Quarterly Report Q2 - sanru.org AXxes QTR Jan-Mar 2008.pdf · Quarterly Report Q2 January 01 –...

Quarterly Report Q2 January 01 – March 31, 2008 Integrated Health Services Project (Project AXxes) USAID Cooperative Agreement No: 623‐A‐00‐06‐00058‐00 Democratic Republic of Congo

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TABLE OF CONTENTS I. Executive Summary 5 II. Table of Planned Activities and Actual Accomplishments 7 III. Commentary on Work Plan Activities Component A: Increase access to, quality of, and demand for multi-sectoral, integrated PHC

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A.1 Increase access to HC and Reinforce referral system 15 A.2 Improved family planning quality services 18 A.3 Improved reproductive heath and newborn services 19 A.4 Reduced malaria in target population 26 A.5 Improve TB detection and treatment 27 A.6 HIV/Aids (Blood safety and PMCT) 28 IV. Commentary on Work Plan Activities Component B: Increased Capacity to the health zone and the referral system

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B.1 Improved HZ Planning, Governance, Transparency and Accountability 29 B.2 Improved HZ support systems 30 V. Commentary on Work Plan Activities Component C: Increased capacity of national health programs and provincial/district offices

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VI. Consortium and Project Management 32 VII. Environment Impact Compliance 34 VIII. Security Report 34 IX. Program Performance Indicators 36 Annex 1: Project Indicators 37 Annex 2 : Map of Couple Years Protection 39 Annex 3 : Map of Assisted Births 40 Annex 4 : Map of Prenatal Care 41 Annex 5 : Map of DPT3 Coverage 42 Annex 6 : Map of IPT Coverage 43 Annex 7 : Map of Tuberculosis Detection Rate 44 Annex 8: Health Facilities Scheduled for Rehabilitation 45 Annex 9: Supervision at Health Zones 49 Annex 10: Supervision by Health Zone and Implementing Partner 51 Annex 11: Functionality of CODESA 52 Annex 12: Drug Credit Utilization 54 Annex 13: Environmental Compliance at Health Zones (IEE) 57 Annex 14: Material and Equipment Distribution 63

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ABBREVIATIONS

AIDS Acquired Immune Deficiency Syndrome ACT Artemisinin-Based Combination Therapy AMSTL Active Management of the third Stage of Labor ANC Antenatal care BASICS Basic support for institutionalizing Child survival BCC Behavior Change Communication BCZS Bureau Central de la Zone de Santé (Health Zone Central Office) CCIA Coordination Committee inter agency CCIH Christian Connection international Health CDT Centre de dépistage et traitement C-IMCI Community-Based Integrated Management of Childhood Illness CODESA Comité de Développement et Santé COSA Comité de Santé COP Chief of Party CRS Catholic Relief Services CYP Couple Years of Protection DOCS Doctors on Call for Service (a.k.a. DOCS HEAL Africa) DPT Diphteria Polio Tetanus DMO District medical office DOTS Directly Observer Treatment Strategy DRC Democratic Republic of Congo (also DR Congo) ECC The Protestant Church of Congo ECZ Health management team of health zone EPI Expanded Program on Immunization FBO Faith-Based Organizations FP Family Planning GBV Gender Based Violence GAVI Global Alliance for Vaccines and Immunizations GESIS Gestion du Système d’Information Sanitaire GHC Global Health Conference HGR General Reference Hospital Hôpital Général de Référence HIS Health Information System HIV Human Immunodeficiency Virus HKI Helen Keller International HPSK Health Public School of Kinshasa HZ & HZMT Health Zone and Health Zone Management Team ICC Interagency Coordination Committee IMAWH Interchurch Medical Assistance World Health IMCI Integrated Management of Childhood Illness (PCIME in French) IPT Intermittent Preventive Treatment IPS Inspection Provinciale de la santé ( Provincial Health Office) IRM Innovative Resources Management ITNs Insecticide Treated Mosquito Nets IUD Intra Uterine Device

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JHU Johns Hopkins University KPC Knowledge Practice Comportment LLIN Long-Lasting Insecticide-treated Nets (also known as ITNs) MCZ Heath Zone Medical (Medecin chef de Zone) MID Médecin Inspecteur de district M&E Monitoring and Evaluation MOH Ministry of Health MSH Management Sciences for Health NGO Non-Governmental Organizations ORT Oral Rehydration Therapy OFDA Office of Foreign disaster assistance PCIME IMCI in English – Integrated Management of Childhood Illness PEV Programme Elargie de Vaccination (EPI in English) PHSK Public health school of Kinshasa PMA Paquet Minimum d’Activité (Minimum Package of Assistance) PMP Performance Monitoring Plan PMTCT Prevention of Mother-to-Child Transmission of HIV PNLMD Programme National de Lutte contre les maladies diarrhéiques PNLS Programme National de Lutte contre le SIDA (National AIDS Program) PNLT Programme National de Lutte contre la Tuberculose (TB National Program) PNTS Programme National de Transfusion sanguine (National Blood Safety Program) PNLP Programme National de la lutte contre le Paludisme PNSR Programme National de la Santé de la Reproduction POPPHI Prevention of Postpartum Hemorrhage Initiative PRONANUT National Program for Nutrition RHS Reproductive Health Services SOW Scope of work STI Sexually Transmitted Infections SANRU Health Development Program of ECC based on the SANRU I, III & III projects SNIS Système National d’Information Sanitaire (National Health Information System) TA Technical Assistance TB Tuberculosis TOT Training of trainers UNC University of North Carolina UNICEF United Nations Children's Fund UNFPA United Nations Fund for Population Activities VCT Voluntary Counseling and Testing VFR Vaginal fistula repair WHO World Health Organization WRC World Relief Corporation WVI World Vision International

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I. Executive Summary Project AXxes is a three-year $42 million USAID-financed primary health care project designed to revitalize the national system of primary health care in 57 health zones in South Eastern DR Congo. It is implemented by a consortium of international NGOs including IMA World Health as the prime recipient and CRS, ECC and WVI as sub-recipients. Major Achievements Over the course of the second quarter of year two, the following major activities were conducted: 1 Provided each HGR and HC with essential drugs 2 Equipped HC/HZ with mini Kits 3 Equipped each HGR with HGR kits and surgical boxes 4 Provide each HC and HGR with care protocols 5 Rehabilitated HGR and HC 6 Provided each maternity with birth kits and birth management tools 7 Promoted postpartum/newborn visits in each maternity 8 Reinforced the RED approach in the all supported health zones 9 Reinforced integrated surveillance system at HC and community levels 10 Provide HC with IMCI drug package including ORS, Zinc, ACT and antibiotics 11 Built or rehabilitated community water sources 12 Constructed latrines at health centers 13 Reinforced growth monitoring by distributing growth charts, equipping facilities with

scales, height boards and registers for growth monitoring; 14 Reproduced and distributed key educational messages regarding the prevention of gender

discrimination 15 Worked with health zones to increase the participation of women among the village health

activists and CODESA/COGE members 16 Provided HGR and HC with other malaria drugs (quinine, Fansidar) 17 Reinforced the use of Malaria care protocols 18 Provided IPT as part of FANC in each health center 19 Provided LLINs to HZs 20 Provided HGR with adequate HIV, HBs, HCV et RPR and blood group tests, and

transfusion supplies including refrigerators. 21 Conducted micro planning activities for PEV 22 Conducted a census in all Health Zones in the Kasais and Katanga regions 23 Supervised the Health Zones 24 Trained the ECZ in the 6 new Health Zones in Reproduction Health and Family Planning 25 Integrated the PCIME C in eight Health Zones 26 Acquainted the ECZ with medicine management 27 Provided the HZs with SNIS forms

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28 Worked on setting up an appropriate “tarification” (pricing) system 29 Conducted monthly reviews by HZMTs w/ providers & COGE Global indicator evolution Most of the key indicators continued to improve the second quarter of year two. The percent of women receiving IPT was brought down slightly because of insufficient Fansidar in stock, but that problem has been resolved. Some indicators have changed some from what was reported in the first quarter report. This is due to late arriving data coming in from the partners and some mixing of cooperative agreement targets with the revised USAID mission targets. This report has added the new data to the database so that the most accurate and current figures are presented in the reports, and has standardized all the targets based on the revised mission targets. Table 1: Key USAID Indicators

Indicators Y2

Quarter targets

Y2 Q1 results

% of Target

Achieved Q1

Y2 Q2 results

% of Target

Achieved Q2

Rate of use of health services 637536 486367 76% 556609 87% Couple years of protection (CYP) for FP 10000 9890 99% 9458 95% Proportion births attended by skilled personnel 43717 43504 100% 47021 108% Rate / Number of antenatal care (ANC) visits 58289 60635 104% 67383 116% Percent of pregnant women received VAT2 or 5 doses of VAT 58289 44292 76% 51950 89% Proportion of children receiving measles vaccination 60493 42822 71% 54664 90% DPT3 coverage 60493 51142 85% 60646 100% Percent of pregnant women in targeted health zones receive IPT 46631 33518 72% 32513 70% TB detection rate 2186 2347 107% 2589 118% Percent /Number of children under the age of five with ARI/pneumonia are cared for correctly by health structures following national policy 72862 56416 77% 72700 100% Percent /Number of children under the age of five with diarrheal illnesses are cared for correctly by health structures following national policy guidelines 72862 32923 45% 30828 42%

Main challenges It is difficult to get the health institutions to change the pricing system to make services more accessible to the poor. Incremental changes in prices are taking place but not the whole scale change that the project is striving for. Bringing seven new zones into the project in the second year has been a challenge but is going well. The earthquake in Bukavu required unexpected work in that area.

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II. Table of Planned Activities and Actual Accomplishments Table 2 Status of Work Plan Activities During the Second Quarter of Year Two

Period of activity Yr 2 Intermediate Results Activities Q1 Q2 Q3 Q4 % Comments Legend: X = activity event X… = activity begins & ongoing % or # = targets/benchmarks Partners = AXxes Implementing Partners Component A: Increase access to, quality of, and demand for multi-sectoral, integrated PHC

Increase access to HC and Reinforce referral system

Instruct HC staff in correct use of curative care protocols (flowchart) X… 70%

Instructions were given for HZMT and for care providers during PMA and IMCI training last year except for Minova and the 6 New Hzs in Sankuru and Mbuji Mayi. 11HZs in South Kivu are still in process of achieving their training This quarter; training will be organized for Minova and 6 new HZs. Follow up work is being done to ensure compliance to flowcharts.

Provide each HGR and HC with essential drugs X… 90%

100% of year 1 drugs have arrived in country. Distribution is still continuing according to the HZs credit lines. Almost all of the HZs have received drugs except Ruzizi and Lulingu and in the HZs where there are other partners providing drugs (Mutoto, Kalehe). ACT and STIs drugs have not yet arrived in some areas like Kolwezi.

Equip HC/HZ with mini Kits X 98%

848 of 869 HCs received the mini kits except for Manika HZ where some mini kits are still at the HZ office. The BCZ was urged to distribute them immediately to HCs

Equip each HGR with HGR kits and surgical boxes X 100%

All 57 HGRs benefited from Kits and Surgical boxes containing laparotomy box, herniorraphy box, caesarean box and the basic surgical box.

Provide each HC and HGR with care protocols X 70%

All HCs and HGRs have been provided with care protocols (flow charts, Tables of clinic IMCI, technical family planning charts). Flowcharts have been distributed to most of the facilities and distribution is underway and will be completed next quarter for some facilities in Kolwezi and South Kivu. The revised Newborn care protocol will be distributed the next quarter.

Rehabilitate HGR and at least 3 new HC/ HZ (prioritizing maternities) X X X X 30%

Most of the facilities planned to be rehabilitated for year 1 are being repaired. The Y2 rehabilitation process for the new HCs has just started, 4 HCs are in phase of completion in Haut Lomami and Mbuji mayi.

Establish preferential payment system for referred patients (at least 20% less than other patient)

X 25%

The system is effective in 5 HGRs (Katana and Kalehe in South Kivu and Bunkeya, Dilala and Lubudi in Kolwezi). The system is also applied in Haut Lomami. Further discussions are currently being held with providers and stakeholders under MIP coordination.

Establish episodic Payment system X 35%

HZs in Haut-Lomami (9), North district (7) in South Kivu, Mutoto and Dibindi and in Kasai and Bunkeya, Songa, Kitenge and Kayamba in Katanga are applying the system. Negotiation with providers and stakeholders are in progress in the remaining HZs

Improve curative care services and quality

Instruct CODESAs in referral system X 0% To implement after the C-IMCI training next quarter.

Improve family planning services Train HZMTs, HC staff and HGR staff

in RH/FP X 85% This activity was achieved in Y1 except in the

6 new HZs. The HZMT and people in charge of the maternities from those HZ are now trained. The HC staff of those 6 new health zones will be trained next quarter and the refresher course is planned during the third quarter for the HZ

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Period of activity Yr 2 Intermediate Results Activities Q1 Q2 Q3 Q4 % Comments Legend: X = activity event X… = activity begins & ongoing % or # = targets/benchmarks Partners = AXxes Implementing Partners

staff trained in year 1.

Provide the package of FP commodities to the selected structures X… 70%

IUD, gloves, condoms, cycle beads, consultation forms and contraceptive pills were provided in Year 1 and stock is available in the HCs and HGR except for injectable methods (Depo-Provera) and cycle beads. The order for Y2 has already been placed.

Provide HC and HGR with FP protocols and information tools X… 100%

FP information tracking tools are available in HCs and HGRs. FP protocols are used for the day to day work. 108 HCs from 6 new HZs in the East Kasai will be supplied after the training next quarter.

Provide HC and relays with FP BCC materials for disseminating key messages in community

X… 45%

The document ’cahier du relais’ which also includes FP messages has been translated into Swahili and Tshiluba and the printing is in progress. Most of the materials will be provided to relays after they’ve been trained in C-IMCI this coming quarter. The “Boite a image” in French have already been produced and sent out.

Conduct workshops/meetings on policies or guidelines needing development or change

X… Will be done next quarter. Axxes will support PNSR to develop a strategic plan.

Increase service delivery points providing FP counseling or services and Establish systematic counseling activities in each HC

X… 91%

The activity is integrated into almost all HCs (846 out of 929) except for those belonging to Catholic nuns in Kanzenze , Lubudi and Bunkeya and in the HCs in the 6 new HZs. Negotiations with these HCs owners are in process.

Integrate GBV counseling and community-based awareness activities in health areas through Nurses and CODESA

X… 30%

The strategy has already been developed and materials are in production. The activity will be implemented after IMCI training during the next quarter.

Birth Preparedness and maternity services

Provide the minimum package of activities for antenatal in each Health Center and out reach sites. This package include: detection of High risk pregnancy, IPT, LLINs, Iron-folic acid, Tetanus toxoid, Screening and treatment for ISTs, FP information and

X… 100%

Health workers have been adequately trained. IPT, Fe and folic acid is available in almost all HC. RPR tests are available and LLINs are regularly provided. This quarter, South Kivu coordination has been able to distribute, for the first time, SP (Fansidar) for IPT in all HZs. But the stock is limited as it will only cover 2 months need. Still waiting for IST drugs.

Provide HC with ANC BCC materials for disseminating key messages to pregnant women during ANC

X 45%

ANC key messages are included in “cahier du relais’. The printing is in progress. Most of materials will be provided to relays after they’ve been trained in C-IMCI this coming quarter.

Provide each maternity with birth kits, birth management tools and newborn care protocols

X 70%

Birth management tools are available in all maternities. The new Birth kits following the newborn strategy have been ordered but have not yet arrived. The old newborn care protocols are available in several maternities. Still waiting for the delivery of the new protocols.

Provide each maternity with protocols for prevention of PPH X 70%

Distribution is on-going. The protocols were part of the RH training modules. They are also intergrated into flowchart C, available in all facilities except in the HCs of the 6 new HZs.

Improved reproductive heath and newborn services

Train maternity staff in essential newborn care including clean cord care, drying, keeping mother and infant warm (kangaroo), early/exclusive breastfeeding, basic newborn resuscitation techniques where indicated

X 50%

To retrain staff and update previous training. Modules and other teaching materials are ready. Equipment and materials have been ordered and are expected in July. Training will be done after materials are received.

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Equip maternities for care of newborns X 40% Equipment already ordered and expected in July.

Promote postpartum/newborn visits in each maternity X… 80%

The maternities are sensitizing pregnant women during ANC lessons to visiting the maternity after delivery. Most of the time, only the first visit out of 3 planned is observed. The sensitization work should be reinforced by communication relays in the community after C-IMCI training.

Provide HGR and selected HC with blood safety commodities X 100%

All HZs were provided last year. The project staff is tracking the current stock to avoid stock outs. Order for year 2 has already been placed.

Train doctors and Nurses in Vaginal fistula repair X X 100%

4 doctors were trained at Tshikaji and 4 doctors and 4 Nurses were trained at HGR Panzi. The second Phase of training in Panzi will be done next quarter.

Support VFR in ten 10 selected sites X… 40%

This activity has not yet been achieved. Still waiting for additional materials. An issue related to the subsidy of health care for women victims has not yet been addressed. So far, the selected site hospitals have received surgical materials.

Immunization, including polio

Reinforce the RED approach in all supported health zones X… 80%

Provided bicycles, motorcycles, fuel, operation fees for supervision, and ordered missing EPI forms. The micro planning of the PEV activities and the count were carried out in all the 21 supported ECC. Population Census results were validated by the provinces and sent for integration into the PEV data base. The population census is planned for quarter 3 in WVI HZs in Katanga.

Participate and support polio campaign activities in AXxes HZ TBD No campaigns were organized in AXxes HZ.

Reinforce integrated surveillance system at HC and community levels X… 60%

Integrated in all HZs after training in SMIR. HC Training is in process in some HZs supported by CRS. But surveillance needs to be reinforced at the community level. In Kolwezi, the medical district has been able to reactivate the surveillance section. HCs received surveillance forms.

CLINIC IMCI Train HZTMs as TOT, HGR and HC staff in IMCI including management of Diarrhea, ARI, fever, Measles, malnutrition and other child diseases

X 70%

Carried out in all HZs last year except in the 6 new HZs: 51 HZMT members were trained as TOTs and they trained their HC staffs. Training is in progress in 21 HZs in South Kivu.

Provide HCs with IMCI drug package including ORS, Zinc, ACT and antibiotics…

X… 70%

ORS and antibiotics are available in all HCs. Zinc tablets are available in 12 selected pilot HZs in Katanga. ACT is currently available in 31 of the 57 zones. It will be available to all zones soon.

Hold workshops for zinc (on policy, strategy and BCC materials) X

The program to update BCC materials is delayed until May in collaboration with UNICEF, Basics and HKI.

Integrate Zinc in diarrhea treatment in 12 pilots health zones X 100%

Zinc intervention has already been integrated in 4 pilot HZs since December 07. This quarter, specific supervision has been conducted by HKI in order to assess acceptance of Zinc tablets.

Evaluate zinc pilot program after 6 months X Planned in early next quarter

Train personnel for expansion of zinc program into all AXxes zones X Planned for early third quarter

Integrate C-IMCI

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Train C IMCI teams (5 pers/ HZs and 4/Health areas) X 30%

The process of forming C-IMCI committees for each HZ, Health Area and the assessment of current level of ongoing C-IMCI activities is in progress. Teaching materials and BCC materials are being reproduced for HZs in South Kivu and Kolwezi. Training done for 18 HZs out of 21 supported by ECC.

Train selected relays in C-IMCI X Selection is ongoing. Training for relays is scheduled for next quarter.

Reproduce educational materials (flipcharts, tip cards, posters, pamphlets, etc.)

X 35%

The document ’cahier du relais’’ which has 10 key messages has been translated in Swahili and Tshiluba. The printing is in progress. Most of the materials will be provided to relays after they’ve been trained in C-IMCI this coming quarter. “Boite a image” in French have already been produced and are being distributed.

Diffuse key messages in the community X… 10%

Will start after C-IMCI training for the majority of HZs except 18 HZs where IMCI training is already done. The ITs and institutional trained have started disseminating messages.

Evaluate care group approach in pilot zones X 0%

Implementation is going on in CRS pilot zone. First Evaluation scheduled at the end of third quarter.

Scale up care group strategy in other HZs X 0% To implement after assessment of results of

care group strategy, then orient scaled up HZs. Development of Water Sources and Promotion of Hygiene and Sanitation

Build or rehabilitate community water sources X… 48%

Year 1 plan was to rehabilitate 142 water sources and 142 for Y2. So far, only 136 have been completed and among these 75 during Q2.

Construct incinerators at hospitals X… 10%

Only one incinerator out of 57 for Y2 has been constructed, at Bijombo this quarter. 12 incinerators out of 57 planned for year 1 are completed. Incinerator construction dependent on rehabilitation of HCs and HGRs.

Construct latrines at health centers X…

So far 20 latrines were constructed with AXxes funds and almost 442 with the project” Village Assaini”. This activity is also dependent on HC and HGR rehabilitation.

Maternal and young children nutrition including Micronutrient

Reproduce and distribute educational materials with key nutritional messages through HZ team, HGR, HC and Community-IMCI relays

X 35%

The document ’Cahier du Relais’’ which has 10 key messages has been translated into Swahili and Tshiluba. The printing is in progress. Most of the materials will be provided to relays after they’ve been trained in C-IMCI this coming quarter. “Boite a Image” in French has already been produced and is being distributed.

Participate and Support the Vitamin A campaign in collaboration with HKI X X Waiting for the national plan.

Scale up the routine distribution of Vitamin A in the rest of HZs X… Waiting until June after evaluation and

harmonization with HKI and UNICEF. Reinforce growth monitoring by distributing cards, equipping facilities with scales, height boards and registers for growth monitoring;

X 100% Activity is going on successfully. CPS forms are being reproduced and sent to the HZs.

GBV Prevention interventions

Reproduce and distribute key educational messages regarding the prevention of gender discrimination

X 60%

The project has just received and distributed 4,790 t-shirts and 4,235 caps conveying messages on FP and prevention against sexual violence in South Kivu. The target was health care providers, members of CODESAs, community relays and local community leaders in each HZ. The “Boite a Image” for each HC has been produced and is

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being distributed to HZs. Training preparation is in progress.

Work with Health zones to increase the participation of women among the village health activists and CODESA/COGE members

X… 30%

Instructions are given to HZs to include women at all levels of C-IMCI organization: from Health area teams to HZ teams. Instructions are given to HZs to revitalize CODESAs by taking into account, gender balance. HZs have also been asked to form mother group relays in each health area. Those women participating in different level, will be trained during

Improve malaria treatment at HC and HGR

Provide each HZ with ACT X… 50%

ACT is currently available and is being distributed to HZs from depots and CDRs. However, the quantity available is not much enough to cover needs and another stock is needed urgently

Provide HGR and HC with other malaria drugs (quinine, Fansidar) X… 30%

Malaria drugs are currently available at CDRs and BDOM depot but not yet in Kolwezi . The quantity is also not enough.

Improve laboratory capacity in diagnosing malaria including provision of lab supplies

X… 85%

TOT and the training of HZ lab technicians has been completed and part of Lab supplies including kit laboratories and microscopes have been received and distribution is underway. Lab staff from the new HZ will be trained next quarter.

Reinforce the use of Malaria care protocols X… 80%

Protocols "fiches techniques" are available in all HCs/HGR and providers have been trained. The challenge is that ACT drugs are not yet available in most of the health facilities.

Develop communication program focused on home care, care seeking and recognition of signs of danger that include BCC materials and relay training

X… 35%

The document ’Cahier du Relais’’ and “Boite a Image” in French include key messages related to malaria and is in progress. Most of the materials will be provided to relays after they’ve been trained in C-IMCI this coming quarter.

Improve and promote malaria prevention

Provide IPT as part of FANC in each health center X… 80%

Systematically provided in all HCs but the stock will likely cover only 2 months. Order was already placed and distribution to HZs through depots will be done soon.

Provide LLINs to HZs X 100%

Almost all HZs received the second stock of LLINS according to the distribution plan. Some HZs have not yet receive their second stock for lack of justification of first allocation of LLINs

Reduced malaria in target pop.

Diffuse key messages on malaria through community relay X 15%

Effective only in some HZs (Lualaba, Bunyakiri, Ruzizi and Uvira) where UNICEF integrated the C- IMCI, and former SANRU HZs where community relays are providing these messages weekly. The activity will take off in all HZs after C-IMCI training.

Improve TB detection Train HZ teams in supervision of TB programs within the normal activities of the HZ and DOTS

X 10% Training to be organized in quarter 3. Only 4 HZs (Mutshatsha, Kanzenze, Dilala and Manika) have been trained in the PATI 4.

.Provide HZ with PATI 4 X 0%

The PATI 4 is almost finalized by the PNT, but not yet validated. We are waiting for the validation to start the printing, then the distribution.

