Leadership, Management and Governance …pdf.usaid.gov/pdf_docs/PA00N18G.pdfJuly 1 Leadership,...

Leadership, Management and Governance Project/Haiti

Program Year 5, Quarter IV Progress Report

July 1 – September 24, 2017

Submitted to USAID/Haiti on September 24, 2017

This publication was produced by Management Sciences for Health for review by the

United States Agency for International Development (USAID).

LMG/Haiti Quarterly Report July –September 2017 2

Cover Photo: Alyssa Leggoe, Health Office Director at USAID/Haiti, providing project deliverables to Dr. Lauré Adrien, Directeur Général from the Ministère de la Santé et de la Population (MSPP) during the LMG/Haiti project close out event held on September 13, 2017.

Photo Credit: Patricia Forestal

Project Name: Leadership, Management and Governance Project/Haiti Cooperative Agreement Number: AID-OAA-A-11-00015

Leadership, Management and Governance Project/Haiti Management Sciences for Health Project Director: Anna van Rooyen Email: [email protected]

The views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government.

mailto:[email protected]


TABLE OF CONTENTS PROJECT ACTIVITY SUMMARY FORM .................................................................................................. 4

ACRONYMS .................................................................................................................................................... 5

EXECUTIVE SUMMARY ............................................................................................................................... 6

I. PROJECT PERFORMANCE ...................................................................................................................... 7

II. PROJECT MANAGEMENT ..................................................................................................................... 7

III. CURRENT PROJECT ACTIVITIES ....................................................................................................... 9

V. ANNEXES ................................................................................................................................................. 12

ANNEX A: PMP INDICATORS ................................................................................................................ 12


PROJECT ACTIVITY SUMMARY FORM

Project Name: Leadership, Management and Governance Project/Haiti (LMG/Haiti)

Project Objectives: LMG/Haiti supports four objectives: 1) Strengthen the capacity of the Ministère de la Santé Publique et de la Population (MSPP) contracting

function to manage all sources of funding (including United States Government [USG]) to improve quality of and access to health services

2) Strengthen the MSPP’s capacity to better regulate, manage, and monitor the health system 3) Strengthen the leadership, management, and governance (L+M+G) capacity of the Country

Coordinating Mechanism (CCM) to improve financial oversight and accountability as well as improve performance and coordination

4) Strengthen the strategic communication capacity of the MSPP and local Haitian journalists, and support USAID/Haiti to engage, inform, and elevate awareness of the Haitian public, diaspora, and US-based policymakers on key health issues for the country

Implementing Partner(s): Management Sciences for Health

Agreement/Contract No: AID-OAA-A-11-00015 (Field Support)

Life of Project (start and end dates): August 1, 2012 – September 24, 2017

Reporting Period (start and end dates): July 1 – September 24, 2017

Total Estimated Contract/Agreement Amount: $21,546,159.00

Obligations to Date: $21,546,159.00

July– September 2017 Expenses: $798,040.82*

Accrued Expenditures for Reporting Period: $177,642.00*

Total Project Expenditures as of July 31, 2017: $20,682,015.00*

Obligated Funds Remaining: $106,746.82*

Report Submitted by: Anna van Rooyen, LMG/Haiti Project Director

Report Submission Date: September 24, 2017

*These figures are provisional as final expenses are not yet available through September 2017


ACRONYMS

CCM Country Coordinating Mechanism CDP Comité Départemental de Pilotage DG Direction Générale DOSS Direction d’Organisation des Services de Santé DPSPE Direction de la Promotion de la Santé et de la Protection de l’Environnement HIV Human immunodeficiency virus HFG Health Finance and Governance LGBTI Lesbian, gay, bisexual, transgender, and intersex L+M+G Leadership, management, and governance (activities) LMG Leadership, management and governance (project) M&E Monitoring and evaluation MEF Ministère de l'Economie et des Finances

MSH Management Sciences for Health MSPP Ministère de la Santé Publique et de la Population NGO non-governmental organization PAHO Pan-American Health Organization PES Paquet Essentiel de Services (Package of Essential Services) PLWH People living with HIV PMP Performance monitoring plan PNLS Programme National de Lutte contre le Sida (national HIV program) PNLT Programme National de Lutte contre la Tuberculose (national TB program) PR Principal Recipient RBF Results-based financing RHJS Réseau Haïtien des Journalistes en Santé TB Tuberculosis UC Unité de Contractualisation (Contracting Unit) UCP Unité de Coordination des Programmes

UNAIDS Joint United Nations Programme on HIV/AIDS

USAID United States Agency for International Development USG United States Government WHO World Health Organization


EXECUTIVE SUMMARY

The United States Agency for International Development (USAID)-funded Leadership, Management and Governance/Haiti (LMG/Haiti) field support project, implemented by Management Sciences for Health (MSH) in partnership with the World Bank and under the guidance of the Ministère de la Santé Publique et de la Population (MSPP), has been working in Haiti since August 2012 to generate inspired leadership, sound management, and transparent governance for stronger health teams, services, organizations, and healthier Haitians. The project’s four objectives are to:

1. Strengthen the capacity of the MSPP contracting function to manage all sources of funding (including United States Government [USG]) to improve the quality of and access to health services

2. Strengthen the MSPP's capacity to better regulate, manage, and monitor the health system 3. Strengthen the leadership, management, and governance (L+M+G) capacity of the

Country Coordinating Mechanism (CCM) to improve financial oversight and accountability as well as improve performance and coordination

4. Strengthen the strategic communications capacity of the MSPP and local Haitian journalists, and support USAID/Haiti to engage, inform, and elevate awareness of the Haitian public, diaspora, and US-based policymakers on key health issues for the country

This report describes LMG/Haiti achievements from July-September 2017, the final quarter of the LMG/Haiti project. The majority of the technical activities planned were completed, including (1) conducting one final results-based financing (RBF) monitoring visit, (2) printing key MSPP documents developed with assistance from LMG/Haiti (health facility authorization and accreditation manual, Unité de Coordination des Programmes [UCP] coordination manual, the MSPP Emergency Communication Plan, and the Guide for Internal Communication), (3) assisted the CCM Haiti and the Principal Recipient (PR) to complete the first phase of the 2018-2020 HIV/TB grant making cycle, and (4) developing 2018-2020 action plans for the CCM civil society sector. Project staff focused on completing close out activities, including conducting the end-of-project event, and finalizing technical deliverables.


I. PROJECT PERFORMANCE

During the fourth quarter of project year five (PY5), LMG/Haiti continued to strengthen Haiti’s health sector by making progress towards achieving several targets in the USAID-approved PY5 performance monitoring plan (PMP), which is in Annex A. Below is a summary of select achievements. Objective 1: Strengthen the capacity of the MSPP contracting function to manage all sources of funding (including US Government [USG]) to improve the quality of and access to health services Indicator 6: Number of RBF monitoring visits conducted The Unité de Contractualisation (UC) conducted one monitoring visit to evaluate RBF implementation progress in the Nord department from August 7-8, 2017. The project exceeded the target number of visits conducted (17 out of the 16 planned visits, a 106% achievement rate). Objective 2: Strengthen the MSPP's capacity to better regulate, manage, and monitor the health system Indicator 25: Number of organizational capacity assessment action plans implemented by central directorates The main expected outcome in the UCP’s organizational capacity assessment action plan to reinforce the collaboration between the three programs (HIV, TB, and malaria) was to develop and print the UCP coordination manual. LMG/Haiti finalized the printing of this document during the quarter, enabling the UCP to fully implement its action plan. The project achieved 50% of its final target (three actions plans implemented out of six). The project was not able to achieve its final target because the UCP and the three priority health programs had competing priorities (such as participating in the development of the HIV/TB and malaria concept notes for the Global Fund).

II. PROJECT MANAGEMENT Table 1: Management priorities addressed during this reporting period

Management priorities addressed during this period

Status of accomplishment in the reporting period

Comments

Completed all required reports, including quarterly accrual and progress reports and performance monitoring reports

Completed LMG/Haiti submitted the year five, quarter three progress report on July 31, 2017, and the July-September 2017 quarterly accruals report on September 15. The final report was submitted on September 24, 2017.

