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Child Survival and Health Grants Program Project Summary

Jan-09-2012

Relief International(Niger)

General Project Information

Cooperative Agreement Number: GHS-A-00-07-000028

RI Headquarters Technical Backstop:RI Headquarters Technical Backstop Backup: Armand Utshudi

Field Program Manager: Mahaman Hallarou

Midterm Evaluator: Kathleen Tilford

Final Evaluator: Remi Sogunro

Headquarter Financial Contact: Naila Madatova

Project Dates: 10/1/2007 - 9/30/2011 (FY2007)

Project Type: New Partner

USAID Mission Contact: Christian Fung

Project Web Site: N/A

Field Program Manager

Name: Mahaman Hallarou (Dr.)

Address: Relief International/Niger

B.P. 12618

Niamey , Niger N/A Niger

Phone: 227-96-29-27-84

Fax:

E-mail: [email protected]

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


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General Project Description

Relief International, a 2007 New Partner category grantee, is implementing theKonni 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 healthybehaviors, ensuring institutionalized, sustainable support for community health workers, strengthening capacity of communities and local/districthealth 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 theircommunities. Health facility and health post staff will receive training, support and supervision so that they can provide high-quality care. Villagemembers 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 Longitude: 7.99

Project Location Types: Rural

Levels of Intervention: Health Post LevelCommunity

Province(s): Tahoua Region

District(s): Konni District

Sub-District(s): --

Operations Research Information

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

Partners

Konni District Ministry of Health (Collaborating Partner) $0

UNICEF/Niger (Collaborating Partner) $0


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Strategies

Social and Behavioral Change Strategies: Community MobilizationGroup interventionsInterpersonal CommunicationMass media and small media

Health Services Access Strategies: Emergency Transport Planning/FinancingImplementation in a geographic area that the government has identified as poor andunderserved

Health Systems Strengthening: Supportive SupervisionMonitoring CHW adherence with evidence-based guidelines

Referral-counterreferral system development for CHWsCommunity role in recruitment of CHWsCoordinating existing HMIS with community level data

Strategies for Enabling Environment: Advocacy for revisions to national guidelines/protocolsBuilding capacity of communities/CBOs to advocate to leaders for health

Tools/Methodologies: BEHAVE FrameworkRapid Health Facility Assessment

Capacity Building

Local Partners: Local Non-Government Organization (NGO)National Ministry of Health (MOH)Dist. Health SystemHealth Facility StaffOther CBOs

Interventions & Components

Immunizations IMCI Integration CHW TrainingHF Training

Nutrition (30%)- Continuous BF up to 24 months

IMCI Integration CHW TrainingHF Training

Vitamin A IMCI Integration CHW TrainingHF Training

Micronutrients CHW TrainingHF Training

Pneumonia Case Management IMCI Integration CHW TrainingHF Training

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


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


Healthy Timing/Spacing of Pregnancy IMCI Integration CHW TrainingHF Training

Breastfeeding IMCI Integration CHW TrainingHF Training

HIV/AIDS CHW TrainingHF Training

Family Planning IMCI Integration CHW TrainingHF Training

Tuberculosis IMCI Integration CHW TrainingHF Training


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Operational Plan Indicators

Number of People Trained in Maternal/Newborn Health

Gender Year Target Actual

Female 2010 804

Female 2010 204

Male 2010 4

Male 2010 31

Female 2011 18

Female 2011 0

Male 2011 0

Male 2011 67

Female 2012 0

Male 2012 0

Female 2013 0

Male 2013 0

Number of People Trained in Child Health & Nutrition


Female 2010 800

Female 2010 200

Male 2010 2Male 2010 17

Female 2011 6

Female 2011 0

Male 2011 0

Male 2011 20

Female 2012 0

Male 2012 0

Female 2013 0

Male 2013 0

Number of People Trained in Malaria Treatment or Prevention


Female 2010 200

Female 2010 800

Male 2010 2

Male 2010 17

Female 2011 0

Female 2011 6

Male 2011 0

Male 2011 20

Female 2012 0

Male 2012 0

Female 2013 0

Male 2013 0

Locations & Sub-Areas

Total Population: 454,869

Target Beneficiaries

Niger - RI - FY2007

Children 0-59 months 83,324

Women 15-49 years 91,297

Beneficiaries Total 174,621


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Rapid Catch Indicators: DIP Submission