Improved TB detection and treatment

Collaborate closely with the national program at the intermediate and central level to put in place or reinforce 3 geographically well distributed “Centre

X 80% This quarter WV facilitated the TB data validation meeting in Kolwezi. Microscopes have just been received in different coordination and are being distributed. HCs to

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de Depistage et de Traitement (CDTs)” in each HZ; providing them with microscopes and needed lab con

serve as CSDT are selected in collaboration with PNT.

Educate population about TB program and CB-DOTS through relays with BCC materials and via radio

X… 0% To be implemented after C-IMCI training

Implement community-based DOTS (CB-DOTS) strategy with the active participation of local communities in providing the treatment supervision through community relays

X… 0% To be implemented after C-IMCI training

Conduct a trip with the national program at the intermediate and central level to understand TB problem in Malemba-Nkulu which have detection rates reaching up to 600%

X Completed

Provide lab supplies X 50%

The lab Kits and microscopes are already available in all the provincial coordination sites of AXxes ECC and the distribution in the health zones is under way.

Establish blood testing & grouping at HGRs & CSR

Train HGRs & CSR Lab. Staff that were not trained in year one in screening for transfusion-transmissible infections, blood grouping, compatibility testing, the storage and transportation of blood products

X X 0% Schedule in quarter 3.

Provide HGR with adequate HIV, HBs, HCV and RPR and blood group tests, and transfusion supplies including refrigerator

X… 90%

The stock for year 1 is still available but the needs seem to be very high. New HZs have not received the first allocation. HIV tests are already ordered.

Educate, motivate, recruit and retain low-risk blood donors, especially the volunteer non-remunerated blood donors from low-risk population.

X… 40%

Advocacy is continuing by HZMTs, to encourage involvement of all the community especially young people. The promotion of this was stressed during PMA training. The PNTS has distributed guidelines in all HZ and given directives on how to promote blood donations.

Establish PMTCT

Integrate PMTCT services in selected HZ (3 sites per HZ) X 20%

26 out of 120 sites are functional. Focal points to supervise all of the sites are already recruited. Materials have been ordered.

Train health care workers in management and provision of PMTCT services in health zones

X 20%

The training was conducted in Kolwezi for 43 staff out of 45 planned. In addition to those trained in the Kasai. Training in South Kivu has been postponed while revising treatment protocol.

Provide routine HIV testing along with prenatal testing profile to all pregnant women attending antenatal clinics at PMTCT sites

X… 21% Implemented in 25 of the 120 sites at this time.

Create an atmosphere that supports and encourages pregnant women and their partners to be tested for HIV (fundamental first steps for a successful PMTCT program)

X… 10%

The selected PTME sites will be rehabilitated in the 3rd quarter of this year. During training in Kolwezi and Kasai an emphasis has been put on counseling techniques.

Provide HIV infected pregnant women with a complete course of antiretroviral prophylaxis for PMTCT

X… 30% Nevirapine tablets have been received and are ready for distribution as per needs in each site in Kolwezi and Kasai

Provide newborns with a complete course of antiretroviral prophylaxis for PMTCT

X… 20% Nevirapine suspension (150ml) has been received and is ready for distribution as per need to PMTCT sites.

HIV/AIDS (Blood safety and PMCT)

Counsel and test partners/husbands of identified HIV infected pregnant women

X… 10% The implementation is about to start in Kolwezi and has already started in Kasai

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Provide CTX and MVI to identified HIV infected women at post partum follow up services

X… 20%

CTX (198,500 tablets) and MVI (190,000 tablets) have been received and is ready for distribution as per need to PMTCT sites in Kolwezi and Kasai

Provide newborns with CTX and MVI as post partum follow up services X… 20%

CTX (198,500 tablets) and MVI (190,000 tablets) have been received in Kolwezi and Kasai.

Refer out to existing services newborns established as positive X… As soon as program is effective

Refer HIV infected adults to other services X… As soon as program is effective.

Refer HIV infected children to other services X… As soon as program is effective.

Component B: Increased Capacity to the health zone and the referral system Establish and reinforce M&E in Health Zone Indicator forms and computer kits have been

sent to all HZs. CCoonndduucctt rraappiidd aasssseessssmmeennttss iinn aallll 5577 HHZZss X 90% Completed but some GPS data is still missing.

PPrroovviiddee HHZZ wwiitthh SSNNIISS ffoorrmmss X… 100% Ordered for 3 months since new SNIS forms will be implemented very soon by Provincial health office after GESIS harmonization.

IInntteeggrraattee GGEESSIISS iinn HHZZ ((ttrraaiinniinngg aanndd pprroovviissiioonn ooff ccoommppuutteerrss)) X… 50%

The GISS integration process is on-going. Computers have been distributed to HZs. Training is planned for the 3rd quarter.

Conduct mmoonntthhllyy rreevviieewwss bbyy HHZZMMTTss ww// pprroovviiddeerrss && CCOOGGEE X X X X 100%

The project finances monthly reviews of activities for all HZs. Those meetings were held in each HZ during the quarter.

CCoommpplleettee HHIISS mmoonntthhllyy rreeppoorrttiinngg bbyy HHZZss X X X X 90% Reports are submitted but the challenge

remains the data quality and the promptness. Reinforce HZ co management and community participation

Conduct HZ Admin. Councils X 0%

CA meetings are rescheduled for April-May because of non availability of MoH staff. Most of HZs have already developed their annual workplan.,

Train and provide educational materials for CODESA to become functional X… 35%

Most of the materials are currently being developed and distribution is in progress. The training is planned for the beginning of 3rd quarter.

Improved HZ Planning, Governance, Transparency and Accountability

Train and support NGOs in proposal development & management X 40% Training is planned for 3rd quarter

Build HZMTs capacity

Complete training of HC staff in PMA X… 80%

10 HZs out of 21 CRS HZs have already achieved the training and the remaining HZs are in the process of completing theirs. Minova HZ organized the training this quarter for 28 nurses out of 28 planned. The 6 new HZs will organize soon in next quarter.

Improve drug Supply Mgmt to reduce stock outs and track credit system X… 80%

Training of TOT in drug management has been done, as well as distribution of management tools. The restoration to the providers is planned next quarter. Most HZs ordered their first requisition and only few are introducing the second drugs requisition.

Improved HZ support systems

Conduct integrated and formative supervisions by HZMT of each HC every month.

X… 70%

Each month AXxes implementing partners are improving their joint supervision with HZMTs. However some HCs have not been supervised yet mainly because they are in far off areas and roads are bad.

Component C: Increased capacity of national health programs and provincial/district offices

Conduct workshops and meetings for the development of policy, especially for newborn care and integration of Zinc

X X Workshop on PNSR strategic plan will be supported next quarter

14


Provide technical assistance to 5th direction to develop a data bank system for sharing data among partners and MOH

X… 20% In progress with the collaboration of JHU experts

Provide technical assistance to 4th direction to reinforce the surveillance information system

X… 20% In progress with the collaboration of JHU experts. Workshop on tools revision will be supported and held in May.

Provide technical assistance to PEV on new vaccine integration and evaluation of the RED approach

X X X 40% In progress in collaboration with Basics JSI. The TA worked with PEV staff and participated in PEV national participation.

Install Data Dashboard at the central level X Expected to be effective soon.

Install and test servers for data bank at 5th direction and AXxes office X Expected to be effective soon.

Complete the last phase of leadership training with MSH X Completed in 1st quarter

Support the supervision of the MOH intermediate level by the central level selected directions and programs

X X X X 30%

Planning is being discussed with targeted programs and directions (PEV, PNSR, 5th direction, 4th direction, PNT). So far, The provincial Minister of Health and the MIP of Kasaï Oriental carried out a mission, supported by the COP, in Lodja to solve the problems of management of human resources at the HRG Lodja and the problem of displacement of BCZS at Vangakete.

Support provincial/district technical meetings (BTD,CPP,BTP) X X X X 30%

The annual reviews of Kasaï Occidental and Kasaï Oriental were supported financially and technically by the AXxes project. Haut Lomami BTD was also supported. The lack of initiative of some MIPs and MCDs is a big challenge.

Support Provincial and district teams to supervise quarterly X X X X 50%

Fiches techniques of supervision for Katanga Province and Kasai have been approved and financed. South Kivu and Kolwezi are less active in soliciting fund for activities.

Consortium and Project Management Functions Finalize/Approve year two work plan with USAID X… 100% Completed and waiting for feed back

Participate in quarterly meetings with implementing partners X X X X 100% As per program

Supervise AXxes implementing partner teams in field X X X X 80% Integrated and specific supervisions were with

different partners. Order equipment for year two X X 100% Completed Distribute procured project commodities X X X X 90% Distribution in progress

Submit quarterly program and financial reports X X X X 100% When required

Prepare Annual Program and Financial Reports X When required

Organize the audit Participate to MOH meetings including CCIA, GARSS, X X X X 100% Continuous - according to the schedule

Collaborate closely with UN agencies and other partners X X X X 100% In progress according to the schedule

Int'l Trip: Participation in GHC, CCIH & IMA Confs. X X

15

III. Commentary on Work Plan Activities Component A A.1 Increase access to HC and Reinforce referral system Instruct HC staff in correct use of curative care protocols (ordinogramme): In order to revitalize the Health Zones, effective integration of PMA (Paquet Minimum d’ Activités) is one of the key elements to improve quality of health care. Last year the training of trainers for PMA was completed and this quarter the training for the health workers at the health center level was conducted. There are still 11 more health zones in South Kivu that have not done the training. The purpose of the training is to improve skills and knowledge of ECZS (HZ team) so they can implement PMA in their HZ. The training covers the following themes:

• Diagnosis and treatment of transmissible diseases • Epidemiology survey • Nutrition • Hygiene, Water and Sanitation • Curative care • Clinical IMCI

Provide each HGR and HC with essential drugs: All the drugs ordered in year one are in country and most of it has been received by the depots. The request for drugs by the health zones was slow at the beginning but now 79% of the hospitals and 83% of the health zones have picked up at least one quarter’s worth of their credits (see the line of credit table in appendix 12 for details). So far only 5% of the anticipated cost recovery has been returned to the depots. Health zones ability to do cost recovery will be monitored and adjusted if needed. The ACT ordered for year one did not arrive until the end of January causing some disruption of activities. For year two the ACT order has been more than doubled and will be sent by air freight. It is estimated that the quantity will be sufficient to cover at least 50% of the malaria treatment needs in the health zones. An amendment to the drug waiver was submitted to USAID to cover medicines for the MOH’s new policies on STI and AMSTEL. There was quick approval for the waiver so the drug order is not held up this year. All of the year two drug order is placed and some of it is already on its way to Congo. Equip each HGR with HGR kits and surgical boxes: All the selected HGR have received Kits and Surgical boxes containing laparotomy, herniorraphy, caesarean and basic surgical boxes. The new zones in the Sankuru area are still in the process of receiving their kits because of the difficult logistics in this area. Provide each HC and HGR with care protocols: All HCs and HGRs have been provided with care protocols. Flowcharts were distributed in some structures after the HC staff training. Distribution is on-going and will be completed over the next quarter. More copies are being produced locally by the

16

implementing partners. The revised Newborn care protocol has been developed. Materials have been ordered and training is scheduled for May and June. Rehabilitate HGR and at least 3 new HC/ HZ (prioritizing maternities): 169 health facilities have been selected for rehabilitation. Just over half are complete or more than 50% finished. Most of the delays are in the Katanga and Kasai regions. Construction material for these areas has to come in by train or boat at great cost and loss of time. Where as cement was budgeted at $15 a sac it has risen to as high as $47.50 in the Malemba Nkulu area. Another delay has accrued because of lack of qualified contractors in some areas. Despite these challenges some remarkable transformations have been achieved.

Establish preferential tarification (pricing) for referred patients: The entire process to set up preferential and episodic prices has been slow. The majority of HZMTs are not motivated to apply the system because they think it will reduce monthly income and therefore decrease their salaries. The AXxes staff is working to show them that with increased utilization and subsidized medicines, they can

Table 3: Rehabilitation Progress % Completed # of Health

Facilities 100% 45 75% to 99% 19 50% to 74% 22 Less than 50% 83

Figure 1: Health Center of Cagala – HZ of Kaniola before and after renovation

Figure 3: Maternity of Narunanga-HZ of Lemera at the end of its repair, with active and effective participation of local community

Figure 3: Maternity of Narunanga-HZ of Lemera before renovation

17

maintain or maybe even increase their income when they reduce the cost to the patient. WV AXxes has discussed the issue with MIPs in Katanga and South Kivu, to put this as top priority on their agenda whenever they visit the project area and during supervision. The negotiations to set up preferential pricing are now conducted under the MIPs coordination in these regions.

Preferential prices are already implemented in Katana and Kalehe in South Kivu. Idjwi HZ has agreed to reduce the current prices by 50%. Doctor Consultation for an Adult will cost $1.50 instead of $3.00, and the Children will pay $1 instead of $2. In Katanga, Dilala HZ applies the preferential pricing for referred patients coming from GCM facilities. In Kanzenze, Walemba RHC agreed to reduce by 15% the rate for referred patients.

Establish episodic payment system: In South Kivu, the system is already implemented in many health zones; Haut-Lomami (9), North district (7). In Kasai there are two zones using payment by episode; Mutoto and Dibindi. In central Katanga the zones of Songa, Kitenge and Kayamba have began the strategy by fixing a tariff of $1.36 for adults at Songa and $1.45 in the two other Health Zones. For children, all three Health Zones fixed the tariff at $0.90. In Southern Katanga only Bunkeya has adopted the system. Some HZs in Katanga have been sampled to provide a picture of standards of prices in rural and urban HZs. This will constitute a basis for setting final episodic rates. The sampled HZs are Manika, Fungurume, Mutshatsha and Kanzenze. Negotiation with providers and stakeholders are in progress in the remaining HZs is providing supplies and drugs, it has been agreed that a revision of prices should be reviewed zone by zone. Each HZ has been tasked to discuss the issue with community members and analyze the situation in the area and give a proposition to the MIP. So far, only Miti-Murhesa and Kalehe have submitted their proposal.

In Kolwezi, a discussion has been conducted with MCZs. The agreement was to sample 4 HZs with a survey which will constitute the basis of standard of prices. There will be a price scale for rural and urban health areas. Instruct CODESAs in referral system: This will be done district by district when the referral system is in place. Results achieved in service utilization Two districts have met the year two target for service utilization but the others are lagging. Overall there was only a minor change since the first quarter of year two. This indicator might be heavily under reported however. The health center data reported here is 20% to 25% lower than what was found in the household study in June 2006. This could be due to people using health centers that are not reporting to the health zone office and health centers in the system under reporting their utilization to hide their true income. As the drugs become more available and the consultation prices drop, there should be improvement with this indicator.

18

Use of Health Services in Year 1 Compared to the First 2 Quarters of Year 2

0%

10%

20%

30%

40%

50%

60%

Bukavu Sud-KivuCentre

Sud-KivuOuest

Sud-Kivu Sud Sud-KivuNord

Kasai Occ Kasai Or Haut-Lomami Kolwezi Axxes

District/Province

Perc

enta

ge

Yr 1 Quarter 5 Quarter 6

A.2 Improved family planning quality services

Conduct workshops/meetings on policies or guidelines needing development or change: A lot of effort has been put into the family planning program. All the health zones from the first year have completed training, and the training of trainers for the six new zones in East Kasai was completed this quarter. All health zones have received posters and flip-charts on family planning.

Increase service delivery points providing FP counseling or services and Establish systematic counseling activities in each HC: There are 846 health centers with family planning services in AXxes. Some of them had stock outs of some contraceptives this quarter (most notably Depo-Provera) which is causing the program to not progress as well as it should. USAID supplies contraceptives to the project. The new stock is scheduled to come in soon. Most of the couple years of protection figures are coming from a handful of zones (see map in annex 2). Some areas, such as the Kolwezi and western South Kivu areas, do not

seemed to have adopted the idea of family planning. Extensive effort is needed to bring these areas up.

Figure 4: TOT Training in RH/FP at BIBANGA

19

Couple Years Protection

0

500

1000

1500

2000

2500


Sud-KivuOuest


Kasai Occ Kasai Or Haut-Lomami Kolwezi AxxesQuarterlyAverage

District/Province

Num

ber

Yr 1 Quarter 5 Quarter 6 Table 4: Result Achieved in Family Planning

Target Y2 Y2 Q1 Y2 Q2 Performance Indicator Annual Num Num Denom. % Couple years of protection (CYP) for FP 40 000 9890 9458 10000 95% Percent of Health center with Integrate Reproductive Health Services (RHS) and child spacing in their routine activities 969 864 864 969 89% Nbr people trained in (RH) Reproductive Health and Child Spacing / FP 456 0 685 150%

Number of individuals counseled on FP/RH 7% (107106) 35812 66575 248%

Number of people that have seen or heard a specific FP/RH message 40% (1457228) Will be estimated by survey

Number of service delivery points reporting stock-outs of any contraceptive commodity offered by the SDP at any time during the reporting period

< 5% (50) 86 124 969 13%

A.3 Improved reproductive heath and newborn services A.3.1 Birth Preparedness and maternity services Training for essential newborn care was incorporated into the reproductive health training, last year for 51 zones and this quarter for the six new zones. Messages for clean cord care, drying baby, keeping the

20

mother and infant warm (kangaroo), early/exclusive breastfeeding, and basic newborn resuscitation techniques where included. Provide the minimum package of activities for antenatal in each health center and outreach sites: IPT, iron and folic acid distribution are effectively implemented at almost all HCs. RPR tests are available and LLINs are regularly provided. IST drugs have been ordered and will come with the year two drugs. Almost all districts have met the year 2 target for antenatal visits at health centers.

Prenatal Care

0%

20%

40%

60%

80%

100%

120%


Sud-KivuOuest



Perc

enta

ge

District/ProvinceYr 1 Quarter 5 Quarter 6

Provide HC with ANC BCC materials for disseminating keys messages to pregnant women during ANC: A significant number of HCs already use flip charts to disseminate messages. Most are oriented towards nutrition during pregnancy, HIV prevention and family planning. Only a small proportion of women start the ANC attendance at the scheduled time of 6 weeks, however. Most pregnant women prefer to start at the 7th or 8th month so they miss getting the message when they need it.

Provide each maternity with birth kits, birth management tools and newborn care protocols: Birth management tools are available in all maternities. The new birth kits based on the newborn strategy are ordered. Some of the kits will be air freighted to avoid any more delays of this activity. The old newborn care protocols are still available in most maternities while the new protocols are awaited.

Promote postpartum/newborn visits in each maternity: This service is currently available everywhere but the attendance is poor. Out of 3 visits planned for this period, most of women only attend the 1st one. After sensitization, the rate of attendance at the 2nd visit increased in Minova and Katana. Many

21

women complain that the visits are useless because they are not provided with any medication for the newborn and in some places they have to pay for the visit. Negotiations are in progress to remove fees for postpartum visits. Discussions are also taking place with CODESA to raise their awareness of the benefits of postpartum visits. Table 5: Maternal and Newborn Care

Support VFR in ten 10 selected sites: The ten sites for VFR are now operational but only six have reported cases this quarter. Reports state that there are at least 60 women waiting for operations. The doctors are trained and the materials are available and a system is being put in place to subsidize the cost of the operation and care of the women. Immunization, including polio

Overall the vaccination coverage increased slightly, but not significantly, the second quarter of year two. One reason for the only modest gain was the stock out of vaccines and lack of vaccination material in the Kasais. In Lodja vaccine coverage decreased by half, from 70% to 36% and the HZ of Vangakete achieved a drop out rate of 71%. AXxes is working with PEV to help transport the vaccines where needed. Table 6: Immunizations

Target Y2 Y2 Q1 Y2 Q2 Performance Indicator Annual Num Num Denom. % Proportion of children receiving measles vaccination 90% (241973) 42822 54664 67214,72 81% DPT3 coverage 90% (241973) 51142 60646 67214,72 90% Percent of drop-out DPT1/DPT3 <10% 8506 2110 59172 3,57%

Performance Indicator Target Y2

Y2 Q1 Y2 Q2

Annual Num Num Denom. % Proportion births attended by skilled personnel 60% (174867) 43504 47021 72861 65% Rate / Number of antenatal care (ANC) visits 80% (233156) 60635 67383 72861 92% Percent of pregnant women received VAT2 or 5 doses of VAT 80% (233156) 44292 51950 72861 71% Rate of people beneficed a postpartum/newborn visits the next 3 days following delivery 60% (174867) 43504 47021 72861 65% Number of newborns receiving essential newborn care 60% (174867) 35165 40360 72861 55% Nbr of women receiving Active Management of the Third Stage of Labor (AMSTL) 60% (174867) 10422 17636 72861 24% Number of people trained in maternal / Newborn health through USG- supported programs 1482 0 2187 10%

Vaginal Fistula Repair ZS Q1 Q2 Ibanda (Panzi) 60 34 Tshikaji 25 12 Kabongo 0 27 Mulongo 0 12 Lubidi 0 8 Dibindi 0 3 Total 85 96

22

DTC3 Coverage

0%

20%

40%

60%

80%

100%

120%

140%


Sud-KivuOuest

Sud-KivuSud

Sud-KivuNord


District/Province

Perc

enta

ge


Proportion of Children Receiving Measles Vaccinations

0%

20%

40%

60%

80%

100%

120%


Sud-KivuOuest

Sud-KivuSud

Sud-KivuNord


District/Province

Pour

cent

age


23

Clinic IMCI Integrate Zinc in diarrhea treatment in the pilot health zones: The pilot activity related to the integration of zinc is continuing in 12 health zones. Zinc from UNICEF was supplied to the zones by HKI at the beginning and is now available at the depots for restocking. So far there has been a positive response from the community for the use of Zinc. An evaluation of the program is planned for third quarter. Table 7: Children correctly treated ARI and Diarrhea Performance Indicator Target Y2 Y2 Q1 Y2 Q2 Annual Num Num Denom. % Percent /Number of children under the age of five with ARI/pneumonia are cared for correctly by health structures following national policy 291446 56416 72700 72862 100% Percent /Number of children under the age of five with diarrheal illnesses are cared for correctly by health structures following national policy guidelines 291446 32923 30828 72862 42%

Integrate C-IMCI Train C- IMCI team: The integration of C-IMCI was conducted in 18 health zones this quarter. Training for the other zones is planned for next quarter.

This integration was achieved through the following process:

1. The TOT of C-IMCI HZ teams by national and provincial trainers: 54 people were trained comprising 18 MCZS, 18 IS SSP and 18 AC.

2. Training of the institutional RECO (community opinion leaders: priests, teachers, persons in

charge of women’s associations…) in the 18 HZs. This training was conducted by the C-IMCI teams of HZs under the supervision of the trainers of the national and provincial trainers. On the whole 1665 Institutional RECO and 331 health providers were trained.

3. At the end of this training the HZs worked out their communication plans and adopted key

practices for the beginning of the activity. 4. The next step will be the training of the voluntary community relays (Community Agent

dealing with one entity: village, households...) using the relay books and flip charts. This will result in the training of 7340 RECO or 20 RECO/health area. The relay book (the Ten Commandments) has been translated into 3 local languages: Tshiluba, Kilubakat and Tetela.

Efforts are underway in order to see how to provide sustainable solutions to the problems of incentives for the community relays and weak participation by women.

24

Development of Water Sources and Promotion of Hygiene and Sanitation Build or rehabilitate community water sources: The process of identification of sources is almost complete in most areas. This quarter 75 sources were rehabilitated. Construct incinerators at hospitals: Only 1 incinerator in the HZ of Bijombo was constructed this quarter. Identification and selection of qualified engineers is in process so that more incinerators can be constructed next quarter.

Construct latrines at health centers: So far 20 latrines were constructed with AXxes funds and almost 442 with the UNICEF funded “Village Assaini” project.

Maternal and young children nutrition including Micronutrient Activities related to Vitamin A: In the zones where routine Vitamin A distribution is being tested activities started off well in January but stock outs have caused a reduction in this activity. Vitamin A is being air freighted in to address the problem. Vitamin A campaigns are planned for the month of May in the other zones. AXxes distributed BCC materials for C-IMCI activities focused on the promotion of exclusive maternal breastfeeding, the appropriate complementary foods for infants, and the consumption of the adequate nutriments (vitamin A, iron, iodine). A more extensive nutrition education program is planned with HKI when funding from UNICEF is available. An independent ACF study financed by UNICEF confirmed the high malnutrition rates in the Malemba Nkuu area identified in the AXxes KPC study. AXxes is working with HKI and UNICEF to develop a program to address the problem. GBV Prevention interventions Reproduce and distribute key educational messages regarding the prevention of gender discrimination: AXxes has identified two local NGOs that are very active with GBV. CRS has started working with Centre Olame in South Kivu and ECC is working with FODESA in the Lodja area. The objective is to prevent and to reduce sexual violence to women by sensitizing the community and by

Figure 5: Women community relays building latrine sanplats after PHAST training

25

mobilizing local leaders and civil society organizations (administrative, military, and traditional). To help with this work, AXxes is developing appropriate IEC materials. ECC visited Lodja this quarter to organize the implementation of the GBV activities in the three health zones: Lodja, Omendjadi, and Vangakete The objectives of the mission were:

1. Share experiences with the NGO FODESA which works in the GBV area for a partnership “AXxes-FODESA” for the implementation of the GBV activities in the three health zones.

