancl.'n Luxor and Byaddlah dlstnct _~ __ ~

895 7 7 3 Conduct community educal10n to raise awareness and Increase I SM 100% Sun 14/02199 5 days Thu 18102/99

896

1----::-:-:--+-- -897

898

7~ - -

~_ demand In Blyyadlah dlstncl L __ ------t'------ __ ---1----7 7 4 Conduct community education to raise awareness and Increase 1 SM 100% I Sun 21/02/99 I 5 days

"'""'<" ".'"""''' .",,,, _. -1- , .... '-----ill Benchmark @ ~ communities With HMIHC health communications SM I 100% r Sun 14/03199: _t;';days Sun 14/03199 aCllvlt,es underway ---+-7 7 6 Conduct a number Of community education workshops to be -phased In SM l -is'/, Wed 05101100 50 day~ Tue 07103/00 accordance With the Im.etementalion In the rema~nlfl~!rICts of Aswan~ __ _

Thu 25102199

- - - - - - - - - - -

i I

-

I I * 14/03:

-:Ml

Thu 08102/01

- - - - -

- - - - - - - - - - - - - - - - - - - -11999 12000 12001 ID Activity Resp % Complete Start Duration Finish MIAIMIJ IJ IA ISIOINIDI J IFIMIA IMIJ IJ IA IS lOIN IDI J IF IMIAIMIJ I J IA Is loiN IDI J IFIMIA IMIJ IJ IA Is

899 ill Benchmark ill. Communities with active Interest groups § engaged!!:! 0% I

Sat 22/04/00 o days I Sat 22/04/00 ' , '* 22104 . ' I

HM/HC ' ' - " , ", I " ,

900 ill Benchmark@ill. communities with HM/HC health communications SM 0% Thu 15/03/01 o days Thu 15/03/01 ' ' , :+ 15/03 ' , __ .. _________ actiVities underwQ)i , ,

I--- " • J 1. ~ ••• . .. 901 ill Benchmark ill. Communities that have undertaken ~ community 0% Thu 15/03101 o days Thu 15/03/01 ' " ' !+ 15/03 ' ,

HM/HC health needs assessment and. Q[lontlze actions

BEST AVAILABLE COpy

Thu 08/02101

7..3


JSI Quartcrly Pcrformancc Monitoring Rep0r(---IIM/HC Results Package Octobcr 1 - Deccmber 3 I" 2000

TASK EIGHT lEC Campaign

Accomplishments Activity 8.1 Reinforcing MOHP-State Information Service (SIS) Collaboration

+ Deleted from the contract.

Activity 8.2 Inventory of Existing IEC Resources + This activity was completed on August 17, 1998.

Activity 8.3 Investigation of Behavioral Information + The application of the 'communication for behavior change' (CBC) approach led to the

identification of the ideal main behaviors and sub-behaviors for each HM/HC priority theme. Existing research was used to identifY gaps between these ideal behaviors and practices at the household and community levels.

+ During this quarter the final report of the qualitative research carried out in Qena, Fayoum, and Beni Suefwas approved.

+ During this quarter, a behavioral research consultant was contracted to carry out a detailed behavioral analysis that will be used for the development of evidence-based behavior change strategies and materials for HM/HC's second campaign on postpartum and newborn care.

Activity 8.4 Strategic Design for Health Communication • A strategic IEC campaign on Birth Preparedness based on the IEC Strategy was developed

through partnerships between the public and private sectors and between research expertise and commercial creative talent. Details on the development of the campaign are included under Activity 8.8.

+ The HM/HC IEC Strategy including themes, priority behaviors and development of the first campaign were shared with Governorate facilitators and participants during the training of health educators and field workers. Through IEC training, personnel from districts and NGOs were oriented to HM/HC priority behaviors and messages from the IEC Strategy and Birth Preparedness campaign.

Activity 8.5 IEC Training of Health Providers and Field Workers • The IEC/lnterpersonal Communication (IPC) protocol, relevant sessions from the

competency-based module, and the protocol for physicians continued to be used for training workshops for nurses and physicians during.

•

•

o EOC workshops to train 41 newly assigned Ob/Gyn personnel in Fayoum, Beni Suef and Qena; and

o OJT for nurses in infection control and interpersonal communication skills were been conducted with the following details:

Twenty-one nurses were trained in Mansoura during September 27-29,2000 and seventeen during December 14-16, 2000 Eighteen nurses were trained in Menya during October 25-26 and fourteen during December 21-23,2000 Twcnty nurses wcrc trained in Mcnoufia during November 1-2, 2000

During this quarter IEC Training for Health Educators and Field Workers was conducted in Beni Suet: Qcna and Fayoum. The IEC Training includes paliicipants from MOHP. SIS/L1Cs and NGOs. A total number of 62 persons \Vere trained. The primary aim ofthcse workshops is for Hcalth Educators and Field Workcrs to develop their competencies and abilities to plan, organize and implement !-IM/HC IEC activities; in

39

.lSI Quarterly Performance Monitoring Report-HM/HC Results Package October I - December 3 I, 2000

particular, the implementation of campaign activities in their areas and local mobilization in consonance with HM/HC objectives, priority behaviors and messages. Emphasis is placed on 'behavior change' strategy and social marketing concepts.

Activity 8.6 Print and audio-visual materials for providers and their clients • During the previous quarter, priority materials and infection control materials were printed

and distributed. (Copies available.) • During the last quarter, breastfeeding materials that were developed under Wellstart were

reprinted. (Copies available.) • Media and other materials were also developed during last quarter as part of each of the

Birth Preparedness campaign (also see Activity 8.8 below).

Activity 8.7 Promotion ofOuality Services (the Gold Star Approach) • An integrated scoring system (MCHlRH) was developed for QA Checklists in partnership

with POPIV and RH program (more details are included under Task 3 activities).

Activity 8.8 Development of Demand Generation Campaigns for HM/HC Services and Essential Behaviors lEC Campaign 1: Birth Preparedness

• The theme for the first campaign was Birth Preparedness but it also covers elements of other behavioral themes, such as 'Patterns of Antenatal Care' and 'Clean Chain' as described in the HM/HC lEe Strategy. These themes were chosen together for the first campaign as they help to: o Emphasize responsibility and role of the family in protecting the life of the mother and

baby; o Encourage planning for a safe birth and also planning for an emergency: o Stress the importance of a clean birth as a safe birth; and o Launch a key new initiative, the Birth Preparedness Guide.

The overall aim of the first campaign is to influence and promote healthy behaviors of primary audience groups related to Birth Preparedness and encourage them to take the necessary actions for a healthy and safe birth. The campaign concept including behavioral analysis of key behaviors for the themes has been carried out and a detailed Request for Proposals was developed for response by private sector agencies. Promoseven Egypt was selected to partner in the development and implementation of the campaign.

• During this quarter, the Birth Preparedness Campaign media was finalized and disseminated, Campaign print materials, TV and radio spots and song are available.The media campaign started on the I i h of September and ended the 26th of November 2000.

• A company specializing in monitoring TV and radio spots has been contracted to monitor the TV and radio spots of the Birth Preparedness Campaign. The monitoring report for TV and Radio spots is available.

• During this quarter, community activities for the campaign were conducted in 15 districts in the five target governorates. Reports and videotapes recording the events will be available early next quarter. The promotional activities started and continued until the end of December 2000.

• The effectiveness of the Birth Preparedness campaign will be measured through baseline and post campaign surveys conducted by EI-Zanaty and Associates (selected through an RFP process during last quarter). The objective in undeltaking these surveys is to evaluate exposure, recall of key messages, and changes in knowledge. attitudes and practices related to the Bilth Preparedness.

• During this quarter, the Snap Shot Survey was conducted (repOlt available).

40



ISI Quarterly Performance Monitoring Report-11M/I Ie Results Package October I - December 3 I. :WOO

• During this quarter, the post survey was conducted (report will be available during the next quarter).

Caring/or Mother and Bahy Campaign: • An RFP for the second campaign on Caring for Mother and Baby has been developed and

sent out to 15 different advertising agencies. Closing date for the bid is January 22, 200 I. • An overall plan for the second campaign was developed.

Activity 8.9 Female Genital Mutilation • During this quarter:

Implementation of the overall plan integrating FGM into HM/HC activities began by: o Pre-testing of the facilitator guide developed to be used in conjunction with shortened

version of the Media House documentary, "The Season of Planting Girls'. The pretesting was carried out in two governorates, Aswan and Beni Suef The pre-testing report is available and efforts to integrate the pretest results into the guide and the video are on-gomg;

o A review of the FGM section in the Daya Training was completed and will be submitted to HM/HC for approval and integration in the Daya training curriculum; and

o An FGM section was developed for the "IEC Training for Health Educators and Field Workers".

Other Activities • Provider Behavior:

A strategy was developed to improve and sustain provider behavior and for application to the project overall. A review of this strategy is ongoing.

• Literacy Afaterials: During this quarter, Task Eight participated in the finalization of the literacy materials developed under Task 7 with the help of World Education. Final materials are available.

• NGO Grants: During this quarter, Task Eight participated in monitoring a training workshop conducted for an NGOs in Aswan.

• Publications: On going work is being carried out to tum the 36 different publications produced under the HM/HC RP and partners from interim editions to final publications.

Constraints

• None.

Proposed Actions to Overcome Constraints

• None.

41

lSI Quarterly Performance Monitoring Report~HM/HC Results Package October I - December 3 1 , 2000

Birth Preparedness Campaign

TV Airings (October-November, 2000)

TV Channel Program I Time I Frequency

CH 1 Before Arabic Noon Serial or Film (12: \5) 5

B~r~!~ Ar<l:~ic _S_~!:!aL_ _ _ ____ _ _ _ __ _ (1_?:15) 3 Post Ann. Arabic Serial (19:30) 14 After Arabic Serial (20:30) 7

, Before Evening Program (22:00) 5 CH2 Before Evening Program I (22:00) I 2 CH7 PostA.Jl_~. ~rajJic S~~!a_L ____________________________________________ (11 :39) __________ 2_Q ____ _

Before Arabic Serial ! (21 :00): 7 CH8 _~~s~ ,L\nn __ ~ra~~~_~~!!al__ __ ___ ____ _ __ _ ______ ~ ___ (1Q:~_~) ______ . ____ l_~ __ _

Before Arabic Serial (22:00) 7

Total

Radio Airings (October-November, 2000)*

Radio Channel

Middle East Station (Morning & Noon Time) Al Shabab (Morning & Noon Time) Shamal EI Sayeed (Morning & Noon Time) Ganoub EI Sayeed (Morning & Noon Time)

Total

* For all the channels: Morning time: 7:00-9:00 am Noon time: 12:00-2:00 pm

42

I 88

Frequency

80

52

85

84

291


- - - - - - - - - - - -ID

902 Activity Lesp % Complete Start Duration Finish

848 days Wed 12/09/01

-,-----447 days Thu 30/08/01

8 TASK EIGHT' IEC campalgn ______

I' ~ _ 28% __ ; __ ~h~ 16I07l98

pacity , 5% I Thu 13/01/00 f--goJ

87 days Sun 30104100

'I ' "9041----- -- -8-11E-s-ta-b-lIs-h jEC-C-o-mm-lt-te-e -at-N-at-Io-na-I -Iev-e-I ----------t- ---: 0% I Thu 13101100 + -T-

ill Benchmark IEC subcommittee established ---t----~ -0%- - - -'i1;02/03100- --I 0 days , Thu 02/03/00 905

~] 907

f---gos f---:-:-:---t - --

909

I---913

914

915

918

919 1

[mt--r---o;;;-r --r :! '- ' ~.

