Child Survival and Health Grants Program Project Summary

Jan-09-2012

Relief International (Niger)

General Project Information
Cooperative Agreement Number: RI Headquarters Technical Backstop: RI Headquarters Technical Backstop Backup: Field Program Manager: Midterm Evaluator: Final Evaluator: Headquarter Financial Contact: Project Dates: Project Type: USAID Mission Contact: Project Web Site: GHS-A-00-07-000028 Armand Utshudi Mahaman Hallarou Kathleen Tilford Remi Sogunro Naila Madatova 10/1/2007 - 9/30/2011 (FY2007) New Partner Christian Fung N/A

Field Program Manager

Name: Address: Mahaman Hallarou (Dr.) Relief International/Niger B.P. 12618 Niamey , Niger N/A Niger 227-96-29-27-84 mahaman@ri.org

Phone: Fax: E-mail: Skype Name:

Alternate Field Contact

Name: Address: Niger Phone: Fax: E-mail: Skype Name:

Grant Funding Information

USAID Funding: $1,249,997 PVO Match: $556,436

General Project Description

Relief International, a 2007 New Partner category grantee, is implementing the Konni Healthy Start Program in Konni District, Tahoua Region, Niger. The project goal is to reduce morbidity and mortality rates of mothers and children less than five years of age by increasing healthy behaviors, ensuring institutionalized, sustainable support for community health workers, strengthening capacity of communities and local/district health teams, and developing mechanisms to augment food security and availability.

Womens health groups will be established and trained in maternal and child care and nutrition so that they can educate and support women in their communities. Health facility and health post staff will receive training, support and supervision so that they can provide high-quality care. Village members will learn about participatory planning and management of community health and food security so that they can ensure implementation, and continuation, of project activities that are in line with community needs.

Project Location
Latitude: 13.75 Project Location Types: Levels of Intervention: Province(s): District(s): Sub-District(s): Longitude: 7.99 Rural Health Post Level Community Tahoua Region Konni District --

Operations Research Information

There is no Operations Research (OR) component for this Project.

Partners
Konni District Ministry of Health (Collaborating Partner) UNICEF/Niger (Collaborating Partner) $0 $0

Strategies
Social and Behavioral Change Strategies: Community Mobilization Group interventions Interpersonal Communication Mass media and small media Emergency Transport Planning/Financing Implementation in a geographic area that the government has identified as poor and underserved Supportive Supervision Monitoring CHW adherence with evidence-based guidelines Referral-counterreferral system development for CHWs Community role in recruitment of CHWs Coordinating existing HMIS with community level data Advocacy for revisions to national guidelines/protocols Building capacity of communities/CBOs to advocate to leaders for health BEHAVE Framework Rapid Health Facility Assessment

Health Services Access Strategies:

Health Systems Strengthening:

Strategies for Enabling Environment: Tools/Methodologies:

Capacity Building
Local Partners: Local Non-Government Organization (NGO) National Ministry of Health (MOH) Dist. Health System Health Facility Staff Other CBOs

Interventions & Components

Immunizations Nutrition (30%)
- Continuous BF up to 24 months IMCI Integration IMCI Integration IMCI Integration CHW Training HF Training CHW Training HF Training CHW Training HF Training CHW Training HF Training IMCI Integration IMCI Integration CHW Training HF Training CHW Training HF Training

Vitamin A Micronutrients Pneumonia Case Management Control of Diarrheal Diseases (20%)

- Water/Sanitation - Hand Washing - ORS/Home Fluids - Feeding/Breastfeeding - Care Seeking - Case Management/Counseling

Malaria (20%)
- Training in Malaria CM - Adequate Supply of Malarial Drug - Access to providers and drugs - Antenatal Prevention Treatment - ITN (Bednets) - Care Seeking, Recog., Compliance

IMCI Integration

CHW Training HF Training

Maternal & Newborn Care (30%)

- Emergency Obstetric Care - Recognition of Danger signs - Newborn Care - Post partum Care - Child Spacing - Integation. with Iron & Folic Acid - Normal Delivery Care - Birth Plans - Home Based LSS - Emergency Transport

IMCI Integration

CHW Training HF Training

Healthy Timing/Spacing of Pregnancy Breastfeeding HIV/AIDS Family Planning Tuberculosis

IMCI Integration IMCI Integration

CHW Training HF Training CHW Training HF Training CHW Training HF Training

IMCI Integration IMCI Integration

CHW Training HF Training CHW Training HF Training

Operational Plan Indicators

Number of People Trained in Maternal/Newborn Health Gender Female Female Male Male Female Female Male Male Female Male Female Male Gender Female Female Male Male Female Female Male Male Female Male Female Male Gender Female Female Male Male Female Female Male Male Female Male Female Male Year 2010 2010 2010 2010 2011 2011 2011 2011 2012 2012 2013 2013 Year 2010 2010 2010 2010 2011 2011 2011 2011 2012 2012 2013 2013 Year 2010 2010 2010 2010 2011 2011 2011 2011 2012 2012 2013 2013 20 0 0 0 0 6 0 17 0 800 2 20 0 0 0 0 Target Actual 200 17 6 0 0 67 0 0 0 0 Target 800 200 2 Actual 31 18 0 0 Target 804 204 4 Actual

