Sierra Leone. Annex a full application nsa Sierra Leone, Port Loko final by Plan Nederland

Contracting Authority: European Union Delegation â&#x20AC;&#x153;NON STATE ACTORS (NSA) AND LOCAL AUTHORITIES IN DEVELOPMENTâ&#x20AC;?

Grant Application Form

Budget line(s): 21.03.01 and 21.03.02 10th European Development Fund1 Reference: 131657 Deadline for submission, restricted procedure, first step: Concept notes 31st August 2011 Deadline for submission, restricted procedure, second step: Full applications 15th November 2011 For economical and ecological reasons, we strongly recommend that you submit your files on paper-based materials (no plastic folder or divider). We also suggest you use double-sided print-outs as much as possible

Title of the action:

Child Survival and Development in Port Loko

[Number and title of lot]

NSA budget line 21.03.01; Actions in Partner Countries

Location(s) of the action:

Sierra Leone, Port Loko, Covering all the 11 chiefdoms of Bureh Kasseh Makonteh (BKM), Buya Romende, Dibia, Kaffu Bullom, Koya, Lokomasama, Maforki, Marampa, Masimera, Sanda Magbolontor, Tinkatopa Makama Safroko (TMS)

Name of the applicant

Stichting Plan Nederland

Nationality of the 2 applicant

Dutch

1 Where a grant is financed by the European Development Fund, any mention of European Union financing must be understood as referring to European Development Fund financing. 2

For organisations, the statutes must make it possible to ascertain that the organisation was set up by an act governed by the national law of the country concerned. In this respect, any legal entity whose statutes have been established in another country cannot be considered an eligible local organisation. In this respect, see also footnotes of the Guidelines of the call.

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Dossier No (for official use only)

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EuropeAid ID3

NL-2008-CPM-0901665251

Ongoing contract/Legal Entity File Lumber (if available)4

6000233319

Legal status5

Non-profit making, non-governmental Name: Port Loko District Health Management Team (DHMT)

Partner 1

EuropeAid ID: SL-2011-FRX-290876441 Nationality and date of establishment: Sierra Leonean, N/A Legal status: government body, local authority Name: Pikin-to-Pikin Movement (P2P) EuropeAid ID: SL-2009-GXG-2102291184

Partner 2

Nationality and date of establishment: Sierra Leonean, 21 Jul 1998 Legal status: non-profit making, non-governmental Name: Amazonian Initiative Movement EuropeAid ID: SL-2011-FOQ-2708763729

Partner 3

Nationality and date of establishment: Sierra Leonean, 10 Nov 2001 Legal status: non-profit making, non-governmental

Applicant's contact details for the purpose of this action Postal address:

Plan Nederland P.O. Box 75454 1070 AL Amsterdam The Netherlands

Telephone number: (fixed and mobile) Country code + city code + number

+ 31 (0)20 549 53 69

Fax number: Country code + city code + number

+ 31 (0)20 644 40 65

Contact person for this action:

Meghann Halfmoon

Contact person's email:

meghann.halfmoon@plannederland.nl

Address:

Plan Nederland Van Boshuizenstraat 12 1083 BA Amsterdam The Netherlands

Website of the Organisation:

http://www.plannederland.nl/

To be inserted if the organisation is registered in PADOR. This number is allocated to an organisation which registers its data in PADOR. For more information and to register, please visit http://ec.europa.eu/europeaid/onlineservices/pador.

If an applicant has already signed a contract with the European Commission and/or has been informed of the Legal Entity File number. If neither of this apply, indicate "N/A".

E.g. non profit making, governmental body, international organisation.

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Any change in the addresses, phone numbers, fax numbers and in particular e-mail, must be notified in writing to the Contracting Authority. The Contracting Authority will not be held responsible in case it cannot contact an applicant.