M Imi ~-I 924 1

925

926

927

928

929

930

931

932

933

934

/'cP

------- ------ ---1-- --~-- -------j--------- -!----l 1~ __ ~U~~~O~IOO 80 days i _ Wed 3~/05/00

_ : ___ l __ ~~ ___ J Sun 01107101 45 days j_ Thu3010BIOl

81 3 Establtsh IEC Task Force at Governorate level

8 1 4 Overseas trammg for IEC Managers - Group 213

____ t __ dL_0~ __ L~~:8101 o days l- ThU30108/0~ I 100% I Thu 16/07198 i 20 days i Thu 13/08/98

ill Benchmark Overseas training fill: IEC Managers

8 2 ActiVity 2: Inventory of eXisting IEC resources

, I ' 8.3 Activity 3' Investigation of behavlorallOformatlon 85% Mon 10101/00 1 113 days Wed 31/05/00

I --~T --------1- ------- -----• ~ 85% Man 10101100 i 109 days ! W

8.4 Acbv-lty-4:-S-tr;t;g;c design for health commu-~.;u-on--- - --r -----i-- -100 0Io--rMon 04/01199 i 117 days - i-rue 15-/0-6/-99-

5 Activity 5' IEC Training for Health Providers and Field Workers ---; ----r- 46o/,--I~: -S-u~-1i101/99-~ L Wed 30/05101

---il-S1Module o~-counsellng and Interpersonal communlcat~~ flnal~z;;-i-- ___ 1 - ---600/~---1-- S;;-~ 17/01199--:- 585 days - i- --Thu 29103101

852 HMIHC IEC curnculum for health educators developed f ----l--28% i Wed 15/09199 I j ------~. --- j ,---Oo~ ___ I _:ue~/Ol ! __ ~~'~~01/05!O~

~ __ ~~~_~e 25~/00 1 29 days ~_M_on_2_8/_02_10_0

,

I 853 Benchmark IEC Training Package ~

854 Training of trainers on HM/HC IEC cUrrlculUrrl

855 Training of health educators 35% I Wed 01103100 t320 days I Tue 01/05/01 i : ___ _

UJjBenchl1'ark MilliE ~ ~ and Field WO~k:S tr~l:ed~__ _ -:OO/~--=r Tue 01/05101 Odays - Tue 01/05/01

ru Benchmark IEC onentatlOn package completed 0% t Tue 15/05/01 0 days Tue 15/05/01 I - _1_ _ ____ _

ru Benchmark 250 Health educators and Others tralf1ed -i

I

- ----I 0% I Wed 30/05101 I 0 days Wed 30105101

29% _ 1 ~:~ 20~~100 [~~~~y; '~:~1l07/01--8 6 ActiVity 6: Print and Audlo·vlsual Materials for Providers and their Clients

0~o ___ J~h~_2~~1~0 I 0 days f_:~2_~0I!oO --1 _ J __ _

, I

ru Benchmark Print materials developed and distributed

I 1

---jl-- __ -1- :::~ _~:g;a~:~Ch:~~t:::~::~:~~n~o_d~~=~ 1_ _ _ L __ ~:~~ __ 866 IEC tralnmg Videos ______ ------J _ J 0%

ill Benchmark T ralnma Videos developed 1 I 0%

862 Counseltng booklet and cards 45% Mon 07/02/00 ! 360 days I Wed 30105101 !

"" Om?o p.Od.,; i W-;-,o.5.' - ----, ------

Mon 07102/00 360 days i Wed 30105/01 !

-------- - - -~-- i -----

Wed 30105101 0 days i Wed 30105101 I

Mon 13/03/00 355 days r-S~30106/01

Sat 30106/01 o days i Sat 30106/01 1

863 Take home reminder leaflets and pamphlets

864 Posters

- - - - - - -/1999 12000 )2001 MIAIMTTIJ IAlslOINIDIJ IFJMlAIMIJ IJ IAlslolNIDU IFIMIAIMIJ IJ IAlsloLtilQLJl~LMIAIMIJ IJ IAIS

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-

ID Activit

935 868 Enter-educate vldeo(s) 0%

936 8.7 Activity 7: Promotion of quality serYIces .... The Gold Star approach 0%

937 I 87 1 HMIHC Gold Star signs for all certified HMIHC cliniCS ~_~I-_ 0%

938 I 8.8 Activity B: Develop demand generation campaign for HM/HC serviCes ! 9%

939 I 8.8.1 Develop Campaign 1 strategy, media and matenals

=t 100%

943 I 8.8.2 Develop Campaign 2 strategy, media and materials 0%

944 I 882 1 Campaign 2 launch and Implementation 0%

"--945 B 8 2 2 Governorate level community mobilization for Campaign 2 0%

946 m Milestone: NationallEQ Campaign developed 100%

947 lli Benchmark TelevIsion §QQ!§ developed and aired 0%

948 ----"

ill Benchmark Radio ~ developed and aired 0%

949 t------- lli Benchmark National HMIHC motivational campaign developed and I 0%

~-"---8.g A~ir~f:~:~~~ale Genital Cutting (FOC) ---- _---1.

I 30%

"._---951 B 9 1 Carry out 10lnt assessment With partners of IEC needs for FGC

952 892 Develop plans for IEC for FGC

953 ill Benchmark' FGC component HMIHC illmls developed illlll 0% Im~l~milrlted

954 8.9.4 Milestone: FGM ~ integrated into overall HMIHC 0% message Eackage

955 895 Implement lEG actiVities With partners for FGC 25%

Start Duration FInish

Sun 03109100 247 days Tue 31107101

Tue 02/01/01 187 days Wed 12/09/01

I Tue 0210110

I Th u 2710110

I Tue 04/04/0

187 days -l Wed 12109101

436 days"~ Thu 30/08/01

46 days Thu 01106100

I I Thu 27/01/0 436 days I Thu 30/08/01

I Thu 27/0110 436 days I Thu 30108101 I

.1 Thu 27101/0

Thu 15106/0

336 days f Sun 15104101

o days I Thu 15106100

Sat 30106101 Odays -1 Sat 30106101

Sat 30106101 o days I Sat 30106/01 I

Sun 01107/01 o days Sun 01107101

I Thu 1710210 424 days Sun 09/09101

Thu 17102100 32 days Thu 30103100

Man 03104/00 17 days Thu 20104100

Sun 03106101 o days Sun 03106101

Thu 14106101 o days I

Thu 14106101

T ue 02105100 365 days -Isun 09109101

11999 12000 ._. -.~ 12001

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lSI Quartcrly Performance Monitoring Report-HM/He Results Package

TASK NINE Student Health Insurance Program (SHIP)

Accomplishments Cross-cutting activities

October I - Dccember 3 1. 2000

• Task Nine conducted orientation and program planning sessions for Fayoum and Beni Suef governorates on the adolescent anemia program.

• Task Nine completed hiring field office staff with the hiring ofa Beni Suef staff member. Task Nine staff meetings were conducted for Aswan, Luxor and Qena field staff

• A surveillance consultant reviewed the protocol, analyzed procedures and refined the analysis plan and report format. A final report was submitted. An additional consultant was retained to review and finalize all procedures.

• A surveillance team (six people) was trained and pre-implementation data collected in Qena, Fayoum and Beni Suef. Baseline data have now been collected on over 3600 students. Data entry is ongoing.

• Presentations were made at the HM/HC district and governorate level management meetings to integrate Task Nine further into the general project activities.

• Task Nine conducted district meetings in Aswan, Luxor, Qena, and Fayoum to coordinate activities between the MOHP and HIO.

• Task Nine staff conducted field visits in Luxor and Aswan to observe implementation of health education and iron supplementation. Feedback was provided to SHIP governorate level staff Task Nine field staffs routinely monitor activities in the 4 target governorates.

• A program assistant hired under the PIL budget to assist in the implementation of anemia control program activities and the development of the anti smoking activities.

Activity 9.1 Preventive Services, Especially Health Education • lSI worked with MSH and RCT to make final revisions in the trainers and trainees manual.

Staff also participated in the MSH training of trainers. • lSI staff attended Nutrition and Health Education Training in Qena and Fayoum to provide

support to the trainers, helped select the educators and determine revisions needed in the training manual and educator's guide.

• Health Educator recruitment was conducted in in all districts of Beni Suef governorate. After a two-round interview process, 30 candidates were selected for training.

• Nutrition and Health Education Training was conducted for 40 candidates for 14 days from which 25 educators plus one coordinator were selected and hired by HIO for Qena Governorate.

• In Fayoum, training was also conducted for 14 days and from the 32 trainees, 21 health educators and one coordinator were hired by HIO.

• lSI conducted planning and orientation meetings for the newly appointed coordinators for Qena and Fayoum's Nutrition and Health Education Program.

• HIO printed and distributed all educational materials required for the schools in the five target governorates for calendar year 2000-2001. This consisted of 220,000 copies of each of the two booklets, 145,000 copies of the secondary booklet and 75,400 copies of posters.

• Agreements with Channel Eight and Channel Seven resulted in routine playing of the Anemia TV spot during the start of the school year.

• In Aswan and Luxor governorates, during October and November, approximately 110.000 students attended 0,800 educational activities. Almost 26,000 booklets were distributed to students.

fO

lSI Quarterly Performance Monitoring Report~HM/HC Rcsults Package Octobcr 1 - Deccmbcr 3 I, 2000

Activity 9.2 Anemia Control Program • Almost 13 million iron and folic acid tablets and cups were ordered by HIO for the second

semester iron supplementation program in Aswan, Luxor, Qena , Fayoum and Beni Suef. • lSI meet with MOHP, SHIP, the Nutrition Institute and MOE to discuss the possiblity of

teachers taking the responsibilty for iron supplemenation in schools. It was agreed to pilot this in Beni Suef governorate.

• lSI staff revised all forms, training programs and met with MOE and SHIP staff in Bcni Suef to design a viable program for teachers to distribute iron tablets.

• Registers were printed by HIO for all schools in Fayoum. • lSI entered into a contract to print prototype registers for teachers to use to document iron

supplementation in Beni Suef. • HIO and MOHP distributed registers, cups and pills to schools in Qena and Fayoum. • lSI conducted two training of trainers programs for MOHP and SHIP staff for three days in

Qena (35 participants) and also two training programs in Fayoum (54 participants). Teams of trainers in tum trained all staff (231 tablet distributors in Qena and 262 in Fayoum) that will be responsible for tablet distribution in schools.

• Iron supplementation started on October 21 5t in Qena and November 11 th in Fayoum. • During October and November a total of almost 810,000 students participated in the

program and 4,600,00 tablets were distributed. Less than 0.6 percent of the students refused to participate.

Activity 9.3 Tetanus Toxoid (TT) Immunizations • No activities this quarter.

Activity 9.4 Anti Smoking Program Development for School Attending Adolescents • A year-plan for implementation of the required project activities was developed by.lSI. • Manoff recruited and identified consultants to conduct the required activities. • A consultant arrived in Egypt to assess the current efforts and needs for the adolescent anti

smoking program. Based on the interviews conducted, an RFP was developed and released for an Egyptian firm to conduct the qualitative research.

Constraints • SHIP has limited staffing, organization and infrastructure to competently support the

program activities of the Adolescent Anemia Control Program.

Proposed Actions to Overcome Constraints • Task Nine is trying to design implementation protocols that would fit within the limitations

of the current SHIP system. • Task Nine is encouraging collaboration among SHIP, MOHP and MOE so that the program

operations will be smoother and more effective.

44

g/


--------------------ID I Actlv~ _____ ___ _LResp_J % Complete I Start Duration Finish

956 __ 9 ~SK NINE:_ Student Medical Insurance Program (SMIP) J- _ I 76% I Mon 15/06/98 I 873 days ,_ Sun 16/09/01

957 91 Preventive Services, especially Health Education I t 78% I Tue 01/09/98 l817 days i Sun 16/09/01

t;j58. -- ----- -~ - ---9;-1 I-n collaboration with SMIP, develop ~kplan, selwp;iot-;;'a-s,- -T~ JR - i-I 00% -I Tu;Q1/09/9S- ~ 1---------1 _____ _~tlfy coordinators, define activities and enumerate bucigets. ___ ~ ! __ .L I_~ •

959 ill~~~ T JR r 100% I Mon12/10/98 , o days ,

-- 913 Disseminate and obtain approval for revised workplan - - I JR : 100% I Tue 13/10/98 II 13 days t- Thu 29/10/98 960

Mon 12/10/98

Mon 12/10/98

~ 1-%2

963

~

_________________ ~I ~' I _ '

Thu 29/10/98 opportunities for collaboration on research. commJJf1llY 'i1Volvement, and IEC I ________ ~--.--l_____ _ L ____ _ 914 Coordinate Task 9 activities with Tasks 2,5.7 and 8 to Identify I JR I - 65% I Tue 13/10/98 ~--! 13 days I

91 5 Assess HtO's MIS as related to HM/HC activities ~ JR [ 40% ! Sun 01/11/98 175 days ! Thu 01/07/99 I

Thu 17/09/98

Mon 12/10/98

-~----

Mon 15/02/99

91.6 Health & Nutrition education program initiated to support anemia I I 81% Tue 01/09/98 II 817 days Sun 16/09/01 control and Immunization activities ------L-__ ~__ .

