Delivering Healthy Futures in Eastern DRC

#SDGAction42124

Description

Delivering Healthy Futures is a four-year project being implemented by the Jane Goodall Institute. This maternal, newborn and child health initiative is located in North Kivu and Maniema provinces in Eastern DRC.

The ultimate objective is to contribute to the reduction of maternal and child mortality in the targeted regions. This is being achieved through three expected outcomes: a) improving the delivery of maternal care by health workers; b) increasing community members (women and men) knowledge on reproductive health, family planning, safe pregnancy, disease prevention and WASH; and c) increasing the use of health services by target population.

Expected Impact

The project uses a results based management (RBM) approach throughout the life of the project, from planning, project design, implementation, monitoring (including reporting) and evaluation. Progress-tracking towards achieving the expected outcomes will help project staff to make informed programmatic decisions and to plan accordingly. 
 
Working in a participatory and inclusive manner that takes into account gender equality, JGI will work with its partners to create a learning environment that promotes on-going reflection and analysis, and makes necessary adjustments throughout the life of the project. 
 
JGI will incorporate the key RBM tools in the management of the DHF project, including the Logic Model, Performance Measurement Framework and Risk Register. Using these tools, a project implementation plan was put in place at the start of the project to provide an overarching framework for the initiative. On an annual basis, a more detailed work plan is organized by engaging with the local stakeholders, and necessary adjustments are made based on the reality on the ground. 
 
The initiative activities involve working alongside with the Ministry of Health as well as local community leaders to ensure the following results will be achieved: 
Increased knowledge and skills of health workers in reproductive health, family planning and management tools, in 20 health centres 
Improved Health Zone officials and health care workers capacity in managing and implementing the vaccination micro-plan in 20 health centres 
Increased knowledge and skills of health workers in early childhood health and disease prevention methods, in safe pregnancy, delivery and motherhood in 20 health centres 
Increased knowledge amongst community members living in 20 health areas in reproductive health, family planning tools, and WASH 
Increased knowledge amongst community volunteers living in 20 health areas in reproductive health, family planning tools, and WASH 
Increased knowledge amongst pregnant women living in 20 health areas in safe pregnancy, delivery and motherhood 
Increased access to health infrastructure for mothers, pregnant women, newborns and children under five, living in 7 health areas 
Increased access to adequately resourced health services for mothers, pregnant women, newborns and children under five living in 20 health areas 
Increased access to sanitation and safe water for mothers, pregnant women, newborns and children under five living in 7 health areas

Capacity

Capacity building is done at two levels: for government health workers and for community volunteers. 
 
For the health workers: 
Train health workers in reproductive health and family planning management tools in 20 health centres 
Support health zone officials and health care workers in updating and implementing the vaccination micro-plan in 20 health centres 
Train health workers in vaccination program, epidemiology monitoring, and cold chain management in 20 health centres 
Train health workers in early childhood health and disease prevention methods, water, hygiene and sanitation in 20 health centres 
Train health workers in safe pregnancy, delivery and motherhood in 20 health centres 
 
For community volunteers: 
Sensitize community members living in 20 health areas about reproductive health, family planning tools, water, hygiene and sanitation 
Train community volunteers living in 20 health areas in reproductive health, family planning tools, water, hygiene and sanitation 
Sensitize pregnant women living in 20 health areas in safe pregnancy, delivery and motherhood 
 
Technology used in this initiative include training project staff to use Geographic Information System (GIS) to provide spatial mapping of remote villages to ensure 100% coverage of vaccination.

Governed

The project is governed by the following stakeholders: Global Affairs Canada, Jane Goodall Institute, Government of DRC, and the targeted communities. 
 
There are four committees in place to address the management and governance needs at the different levels. These committees are based on the local structure and how each project zone is organized. 
 
[A] Steering Committee: 
 
There will be a Steering Committee in each of the two provinces, and membership will comprise of: 
1 representative from the Ministry of Health at the Provincial level 
1 representative from each of the zones within that Province 
2 representatives from JGI-DRC 
1 representative from JGI-Canada 
1 representative from Global Affairs Canada. 
 
These committees will meet annually before the end of each project year to review key accomplishments and challenges of the year, including recommendations from the Technical Committee, and present the Annual Work Plan for the coming year. 
 