2. To conduct a focus group to detect the knowledge and practices of the target groups and to determine the extent of this problem.

3. To draft an action plan for the three health zones.

The main results of these focus groups were:

1. The majority of women are illiterate 2. Women work hard to provide for the needs of the family 3. Women do not understand the relationship between sequential and numerous pregnancies and

the fragility of their and their babies’ health 4. Women are reluctant to report acts of violence against them 5. Girls quit school very early 6. Girls are married precociously with the repercussion of several pregnancies at a young age 7. Men recognized acts of sexual violence in their basic communities, and they deplored the lack

of impunity 8. Men recognized the value of spacing of births 9. Men recognized the effects of poverty on behavior 10. Men were sorry for the attitudes of some parents who require goods when their children are

abused. An action plan is being worked out jointly with the FODESA in order to promote sensitizing against violence in the three Health Zones. This exercise will be expanded to all the health zones supported by ECC. AXxes is creating an information booklet for Community relays related to GBV. This module will be used to train the relays trained previously in C-IMCI. AXxes produced and distributed 4,750 t-shirts and 4235 hats with the message of prevention against sexual violence and family planning. The target was community leaders, relays, CODESA members, HZMT members.

Figure 6: Focus group on gender based violence organized at Lodja

26

Increase the participation of women among the village health activists and CODESA: CODESAs are active for 84% of the AXxes assisted health centers (see annex 11). Some HZMTs have done training of the CODESAs but the majority of the training is planned for next quarter. A part of the training involves convincing the CODESAs to have a representative number of women. Overall women make up 15% of the CODESAs. WV assisted zones have raised women participation to 30%. A.4 Reduce malaria in target population A.4.1 Improve malaria treatment at HC and HGR

Provide ACT to health zones: ACT is now available in the BDOM depot in Bukavu. The Kolwezi depot received a small amount in January and it is already finished. A shipment recently arrived in Kinshasa that will be sent to the Kasai and Kananga depots. Provide HGR and HC with other malaria drugs (quinine, Fansidar): Currently available in BDOM depot for South Kivu and small quantities are available in other depots. A large supply will be sent to the depots soon. It’s up to HCs to request what they need according to the drug management procedures. Improve laboratory capacity in diagnosing malaria including provision of laboratory supplies: Lab technicians were trained adequately last year. Laboratory supplies, like Giemsa solution and microscopes, have been received and the distribution is on going. Reinforce the use of Malaria care protocols: Malaria care protocols have been received by the partners and are being distributed. Develop communication program focused on home care, care seeking and recognition of signs of danger that include BCC materials and relay training: The training is not yet conducted but one of the key tools for communication, the “cahier de relai”, is about to be reproduced after the translation to Swahili is complete. This cahier contains messages with images covering many topics including EPI, nutrition, ANC, hygiene and sanitation. A.4.2 Improve and promote malaria prevention Provide IPT as part of FANC in each health center: IPT is systematically provided in almost all HCs. The first year’s supply of Fansidar was exhausted so AXxes has borrowed stock from the depots until the air shipment of CPN drugs arrives. There is much better reporting of this activity this quarter. Corrections were made in the database to reflect what is really happening in the zones.

Provide LLINs to HZs : All HZ received a stock of LLINS according the distribution plan based on current coverage. In South Kivu where the mass distribution to children just took place, the nets are reserved for pregnant women. The year two ITN order is scheduled to arrive in May. Diffuse keys messages on malaria through community relay: This activity will intensify after training of relays. In South Kivu, some posters displaying malaria protocols and how to use LLINs have been distributed in collaboration with PSI to Miti -Murhesa, Katana, Kalehe, Minova and Idjwi HZs.

27

Percentage of Women Receiving IPT

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%


Sud-KivuOuest



Perc

enta

ge

District/ProvinceYr 1 Quarter 5 Quarter 6

Table 8: Malaria Prevention Activities Performance Indicator Target Y2 Y2 Q1 Y2 Q2 Annual Num Num Denom. % Percent of pregnant women in targeted health zones receive IPT 80% (172070) 33518 32513 53772 60% Percent of pregnant women, received LLINs in targeted health zones 20% (43717) 3075 11185 54646 20% Percent of children under the age of five, received LLINs in targeted health zones 156283 11553 8132 39071 21%

A.5 Improve TB detection and treatment Train HZ teams in supervision of TB programs within the normal activities of the HZ and DOTS: Training has been conducted in all health zones. The overall detection rate for TB is 117% of the target for the year but it varies greatly between zones (see map in annex 7) Collaborate closely with the national program at the intermediate and central level to put in place or reinforce 3 geographically well distributed “Centre de Depistage et de Traitement (CDTs)” in each HZ: Selection has been done and microscopes have been received in all zones. As follow up to the evaluation done last quarter in the Malemba Nkulu area, the installation of a new coordination center has been established to train the health providers of the CDTs in how to make slides and follow up with treatment. In Kolwezi, WV

Figure 7: New microscopes distributer to CDTs

28

sponsored a workshop for data validation which gathered 25 staff comprised of MCZs, TB supervisor nurses, lab technician and the MID. Educate population about TB program and CB-DOTS through relays with BCC materials and via radio: This quarter WV took the opportunity of TB international day March 24 to collaborate with the provincial coordination offices in Kolwezi and South Kivu to broadcast some messages on TB on the radio and organize briefings for leaders in respective HZs. The other partners have been encouraged to take similar action. A.6 HIV/Aids (Blood safety and PMCT) A.6.1 Establish blood testing & grouping at HGRs & CSR Train HGRs & CSR Lab: Training for transfusion-transmissible infections, blood grouping, compatibility testing was done in the six new zones this quarter. All other zones were trained last year.

Provide HGR with adequate HIV, HBs, HCV et RPR and blood group tests, and transfusion supplies including refrigerator: Blood testing supplies are running low in some areas. The second year order was delayed as discussions with Blood Safety for Africa were conducted to determine what would be covered by which project. It has now been worked out and new supplies have been ordered. They will arrive by air freight within a month. Educate, motivate, recruit and retain low-risk blood donors, especially the volunteer non-remunerated blood donors from low-risk population: In Lubumbashi a coordinator for transfusion has been hired to train peer-recruiters who will be in charge of recruiting volunteer donors. Considerable effort has been made by certain health zones to use Community Relays to recruited donors. An example is the HZ of Mpokolo in Eastern Kasaï which recruited 15 voluntary donors this quarter. A.6.2 PMTCT In December the MOH took the first steps to adopt a triple therapy policy for PMTCT. AXxes delayed training with the old single therapy policy until it was clear what the government would be requiring. When it was clear that the MOH would not be requiring a change in approach in the near future and would only be piloting the new approach, AXxes decided to continue with the mono therapy in all sites except for the ones in lower South Kivu where AXxes will pilot the triple therapy system in collaboration with PNLS These decisions caused a two month delay in this activity but with some accelerated effort, the PMTCT program will be back on schedule by June. Currently there are 25 active PMTCT sites in eight health zones. These sites are supervised and mentored by eight PMTCT specialists that work in coordination with the regional coordination offices. In the third quarter, the training for an additional 49 sites will be undertaken for mono therapy and for 45 sites with triple therapy.

29

Table 9: PMTCT

IV. Commentary on Work Plan Activities Component B: Increased Capacity to the health zone and the referral system B.1 Improved HZ Planning, Governance, Transparency and Accountability Establish and reinforce M&E in Health Zone The statistical monitoring and evaluation of AXxes: The SNIS forms provided by the MOH and the supplemental information for project indicators developed by the AXxes M&E staff are the two tools used to monitor the project at this time. AXxes is working closely with the 5th direction team from MOH in developing an improved reporting system that is computerized at the zone level (GESIS). The new system incorporates the project indicators into the government system. In Kasaï Oriental the training of trainers in GESIS was carried out last quarter, the training at the HZMT level has not happened but ECC did training in Word, Excel and Power Point to improve statistical reporting. Training of trainers in Katanga and South Kivu in GESIS was done this quarter. Conduct monthly reviews by HZMTs with providers & COGE: Monthly reviews are systematically held. Attendants are MCZs, head nurses of health centers and CODESA presidents. This quarter’s agendas were about SNIS weaknesses, CODESA reactivation, forming C-IMCI committees and EPI performance. Reinforce HZ co management and community participation Conduct HZ Administrative Councils: These meetings are scheduled for next quarter in all AXxes assisted health zones.

Train and support NGOs in proposal development & management: (Promising Partners Grant)

Performance Indicator Y 1 Target Y2 Y2 Q1 Y2 Q2 Value Annual Num Num Denom. % Percent of blood transfusions tested for HIV and blood grouping 100% 100% 5416 6231 6017 104% Number of Health facilities with integrate PMTCT services in their routine activities (Cumulative) 10 120 12 12 Percent of pregnant women who benefited from counseling at the PMTCT Center 63000 810 6553 15750 42% Percent of pregnant women tested specifically for HIV 48000 810 4989 12000 42% Percent of pregnant women informed about their result 48000 810 4989 12000 42% Number of individuals who received counseling and testing for HIV and received their test results 600 48000 810 4989 12000 42% Number of pregnant women provided with a complete course of antiretroviral prophylaxis in a PMTCT setting 111 2000 0 23 500 5% Number of health workers trained in the provision of PMTCT services according to national and international standards 23 333

30

Meetings were held with the CTO this quarter to establish procedures and timeless for implementing this activity. Project AXxes implementing partners presented a collection of projects elaborated by local NGOS to impact health related objectives in supported HZs. Of those proposals, 8 were selected as having the essential NGO structure and activity proposal to warrant further development. Those submitting NGOS have been invited to Kinshasa where they will attend an AXxes sponsored workshop to further develop both the institutional aspect of their organization and the specific projects. The AXxes Grant Manager anticipates bringing 5-6 final proposals to the CTO and USAID health team for final approval in the next 2 weeks. B.2 Improved HZ support systems Build HZMTs capacity Improve drug supply management to reduce stock outs and track credit system: Permanent contact between the implementing partners and the depots is established to ensure that drug credit line works well. The challenge is to ensure each HC pays back a set percentage of cost recovery to the depot on a timely basis. MSH has developed a credit tracking program they call SULIC to track the credit system to the level of the health center. In South Kivu the health centers were demanding their next credit before settling for the first credit. Negotiations were done in South Kivu and it was agreed that each HC that has already done its first requisition must pay half of the money due to the depot before proceeding to make a new requisition. The same policy is being adopted at other depots. In Lodja a new depot was opened for the project. It is managed by the local NGO FODESA. With support from AXxes, FODESA rehabilitated a warehouse to become a drug depot. The AXxes Operations Manager trained their staff in the credit system and the drug management tools. On March 23 the FODESA depot started providing drugs for the AXxes zones in the area.

V. Commentary on Work Plan Activities Component: Increased capacity of national health programs and provincial/district offices

Figure 8: FODESA drug depot before and after renovation

31

Conduct workshops and meetings for the development of policy: No workshop or national meetings for development supported by AXxes were scheduled last quarter. However, contacts have been made with PNRS for the organization of a workshop on RH strategic plan. Assistance to 5th direction and 4th direction to develop a data bank system for sharing data among partners and MOH: The integration of GESIS in the provinces is still on-going. The four IPS and 13 districts have been provided with IT kits. AXxes supported the training in informatics for 4 people from IPS in Kananga. The purpose of the training was to prepare them to manage GESIS. The JHU experts are still configuring the server to be provided to 4th and 5th directions to allow them to share and to manage their data more efficiently from the field. In preparation for use of the server, Johns Hopkins’ technical experts provided an intensive training from January 18- January 22, 2008, in network administration to three technicians from MOH 5th Direction. These technicians will collaborate in the deployment of the dashboard at MOH. Discussions are in progress with the 4th direction to support a workshop on the revision of tools and forms. The workshop is scheduled for early May. Assistance to PEV: AXxes participated in the PEV workshop held in Matadi to evaluate the accomplishments of 2007 and to plan 2008 activities. The Basics/JSI expert also participated and has helped AXxes finalize the EPI sectorial plan and assisted the project in analyzing immunization data and setting strategies to address the issue of data quality in some areas where the project is operational. Support provincial/district technical meetings (BTD, CPP, BTP) and to supervise quarterly: AXxes supported the BTD and annual reviews for the districts and provinces of Kasai Occidental, Kasai oriental and South Kivu. All AXxes coordination offices participated regularly in the several meetings with other partners at the provincial and district levels such BTD, CCIA, ECP, “comité de pilotage”. The project also contributed in the organization of a workshop on adaptation of SNIS tools in KATANGA and provided technical and financial support to the TOT on SNIS /GESIS in KATANGA. The project AXxes provided IPs and districts with IT materials including a computer, a printer with high-capacity scanner and photocopier. Several joint supervisions were conducted this quarter. A Joint supervision by CRS/AXxes and the IPS of South Kivu was conducted from March 9th to March 13th. Four health zones were targeted: Uvira, Ruzizi, Lemera and Nundu. Results from this joint supervision were:

• 2007 action plan was evaluated based on results • 2007 narrative annual report and 2007 annual SNIS were available • 2008 action plan was drafted and available

Another Joint supervision CRS/AXxes and IPS (4th Bureau) on cholera was organized from January 19 to January 23 in order to standardize tools for data gathering at the CTC (Centre de Traitement de Cholera), and to calculate “seuils épidémiques” of cholera. The group visited the HZs of Ruzizi, Uvira, Nundu and Fizi- Baraka.

32

The Provincial Minister of Health and the MIP of Kasai Oriental supervised Lodja with the AXxes team to evaluate the new health zones in Sankuru and to resolve some conflicts that were hindering the project. These conflicts included:

• A conflict within the HGR Lodja that resulted in the MDH trained in fistula repair being replaced by a new doctor.

• An effort by administrative authorities to relocate the BCZS and HGR from Okolo to Otshudi in the HZ of Vangakete. Currently, the BCZS is functional at Osthudi while the HGR is still in Okolo because of lack of infrastructure.

While some districts are pro active in using component C support to organize and carry out their activities, other districts and provinces, such as the District of Kolwezi and IPS Katanga, have not taken advantage of the support. AXxes implementing partners are starting to be more proactive to push and stimulate the MOH supported structures to achieve all of their planned activities. Support the supervisions of the MOH intermediate level by the central level selected directions and programs: No visits were done by MOH experts because they were preparing the Annual review. PEV, PNSR and 5th direction are planning supervisions soon. Discussion is also going on with PNLS staff to start supervision as soon as the PMTCT program is developed in the zones. VI. Consortium and Project Management Participate in quarterly meeting with implementing partners: The second AXxes partner’s meeting for year two was held in Kinshasa from February 16 – February 17. This meeting focused on M&E system improvements and covered the following topics:

• Review of the last quarter report • Review of key indicators cluster by cluster to identify Health Zones with low performance,

analyze the causes of these low performances and discuss solutions • Analysis of the current M&E system and identification of weaknesses and strengths, as well

as an update of the M&E system • Planning the critical activities for the next quarter • Discussion about financial and logistics issues • Clarification of reporting needs for AXxes

Supervise AXxes implementing partner teams in field: Supervision visits were made to all coordination offices and in to several health zones. Shabunda, which is about 340km from Bukavu, was visited for the first time by the COP staff. A small plane was rented to conduct this joint supervision. All 20 Aires de Santé are functional but the team only visited the BCZ, HGR, and two health centers (Matili and Miswake). The health zone has been assisted by MSF-Hollande for ten years. They only work in seven health centers, however. Two new NGOs, FHI and CORDAID, intend to assist the health zone this coming year. Despite the

Figure 9: Discussion with the IT at the HC of Makili

33

geographical isolation, the following findings were encouraging: • Good internal organization within the ECZ and it seems that the MCZ/MDH know the HZ very

well (issues, strengths etc…..) • MDH trained in fistula repair • Regular supervision from the ECZ to HCs • The materials offered by the project are distributed to and available in the HCs • Availability of the medicines donated by MSF-Holland • Bed nets are available at the BCZ • Willingness and availability of local population to contribute to the repairs of HC in Matili and

Miswake • Good level of certain indicators such as: curative care (30%), DTC (95%), assisted births (67%)

and CPN (100%) • Regular “monthly review” with ITs in spite of the status of roads in the HZ • Partnership with FHI in road repair, construction of latrines / springs and bridge repair. Future

Opportunities for the HZ with CORDAID as new potential partner • Existing local association working with GBV

However, based on the findings the following points need to be improved and monitored: • Health workers not yet trained in PMA/C-IMCI because of non availability of IPS team • Stock out of kerosene for cold chain. UNICEF has always promised to provide this HZ but has

not been consistent • Action Plan for 2008 is not yet developed, as well as the CA has not yet been held • Rehabilitation activities not yet started despite the community mobilization and willingness

from the local population • Only two CSDT are functional

Health assessment by USAID

Teams from USAID (Health and HIV) carried out an assessment of their Health and HIV portfolio in February. The two objectives were to: (1) assess the technical, managerial, and programmatic fitness of the current health program and (2) present recommendations / orientations regarding technical, managerial and programmatic aspects for new programming purposes. While the objective of that visit was not to assess the projects funded by USAID, it was a great opportunity for them to visit some AXxes activities and/or achievements.

Main recommendations/findings from this visit:

• The overall implementation of the project is going well • Need a regular provincial meeting to set up a better internal coordination between INGOs

funded by USAID, and also for a better USAID visibility • Need to find a solution for helping “indigents” patients

Figure 10: Joint team visit of Bagira HGR

34

• Sensitization activities for Family Planning need to be improved and mainly focused on men

Distribute procured project commodities: The last remaining commodities from the year one order have come in and been distributed to implementing partners. Some of the air freighted items from year two have come in but most of them will be arriving in the third and fourth quart.

VII. Environment Impact Compliance This quarter, some actions were undertaken in specific sites to improve environmental compliance (see annex 13 for details): Site/facility Challenge Action Undertaken

CSR Manika

The facility is public and among the biggest Reference HC in the HZ. AXxes facilitated the enlargement of delivery room. It has good performances; utilization rate above 30 % and daily deliveries sometime exceed 100 cases. But the facility is beside a crowded market and it is not fenced and a full pit receives all kind of wastes

-BCCO (development project of world bank) committed to fund the fencing of the HC with 40,000 USD -AXxes participated by digging a fenced pit (in progress) -AXxes facilitated construction of incinerator.

CSR Walemba

Good performances (utilization rate and maternity). AXxes facilitated renovation of maternity and plans to use it as a PMTCT site. No toilet and no pit

- Digging of rubbish pit (in progress) - Construction of incinerator - Construction of latrines

HGR HPK The biggest hospital in Dilala. It belongs to GCM. But there were a lot of weeds and the old incinerator was broken down

-AXxes mobilized people and volunteers remove weeds. -Construction of incinerator

HGR Bunkeya

Big HGR belongs to catholic nuns. No rubbish ditch

-AXxes mobilized community to remove weeds - Construction of latrine and rubbish pit.

HGR Musthatsha

Big HGR in Mutshatsha. It belongs to SNCC but there was no rubbish ditch and medical waste management was a serious issue.

-Construction of ditches for rubbish at the level of CSR funded by AXxes - Construction of latrines .

HGR Lubudi

Big hospital belonging to private company CIMENKAT but there were no regulations for the medical waste management.

-AXxes supported briefing on the treatment of waste in the hospital, - Rehabilitated latrines.

CSR Dipeta Most important reference HC, community HC but there was no rubbish ditch

-Dug a rubbish pit lined with cement -Construction of latrines.

VIII. Security Report

1. Conference on Peace, Security and Development

There was no disruption of activities because of military actions in the area but North and South Kivu provinces still have serious security issues and permanent violence. In order to resolve this, the Conference on Peace, Security and Development was held in Goma from January 06 to January 23. Its major objectives were as follows:

• End the war and insecurity in North and South Kivu

35

• Set up durable peace and integral development in these two provinces

36

2. Earthquake in Bukavu

Collapsed building caused by the earthquake in Bukavu town

A powerful earthquake of 6.1 magnitude on the Richter’s scale and subsequent aftershocks hit South Kivu Province of DRC and western part of Rwanda in the morning (9.30 am) of Sunday 3 February; the epicenter of the earthquakes was close to the city of Bukavu (lies approximately 20 km north of the provincial capital, Bukavu, near the shores of lake Kivu, and a short distance from the airstrip of Kavumu). Aftershocks continued to be felt on Monday and Tuesday, 4 and 5 February and a series of successive replications were felt the following days. The Governor of South Kivu made public radio announcements instructing the population to remain in open spaces, outside buildings and houses. The population was requested to spend the night outdoors. The earthquake killed and injured many people and caused widespread structural damage in the affected areas including to homes, schools, hospitals and health centers: 250 buildings destroyed in Bukavu, Kabare, Walungu, Kalehe, Idjwi as well as 2052 other fissured ones; 56 damaged heath facilities in 8 HZ around Bukavu, in which 11 partially collapsed and are non operational1. Amongst those health facilities is the Maternity of Panzi Hospital (pictured below), which is one CRS/AXxes assisted facilities. Given the emergency and the partnership, CRS took the initiative to repair this facility with its own funding

1 Source : IPS (Inspection Provinciale de la Santé) - Bukavu

37

CRS staff accompanied by Dr Mukwege (Director of Panzi Hospital), assessing the Maternity damaged by the earthquake

IX. Program Performance Indicators Steady progress is being made in the project. Almost all the indicators went up this quarter. The extra effort in the central Katanga is paying off. The indicators in this area are approaching the targets. Now the problem area is the Kolwezi cluster in lower Katanga (see maps in annexes 2 through 7). The project is concentrating on lagging indicators so that by the end of year two AXxes will be performing well in all areas of the project.