9161 Assess and analyze SMIP poliCies and pr09rams related to I JR I 100% Tue 01/09/98 13 days health education . --::--+ f--I ___ _

9162 ReView educational programs and matenals targeted ~tl JR : 100% Tue 01/09/98 -: 30 days Mon 12/10/98 adolescents wond-wlde I : t '

-91 6 3 ReView research on adolescent wom~~-;;;;; me;-~~dth~'~-'-' J-R T -;o();I'~ I T ue 01 109198 ~O days families I ' ,

------~- - --------- --- --, - -----, --------- --, ---- -- ~--

965

966

967

968

972

9164 Establish a coordination mechanism with USAID HM/HC, HIO.! JR 1 100% : Tue 13110198 I 90 days ______ ~,\()HP MOE and NGOs ---t-_-L ___ I +-

9.165 Undertake a qualitative research to fill gaps In the I I 100% I Tue 16/02/99 pI days Tue 11105199

~-~---- -- -~~d:~S~n~~:~;;~~~~~:sn~e:eVelopment~tr;tegle~fOr -l~- :iR--j-- 100% --i~Tue 27/04199 -- 68 days : Wed 28/07199

_____ ~ behaVior modification and perception cha~~ __ ~____ __ L ____ I _____ __ 1 _____ --1

91 67 Strategy submitted for approval I JR l' 100% Sun 01/08199 11 days I Sun 15/08/99

974

975

981

1------+--~ 982

983

Mon 01/05/00

9 1 6 11 Complete training of pilot users Wed 15/03/00

9 1 6 12 Monitor pilot Implementation JR. DT2

.1 ~ '------:------1 lli.§ ~ llilM.Y ~ .... -------- ! - JR-- I ~--100%--I-TU~ 04101100- I 0 days ! Tue 04/01100

9.1.6.9 Materials development --1- I 100% 1 Tue 01/06/99 251 days _! I

9 1 6 10 Develop training for health educators I DT2 T 90% Wed 01109199 132 days I Thu 24/02/00

JR I 100% Sat 26102100 15 days! i --t- ----I

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-----------~-----_+--If---- . . I -JR 984

~ 100% I Thu 08/06/00 40 days Mon 31/07100 9 1 6 13 ReVise, pnnt and duplicate educational matenals

f---+------ 5 overnorates _ 9,1.6,15 Milestone: Health Educators Guide and education JR 100% Thu 14/09100 0 days Thu 14/09/00

9 1 6 14 Develop operational plans, protocols and training material for ~R~ 100% Tue 14103100 197 days Tue 28111100

~j 988

I----989

990

991

cr~

materials for use in schools developed __ ____ _______ -I ------J 91616 Benchmark Final education matenals training manual and 0% Tue 31/07101 0 days I Tue 31/07/01

-- f----48% ! Thu 17/08/00 290 days

~~-~--

Thu 13/09/01 __ educator's ~@illjy for duphcatlon_ _ ___ _____ _

9 1.6.17 Conduct implementation In 5 governorates 1 --- -------+ .. --~ ----~---~ -------tl---

91617.1 Train staff JR 80% Thu 17/08/00 133 days Thu 15/02/01

9 1 6 17 2 Benchmark' Staff trained JR I 0% Thu 15/02/01 o days Thu 15/02/01

9 1 6 17 3 MoMor implementation JR 30% Tue 19109/00 174 days Tue 15/05/01

~

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Thu 08/02101

ID Activity

992

993

994

995

996

997

998

999

1000

1001

1002

1003

1004

1005

1006

1007

1008

1009

1010

1011

~--1012

Resp_J % Complete

9 1 6 17 4 Develop and report results , JR I 10%

liQ..l.U ~ BgQQ!! Q!} M Imple~n-;;';n compleled i-~- 0%

-------------+1 ~----9 1 6 18 Develop approach for nationwide Implementation and I JR i 0% monltonng I

Start Wed 01/08/01

Thu 13/09101

Wed 15/08/01

Duration Finish

32 days I Thu 13/09/01

o days Thu 13/09/01

22 days Thu 13/09/01

2..1..Qn Target' 6 nutf/non and health education program and ill1 0% 0 days Sun 16/09/01 anemia supplementation program [Q£ adolescent QQ:i§ and Iris

9.2 Activity 2' Anemia Control Program 84% Mon 15106/98

921 Assess SMIP anemia control policies and programs -~ ---10001:--t Tue 01/09/98 13 days I Thu 17/09/98

873 days Sun 16/09/01

922 Identify needed technical and operations research studies related to anemia and to Intestinal parasites 923 DeSign and carry out needed research studies on anemia and OR

9 24 Establish a steenng committee for strategy development In pilot areas and develQQ overalLstrategi' ill Benchmark E!!Ql policies and procedures approved

9.2.6 Prepare and conduct a pilot in Aswan

9 2 6 1 SpeCify matenals needed and order them

9 2 6 2 Develop protocolS and training malenals

9263 Train pIli dlstnbutors and supervisors

9264 Benchmark' S!llff trained

9 2 6 5 Monitor Implementation

~ Benchmark: E!!QllmplementatlOn of Iron supplementation sentinel system and educatIOn r;QllQ[eted

9 2 6 7 Develop and report results

9268 Benchmark' E!!Qllmplementatlon results compiled

~ Benchmark Report Q!] Q!!QJ test completed

I JR 100% Tue 01/09/98 22 days Wed 30/09/98

JR 100% Thu 01/10/98 172 days Thu 27/05/99

JR 100% Thu 01/07/99 120 days Wed 15/12/99

JR 100% Thu 30/12/99 o days Thu 30/12/99

99% Mon 15/06198 769 days Tue 24/04/01

JR 100% Mon 15/06/98 283 days Tue 13/07/99

JR 100% Wed 16/06/99 142 days Thu 30/12/99

JR 100% I Sat 29/01/00 I 7 days -I Sat 05/02/00 I JR 100% Tue 15/02/00 o days Tue 15/02/00

JR 100% Thu 25/11/99 390 days Tue 24/04/01

0% T ue 30/05/00 o days Tue 30/05/00

JR 100% Man 05/06/00 43 days Mon 31/07/00

0% Mon 31/07/00 o days Man 31/07/00

JR 100% Man 31107/00 o days Man 31/07/00

1 day I Man 03/07/00 -- -9-2 7 Cond~meeilng of the HIO -- ----- --- --r----:JR'T 00/0--1 Mon 03/07/00

1013 928 ReVise strategy - ------ t JR J 1 OO%-=-Lr:~4-/0-7-10-0-+--21-d-a-yS- Mon 31/07/00

1014 ill Benchmark ReVised QQ]g approved Qy HIO i JR j 100% I Mon 31/07100 0 days I ~on 31/_0~~~ 1015 ____ 9 2 1 0 Dev~loP operational plans Wllh 5 governorates _______ t JR _j _ 9~ ____ 1_~U~:08/00 __ _ 79 days __ Mon 27/11/00

1 016 ~ Benchmark Complete operational Q@n> and training fill 5 9QY§.' 1 0% =t Thu 15/02/01 0 days Thu 15/02/01 Implementation of Iron supplementation the sentinel §i'stem and lliili!!!Qn _

1017 9 2 12 Develop protocols and training matenals for governorales JR I 90% Wed 01103/00 153 days T ue 19/09/00

1018

1019

£3 - -9.2.13 Milestone: SMIP nutrition education and anemia ------- -1 -:;p:--I- ;00% [-i_""o.o 0 ... , '"","'woo supplementation program Implemented In Aswan _____ _ ____ -+ ___ _ 9.2.14 Conduct full implementation in governorates I 47% Tue 01/08/00 302 days Thu 13/09/01

- - - - - - - - - -

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1020

f---1021

9 2 14 1 Identify Trainers ___ __ lo0% __ L~e_OlI08100 1_78daY~1 Sun 12111100 ~ •.

_____ l_ JR8_0~~_J Tue ~~08100 ! 134 dayS; Sun 11102/01 1 Ii: : 9 2 14 2 Train slaft

T JR 0% r Thu 15102101 l0days I Thu 15102101 : "* 15102

---l JR '100/0--;sai16/09l00-/174daYs : Sun 06/05101 .))i!ii$'M

f---+-----1022 92 14 3 Benchmark Staft trained

~

~ 1-----1-- --

1025

--- i J R -I 10'/0---1 -- Sur;-01107;01 I 55 days

9 2 14 4 Monitor Implemenlatron

---- ----------92 14 5 Develop and report results

-- 92 14 '6 ~ Billl9ll Q!l ~ Imple;;;';t~o~---I--JR--!--o%--I Thu 13/09/01 I 0 days -- Thu 13/09101

f----+-- --- completed -+---__ -l-' ___ ,

1026 9215 Develop approach for nationwide Implementation and monitoring __ J~ o~,-~n 011071~~ I 55 days Thu 13/09101

1027 UJ.Q Milestone: SMIP nutrition education !!lQ anemra JR I' 0% Sun 16/09101 0 days Sun 16/09101 supplementation program implemented In five ~ ~ an~__ __ 1 ____ -+

1028 H1...1.Z Target 1\ national nutfltlOn and health education program + 0% Sun 16/09101 1 0 days Sun 16/09101 Implementation J!!Q!1 aeveloped for Implementation under SMIP I _ -- I

1029 9.3 Actrvrty 3: Tetanus immunization ~ . 65% Tue 01109198 672 days Thu 01/03101

~---10.10 93 1 Assess SMIP tetanus Immunization poliCies and programs I JR Tue 01109198 ! 56 days Tue 17111198

Iii

~---- 932 Write Immunization paperon status TT protocol -----1;- 100% Tu; 01106199 ~~I-T-h-U -30-10-91-9-9

~- -,-, JC;;M;;,,,,,,", " ,,"oo"'d ~ ro",",,"-- - 1- "' --I ,;,---1-';; -..9-~ ~6 ~" "'",0.'" I lUJi I I! I

~-----,; 34 Make recommendatIOns for national program ---!I--JR T-O% < Sat 16109100 f-I -12-1-d-a-yS- Sat 24/02101

I "" I --- -,m,"""", '_'"O""d.SM<"M"","""",,,,",;,~"'-I- --I o%--1U+--ThU01103101 I:--~ + ThuOl~ school-based T d Immunizations for students I I '

1035 9.4 Actrvity 4: Antl·smoklng Messages for Adolescents - -r---t-----;w; -- Sun 07/01101 1176 days -1- Sun 02/09101

---------------------ji'---+I-- I ;------1 L I 0% I Sun 07101101 I 20 days I Thu 01/02101 . ----r-' 1-0-;;:--j Thu01102101 46 days I Sun 01104101 ---_-+-___ -----1I---____ L ___ _

0% Sun 01/04101 22 days ~ Man 30/04101

ill Benchmark Qualrtallve Research fm2Q[J - -~=t- 0% Man 30/04101 0 days I Man 30/04101

1036

~.~---

9 4 1 Qualitative Research desrgned

94 2 Conducl and analyze Qualitative Research

1038 943 Report on Qualitative Research submitted

1039

1040 945 Meeting on Research findings and strategy 0% Tue 22/05101 1 day Tue 22/05101

1041 ill Benchmark Anti-smoking Strategy meeting 0% T ue 22105101 o days Tue 22/05/01

I-----t 94 7 Educational approach developed -j- 0% I Tue 15/05101 I 34 days Sal 30106101 1042

1043 948 Pre-tesl educalronal approaches and messages - ----j -- - -f- ---0;;;--

Sun 01/07101 22 days Man 30/07/01

1044 949 Final educational curnculum and messages 0% Sun 02109101 1 day Sun 02109101

1045 ll1Q Benchmark Educational messages and CUrriculum finalized 0% Sun 02/09101 o days Sun 02109101

cf'7

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lSI Quarterly Performance Monitoring Report-I-1M/I-IC Results Package October I - December 3 I, 2000

Contract Section C.8. Supporting Activities

TASK TEN Small Grants Program

Accomplishments Activity 10.1 Assessment of Work Currently Being Done and Potential for Future Grants

• Accomplished.