 
[B] Technical Committee: 
 
The Technical Committee will sit at the zonal level, thus the project will have 3 committees (Walikale, Obokote and Lubutu), and will comprise of: 
1 health official representative from each of the health centres 
1 community member representative from each of the health centres area 
2-3 JGI staff members 
 
The representative from each of the three health centres will reside as the president of their respective Technical Committee. The members will meet twice a year, once just before the Steering Committee meeting, and a second mid-year through the project. 
 
 
[C] Operational Committee: 
 
The Operational Committee will be at the local level, with a total of 20 committees for each of the health centres. Each committee will comprise of 4 people: 
1 Chief from the health centre area, 
1 JGI field agent (secretary) assigned to that health centre 
2 community members (1 male/1 female) 
 
The Chief will reside as the president of this committee. On a monthly basis, the committee will assess the past months progress, discuss next months activities, highlight successes and road blocks, and come up with solutions if needed. 
 
[D] Community Health Committee: 
 
This committee has equal number of men and women representatives from the each of the health centre catchment area. Members of this committee will represent their community at the monthly Operational Committee meetings and also at the bi annual Technical Committee meetings. The representatives attending either the Technical or the Operational Committee meetings will report back to the wider committee members with updates and disseminate relevant information.

Partners

Jane Goodall Institute of Canada, Jane Goodall Institute DRC, Global Affairs Canada (Government of Canada), DRC Ministry of Health (PNSR - Programme National de la Sante de la Reproduction; PEV - Program Elargi de Vaccination)

SDGS & Targets

Goal 6

Ensure availability and sustainable management of water and sanitation for all

6.1

By 2030, achieve universal and equitable access to safe and affordable drinking water for all

6.1.1

Proportion of population using safely managed drinking water services

6.2

By 2030, achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations

6.2.1

Proportion of population using (a) safely managed sanitation services and (b) a hand-washing facility with soap and water

6.3

By 2030, improve water quality by reducing pollution, eliminating dumping and minimizing release of hazardous chemicals and materials, halving the proportion of untreated wastewater and substantially increasing recycling and safe reuse globally

6.3.1

Proportion of domestic and industrial wastewater flows safely treated

6.3.2

Proportion of bodies of water with good ambient water quality

6.4

By 2030, substantially increase water-use efficiency across all sectors and ensure sustainable withdrawals and supply of freshwater to address water scarcity and substantially reduce the number of people suffering from water scarcity

6.4.1

Change in water-use efficiency over time

6.4.2

Level of water stress: freshwater withdrawal as a proportion of available freshwater resources

6.5

By 2030, implement integrated water resources management at all levels, including through transboundary cooperation as appropriate

6.5.1

Degree of integrated water resources management

6.5.2

Proportion of transboundary basin area with an operational arrangement for water cooperation

6.6

By 2020, protect and restore water-related ecosystems, including mountains, forests, wetlands, rivers, aquifers and lakes

6.6.1

Change in the extent of water-related ecosystems over time

6.a

By 2030, expand international cooperation and capacity-building support to developing countries in water- and sanitation-related activities and programmes, including water harvesting, desalination, water efficiency, wastewater treatment, recycling and reuse technologies

6.a.1

Amount of water- and sanitation-related official development assistance that is part of a government-coordinated spending plan

6.b

Support and strengthen the participation of local communities in improving water and sanitation management

6.b.1

Proportion of local administrative units with established and operational policies and procedures for participation of local communities in water and sanitation management

Goal 5

Achieve gender equality and empower all women and girls

5.1

End all forms of discrimination against all women and girls everywhere

5.1.1

Whether or not legal frameworks are in place to promote, enforce and monitor equality and non‑discrimination on the basis of sex

5.2

Eliminate all forms of violence against all women and girls in the public and private spheres, including trafficking and sexual and other types of exploitation

5.2.1

Proportion of ever-partnered women and girls aged 15 years and older subjected to physical, sexual or psychological violence by a current or former intimate partner in the previous 12 months, by form of violence and by age

5.2.2

Proportion of women and girls aged 15 years and older subjected to sexual violence by persons other than an intimate partner in the previous 12 months, by age and place of occurrence

5.3

Eliminate all harmful practices, such as child, early and forced marriage and female genital mutilation