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NOTICE

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If processing your application involves the recording and processing of personal data (such as names, addresses and CVs), such data will be processed pursuant to Regulation (EC) No 45/2001 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. Unless indicated otherwise, your replies to the questions and any personal data requested are required to evaluate your proposal in accordance with the Guidelines for the call for proposal and will be processed solely for that purpose by the data controller. Details concerning processing of your personal data are available on the privacy statement at http://ec.europa.eu/dataprotectionofficer/privacystatement_publicprocurement_en.pdf ]

Table

content

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PART B. FULL APPLICATION FORM Only to be completed by the applicants who receive an invitation to submit a full proposal (at the time of the invitation) For economical and ecological reasons, we strongly recommend that you submit your files on paper-based materials (no plastic folder or divider). We also suggest you use double-sided print-outs as much as possible

GENERAL INFORMATION

Reference of the Call for Proposals

131 657

Title of the Call for Proposals

Non State Actors and Local Authorities in Development

Name of the applicant

Stichting Plan Nederland

No. of the proposal6

Number 48

Title of the action

Child Survival and Development in Port Loko

Location of the action -specify country(ies) region(s) that will benefit from the action

[No. of the Lot]

Lot: NSA

For restricted procedures only; the proposal number as allocated by the Contracting Authority and notified to the applicant at the time of communicating the outcome of the evaluation of the Concept Note.

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THE ACTION 7

6.1. BUDGET OF THE ACTION, AMOUNT REQUESTED FROM THE CONTRACTING AUTHORITY AND OTHER EXPECTED SOURCES OF FUNDING Fill in Annex B to the Guidelines for applicants to provide information on:

•

the budget of the action (worksheet 1), for the total duration of the action and for its first 12 months;

•

justification on the budget (worksheet 2), for the total duration of the action and,

•

amount requested from the Contracting Authority and other expected sources of funding for the action for the total duration (worksheet 3).

For further information see the Guidelines for grant applicants (Sections 1.3, 2.1.4 and 2.2.5). Please note that the cost of the action and the contribution requested from the Contracting Authority have to be expressed in EURO

7 The evaluation committee will refer to information already provided in the Concept Note as regards objectives and relevance of the action. November 2010 (Update March 2011) original

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6.2. 6.2.1. â&#x20AC;˘

DESCRIPTION OF THE ACTION Description (max 14 pages)

Making reference to the overall objective(s) and specific objective(s), outputs and results described in the concept note elaborate on specific expected results indicating how the action will improve the situation of the target groups and final beneficiaries as well as the technical and management capacities of target groups and/or any local partners. Indicate in particular foreseen publications.

Result 1: Public health care staff in Port Loko District provide improved ante-natal, child survival and early childhood care and development (ECCD) services Increased skills, training and support for primary health care staff on ante-natal, child survival and early childhood care and development will have significant and tangible benefits for children under-five, pregnant women and mothers throughout Port Loko District. There will be a decrease in the-under five mortality rate as a consequence of a decrease in early pregnancy and improved child health services at PHU level. Front line staff, particularly MCH Aides, will be better trained to respond to the needs of young children and mothers. There will be improved health and developmental screening of under-fives which will help to identify children particularly at risk. Crucially, PHU staff will then be able to assist more children identified as at risk, by addressing both the men as well as women. This will be particularly useful to combat the high existing levels of malnutrition within Port Loko District. It is expected that by the end of the action the underfive mortality rate in the project area will be reduced by 25%. There will be a decrease in the maternal mortality rate as a consequence of improved ante-natal, delivery and post-natal services. Pregnant women and new mothers will benefit from improved PHU services as well as enhanced community outreach initiatives which will improve access to health care for women that are often less mobile. The project will also address community attitudes towards pregnant women and (young) mothers, particularly in relation to teenage pregnancy, early marriage and nutrition. The District Health Management Team in Port Loko District will be able to provide improved levels of support to PHU level staff through targeted training and increased mobility. This will enable more frequent monitoring and supervision of PHUs, including those in the most remote locations with outreach points which currently receive less frequent support services. The MOHS, through the DHMT will be responsible for the implementation of the health component of this action including coordination of all PHU activities (102 PHUs). Maternal and Child Health Aides will benefit from better quality training through improved learning facilities and a revised curriculum. MCH Aides will also receive greater support in their practical training which will ensure that newly qualified personnel are trained to a high standard and are confident and able to fulfill their new roles in Port Loko District PHUs. This in turn will have long term and sustainable benefits for primary health care services in the district and subsequently the country, with sexual and reproductive health and rights (SRHR) services which are responsive to the needs of adolescents. Construction of an under-five clinic and staff quarters (a duplex) for the MCH Aide training Coordinator/tutors will also help improve the training as the clinic offers readily available hands-on-deck training to the trainees and the quarters will encourage the tutors to stay and work in Port Loko where accommodation has been a challenge to staff before now. Equitable access to available, accessible, appropriate and good-quality health services is essential to reduce child- and maternal mortality. SRHR is key in the health services to be delivered by its health workers. Health workers are trained to understand and tackle gender discrimination. The shortage of data to understand and respond to gender discrimination will be addressed during a 5-day training of trainers after which the quality of data collected, analyzed and used for the monitoring of the action will also be improved. Gender will be mainstreamed into every stage of the project â&#x20AC;&#x201C; from baseline, design and implementation through monitoring and evaluation. Outcomes Result 1: 1. 25% increase in health workers of PHUs who demonstrate appropriate ECCD monitoring in Port Loko District 2. 25 % increase in MCH Aide trainees who demonstrate appropriate knowledge in ante-natal, delivery and neo-natal care, including when to refer a pregnant woman and/or a newborn to the district level PHC 3. 25 % increase in parents/caregivers presenting their children at PHU for growth monitoring, as measured by attendance November 2010 (Update March 2011) original