Activity 10.2 Grants provided to capable organizations through standardized mechanism • Conducted field visits to 14 NGOs in Qous and Esna for pre-award assessment and further

refinement oftheir proposals. The visits resulted in qualifying 13 out of the 14 NGOs. • Received Mol SA / Security Clearance for transferring the funds to the nine (9) awarded

NGOs in Luxor. • Transferred the first quarter estimated expenditures to 8 NGOs in Luxor. • Received USAID approval for awarding grants to 30 recommended NGOs in four districts:

Edfu (8), Armant (6), Esna (7) and Qous (9). • Submitted Performance Milestone No. 27 titled "50 small grants awarded to NGOs in target

districts". • Initiated the Program and distributed the IF A in Middle Qena and Beni Suef. • Conducted eight orientations and workshops on Proposal Writing to 105 NGOs from Middle

Qena (41) and Beni Suef(64). • Conducted three workshops on Financial Management and Reporting for 3 1 Grant Recipient

NGOs in Edfu and South Qena Districts. • Conducted Technical Training (in conjunction with Task Seven) for 20 Grant Recipient

NGOs (13 in Aswan and 7 in Luxor) on the topic of their proposals. The training also included communication skills. as well as training on completing the activity progress reports required by JSI.

Constraints

• None.


• None.

45

JSI Quarterly Performance MonItoring Report-HM/He Results Package October I - December 3 I, 2000

LIST OF AWARDED GRANTS

(Grants No. 23 to No. 52 are the ones awarded this quarter and are indicated in bold)

Cl.J ..... 0 ~ .....

Z j,., u 0 ·c Amount ..... t:: NGO Name Grant Topic t:: j,., .....

~ Cl.J .~ in LE j,., .. Q

c;l 0 c;l

I Luxor Luxor EI-Toad CDA Female Genital Cutting 32,450 2 Luxor Luxor Odaysat Quebly, Naga Elwan CDA Prenatal care 18,540 3 Luxor Luxor EI-Aqalta CDA Diarrhea control 11,340 4 Luxor Luxor EI-Aqarba CDA Prenatal I Delivery 18,210 5 Luxor Luxor Naga Abu Anan CDA Prenatal I Nutrition 22,960

6 Luxor Luxor EI-Sheikh EI-Eraqy Charity

Pre-Postnatal care 23,540 ~- Association

7 Luxor Luxor Hager EI-Odaysat Islamic Charity

Pre-Postnatal care 20,850 Association

8 Luxor Luxor

Egyptian Red Crescent Association Breast-feeding 26,150 City

9 Luxor Luxor

Sunshine Luxor Reproductive health 77,250 City 10 Aswan Nasr Dar EI-Salam EI-Nobeya CDA Breast-feeding 20,270

II Aswan Aswan Family Planning Association -

Breast-feeding 33,510 Aswan

12 Aswan Aswan Comprehensive DA Pre-Postnatal care 26,380 13 Aswan Aswan Christian Youth Association Pre-Postnatal care 26,300 14 Aswan Nasr Nasr EI-Noba CDA Breast-feeding 23,220 15 Aswan Nasr Toshka Gharb CDA Breast-feeding 16,275 16 Aswan Aswan EI-Aakab EI Kobra CDA Prenatal care 25,420 17 Aswan Aswan EI-Nahda Women DA, Nasria Prenatal Carel Breast-feeding 49,020

18 Aswan Kom

Maniha CDA Nutrition 46,800 Ombo

19 Aswan Kom

EI-Kagoug CDA Pre-Postnatal care 33,580 Ombo

20 Aswan DaraVv Ahmed Taha CDA Nutrition 45,468 21 Aswan Daraw Naga Wanas CDA Prenatal I Nutrition 28,520 22 Aswan Daraw EI-Gaafra CDA Pre- Postnatal care 32,700

23 Aswan Edfu Naga Helal CDA Prenatal I Nutrition!

21,400 Breast-feeding

24 Aswan Edfu Wadi Ebadi CDA Prenatal care 15,435

25 Aswan Edfu Ezbet EI-Masry CDA Pre- Postnatal care I

11,470 Breast-feeding

26 Aswan Edfu EI Kanadelah CDA Pre- Postnatal care 28,695 27 Aswan Edfu EI-Gam'aweya CDA Prenatal Care 6,525 28 Aswan Edfu EI-Mahameed CDA Prenatal Care 7,975 29 Aswan Edfu EI-Atwani CDA Prenatal Care 24,950 30 Aswan Edfu EI-Dakdik CDA Prenatal Care 16,955

31 Qena Armant Social Welfare Charitable

Prenatal Care 12,225 Association - Armant

32 Qena Armant St. Mansour Association - Armant Neonatal Care 15,625

33 Qena Armant Key of Life Association - AI-

Child Care (3-5 Years) 20,695 Marees

46



0 Z ..... c:: c:: :... 0

34

35

36

37

38

39

40

41

42

43 44

45

46

47

48

49

50

51

52

JSI Quarterly Pcrformance Monitoring Report-HM/HC Rc'}uits Package

(l) ..... c:: ..... :... C.I 0 ·c c:: NGO Name :... .....

'" (l) ..... ;;. 0 0

0 Qena Armant AI-Rayania CDA

Qena Armant Awlad EI-Sheikh CDA

Qena Armant Moslem Youth Association -Armant

Qena Qous Social Services Association. - Naga Quebly - Garagous

Qena Qous AI-Shaarani CDA

Qena Qous Hagaza Quebly CDA

Qena Qous AI-Makrabia CDA

Qena Qous AI-Hegazeya Charity Association

Qena Qous Women Development Association -Hagaza Quebly

Qena Qous EI-Kalalsa CDA

Qena Qous Al-Amal Charity Association

Qena Qous Hagaza Bahary Women Development Association

Qena Esna Abna' Mahiga Charity Association

Qena Esna EI-Deir CDA

Qena Esna Ezbet EI-Borg CDA

Qena Esna EI-Deir Islamic Charity Association

Qena Esna Adayma CDA

Qena Esna Naga Abu Hemeid CDA

Qena Esna Esna CDA

.f7

October I ~ December 31, 2000

Amount Grant Topic

in LE

Prenatal Care 11,290 Prenatal Care 12,350

Child Care (3-5 Years) 19,520

Pre- Postnatal/Safe 14,490 Delivery

Prenatal Care 21,420 Prenatal Care 16,695 Prenatal Care / Safe

22,510 Delivery Pre- Postnatal Carel Safe

28,265 Delivery Prenatal Carel

15,665 Breastfeeding Breastfeeding 13,990 Prenatal Care 13,480

Prenatal Care 18,875

Pre-post natal Carel Safe 23,735

Delivery Prenatal Carel Safe

48,900 Delivery Female Genital Cutting 36,320 Pre-Postnatal Carel Safe

27,280 Dlevirey Pre- Postnatal Care 25,860 Prenatal Care 12,695 Prenatal Care 13,355

GRAND TOTAL in LE: 1,237,398 GRAND TOTAL in USD: 363,941

~1


lSI Quarterly Pcrfonnancc Monitoring Report-HM/HC Results Package October I - December 3 L 2000

A graphic analysis of the grants awarded by topic is displayed below

7

No. of Grants by Topic

o Pre-postnatal Care (36)

B Nutrition (2)

2 1

II Female Genital Cutting (2)

o Breast-feeding (7)

o Child Health Care (4)

o Reproductive Health (I)

A graphic analysis of the Number of grants awarded over the 10 district is displayed below:

No. of Grants by District

9 5

7 2

48

, i i 0 As\\an

mil Daraw

OEdfu

o Kom-Ombo

o Nasr

o Luxor Cltv

o Luxor Distrrict

: DArmant

III Esna

I o Qous

- - - - - - - - - - - - - - -1046 1 10 TASK TEN: Small Grant Program i 70% Sun 15/03/98 941 days Man 17/09/01 .,.

1047 10 1 Small Grants Agreement between JSI and USAID finalized -- -~-T- 100% Sun 15103/98 260 days Thul1/03/99 ~·'~.~iiil!i~iI

1048 10.2 Develop Training CUrricula for NGOs on USAID FinanCIal Management I : 100% Sun 12/07/98 60 days Thu 01110/98 ' ~' 1053 -- ~~~ :~~~nc~tion and Assessment of potential NGO partners In Target ----t-·-9i~;;-t-Sun 09108/98 241 days [ Thu 08/07/99 ' ,.) j' I .; '1" j '[ [ 1 I [ I I 1 [W

Districts ' T" "" , T,

1054 10 3 1 Assess and Identify potential NGOs In As;;;:-L';-;:~r-aMB~nI·S~~i- -~-r----;Qo% Sun 09/08/98 . 45 days Thu 08/10/98 .•

1- '00%- n" DOnO.. Od..' n" ......

--75% --1 Sun 06/06/99 25 days ! Thu 08/07/99 ~055 1QJ1 Benchmark IdentlficaliOn f, assessment ill potential NGO partners !!l

______ n_n Aswan Luxor & Benl-SUIf completed

1056 103 3 Assess and Identify potentla[ NGOs In Qena and Fayoum

1057 l.Q..1.4 Benchmarl< IdentlflcaliOn f, assessment ill potential NGO partners!!l £kllil f, Fayoum QQ!!)Q[eted

0% J r-I Thu 08/10/98 0 days ! Thu 08/10/98

Thu 15/04/99 1 day Thu 15/04/99 1058 10.4 Obtain OffiCial Approval and consent form MOHP and MOSA to I I 100% i _____ ~p~roach NGOs for grant glv[ng , ~_ , _ _ __ i _____ j-____ ~ ____ -I

1060 10,5 Assessment of work currently being done and potential for future I I 88% ! Man 16/11/98 195 days Thu 12/08/99 ___ ,grants In the target areas ~ I _ __ ___ 1 L ____ _

1061 105 1 Send a letter to USA[D to provide us with the Progress.Flnal and/or iiI 00% i Mon 16/11198 1 day I Mon 16/11/98 n~' ___ ~ ____ ~~~Iuatlon reports of current and prevIous USA[D grants t---- ! I ' ____ --I

1062 1052 Prepare an RFP for Umbrella Managementlnslltutlons (UMls) to do I I 100% Sun 13/12/98 10 days Thu 24/12/98

I 1063 !

/1064 i-----1065 -

1066

~ 1067

the Assessment _ _1. ____ I _ _ _____ ~-__ -

1053 Send an RFP for Umbrella Management Instltullons IUMls) to do the : r 100% I Sun 04/04/99 i 3 days : Tue 06/04/99 -\s~s~.e_nt i--__, l------I.------I 1054 Receive proposal, Evaluate and Award !! 100% i Sun 02/05/99 I 10 days !