38

ANNEX 1: PROJECT INDICATORS MCH PERFORMANCE INDICATOR ANNUAL

TARGET Y2

Y2 Q1

Y2 Q2

% of Target

1. Number of postpartum/newborn visits within 3 days of birth in USG-assisted programs

174,867 39888 44797 102%

2. Number of antenatal care (ANC) visits by skilled providers from USG-assisted facilities

233156 55252 67383 116%

3. Number of people trained in maternal/newborn health through USG-supported programs

1482 0

4. Number of deliveries with a skilled birth attendant (SBA) in USG-assisted programs

174,867 39888 44797 102%

5. Number of people trained in child health and nutrition through USG-supported health area programs

1,330 0

6. Number of women receiving Active Management of the Third Stage of Labor (AMSTL) through USG-supported programs

174,867 8,683 16173 37%

7. Number of newborns receiving antibiotic treatment for infection from appropriate health workers through USG-supported programs

13,115 1,169 2163 66%

8. Number of newborns receiving essential newborn care through USG-supported programs

174,887 32,452 38586 88%

9. Number of children reached by USG-supported nutrition programs 1,166,283 139,176 97175 33% 10. Number of cases of child pneumonia treated with antibiotics by trained facility or community health workers in USG-supported programs

366,446 52,267 71580 78%

11. Number of children less than 12 months of age who received DPT3 from USG-supported programs

241,973 51,142 60646 100%

12. Number of children under 5 years of age who received vitamin A from USG-supported programs

1,180,355 632,848

13. Number of cases of child diarrhea treated in USAID-assisted programs 291,423 30,761 29877 93%

FAMILY PLANNING PERFORMANCE INDICATOR ANNUAL TARGET

Y2 Y2 Q1 Y2 Q2 % of

Target

1. Couple years of protection (CYP) in USG-supported programs 40,000 7,231 9415 94% 2. Number of people trained in FP/RH with USG funds 456 0

Female 23,419 36872 Male 12,393 29267

3. Number of counselling visits for Family Planning/Reproductive Health as a result of USG assistance (Number of individuals counselled on FP/RH is not a standard indicator) 107,106 35,812 66139

62%

4. Number of people that have seen or heard a specific USG-supported FP/RH message

1,457,228 To be

determined by LQAS

5. Number of policies or guidelines developed or changed with USG assistance to improve access to and use of FP/RH services

TBD 0

6. Number of new approaches successfully introduced through USG-supported programs

2 1

7. Number of USG-assisted service delivery points providing FP counseling or services

969 864 864 89%

9. Number of service delivery points reporting stock-outs of any contraceptive commodity offered by the SDP

< 50 86 124 13%

39

MALARIA PERFORMANCE INDICATOR ANNUAL

TARGET Y2

Y2 Q1 Y2 Q2 % of Target

1. Number of ITNs distributed that were purchased or subsidized with USG support

180,000 14,628 11127 25%

2. Number of medical and para-medical practitioners trained in evidence-based clinical guidelines

1,330 0

3. Monitoring Plan developed 1 1 0 4. Training in Monitoring and Evaluation 1,330 0 0 5. Number of service delivery points reporting stock-outs of any commodity offered by the SDP

< 50 NA NA

TB PERFORMANCE INDICATOR ANNUAL

TARGET Y2

Y2 Q1 Y2 Q2 % of Target

1. Case notification rate in new sputum smear positive pulmonary TB cases in USG-supported areas

8,743 2,115 2549 117%

2. Percent of USG-supported laboratories performing TB microscopy with over 95% correct microscopy results*

70 124

* Estimated and needs to be verified

40

ANNEX 2 : MAP OF COUPLE YEARS PROTECTION

Dekese

Moba

Sakania

Pweto

Sandoa

Kilwa

Songa

Kinda

Kiyambi

Nyunzu

Kabalo

Punia

Dilolo

KailoLomela

Kalemie

Tunda

Minga

Kapanga

Kaniama

Kindu

Lubudi

Lubao

Kibombo

Ankoro

Lubutu

Mitwaba

Kongolo

Tshudi Loto

Kalamba

Pangi

Kansimba

Nyemba

Kalole

Kitenge

Kamana

Kasenga

Kasaji-Kisenge

SambaMikope

Fizi

Kabambare

Kitangwa

Djalo Djeka

Kabinda

Kamina

Kafakumba

Kabongo

Bena Dibele

Alunguli

Manika

Kunda

Mushenge

Katako Kombe

Mutshatsha

Kole

Mulungu

Bulape

Luebo

Mufunga-Sampwe

Kikula

Kinkondja

Mulongo

Lukafu

Yangala

Kayamba

Lulingu

Tshofa

Nyanga

Bunkeya

Bukama

Kalima

Lusambo

Dilala

Luambo

Lualaba

Mwetshi

Manono

Obokote

Lusangi

Mutena

KipushiKilala Balanda

Demba

Kambove

Luiza

Kitutu

FungurumeKanzenze

Kalenda

Lodja

Kamonia

Butumba

Vangakete

Kankenge

Shabunda

Kasongo

Pania Mutombo Mbulula

Lwamba

Katende

Kamwesha

Itombwe

Luputa

Benaleka

Ndekesha

Sarambila

Lubunga

Banga Lubaka

Ferekeni

Mweka

Tshibala

Kampene

Mukanga

Kamiji

Kimbi Lulenge

Mutoto

Kabondo-Dianda

Nundu

Maswika

Kafubu

Mikalayi

Mwenga

Ndjoko Punda

Kalonda Ouest

Wembo-Nyama

BunyaKiri

Malemba-Nkulu

Kapolowe

Lubondayi

Omondjadi

Kalomba

Miabi

Kanda-Kanda

Bibanga

Ludimbi LukulaBilomba

Kamituga

TshikulaTshitshimbi

Minembwe

Kaniola

Uvira

Ilebo

Kalambayi Kabanga

Dibaya

Kamina Base

Tshilenge

Panda

Bunkonde

Likasi

BijomboRuzizi

Gandajika

Rwashi

Kisanga

Kabeya-Kamwanga

Kalonge

Kasansa

Kanzala

Dikungu Tshumbe

Lemera

Minova

Mwana

Mumbunda

Tshilundu

IdjwiKalehe

Kabare

MukumbiTshikapa

Walungu

Wikong

Mubumbano

Makota

Tshikaji

Katana

Ndesha

Nyangezi

Baka FAC

Dibindi

Lukonga

Tshitenge

Katuba

Mulumba

Tshamilemba

Miti-Murhesa

Kaziba

Vangu FAC

Nyantende

TchomiaKibwa

Kasai-Or

Kasai-Oc

Katanga

Sud-Kivu

Maniema

Couple Year Protection in HZs Assisted by AXxes (Year 2 Quarter 2)

HZs non assisted by AXxesLess than 100> 100 to 175More than 175

41

ANNEX 3 : MAP OF ASSISTED BIRTHS

Dekese

Moba

Sakania

Pweto

Sandoa

Kilwa

Songa

Kinda

Kiyambi

Nyunzu

Kabalo

Punia

Dilolo

KailoLomela

Kalemie

Tunda

Minga

Kapanga

Kaniama

Kindu

Lubudi

Lubao

Kibombo

Ankoro

Lubutu

Mitwaba

Kongolo

Tshudi Loto

Kalamba

Pangi

Kansimba

Nyemba

Kalole

Kitenge

Kamana

Kasenga

Kasaji-Kisenge

SambaMikope

Fizi

Kabambare

Kitangwa

Djalo Djeka

Kabinda

Kamina

Kafakumba

Kabongo

Bena Dibele

Alunguli

Manika

Kunda

Mushenge

Katako Kombe

Mutshatsha

Kole

Mulungu

Bulape

Luebo

Mufunga-Sampwe

Kikula

Kinkondja

Mulongo

Lukafu

Yangala

Kayamba

Lulingu

Tshofa

Nyanga

Bunkeya

Bukama

Kalima

Lusambo

Dilala

Luambo

Lualaba

Mwetshi

Manono

Obokote

Lusangi

Mutena


Demba

Kambove

Luiza

Kitutu

FungurumeKanzenze

Kalenda

Lodja

Kamonia

Butumba

Vangakete

Kankenge

Shabunda

Kasongo


Lwamba

Katende

Kamwesha

Itombwe

Luputa

Benaleka

Ndekesha

Sarambila

Lubunga

Banga Lubaka

Ferekeni

Mweka

Tshibala

Kampene

Mukanga

Kamiji

Kimbi Lulenge

Mutoto

Kabondo-Dianda

Nundu

Maswika

Kafubu

Mikalayi

Mwenga

Ndjoko Punda

Kalonda Ouest

Wembo-Nyama

BunyaKiri

Malemba-Nkulu

Kapolowe

Lubondayi

Omondjadi

Kalomba

Miabi

Kanda-Kanda

Bibanga


Kamituga

TshikulaTshitshimbi

Minembwe

Kaniola

Uvira

Ilebo

Kalambayi Kabanga

Dibaya

Kamina Base

Tshilenge

Panda

Bunkonde

Likasi

BijomboRuzizi

Gandajika

Rwashi

Kisanga

Kabeya-Kamwanga

Kalonge

Kasansa

Kanzala

Dikungu Tshumbe

Lemera

Minova

Mwana

Mumbunda

Tshilundu

IdjwiKalehe

Kabare

MukumbiTshikapa

Walungu

Wikong

Mubumbano

Makota

Tshikaji

Katana

Ndesha

Nyangezi

Baka FAC

Dibindi

Lukonga

Tshitenge

Katuba

Mulumba

Tshamilemba

Miti-Murhesa

Kaziba

Vangu FAC

Nyantende

TchomiaKibwa

Kasai-Or

Kasai-Oc

Katanga

Sud-Kivu

Maniema

Birth by Skilled persons in HZs Assisted by AXxes (Year 2 Quarter 2)

More than 60%> 50% to 60% Less than 50%HZs non assisted by AXxes

42

ANNEX 4 : MAP OF PRENATAL CARE

More than 80%> 60% to 80% Less than 60%No Data for ECC extended and Merlin HZsHZs non assisted by AXxes

ANC Rate in HZs Assisted by AXxes (Year 2 Quarter 2)

Dekese

Moba

Sakania

Pweto

Sandoa

Kilwa

Songa

Kinda

Kiyambi

Nyunzu

Kabalo

Punia

Dilolo

KailoLomela

Kalemie

Tunda

Minga

Kapanga

Kaniama

Kindu

Lubudi

Lubao

Kibombo

Ankoro

Lubutu

Mitwaba

Kongolo

Tshudi Loto

Kalamba

Pangi

Kansimba

Nyemba

Kalole

Kitenge

Kamana

Kasenga

Kasaji-Kisenge

SambaMikope

Fizi

Kabambare

Kitangwa

Djalo Djeka

Kabinda

Kamina

Kafakumba

Kabongo

Bena Dibele

Alunguli

Manika

Kunda

Mushenge

Katako Kombe

Mutshatsha

Kole

Mulungu

Bulape

Luebo

Mufunga-Sampwe

Kikula

Kinkondja

Mulongo

Lukafu

Yangala

Kayamba

Lulingu

Tshofa

Nyanga

Bunkeya

Bukama

Kalima

Lusambo

Dilala

Luambo

Lualaba

Mwetshi

Manono

Obokote

Lusangi

Mutena


Demba

Kambove

Luiza

Kitutu

FungurumeKanzenze

Kalenda

Lodja

Kamonia

Butumba

Vangakete

Kankenge

Shabunda

Kasongo


Lwamba

Katende

Kamwesha

Itombwe

Luputa

Benaleka

Ndekesha

Sarambila

Lubunga

Banga Lubaka

Ferekeni

Mweka

Tshibala

Kampene

Mukanga

Kamiji

Kimbi Lulenge

Mutoto

Kabondo-Dianda

Nundu

Maswika

Kafubu

Mikalayi

Mwenga

Ndjoko Punda

Kalonda Ouest

Wembo-Nyama

BunyaKiri

Malemba-Nkulu

Kapolowe

Lubondayi

Omondjadi

Kalomba

Miabi

Kanda-Kanda

Bibanga


Kamituga

TshikulaTshitshimbi

Minembwe

Kaniola

Uvira

Ilebo

Kalambayi Kabanga

Dibaya

Kamina Base

Tshilenge

Panda

Bunkonde

Likasi

BijomboRuzizi

Gandajika

Rwashi

Kisanga

Kabeya-Kamwanga

Kalonge

Kasansa

Kanzala

Dikungu Tshumbe

Lemera

Minova

Mwana

Mumbunda

Tshilundu

IdjwiKalehe

Kabare

MukumbiTshikapa

Walungu

Wikong

Mubumbano

Makota

Tshikaji

Katana

Ndesha

Nyangezi

Baka FAC

Dibindi

Lukonga

Tshitenge

Katuba

Mulumba

Tshamilemba

Miti-Murhesa

Kaziba

Vangu FAC

Nyantende

TchomiaKibwa

Kasai-Or

Kasai-Oc

Katanga

Sud-Kivu

Maniema

43

ANNEX 5 : MAP OF DPT3 COVERAGE

HZs non assisted by AXxesLess than 70%> 70% to 90% More than 90%

DPT3 Rate in HZs Assisted by AXxes (Year 2 Quarter2)

Dekese

Moba

Sakania

Pweto

Sandoa

Kilwa

Songa

Kinda

Kiyambi

Nyunzu

Kabalo

Punia

Dilolo

KailoLomela

Kalemie

Tunda

Minga

Kapanga

Kaniama

Kindu

Lubudi

Lubao

Kibombo

Ankoro

Lubutu

Mitwaba

Kongolo

Tshudi Loto

Kalamba

Pangi

Kansimba

Nyemba

Kalole

Kitenge

Kamana

Kasenga

Kasaji-Kisenge

SambaMikope

Fizi

Kabambare

Kitangwa

Djalo Djeka

Kabinda

Kamina

Kafakumba

Kabongo

Bena Dibele

Alunguli

Manika

Kunda

Mushenge

Katako Kombe

Mutshatsha

Kole

Mulungu

Bulape

Luebo

Mufunga-Sampwe

Kikula

Kinkondja

Mulongo

Lukafu

Yangala

Kayamba

Lulingu

Tshofa

Nyanga

Bunkeya

Bukama

Kalima

Lusambo

Dilala

Luambo

Lualaba

Mwetshi

Manono

Obokote

Lusangi

Mutena


Demba

Kambove

Luiza

Kitutu

FungurumeKanzenze

Kalenda

Lodja

Kamonia

Butumba

Vangakete

Kankenge

Shabunda

Kasongo


Lwamba

Katende

Kamwesha

Itombwe

Luputa

Benaleka

Ndekesha

Sarambila

Lubunga

Banga Lubaka

Ferekeni

Mweka

Tshibala

Kampene

Mukanga

Kamiji

Kimbi Lulenge

Mutoto

Kabondo-Dianda

Nundu

Maswika

Kafubu

Mikalayi

Mwenga

Ndjoko Punda

Kalonda Ouest

Wembo-Nyama

BunyaKiri

Malemba-Nkulu

Kapolowe

Lubondayi

Omondjadi

Kalomba

Miabi

Kanda-Kanda

Bibanga


Kamituga

TshikulaTshitshimbi

Minembwe

Kaniola

Uvira

Ilebo

Kalambayi Kabanga

Dibaya

Kamina Base

Tshilenge

Panda

Bunkonde

Likasi

BijomboRuzizi

Gandajika

Rwashi

Kisanga

Kabeya-Kamwanga

Kalonge

Kasansa

Kanzala

Dikungu Tshumbe

Lemera

Minova

Mwana

Mumbunda

Tshilundu

IdjwiKalehe

Kabare

MukumbiTshikapa

Walungu

Wikong

Mubumbano

Makota

Tshikaji

Katana

Ndesha

Nyangezi

Baka FAC

Dibindi

Lukonga

Tshitenge

Katuba

Mulumba

Tshamilemba

Miti-Murhesa

Kaziba

Vangu FAC

Nyantende

TchomiaKibwa

Kasai-Or

Kasai-Oc

Katanga

Sud-Kivu

Maniema

44

ANNEX 6 : MAP OF IPT COVERAGE

More than 80%> 60% to 80% Less than 60%HZs non assisted by AXxes

IPT Rate in HZs Assisted by AXxes (Year 2 Quarter 2)

Dekese

Moba

Sakania

Pweto

Sandoa

Kilwa

Songa

Kinda

Kiyambi

Nyunzu

Kabalo

Punia

Dilolo

KailoLomela

Kalemie

Tunda

Minga

Kapanga

Kaniama

Kindu

Lubudi

Lubao

Kibombo

Ankoro

Lubutu

Mitwaba

Kongolo

Tshudi Loto

Kalamba

Pangi

Kansimba

Nyemba

Kalole

Kitenge

Kamana

Kasenga

Kasaji-Kisenge

SambaMikope

Fizi

Kabambare

Kitangwa

Djalo Djeka

Kabinda

Kamina

Kafakumba

Kabongo

Bena Dibele

Alunguli

Manika

Kunda

Mushenge

Katako Kombe

Mutshatsha

Kole

Mulungu

Bulape

Luebo

Mufunga-Sampwe

Kikula

Kinkondja

Mulongo

Lukafu

Yangala

Kayamba

Lulingu

Tshofa

Nyanga

Bunkeya

Bukama

Kalima

Lusambo

Dilala

Luambo

Lualaba

Mwetshi

Manono

Obokote

Lusangi

Mutena


Demba

Kambove

Luiza

Kitutu

FungurumeKanzenze

Kalenda

Lodja

Kamonia

Butumba

Vangakete

Kankenge

Shabunda

Kasongo


Lwamba

Katende

Kamwesha

Itombwe

Luputa

Benaleka

Ndekesha

Sarambila

Lubunga

Banga Lubaka

Ferekeni

Mweka

Tshibala

Kampene

Mukanga

Kamiji

Kimbi Lulenge

Mutoto

Kabondo-Dianda

Nundu

Maswika

Kafubu

Mikalayi

Mwenga

Ndjoko Punda

Kalonda Ouest

Wembo-Nyama

BunyaKiri

Malemba-Nkulu

Kapolowe

Lubondayi

Omondjadi

Kalomba

Miabi

Kanda-Kanda

Bibanga


Kamituga

TshikulaTshitshimbi

Minembwe

Kaniola

Uvira

Ilebo

Kalambayi Kabanga

Dibaya

Kamina Base

Tshilenge

Panda

Bunkonde

Likasi

BijomboRuzizi

Gandajika

Rwashi

Kisanga

Kabeya-Kamwanga

Kalonge

Kasansa

Kanzala

Dikungu Tshumbe

Lemera

Minova

Mwana

Mumbunda

Tshilundu

IdjwiKalehe

Kabare

MukumbiTshikapa

Walungu

Wikong

Mubumbano

Makota

Tshikaji

Katana

Ndesha

Nyangezi

Baka FAC

Dibindi

Lukonga

Tshitenge

Katuba

Mulumba

Tshamilemba

Miti-Murhesa

Kaziba

Vangu FAC

Nyantende

TchomiaKibwa

Kasai-Or

Kasai-Oc

Katanga

Sud-Kivu

Maniema

45

ANNEX 7 : MAP OF TUBERCULOSIS DETECTION RATE

Dekese

Moba

Sakania

Pweto

Sandoa

Kilwa

Songa

Kinda

Kiyambi

Nyunzu

Kabalo

Punia

Dilolo

KailoLomela

Kalemie

Tunda

Minga

Kapanga

Kaniama

Kindu

Lubudi

Lubao

Kibombo

Ankoro

Lubutu

Mitwaba

Kongolo

Tshudi Loto

Kalamba

Pangi

Kansimba

Nyemba

Kalole

Kitenge

Kamana

Kasenga

Kasaji-Kisenge

SambaMikope

Fizi

Kabambare

Kitangwa

Djalo Djeka

Kabinda

Kamina

Kafakumba

Kabongo

Bena Dibele

Alunguli

Manika

Kunda

Mushenge

Katako Kombe

Mutshatsha

Kole

Mulungu

Bulape

Luebo

Mufunga-Sampwe

Kikula

Kinkondja

Mulongo

Lukafu

Yangala

Kayamba

Lulingu

Tshofa

Nyanga

Bunkeya

Bukama

Kalima

Lusambo

Dilala

Luambo

Lualaba

Mwetshi

Manono

Obokote

Lusangi

Mutena


Demba

Kambove

Luiza

Kitutu

FungurumeKanzenze

Kalenda

Lodja

Kamonia

Butumba

Vangakete

Kankenge

Shabunda

Kasongo


Lwamba

Katende

Kamwesha

Itombwe

Luputa

Benaleka

Ndekesha

Sarambila

Lubunga

Banga Lubaka

Ferekeni

Mweka

Tshibala

Kampene

Mukanga

Kamiji

Kimbi Lulenge

Mutoto

Kabondo-Dianda

Nundu

Maswika

Kafubu

Mikalayi

Mwenga

Ndjoko Punda

Kalonda Ouest

Wembo-Nyama

BunyaKiri

Malemba-Nkulu

Kapolowe

Lubondayi

Omondjadi

Kalomba

Miabi

Kanda-Kanda

Bibanga


Kamituga

TshikulaTshitshimbi

Minembwe

Kaniola

Uvira

Ilebo

Kalambayi Kabanga

Dibaya

Kamina Base

Tshilenge

Panda

Bunkonde

Likasi

BijomboRuzizi

Gandajika

Rwashi

Kisanga

Kabeya-Kamwanga

Kalonge

Kasansa

Kanzala

Dikungu Tshumbe

Lemera

Minova

Mwana

Mumbunda

Tshilundu

IdjwiKalehe

Kabare

MukumbiTshikapa

Walungu

Wikong

Mubumbano

Makota

Tshikaji

Katana

Ndesha

Nyangezi

Baka FAC

Dibindi

Lukonga

Tshitenge

Katuba

Mulumba

Tshamilemba

Miti-Murhesa

Kaziba

Vangu FAC

Nyantende

TchomiaKibwa

Kasai-Or

Kasai-Oc

Katanga

Sud-Kivu

Maniema

TB Detection Rate in HZs Assisted by AXxes (Year 2 Quarter 2)

<75% to 100%> 50% to 75% Less than 50%HZs non assisted by AXxes

More than 100%

46

ANNEX 8: HEALTH FACILITIES SCHEDULED FOR REHABILITATION

Health Facilities Scheduled for Rehabilitation

Provence District Health Zone Partner Structure Name %

complete S. Kivu Sud Uvira CRS CS Kavimvira 100% S. Kivu Sud Uvira CRS CS Kalundu Etat 100% S. Kivu Sud Uvira CRS CS Kalundu Cepac 100% S. Kivu Sud Ruzizi CRS CS SangeEtat 100% S. Kivu Sud Ruzizi CRS CS Mutarule Maternite 100% S. Kivu Sud Ruzizi CRS CS SangeEtat Maternite 100% S. Kivu Sud Lemera CRS HGR Bloc Echo/Radiographie 100% S. Kivu Sud Lemera CRS CS Kagaragara 100% S. Kivu Sud Lemera CRS CS Narunanga 100% S. Kivu Ouest Mwenga CRS CS Sungwe 100% S. Kivu Bukavu Bagira CRS HGR Bagira Maternite 100% S. Kivu Centre Walungu CRS CS Walungu 100% S. Kivu Centre Walungu CRS CS Lurhala 100% S. Kivu Bukavu Kadutu CRS CS Nyamululagira 100% S. Kivu Bukavu Kadutu CRS CS CecaMweze 100% S. Kivu Bukavu Kadutu CRS CS Ciriri Maternite 100% S. Kivu Centre Mubumbano CRS CS HGR Maternite 100% S. Kivu Centre Mubumbano CRS CS Cihusi 100% S. Kivu Centre Mubumbano CRS CS Ibula 100% S. Kivu Centre Mwana CRS CS Buhamba 100% S. Kivu Centre Mwana CRS CS Kakwende 100% S. Kivu Ouest Kitutu CRS CS Kakenemge 100% S. Kivu Sud Nundu CRS CS Maternite Swima 95% S. Kivu Ouest Kamituga CRS HGR Pediatrie Urgences 90% S. Kivu Ouest Kamituga CRS CS Kele Sidem 90% S. Kivu Ouest Kamituga CRS CS Kimbaguiste 90% S. Kivu Centre Kaniola CRS CS Cagala 70% S. Kivu Centre Nyangezi CRS HGR Nyangezi 60% S. Kivu Sud Hauts Plateaux CRS CS Mugogo 20% S. Kivu Sud Hauts Plateaux CRS CS Kitoga 20% S. Kivu Bukavu Ibanda CRS CS Ceca Nguba 20% S. Kivu Ouest Kitutu CRS HGR Kitutu 20% S. Kivu Ouest Kitutu CRS BCZS BczsKitutu 20% S. Kivu Ouest Kitutu CRS BCZS Cobader - Mitobo 20% S. Kivu Ouest Shabunda CRS CS Miswaki 20% S. Kivu Ouest Shabunda CRS CS Kasa 20% S. Kivu Sud Nundu CRS CS Kaboke II 0% S. Kivu Sud Hauts Plateaux CRS CS Katanga 0% S. Kivu Ouest Mwenga CRS CS Kitamba 0% S. Kivu Ouest Mwenga CRS CS Iganda 0% S. Kivu Centre Kaziba CRS CS Ngali 0% S. Kivu Centre Kaziba CRS CS Kafinjo 0% S. Kivu Bukavu Ibanda CRS CS Ch Cahi 0% S. Kivu Bukavu Bagira CRS CS Cigurhi 0%

47

S. Kivu Centre Nyangezi CRS CS Kalunga 0% S. Kivu Ouest Kalole CRS HGR Maternite 0% S. Kivu Ouest Lulingu CRS CS Lolo 0% S. Kivu Ouest Lulingu CRS CS Milenda 0% S. Kivu Ouest Lulingu CRS CS Nduma 0% S. Kivu Ouest Mulungu CRS CS Nzovu 0% S. Kivu Ouest Mulungu CRS CS Kolula 0% S. Kivu Ouest Mulungu CRS HGR Mulungu 0% S. Kivu Ouest Shabunda CRS CS Byankungu 0% KOC Kga Tshikaji ECC HGR Pavillon Matern/pédiatrie 100% KOC Kga Tshikaji ECC CS Mamu Mwilu 100% KOC Kga Tshikaji ECC CS Mbumba 100% KOC Kasai Bulape ECC HGR Pavillon maternité 100% KOC Kasai Bulape ECC CS Yolo 100% KOC Kasai Bulape ECC CS Mbelo 100% KOC Lulua Mutoto ECC HGR Pavillon maternité 100% KOC Lulua Lubondai ECC HGR Pavillon maternité 100% KOC Lulua Lubondai ECC CS Dibwe dieto 100% KOC Lulua Lubondai ECC CS Katambwe 100% KOR Tshilenge Bibanga ECC HGR Pavillon maternité 100% KOR Tshilenge Bibanga ECC CS Lukangu 100% KOR Tshilenge Bibanga ECC CS Viens et Vois Katanda 100% KOR Mbuji Mayi Mpokolo ECC CSR/HGR Pavillon maternité 100% KOR Mbuji Mayi Mpokolo ECC CSR/HGR Pavillon maternité 100% KOR Mbuji Mayi Dibindi ECC HGR Dibindi / Hopital 80% Katanga H-Lomami Kinkondja ECC CS Kipamba II 80% Katanga H-Lomami Kinkondja ECC CS Masangu 80% Katanga H-Lomami Songa ECC HGR Pavillon maternité 75% Katanga H-Lomami Kabongo ECC HGR Batiment 75% Katanga H-Lomami Kabongo ECC CS Lwakidi 70% Katanga H-Lomami Kitenge ECC HGR Bâtiment Péd. + Mat. 70% KOR Mbuji Mayi Mpokolo ECC CHR/HGR Pavillon BC 60% Katanga H-Lomami Kayamba ECC CSR Kamayi 60% Katanga H-Lomami Songa ECC CS Samba 60% Katanga H-Lomami Malemba-Nkulu ECC HGR 3 bâtiments 60% Katanga H-Lomami Malemba-Nkulu ECC CS Kabonsa 60% Katanga H-Lomami Malemba-Nkulu ECC CS Mutombo Lupichi 60% Katanga H-Lomami Mukanga ECC HGR Pavillon maternité 60% Katanga H-Lomami Kabongo ECC CS Kyondo 60% Katanga H-Lomami Mulongo ECC CSR Kabamba 50% Katanga H-Lomami Mulongo ECC CS Ngoya 50% Katanga H-Lomami Kayamba ECC Maternité Kamayi 45% Katanga H-Lomami Kitenge ECC CS Bekisha 20% KOC Kga Tshikaji ECC CS Katumba 0% KOC Kga Tshikaji ECC CS Salongo 0% KOC Kasai Bulape ECC CS Mpata Mbamba 0% KOC Kasai Bulape ECC CS Bulape II 0% KOC Lulua Lubondai ECC CS Minkulumbu 0%