Reported all trainings on TraiNet each month

Completed All project trainings are reported on TraiNet.


Management priorities addressed during this period


Comments

Prepared for project close-out

Completed LMG/Haiti held bi-weekly meetings to prepare for project close-out. Key items discussed include the disposition of project equipment according to the approved disposition plan, finalizing all technical deliverables, monitoring close-out pipelines, and the close-out staffing plan.

Transition project activities to the Health Finance and Governance (HFG) project

Completed LMG/Haiti facilitated the transition of select project activities to the HFG project by sharing information and conducting technical meetings with HFG technical advisors. Conducted the final

technical meeting with USAID

Completed On August 29, 2017, LMG/Haiti technical team leaders and the Project Director held a final technical meeting with USAID to present a summary of the results over the last five years and the project’s sustainability plan.

LMG/Haiti end of project event

Completed LMG/Haiti organized an end-of-project event on September 13, 2017, to present key achievements from the project. This event was attended by almost 80 invitees to celebrate the five years of implementation of LMG/Haiti. Presenters provided strong evidence of their satisfaction with the assistance provided by USAID/Haiti through the project. Representatives from each partner (MSPP, CCM, Réseau Haïtien des Journalistes en Santé [RHJS]) spoke eloquently about the positive results achieved in the health system and gratefully acknowledged the financial and technical support from USAID, through LMG/Haiti, to an audience that included USAID, non-governmental organizations (NGOs), international organizations, MSPP, and CCM representatives.


III. CURRENT PROJECT ACTIVITIES

LMG/Haiti continued to work closely with the MSPP at the central level, the CCM, and other partners to finalize the project’s deliverables and complete close-out activities. Table 2 summarizes the status of accomplishments during the quarter. Table 2: Key project activities

Key project activities planned for the reporting period


Comments

Objective 1: Strengthen the capacity of the MSPP contracting function to manage all sources of funding (including USG funds) to improve the quality of and access to health services

1.1.3.3 Provide technical support to put in place a Comité Départemental de Pilotage (CDP) in each department where RBF is introduced, and organize briefing meetings with CDP members to present the new work tools to them

Not completed The UC postponed this activity due to competing priorities.

1.1.3.4 Conduct monitoring and coaching visits with the UC at the department level to verify and support facilities to implement RBF according to established procedures

Completed The UC conducted one monitoring visit in the Nord department from August 7-8, 2017, to monitor RBF implementation. During the visit, the team held a meeting with department-level staff to discuss the issue of health facilities that do not have bank accounts. The UC will identify all RBF health facilities in departments implementing RBF that are facing the same problem and follow up with the Ministère de l'Économie et des Finances (MEF) to resolve the issue.

Objective 2: Strengthen the MSPP's capacity to better regulate, manage, and monitor the health system

2.1.1.2 Work with the Direction d’Organisation des Services de Santé (DOSS) to develop a Paquet Essentiel de Services (Package of Essential Services, or PES) steering committee— composed of members of the MSPP, the DG, and representatives from international donors—to

Not completed The DOSS requested that the PES costing exercise be completed before initiating the PES steering committee. The DOSS will use the figures developed during this exercise to discuss funding needed for PES implementation with funding agencies.




Comments

provide high-level guidance on PES implementation; and collaborate with the DOSS to conduct bimonthly PES steering committee meetings by reviewing meeting agendas, co-facilitating meetings as needed, and developing meeting reports

2.1.1.13 Print the health facility authorization and accreditation manual, posters, and pamphlets

Completed LMG/Haiti printed 300 manuals, 800 posters, and 5,000 pamphlets of the health facility authorization and accreditation process and delivered them to the DOSS for distribution.

2.2.1.1 Conduct a meeting with UCP staff and other MSPP central directorates to present the coordination manual

Not completed The UCP Executive Director will present the manual during the annual retreat later in 2017. LMG/Haiti printed 100 copies of the manual for distribution to the priority health programs.

2.2.1.4 Provide financial support to UCP to upgrade the dashboards to ensure that all the functions (Big Note, Big Connect) necessary to strengthen the collaboration and coordination between the programs are installed

Not completed LMG/Haiti will not purchase the additional functions for the dashboards, as priority programs have not been systematically using the electronic devices. LMG/Haiti recommends that the programs continue using the dashboards moving forward. If purchased later, the additional features will further enhance the effectiveness of the dashboards.

2.2.1.7 Conduct monthly meetings with the technical staff of the national HIV program (PNLS) and national TB program (PNLT) to monitor HIV/TB co-infection programming and management

Completed The PNLS and PNLT held a technical meeting on August 29, 2017, independently from any assistance from LMG/Haiti.

Objective 3: Strengthen the L+M+G capacity of the CCM to improve financial oversight and accountability as well as improve performance and coordination See narrative below for additional activities completed under Objective 3 during the quarter




Comments

Objective 4: Strengthen the strategic communication capacity of the MSPP and local Haitian journalists, and support USAID/Haiti to engage, inform, and elevate awareness of the Haitian public, diaspora, and US-based policymakers on key health issues for the country

Print and disseminate the Emergency Communications Plan to MSPP central and department-level offices and partners who are responsible for communicating health messages

Completed LMG/Haiti printed 200 copies of the Emergency Communication Plan and provided them to the Direction de la Promotion de la Santé et de la Protection de l’Environnement (DPSPE) for distribution.

4.1.1.2 Develop and fund printing of the ''Guide for Internal Communication'' with the DPSPE to inform MSPP staff at all levels about the procedures to follow when sharing internal information

Completed LMG/Haiti printed 200 copies of the final guide and provided them to the MSPP for distribution.

KEY ACHIEVEMENTS

In addition to the activities mentioned in the table above, LMG/Haiti completed the following activities during the quarter: Objective 2: Strengthen the MSPP's capacity to better regulate, manage, and monitor the health system

Provided technical assistance to the DOSS to continue PES implementation by initiating the process of estimating pilot costs in the three departments and identifying equipment needs within these networks.

Provided technical assistance to the HIV/TB committee by participating in technical meetings and providing tools to help them better manage the programs, such as templates for field visit reports.

LMG/Haiti assisted the UCP Executive Directorate to draft the preface for the coordination manual and obtain the Minister’s signature. The project printed 200 copies of the finalized manual and gave them to the UCP for distribution and use with their staff and partners.

Objective 3: Strengthen the L+M+G capacity of the CCM to improve financial oversight and accountability as well as improve performance and coordination

Program continuation cycle for the 2018-2020 HIV/TB and malaria grants: LMG/Haiti supported the CCM-Haiti and the Principal Recipient (PR) to complete the first phase of the 2018-2020 HIV/TB grant making cycle by providing technical assistance to develop all programmatic and budgetary details for the funding request, respond to requests


for clarification from the Global Fund Secretariat, and reach agreement with the Global Fund Secretariat on the final grant budget. This first phase of the grant making was terminated on July 20, 2017. The CCM and the PR left for Geneva on August 20, 2017, to finalize the grant making process at the Global Fund headquarters.

2018-2020 action plans for the CCM civil society sector: The CCM requested LMG/Haiti’s technical and financial assistance in developing the 2018-2020 civil society action plan during a two-day workshop held July 26-27, 2017, in Port-au-Prince. Seven civil society constituencies participated to the workshop (representatives from people living with HIV [PLWH], women, youth, people with malaria, lesbian, gay, bisexual, transgender, and intersex [LGBTI], the press, and trade unions) along with technical experts from UNAIDS and the Pan American Health Organization (PAHO)/World Health Organization (WHO). LMG/Haiti advisors facilitated the workshop and assisted working groups.

V. ANNEXES

ANNEX A: PMP INDICATORS

Annex A includes a status update for each indicator in the approved PY5 PMP.