1055 UMI Conducts the assessment ---1---i--1OO%j Sun 16/05/99 i 50 days l.-Th-U-2-2/-07-/9-9-1

1056 Assessment done and final copy of the report received -- -- i-==L 100% i Sun 25/07/99! 1 day I Sun 25/07/99

Thu 13/05/99

J:.~ ~o modify eXisting grant practices, If necessary, for future 9~~L _+ -__ - -t __ I

.11: 08/10

,i ·*·08/10 :

• 81 III U Ll U_U __ ~; T,

J , ;: ,II,

I -I g:

" ""

c~~r=---10 5 7 Organize and conduct a workshop to diSCUSS lessons learned~ ad~ 1 0% i Sun 01 /08/99 ~o days [ Thu 12/08/99

1il..2Jl Benchmarl< Workshop!Q diSCUSS lessons learned conducted I 0% I Thu 12/08/99 0 days J Thu 12/08/99 '* 12/08

1069

10n

~L 1081

1085

10.6 Nominate a Review & Eva[uation Panel Committee that will be in charge of Reviewin~ Eva[uating the NGOs Proposals 107 Deve[op the grant award Contract and Annexes template

100%

I 100%

Man 02/11/98 108 days Thu 01/04/99

Sun 09/08/98 40 days Thu 01110/98

Th u 29/04/99 10-.8 E-;ab[iShEligibility Qualifications and Se[ecti;,~-Crit-;r;a-;or NGO~-t;;--l--- --- Ji 100;/, Isun 01/11/98 - 130 days I ~~ I I· 10':9 Prepa;;;~ct Approve the "[nvitation for App[ication"- 1-- -[100% - t T~~ 01/O'9i9S- 168 days _. Thu 22/04/99

Sat 15/09/01 10.10 P~ovide Grants to Capable Loca[ NGOs through a standardized I i 72% I Sun 07/11/99 507 days 11 Mechanism -+ L

1086 ------;-O';Ollix~r-- __ I = I_-~OO% Sun 07/11199 _ 171 days 1. Thu 15/06/00 :

1101 10.10.2 Aswan ______ 1 ____ 1 __ 100% Sat 01/01100 197 days l Thu 14/09/00 I

.,', r ','-,'

.1"1"::1 :~"T

~: ,", ~. f ~',' •

L""I" ... "~ ~.'! [.' :[ [: '.[ ['" '

" >6 ". ".3 "" is". ,"dM;ddl, Q,.. -+ ~". ,"".0 ,~ d,y, I Th"' 5J03!O' I

101031 AdverliSe the Program and dlstnbute the [FA -- ----+----- 1-- 100% I Sat 21/10/00 11 days : ,", .,,, ... 1117 Thu 02/11/00

1118 101032 Receive Leiters of Intent to submit a proposal 100% Thu 02/11/00 1 day I Thu 02/11/00

tt

:~i ',III I 'Ii "ill', t ,.n:il.l ,_,. 8 ....... T

'.111 i I I I I. T, T

~ .~

I Thu 08/02/01

11999 12000 12001

ID Activity Resp % Complete Start Duration Finish MIAIMIJ IJ IA ISIOINIDI J IF IMJAIMIJ I J IA ISlolNIDI J IFIMIA IMIJ IJ IA Is IOINIDIJ IF IMIA IMIJ IJ IA Is

1119 10 1033 Conduct Onentatlon and Proposal Wntlng Workshop for 100% I Sat 11/11/00 28 days I

Mon 18/12100 ~: Inleresled NGOs --1-- 100% -- I ' , ' ',' ,

1120 10 1034 BenChmark, Conduct Onentatlon and Proposal Wntlng Mon 18112/00 o days i Mon 18/12100 ' , 1f 1~112 Worksho~s for Interested NGOs , ,'. .. ~ '.' '.' '. '.' ' -

1121 10 10 3 5 Receive proposals from NGOs 100%

I Thu 07/12/00 31 days i Thu 18/01/01 ' ,

ii~ I , · , ---- , ",' 'or t " ,",-,- " ,

1122 10,10.3.6 Evaluate Proposals and submit recommendations to 30% Wed 20112100 53 days ,

Wed 28102/01 · , PJI I USAID I

' , ---- '.' '. ' .. '.-

1123 10 10 3 6 1 Screening and review of the proposals according to 50% Wed 20/12100 31 days I Wed 31/01/01 ~~' selection cntena ' ,

- .. ," , . ~ " , • t ~. '-, ,-,-

1124 10 10 3 6 2 Make field viSits to assess the capacity of NGOs 0% Sat 03102/01 11 days Thu 15102/01 ' ' a with potential successful proposals (Mgmt&Tech) and diSCUSS I ' ' . . ' . . . ... 1125 10 10363 NGOs submit refined proposals , ! 0% Thu 15102/01 6 days Thu 22102/01 J I ' , ' ,

I ' ' , ,

r-;-m . .. ~. ,- -, .. , .. -,-, ,-, , -, . , . . " · . 10 10 3 6 4 Final review for refined proposals

I 0% Sun 25102/01 4 days

! Wed 28/02101 ' , ' ,

:1 · , · , , '.' ,'. ' .

~ Benchmark Submit recommendations to USAID fill --1--- 0%-- I-Wed 28/02/01 o days Wed 28/02/01 ' , ' ,

.28/02 1127 approval

I L __ L ------f------- . ... - . I ••• .-. "

1128 101037 USAID approves recommendations i ! 0% Wed 28/02/01 7 days Thu 08/03/01 ~ ~ I I . - I ---1--- ---- , ,

~ 1 I 1129 10 10 3 8 Sign approx 40 Contracts with approved NGOs I I 0% Sun 11/03/01 5 days Thu 15/03/01 I I

• k." · , ... , .'.- , '

1130 10,10,3,9 Milestone: ~ small grants awarded!Q NGOs l!! lmIm I 0% Thu 15/03/01 o days I Thu 15/03/01 · , i+ 15103 , I

districts I ' ' , - , ,

1131 10,10.4 Fayoum and North Oena 10% Sun 21101/01 175 days Sat 15109/01 ' , , , ,

~ ... : .... ---- . ---------- .. --- ----- f--- ----- , '.' ... ','.

1132 101041 Advertise the Program and dlstnbute the IFA 100% Sun 21/01/01 10 days Thu 01/02/01 ' , ..

R' , ' , , . , ' . , ' . : :'

J---- _._- · , , , ....... , ',' .-1133 10 104 2 Receive Letters of Intent to submit a proposal 0% Thu 01102/01 1 day Thu 01/02101 ' . . I: , .

' ....... ' ' •• '. '. J •• ~.'. .' .. ' '.' -'

1134 10 10 4 3 Conduct Onentatlon and Proposal Wntlng Workshop for 0% Sat 24/02/01 6 days Thu 01/03/01 • , , I •• , :1 · . ,

Interested NGOs · . ,',' ," , .... ,. ,', ,',' -','

1135 10 10 4 4 Benchmark Conduct Onentatlon and Proposal Wntlng 0% Thu 17105/01 o days Thu 17105/01 · , ' , · , , " * 17105: , , , . , · , , " '

Workshoos for Interested NGOs ' . , , , " . ' .. '.' •.. ' .. '.1.' •. ' ... '.' ......... '.'._ ' . ' ' .. 1136 10 10 4 5 Receive proposals from NGOs 0% Tue 27103/01 1 day Tue 27/03101

., ., ' I

';·1 ' , . , , , , · . ---- •• '.' ',' , • , • r " ',' ~ • I ~ ," ", ',',', . , , " ,-,

1137 10.10.4.6 Evaluate Proposals and submit recommendations to 0% Sun 01104/01 35 days Thu 17/05101 ' , . , " .. ' '

USAID ' , --------'------ ,

, ' 1138 10 10 4 6 1 Screening and review of the proposals according to 0% Sun 01/04/01 13 days Tue 17/04/01 , ' i selection cntena ' , " -- -. , . ~ , "", ~ .. , , .. ... ,-,' · . 1139 10 10 4 6 2 Make field VISits 10 assess the capacity of NGOs 0% Sun 22/04/01 5 days Thu 26/04/01 ' . , '

1 With ~otenllal successful ~ro~osals IMgmt& TechLand diSCUSS " I '. • , , ,

' , 1140 10 10 4 6 3 NGOs submit refined proposals 0% Thu 03/05/01 1 day Thu 03/05/01 I " , .

.. . .. . -, ,. .... .- .., ,- . " · .. 1141 10 10464 Final review for refined proposals 0% Sun 06/05/01 10 days Thu 17105/01 ' , " '

D ' , , , ,

~ Benchmark Submit recommendallOns to USAID fill 0% Thu 17105/01 o days Thu 17105/01 1142 ' , , , , ' .17105 · ,

eRJl[oval ' , " ' - ......... ......... .. -. , .. , ...... ., ... .. - .... , ,

1143 10 104 7 USAID approves recommendations 0% Thu 17105/01 12 days Sun 03106/01 . ,

W ' . "- .. .. .. , , , , , .

1144 10 10 4 8 Sign approx 10 Contracts With approved NGOs 0% Tue 05/06/01 8 days Fn 15106/01 . , , , , " ' D ' . , ,

.'. '.' .. ~ .', ,'. ... .' .. '.,,' ' .. -.. ' .... ' , . , , . , . ~ ' . · , ' . 1145 10.10.4.9 Milestone: 100 small grants awarded!Q NGOs illlmlm 0% Sal 15109/01 o days Sat 15109/01 · . : • districts

. . , . , ' ". . , '

.', ',",' ',",' ,', .... , .. ,. ,',-1146 10 11 Payment and Fmancial MonitOring for the receplent organizations (m five 0% Sun 18/06/00 333 days Mon 10/09/01 · , . ,

Im~ , , , , , ..... governorates) .. , ,

Thu 08/02101

R; - - - - - - - - - - - - - - - - - - - -


.lSI Quarterly Performance Monitoring Rcport-HM/HC Results Package October I - December 3 I, 2000

TASK ELEVEN Commodity Procurement Program

Accomplishments + lSI/TCA completed the procurement process and issued Purchase Orders for 62% of the

total procurement budget. The total amount committed to date is $5,841,971. + Performance Milestones No. 21 and 31 documenting $3 Million and $4.5 Million in

procurement were approved by USAID. + A Procurement Plan for the additional $3,362,000 (Performance Milestone No. 25) was

submitted to USAID and approved. + TCA has procured the following items this quarter per the Life of Contract Procurement

Plan: o Emollient study Equipment for a Cairo University Research Study under Task Five. o Surgical instrument kits. o Computers and associated peripheral equipment for the Health Information Centers,

Medical Schools, and the HIO. o Medical Supplies.

+ lSI/TCA has accepted delivery and installed the following items in recipient locations this quarter: o Medical equipment, furniture, and supplies in the Neonatal Centers of Luxor, Aswan,

Qena, Beni-Suef, and Fayoum. o Photocopiers for Health Information Centers in Qena, Assiut, and Fayoum. o Air Conditioners for remaining District Health Offices and Health Information Centers

in Assiut, Beni-Suef, Fayoum, and Qena. o Office furniture and computing equipment for the HIO SHIP offices in Fayoum.

+ Other procurements currently in process include:

+

+ + +

+

o Medical equipment, furniture, and supplies for the Ob/Gyn, CSSD, and OR Departments of the Phase III and Phase IV Facilities.

o Medical equipment, furniture, and supplies for the Neonatal Centers of Assiut, Sohag, Menya, and selected facilities in Lower Egypt.

o CPAP machines for the Neonatal Centers. o Four Hemocue machines and related supplies for an MOHP Nutrition Research Study. o Fax machines for the District Health Information Centers and District Health Offices. o Vehicle Tools for the MOHP Vehicle Maintenance Center. o Training models for the medical and nursing schools. o Office furniture. o Audio-visual equipment for IMCI, the remaining medical and nursing schools, and the

NGOs. Discussions were held with the MOHP regarding the use of lSI funds for minor renovations as stipulated in the contract modification. A Plan was finalized for Phase III facilities distinguishing between renovations to be completed by lSI versus renovations to be completed by the MOHP. lSI-funded renovations began in four Health Information Centers of Qena. Inventory in the warehouse was maintained and a physical inventory was completed. Intensive effort has been dedicated to finalizing all of the government required delivery forms and receipts (Forms III and 112). The computerized Commodity Procurement Database was maintained and produced required repolis.

49

JSI Quarterly Pcrfollnance Monitoring RcpOti-HM/HC Results Package October ( - December 3 ( , 2000

Constraints • None.

Proposed Actions to Overcome Constraints • None.

Procurement Expenditures by Commodity Category The following table summarizes the division of procurement expenditures by commodity category according to the approved Life of Contract Procurement Plan and details the current percentage of commodities procured to date by commodity category.