48

KOC Lulua Lubondai ECC CS Lubondai II 0% KOR Tshilenge Bibanga ECC HGR Pavillon Hopital 0% KOR Tshilenge Bibanga ECC CS Manja 0% KOR Sankuru Lodja ECC HGR Batiment 0% KOR Sankuru Lodja ECC CS Elonge 0% KOR Sankuru Lusambo ECC HGR Maternité 0% KOR Sankuru Lusambo ECC CSM Tshileta 0% KOR Sankuru Lusambo ECC CS Bakuambumba 0% KOR Sankuru Omendjadi ECC HGR/CHR Hiambe 0% KOR Sankuru Omendjadi ECC CS Ovomahoma 0% KOR Sankuru Pania Mutombo ECC HGR/CHR Pavillon Hôpital 0% KOR Sankuru Pania Mutombo ECC BCZ BCZ 0% KOR Sankuru Vanga Kete ECC HGR/CHR Utshudi 0% KOR Sankuru Vanga Kete ECC CS Asuku 0% Katanga H-Lomami Mulongo ECC CS Mpemba 0% Katanga H-Lomami Mulongo ECC CS Bukena 0% Katanga H-Lomami Kayamba ECC HGR/CSR Bâtiment 0% Katanga H-Lomami Kayamba ECC CS Kibila 0% Katanga H-Lomami Kayamba ECC CS Kafuku 0% Katanga H-Lomami Lwamba ECC HGR 0% Katanga H-Lomami Lwamba ECC CS Kyapwa 0% Katanga H-Lomami Lwamba ECC CS Lubinda 0% Katanga H-Lomami Lwamba ECC CS Kabumbulu 0% Katanga H-Lomami Lwamba ECC CS Mbanza Mbuyu 0% Katanga H-Lomami Songa ECC CS Muleba 0% Katanga H-Lomami Songa ECC CS Kilubi 0% Katanga H-Lomami Songa ECC CS Lusendja 0% Katanga H-Lomami Malemba-Nkulu ECC CS Songwe 0% Katanga H-Lomami Malemba-Nkulu ECC CS Kabwe Mulongo 0% Katanga H-Lomami Mukanga ECC CS Mukanga II 0% Katanga H-Lomami Mukanga ECC CS Lubandilu 0% Katanga H-Lomami Kabongo ECC HGR Pavillon 0% Katanga H-Lomami Kabongo ECC CS Lubyay 0% Katanga H-Lomami Kitenge ECC CS Fwila 0% Katanga H-Lomami Kitenge ECC CS Kamunza 0% Katanga H-Lomami Kitenge ECC HGR Pavillon 0% Katanga H-Lomami Kitenge ECC CHR Makuidi 0% Katanga H-Lomami Kinkondja ECC CS Kibila 0% Katanga H-Lomami Kinkondja ECC CS Mangi II 0% Katanga Kolwezi Bunkeya WVI CS Kikobe 100% Katanga Kolwezi Dilala WVI CS Luilu 100% Katanga Kolwezi Lualaba WVI CS Pwibwe 100% Katanga Kolwezi Lubudi WVI HGR Maternite 100% S. Kivu Nord Bunyakiri WVI HGR Maternite 100% S. Kivu Nord Bunyakiri WVI CS Lwana 100% S. Kivu Nord Bunyakiri WVI CSR Bitale 100% S. Kivu Nord Miti-Murhesa WVI CS Buhandahanda 100% Katanga Kolwezi Lubudi WVI CS Lubudi 95%

49

Katanga Kolwezi Kanzenze WVI CSR Walemba 90% Katanga Kolwezi Kanzenze WVI CS Kamoa 90% S. Kivu Nord Miti-Murhesa WVI CH Murhesa 90% Katanga Kolwezi Mutshatsha WVI CSR Maisha 80% S. Kivu Nord Kalehe WVI CS Lushebere 80% S. Kivu Nord Minova WVI CS Bulenga 80% S. Kivu Nord Minova WVI CSR Kalungu 80% S. Kivu Nord Miti-Murhesa WVI CSR Kavumu 80% Katanga Kolwezi Manika WVI CSR Manika 75% Katanga Kolwezi Dilala WVI CS Musonoi 70% Katanga Kolwezi Fungurume WVI CSR Dipeta 70% S. Kivu Nord Katana WVI HGR Maternite 65% S. Kivu Nord Kalehe WVI CSR Bushushu 60% S. Kivu Nord Kalonge WVI HGR Maternite+PTME 60% S. Kivu Nord Kalonge WVI CSR Chaminunu 60% S. Kivu Nord Kalehe WVI HGR Matternite+Pre Partum: 50% S. Kivu Nord Katana WVI CSR Birava 50% S. Kivu Nord Idjwi WVI HGR Movu(Maternite) 40% S. Kivu Nord Idjwi WVI CS Mafula 40% S. Kivu Nord Kalonge WVI CS Cholobera 40% Katanga Kolwezi Lubudi WVI CS Mbebe 30% S. Kivu Nord Idjwi WVI CS Mishimbwe 30% S. Kivu Nord Katana WVI CSR Ihimbi 30% Katanga Kolwezi Bunkeya WVI CS Kateba 20% Katanga Kolwezi Mutshatsha WVI CS Yanva 20% Katanga Kolwezi Fungurume WVI CS Kando 0% Katanga Kolwezi Lualaba WVI CS Mibanze 0% Katanga Kolwezi Manika WVI CS Kasulo 0% S. Kivu Nord Minova WVI CS Nyamasasa 0%

50

ANNEX 9: SUPERVISION AT HEALTH ZONES Sorted from most to least supervised health zones

HGR & Decenber January February

Region Partner Health Zone Health Centers

HC Supv. %

HC Supv. %

HC Supv. % Average

S. Kivu CRS Bagira 9 8 89% 9 100% 8 89% 93% Katanga ECC Mulongo 15 15 100% 17 100% 19 100% 113% Katanga ECC Kitenge 19 18 95% 22 100% 22 100% 109% K. Or. ECC Omendjadi 18 18 100% 18 100% 18 100% 100% K. Or. ECC Vanga Kete

Ototo 17 17

100% 17

100% 17

100% 100% S. Kivu WV Kalehe 10 10 100% 10 100% 10 100% 100% S. Kivu WV Katana 18 17 94% 18 100% 18 100% 98% K. Or. ECC Lodja 22 22 100% 22 100% 20 91% 97% K. Oc. ECC Mutoto 15 14 93% 15 100% 14 93% 96% K. Or. ECC Dibindi 14 13 93% 13 93% 13 93% 93% K. Or. ECC Lusambo 14 14 100% 13 93% 12 86% 93% K. Oc. ECC Tshikaji 13 12 92% 11 85% 12 92% 90% Katanga ECC Kabongo 26 18 69% 26 100% 26 100% 90% S. Kivu WV Idjwi 22 19 86% 21 95% 19 86% 89% S. Kivu CRS Mwana 9 7 78% 9 100% 8 89% 89% S. Kivu CRS Mubumbano 15 14 93% 13 87% 12 80% 87% S. Kivu WV Miti Murhesa 17 14 82% 16 94% 14 82% 86% S. Kivu CRS Kamituga 20 17 85% 18 90% 16 80% 85% S. Kivu CRS Kaziba 13 10 77% 11 85% 12 92% 85% Katanga ECC Kayamba 13 13 100% 9 69% 11 85% 85% S. Kivu CRS Kitutu 15 13 87% 12 80% 13 87% 84% S. Kivu CRS Mwenga 17 15 88% 14 82% 13 76% 82% Katanga ECC Kinkondja 24 18 75% 22 92% 19 79% 82% S. Kivu CRS Nyangezi 11 9 82% 10 91% 8 73% 82% S. Kivu WV Kalonge 16 14 86% 13 81% 12 75% 81% Katanga ECC Mukanga 19 15 79% 17 89% 14 74% 81% Katanga ECC Songa 29 27 93% 17 59% 26 90% 80% S. Kivu CRS Shabunda 15 13 87% 11 73% 12 80% 80% S. Kivu CRS Nundu 21 18 86% 16 76% 16 76% 79%

Katanga ECC Malemba Nkulu 18 17 94% 11 61% 14 78% 78%

S. Kivu WV Minova 15 10 67% 14 93% 11 73% 78% S. Kivu CRS Lemera 21 17 81% 15 71% 17 81% 78% S. Kivu CRS Ruzizi 16 12 75% 13 81% 12 75% 77% S. Kivu CRS Kaniola 12 8 67% 10 83% 9 75% 75%

51

S. Kivu CRS Walungu 24 18 75% 17 71% 19 79% 75% K. Oc. ECC Bulape 16 13 81% 8 50% 15 94% 75% S. Kivu CRS Kalole 27 18 67% 20 74% 22 81% 74% K. Oc. ECC Lubondayi 21 12 57% 14 67% 20 95% 73% S. Kivu CRS Kadutu 16 10 63% 12 75% 13 81% 73% S. Kivu CRS Lulingu 15 12 80% 10 67% 10 67% 71% K. Or. ECC Mpokolo 16 11 69% 13 81% 10 63% 71% K. Or. ECC Bibanga 18 17 94% 13 72% 8 44% 70% S. Kivu CRS Ibanda 14 10 71% 9 64% 10 71% 69% S. Kivu CRS Uvira 21 15 71% 14 67% 14 67% 68% S. Kivu WV Bunyakiri 24 17 71% 12 50% 18 75% 65%

K. Or. ECC Pania

Mutombo 11 10

91% 3

27% 8

73% 64% Katanga ECC Lwamba 18 12 67% 10 56% 10 56% 59%

S. Kivu CRS Hauts

Plateaux 20 14 70% 9 45% 12 60% 58% Katanga WV Manika 13 5 38% 8 62% 8 62% 54% Katanga WV Dilala 10 5 104% 7 70% 4 40% 53% Katanga WV Bunkeya 7 2 29% 5 71% 3 43% 48% Katanga WV Lualaba 14 8 57% 7 50% 5 36% 48% S. Kivu CRS Mulungu 20 8 40% 9 45% 10 50% 45% Katanga WV Kanzenze 15 8 53% 6 157% 6 40% 44% Katanga WV Mutshatsha 13 4 31% 7 54% 6 46% 44% Katanga WV Fungurume 17 6 35% 8 47% 7 41% 41% Katanga WV Lubudi 16 5 31% 5 31% 5 44% 31% Average Supervision by HZMT 954 736 77% 729 76% 740 78% 77%

52

ANNEX 10: SUPERVISION BY HEALTH ZONE AND IMPLEMENTING PARTNER Supervision by Implementing Partner Jan-08 Feb-08 Mars-08 District Partner Area # Supv. % Supv. % Supv. % AverageBukavu CRS HCs 6 4 67% 5 83% 5 83% 78% Bukavu CRS HGRs 3 1 33% 2 67% 2 67% 56% Bukavu CRS HZs 3 3 100% 3 100% 3 100% 100% S.K Centre CRS HCs 12 10 83% 8 67% 12 100% 83% S.K Centre CRS HGRs 6 5 83% 4 67% 4 67% 72% S.K Centre CRS HZs 6 6 100% 6 100% 6 100% 100% S.K Ouest CRS HCs 14 12 86% 13 93% 10 71% 83% S.K Ouest CRS HGRs 6 4 67% 4 67% 4 67% 67% S.K Ouest CRS HZs 7 4 57% 5 71% 4 57% 62% S.K Sud CRS HCs 10 9 90% 9 90% 10 100% 93% S.K Sud CRS HGRs 3 3 100% 3 100% 3 100% 100% S.K Sud CRS HZs 5 4 80% 4 80% 5 100% 87% Haut Lomami ECC HCs 18 3 17% 17 94% 19 106% 72% Haut Lomami ECC HGRs 6 4 67% 7 100% 8 133% 100% Haut Lomami ECC HZs 9 4 44% 7 78% 9 100% 74% Mbuji Mayi ECC HCs 10 6 60% 9 90% 9 90% 80% Mbuji Mayi ECC HGRs 4 3 75% 4 100% 4 100% 92% Mbuji Mayi ECC HZs 4 3 75% 4 100% 4 100% 92% Pool Kananga ECC HCs 8 16 100% 11 100% 6 75% 92% Pool Kananga ECC HGRs 4 4 100% 4 100% 3 75% 92% Pool Kananga ECC HZs 4 4 100% 4 100% 3 75% 92% Sankuru ECC HCs 6 6 100% 4 67% 4 67% 78% Sankuru ECC HGRs 3 3 100% 2 67% 1 33% 67% Sankuru ECC HZs 3 3 100% 2 67% 1 33% 67% Tshilenge ECC HCs 2 2 100% 3 100% 3 150% 117% Tshilenge ECC HGRs 1 1 100% 1 100% 1 100% 100% Tshilenge ECC HZs 1 1 100% 1 100% 1 100% 100% Kolwezi WVI HCs 99 14 14% 8 8% 6 6% 9% Kolwezi WVI HGRs 5 6 100% 2 33% 4 67% 67% Kolwezi WVI HZs 8 6 75% 4 50% 4 50% 58% S.K Nord WVI HCs 14 12 86% 14 100% 13 93% 93% S.K Nord WVI HGRs 8 8 100% 8 100% 8 100% 100% S.K Nord WVI HZs 7 7 100% 7 100% 7 100% 100% Average Supervision by Partner 305 181 59% 189 62% 172 56% 59%

53

ANNEX 11: FUNCTIONALITY OF CODESAS

Region Partner Health Zone #

HCs #

CODESAs %

Functional %

Women IGAS. Kivu CRS Bagira 8 8 100% 37.5% S. Kivu CRS Hauts Plateaux 20 4 20% 0.0% S. Kivu CRS Ibanda 12 12 100% 33.3% S. Kivu CRS Kadutu 11 11 100% 9.1% S. Kivu CRS Kalole 27 27 100% 3.7% S. Kivu CRS Kamituga 20 18 90% 30.0% S. Kivu CRS Kaniola 11 11 100% 9.1% S. Kivu CRS Kaziba 12 12 100% 0.0% S. Kivu CRS Kitutu 22 22 100% 0.0% S. Kivu CRS Lemera 20 20 100% 0.0% S. Kivu CRS Lulingu 20 20 100% 0.0% S. Kivu CRS Mubumbano 15 15 100% 26.7% S. Kivu CRS Mulungu 20 20 100% 0.0% S. Kivu CRS Mwana 13 7 54% 0.0% S. Kivu CRS Mwenga 17 16 94% 5.9% S. Kivu CRS Nundu 21 21 100% 4.8% S. Kivu CRS Nyangezi 10 10 100% 0.0% S. Kivu CRS Ruzizi 16 16 100% 6.3% S. Kivu CRS Shabunda 21 18 86% 4.8% S. Kivu CRS Uvira 21 21 100% 14.3% S. Kivu CRS Walungu 22 22 100% 18.2% K. Oc. ECC Bulape 15 11 73% 0.0% Yes K. Oc. ECC Lubondayi 19 7 37% 13.3% Yes K. Oc. ECC Mutoto 14 14 100% 6.7% Yes K. Oc. ECC Tshikaji 12 7 58% 6.7% Yes K. Or. ECC Bibanga 17 16 94% 33.3% No K. Or. ECC Dibindi 13 4 31% 13.3% No K. Or. ECC Lodja 22 11 50% 0.0% No K. Or. ECC Lusambo 13 4 31% 0.0% No K. Or. ECC Mpokolo 15 10 67% 53.3% No K. Or. ECC Omendjadi 18 18 100% 0.0% No K. Or. ECC Pania Mutombo 10 5 50% 0.0% No

K. Or. ECC Vanga Kete

Ototo 17 9 53% 0.0% No Katanga ECC Kabongo 26 26 100% 0.0% No Katanga ECC Kayamba 13 13 100% 0.0% No Katanga ECC Kinkondja 24 18 75% 13.3% No Katanga ECC Kitenge 19 19 100% 13.3% No

54

Katanga ECC Lwamba 18 16 89% 0.0% No Katanga ECC Malemba Nkulu 18 13 72% 0.0% No Katanga ECC Mukanga 19 16 84% 0.0% No Katanga ECC Mulongo 15 15 100% 66.7% No Katanga ECC Songa 29 28 97% 0.0% No Katanga WV Bunkeya 7 3 43% 35.0% Yes Katanga WV Dilala 10 7 70% 22.0% Yes Katanga WV Fungurume 11 11 100% 40.0% Yes Katanga WV Kanzenze 15 10 67% 20.0% Yes Katanga WV Lualaba 14 14 100% 55.0% No Katanga WV Lubudi 16 6 38% 40.0% No Katanga WV Manika 13 7 54% 35.0% Yes Katanga WV Mutshatsha 13 7 54% 25.0% Yes S. Kivu WV Bunyakiri 24 21 88% 22.3% Yes S. Kivu WV Idjwi 21 20 95% 34.2% Yes S. Kivu WV Kalehe 10 10 100% 12.8% Yes S. Kivu WV Kalonge 16 16 100% 21.9% Yes S. Kivu WV Katana 17 16 94% 29.7% Yes S. Kivu WV Minova 16 16 100% 21.0% Yes S. Kivu WV Miti Murhesa 16 16 100% 31.3% Yes

944 791 83% 15%

ANNEX 12: DRUG CREDIT UTILIZATION Project Axxes Health Zone Credits Year 1 HGR CS

Sub Region Health Zone Partner DEPOT Credit Credits Used

Required Cost

Revovery

Cost Recovery Deposited

Cost Recovery

Used

Credit Balance Credit Credits

Used

Required Cost

Revovery


Cost Recovery

Used

Credit Balance

Bukavu Ibanda CRS BDOM $6,779 $2,080 $1,664 $0 0% $4,699 $27,115 $0 $0 $0 $27,115

Bukavu Kadutu CRS BDOM $8,871 $882 $706 $0 0% $7,989 $12,419 $1,779 $890 $655 37% $10,640

Centre Mwana CRS BDOM $3,928 $1,002 $801 $0 0% $2,927 $6,285 $743 $371 $0 0% $5,542

Centre Nyangezi CRS BDOM $2,895 $681 $545 $0 0% $2,214 $11,580 $2,297 $1,148 $0 0% $9,283

Centre Kaziba CRS BDOM $3,003 $1,224 $979 $0 0% $1,779 $9,008 $2,464 $1,232 $0 0% $6,544

Centre Walungu CRS BDOM $0 $0 $0 $0 $0 $6,026 $2,346 $1,173 $0 0% $3,680

Centre Kaniola CRS BDOM $3,766 $268 $215 $0 0% $3,498 $6,026 $4,092 $2,046 $0 0% $1,934

Centre Mubumbano CRS BDOM $0 $0 $0 $0 $0 $7,282 $2,700 $1,350 $0 0% $4,582

Ouest Kitutu CRS BDOM $3,511 $624 $499 $0 0% $2,887 $14,044 $4,369 $2,184 $0 0% $9,675

Ouest Lulingu CRS BDOM $4,577 $0 $0 $0 $4,577 $18,307 $0 $0 $0 $18,307

Ouest Kalole CRS BDOM $5,185 $1,173 $938 $0 0% $4,012 $16,591 $4,433 $2,217 $0 0% $12,158

Ouest Shabunda CRS BDOM $5,185 $3,403 $2,722 $0 0% $1,782 $20,739 $6,897 $3,449 $0 0% $13,842

Ouest Mulungu CRS BDOM $5,855 $0 $0 $0 $5,855 $23,418 $5,236 $2,618 $0 0% $18,183

Ouest Kamituga CRS BDOM $5,209 $782 $626 $0 0% $4,426 $20,835 $2,122 $1,061 $0 0% $18,712

Ouest Mwenga CRS BDOM $0 $0 $0 $0 $0 $21,409 $2,408 $1,204 $0 0% $19,001

Sud Uvira CRS BDOM $0 $0 $0 $0 $0 $6,069 $2,973 $1,486 $0 0% $3,096

Sud Bijombo CRS BDOM $3,378 $1,499 $1,200 $0 0% $1,878 $12,160 $6,887 $3,444 $0 0% $5,272

Sud Nundu CRS BDOM $4,058 $1,401 $1,121 $0 0% $2,657 $16,230 $6,692 $3,346 $0 0% $9,538

Sud Lemera CRS BDOM $0 $0 $0 $0 $0 $14,774 $6,907 $3,454 $0 0% $7,867

Sud Ruzizi CRS BDOM $7,153 $0 $0 $0 $7,153 $7,153 $0 $0 $0 $7,153

Sud Bagira CRS BDOM $4,653 $330 $264 $0 0% $4,323 $18,614 $1,566 $783 $0 0% $17,047

$78,003 $15,350 $12,280 0% $62,654 $296,084 $66,912 $33,456 $655 1% $229,172

Nord Kalonge WV BDOM $2,553 $1,173 $938 $0 $0 $1,380 $10,211 $3,031 $1,516 $0 $0 $7,180

Nord Kalehe WV BDOM $1,902 $0 $0 $0 $1,902 $7,606 $0 $0 $0 $7,606

Nord Minova WV BDOM $2,025 $1,016 $812 $0 $0 $1,009 $8,100 $3,852 $1,926 $0 $0 $4,248

Nord Bunyakiri WV BDOM $2,094 $796 $637 $235 $0 $1,298 $16,756 $5,739 $2,870 $205 $0 $11,017

Nord Katana WV BDOM $4,600 $1,063 $850 $0 $0 $3,537 $18,400 $3,001 $1,500 $0 $0 $15,399

Nord Miti WV BDOM $4,930 $1,031 $825 $0 $0 $3,898 $19,719 $3,515 $1,757 $950 $0 $16,204

Nord Idjwi WV BDOM $5,621 $1,231 $985 $0 $0 $4,390 $22,485 $5,743 $2,872 $0 $0 $16,742

Kolwezi Kanzenze WV Kolwezi $1,377 $436 $349 $0 $941 $5,508 $3,673 $1,836 $779 21% $1,836

56

Project Axxes Health Zone Credits Year 1 HGR CS


Required Cost

Revovery


Cost Recovery

Used


Used

Required Cost

Revovery


Cost Recovery

Used

Credit Balance

Kolwezi Bunkeya WV Kolwezi $1,471 $361 $288 $0 $1,110 $5,883 $2,482 $1,241 0% $3,401

Kolwezi Mutshatsha WV Kolwezi $1,956 $456 $365 $0 $1,500 $7,823 $2,641 $1,321 0% $5,182

Kolwezi Lualaba WV Kolwezi $2,169 $0 $2,169 $8,677 $2,040 $1,020 0% $6,637

Kolwezi Lubudi WV Kolwezi $2,236 $976 $781 $0 $1,260 $8,942 $4,490 $2,245 0% $4,452

Kolwezi Fungurume WV Kolwezi $2,676 $474 $379 $0 $2,201 $10,702 $3,033 $1,516 0% $7,669

Kolwezi Dilala WV Kolwezi $2,816 $0 $2,816 $11,265 $2,177 $1,089 0% $9,088

Kolwezi Manika WV Kolwezi $4,911 $896 $717 $0 $4,015 $19,645 $2,659 $1,330 0% $16,986

$43,336 $9,909 $7,927 $235 $0 $33,427 $181,723 $48,077 $24,038 $1,934 4% $133,646

Haut Lomami Kabongo ECC Kamina $6,446 $3,391 $2,713 $0 0% $3,055 $25,784 $9,262 $4,631 $0 0% $16,522

Haut Lomami Kayamba ECC Kamina $2,568 $2,459 $1,967 $0 0% $109 $10,271 $8,139 $4,070 $0 0% $2,132