5.3.1

Proportion of women aged 20-24 years who were married or in a union before age 15 and before age 18

5.3.2

Proportion of girls and women aged 15-49 years who have undergone female genital mutilation/cutting, by age

5.4

Recognize and value unpaid care and domestic work through the provision of public services, infrastructure and social protection policies and the promotion of shared responsibility within the household and the family as nationally appropriate

5.4.1

Proportion of time spent on unpaid domestic and care work, by sex, age and location

5.5

Ensure women’s full and effective participation and equal opportunities for leadership at all levels of decision-making in political, economic and public life

5.5.1

Proportion of seats held by women in (a) national parliaments and (b) local governments

5.5.2

Proportion of women in managerial positions

5.6

Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Programme of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences

5.6.1

Proportion of women aged 15-49 years who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care

5.6.2

Number of countries with laws and regulations that guarantee full and equal access to women and men aged 15 years and older to sexual and reproductive health care, information and education

5.a

Undertake reforms to give women equal rights to economic resources, as well as access to ownership and control over land and other forms of property, financial services, inheritance and natural resources, in accordance with national laws

5.a.1

(a) Proportion of total agricultural population with ownership or secure rights over agricultural land, by sex; and (b) share of women among owners or rights-bearers of agricultural land, by type of tenure

5.a.2

Proportion of countries where the legal framework (including customary law) guarantees women’s equal rights to land ownership and/or control

5.b

Enhance the use of enabling technology, in particular information and communications technology, to promote the empowerment of women

5.b.1

Proportion of individuals who own a mobile telephone, by sex

5.c

Adopt and strengthen sound policies and enforceable legislation for the promotion of gender equality and the empowerment of all women and girls at all levels

5.c.1

Proportion of countries with systems to track and make public allocations for gender equality and women’s empowerment

Goal 3

Ensure healthy lives and promote well-being for all at all ages

3.1

By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births

3.1.1

Maternal mortality ratio

3.1.2

Proportion of births attended by skilled health personnel

3.2

By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births

3.2.1

Under-five mortality rate

3.2.2

Neonatal mortality rate

3.3

By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

3.3.1

Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations

3.3.2

Tuberculosis incidence per 100,000 population

3.3.3

Malaria incidence per 1,000 population

3.3.4

Hepatitis B incidence per 100,000 population

3.3.5

Number of people requiring interventions against neglected tropical diseases

3.4

By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being

3.4.1

Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease

3.4.2

Suicide mortality rate

3.5

Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

3.5.1

Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders

3.5.2

Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol

3.6

By 2020, halve the number of global deaths and injuries from road traffic accidents

3.6.1

Death rate due to road traffic injuries

3.7

By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes

3.7.1

Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods

3.7.2

Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group

3.8

Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

3.8.1

Coverage of essential health services

3.8.2

Proportion of population with large household expenditures on health as a share of total household expenditure or income

3.9

By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination

3.9.1

Mortality rate attributed to household and ambient air pollution

3.9.2

Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)

3.9.3

Mortality rate attributed to unintentional poisoning

3.a

Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate

3.a.1

Age-standardized prevalence of current tobacco use among persons aged 15 years and older

3.b

Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all

3.b.1

Proportion of the target population covered by all vaccines included in their national programme

3.b.2

Total net official development assistance to medical research and basic health sectors

3.b.3

Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis

3.c

Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States

3.c.1

Health worker density and distribution

3.d

Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

3.d.1

International Health Regulations (IHR) capacity and health emergency preparedness

3.d.2

Percentage of bloodstream infections due to selected antimicrobial-resistant organisms

SDG 14 targets covered

Name	Description

Deliverables & Timeline

01 January, 1970

Improved utilization of new knowledge, skills, tools and resources by health care workers to support essential health services for mothers, pregnant women, newborns and children under five in 20 health centres

01 January, 1970

Improved utilization of new knowledge on reproductive health and WASH by community members including women, men, families and community volunteers in 20 health areas

01 January, 1970

Improved utilization of essential health services by mothers, pregnant women, newborns and children under five in 20 health areas

01 May, 2020

Contribute to the reduction of maternal and child mortality in targeted regions

Resources mobilized

Financing (in USD)

3762210

Partnership Progress

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