Commodity Category Total Current Percent Estimated Expenditures Complete

Expenditures Audio-Visual $92,357 $102,783 111% Computing $444,660 $410,374 92% Medical $4,104,071 $2,430,878 59% Office Equipment $408,800 $325,641 80% Office Furniture $364,100 $226,436 62% Vehicles $2,587,500 $1,966,485 76% Renovations $300,000 $19,862 6% Other $1,061,026 $359,510 34%

TOTAL $9,362,514 $5,841,969 62%

50


~I

- - - - - - - - - - - -10 Activity Resp I % Complete Start Duration FInish

1148 11 TASK ELEVEN: Commodity Procurement Program 70% I Mon 22/06198 869 days Sun 16/09/01 ~

1149 11 1 Needs assessment and schedule to TCA 100% Mon 22106198 60 days Sun 13/09198

1150 11,2 Activity 1, Procurement of project equipment I _. __ L_ 74% I Wed 30109198 796 days Sat 15/09/01

1151 Thu 01/04/99

110U

11,2,1 Tranche 1: Procurement of equipment to be installed 3113199 I T 100% i Wed 30109198 132 days

~---- I ' 11,2,2 Tranche 2: Procurement of eqUipment to be installed 3016199 I 100% Wed 30112198 133 days ! Thu 01107199

1169

r--t--1178

i i j 11,2,3 Tranche 3: Procurement of equipment to be Installed 3~~12/99 ___ ~_~ Thu 01/07199 132 days -f Sat ~1I01100

11,2.4 Tranche 4: Procurement of equipment to be Installed 3111100 I I 100% Sun 01/08199 134 days I Sun 30/01/00

I 1187 I 11,2,5 Tranche 5' Procurement of equipment to be In;t;il~d '3113100'--1- , - '! -100';:----W~d 29109/99

111961 11,2,6 Tranche 6' Procurement of eqUipment to be installed 31/6100 .. --1'-----1 . ---;'000/;-- iw;d-29/12t99 I

Mon 27103/00 135 days

J I I .,. I : . -----f ~_;-_____ ~______ I I'

11.2,8 Tranche 8: Procurement of equipment to be Installed 31/1101 I i 95% Sun 30/07100 136 days I Mon 29/01101

11 28 1 Refine speCifications (when needs assessment IS recelv~- --+----;00;;;- ~i0107/00 15 days I Thu 17/08/00 ~ ----+ ____ 1__.-,

1205

~--1215

100% Thu 29/06100

Mon 26106/00

1---:---+ 1/12100 138 days I Sun 3

140 days

11.2.7 Tranche 7: Procurement of eqUipment to be Installed 31/12/00

1216

11 283 Analyze offers received (vanes from 10· 15 days)

11282 SoliCit offers (when procurement plan IS approved) ~ i 100% I Sun 20/08/00 15 days I Thu 07/09/00

1217 .. ~ ---1- 100% I Sun 10109/00 12 days i Sun 24/09/00

1218 11 2 8 4 Place orders and request UC (when anaIY-S-IS-,s-a-p-pr-ov-e-d-) -Ie- '1- 100% Tue 26109/00 10 days I Sun 08/10100 I I '

1219 11 285 Consolidate goods at US freight forwarded wa-re-h-ou-se-(-va-n-es'l 100% Tue 10110/00 60 days Thu 28/12100 depending on suppliers lead time) __________ __ I

1220 11 2 8 6 Arrange for shipping , --;-oQ%'-jTue 02/01/0-1- 5 days I Mon 08/01/01 j

1221

r--t---1222

1223

1224

1-.---_..1- ' 11 28 7 Handle customs clearance and delivery (delivery to dlstncts i 80% I T ue 09/01/01 10 days i Mon 22/01/01

i I I , ____ mlg~t.rnvOlve more lime) ___ n , __ • __ ... _____ _

11 288 Coordinate installation and training If applicable and required _n - I 20%--r-T~;23101;OI" 1-- 5day;' i Mon29/01/01 I

__ -+--..-1 I I I

from JSI)

11,2,9 Tranche 9: Procurement of equipment to be Installed 3/15101 i 82% Mon 01101/01 56 days ! Thu 15103/01

11291 Refine speCifications (when needs assessment;s' received -- 100% Mon 01/01/01 56 days Tn;;; 15/03/01

1225 11292Sollcltoffers(whenprocurementplanlsapprOved) ----- i -100% MonOI/01/01 56 days - Thu 15/03/01 I

'1" " 2 93 '""'" O~" ~,., ,,,"" 1m. '" . " '"'" I 100% '"' "' .,"' ~ ''" i Tho I 510>1"

1227 ---------, iii """""" oM "'"''' "" ,","","","","ppm.o, - - 100';· I "'" Olmlm' ~ '"" I Tho ".,.

1228 - ---,----- 11 295 ConSOlidate goods at US freight forwarded warehouse (vane;: - -- "-:--1-0~1 Mon 01/0Uo'-- 56 days I Thu 15/03/01

1229 - ------ - ~iP2e~d~;r~ann~~~OI;e:~I~~~~gllme)-, --------+---- +--75%- i -Mon 01/01/01 56 days -1 Thu 15/03/01 I 1 : I I

--11--29'7 Handle customs clearance an-d delrve-;y(d~l;very t~ dl~ncts! ---- -1- '--SOo/:-I-Mo;Ol/01/0;--1 8 days 1 Thu 15103/01 I

---f;g;~'~V~~;~~:~etll~:iall;lon andlralnlng If app~able and r;qu;;;;-r--- 0%- _ - Mo~ 01/01/01 -~ 1230

~ 1221 Thu 15/03/01

7Y

- - - - - - -~_ I~ 1m MIAIMI J I J IAlsJo ttiiQLLiElMlA IMtJ I J IA Is loiN 10 I J IF IMIA IMI J I J fA Is IOTNTDTJfi'fMIATMl J I J IA Is

~, " - ',","

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-

11999 12000 12001 10 Activity Resp % Complete Start Duration Finish MIAIMIJIJIAISIOINIOIJIFIMIAIMIJIJIAISIOINIOIJIFIMIAiMiJiJiAiSiOiNiOiJiFiMiAiMiJiJiAiS

1232 11.2.10 Tranche 10: Procurement of equipment to be installed 6/15/01 28% Thu 15/03/01 68 days Thu 14106/01 . . ': ~

1233 11 2 10 1 Refine specifications (when needs assessment IS received 100% Thu 15103101 68 days Thu 14/06/01 .. ..' . . .. '.' : . ~ . from JSI) , ,.' .,,:.;.:., .'. .' .'. , . , ". ...

t 234 11 2 10 2 Solicit offers (when procurement plan IS approved) 100% Thu 15103101 68 days Thu 14106101 . , . . . . .•. iii 1235 11 2 10 3 Analyze offers received (vanes from 10 ' 15 days) 0% Thu 15103101 68 days Thu 14106101 .. '. ':':':': :' . . IIi1

1---4---------------------1--+---1----1---+-----1 ... '.. .' .'.' ..... '. .... , '. 1236 11 2 10 4 Place orders and requestUC (when analysIs IS approved) 0% Thu 15103/01 68 days Thu 14106101 . , , ' ~ .

• , • , • r • ~ • r • r ',' • ',' • • '"

1237 11 2.10 5 Consolidate goods at US freight forwarded warehouse 0% Thu 15103101 68 days Thu 14106101 .. ~. (vanes depending on suppliers lead time) . . , . ' . " .' . . . .

1238 11210.6Arrangeforshlpplng 0% Thu 15103101 68 days Thu 14106101 .: . _' .' .,.. .. ~ ,- - .... ~ .. ., . - . , . . , .. . ..

1239 11 2 107 Handle customs clearance and delivery (delivery to dlstncts 0% Thu 15103101 8 days Thu 14106101 ~ might Involve more time) . , '

1240 11 2 108 Coordinate Installation and training If applicable and 0% Thu 15103101 68 days i Thu 14106101 ' , , " ~ reqUired , , . , ." , ;,: " .' • ' ,

1241 1,1 2 11 Tranche 11: Procurement of eqUipment to be Installed 9/15101 I 21% I Sun 17/06/01 67 days l Sat 15/09/01: ~

1242 ;r~~ ~~Il Refine speCifications (when needs assessment IS received I 100% i Sun 17106101 67 days I Sat 15109101 , , . , ~ I---) -. " " "" " , , " " '.. ." . .. ' .

1243 11 2 11 2 SoliCit offers (when procurement plan IS approved) I I 70% Sun 17106101 67 days Sat 15109/01 ~

1244 I 11 2 11 3 Analyze offers received (vanes from 10, 15 days) 0% Sun 17/06101 67 days Sat 15109/01 ' , , , '. l1li1 -1----- --'-,' ,,' """ '" , .

1245 11 2 11 4 Place orders and request UC (when analySIS IS approved) 0% Sun 17/06101 67 days i Sat 15109/01 ' , g 1246 112115ConsoildategoodsatUSfreightforwardedwarehouse "0% Sun 17106101 67 days Sat 15109/01 "C',' ','," " m

(vanes depending on suppliers lead time) -----1-____ . _, ___ 1 ,', ,', " . , ' :: ' 1247 ___ ~12116ArrangefOrShIPPIn9 _ 1.,- ! _~% __ I~,17106101 67 days j Sat 15/09101 ''''','' ,'. m 1248 11 2 11 7 Handle customs clearance and delivery (delivery to dlstncts I I 0% Sun 17/06101 67 days I Sa115/09/01 _

f----j------ ____ rrllghllnvolve more time) ,,_ . ~ , , " ',',,' 1249 11 2 11 8 Coordinate Ins lallation and training If applicable and I 0% Sun 17106101 67 days I Sat 15/09/01 IIIIl

__ .,_ __ regulrea ,,_ __ ___ !, .. ' ., , " ' , 1250 11.3 Complete renovations to MOHP facilities as reqUired 15% Mon 01/01/01 190 days I Sat 15/09/01

12s1 1131-jSI'r~~ovatlonsforPhaselilfaCIIiIieS-' ------ ,'- ''''''50'0/;--- Mo~O;101101 56 days 1- Thu15/03101 ' ',' ~ ....

- -- '" --- " ".." ''',.. , ' , , .. . ,

1252 11 32 JSI renovations for Phase IV faCilities 0% Sun 18103101 134 days I Sat 15109/01 , , ~

i----j------'-"-------------'---+-- --~ ',.'. ' , , , 1253 11,4 Generate quarterly progress reports I 75% Tue 15/12/98 743 days Sun 16/09/01 , " ,

I----t------------,-------------+---l-i : ~ , , , , .. , ..... 1254 1141 Generate quarterly progress reports 3 I '-100% Tue 15/12/98 1 day Tue 15/12198 .. "'."',' ~ i : ,,", ':" " " " .. :, '"

1---1--- --- ------- --I--~"'---'~r___'---- ..;,: :-:' :--:-' " " 1255 11 4 2 Generate quarterly progress reports 4 100% Man 15103199 1 day Mon 15/03/99 , 1 : . '

I--- ' ",,, ... ",,, .... ,, "'"'' " ... 1256 1143Generatequarterlyprogress reports5 100% Tue15106/99 1 day Tue15/06/99 , , .. :: " 1 ': 1257 11.44 Generate quarterly progress reports 6 100% Wed 15109/99 1 day Wed 15/09/99 ,., "" 'I' ,:' 1258 11 4 5 Generate quarterly progress reports 7 100% Wed 15/12199 1 day i Wed 15/12199 ' '" ".,',,' , ,'.. , .. '" I: . .. "" I-_+-~ _____ ~~ _______________ -+ __ ~+-____ ~ _____ +-___ t-i ___ --I ..:

1259 11 4 6 Generate quarterly progress reports 8 100% Wed 15/03100 1 day Wed 15103100 ' , , , I

9J ,__ Thu 08102101

- - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - -I D I Activity Resp % Complete Start Duration Finish

1260 11 4 7 Generate quarteny progress reports 9 100% Thu 15/06/00 1 day Th u 15/06/00

1261 11 4 8 Generate quarterly progress reports 10 100% Sun 17/09/00 1 day I Sun 17/09/00

I 1262 I 11 49 Generate quarteny progress repons 11 100% Sun 17/12/00 1 day Sun 17/12/00

1263 11 4 10 Generate quarterly progress reports 12 0% Thu 15/03/01 1 day Thu 15/03/01

1264 11 4 11 Generate quarterly progress reports 13 0% Sun 17/06/01 1 day Sun 17/06/01

~--4---------------------------------------------4-----~--------4---------r--------r-------~ 1265 11 4 12 Generate quarterly progress reports 14 0% Sun 16/09/01 1 day Sun 16/09/01

1266 11.5 Generate semiannual procurement reports 67% Mon 15/03/99 679 days Sun 16/09/01

w------ n 11 5 1 Generate semiannual procurement plan 1 _ _I --- ~l--- -- 1 00% Mon 15/03/99 1 day I _~: 15~0319~ W- 11 52 Generate semiannual procurement plan 2 I 100% Wed 15/09/99 1 day I Wed 15/09/99

11 53 Generate semiannual procurement plan 3 1 I - 1 00% ---~d 15/03/00 1 day -I Wed 15/03/00-1 1269