Haut Lomami Kinkondja ECC Kamina $6,988 $0 $0 $0 $6,988 $27,950 $12,306 $6,153 $0 0% $15,644

Haut Lomami Kitenge ECC Kamina $6,531 $3,907 $3,126 $0 0% $2,624 $26,122 $9,037 $4,519 $0 0% $17,085

Haut Lomami Lwamba ECC Kamina $2,594 $2,468 $1,974 $0 0% $126 $10,377 $5,955 $2,978 $0 0% $4,422

Haut Lomami Malemba Nkulu ECC Kamina $5,018 $3,919 $3,135 $0 0% $1,099 $20,072 $9,097 $4,549 $0 0% $10,975

Haut Lomami Mukanga ECC Kamina $6,187 $3,500 $2,800 $0 0% $2,687 $24,750 $10,175 $5,088 $0 0% $14,575

Haut Lomami Mulongo ECC Kamina $1,509 $0 $0 $0 $1,509 $6,037 $6,063 $3,032 $0 0% -$26

Haut Lomami Songa ECC Kamina $3,726 $3,041 $2,433 $243 8% $685 $14,904 $11,231 $5,616 $2,460 22% $3,673

Tshilenge Bibanga ECC Kananga $3,961 $2,270 $1,816 $0 0% $1,691 $15,843 $4,053 $2,027 $0 $0 $11,790

Mbujimayi Mpokolo ECC Kananga $10,408 $3,635 $2,908 $0 0% $6,772 $41,630 $8,722 $4,361 $0 $0 $32,908

Mbujimayi Dibindi ECC Kananga $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Mbujimayi Lusambo ECC Kananga $2,997 $1,677 $1,341 $0 0% $1,320 $11,988 $2,848 $1,424 $0 $0 $9,140

Mbujimayi Pania Mutombo ECC Kananga $1,629 $1,142 $914 $0 0% $487 $6,516 $2,588 $1,294 $0 $0 $3,928

Kananga Bulape ECC Kananga $2,953 $1,417 $1,134 $0 0% $1,536 $11,811 $5,787 $2,894 $0 0% $6,024

Kananga Lubondayi ECC Kananga $4,031 $972 $778 $0 0% $3,059 $16,123 $4,025 $2,012 $0 0% $12,098

Kananga Mutoto ECC Kananga $0 $0 $0 $0 $0 $0 $0 $0 $0

Kananga Tshikaji ECC Kananga $2,830 $3,337 $2,669 $0 0% $11,320 $3,337 $1,668 $0

Sankuru Lodja ECC Lodja $5,727 $0 $0 $0 $5,727 $15,449 $0 $0 $0 $22,906

Sankuru Omendjadi ECC Lodja $3,953 $0 $0 $0 $3,953 $15,812 $0 $0 $0 $15,812

Sankuru Vanga Kete Ototo ECC Lodja $3,108 $0 $0 $0 $3,108 $12,432 $0 $0 $0 $12,432 $83,163 $37,135 $29,708 $46,535 $325,191 $112,625 $56,312 $2,460 2% $212,040

57

Project Axxes Health Zone Credits Year 1 HGR CS


Required Cost

Revovery


Cost Recovery

Used


Used

Required Cost

Revovery


Cost Recovery

Used

Credit Balance

Nord Kalonge WV BDOM $2,553 $1,173 $938 $0 $0 $1,380 $10,211 $3,031 $1,516 $0 $0 $7,180 Nord Kalehe WV BDOM $1,902 $0 $0 $0 $1,902 $7,606 $0 $0 $0 $7,606 Nord Minova WV BDOM $2,025 $1,016 $812 $0 $0 $1,009 $8,100 $3,852 $1,926 $0 $0 $4,248 Nord Bunyakiri WV BDOM $2,094 $796 $637 $235 $0 $1,298 $16,756 $5,739 $2,870 $205 $0 $11,017 Nord Katana WV BDOM $4,600 $1,063 $850 $0 $0 $3,537 $18,400 $3,001 $1,500 $0 $0 $15,399 Nord Miti WV BDOM $4,930 $1,031 $825 $0 $0 $3,898 $19,719 $3,515 $1,757 $950 $0 $16,204 Nord Idjwi WV BDOM $5,621 $1,231 $985 $0 $0 $4,390 $22,485 $5,743 $2,872 $0 $0 $16,742 Kolwezi Kanzenze WV Kolwezi $1,377 $436 $349 $0 $941 $5,508 $3,673 $1,836 $779 21% $1,836 Kolwezi Bunkeya WV Kolwezi $1,471 $361 $288 $0 $1,110 $5,883 $2,482 $1,241 0% $3,401 Kolwezi Mutshatsha WV Kolwezi $1,956 $456 $365 $0 $1,500 $7,823 $2,641 $1,321 0% $5,182 Kolwezi Lualaba WV Kolwezi $2,169 $0 $2,169 $8,677 $2,040 $1,020 0% $6,637 Kolwezi Lubudi WV Kolwezi $2,236 $976 $781 $0 $1,260 $8,942 $4,490 $2,245 0% $4,452 Kolwezi Fungurume WV Kolwezi $2,676 $474 $379 $0 $2,201 $10,702 $3,033 $1,516 0% $7,669 Kolwezi Dilala WV Kolwezi $2,816 $0 $2,816 $11,265 $2,177 $1,089 0% $9,088 Kolwezi Manika WV Kolwezi $4,911 $896 $717 $0 $4,015 $19,645 $2,659 $1,330 0% $16,986 $43,336 $9,909 $7,927 $235 $0 $33,427 $181,723 $48,077 $24,038 $1,934 4% $133,646 $275,691 $137,845 $6,984 5%

58

ANNEX 13: ENVIRONMENTAL COMPLIANCE AT HEALTH ZONES (IEE) CRS Elements/Actions

Bag

ira

Hau

ts P

late

aux

Iban

da

Kad

utu

Kal

ole

Kam

ituga

Kan

iola

Kaz

iba

Kitu

tu

Lem

era

Lulin

gu

Mub

umba

no

Mul

ungu

Mw

ana

Mw

enga

Nun

du

Nya

ngez

i

Ruz

izi

Shab

unda

Uvi

ra

Wal

ungu

Written plans and procedures Are there internal rules for generation, handling, storage,

treatment, and disposal of healthcare waste. N N Y Y N N N N N N N N N N N N N N N N N Are there clearly assigned staff responsibilities that cover all

steps in the waste management process. N N Y N N N N N N N N N N N N N N N N N N Is there staff waste handling training curricula or a list of

topics covered. N N N N N N N N N N N N N N N N N N N N N Are there waste minimization, reuse, and recycling

procedures. N N N N N N N N N N N N N N N N N N N N N Staff Training, Practices, and Protection

Do staff exhibit good hygiene, safe sharps handling, proper use of protective clothing, proper packaging and labeling of waste, and safe storage of waste? N N N N N N N N N N N N N N N N N N N N N

Do staff know the correct responses for spills, injury, and exposure? Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Is there protective clothing available for workers who move and treat collected infections waste such as surgical masks and gloves, aprons, and boots. Y N Y Y N Y N Y N Y N N N Y N N N N N N Y

Are soap and, ideally, warm water readily available workers to use and can workers be observed regularly washing. N N Y N N N N N N Y N N N N N N N N N N Y

Are workers vaccinated for against viral hepatitis B, tetanus infections, and other endemic infections for which vaccines are available. N N N N N N N N N N N N N N N N N N N N N Handling and Storage Practices

Are there emporary storage containers and designated storage locations. Y N Y Y N Y Y N N Y N N N Y Y Y Y Y Y Y Y

Are there labeled, covered, leak-proof, puncture-resistant temporary storage containers for hazardous healthcare wastes? N N N N N N N N N N N N N N N N N N N N N

Does the facility have good inventory practices for chemicals and pharmaceuticals, i.e.: use the oldest batch first and open new containers only after the last one is empty N N N N N N N N N N N N N N N N N N N N N

Is general waste separated from infectious/hazardous waste? N N N N N N N N N N N N N N N N N N N N N Is sharp waste (needles, broken glass, etc.) collected in

separate puncture-proof containers? N N N N N N N N N N N N N N N N N N N N N Are other levels of segregation being applied e.g. hazardous

liquids, chemicals and pharmaceuticals, PVC plastic, and materials containing heavy metals ? N N N N N N N N N N N N N N N N N N N N N

Are there labeled, covered, leak-proof, puncture-resistant N N N N N N N N N N N N N N N N N N N N N

59

temporary storage containers for hazardous healthcare wastes? Is the location of temporary storage containers distant from

patients or food? Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Treatment Practices

Are wastes collected daily? N N N N N N N N N N N N N N N N N N N N N Are wastes being burned in the open air, in a drum or brick

incinerator, or a single-chamber incinerator? N N Y Y N N N N N N N N N N N N N N N Y Y If not are they being buried safely (in a pit with an

impermeable plastic or clay lining)? N N Y Y N N N N N N N N N N N N N N N Y Y Is the final disposal site (usually a pit) surrounded by fencing

or other materials and in view of the facility to prevent accidental injury or scavenging of syringes and other medical supplies? N N N N N N N N N N N N N N N N N N N N N

If the waste is transported off-site, are precautions taken to ensure that it is transported and disposed of safely? N N N N N N N N N N N N N N N N N N N N N Construction-Related Aspects of Development Projects

Does not offend local population or damage local social fabric Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not cause one or more of a set of adverse environmental impacts typical of roads, including erosion, changing water tables, or providing access for illegal landclearing, logging or poaching Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not destroy or harm plants or animals of ecological, cultural, and/or economic importance Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not destroy or harm important scenic, archeological or cultural/historical site Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not destroy or harm valuable and sensitive ecosystems and organisms Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not cause erosion and damage to terrestrial and aquatic ecosystems during construction or use Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not degrade forest, contributing to flooding potential Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Water and Sanitation

Does not cause destruction of the natural resource Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause destruction of aquatic life Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause loss of economic productivity Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause loss of recreation areas Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause increase in vector-borne diseases N N N N N N N N N N N N N N N N N N N N N Does not cause contamination of standing water with fecal

matter, solid waste, etc., leading to health problems Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause soil erosion/sedimentation Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause alteration of ecosystem structure & function

and loss of biodiversity Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y ECC Elements/Actions ap e ay i o t o ka ji ng a n d i dj a

m bo

ko lo

a d i m bo

o t o on go

m ba

dj a ng e m ba

ku lu

an ga

on go

ng a

Written plans and procedures

60

Are there internal rules for generation, handling, storage, treatment, and disposal of healthcare waste. N N N Y N N N N N N N N N N N N N N N N N

Are there clearly assigned staff responsibilities that cover all steps in the waste management process. N N N Y N N N N N N N N N N N N N N N N N

Is there staff waste handling training curricula or a list of topics covered. N N N Y N N N N N N N N N N N N N N N N N

Are there waste minimization, reuse, and recycling procedures. N N N N N N N N N N N N N N N N N N N N N Staff Training, Practices, and Protection

Do staff exhibit good hygiene, safe sharps handling, proper use of protective clothing, proper packaging and labeling of waste, and safe storage of waste? N N N Y N N N N N N N N N N N N N N N N N

Do staff know the correct responses for spills, injury, and exposure? N N N Y N N N N N N N N N N N N N N N N N

Is there protective clothing available for workers who move and treat collected infections waste such as surgical masks and gloves, aprons, and boots. N N N N N N N N N N N N N N N N N N N N N

Are soap and, ideally, warm water readily available workers to use and can workers be observed regularly washing. N N N Y N N N N N N N N N N N N N N N N N

Are workers vaccinated for against viral hepatitis B, tetanus infections, and other endemic infections for which vaccines are available. N N N N N N N N N N N N N N N N N N N N N Handling and Storage Practices

Are there emporary storage containers and designated storage locations. N N N N N N N N N N N N N N N N N N N N N


Does the facility have good inventory practices for chemicals and pharmaceuticals, i.e.: use the oldest batch first and open new containers only after the last one is empty N N N N N N N N N N N N N N N N N N N N N

Is general waste separated from infectious/hazardous waste? N N N N N N Y N N N N N N N N N N N N N N Is sharp waste (needles, broken glass, etc.) collected in separate

puncture-proof containers? N N N N N N Y N N N N N N N N N N N N N N Are other levels of segregation being applied e.g. hazardous

liquids, chemicals and pharmaceuticals, PVC plastic, and materials containing heavy metals ? N N N N N N N N N N N N N N N N N N N N N


Is the location of temporary storage containers distant from patients or food? N N N N N N N N N N N N N N N N N N N N N Treatment Practices

Are wastes collected daily? Y N Y Y N N N N N N N N N N N N N N N N N Are wastes being burned in the open air, in a drum or brick

incinerator, or a single-chamber incinerator? N N Y Y N N N N N N N N N N N N N N N N N If not are they being buried safely (in a pit with an impermeable

plastic or clay lining)? N N N Y N N N N N N N N N N N N N N N N N Is the final disposal site (usually a pit) surrounded by fencing or N N N Y N N N N N N N N N N N N N N N N N

61

other materials and in view of the facility to prevent accidental injury or scavenging of syringes and other medical supplies?

If the waste is transported off-site, are precautions taken to ensure that it is transported and disposed of safely? N N N N N N N N N N N N N N N N N N N N N Construction-Related Aspects of Development Projects

Does not offend local population or damage local social fabric Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause one or more of a set of adverse environmental

impacts typical of roads, including erosion, changing water tables, or providing access for illegal landclearing, logging or poaching Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not destroy or harm plants or animals of ecological, cultural, and/or economic importance Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not destroy or harm important scenic, archeological or cultural/historical site Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not destroy or harm valuable and sensitive ecosystems and organisms Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not cause erosion and damage to terrestrial and aquatic ecosystems during construction or use Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Does not degrade forest, contributing to flooding potential Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Water and Sanitation

Does not cause destruction of the natural resource Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause destruction of aquatic life Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause loss of economic productivity Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause loss of recreation areas Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause increase in vector-borne diseases Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause contamination of standing water with fecal matter,

solid waste, etc., leading to health problems Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause soil erosion/sedimentation Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause alteration of ecosystem structure & function and

loss of biodiversity Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

62

WV Elements/Actions ke ya

la

la m e nz e ab a bu di

ik a at

sha

ki

ri Id

jw

i eh e on ge

an a ov a he sa

Written plans and procedures Are there internal rules for generation, handling, storage, treatment, and disposal of healthcare

waste. N Y N N N N N N N Y N N N N N Are there clearly assigned staff responsibilities that cover all steps in the waste management

process. N N N N N N N N N N N N N N N Is there staff waste handling training curricula or a list of topics covered. N N N N N N N N N N N N N N N Are there waste minimization, reuse, and recycling procedures. N N N N N N N N N N N N N

Staff Training, Practices, and Protection Do staff exhibit good hygiene, safe sharps handling, proper use of protective clothing, proper

packaging and labeling of waste, and safe storage of waste? N N N N N N N N N N N N N N N Do staff know the correct responses for spills, injury, and exposure? Y Y N N N Y N N Y Y N N N Y N Is there protective clothing available for workers who move and treat collected infections waste

such as surgical masks and gloves, aprons, and boots. Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Are soap and, ideally, warm water readily available workers to use and can workers be observed

regularly washing. N N N N N N N N N N N N N N N Are workers vaccinated for against viral hepatitis B, tetanus infections, and other endemic

infections for which vaccines are available. N N N N N N N N N N N N N N N Handling and Storage Practices

Are there emporary storage containers and designated storage locations. N N N N N N N N N N N N N N N Are there labeled, covered, leak-proof, puncture-resistant temporary storage containers for

hazardous healthcare wastes? N N N N N N N N N N N N N N N Does the facility have good inventory practices for chemicals and pharmaceuticals, i.e.: use the

oldest batch first and open new containers only after the last one is empty N N N N N N N N N N N N N N N Is general waste separated from infectious/hazardous waste? N N N N N N N N N N N N N N N Is sharp waste (needles, broken glass, etc.) collected in separate puncture-proof containers? N N N N N N N N N N N N N N N Are other levels of segregation being applied e.g. hazardous liquids, chemicals and

pharmaceuticals, PVC plastic, and materials containing heavy metals ? N N N N N N N N N N N N N N N Are there labeled, covered, leak-proof, puncture-resistant temporary storage containers for

hazardous healthcare wastes? N Y N N N N N N N Y N N N N N Is the location of temporary storage containers distant from patients or food? N N N N N N N N N N N N N N N

Treatment Practices Are wastes collected daily? Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Are wastes being burned in the open air, in a drum or brick incinerator, or a single-chamber

incinerator? Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y If not are they being buried safely (in a pit with an impermeable plastic or clay lining)? N N N N N N N N N N N N N N N Is the final disposal site (usually a pit) surrounded by fencing or other materials and in view of the

facility to prevent accidental injury or scavenging of syringes and other medical supplies? N N N N N N N N N N N N N N N If the waste is transported off-site, are precautions taken to ensure that it is transported and

disposed of safely? N N N N N N N N N N N N N N N Construction-Related Aspects of Development Projects

Does not offend local population or damage local social fabric Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause one or more of a set of adverse environmental impacts typical of roads, including

erosion, changing water tables, or providing access for illegal landclearing, logging or poaching Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

63

Does not destroy or harm plants or animals of ecological, cultural, and/or economic importance Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not destroy or harm important scenic, archeological or cultural/historical site Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not destroy or harm valuable and sensitive ecosystems and organisms Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause erosion and damage to terrestrial and aquatic ecosystems during construction or

use Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not degrade forest, contributing to flooding potential Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Water and Sanitation Does not cause destruction of the natural resource Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause destruction of aquatic life Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause loss of economic productivity Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause loss of recreation areas Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause increase in vector-borne diseases Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause contamination of standing water with fecal matter, solid waste, etc., leading to

health problems Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause soil erosion/sedimentation Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Does not cause alteration of ecosystem structure & function and loss of biodiversity Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

ANNEX 14: MATERIAL AND EQUIPMENT DISTRIBUTION Matériels/Equipements SNIS/GSIS

Region Health Zone CS

Mot

o

Gen

erat

or

Bic

ycle

Hor

s bor

d

Kit

info

rmat

ique

(ecr

an,

UC

…)

HF

Rad

io p

lus a

cces

s.

SNIS

CS

SNIS

BC

Z

SNIS

HG

R

Ord

inog

ram

me

A,B

,C

S. Kivu Kadutu 11 3 1 7 0 0 0 688 39 42 0 S. Kivu Mwana 19 3 1 3 0 1 0 691 36 36 0 S. Kivu Nyangezi 10 3 1 5 0 1 0 308 39 36 0 S. Kivu Kaziba 15 3 1 5 0 1 0 430 36 36 0 S. Kivu Walungu 11 3 1 17 0 1 0 878 36 36 0 S. Kivu Kaniola 7 2 1 5 0 1 0 488 36 36 0 S. Kivu Mubumbano 10 3 1 3 0 1 0 442 36 36 0 S. Kivu Kamituga 20 3 1 15 0 1 0 694 36 36 0 S. Kivu Mwenga 22 3 1 17 0 0 0 473 36 36 0 S. Kivu Uvira 25 2 1 22 0 1 0 804 36 36 0 S. Kivu Bijombo 10 3 1 15 0 1 0 868 36 36 0 S. Kivu Nundu 15 3 1 33 0 1 0 857 36 36 0 S. Kivu Lemera 20 4 1 21 0 1 0 626 36 36 0 S. Kivu Ruzizi 15 3 1 20 0 1 0 509 36 36 0 S. Kivu Ibanda 3 1 13 0 0 0 509 39 36 0 S. Kivu Bagira 22 3 1 9 0 0 0 346 39 36 0 S. Kivu Kitutu 26 3 2 6 0 1 0 738 24 24 0 S. Kivu Lulingu 15 2 1 0 0 1 0 516 24 24 0 S. Kivu Kalole 15 2 1 10 0 1 0 792 24 24 0 S. Kivu Shabunda 21 1 1 0 0 1 0 595 24 24 0 S. Kivu Mulungu 22 2 1 0 0 1 0 727 24 24 0 Distributed to HZs 57 22 226 0 17 0 12,979 708 702 0 Quantity Received by CRS 58 22 240 0 18 0 12,979 708 702 0 Balance 1 0 14 0 1 0 0 0 0 0 % Distributed 98% 100% 94% 94% 100% 100% 100% 0% K. Oc. Tshikaji 12 3 0 0 0 1 0 346 18 16 0 K. Oc. Bulape 15 3 1 0 0 1 0 432 18 16 0 K. Oc. Mutoto 13 2 1 0 0 0 0 374 18 16 0 K. Oc. Lubondai 19 3 0 8 0 1 0 547 17 16 0 K. Or. Bibanga 14 3 1 14 0 0 0 126 10 10 0 K. Or. Mpokolo 15 3 1 16 0 1 0 432 18 16 0 K. Or. Dibindi 13 2 0 11 0 0 0 40 7 14 0 K. Or. Lodja 22 3 1 22 0 1 0 2 7 13 0 K. Or. Lusambo 13 3 1 13 0 1 0 250 4 16 0 K. Or. Omendjadi 18 3 1 18 0 1 0 3 8 16 0

K. Or. Pania Mutombo 10 2 1 10 0 1 0 100 4 16 0

K. Or. Vanga Kete Ototo 17 3 1 17 0 0 0 1 8 13 0

Katanga Mulongo 25 2 1 0 1 0 0 461 16 15 0

65

Matériels/Equipements SNIS/GSIS


Mot

o

Gen

erat

or

Bic

ycle

Hor

s bor

d

Kit

info

rmat

ique

(ecr

an,

UC

…)

HF

Rad

io p

lus a

cces

s.

SNIS

CS

SNIS

BC

Z

SNIS

HG

R

Ord

inog

ram

me

A,B

,C

Katanga Kayamba 20 3 1 0 0 1 0 374 16 15 0 Katanga Lwamba 23 2 1 0 0 1 0 230 16 15 0 Katanga Songa 15 2 1 0 0 1 0 835 16 15 0

Katanga Malemba Nkulu 7 3 1 0 1 1 0 461 16 15 0

Katanga Mukanga 13 2 1 15 1 1 0 461 16 15 0 Katanga Kabongo 14 1 0 0 0 0 0 720 16 15 0 Katanga Kitenge 16 1 1 0 0 1 0 576 16 15 0 Katanga Kinkondja 18 2 1 1 0 1 0 662 16 15 0 Distributed to HZs 51 17 145 3 16 0 7,433 281 313 0 Quantity Received by ECC 51 17 145 3 16 0 7,433 317 365 0 Balance 0 0 0 0 0 0 0 36 52 0 % Distributed 100% 100% 100% 100% 100% 100% 89% 86% Katanga Kanzenze 15 3 1 11 0 1 400 16 18 0 Katanga Bunkeya 7 3 1 8 0 1 400 16 9 0 Katanga Mutshatsha 13 3 1 11 0 1 400 16 9 0 Katanga Lualaba 14 3 1 16 0 1 400 16 6 0 Katanga Lubudi 16 3 1 3 0 1 400 16 27 0 Katanga Fungurume 11 3 1 20 0 1 400 16 18 0 Katanga Dilala 10 3 0 16 0 1 400 16 18 0 Katanga Manika 13 3 0 15 0 1 400 16 18 0 S. Kivu Kalonge 15 3 1 16 0 1 0 500 13 13 0 S. Kivu Kalehe 10 2 0 12 0 0 0 500 13 5 0 S. Kivu Minova 10 2 1 8 0 1 0 500 13 5 0 S. Kivu Bunyakiri 23 3 1 12 0 1 0 500 13 5 0 S. Kivu Katana 16 2 0 8 0 0 0 500 13 5 0 S. Kivu Miti 17 2 0 12 0 0 0 500 13 5 0 S. Kivu Idjwi 21 2 1 16 0 1 0 3,000 13 5 0 Distributed to HZs 40 10 184 0 12 0 9,200 219 166 0 Quantity Received by WVI 40 11 196 0 13 2 9,200 225 173 0 Balance 0 1 12 0 1 0 0 6 7 0 % Distributed 100% 91% 94% 92% 0% 100% 97% 96% Distributed to HZs 148 49 555 3 45 0 29,612 1,208 1,181 0 Quantity Received 149 50 581 3 47 2 29,612 1,250 1,240 0 Balance 1 1 12 0 2 2 0 42 59 0 % Distributed 99% 98% 96% 100% 96% 0% 100% 97% 95%

66

SNIS Laboratory Finance &

Drugs


Fich

es d

e ré

fére

nce

Reg

istr

e C

onsu

ltatio

ns

Cur

ativ

es

Cal

endr

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Axx

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Fich

es d

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onito

rage

07

HIV

test

s Det

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secu

tran

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Fich

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s Se

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Blo

od te

sts k

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Lab

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RU

ME

R

Reg

istr

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ons.