181

Party Responsible

Baseline value

Month and

year of

baseline

Year 1 Year 2 Year 3 Year 4Quarter 1

(Oct-Dec 16)

Quarter 2

(Jan-Mar 17)

Quarter 3

(Apr-Jun 17)

Quarter 4

(Jul-Sep 17)Data Source Frequency

None Nov-12 RBF training manual is finalized N/A N/ARBF training manual is

developed

RBF training manual is

finalizedN/A N/A N/A N/A RBF training manual is finalized

Completion of RBF

training manual; LMG/Haiti

report

Once UC/MSPP/ LMG/Haiti

Comments:

0 Nov-12 125% (250/200) 8.5% (17/200) 53% (106/200) 31% (61/200) 39% (77/200) N/A N/A N/A N/A 131% (261/200)

Participants list;

Training curriculum;

LMG/Haiti report

Quarterly UC/MSPP/ LMG/Haiti

Comments:

0 Nov-12

4 RBF contract management

tools are produced (RBF

manual, costing tool, contract

templates, procurement

procedures)

N/A

3 (RBF manual,

costing tool and

contract templates)

None RBF manual is revised N/A N/A N/A N/A

4 RBF contract management tools are

produced (RBF manual, costing tool,

contract templates, procurement

procedures)

Tools, templates and

procedures availableOnce UC/MSPP/ LMG/Haiti

Comments:

0 Nov-12 4 N/A N/A 1 1 N/A 1 1 N/A 4LMG/Haiti-UC

report/bulletins availableQuarterly UC/MSPP/ LMG/Haiti

Comments:

0 Nov-12RBF monitoring plan is

developedN/A N/A

RBF monitoring plan is

developedN/A N/A N/A N/A N/A RBF monitoring plan is developed RBF monitoring plan Once UC/MSPP/ LMG/Haiti

Comments:

0 Nov-12 16 N/A N/A 10 4 N/A 1 1 1 17LMG/UC monitoring visit

reportsMonthly UC/MSPP/ LMG/Haiti

Comments:

PY5 achievementsMeans of verification

LMG/Haiti Indicator Table

PY5Q4 Report

BaselineFinal Target (PY4

achievement to date + PY5

target)

Project Goal: On behalf of USAID/Haiti, the LMG project works in partnership with the MSPP and the GFATM CCM to generate inspired leadership, sound management, and transparent governance for stronger health teams, organizations and healthier Haitians

Objective 1: Strengthen the capacity of the Ministère de la Santé Publique et de la Population (MSPP) contracting function to manage all sources of funding (including the United States Government’s [USG]) to improve quality of and access to health servicesExpected Result 1.1: Standardized contracting policies, procedures, and systems are implemented by the MSPP

Outcome 1.1.1: MSPP staff are trained on the implementation of the results-based financing (RBF) strategy

Outcome 1.1.3: A monitoring system for the contracting function is implemented

Ind

icat

or

1

Indicator 1: RBF training manual for health providers is developed

Definition/Description: LMG/Haiti will support the MSPP in drafting a RBF training manual for health providers which will serve as a the national curriculum on RBF.

Final project target achieved.

Ind

icat

or

3

Indicator 3: RBF contract management tools are developed by the MSPP

Definition/Description: LMG/Haiti will support the UC to develop an RBF manual, costing tool, contract templates, and procurement procedures that the UC will use for RBF implementation.


Ind

icat

or

2

Indicator 2: Percentage of targeted MSPP managers and RBF stakeholders trained on the implementation of the RBF strategy

Definition/Description : LMG/Haiti will calculate this indicator using the number of people trained divided by the number LMG/Haiti plans to train. An RBF manual developed for the MSPP with LMG/Haiti technical support will guide this training and is a prerequisite. MSPP managers include staff at the central, departmental and health facility levels, as well as other RBF actors with a key role in implementing the national strategy.

Numerator= actual number of MSPP managers trained in the implementation of the RBF strategy

Denominator = 200, the total number of MSPP managers that LMG/Haiti plans to train

The project exceeded its final target (105% achievement rate with 131% of targeted MSPP managers and RBF stakeholders trained out of 125% planned).

Outcome 1.1.2: RBF contract management tools are implemented by the MSPP

Ind

icat

or

6

Indicator 6: Number of RBF monitoring visits conducted

Definition/Description: LMG/Haiti will support the UC to conduct monthly monitoring visits to health centers and departments receiving RBF funding to verify RBF implementation according to established procedures. Quarterly status reports will be prepared to summarize observations from visits.

The project exceeded its final target (106% achievement rate with 17 visits conducted out of 16). During PY5Q4, the UC conducted one monitoring visit to evaluate RBF implementation progress in the Nord department from August 7-8, 2017.

Ind

icat

or

4

Indicator 4: Number of quarterly bulletins on RBF implementation activities produced

Definition/Description: LMG/Haiti will support the UC to produce quarterly bulletins that will summarize the RBF programmatic achievements and financial information.


Ind

icat

or

5

Indicator 5: RBF monitoring plan is developed

Definition/Description: The RBF monitoring plan will outline activities to monitor progress towards achieving the health service indicators financed through the RBF mechanism.


Achievement to date

PY1 to PY4 achievements

Page 1 of 8

Annex A - LMG/Haiti PMP

282

Party Responsible

Baseline value

Month and

year of

baseline


(Oct-Dec 16)

Quarter 2

(Jan-Mar 17)

Quarter 3

(Apr-Jun 17)

Quarter 4





target)

Achievement to date


0 Nov-12

7 departmental directorates

(Nord, Nord-Est, Nord-Ouest,

Sud, Centre, Nippes, Grande-

Anse)

N/A N/A 1 departmental

directorate (Nord-Est)

7 departmental

directorates (Nord,

Nord-Est, Nord-Ouest,

Sud, Centre, Nippes,

Grande-Anse)




Anse)




Anse)




Anse)




Anse)

7 departmental directorates (Nord,

Nord-Est, Nord-Ouest, Sud, Centre,

Nippes, Grande-Anse)LMG/Haiti; UC/MSPP;

external verification

agency

Annual UC/MSPP/ LMG/Haiti

Comments:

0 Nov-12

81 health facilities in 7

departments (10 in Centre, 15 in

Nord-Ouest, 7 in Nord, 4 in

Nippes, 6 in Grande-Anse, 24 in

Sud, 15 in Nord-Est).

N/A N/A7 pilot health facilities in

the Nord-Est


departments (10 in

Centre, 15 in Nord-

Ouest, 7 in Nord, 4 in

Nippes, 6 in Grande-

Anse, 24 in Sud, 15 in

Nord-Est)





Sud, 15 in Nord-Est)
















81 health facilities in 7 departments (10

in Centre, 15 in Nord-Ouest, 7 in Nord, 4

in Nippes, 6 in Grande-Anse, 24 in Sud,

15 in Nord-Est)

LMG/Haiti; UC/MSPP;

external verification

agency

Annual UC/MSPP/ LMG/Haiti

Comments:

0% Aug-14 100% N/A N/A 0% 100% 100% 100% 100% 100% 100% Database reports Quarterly UC/MSPP/ LMG/Haiti

Comments:

0 Aug-14 Organogram established N/A N/A Organogram established N/A N/A N/A N/A N/A Organogram established Finalized organogram Once UC/MSPP/ LMG/Haiti

Comments:

0 Nov-12Performance assessment tool

developedN/A N/A None

Performance

assessment tool

developed

N/A N/A N/A N/A

Performance assessment tool and tools

for evaluating the individual

performance of UC team members are

developed and validated by the MSPP

Performance plan Once UC/MSPP/ LMG/Haiti

Comments:

0 Nov-12 Baseline assessment completed N/A N/A None NoneBaseline assessment report

drafted

Baseline assessment report

completedN/A N/A Baseline assessment report completed

LMG/Haiti

report/evaluation protocol

and baseline report

available

OnceMSPP

LMG/Haiti

Comments:

0 May-16Baseline assessment report is

disseminatedN/A N/A N/A N/A

Baseline assessment report

draftedNone

Baseline assessment report is

disseminatedN/A

Baseline assessment report is

disseminated

LMG/Haiti

report/evaluation baseline

report is available on the

RBF website, hard copies

of the report

OnceMSPP

LMG/Haiti

Comments:

0 May-16Final research protocol for RBF

impact evaluation is developedN/A N/A N/A N/A N/A None None N/A None

LMG/Haiti report/Final

research protocol for RBF

impact evaluation

available

OnceMSPP

LMG/Haiti

Comments:

0 Nov-12PES completed (all 3 volumes

are completed by the MSPP)N/A N/A None

PES completed (all 3

volumes are completed

by the MSPP)

N/APES developed and validated by

the MSPPN/A N/A

All 3 PES volumes are developed and

validated by the MSPPPES Once MSPP/LMG/Haiti

Comments:

Ind

icat

or

9

Indicator 9: Percentage of health facilities that have updated data available on the RBF database each quarter

Definition/Description: The MSPP has developed the RBF invoicing database. LMG/Haiti, as a member of the RBF Technical Working Group (TWG), will work with the TWG to upload the RBF data each quarter to the invoicing database. RBF data will be available each quarter after the invoicing database is established.

•Numerator= number of health facilities that provided updated RBF data each quarter

•Denominator= total number of health facilities implementing the RBF strategy and for which data have been verified.

Final project target achieved. Eighty-one (100%) health facilities that are implementing the RBF strategy (seven pilot sites + 74 new sites) have available data that was verified during this quarter and uploaded to the RBF database. The UC sent all payment requests to both the Direction de l'Administration et du Budget (for USAID-supported sites) and to the Unité de Gestion des Projets (for World Bank and Global Fund

supported sites).

Ind

icat

or

7

Indicator 7: Number of department-level directorates implementing the RBF strategy according to established procedures

Definition/Description: LMG/Haiti supports the UC to build the capacity of the department level directorates to implement the RBF strategy according to established procedures. This indicator will be measured during monitoring visits by assessing progress made towards achieving the targets in department level directorate business plans and all other relevant RBF tools according to the RBF operational manual. However, the indicator is

dependent upon USAID and World Bank scale up of RBF to other departments.

Final project target achieved. A total of seven departmental directorates (Nord, Nord-Est, Nord-Ouest, Sud, Centre, Nippes, and Grande-Anse) are implementing the RBF strategy.

Ind

icat

or

8

Indicator 8: Number of health facilities implementing the RBF strategy according to established procedures

Definition/Description: LMG/Haiti supports the UC to build the capacity of the seven pilot health facilities to implement the RBF strategy according to established procedures. This indicator will be measured during monitoring visits by assessing progress made towards achieving the targets in health facility business plans.

Final project target achieved. In total, 81 health facilities have RBF contracts and are implementing the strategy (10 in Centre, 15 in Nord-Ouest, 7 in Nord, 4 in Nippes, 6 in Grande-Anse, 24 in Sud , and 15 in Nord-Est).

Ind

icat

or

11

Indicator 11: Performance assessment tool for the Unité de Contractualisation is developed

Definition/Description: LMG/Haiti will support the MSPP to develop and complete a performance assessment tool to strengthen the performance of the UC.


Outcome 1.1.4: MSPP has the necessary resources and structures to manage the RBF program

Ind

icat

or

10

Indicator 10: The organogram for the Unité de Contractualisation is established

Definition/Description: LMG/Haiti will support the UC to develop an organogram that clarifies the roles and responsibility and hierarchy within the unit.


Indicator 12-A: RBF baseline assessment report is disseminated

Definition/Description: LMG/Haiti and the UC will conduct this baseline to assess the impact of RBF on health system strengthening indicators outlined in the evaluation protocol.

Expected Result 1.2: Baseline assessment of RBF mechanism's effect on service provision, quality of health care, and health system strengthening is available

Ind

icat

or

12

Indicator 12: RBF baseline assessment is completed

Definition/Description: LMG/Haiti collaborated with the World Bank and UC to conduct the RBF baseline assessment in PY4. In PY5, LMG/Haiti will provide technical and financial support to the UC to produce the RBF baseline assessment final report, organize a workshop to share the key findings, and print hard copies of the report for dissemination during the workshop. Workshop attendees include MSPP authorities and staff from all

departments, health system representatives, and RBF stakeholders in Haiti (WB, USAID, WHO, Canadian cooperation, UNICEF, Global Fund, etc.).

Ind

icat

or

12-A


Ind

icat

or

12-B

Indicator 12-B: Final research protocol for RBF impact evaluation is developed

Definition/Description: The RBF impact evaluation is expected in FY17. LMG/Haiti will provide support to UC to prepare key documents for final evaluation (research protocol, consultant scope of work and contract template, timeline, budget)

Final project target not achieved. The UC/MSPP and the principal investigator informed LMG/Haiti during PY5Q3 that they decided to lead the RBF impact evaluation after October 2018 and will review the key documents for the final evaluation shortly before they are used. However, during the RBF baseline assessment dissemination workshop, participants provided inputs and observations which the UC noted and will

take into account when reviewing the final evaluation tools.


Objective 2: Strengthen the MSPP's capacity to better regulate, manage, and monitor the health systemExpected Result 2.1: The health system is regulated by the MSPP using standardized norms and policies

Outcome 2.1.1: The package of essential services (PES) policy is used by the MSPP to regulate primary and secondary health care delivery

Ind

icat

or

14

Indicator 14: Package of Essential Services is produced

Definition/Description: LMG/Haiti will support the Direction de l’Organisation des Services de Santé (DOSS) to develop the three key volumes/components of the PES. The PES is a normative tool to standardize the continuum of care for health facilities at the primary and secondary levels of the health system.


Page 2 of 8


383

Party Responsible

Baseline value

Month and

year of

baseline


(Oct-Dec 16)

Quarter 2

(Jan-Mar 17)

Quarter 3

(Apr-Jun 17)

Quarter 4





target)

Achievement to date


0 Aug-15PES manual is available in the 10

departmentsN/A N/A N/A None None

1,213 PES manuals disseminated

to 10 health department

representatives

N/A N/A1,213 PES manuals disseminated to 10

health department representativesPES distribution receipts Once MSPP/LMG/Haiti

Comments:

0 Aug-15Health facility authorization and

accreditation manual is revisedN/A N/A N/A None

Health facility authorization and

accreditation manual is revisedN/A N/A N/A

Health facility authorization and

accreditation manual is revised

Health facility

authorization and

accreditation manual

Once MSPP/LMG/Haiti

Comments:

0 Nov-12 4 0 N/A 4 N/A N/A N/A N/A N/A 4Standardized referral and

counter-referral tools Once MSPP/LMG/Haiti

Comments:

0 May-16National HIV strategy is

developedN/A N/A N/A N/A N/A

National HIV strategy is

developedN/A N/A National HIV strategy is developed National HIV strategy Once MSPP/ LMG/Haiti

Comments:

0 May-16

The four key groups (PLWH,

women, youth, and LGBT) are

represented in the key stages of

developing the national HIV

strategy

N/A N/A N/A N/A N/A

The four key groups (PLWH,

women, youth, and LGBT) are

represented in the key stages of

developing the national HIV

strategy

N/A N/A

The four key groups (PLWH, women,

youth, and LGBT) are represented in

the key stages of developing the

national HIV strategy

Attendance sheets and

minutes of working

sessions

Once MSPP/ LMG/Haiti

Comments:

0 Apr-14Coordination manual is

developed and disseminatedN/A N/A None

Coordination manual is

developedN/A None None N/A Coordination manual is developed Coordination manual Once MSPP/ LMG/Haiti

Comments:

0 Apr-14 3 N/A N/A 0 1 1 0 0 N/A 2 Meeting reports

Quarterly

(January-

September, 2015)

MSPP/ LMG/Haiti

Comments:

0 Nov-14 19 N/A N/A 6 7 1 1 8 N/A 23 Trip reports Every two months MSPP/ LMG/Haiti

Comments:

Ind

icat

or

16

Indicator 16: Health facility authorization and accreditation manual is revised

Definition/Description: LMG/Haiti will provide technical and financial assistance to the DOSS to revise the health facility authorization and accreditation manual and develop a corresponding pamphlet. The pamphlet will outline the process that health care facilities should follow to obtain MSPP authorization to function and accreditation, as well as the criteria that the MSPP will use in determining if facilities meet the requirements for an

authorization or accreditation certificate.