Number of People Trained in Child Health & Nutrition

Number of People Trained in Malaria Treatment or Prevention

Locations & Sub-Areas

Total Population: 454,869

Target Beneficiaries
Children 0-59 months Women 15-49 years Beneficiaries Total Niger - RI - FY2007 83,324 91,297 174,621

Rapid Catch Indicators: DIP Submission

Sample Type: 30 Cluster Indicator Percentage of mothers with children age 0-23 months who received at least two Tetanus toxoid vaccinations before the birth of their youngest child Percentage of children age 0-23 months whose births were attended by skilled personnel Percentage of children age 0-23 months who received a post-natal visit from an appropriately trained health worker within three days after birth Percentage of children age 0-5 months who were exclusively breastfed during the last 24 hours Percentage of children age 6-23 months who received a dose of Vitamin A in the last 6 months: card verified or mothers recall Percentage of children age 12-23 months who received a measles vaccination Percentage of children age 12-23 months who received DTP1 according to the vaccination card or mothers recall by the time of the survey Percentage of children age 12-23 months who received DTP3 according to the vaccination card or mothers recall by the time of the survey Percentage of children age 0-23 months with a febrile episode during the last two weeks who were treated with an effective anti-malarial drug within 24 hours after the fever began Percentage of children age 0-23 months with diarrhea in the last two weeks who received oral rehydration solution (ORS) and/or recommended home fluids Percentage of children age 0-23 months with chest-related cough and fast and/or difficult breathing in the last two weeks who were taken to an appropriate health provider Percentage of households of children age 0-23 months that treat water effectively Percentage of mothers of children age 0-23 months who live in households with soap at the place for hand washing Percentage of children age 0-23 months who slept under an insecticide-treated bednet (in malaria risk areas, where bednet use is effective) the previous night Percentage of children 0-23 months who are underweight (-2 SD for the median weight for age, according to the WHO/NCHS reference population) Percentage of infants and young children age 6-23 months fed according to a minimum of appropriate feeding practices Numerator 95 87 44 31 26 41 61 39 35 Denominator 330 330 330 86 244 137 137 137 199 Percentage 28.8% 26.4% 13.3% 36.0% 10.7% 29.9% 44.5% 28.5% 17.6% Confidence Interval 7.6 7.3 5.4 16.2 5.6 11.9 13.9 11.7 7.9

36

196

18.4%

8.1

39 50 38 132

214 330 330 330

18.2% 15.2% 11.5% 40.0%

7.7 5.7 5.0 8.6

100 93

330 244

30.3% 38.1%

7.7 9.9

Rapid Catch Indicators: Mid-term

Rapid Catch Indicators: Final Evaluation

Sample Type: 30 Cluster Indicator Percentage of mothers with children age 0-23 months who received at least two Tetanus toxoid vaccinations before the birth of their youngest child Percentage of children age 0-23 months whose births were attended by skilled personnel Percentage of children age 0-23 months who received a post-natal visit from an appropriately trained health worker within three days after birth Percentage of children age 0-5 months who were exclusively breastfed during the last 24 hours Percentage of children age 6-23 months who received a dose of Vitamin A in the last 6 months: card verified or mothers recall Percentage of children age 12-23 months who received a measles vaccination Percentage of children age 12-23 months who received DTP1 according to the vaccination card or mothers recall by the time of the survey Percentage of children age 12-23 months who received DTP3 according to the vaccination card or mothers recall by the time of the survey Percentage of children age 0-23 months with a febrile episode during the last two weeks who were treated with an effective anti-malarial drug within 24 hours after the fever began Percentage of children age 0-23 months with diarrhea in the last two weeks who received oral rehydration solution (ORS) and/or recommended home fluids Percentage of children age 0-23 months with chest-related cough and fast and/or difficult breathing in the last two weeks who were taken to an appropriate health provider Percentage of households of children age 0-23 months that treat water effectively Percentage of mothers of children age 0-23 months who live in households with soap at the place for hand washing Percentage of children age 0-23 months who slept under an insecticide-treated bednet (in malaria risk areas, where bednet use is effective) the previous night Percentage of children 0-23 months who are underweight (-2 SD for the median weight for age, according to the WHO/NCHS reference population) Percentage of infants and young children age 6-23 months fed according to a minimum of appropriate feeding practices Numerator 262 129 189 77 184 94 78 49 101 Denominator 358 300 358 107 251 189 120 120 209 Percentage 73.2% 43.0% 52.8% 72.0% 73.3% 49.7% 65.0% 40.8% 48.3% Confidence Interval 6.5 7.9 7.3 12.0 7.7 10.1 12.1 12.4 9.6

96

193

49.7%

10.0

86 270 85 266

189 358 358 358

45.5% 75.4% 23.7% 74.3%

10.0 6.3 6.2 6.4

144 147

350 251

41.1% 58.6%

7.3 8.6

Rapid Catch Indicator Comments

12 questionnaires were filled for a total of 360 but 358 were analysed.