Méd

/ H

GR

S. Kivu Kadutu 11 2831 27 100 35 1,200 42 2 0 18 3 S. Kivu Mwana 19 2892 23 324 77 400 27 1 0 11 2 S. Kivu Nyangezi 10 1,801 14 196 59 400 0 1 0 15 1 S. Kivu Kaziba 15 3,862 21 317 92 100 0 1 0 31 2 S. Kivu Walungu 11 5,063 44 416 118 400 85 1 0 33 3 S. Kivu Kaniola 7 2831 29 256 49 100 0 1 0 18 1 S. Kivu Mubumbano 10 2451 37 342 83 100 0 1 0 20 2 S. Kivu Kamituga 20 3012 42 286 177 500 0 2 0 22 2 S. Kivu Mwenga 22 3482 25 267 171 200 0 1 0 25 2 S. Kivu Uvira 25 3,512 39 260 87 9,100 58 5 0 23 2 S. Kivu Bijombo 10 4163 49 184 63 0 85 0 42 2 S. Kivu Nundu 15 5,132 64 290 110 3,800 81 3 0 32 2 S. Kivu Lemera 20 4103 45 280 81 1,000 70 1 0 28 2 S. Kivu Ruzizi 15 2,361 33 230 62 1,400 46 2 0 18 1 S. Kivu Ibanda 861 31 110 38 800 58 2 0 22 2 S. Kivu Bagira 22 2241 19 74 25 300 31 1 0 12 1 S. Kivu Kitutu 26 1663 43 346 120 0 0 1 0 22 2 S. Kivu Lulingu 15 3403 45 330 113 0 77 1 0 24 2 S. Kivu Kalole 15 1814 47 396 136 0 116 1 0 22 2 S. Kivu Shabunda 21 1542 39 311 107 0 70 1 0 22 2 S. Kivu Mulungu 22 1633 42 331 113 0 30 1 0 22 2 Distributed to HZs 60,653 758 5,646 1,916 19,800 876 27 0 482 40 Quantity Received by CRS 60,653 758 5,646 1,926 27,600 876 27 25 482 40 Balance 0 0 0 10 7,800 0 0 25 0 0 % Distributed 100% 100% 100% 99% 72% 100% 99% 100% 100% K. Oc. Tshikaji 12 2,000 20 290 95 1300 31 1 1 20 1 K. Oc. Bulape 15 2,000 20 190 57 800 41 1 1 20 2 K. Oc. Mutoto 13 2,000 20 190 57 400 36 1 1 20 1 K. Oc. Lubondai 19 3,000 30 190 57 1000 52 1 1 30 2 K. Or. Bibanga 14 2,000 21 315 97 1300 39 2 1 21 2 K. Or. Mpokolo 15 4,599 23 365 107 1200 41 2 1 23 2 K. Or. Dibindi 13 3,000 45 190 57 400 50 1 1 9 0 K. Or. Lodja 22 2,500 2 190 57 0 48 0 1 7 2 K. Or. Lusambo 13 2,500 5 190 57 5000 50 1 1 6 0 K. Or. Omendjadi 18 2,500 5 190 57 0 50 0 2 7 5

K. Or. Pania Mutombo 10 2,500 5 190 57 5000 50 1 1 7 0

K. Or. Vanga Kete Ototo 17 2,500 5 190 57 0 60 0 2 6 5

Katanga Mulongo 25 1094 24 125 50 300 41 1 0 24 2

67

SNIS Laboratory Finance &

Drugs


Fich

es d

e ré

fére

nce

Reg

istr

e C

onsu

ltatio

ns

Cur

ativ

es

Cal

endr

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Axx

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Fich

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onito

rage

07

HIV

test

s Det

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secu

tran

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Fich

es T

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s Se

curi

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le

Blo

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sts k

its

Kit

Lab

o

RU

ME

R

Reg

istr

e C

ons.

Méd

/ H

GR



Katanga Mukanga 13 4485 24 125 50 1300 41 1 0 24 2 Katanga Kabongo 14 4672 36 250 80 1300 63 1 0 38 2 Katanga Kitenge 16 4733 30 250 60 1300 45 1 0 30 2 Katanga Kinkondja 18 5065 35 250 70 1600 60 1 0 35 2 Distributed to HZs 61,227 450 4,305 1,332 25,300 971 20 25 426 40 Quantity Received by ECC 61,227 493 4,825 1,332 25,300 971 25 25 426 40 Balance 0 43 520 0 0 0 5 0 0 0 % Distributed 100% 91% 89% 100% 100% 100% 80% 100% 100% 100% Katanga Kanzenze 15 1,000 20 125 44 500 20 1 20 2 Katanga Bunkeya 7 1,000 20 125 44 500 20 1 20 2 Katanga Mutshatsha 13 1,000 20 125 44 500 20 1 22 1 Katanga Lualaba 14 1,000 20 125 44 500 20 2 20 1 Katanga Lubudi 16 1,500 30 125 44 300 20 1 25 2 Katanga Fungurume 11 1,500 30 125 44 500 15 1 28 2 Katanga Dilala 10 1,500 30 125 44 300 25 2 25 1 Katanga Manika 13 1,500 30 125 44 600 25 2 28 2 S. Kivu Kalonge 15 2,500 21 342 112 500 10 2 25 2 S. Kivu Kalehe 10 2,833 21 306 102 500 10 1 25 2 S. Kivu Minova 10 2,833 21 330 109 500 10 2 25 2 S. Kivu Bunyakiri 23 2,833 21 414 140 500 10 4 25 2 S. Kivu Katana 16 2,833 21 354 117 1000 10 17 25 2 S. Kivu Miti 17 2,500 21 354 117 1000 10 11 25 2 S. Kivu Idjwi 21 2,833 30 402 138 1000 10 3 30 2 Distributed to HZs 29,165 356 3,502 1,187 8,700 235 51 0 368 27 Quantity Received by WVI 30,665 388 3,586 1,197 12,900 235 51 9 388 27 Balance 1,500 32 84 10 4,200 0 0 9 20 0 % Distributed 95% 92% 98% 99% 67% 100% 100% 0% 95% 100% Distributed to HZs 151,045 1,564 13,453 4,435 53,800 2,082 98 25 1,276 107 Quantity Received 152,545 1,639 14,057 4,455 65,800 2,082 103 59 1,296 107 Balance 1,500 75 604 20 12,000 0 5 9 20 0 % Distributed 99% 95% 96% 100% 82% 100% 95% 42% 98% 100%

68

Finances & Drugs

Region Health Zone CS Fich

es te

ch G

estio

n M

éd

CS

Fich

es te

ch G

estio

n M

éd

HG

R

Fich

es te

ch G

estio

n M

éd

BC

ZS

Fich

es d

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ock

Qui

ttan

cier

Jour

na r

ecet

tes C

S

Jour

nal d

epen

ses C

S

Jour

na r

ecet

tes B

CZ

S

Jour

nal d

epen

ses B

CZ

S

Jour

nal V

entil

latio

n H

GR

S. Kivu Kadutu 11 28 2 2 2,637 32 0 0 0 3 3 S. Kivu Mwana 19 0 2 1 212 37 0 0 0 2 2 S. Kivu Nyangezi 10 0 0 0 163 29 0 0 0 3 3 S. Kivu Kaziba 15 0 0 0 195 34 0 0 0 5 5 S. Kivu Walungu 11 56 4 4 5,275 63 0 0 0 6 6 S. Kivu Kaniola 7 0 0 0 179 32 0 0 0 3 3 S. Kivu Mubumbano 10 0 0 0 244 43 0 0 0 3 3 S. Kivu Kamituga 20 0 4 0 177 49 0 0 0 4 4 S. Kivu Mwenga 22 0 0 0 260 46 0 0 0 4 4 S. Kivu Uvira 25 38 3 3 3,629 49 0 0 0 4 4 S. Kivu Bijombo 10 56 4 4 5,275 63 0 0 0 6 6 S. Kivu Nundu 15 54 4 4 5,035 60 0 0 0 5 5 S. Kivu Lemera 20 46 4 4 4,349 58 0 0 0 5 5 S. Kivu Ruzizi 15 31 2 2 2,877 43 0 0 0 3 3 S. Kivu Ibanda 38 3 3 3,547 34 0 0 0 4 0 S. Kivu Bagira 22 20 2 2 1,918 23 0 0 0 2 2 S. Kivu Kitutu 26 0 0 0 358 63 0 0 0 6 6 S. Kivu Lulingu 15 0 0 0 326 78 0 0 0 0 5 S. Kivu Kalole 15 0 0 0 491 78 0 0 0 0 8 S. Kivu Shabunda 21 0 0 0 293 52 0 0 0 50 5 S. Kivu Mulungu 22 3 0 1 1,142 58 0 0 0 5 5 Distributed to HZs 370 34 30 38,582 1,024 0 0 0 123 87 Quantity Received by CRS 370 34 30 38,582 1,024 0 0 0 123 87 Balance 0 0 0 0 0 0 0 0 0 0 % Distributed 100% 100% 100% 100% 100% 100% K. Oc. Tshikaji 12 18 2 2 2000 64 15 15 4 5 5 K. Oc. Bulape 15 23 2 2 2000 75 11 9 5 5 6 K. Oc. Mutoto 13 20 2 2 2000 64 13 9 4 5 3 K. Oc. Lubondai 19 29 2 2 2000 64 39 38 8 5 10 K. Or. Bibanga 14 20 2 2 2000 64 14 12 5 1 5 K. Or. Mpokolo 15 23 2 2 2000 64 14 14 5 5 5 K. Or. Dibindi 13 42 5 1 6000 70 36 36 6 0 6 K. Or. Lodja 22 32 5 0 6000 59 28 31 5 0 3 K. Or. Lusambo 13 40 4 2 6000 70 32 32 4 0 4 K. Or. Omendjadi 18 71 4 2 8000 70 4 22 4 0 4



Katanga Mulongo 25 24 2 2 2000 70 25 16 3 5 5

69

Finances & Drugs

Region Health Zone CS Fich

es te

ch G

estio

n M

éd

CS

Fich

es te

ch G

estio

n M

éd

HG

R

Fich

es te

ch G

estio

n M

éd

BC

ZS

Fich

es d

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ock

Qui

ttan

cier

Jour

na r

ecet

tes C

S

Jour

nal d

epen

ses C

S

Jour

na r

ecet

tes B

CZ

S

Jour

nal d

epen

ses B

CZ

S

Jour

nal V

entil

latio

n H

GR



Katanga Mukanga 13 24 2 2 2000 70 13 16 3 5 5 Katanga Kabongo 14 38 2 2 2000 70 14 19 3 5 5 Katanga Kitenge 16 30 2 2 2000 70 16 19 3 5 5 Katanga Kinkondja 18 35 2 2 2000 70 18 19 4 5 5 Distributed to HZs 639 56 40 68,500 1,434 394 430 438 71 107 Quantity Received by ECC 639 56 40 78,000 1,434 438 438 438 75 164 Balance 0 0 0 9,500 0 44 8 0 4 57 % Distributed 100% 100% 100% 88% 100% 90% 98% 100% 95% 65% Katanga Kanzenze 15 19 2 1 2250 0 9 18 0 2 4 Katanga Bunkeya 7 19 2 1 2250 0 5 5 0 1 1 Katanga Mutshatsha 13 19 1 1 2250 0 9 13 0 2 4 Katanga Lualaba 14 19 1 1 2250 0 9 15 0 2 0 Katanga Lubudi 16 18 2 1 2250 0 10 10 0 2 3 Katanga Fungurume 11 19 2 1 2250 0 10 10 0 1 3 Katanga Dilala 10 19 1 1 2250 0 8 19 0 2 6 Katanga Manika 13 19 2 1 2250 0 9 15 0 2 6 S. Kivu Kalonge 15 20 1 1 3000 65 19 12 9 0 4 S. Kivu Kalehe 10 15 1 1 1500 50 12 7 9 0 18 S. Kivu Minova 10 15 1 1 3000 60 13 8 9 0 4 S. Kivu Bunyakiri 23 28 1 1 2000 95 28 17 9 0 4 S. Kivu Katana 16 20 1 1 2000 70 19 12 9 0 4 S. Kivu Miti 17 20 1 1 1500 70 20 13 9 0 4 S. Kivu Idjwi 21 28 1 1 2000 90 25 16 9 0 4 Distributed to HZs 297 20 15 33,000 500 205 190 63 14 69 Quantity Received by WVI 387 27 29 33,000 980 281 401 96 65 269 Balance 90 7 14 0 480 76 211 33 51 200 % Distributed 77% 74% 52% 100% 73% 47% 66% 22% 26% Distributed to HZs 1,306 110 85 140,082 2,958 599 620 501 208 263 Quantity Received 1,396 117 99 149,582 3,438 719 839 534 263 520 Balance 90 7 14 9,500 480 120 219 33 55 257 % Distributed 94% 94% 86% 94% 83% 74% 94% 79% 51%

70

Finances & Drugs FP and Reproductive Health


Jour

nal r

ecet

tes H

GR

Jour

nal d

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ses H

GR

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S. Kivu Kadutu 11 3 3 12 12 12 3301 2500 2882 500 0 S. Kivu Mwana 19 2 2 7 7 7 3356 2500 3543 500 0 S. Kivu Nyangezi 10 3 3 11 11 11 1274 500 2,303 500 0 S. Kivu Kaziba 15 5 5 21 21 21 1329 500 3,963 750 0 S. Kivu Walungu 11 6 6 23 23 23 1602 2500 6,266 750 0 S. Kivu Kaniola 7 3 3 13 13 13 3301 2500 2382 500 0 S. Kivu Mubumbano 10 3 3 14 14 14 3410 2500 3203 500 0 S. Kivu Kamituga 20 4 4 16 16 16 3466 2500 4364 750 0 S. Kivu Mwenga 22 4 4 17 17 17 1438 500 4784 750 0 S. Kivu Uvira 25 4 4 16 16 16 3466 2500 3,364 750 0 S. Kivu Bijombo 10 6 6 23 23 23 3602 2500 4,766 750 0 S. Kivu Nundu 15 5 5 22 22 22 3575 2500 4685 750 0 S. Kivu Lemera 20 5 5 19 19 19 3548 2500 4105 750 0 S. Kivu Ruzizi 15 3 3 13 13 13 3328 2500 2,463 500 0 S. Kivu Ibanda 4 4 16 16 16 3328 2500 1963 500 0 S. Kivu Bagira 22 2 2 8 8 8 3219 2500 1642 500 0 S. Kivu Kitutu 26 6 6 24 24 24 1602 0 2766 950 27 S. Kivu Lulingu 15 5 5 21 21 21 2348 2000 3805 500 27 S. Kivu Kalole 15 8 8 32 32 32 1739 0 3167 950 27 S. Kivu Shabunda 21 5 5 19 19 19 1493 0 2445 950 27 S. Kivu Mulungu 22 5 5 19 20 22 1575 0 2685 950 27 Distributed to HZs 91 91 366 367 369 55,300 36,000 71,546 14,300 135 Quantity Received by CRS 91 91 366 367 369 55,300 36,000 71,546 14,300 135 Balance 0 0 0 0 0 0 0 0 0 0 % Distributed 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% K. Oc. Tshikaji 12 5 5 12 1 21 1.5 3 3 0.5 15 K. Oc. Bulape 15 5 5 17 1 15 2 3 3 1 20 K. Oc. Mutoto 13 5 5 15 1 12 1.5 3 3 0.5 20 K. Oc. Lubondai 19 5 5 31 1 21 2.5 4 4 1 30 K. Or. Bibanga 14 9 9 2 1 18 1.5 1.5 3 1 21 K. Or. Mpokolo 15 5 5 2 1 18 5 4 8 3 23 K. Or. Dibindi 13 0 0 2 1 18 0.5 0 0 0 9 K. Or. Lodja 22 0 0 15 16 17 400 0 0 1.5 10 K. Or. Lusambo 13 0 0 2 1 16 7 7 0 7 9 K. Or. Omendjadi 18 0 0 30 1 18 500 0 0 3 9

K. Or. Pania Mutombo 10 0 0 2 1 16 0.5 0 0 7 9

K. Or. Vanga Kete Ototo 17 0 0 20 12 15 300 0 0 1.5 9

Katanga Mulongo 25 5 5 3 1 16 1 1 1 0.5 24

71

Finances & Drugs FP and Reproductive Health


Jour

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Katanga Kayamba 20 5 5 3 1 18 2 1 3 1 20 Katanga Lwamba 23 5 5 3 1 18 2 1.5 3 1 12 Katanga Songa 15 5 5 3 1 18 2.5 2 4 2 44

Katanga Malemba Nkulu 7 5 5 3 1 18 3.5 3 6 1 24

Katanga Mukanga 13 5 5 3 1 18 4.5 4 8 1 24 Katanga Kabongo 14 5 5 3 1 18 4.5 4 8 1 38 Katanga Kitenge 16 5 5 3 1 18 4.5 4 8 1 30 Katanga Kinkondja 18 5 5 3 1 18 5 4.5 9 1 35 Distributed to HZs 75 75 177 47 365 49,500 44,000 74,000 30,000 435 Quantity Received by ECC 75 75 177 47 365 49,500 44,000 74,000 30,000 435 Balance 0 0 0 0 0 0 0 0 0 0 % Distributed 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Katanga Kanzenze 15 4 4 18 9 18 1,500 1,000 1,000 0 4 Katanga Bunkeya 7 1 1 7 5 7 1,500 1,000 1,000 0 4 Katanga Mutshatsha 13 4 4 14 13 14 1,000 1,000 1,000 0 4 Katanga Lualaba 14 0 0 21 20 21 1,500 1,000 1,500 0 4 Katanga Lubudi 16 3 3 17 20 17 1,500 1,500 1,500 0 4 Katanga Fungurume 11 3 3 15 10 13 2,000 2,500 1,500 0 4 Katanga Dilala 10 6 6 17 10 18 2,000 1,500 1,500 0 4 Katanga Manika 13 6 6 20 25 20 2,000 1,500 1,500 0 4 S. Kivu Kalonge 15 4 0 18 0 18 3,500 2,500 4,250 517 0 S. Kivu Kalehe 10 4 0 12 0 12 3,500 2,500 3,250 517 0 S. Kivu Minova 10 4 0 13 0 13 3,500 2,583 3,500 517 0 S. Kivu Bunyakiri 23 4 0 16 0 3,500 2,500 3,250 517 0 S. Kivu Katana 16 4 0 18 0 18 3,000 2,583 3,250 517 0 S. Kivu Miti 17 4 0 19 0 19 3,500 2,583 5,000 517 0 S. Kivu Idjwi 21 4 0 23 0 23 2,500 2,500 5,000 517 3 Distributed to HZs 55 27 248 112 231 36,000 28,749 38,000 3,619 35 Quantity Received by WVI 104 31 250 0 231 56,500 40,334 39,000 7,000 83 Balance 49 4 2 0 0 20,500 11,585 500 3,381 48 % Distributed 53% 87% 99% 100% 64% 71% 97% 52% 42% Distributed to HZs 221 193 791 526 965 140,800 108,749 183,546 47,919 605 Quantity Received 270 197 793 414 965 161,300 120,334 184,546 51,300 653 Balance 49 4 2 0 0 20,500 11,585 500 3,381 48 % Distributed 82% 98% 100% 127% 100% 87% 90% 99% 52% 93%

72

FP and Reproductive Health

Region Health Zone CS Car

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DV

ND

Reg

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PN

Reg

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Dep

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Con

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S. Kivu Kadutu 11 1336 21 19 26 1,618 2,446 1,490 20 19,799 1,002 S. Kivu Mwana 19 1637 18 18 24 921 1,096 868 12 11,311 449 S. Kivu Nyangezi 10 1,124 9 7 14 1,143 798 1,111 16 14,064 327 S. Kivu Kaziba 15 649 19 14 20 1,406 828 1,377 20 17,319 339 S. Kivu Walungu 11 2,424 24 38 45 2,721 1,038 2,712 40 33,692 425 S. Kivu Kaniola 7 1211 26 25 28 1,513 1,038 1,392 20 17,642 425 S. Kivu Mubumbano 10 1561 29 29 37 1,722 1,255 1,164 24 21,184 514 S. Kivu Kamituga 20 1861 43 34 42 2,265 1,436 2,212 32 27,881 588 S. Kivu Mwenga 22 1899 12 19 26 1,876 1,476 1,359 28 24,732 604 S. Kivu Uvira 25 1,861 31 33 39 1,926 837 1,906 28 23,753 343 S. Kivu Bijombo 10 2424 37 41 53 2,457 932 2,441 36 30,318 381 S. Kivu Nundu 15 2336 39 41 53 2,483 1,119 2,454 36 30,605 458 S. Kivu Lemera 20 2249 35 36 44 2,243 1,273 2,200 32 27,631 512 S. Kivu Ruzizi 15 1549 23 26 34 1,559 1,972 1,456 20 19,073 808 S. Kivu Ibanda 1299 26 16 36 1,543 1,869 1,450 20 18,915 765 S. Kivu Bagira 22 949 15 14 18 1,207 1,283 1,145 16 14,807 525 S. Kivu Kitutu 26 1,924 23 23 47 1877 968 2227 40 17684 396 S. Kivu Lulingu 15 2,361 27 23 44 1916 1,262 2248 40 3554 519 S. Kivu Kalole 15 2,361 23 23 52 1938 1,430 2259 40 18391 585 S. Kivu Shabunda 21 1,574 23 23 42 1938 1,430 2259 40 18391 585 S. Kivu Mulungu 22 1,836 23 23 46 1962 1,614 2272 40 18674 661 Distributed to HZs 36,425 526 525 770 38,234 27,400 38,002 600 429,420 11,211 Quantity Received by CRS 36,425 526 525 770 38,234 27,400 38,002 600 429,420 11,220 Balance 0 0 0 0 0 0 0 0 0 9 % Distributed 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% K. Oc. Tshikaji 12 700 20 20 20 8 4 4 2 12 250 K. Oc. Bulape 15 700 20 20 20 6 2 2 2 1 300 K. Oc. Mutoto 13 600 20 20 20 3 1 1 25 4 250 K. Oc. Lubondai 19 1000 30 30 30 8 2 2 2 12 300 K. Or. Bibanga 14 800 21 20 21 3 1 1 3 3 500 K. Or. Mpokolo 15 1700 23 20 33 7 1 1 1 8 500 K. Or. Dibindi 13 2000 0 8 5 0 0 0 1 0 0 K. Or. Lodja 22 1500 0 8 4 0 0 0 1 0 0 K. Or. Lusambo 13 2000 0 7 4 0 0 0 1 0 0 K. Or. Omendjadi 18 2000 0 7 4 0 0 0 1 0 0



Katanga Mulongo 25 500 24 24 26 3 2 2 2 7 555Katanga Kayamba 20 1000 20 20 22 3 1 1 2 4 555Katanga Lwamba 23 1000 12 12 14 3 2 2 2 4 555Katanga Songa 15 1400 44 44 46 8 2 2 2 10 555Katanga Malemba 7 1500 24 24 26 6 2 2 2 8 555

73

FP and Reproductive Health

Region Health Zone CS Car

te R

DV

ND

Reg

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PN

Reg

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PON

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Nkulu Katanga Mukanga 13 2000 24 24 26 7 2 2 2 11 555Katanga Kabongo 14 2000 38 38 40 21 3 3 3 15 560Katanga Kitenge 16 1200 30 30 32 7 3 3 2 13 555Katanga Kinkondja 18 1400 34 34 37 16 5 5 3 15 555Distributed to HZs 28,500 384 424 437 109 33 33 61 127 7,100 Quantity Received by ECC 28,500 384 425 437 109 33 33 72 140 7,500 Balance 0 0 1 0 0 0 0 11 13 400 % Distributed 100% 100% 100% 100% 100% 100% 100% 85% 91% 95% Katanga Kanzenze 15 0 0 10 30 0 1600 1300 25 15000 400 Katanga Bunkeya 7 0 15 10 20 100 1600 1300 25 15000 500 Katanga Mutshatsha 13 0 15 10 30 0 1600 1300 25 15000 400 Katanga Lualaba 14 0 15 10 30 50 1600 1300 25 15000 500 Katanga Lubudi 16 0 20 13 40 150 1600 1300 25 15000 600 Katanga Fungurume 11 0 30 13 40 100 1600 1300 25 15000 400 Katanga Dilala 10 0 30 13 40 0 1600 1300 25 15000 600 Katanga Manika 13 0 30 13 40 0 1600 1300 25 15000 600 S. Kivu Kalonge 15 1000 18 35 23 0 1200 1,200 25 18000 428 S. Kivu Kalehe 10 1000 18 35 23 0 1200 1,200 25 16000 428 S. Kivu Minova 10 1000 18 35 23 0 1200 1,200 50 17000 428 S. Kivu Bunyakiri 23 1500 18 35 23 0 1200 2,400 50 17000 428 S. Kivu Katana 16 1500 18 35 14 0 2400 1,200 50 17000 428 S. Kivu Miti 17 1000 18 35 20 0 1200 2,400 25 18000 428 S. Kivu Idjwi 21 1500 16 36 21 0 2400 2,400 25 17000 428 Distributed to HZs 8,500 279 338 417 400 23,600 22,400 450 240,000 6,996 Quantity Received by WVI 8,500 309 372 445 20,800 24,800 24,600 450 240,000 7,000 Balance 0 30 34 28 20,400 1,200 2,200 0 0 4 % Distributed 90% 91% 94% 2% 95% 91% 100% 100% 100% Distributed to HZs 73,425 1,189 1,287 1,624 38,743 51,033 60,435 1,111 669,547 25,307 Quantity Received 73,425 1,219 1,322 1,652 59,143 52,233 62,635 1,122 669,560 25,720 Balance 0 30 35 28 20,400 1,200 2,200 11 13 413 % Distributed 98% 97% 98% 66% 98% 96% 99% 100% 98%