Ind

icat

or

15

Indicator 15: Package of Essential Services is made available in the 10 departments

Definition/Description: LMG/Haiti will support the Direction de l’Organisation des Services de Santé (DOSS) to disseminate printed copies of the PES manual to the Direction Départementale Sanitaire (DDS) in Haiti's 10 health departments.


Ind

icat

or

17

Indicator 17: Standardized referral tools adapted and counter-referral tools produced

Definition/Description: LMG/Haiti will support the MSPP to adapt the referral tools and produce counter-referral tools for use at the community and health facility levels.


Ind

icat

or

18

Indicator 18: The national HIV strategy is developed

LMG/Haiti will provide technical and logistical support to the PNLS to develop the national HIV strategy by recruiting a consultant to coordinate the activities of the technical committee responsible for developing the national HIV strategy, providing technical and logistical support to include the participation of PLWH, KAP, and civil society in the development of the strategy, and providing technical support to include gender

mainstreaming in the strategy.


Definition/Description: LMG/Haiti will facilitate joint site visits between the HIV and TB programs, and as much as possible in collaboration with the Country Coordinating Mechanism (CCM). LMG/Haiti will report site visits conducted jointly by the parties.

The project exceeded its final target (121% achievement rate with 23 visits conducted out of 19).


Ind

icat

or

21

Indicator 21: Number of meetings conducted by the UCP to monitor programmatic indicators

Definition/Description: LMG/Haiti will provide financial and technical support to the UCP M&E and technical teams to conduct quarterly meetings to monitor and evaluate the programs results and report findings using the dashboards that will be developed.

The project achieved 67% of its final target (2 meetings conducted out of 3). The project was not able to meet its final target because all three programs had conflicting schedules and competing priorities (in particular, the development of the HIV/TB and malaria concept notes for the Global Fund), and it was challenging to schedule meetings when all three programs were available. However, both HIV and TB

programs were able to simultaneously present their programmatic indicator results during the first national HIV/TB workshop conducted in May 2017.

Expected Result 2.2: MSPP capacity to manage and monitor the health system is strengthened

Ind

icat

or

20

Indicator 20: A coordination manual that defines how the Unité de Coordination des Programmes Nationaux (UCP) and national programs will collaborate to support the integration of health services is developed

Definition/Description: LMG/Haiti will assist in revising or writing a coordination manual that will define how the UCP and national programs will coordinate to improve coordination and planning in the support of integrated services.


Ind

icat

or

19

Indicator 19: The four key groups (PLWH, women, youth, and LGBT) are represented in the key stages of developing the national HIV strategy

LMG/Haiti will provide technical and financial support to the four key groups (PLWH, women, youth, and LGBT) to enable their participation in key stages of developing the national HIV strategy: 1) identification of priority programmatic components in the national HIV strategy; 2) development of community-based strategies for HIV service delivery to be integrated in the national HIV strategy; and 3) definition of the performance

framework for the national HIV strategy.

Ind

icat

or

22

Indicator 22: Number of joint site visits conducted by the HIV/TB programs

Page 3 of 8


484

Party Responsible

Baseline value

Month and

year of

baseline


(Oct-Dec 16)

Quarter 2

(Jan-Mar 17)

Quarter 3

(Apr-Jun 17)

Quarter 4





target)

Achievement to date


D Aug-15 15 N/A N/A N/A 9 2 N/A 1 N/A 12 Meeting reports Monthly MSPP/ LMG/Haiti

Comments:

0 Apr-14

2 assessments for the UCP and

the three priority health

programs (TB, HIV, malaria)

N/A

1 assessment for the

UCP and the three

priority health

programs (TB, HIV,

malaria)

1 assessment for the UCP

and the three priority

health programs (TB, HIV,

malaria)

N/A N/A N/A N/A N/A

2 assessments for the UCP and the

three priority health programs (TB,

HIV, malaria)

LMG/MSPP ReportOnce (per

directorate)MSPP/ LMG/Haiti

Comments:

0 Apr-146 action plans (6 for UCP; MOST

1 and 2)N/A N/A

2 action plans (1 for the

PNLT and 1 for the PNLS) N/A N/A N/A N/A 1 action plan of the UCP

3 action plans (1 for the PNLT, 1 for the

PNLS and 1 for the UCP) Assessment report Semi-annual MSPP/ LMG/Haiti

Comments:

0 Apr-14 27 N/A N/A 27 N/A N/A N/A N/A N/A 27LMG/Haiti report/

MSPP/UC reportQuarterly MSPP/ LMG/Haiti

Comments:

0 Apr-14

Monitoring and evaluation

system and list of strategic

indicators developed for the

Plan Directeur

N/A N/A

Monitoring and

evaluation system and list

of strategic indicators

developed for the Plan

Directeur

N/A N/A N/A N/A N/A

Monitoring and evaluation system and

list of strategic indicators developed

for the Plan Directeur

LMG/Haiti report/

MSPP/UC reportQuarterly MSPP/ LMG/Haiti

Comments:

0 Nov-14 4 N/A N/A 1 0 N/A N/A N/A N/A 1Performance review

meeting reportsQuarterly MSPP/DG/ LMG/Haiti

Comments:

30% May-16 60% N/A N/A N/A N/A N/A N/A N/A N/A 0% DG dashboard Quarterly MSPP/DG/ LMG/Haiti

Comments:

0% Apr-14 50% N/A N/A50% (7 directorates out of

15)N/A 0% 0% 0% 0% 47% (7 directorates out of 15)

Performance plans for

central directorates and

related evaluation tools

Annual MSPP/ LMG/Haiti

Comments:

Ind

icat

or

29

Indicator 29: Percentage of MSPP central directorates with an annual performance plan

Definition/Description: LMG/Haiti will work closely with the General Directorate through its two entities--UEP and UADS--to develop the annual performance plan for 15 central directorates.

Numerator= number of central directorates with an annual performance plan

Denominator= 15, the total number of central directorates targeted for this activity

The project achieved its final target (within 10% variance).

Ind

icat

or

27

Indicator 27: A monitoring and evaluation system with a list of strategic indicators for the Plan Directeur is developed by the MSPP

Definition/Description: LMG/Haiti will conduct a workshop with the MSPP to develop a monitoring and evaluation system, including a list of strategic indicators, for the Plan Directeur. The list of indicators and monitoring and evaluation system will be aligned with national health priorities.


Ind

icat

or

28

Indicator 28: Number of review meetings conducted by the DG to review the performance of MSPP central directorates

Definition/Description: LMG/Haiti supports the MSPP to develop a performance management culture by assisting the DG to conduct quarterly review meetings to assess the performance of MSPP central directorates.

The project reached 25% of its final target (1 out of 4 review meetings conducted). Following the change in DG, activities related to this indicator were no longer a priority for the MSPP.

Ind

icat

or

32

Indicator 32: Number of health facilities that receive equipment donation from the USG

Definition/Description: Following a USAID/Haiti request made in March 2013, LMG/Haiti will conduct a needs assessment at select health facilities and purchase basic furniture and medical equipment to address the identified gaps and improve service delivery at health facilities.

Ind

icat

or

25

The project achieved 50% of its final target (three action plans implemented out of six). The project was not able to achieve its final target because the UCP and the three priority health programs had competing priorities (such as participating in the development of the HIV/TB and malaria concept notes for the Global Fund).