Sample Type: 30 Cluster

Indicator Numerator Denominator PercentageConfidence

Interval

Percentage of mothers with children age 0-23 months who received atleast two Tetanus toxoid vaccinations before the birth of their youngestchild

95 330 28.8% 7.6

Percentage of children age 0-23 months whose births were attended byskilled personnel

87 330 26.4% 7.3

Percentage of children age 0-23 months who received a post-natal visitfrom an appropriately trained health worker within three days after birth

44 330 13.3% 5.4

Percentage of children age 0-5 months who were exclusively breastfedduring the last 24 hours

31 86 36.0% 16.2

Percentage of children age 6-23 months who received a dose of VitaminA in the last 6 months: card verified or mothers recall

26 244 10.7% 5.6

Percentage of children age 12-23 months who received a measlesvaccination

41 137 29.9% 11.9

Percentage of children age 12-23 months who received DTP1 accordingto the vaccination card or mothers recall by the time of the survey

61 137 44.5% 13.9


39 137 28.5% 11.7

Percentage of children age 0-23 months with a febrile episode duringthe last two weeks who were treated with an effective anti-malarial drugwithin 24 hours after the fever began

35 199 17.6% 7.9

Percentage of children age 0-23 months with diarrhea in the last twoweeks who received oral rehydration solution (ORS) and/orrecommended home fluids

36 196 18.4% 8.1

Percentage of children age 0-23 months with chest-related cough andfast and/or difficult breathing in the last two weeks who were taken toan appropriate health provider

39 214 18.2% 7.7

Percentage of households of children age 0-23 months that treat watereffectively

50 330 15.2% 5.7

Percentage of mothers of children age 0-23 months who live inhouseholds with soap at the place for hand washing

38 330 11.5% 5.0

Percentage of children age 0-23 months who slept under aninsecticide-treated bednet (in malaria risk areas, where bednet use iseffective) the previous night

132 330 40.0% 8.6

Percentage of children 0-23 months who are underweight (-2 SD for themedian weight for age, according to the WHO/NCHS reference

population)100 330 30.3% 7.7

Percentage of infants and young children age 6-23 months fedaccording to a minimum of appropriate feeding practices

93 244 38.1% 9.9


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Rapid Catch Indicators: Mid-term


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Rapid Catch Indicators: Final Evaluation

Sample Type: 30 Cluster

Indicator Numerator Denominator PercentageConfidence

Interval

Percentage of mothers with children age 0-23 months who received atleast two Tetanus toxoid vaccinations before the birth of their youngestchild

262 358 73.2% 6.5

Percentage of children age 0-23 months whose births were attended byskilled personnel

129 300 43.0% 7.9

Percentage of children age 0-23 months who received a post-natal visitfrom an appropriately trained health worker within three days after birth

189 358 52.8% 7.3

Percentage of children age 0-5 months who were exclusively breastfedduring the last 24 hours

77 107 72.0% 12.0

Percentage of children age 6-23 months who received a dose of VitaminA in the last 6 months: card verified or mothers recall

184 251 73.3% 7.7

Percentage of children age 12-23 months who received a measlesvaccination

94 189 49.7% 10.1


78 120 65.0% 12.1


49 120 40.8% 12.4

Percentage of children age 0-23 months with a febrile episode duringthe last two weeks who were treated with an effective anti-malarial drugwithin 24 hours after the fever began

101 209 48.3% 9.6

Percentage of children age 0-23 months with diarrhea in the last twoweeks who received oral rehydration solution (ORS) and/orrecommended home fluids

96 193 49.7% 10.0

Percentage of children age 0-23 months with chest-related cough andfast and/or difficult breathing in the last two weeks who were taken toan appropriate health provider

86 189 45.5% 10.0

Percentage of households of children age 0-23 months that treat watereffectively

270 358 75.4% 6.3

Percentage of mothers of children age 0-23 months who live inhouseholds with soap at the place for hand washing

85 358 23.7% 6.2

Percentage of children age 0-23 months who slept under aninsecticide-treated bednet (in malaria risk areas, where bednet use iseffective) the previous night

266 358 74.3% 6.4

Percentage of children 0-23 months who are underweight (-2 SD for themedian weight for age, according to the WHO/NCHS reference

population)144 350 41.1% 7.3

Percentage of infants and young children age 6-23 months fedaccording to a minimum of appropriate feeding practices

147 251 58.6% 8.6

Rapid Catch Indicator Comments

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

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