74

FP and Reproductive Health Malaria


Tes

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S. Kivu Kadutu 11 36 299 1 7000 3000 183000 3,400 16 16 S. Kivu Mwana 19 12 120 1 1 5000 2000 82000 1,450 19 19 S. Kivu Nyangezi 10 12 172 1 2000 1000 60000 1,700 15 15 S. Kivu Kaziba 15 3 344 1 3000 1000 62000 1,750 18 18 S. Kivu Walungu 11 12 599 1 3000 1000 78000 2,050 33 33 S. Kivu Kaniola 7 3 206 1 1 3000 1000 78000 1,650 16 16 S. Kivu Mubumbano 10 3 223 1 1 4000 1000 94000 1,750 22 22 S. Kivu Kamituga 20 15 258 1 1 4000 2000 107000 1,600 25 25 S. Kivu Mwenga 22 6 275 1 1 4000 2000 110000 1,950 23 23 S. Kivu Uvira 25 129 408 1 1 3000 1000 63000 2,700 25 25 S. Kivu Bijombo 10 0 599 1 1 3000 1000 70000 1,150 33 33 S. Kivu Nundu 15 63 572 1 1 3000 1000 84000 1,800 31 31 S. Kivu Lemera 20 12 490 1 1 4000 2000 95000 1,650 30 30 S. Kivu Ruzizi 15 27 326 1 1 6000 2000 148000 2,750 17 17 S. Kivu Ibanda 28 408 6000 2000 139000 3,050 18 17 S. Kivu Bagira 22 9 218 1 1 4000 2000 96000 1,700 12 12 S. Kivu Kitutu 26 0 395 1 1 3000 1000 72000 4,650 33 33 S. Kivu Lulingu 15 0 545 1 1 3000 2000 94000 6,800 30 30 S. Kivu Kalole 15 0 817 1 1 4000 2000 107000 2,500 40 40 S. Kivu Shabunda 21 0 490 4000 2000 121000 2,150 27 27 S. Kivu Mulungu 22 0 260 1 1 5000 2000 107000 2,650 31 31 Distributed to HZs 370 8,024 18 16 83,000 34,000 2,050,000 50,850 514 513 Quantity Received by CRS 370 8,024 18 16 83,000 34,000 2,050,000 52,500 514 513 Balance 0 0 0 0 0 0 0 1,650 0 0 % Distributed 100% 100% 100% 100% 100% 100% 100% 97% 100% 100% K. Oc. Tshikaji 12 3 400 2 1 5 2 118 5000 20 25 K. Oc. Bulape 15 3 348 2 1 5 2 123 5600 22 25 K. Oc. Mutoto 13 3 398 2 1 4 2 102 1600 21 25 K. Oc. Lubondai 19 3 398 2 1 7 2 168 5500 22 25 K. Or. Bibanga 14 4 100 2 2 5 1 126 6300 22 22 K. Or. Mpokolo 15 4 100 2 2 13 3 325 3000 27 27 K. Or. Dibindi 13 0 0 2 1 0 0 0 1850 60 60 K. Or. Lodja 22 0 0 1 0 0 0 0 2050 56 50 K. Or. Lusambo 13 0 0 1 1 0 0 0 1650 60 58 K. Or. Omendjadi 18 0 0 2 0 0 0 0 1600 51 58



Katanga Mulongo 25 13 95 2 1 4 2 79 2950 36 36 Katanga Kayamba 20 17 95 1 1 3 1 100 2800 30 30 Katanga Lwamba 23 18 96 1 1 3 1 136 1500 33 33

75

FP and Reproductive Health Malaria


Tes

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Katanga Songa 15 22 100 2 2 8 3 195 6400 23 23


Katanga Mukanga 13 30 95 2 2 4 1 180 2400 20 20 Katanga Kabongo 14 29 97 2 2 6 2 98 6200 21 21 Katanga Kitenge 16 30 100 1 1 6 1 98 3300 24 24 Katanga Kinkondja 18 32 100 2 2 6 2 99 6000 27 27 Distributed to HZs 237 2,617 34 25 83 26 2,047 71,900 709 724 Quantity Received by ECC 237 2,617 35 25 83 26 2,047 71,900 709 799 Balance 0 0 1 0 0 0 0 0 0 75 % Distributed 100% 100% 97% 100% 100% 100% 100% 100% 100% 91% Katanga Kanzenze 15 873 310 0 1 3000 0 0 2600 25 0 Katanga Bunkeya 7 933 310 0 1 3000 0 0 2100 7 0 Katanga Mutshatsha 13 1240 308 0 1 4500 0 0 2400 25 0 Katanga Lualaba 14 1376 360 0 1 3000 0 0 2600 25 0 Katanga Lubudi 16 1418 365 0 1 4500 0 0 2900 25 0 Katanga Fungurume 11 1697 360 0 1 5000 0 0 3000 10 0 Katanga Dilala 10 1786 397 0 1 5000 0 0 3000 25 0 Katanga Manika 13 3114 387 0 1 6000 0 0 4500 25 0 S. Kivu Kalonge 15 1700 457 1 1 3000 0 1000 22 22 S. Kivu Kalehe 10 1700 457 1 1 4000 0 1000 17 17 S. Kivu Minova 10 1700 457 1 1 4000 0 1000 20 20 S. Kivu Bunyakiri 23 1900 518 1 1 3000 0 1000 32 32 S. Kivu Katana 16 2500 457 1 1 4000 0 1000 23 23 S. Kivu Miti 17 2200 457 1 1 5000 0 1000 23 23 S. Kivu Idjwi 21 1900 517 1 1 5000 0 1000 30 30 Distributed to HZs 26,036 6,117 7 15 62,000 0 0 30,100 334 167 Quantity Received by WVI 26,036 6,320 7 15 62,000 0 32,500 353 167 Balance 0 203 0 0 0 0 0 10,500 19 0 % Distributed 100% 97% 100% 100% 100% 93% 95% Distributed to HZs 26,643 16,758 59 56 145,083 34,026 2,052,047 152,850 1,557 1,404 Quantity Received 26,643 16,961 60 56 145,083 34,026 2,052,047 156,900 1,576 1,479 Balance 0 203 1 0 0 0 0 10,500 19 75 % Distributed 100% 99% 98% 100% 100% 97% 99%

76

Malaria PEV/CPS


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S. Kivu Kadutu 11 17 27 1 28 79 3 21 21 64 27 S. Kivu Mwana 19 14 32 1 31 0 0 0 0 41 17 S. Kivu Nyangezi 10 15 0 1 0 0 0 0 0 58 0 S. Kivu Kaziba 15 30 0 1 0 0 0 0 0 117 0 S. Kivu Walungu 11 30 54 1 57 159 7 41 41 128 54 S. Kivu Kaniola 7 18 0 1 0 0 0 0 0 70 0 S. Kivu Mubumbano 10 20 0 1 0 0 0 0 0 0 0 S. Kivu Kamituga 20 23 37 1 0 0 6 0 0 87 0 S. Kivu Mwenga 22 24 0 1 0 0 0 0 0 93 0 S. Kivu Uvira 25 23 37 1 57 108 5 28 28 87 37 S. Kivu Bijombo 10 33 54 1 40 159 5 41 41 128 54 S. Kivu Nundu 15 32 52 1 0 152 7 39 39 122 52 S. Kivu Lemera 20 27 45 1 39 130 4 34 34 105 45 S. Kivu Ruzizi 15 18 30 1 47 87 2 23 23 70 30 S. Kivu Ibanda 23 37 1 39 108 5 28 28 87 37 S. Kivu Bagira 22 12 20 1 21 58 2 15 15 47 20 S. Kivu Kitutu 26 35 0 1 0 0 0 0 0 134 0 S. Kivu Lulingu 15 30 0 1 0 0 0 0 0 117 0 S. Kivu Kalole 15 45 0 1 0 0 0 0 0 175 0 S. Kivu Shabunda 21 27 0 1 0 0 0 0 0 105 0 S. Kivu Mulungu 22 32 0 1 3 27 0 15 11 2 10 Distributed to HZs 528 425 21 362 1,067 46 285 281 1,837 383 Quantity Received by CRS 528 425 21 362 1,067 46 285 281 1,837 383 Balance 0 0 0 0 0 0 0 0 0 0 % Distributed 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% K. Oc. Tshikaji 12 18 18 1 18 48 3 18 18 18 18 K. Oc. Bulape 15 23 23 1 23 60 3 18 18 23 23 K. Oc. Mutoto 13 10 20 1 20 52 3 18 18 20 20 K. Oc. Lubondai 19 29 28 1 28 76 3 18 18 28 28 K. Or. Bibanga 14 22 21 1 21 116 3 20 20 115 18 K. Or. Mpokolo 15 27 23 1 36 60 3 18 18 120 23 K. Or. Dibindi 13 47 45 1 0 65 10 45 45 132 46 K. Or. Lodja 22 32 44 0 0 130 50 3 97 108 33 K. Or. Lusambo 13 47 40 1 36 130 9 45 45 100 45 K. Or. Omendjadi 18 42 38 0 0 105 9 72 22 42 45



Katanga Mulongo 25 36 24 1 24 68 3 16 16 60 24 Katanga Kayamba 20 30 20 1 20 56 3 13 13 52 20

77

Malaria PEV/CPS


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Katanga Lwamba 23 33 12 1 12 36 3 11 11 52 12 Katanga Songa 15 23 44 1 43 120 3 25 25 100 44


Katanga Mukanga 13 20 24 1 24 0 3 16 16 60 24 Katanga Kabongo 14 21 38 1 38 104 3 25 25 100 38 Katanga Kitenge 16 24 30 1 30 84 3 20 20 110 30 Katanga Kinkondja 18 27 33 1 34 96 3 23 23 100 33 Distributed to HZs 606 630 18 467 1,639 141 520 559 1,565 625 Quantity Received by ECC 606 632 18 467 1,639 141 520 559 1,565 653 Balance 0 2 0 0 0 0 0 0 0 28 % Distributed 100% 100% 100% 100% 100% 100% 100% 100% 100% 96% Katanga Kanzenze 15 20 20 19 70 3 15 8 20 19 Katanga Bunkeya 7 7 20 0 20 70 3 15 8 5 19 Katanga Mutshatsha 13 20 10 0 20 45 1 10 8 70 20 Katanga Lualaba 14 20 20 0 19 70 3 15 7 70 19 Katanga Lubudi 16 20 20 0 23 60 3 15 20 70 15 Katanga Fungurume 11 10 20 0 19 70 3 15 7 20 18 Katanga Dilala 10 20 28 0 20 80 4 20 8 70 20 Katanga Manika 13 20 28 0 22 80 0 20 8 70 20 S. Kivu Kalonge 15 17 17 0 20 40 1 5 5 102 10 S. Kivu Kalehe 10 11 12 0 15 22 1 5 5 102 8 S. Kivu Minova 10 12 12 0 15 22 1 5 5 102 8 S. Kivu Bunyakiri 23 24 25 0 28 50 1 5 5 102 16 S. Kivu Katana 16 17 20 0 20 40 1 5 5 102 17 S. Kivu Miti 17 17 17 0 20 40 1 5 5 102 10 S. Kivu Idjwi 21 24 25 0 28 50 1 5 5 102 16 Distributed to HZs 259 294 0 308 809 27 160 109 1,109 235 Quantity Received by WVI 304 348 0 330 1,065 41 291 249 1,250 349 Balance 45 54 0 22 256 14 131 140 141 114 % Distributed 85% 84% 93% 76% 66% 55% 44% 89% 67% Distributed to HZs 1,393 1,349 39 1,137 3,515 214 965 949 4,511 1,243 Quantity Received 1,438 1,405 39 1,159 3,771 228 1,096 1,089 4,652 1,385 Balance 45 56 0 22 256 14 131 140 141 142 % Distributed 97% 96% 98% 93% 94% 88% 87% 97% 90%

78

PEV/CPS Equipment HC & HGR


Fich

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Reg

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Sund

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S. Kivu Kadutu 11 3000 28 1 8 33 3 8 11 1 S. Kivu Mwana 19 1000 29 1 5 19 2 8 13 S. Kivu Nyangezi 10 2000 15 1 6 23 3 8 10 1 S. Kivu Kaziba 15 4000 23 7 27 3 8 12 1 S. Kivu Walungu 11 6000 55 1 12 49 3 8 22 S. Kivu Kaniola 7 1000 31 1 6 25 2 8 12 1 S. Kivu Mubumbano 10 1000 43 1 8 31 2 8 14 1 S. Kivu Kamituga 20 3000 45 1 10 41 3 9 18 1 S. Kivu Mwenga 22 2000 31 5 19 2 9 16 1 S. Kivu Uvira 25 3000 43 1 9 35 3 8 2 17 1 S. Kivu Bijombo 10 3000 59 10 41 2 8 2 20 1 S. Kivu Nundu 15 3000 57 9 35 2 8 2 21 1 S. Kivu Lemera 20 3000 48 11 43 1 8 2 18 1 S. Kivu Ruzizi 15 3000 35 1 7 29 2 8 2 12 1 S. Kivu Ibanda 3000 32 1 7 29 2 8 12 S. Kivu Bagira 22 3000 20 1 5 19 2 8 8 S. Kivu Kitutu 26 2000 44 8 31 3 9 23 1 S. Kivu Lulingu 15 2400 42 8 31 1 9 20 1 S. Kivu Kalole 15 2000 49 14 56 2 9 25 S. Kivu Shabunda 21 2000 40 8 32 2 8 18 1 S. Kivu Mulungu 22 2000 43 8 31 2 9 21 1 Distributed to HZs 54,400 812 11 171 679 47 0 174 10 343 16 Quantity Received by CRS 54,400 812 12 176 704 47 60 340 42 343 16 Balance 0 0 1 5 25 0 60 174 32 0 0 % Distributed 100% 100% 92% 97% 96% 100% 0% 51% 24% 100% 100% K. Oc. Tshikaji 12 2000 20 0 8 34 2 2 4 2 12 0 K. Oc. Bulape 15 2000 20 0 8 35 2 2 4 2 15 0 K. Oc. Mutoto 13 1500 20 1 8 34 2 2 4 2 13 0 K. Oc. Lubondai 19 2500 30 1 8 34 2 2 4 2 26 0 K. Or. Bibanga 14 1935 20 1 5 33 2 2 4 2 15 0 K. Or. Mpokolo 15 5084 20 1 5 32 2 2 4 2 20 1 K. Or. Dibindi 13 0 8 0 5 0 0 0 4 2 16 1 K. Or. Lodja 22 0 8 1 5 28 0 0 5 2 16 1 K. Or. Lusambo 13 0 7 0 5 8 0 0 4 2 21 1 K. Or. Omendjadi 18 0 7 1 5 31 0 0 4 2 16 1

K. Or. Pania Mutombo 10 0 7 0 5 8 0 0 4 2 21 1

K. Or. Vanga Kete Ototo 17 5135 7 1 5 22 0 0 5 2 16 1

Katanga Mulongo 25 1175 24 1 8 32 2 2 4 2 17 0 Katanga Kayamba 20 2022 20 1 8 32 2 2 5 2 25 1

79

PEV/CPS Equipment HC & HGR


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Katanga Lwamba 23 2044 12 1 8 32 2 2 5 2 9 1 Katanga Songa 15 2950 44 1 8 32 2 2 4 2 30 0

Katanga Malemba Nkulu 7 3986 24 1 8 32 2 2 5 2 18 1

Katanga Mukanga 13 4923 24 1 8 21 2 2 4 2 17 1 Katanga Kabongo 14 5135 38 1 8 32 2 2 5 2 26 1 Katanga Kitenge 16 5200 30 1 8 32 2 2 5 2 21 1 Katanga Kinkondja 18 5565 34 1 8 32 1 1 5 2 25 0 Distributed to HZs 53,154 424 16 144 576 29 29 92 42 395 13 Quantity Received by ECC 53,154 425 16 144 576 29 29 92 42 395 13 Balance 0 1 0 0 0 0 0 0 0 0 0 % Distributed 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Katanga Kanzenze 15 1,000 20 1 0 0 0 0 2 4 14 0 Katanga Bunkeya 7 1,000 15 1 0 0 0 0 2 4 7 0 Katanga Mutshatsha 13 1,000 15 0 0 0 0 0 2 0 13 0 Katanga Lualaba 14 1,000 20 1 0 0 0 0 2 4 14 0 Katanga Lubudi 16 2,000 20 0 0 0 0 0 3 0 16 0 Katanga Fungurume 11 2,000 20 1 0 0 1 0 2 4 15 1 Katanga Dilala 10 2,000 20 0 0 0 0 0 2 0 10 0 Katanga Manika 13 2,000 20 0 0 0 1 0 2 0 15 1 S. Kivu Kalonge 15 2000 30 1 16 64 0 0 8 3 18 S. Kivu Kalehe 10 3000 24 11 49 1 0 8 2 11 S. Kivu Minova 10 4000 24 15 59 0 0 8 2 15 S. Kivu Bunyakiri 23 2000 30 1 15 93 1 0 8 3 22 1S. Kivu Katana 16 3000 24 24 69 2 0 8 2 17 S. Kivu Miti 17 4000 24 18 69 2 0 8 2 17 S. Kivu Idjwi 21 3000 40 1 22 89 1 0 8 2 22 Distributed to HZs 33,000 346 7 121 492 9 0 73 32 226 3 Quantity Received by WVI 33,500 347 7 121 492 7 21 120 33 244 4 Balance 500 1 0 0 0 -2 21 47 1 18 4 % Distributed 99% 100% 100% 100% 100% 129% 61% 97% 93% 75% Distributed to HZs 140,554 1,582 34 436 1,747 85 29 339 84 964 32 Quantity Received 141,054 1,584 35 441 1,772 83 110 552 117 982 33 Balance 500 2 1 5 25 -2 81 213 33 18 4 % Distributed 100% 100% 97% 99% 99% 102% 61% 72% 98% 97%

80

Equipment HC & HGR


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S. Kivu Kadutu 11 6 6 2 2 1 1 21 S. Kivu Mwana 19 4 4 2 2 2 820 1 13 S. Kivu Nyangezi 10 4 4 2 2 1 1 19 S. Kivu Kaziba 15 4 4 2 2 2 1180 1 0 S. Kivu Walungu 11 4 6 2 2 2 1540 0 42 S. Kivu Kaniola 7 4 4 2 2 2 630 0 23 S. Kivu Mubumbano 10 4 4 2 2 2 910 1 25 S. Kivu Kamituga 20 4 5 3 1 3 2 990 0 29 S. Kivu Mwenga 22 4 5 3 1 2 2 1360 0 31 S. Kivu Uvira 25 6 6 2 2 2 1 29 S. Kivu Bijombo 10 5 4 2 1 2 2 910 0 42 S. Kivu Nundu 15 4 5 2 2 1 1360 1 40 S. Kivu Lemera 20 5 5 2 2 1 2070 0 35 S. Kivu Ruzizi 15 4 5 2 2 2 1 23 S. Kivu Ibanda 4 5 2 2 1 540 0 29 S. Kivu Bagira 22 4 5 2 2 1 1 15 S. Kivu Kitutu 26 4 5 2 1 2 1 640 0 44 S. Kivu Lulingu 15 4 4 2 1 2 2 0 38 S. Kivu Kalole 15 4 4 2 0 3 2 820 0 58 S. Kivu Shabunda 21 4 4 2 2 1 0 35 S. Kivu Mulungu 22 4 4 2 1 2 2 720 0 0 Distributed to HZs 0 90 98 44 6 44 34 0 14,490 9 591 0 Quantity Received by CRS 14 90 98 44 6 44 34 34 14,490 9 600 15 Balance 14 0 0 0 0 0 0 34 0 0 9 15 % Distributed 0% 100% 100% 100% 100% 100% 100% 100% 100% 99% 0% K. Oc. Tshikaji 12 1 4 4 0 1 1 2 2 1080 0 25 0 K. Oc. Bulape 15 0 4 4 0 0 2 2 2 2520 0 31 1 K. Oc. Mutoto 13 1 4 4 4 1 2 3 2 0 0 27 1 K. Oc. Lubondai 19 1 4 4 2 0 2 1 2 1440 0 39 1 K. Or. Bibanga 14 0 4 4 2 0 2 2 1 3150 0 29 1 K. Or. Mpokolo 15 1 4 5 4 1 2 3 2 3325 0 29 1 K. Or. Dibindi 13 1 4 4 0 1 1 1 1 2125 0 0 1 K. Or. Lodja 22 1 4 4 0 1 1 1 1 0 0 44 1 K. Or. Lusambo 13 1 4 4 1 1 1 1 1 2600 0 0 1 K. Or. Omendjadi 18 1 4 4 0 1 2 2 1 0 0 44 1

K. Or. Pania Mutombo 10 1 4 4 1 1 1 1 1 2600 0 0 1

K. Or. Vanga Kete Ototo 17 1 4 4 0 1 2 2 1 0 0 44 1

Katanga Mulongo 25 0 4 4 3 0 1 1 1 1470 0 33 0 Katanga Kayamba 20 1 4 5 3 0 2 2 2 1000 0 27 1

81

Equipment HC & HGR


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Katanga Lwamba 23 0 4 4 3 0 2 3 1 1470 0 17 1 Katanga Songa 15 1 4 5 4 0 3 2 1 1500 0 58 0

Katanga Malemba Nkulu 7 1 4 4 1 0 2 3 1 1470 0 33 1

Katanga Mukanga 13 1 4 4 2 0 2 3 2 1370 0 33 1 Katanga Kabongo 14 1 4 4 3 1 2 2 3 1735 0 51 1 Katanga Kitenge 16 1 4 5 3 1 2 3 2 1585 0 41 1 Katanga Kinkondja 18 0 4 4 3 0 3 2 2 2670 0 47 1 Distributed to HZs 16 84 88 39 11 38 42 32 33,110 0 652 18 Quantity Received by ECC 16 84 88 39 11 38 42 32 33,110 0 652 18 Balance 0 0 0 0 0 0 0 0 0 0 0 0 % Distributed 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Katanga Kanzenze 15 0 2 3 3 1 4 2 1 480 1 31 Katanga Bunkeya 7 0 2 3 3 0 3 2 1 600 1 15 Katanga Mutshatsha 13 0 2 3 3 0 2 2 1 480 1 27 Katanga Lualaba 14 0 2 2 2 0 1 1 0 600 1 29 Katanga Lubudi 16 0 2 3 3 1 3 2 1 600 1 33 Katanga Fungurume 11 1 2 3 3 0 2 2 1 240 1 37 Katanga Dilala 10 0 3 2 2 0 0 1 1 120 1 40 Katanga Manika 13 1 7 3 3 1 4 2 1 240 1 27 S. Kivu Kalonge 15 1 5 5 2 1 0 720 0 25 0 S. Kivu Kalehe 10 4 4 2 1 0 720 0 25 0 S. Kivu Minova 10 4 4 2 1 0 1560 0 25 0 S. Kivu Bunyakiri 23 1 5 5 1 2 2 0 720 0 25 0 S. Kivu Katana 16 4 4 2 1 0 620 0 28 0 S. Kivu Miti 17 4 4 2 1 0 520 0 25 0 S. Kivu Idjwi 21 5 5 1 3 2 0 520 0 25 0 Distributed to HZs 4 53 53 22 5 34 23 7 8,740 8 417 0 Quantity Received by WVI 4 54 51 45 5 35 29 9 9,240 8 439 10 Balance 4 1 -2 23 0 1 6 2 300 0 22 10 % Distributed 100% 98% 104% 49% 100% 97% 79% 78% 100% 95% Distributed to HZs 20 227 239 105 22 116 99 39 56,340 17 1,660 18 Quantity Received 34 228 237 128 22 117 105 75 56,840 17 1,691 43 Balance 4 1 -2 23 0 1 6 36 300 0 31 10 % Distributed 59% 100% 101% 82% 100% 99% 94% 52% 99% 100% 98% 42%

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Quarterly Report Q2 - sanru.org AXxes QTR Jan-Mar 2008.pdf · Quarterly Report Q2 January 01 –...

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