Indicator 25: Number of organizational capacity assessment action plans implemented by central directorates

Definition/Description: Central directorates will develop action plans during MOST workshops. LMG/Haiti will support the central directorates to implement these plans by providing ongoing coaching and conducting semi-annual evaluations of progress achieved. "Implemented" is defined as having at least 80% of activities in the action plan completed.

Ind

icat

or

26

Indicator 26: Number of integrated supervision visits conducted by MSPP central-level staff

Definition/Description: The supervision visits will identify bottlenecks that must be overcome in order to improve the quality of health services (one integrated supervision visit will be conducted in each department every quarter). LMG/Haiti will support the Unité d’Appui à la Décentralisation Sanitaire (UADS) to conduct the visits in the departmental directorates and health facilities.


Ind

icat

or

24

Indicator 24: Number of central-level organizational capacity assessments completed

Definition/Description: LMG/Haiti will conduct organizational capacity assessments using the Management and Organizational Sustainability Tool (MOST) tool to identify and strengthen gaps in the management capacity of organizations. The process increases the MSPP staff's ownership of their directorate's mission, objectives and values through a participatory approach.


Ind

icat

or

23

Indicator 23: Number of coordination meetings conducted by the UCP with the three priority health programs

Definition/Description: LMG/Haiti will support the UCP to conduct monthly coordination meetings with the leadership of the three national programs to monitor regular activities and discuss strategies for improving the integrated management of the programs.

The project achieved 80% of its final target (12 meetings conducted out of 15). Coordination meetings require the participation of a coordinator from each priority health program and the UCP Executive Director. During the period of transition in the Haitian Government (February 2016), the UCP Executive Director played a key role within the Minister's Cabinet and was not always available to participate in these

meetings. Additionally, the priority health program coordinators had limited availability due to their participation in developing the Global Fund concept notes.

Ind

icat

or

28-A

Indicator 28-A: Percentage of DG dashboard indicators reported monthly

Definition/Description: The DG dashboard reports on priority health sector indicators. LMG/Haiti provides technical assistance to the DG to update the database with indicator data each month.

Numerator = Number of indicators reported on a monthly basis

Denominator = Total number of indicators in the dashboard

Final target not achieved. Following the change in DG, activities related to this indicator were no longer a priority for the MSPP.

Page 4 of 8


585

Party Responsible

Baseline value

Month and

year of

baseline


(Oct-Dec 16)

Quarter 2

(Jan-Mar 17)

Quarter 3

(Apr-Jun 17)

Quarter 4





target)

Achievement to date


0 Nov158 (sites are counted only

once)46

9 (9 facilities

previously

supported in year 1)

16 (15 facilities previously

supported + 1 new)

113 (2 supported in past

years + 111 new in PY4)None None None None 158 (sites are counted only once)

Needs assessments

Distribution receipts

Inventory

Annual MSPP/ LMG/Haiti

Comments:

Incomplete

oversight planApr-14

Annual CCM oversight plans

(2014-2015 and 2015-2016) are

developed and the grants

dashboard is reviewed

N/A N/A

Annual CCM oversight

plan is developed for the

period 2014-2015 and the

grants dashboard was

reviewed

Annual CCM oversight

plan (2016-2017) was

developed

N/A N/A N/A N/AAnnual CCM oversight plans (2014-2015

and 2016-2017) are developed

CCM Secretariat monthly

programmatic and

financial reports

Plan developed

annually and

revised quarterly

CCM Oversight Committee

Comments:

0 Nov-14 100% N/A N/A 0% 100% N/A N/A N/A N/A 100%Training report;

participant listTwice CCM Secretariat

Comments:

0 Nov-14 11 N/A N/A 4 4 1 1 1 N/A 11 Meeting reports Quarterly CCM Oversight Committee

Comments:

0 Nov-14 3 electronic bulletins N/A N/A 0 0 0 0 1 electronic bulletin N/A 1 electronic bulletinElectronic bulletins, CCM

websiteQuarterly CCM Secretariat

Comments:

0 Aug-15 30 N/A N/A N/A 0 40 N/A N/A N/A 40Participant list, training

reportQuarterly CCM Secretariat

Comments:

Expected Result 3.1: Improved oversight of grant performance by the CCM Secretariat

Outcome 3.1.1: The CCM oversees Global Fund grants in accordance with an established oversight plan and Global Fund's CCM eligibility criteria

Ind

icat

or

33

Indicator 33: The CCM oversight plan is developed by the CCM Oversight Committee

Definition/Description: The Oversight Committee is required to have an oversight plan that is up-to-date and includes activities, roles, a timeline and a budget. LMG/Haiti will support the CCM Oversight Committee to develop the oversight plan for the period 2015-2016.

Final project target achieved. During PY5Q4, the CCM developed its annual CCM oversight plan for 2017-2018 independently from LMG/Haiti technical assistance.

Objective 3: Strengthen the L+M+G capacity of the CCM to improve financial oversight and accountability as well as improved performance and coordination

Ind

icat

or

32


Definition/Description: LMG/Haiti will support the CCM to conduct a training with staff from 40 CSOs working in ten departments on their role in grant oversight activities.

The project exceeded its final target (133% achievement rate with 40 civil society organizations [CSOs] [non-CCM members] trained out of 30 planned).

Ind

icat

or

34

Indicator 34: Percentage of CCM members trained on the Global Fund's new funding model and CCM eligibility criteria

Definition/Description: LMG/Haiti assists the CCM in meeting the Global Fund eligibility criteria by training CCM members on the Global Fund's new funding model and of the strengthened oversight role of the CCM in monitoring grant performance.

Numerator: Total number of CCM members trained

Denominator: Total number of CCM members


Ind

icat

or

35

Indicator 35: Number of CCM Oversight Committee meetings to examine grants dashboards, report on site visits, and discuss grant performance

Definition/Description: The CCM Oversight Committee must meet on a regular basis to review and analyze grants' performance. This indicator measures the extent to which the CCM is fulfilling its oversight role. During these meetings LMG/Haiti will support the CCM Oversight Committee in analyzing grant performance by reviewing dashboards and site visit reports, and preparing presentations for the CCM General Assembly.


Ind

icat

or

36

Indicator 36: Number of grant performance oversight reports published on the CCM website

Definition/Description: LMG/Haiti will build the communication capacity of the CCM by supporting the CCM Secretariat to develop quarterly electronic bulletins containing grant performance updates and share this information using the CCM website

The project achieved 33% of its final target (1 electronic bulletin published out of 3). The CCM Communication Committee (which was responsible for publishing the electronic bulletins) has not been functional since 2014, thus limiting the CCM’s capacity to develop and edit public communication.

Outcome 3.1.2: KAP, PLWD, civil society and their constituencies are engaged in CCM oversight activities according to the oversight plan

Ind

icat

or

37

Indicator 37: Number of civil society organizations (CSOs) (non-CCM members) trained on their role in community-based grant oversight

Page 5 of 8


686

Party Responsible

Baseline value

Month and

year of

baseline


(Oct-Dec 16)

Quarter 2

(Jan-Mar 17)

Quarter 3

(Apr-Jun 17)

Quarter 4





target)

Achievement to date


0 Aug-1558% (7 out of 12 civil society

representatives)N/A N/A N/A

67% (8 out of 12 civil

society representatives)N/A N/A N/A N/A

67% (8 out of 12 civil society

representatives)

Site visit reports,

participant list from site

visit

Quarterly CCM Oversight Committee

Comments:

0 Nov-14 7 N/A N/A 3 2 1 N/A 3 N/A 9

Site visit reports,

participant list from site

visit

Quarterly CCM Oversight Committee

Comments:

0 Nov-14 100% N/A N/A 100% N/A N/A N/A N/A N/A 100%

Invitations to working

sessions; Reports of

working sessions and

minutes of meetings

Twice (concept

note for HIV and

TB and concept

note for malaria)

CCM Proposal Development

Committee

Comments:

0 Nov-14

Programmatic modules and

budget for the HIV and TB

concept note are completed by

the CCM

N/A

Programmatic

modules and budget

for the HIV and TB

concept note are

completed by the

CCM

Programmatic modules

and budget for the HIV

and TB concept note are

revised by the CCM

N/A N/A


budget for the HIV and TB

concept note are completed and

revised by the CCM

N/A N/A

Programmatic modules and budget for

the HIV and TB concept note are

completed and revised by the CCM

HIV and TB concept note

and budgetOnce


Committee

Comments:

0 Nov-14


budget for the malaria

eradication concept note are

completed by the CCM

N/A N/A

Programmatic modules

and budget for the

malaria eradication

concept note are


N/A N/A


budget for the malaria

eradication concept note are


N/A N/A

Programmatic modules and budget for

the malaria eradication concept note

are completed by the CCM

Malaria concept note and

budgetOnce


Committee

Comments:

Incomplete

oversight planApr-14

An assessment of MSPP's

current communication capacity

has been conducted

N/A N/A

An assessment of MSPP's

current communication

capacity conducted

N/A N/A N/A N/A N/AAn assessment of MSPP's current

communication capacity conductedAssessment available Once

MSPP

LMG/Haiti

Comments:

0 Apr-14MSPP strategic communication

plan is developed N/A N/A

MSPP strategic

communication plan is

developed

N/A N/A N/A N/A N/AMSPP strategic communication plan is

developed

LMG/Haiti report/MSPP

reportOnce

MSPP

LMG/Haiti

Comments:

Ind

icat

or

38

Indicator 38: Percentage of CCM civil society representatives with a workplan from their constituencies

Definition/Description: LMG/Haiti will provide financial and technical support to the CCM civil society representatives to develop workplans that specify the key tasks and communication responsibilities that they need to fulfill as a representative of the constituency. The workplan will clearly define the processes for soliciting inputs from each and providing feedback to their constituencies.

Numerator: number of CCM civil society representatives with a workplan from their constituencies

Denominator: total number of CCM civil society representatives

The project exceeded its final target (116% achievement rate with 67% of CCM civil society representatives with a workplan from their constituencies out of 58% planned).

Expected Result 3.2 : Expected Result 3.2: The CCM mobilizes additional funding from the Global Fund for HIV, TB, and malaria programs in accordance with the new funding model

Outcome 33.2.1: The CCM engages program stakeholders, KAP, and appropriate expertise in the development of Global Fund concept notes and budgets

Ind

icat

or

40

Indicator 40: Percentage of working sessions for the development of the Global Fund concept notes that have participation from KAP

Definition/Description: LMG Haiti will support the CCM to ensure that concept notes address the needs of program stakeholders and KAPs (PLWH, women, youth, LBGT) by facilitating participatory working sessions to prepare concept notes.

Numerator: Number of working session with KAP participation

Denominator: Total number of working sessions


Ind

icat

or

39

Indicator 39: Number of site visits conducted by the CCM Oversight Committee to seek feedback from sub-recipients, key affected populations, and CCM non-members on grant performance

Definition/Description: LMG/Haiti will support the CCM to fulfill its eligibility requirement by providing financial and technical assistance to the CCM Oversight Committee to conduct site visits to seek input on grant performance from KAP and SR.

The project exceeded its final target (129% achievement rate with 9 visits completed out of 7).

Ind

icat

or

42

Indicator 42: The programmatic modules and budget for the malaria eradication concept note are completed by the CCM

Definition/Description: LMG/Haiti will support the CCM to coordinate the process of developing the Global Fund malaria eradication concept note and budget

Final project target achieved. While the project had initially achieved its final target during PY3, in PY5 LMG/Haiti provided technical assistance and logistical support to the CCM to develop the 2018-2020 malaria program continuation funding request for the Global Fund. Targets for this indicator were not included in the approved PY5 PMP, as the CCM only requested LMG/Haiti’s assistance in December 2016. The

application was submitted to the Global Fund on March 27, 2017, and approved on May 16, 2017. During PY5Q4, the project provided support to the CCM and the PR to complete the first phase of the grant making process by responding to clarification requests from the Global Fund Secretariat on the programmatic and budgetary aspects of the grant. This first phase of the grant making ended on July 20, 2017, with

agreement among the CCM and Global Fund Secretariat on the final budget.

Objective 4: Strengthen the strategic communication capacity of the MSPP and local Haitian journalists, and support USAID/Haiti to engage, inform and elevate awareness of the Haitian public, diaspora, and US-based policy makers on key health issues for the country

Ind

icat

or

41

Indicator 41: The programmatic modules and budget for the HIV and TB concept note are completed by the CCM

Definition/Description: LMG/Haiti will support the CCM to coordinate the process of developing the Global Fund HIV and TB concept note and budget.

Final project target achieved. While the project had initially achieved its final target during PY3, in PY5 LMG/Haiti provided technical assistance and logistical support to develop the 2018-2020 HIV/TB program continuation funding request for the Global Fund. Targets for this indicator were not included in the approved PY5 PMP, as the CCM only requested LMG/Haiti’s assistance in December 2016. The application was

submitted to the Global Fund on March 27, 2017, and approved on May 16, 2017. During PY5Q4, the project provided support to the CCM and the Principal Recipient (PR) to complete the first phase of the grant making process by responding to clarification requests from the Global Fund Secretariat on the programmatic and budgetary aspects of the grant. This first phase of the grant making ended on July 20, 2017, with

agreement among the CCM and Global Fund Secretariat on the final budget.

Indicator 43: An assessment of the MSPP's current communication capacity has been conducted

Definition/Description: An assessment of the MSPP’s current communication capacity will illustrate how the present system is functioning and what is needed to improve communication that will better support the Ministry’s overall goals.


Ind

icat

or

44

Indicator 44: MSPP strategic communication plan is developed under the leadership of the Communication Advisor

Definition/Description: The strategic communication plan will guide MSPP communication in years two and three. The plan will cover external communication as well as internal communication. The latter component will include a capacity building element to address any gaps and ensure that staff have the required capacity to deliver proactive and clear communication.


Expected Result 4.1: The MSPP has the capacity to plan for, coordinate, and deliver clear communication

Outcome 4.1.1: The MSPP has identified the current capacity gaps in communication and developed a strategic communication plan to address them

Ind

icat

or

43

Page 6 of 8


787

Party Responsible

Baseline value

Month and

year of

baseline


(Oct-Dec 16)

Quarter 2

(Jan-Mar 17)

Quarter 3

(Apr-Jun 17)

Quarter 4





target)

Achievement to date


0 May-16

Operational plan and budget to

guide implementation of the

MSPP Strategic Communication

Plan is developed

N/A N/A N/A N/A None None

Operational plan and budget to

guide implementation of the

MSPP Strategic Communication

Plan is developed

N/A

Operational plan and budget to guide

implementation of the MSPP Strategic

Communication Plan is developed

LMG/Haiti report/MSPP

reportOnce

MSPP

LMG/Haiti

Comments:

0 Aug-14 40 N/A 12 33 N/A N/A N/A N/A N/A 45 Event reports MonthlyMSPP

LMG/Haiti

Comments:

Data not currently

trackedAug-14 114 N/A N/A 54 13 N/A N/A N/A N/A 67

Stories posted on MSPP

websiteMonthly

MSPP

LMG/Haiti

Comments:

0 May-16 3 N/A N/A N/A N/A N/A None None N/A NoneStories posted on MSPP

websiteMonthly

MSPP

LMG/Haiti

Comments:

2,358 followers on

Facebook

365 followers on

Twitter

Aug-14

5,804 followers, shares and

likes on Facebook

5,471 followers on Twitter

N/A N/A

More than 4,804

Facebook followers and

4,471 Twitter followers

More than 5,916

Facebook followers and

5,856 Twitter followers

N/A N/A N/A N/AMore than 5,916 Facebook followers

and 5,856 Twitter followers

MSPP Facebook and

Twitter accountsMonthly

MSPP

LMG/Haiti

Comments:

0 Aug-15 15 N/A N/A N/A 0 N/A None 15 N/A 15Participants List

Training reportOnce

MSPP

LMG/Haiti

Comments:

0 Apr-14 53 N/A N/A 23 22 N/A N/A N/A N/A 45

Participants List

Training report

LMG/Haiti report

OnceMSPP

LMG/Haiti

Comments:

0 May-16RHJS 2017 workplan is

developedN/A N/A N/A N/A N/A RHJS 2017 workplan is developed N/A N/A RHJS 2017 workplan is developed RHJS 2017 workplan Once

MSPP

LMG/Haiti

Comments:

0% Apr-14 80% N/A N/A 100% 100% N/A N/A N/A N/A 100% Stories MonthlyMSPP

LMG/Haiti

Comments:

Definition/Description: LMG/Haiti will track the number of stories posted to the MSPP website reporting on MSPP health success each month. This indicator measures the extent to which the MSPP website is updated each month.