1 1270 1 1154Generatesemlannualprocurementplan4 - =-~~t ..--l100% Sun 17/09/00 1daYl-=:~09/00 I I 0% Thu 15/03/01 1 day I Thu 15/03/01 1271 11 5 5 Generate semiannual procurement plan 5

8272- --11-5-6-G-e-n-e-ra-te-s-em-,-an-n-u-al-p-ro-cu-re-m-e-n-t p-la-n-6----------------+----1 0% Sun 16/09101 1 day T Sun 16/09/01

1273 11 6 Development of HM/HC life of project procurement plan and additional funds I 100% Mon 14/09/98 20 days Sun 11/10198 _ ~ement Illan --j

1274

1275

§ 1278

~---1279

~-

715

ill Milestone: Development of HM/HC life Qf project procurement o@n 100% T ue 15/09/98 o days T ue 15/09/98

ill Milestone' Procurement Qf j 900000 Qf Proiect commodities 100% Wed 15/09/99 o days Wed 15/09/99

ill Milestone: Procurement of ~ 1M Qf ~ commodities 100% I Sun 17109/00 0 days i Sun 17/09100

JJJ] TARGET 100% 01 orocurements completed Qy end Q[ contract

1-1.1OM7I.;;tc;;;·-Procurement of ~ ~ Qf Prolect commodities --------1--- 100%1-8un 17109100 0 days I Sun 17/09/00

_1~~M~e~;;;-n~procurement of i §..1U.QQ.Q Qf Prolect commodities ------t- 75% _ J~Th-u15i03i01-0d~-T Thu 15/03/01

11Jl Milestone' Procurement of i 9,362,000 Qf Project commodities 50% I Sat 15/09/01 0 days Sat 15/09/01

----- - --- --j- ----------j---------

, 0% I Sun 16/09/01 0 days Sun 16/09/01

- - - - - - -11999 12000 12001 MIAIMI JJJ IA Is 10 IN IDI J IF IMIA IMI J I J IA Is loiN 10 I J IF IMIA IMI J I J IA Is 10 IN I D I J IFIMIA IMI J I J IA Is

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-


.lSI Quarterly Performance Monitoring Report-HM/HC Results Package ----------~~------------------------------

October I - December 3 1, 2000

Contract Administration

Accomplishments • Remaining full and part time staff positions were filled during this period. A Contract Staff List

detailing employee names and positions can be found in Annex B. • .lSI Technical and All-Staff Meetings were held. • The .lSI HM/HC budget tracking tool was updated on a monthly basis to show actual and

projected expenses. • lSI provided monthly expenditure estimates to USAID as required. • Personnel systems were further refined for full-time and part-time employees. • Project inventory records were updated and reviewed for accuracy. • Inventory reports were submitted to the HM/HC Project as requested. • Several local subcontracts were negotiated and required ones approved by USAID. • Subcontract Management Files were maintained and updated. Subcontract obligations and

amendments were processed as required. • Subcontracting Plan reports (SF 294) were submitted to USAID as required. • The IL funds disbursement system was further refined. • lSI requests for IL funds were tracked. • Meetings were held between lSI, DT2, and USAID to discuss possibilities of additional training

to be funded by DT2. • Travel concurrences were submitted to USAID and approved. • Six abstracts were submitted to the Global Health Council for inclusion in the June conference.

Five of the abstracts were accepted. There will be two panel presentations, two round-table discussions, and one poster presentation.

• Publications were printed and distribution began.

Constraints

• None.


• None.

51

- - - - - - - - - - - -I D I Activity Resp % Complete Start Duration Finish

1281 I 12 Management and Administration Activities 74% Sun 14/06/98 874 days Sat 15/09/01

1282 I 12 1 JSI HMIHC Orientation Meeting KK 100% I Sun 14/06198 5 days Thu 18106198

1283 ill Benchmark Orientation meeting held KK 100% I Thu 18106/98 o days Thu 18106198

1284 123 JSI HM/HC Planning Retreat ~ __ 1_l~O/~ Sun 10/01/99 I 5days

KK -~-i 00% Thu 14101/99

I 1286 I 12 5 Inventory Submission j -Ki<r,o;;;,;;- Sun 28/02/99!1oda-;-

1285 ill Benchmark Planning Retreat held

Thu 14/01/99

Thu 14/01199

Thu 11/03/99

1287 ill Benchmark Inventory submitted KK 100% Thu 11103/99 o days Thu 11/03/99

Sun 15/07/01

--- ----1------RA 100% Mon 15/06/98

Mon 15/06/98 1288

k---j-1289

12,7 Quarterly Performance Monitoring Report 828 days 77%

Tue 14/07/98 12 7 1 Quarterly Penormance MonitOring Report 1 22 days

127 3 Quarterly Penormance MonitOring Report 3

RA 100% T ue 15/09/98 I 22 days

-------1 RA 100% Tue 15/12/98-r~1 Wed 13/01/99

Wed 14/10/98 1290 1272 Quarterly Penormance MonitOring Report 2

1291

1292 12 74 Quarterly Perfonmance MonitOring Report 4 RA 100% Man 15/03/99 22 days i Tue 13104/99

12 7 5 Quarterly Penormance Monltonng Report 5 RA 100% T ue 15/06/99 22 days l Wed 14/07199

I 1294 12 7 6 Quarterly Pertormance Monltonng Report 6 -RA --t--l00% Wed 15/09/99 22 days I Thu 14/10/99

1293

1300

1292 Annual Report 2

! RA I 100% Wed 15112/99 22 days i Wed 12/01/00 L-I 1 __ ---1 i RA t 100% Wed 15/03/00 22 days : Man 10/04/00 i I ---"---W------ ~279QuarterlyperfOrmanceMonltoringReport9 I _~ _ ~~O% ThuI5/06/00 22 days Thu13107100

I RA 100% Sun 17/09/00 22 days Sun 15/10/00 ,

127 11 Quarterly Performance MonitOring Report 11 - -----1-RA -I -00/,- su-;;-;7I12100 - 22 days

-+-----~-

127 12 Quarterly Performance MonitOring Report 12 i RA I 0% Thu 15/03/01 22 days

-----j---RA~r- -O~/:-- -8u-n-I7106/01 22 days i Sun 15/07101

--- -------1- ---r--680/,- -- -M;~OIIo2/99 560 days 1---Sun 25/02/01

-----r AA-1--100'~-'-- Mon 01102/99 20 days I Sun 28102/99

1282 Annual Workplan SubmiSSion 3 ___________ -_-L:...J ___ 100% Tue 01/02/00 --20~--11- Thu 24/02/00

1283 Annual Workplan SubmiSSion 4 _______ -----~.:-J- O'~__ _ThU 01102/01 19 days

~306 12,9 Annual Report Submission I I 66% Man 15/03/99 678 days Sat 15/09/01

I I l ----- ---------:-- -- -~ - ------ ----1307 129 1 Annual Report 1 i RA i 100% Mon 15/03/99 22 days ! Tue 13/04/99

---1_ RA -_1_-_--_1-00'/~_~ t-wed 15103100 22 days j

1295 12 7 7 Quarterly Performance Monitoring Report 7

1296 12 7 8 Quarterly Performance MonitOring Report 8

1298 12 7 10 Quarterly Performance MonitOring Report 10

1299

1301

k---j------ -1302 128 Annual Workplan Submission

t:J-1304

128 1 Annual Workplan SubmiSSion 2

-- -

1305

1308

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- - - - - - -: .....

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11999 12000 12001 10 Activity ResD % Comolete Start Duration Finish MIA IMIJ I J IA Is 10 IN 10 I J IF IMIA IMI J IJ IA IS lOIN 101 J IF IMIA IMI J I J IA IS 10 IN I 0 I JTF1M1A IMiJIJIAIS

1309 12 9 3 Annual Report 3 RA 0% Thu 15103101 22 days Wed 11104101 . . , ..

, . "! ,',' " ,",", "-j ',' ,",' " ',' ',' ,',",' . "', '.'

1310 12 9 4 Annual Report 4 RA 0% Sat 15109101 1 day Sat 15109101 ' , , ,

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I

9, Thu 08102101

- - - - - - - - - - - - - - - - - - - -


lSI Quarterly Performance Monitoring RepoI1-HM/HC Results Package

ANNEXES

53

October I - December 3 I . 2000

/(fO


ANNEXA

Performance Milestone Status Report

/01

- 't) . - - -._:", - _ WTOYilJOiifl S.S _RT_ - - - - _,J" -Old

No. Date Due l\Iile~tone Task Submitted \'alidated

Approved Comments

i'lo. No. lSAID \tOHP

I I 6/15/98 Commencement of II 1\11 S Asse~sment 4 6125/98 9/16/98 9120/98 8/30/98 Completed

2 2 6/15/98 Rallid :\sse~sment of e,i~tin2 print and mas~ media conducted 8 8/13/98 N/A 10/4/98 919198 Completed

3 3 9115/98 One 111\1/11(' Consensus ,\Ieeting held and F:~~ential Sen'ice~ I'ackal!e finalized I 9/30/98 3/8199 3116/99 I 011 S/98 Comnleted 4 4 9/15/98 Assessment of neonatal centers conducted 6 10/15198 314199 2/17199 10124198 \omoleted

5 5 9/15/98 De\'elopment of HMIHC Project Procurement Plan II 4122199 N/A 4126/99 N/A Completed

6 6 12115/98 Completion of HMIHC management 2uidelines for district plannin2 3 12/15/98 N/A 3/16199 10/S/00 Completed

7 7 1211S/98 Field test of protocol for linking communih' groups with providers completed 7 12IIS/98 3/4199 2/17/99 10/S/00 Completed

8 8 3115/99 Lead Trainer~ trained & basic health packa2e implemented in S district~ 1&2 311S/99 12127/99 12131199 N/A Completed

9 9 3/1S/99 Completion of El!Vpt-specific Inte2rated Sick Child Management Plan 6 3/15/99 N/A 417199 10/S/00 Completed

II 10 6115/99 Assist MOHP to establish 10 district I\IHIS 4 6/15/99 12/27/99 12/31199 NIA Completed

12 II 6/15/99 NationallEC Strate2V to support HM/HC developed 8 6115/99 N/A 6/28199 10/S/00 Completed 14 12 9/1S/99 Dava trainin2 pro2ram modified and readv for implementation 6 911S/99 1/4100 10/28199 IOIIS/99 Completed

15 13 9/15/99 Procurement of S900,000 of Proiect commodities Il 9/15/99 114100 10128/99 N/A Completed 16 14 12115/99 8 District health plans and monitoring sYstems deyeloDed and imDlemented 3 12/15/99 ./ 11115/00 ./ Completed 17 15 12115/99 Needs identification tool imolemented in 5 communities 7 12/15199 114/00 2129100 2/28/00 Comoleted

19 16 3/15/00 Three operations research studies comnleted 5 3/15/00 911100 9112/00 N/A Comnleted 10 17 6/15/00 20 smaUgrants awarded to NGOs in target districts 10 6/14/00 114/00 716/00 N/A Completed 21 18 6/15/00 Assist I\tOlIP to establish 30 district MillS centers 4 6/14100 ./ 12120/0() :-I/A Comnleted 22 19 6/15/00 l'iationallEC campaign develoDed 8 6118/00 12/13/00 1121/01 ~/A Comnleted 13 20 7/15/00 IIMIIIC Curricula taught in 2 medical and 2 nursing school~ 2 7116/00 ./ 1211 3/()() ~/A Comnleted 25 21 9/15/00 Procurement of S3 000 000 of Proiect commoditie\ II 917100 ./ 12I.j/oO ~/A Comnleted

new 22 9/15/00 lIealth Education Guide and education materiab for use in schools deHlot>ed 9 10/15/00 N/A 12/5100 ~IA Completed 23 2J 10115/00 HM/HC Curricula taught in 6 medical and 6 nursing schools 2 10/15/00 ~/A

new 24 10115/00 SMIP nutrition education and anemia sunnlementation pr02ram implemented in one governorate 9 10/15100 ./ 12110/00 N/A Completed new 25 11115/00 Development of HM/HC Procurement Plan for additional S3 362,000 in commodities II 1lI27/00 N/A 12110/00 N/A Comnleted 18 26 11115/00 Implementation of basic health package in 10 districts 1 11115/00 N/A 20 27 11115/00 50 small 2rants awarded to NGOs in target districts 10 11115/00 ./ 12120/00 ~/A Comnleted 26 28 12115/00 20 District health plans and monitoring systems developed and implemented 3 12118/00

new 29 I 2/1 S/OO Community Action Plan~ de\'eloned and implemented in 20 di~tricts 7 12/12/00 ~/A

new 3() 12/15/00 l'iconatal centers linked with comprehensive perinatalpro!!ram~ in 25 target districb 6 12113/00 ,:\/A

new 31 12115/00 Procurement ofS4,500,000 of Project commoditie~ 1\ 917100 ./ 1214/00 ,:\/A Completed 28 32 3/15/01 Implementation of ba~ic health package in 20 districts I ~/A

new 33 3/15/01 HM/UC Curricula taught in 10 medical and 10 nursin2 schools 2 ~IA

new 34 3115/01 Procurement of S6 181,000 of Project commodities II ~/A

30 35 3/15/01 90 small grants awarded to NGOs in tar2et di~tricts 10 ~/A

31 36 6/15/01 Assist 1\10111' to establish 65 I\IHIS centers 4 ~/A

32 37 6/15/01 FGI\I component intcgrated into ovcrall HM/lie meSS82C packa2c 8 ~/A