Outcome 4.2.2: Journalists covering the health sector will use more evidence-based factual information accessed from the MSPP and other sources

Ind

icat

or

50

Indicator 50: Percentage of journalists' stories using data and statistics provided by the MSPP or USAID

Definition/Description: Stories includes articles in newspapers, radio messages, presentations interventions or debates, TV reporting or spots, etc., specifically developed by journalists that participated in the training. To measure this indicator, LMG/Haiti will develop a list of criteria against which stories will be evaluated. LMG/Haiti will track the total number of stories produced during the monthly breakfast meetings.

•Numerator= total number of journalists' stories produced using data and statistics provided by the MSPP or USAID

•Denominator= total number of journalists' stories produced during the year

The project exceeded its final target (125% achievement rate with 100% journalists' stories out of 80% planned).

Ind

icat

or

49

-A

Indicator 49-A: The RHJS 2017 workplan is developed

Definition/Description: LMG/Haiti will provide technical support to the Réseau Haitian des Journalists de Santé (RHJS) to develop its first year workplan


Expected Result 4.2: The capacity of the local media for reporting on health-related stories is improved

Outcome 4.2.1: The local Haitian media have an improved understanding of the national health system

Ind

icat

or

49

Indicator 49: Number of Haitian journalists trained in covering the health system

Definition/Description: LMG/Haiti will target local Haitian journalists as well as journalists embedded in the MSPP for training.

The project achieved 85% of its final target (45 out of 53 journalists trained). Full achievement was limited by some journalists not fully completing the program.

Ind

icat

or

47

Indicator 47: Number of followers on the MSPP Facebook and Twitter accounts

Definition/Description: LMG/Haiti will track the number of followers on the MSPP Facebook and Twitter accounts. This indicator measures the number of people that access health information via the MSPP social media networks.

Final project target exceeded.

Ind

icat

or

48

Indicator 48: Number of MSPP communication staff trained on communication techniques and skills

Definition/Description: LMG/Haiti will provide training to MSPP communication staff to build their capacity to implement the Strategic Communication Plan. Possible training topics could include digital video editing and social media techniques to increase their capacity to produce better quality videos on health issues and to better communicate health successes on social media. LMG/Haiti's technical assistance will be guided by the

training plan to be developed by the DPSPE Director.

The project achieved its final target.

Ind

icat

or

46

-A

Indicator 46-A: Number of newsletters highlighting MSPP health achievements produced

Definition/Description: LMG/Haiti will support the DPSPE in producing newsletters that highlight the MSPP achievements in the health sector in Haiti. This indicator measures the number of newsletters produced during the year.

The project was not able to achieve its final target due to the DPSPE's competing priorities.

Outcome 4.1.3: MSPP communication staff capacity to implement the Strategic Communication Plan is strengthened

Ind

icat

or

45

Outcome 4.1.2: The visibility of the MSPP's health achievements is strengthened

Definition/Description: LMG/Haiti's communication advisor will support (public relations organizational and logistical assistance) several MSPP events in an effort to raise the visibility of the positive work the MSPP is achieving in health, including inaugurations of new health facilities, launches of new health initiatives, events to raise awareness on key health issues, and others.

The project exceeded its final target (113% achievement rate with 45 events supported out of 40 planned).

Ind

icat

or

46

Indicator 46: Number of stories posted to the MSPP website

Indicator 45: Number of MSPP events supported by the MSPP Communication Advisor

Ind

icat

or

44

-A

Indicator 44-A: Operational plan and budget to guide implementation of the MSPP Strategic Communication Plan is developed

Definition/Description: In PY3, LMG/Haiti assisted the MSPP in developing its Strategic Communication Plan. In PY5, LMG/Haiti will provide technical assistance to the MSPP to develop an operational and budget to guide implementation of the Strategic Communication Plan.


The project achieved 59% (67 out of 114) of its final target. The project was not able to achieve its final target. Most of stories to be posted on the MSPP website were supposed to be written by the Réseau Haitian des Journalists de Santé (RHJS) journalists enrolled in the training session organized by LMG/Haiti during PY4. The journalists developed these stories, but they were posted through various media sources and

not published on the MSPP's website. Moreover, starting in July 2016, the LMG/Haiti Communication Advisor was no longer embedded in the MSPP to develop additional stories to post on the MSPP website.

Page 7 of 8


888

Party Responsible

Baseline value

Month and

year of

baseline


(Oct-Dec 16)

Quarter 2

(Jan-Mar 17)

Quarter 3

(Apr-Jun 17)

Quarter 4





target)

Achievement to date


0 Jul-14USAID/Haiti Health Office key

message strategy is developedN/A N/A

USAID/Haiti Health Office

key message strategy is

developed

N/A N/A N/A N/A N/AUSAID/Haiti Health Office key message

strategy is developed

Analysis report; key

message strategy availableOnce

LMG/Haiti; USAID/Haiti and

partners

Comments:

0 Jul-14 50 N/A N/A More than 500 offices N/A N/A N/A N/A N/A More than 500 offices Advocacy reports AnnualMSH policy and advocacy

expert

Comments:

0 Jul-14 15 N/A N/A 19 N/A N/A N/A N/A N/A 19 Meeting reports AnnualMSH policy and advocacy

expert

Comments:

Ind

icat

or

53

Indicator 53: Number of advocacy meetings conducted with US-based policymakers to raise awareness on and plan support for Haiti health issues

Definition/Description: These meetings will be conducted by MSH's policy and advocacy team. An "advocacy meeting" within this context is defined as a meeting to raise awareness of priority health issues and successes in Haiti or influence and political action to address these issues. LMG/Haiti will track this indicator using data from MSH' policy and advocacy team's database.

The project exceeded its final target (127% achievement rate, with 19 meetings conducted out of 15 planned).

Ind

icat

or

52

Indicator 52: Number of US congressional offices (10% representation from the Foreign Affairs Committee) informed of Haiti health successes

Definition/Description: This indicator measures the impact of the strategic communication plan on targeted US-based policy makers. The strategic communication plan will describe the mechanisms for informing these policymakers on key Haiti health issues, but can include attendance at events, blog posts, and newsletters.

Final project target exceeded (achievement rate >100%).

Expected Result 4.3: Strategies to engage and inform US-based policymakers and other stakeholders including the Haitian diaspora are developed and implemented

Outcome 4.3.1: US-based policymakers and other stakeholders have an increased understanding of USAID/Haiti health successes

Ind

icat

or

51

Indicator 51: USAID/Haiti Health Office key message strategy is developed

Definition/Description: The goal of the USAID/Haiti Health Office key message strategy is to educate the local, donor, and international communities—including traditional media and social media outlets—about USAID’s contributions to rebuilding and continued strengthening of Haiti’s health system. This plan will be developed in collaboration with the USAID/Haiti Health Office and Management Sciences for Health's (MSH's) Policy and

Advocacy team.


Page 8 of 8


Date post:	09-Apr-2018
Category:	Documents
Upload:	tranxuyen
View:	215 times
Download:	2 times

Leadership, Management and Governance …pdf.usaid.gov/pdf_docs/PA00N18G.pdfJuly 1 Leadership,...

Documents