24 38 6115/01 200012001 .\laternal Mortalih' Sun'cv Complcted 5 ~/A i new 39 7/15/01 Sen'ices improved in 100 neonatal centers 6 ~/A

33 40 9/15/01 Implementation of basic health package in 25 districts I ~/A

34 41 9/15/01 HM/HC Curricula taught in 13 medical and 13 nursin2 schools 2 ~/A

35 42 911SI01 2S Di~trict hcalth plans and monitoring systcms devcloped and implemented 3 new 43 9115/01 Community Action Plans developed and implemented in 25 di~tricts 7 ~/A

37 44 9/15/0 I 100 small grants awarded to NGOs in 25 target districts 10 ~/A

38 45 9/15/01 Procurement of S9,362 000 of Project commodities II ~/A

new 46 9/1510 I SMIP nutrition education and anemia supplementation program implemented in:; governorate & nlltional S\III' phln 9 ~/A ------

/4;2-

I I I I I I I I I ANNEXB

I Contract Staff List

I I I I I I I I I I /03


Cairo Office Staff:

Name

" Reginald Gipson

; , Ali Abdel Megeid

Richard Ainsworth

Sunil Mehra

Sobhi Moharram Abdel-Hai

k Katrina Kruhm { ~ Rebecca Copeland

Tom Coles

• t Said Khalil Mansour • ~ Mohamed Moustafa Kamal

Hassan Kamal EI Sheikh ~

t Ahmed Heshmat

;; J Wafaei Hassan EI-Sakkary , t i Khaled Abdel Fattah Mohammed \ r t Sameh Gamil Masood

Mohamed Hassan

Adel Hakim Issa

Dalida Samir Fahmi

Mariam Samir Fahmi ,

~ Mohsen Aly EI Said , t ~

f Lamia Mohamed Mohsen

~ Khaled EI-Sayed Abdel-Salam

¥"'-¥ -, , ' w v ~< ~ , __ , ~'"

JSI HM/HC Results Package Staff Roles and Titles

January 1, 2001

~.¥V,~~"",<",~~",~",~""",~,_~v~

Roles and Titles ~ Ch ief of Party i • Deputy Chief of Party for Technical Services Development; ~

Coordinator for Tasks I, 2, 5and 6 Deputy Chief of Party for Management Services; Coordinator for Tasks 3, 4, QA and M&E activities Coordinator for Community Health Development; Coordinator for Task 8 Community Development Specialist Coordinator for Tasks 7 and 10 Task Manager: Task 7 Project Administrator Coordinator for Task 11 Monitoring and Evaluation Coordinator Task Team Member: All Tasks Training Advisor, CAU Task Manager: Task I Implementation Specialist Task Team Member: Task I \

Medical Curricula Specialist Task Manager: Task 2 Private Sector Specialist Task Team Member: Task 2 1

Health Management and Quality Assurance Specialist ; t

Task Manager: Task 3 • , •

Quality Assurance Specialist 1 r Task Team Member: Task 1 and 3 ! ArabSoft Team Leader i Task Manager: Task 4 " ArabSoft Programmer Task Team Member: Task 4 Research Associate Task Manager: Task 5 (Research) Senior Obstetrical & Neonatal Researcher Task Team Member: Task 5 (NMMS) Program Assistant Task Team Member: Task 5 Program Designer and Data Entry Specialist Task Team Member: Task 5 Child Survival Specialist Task Manager: Task 6 Neonatal Specialist

I Task Team Member: Task 6 Community Development Specialist

~ j

Task Team Member: Task 7 ?:

-<"<¥" " ". , v' v< '~'.' ~'V '< ' ____ _<,'~ ~ '*"~' "- v"",'~ '"'~~< ,¥

I I

Name Roles and Titles Ala'a EI-Din Fathi Ali Community Based Activity Coordinator

Task Team Member: Task 7 I Mohamed Hussam Rajab Marketing and Communication Specialist, The ManoffGroup , Task Team Member: Task 8

, Marwa Osama Kamel Media and Communication Specialist, The Manoff Group I Task Team Member: Task 8

Heba Mohamed Rafik Communication Assistant, The Manoff Group Task Team Member: Task 8 I

Jill Randell Nutrition & Health Education Advisor, The Manoff Group Task Manager: Task 9

Hani Samir Riad Implementation Specialist, The Manoff Group I Task Team Member: Task 9

Maha Magdy Anis Training Supervisor, The Manoff Group Task Team Member: Task 9 I

Joan Mahoney Anti-smoking & Surveillance Coordinator, The Manoff Group Task Team Member: Task 10

Mohamed Mansour Hassan Small Grants Assistant I Task Manager: Task 10

Osama Boushra Kamel Small Grants Assistant Task Team Member: Task 10 I

Marion Charobim Procurement Specialist ,

Task Team Member: Task 11 Hazem Mohamed Mansour Financial Manager I Bassem Reda Boulos Senior Accountant Amr Abdel Halim Obid Accountant

, Naglaa Ahmed EI Bakry Office Manager I Rami Bahgat Network Administrator (League Technology) Rami Maher Network Administrator (League Technology) Ola Zakaria Administrative Assistant I Manar Adel EI-Beih Administrative Assistant

, Dalia El-Khodairy Monitoring and Evaluation Program Assistant , Gihan Ahmed Ismail Design Support Assistant I

Dalia Hassan Hemeid Program Assistant , Ola Hussein Fahim Training Assistant

Gehan Raouf Iskander Senior Executive Secretary I Yvette Bahr Executive Secretary Amel Abdel-Kader Amer Senior Secretary Laila Mohamed Abdel Wahab Senior Secretary I Aya Mahmoud Rashwan Secretary Nevine Sami Guirguis Secretary Dina Galal Khairy Secretary I Amira Mohamed Zaki Secretary Soha Hassan Abdel Aziz Receptionist

I Iris Guerges Soliman Data Entry Specialist I Tarek Sayed EI Nadi Senior Driver Ali Yassin Ali Driver Hasaballah Moustafa Mohamed Driver I Ayman Mohamed Expediter <-

Ahmed Hassan Moawad Junior Messenger rm=_~_~ . -~ ,.,. ,~¥ , ,- __ '''<>''~'' ~,~,"~_-Vv ""'......- v ~"'''''v'V<(' ~""<Y"--" >-,r:; ... ,~'~"''''_~'''''''''''''< r r'-"!7~-""~""",o;.~~""",~~ ...... "Y$ _"'~~"o/VW'~ - I


kl""'''''~~~~''-~'''''''!·''W'<'''--'~_..eI~~~'f'''''Y~ ",?"",=<,:;...""..,~ "",~_ ...... ",W,,~¥,n ~""" ..... ,,~, ',,-..,....,A ,~-Z'l.,. ~~~,_,.,,~-=_""'_~~-''''''''''"'' """' .... d .... ..> ... ~"""'" .~<,""'~

Name Roles and Titles :

; Aid Sayed Bahr Qenany Photocopy Clerk , Hassan Fawzi Hassan Porter Khaled Mohamed EI Ghoneimy Porter Abdel Razek Mohamed Abdel Razek Porter

~- ,~~~ ..-

Part-Time Employees

Name Roles and Titles Hussein Samy Abdo Part-time Anesthesiology ~ecialist Mohamed Rashad EI-Said Part-time Architectural & Engineering Specialist Dahlia Bayoumi El Sebaie Part-time Neonatal Clinical Supervisor Hanan Mohamed Abdel Moneim Part-time Neonatal Clinical Supervisor Hisham Ahmed Mahmoud Aly Part-time Neonatal Clinical Supervisor Hisham EI-Sayed Abdel Hady Part-time Neonatal Clinical Supervisor Abdel Ghaffar Mohamed Ahmed Part-time Clinical Supervisor Assem Anwar Mousa Part-time Clinical Su~ervisor Magdy Tawfik Zain Part-time Clinical Supervisor Mahmoud Rizk Fayed Part-time Clinical Supervisor Mohamed Ismail Sabry Part-time Clinical Supervisor SabiY Mahmoud Hamza Part-time Clinical Supervisor Sayed Ahmed Mohamed Moustafa Part-time Clinical Supervisor Tarek Ibrahim EI-Dessouky Part-time Clinical Supervisor Maaly Kamal Guimie Part-time Curriculum Development Nursing Specialist .Ossama Shams Eldin Raslan Part-time Infection Control S~ecialist Said EI-Dib Part-time Management Systems Specialist Mohamed Abdel-Aziz Mostafa Part-time Training Management Specialist Yasser Abou Talib Part-time Trainer Mohamed Abou Gabal Part-time Master Trainer Nevine Hassanein Part-time Master Trainer Mahmoud Samy Zaki Part-time Medical School Coordinator Rosario Raz Mation_g Part-time Nurse Consultant Mariamme Haggag Part-time Nursing Trainer Abeer El-Kotb Part-time Nursing Trainer Mohamed Fawaz Anwar Halbouni Part-time Emergency Care Consultant·

Field Office Staff

Name Aswan Emad Eldin Sayed Helal Olivia Riad Iskander Basma Farouk Abbass Ahmed Mohamed Abdel Gelil Manal Mohamed Abdel-Gelil Manal Sobhi Youssef Mohamed Othman Omar Sayed Fahmy

Luxor Abdel-Moniem Hamed Ola Mohamed Hamdy Ashraf IVIoustafa Mohamed NagwaAtef Abdel-Rehim Hanafi Hassouna Tabea Hassouna

Beni Suer Besh,ir Mohamed Ali -Mohamed :'fIassan Serry Ahmed Mahmoud Assran ( Mohamed YoussefTaha \ Sahar Mohamed Abdel Aziz Essam Eldin Gaber Rajab Fatheya Korani Ahmed

Fayoum Marwan Abdel Fattah Mohamed Amgad George Habib

, Hala EI Sayed Ahmed Sameh Sabry Gerges Ashraf Saad Abdel Hamid Gamal Abdel Azeem Mahmoud Rabie Abdel Nabi Khamis

Qena Mamdouh Abou EI Kassem Michel Salah Atallah Y ouwakim Adel Ghazali Ahmed Hussein Kamel Mohamadein Ali Essam EI-Sayed Abdel Salam Khaled Mohamed Hussein Hamdan Mohamed Fawzi Moussa -- - v ,~ v" v - -

Roles and Titles

Maternal and Child Health Specialist Health Planning & Management Specialist Community DevelopmentINGO Specialist Implementation Specialist Administrative Assistant Secretary Driver Porter

Maternal and Child Health Specialist Community Development Specialist Implementation Specialist Administrative Assistant Driver Porter

Maternal and Child Health Specialist Health Planning & Management Specialist Community Development Specialist Implementation Specialist Administrative Assistant Driver Porter

Maternal and Child Health Specialist Management Specialist Community Development Specialist Implementation Specialist Administrative Assistant DriVer Porter

Maternal and Child Health Specialist Health Planning and Management Specialist Community Development Specialist Implementation Specialist Administrative Assistant Driver Porter

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Date post:	13-Jan-2022
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