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4. 100% of PHU’s have established and maintained stock of “road to health” cards 5. 50% increase in number of children aged 0-59 months whose “road to health” cards are up-to-date in Port Loko District Multiplier effects Result 1: Enhanced training curriculum for Maternal and Child Health Aides: Plan Sierra Leone will work with the MoHS and DHMT in Port Loko District to improve training in ECCD. The training will cover identification of early childhood developmental issues, feasible screening methods, feasible support (counseling or management) that can be provided for children found to be defaulting in their normal growth or development, default cases that need to be referred, where to refer such cases, what can be done in institutions like health facilities and pre-schools and what can be done at home or within the communities using available local resources. The project will incorporate ECCD as well as a gender component and youth-friendly services to the existing MCH Aide training course. This is an extremely important area of training and awareness for MCH Aides and as part of the process Plan will also work to include an ECCD, gender and youth friendly service component in the training for all health personnel in the district, including those that are already working in PHUs. Once the training package has been designed, tested and reviewed it will be possible to scale up the intervention so that all MCH Aides (and potentially all health personnel) in Sierra Leone receive this training as standard in the future through other efforts. Plan Sierra Leone will also work through the Plan regional office to share this learning throughout several West African countries. Exposure visits to similar Child Survival/Health and Development project in Moyamba, also funded by the EC, will allow DHMT and partners to learn from each other, exchange best practices to improve the action and create evidence for MoHS to scale up the project to national level. Foreseen publications: 1. Training guide on facilitating a training to integrate ECCD, gender and youth-friendliness in child survival and development interventions 2. Adapted MCH Aide curriculum including the integration of ECCD, gender and youth-friendliness in child survival and development interventions Result 2: Increased geographic coverage of public health care services in Port Loko District As well as improving the ante-natal, child survival and early childhood care and development services offered by the primary health care system, the action will also improve the coverage of the system. Two PHUs will be rehabilitated which will improve access to key services for an estimated 10,000 people living within three miles of these facilities. The action will also enable improved access to core health services for an estimated 107,000 people living outside the recommended 5 km (3 miles) radius of a PHU through increased and enhanced community outreach services. These communities are normally out of reach of PHUs which makes accessing formal health care expensive and time consuming. In particular it will benefit those people that have restricted mobility and serious cases where patients are unable to travel long distances over the very poor road system in Port Loko District. It will especially benefit the poorest households and young women, who are often unable to pay for transportation to distant PHUs, but who are more likely to suffer from poverty related health issues such as malnutrition and delayed health care seeking. Women have less control over resources and are denied accessibility due to gender discriminatory constraints. Improved outreach services will reduce dependence on untrained health care providers and frequently ineffective medicines available from local ‘quacks’. The morale of health service providers will also be improved in general by focusing resources on supporting this group as well as specifically by improving support for outreach services through the provision of additional means of mobility for PHUs that will enable PHU staff to reach more communities more regularly at no cost to themselves. The action will improve the distribution of drugs and vaccinations with the district from Port Loko town to the remote PHUs and communities that are out of reach of these mainstream services (though community outreach). Limited timely access to drugs and vaccinations contributes towards increased levels of morbidity and mortality. Though improving the formal distribution system, more people will be able to access more frequently the drugs and vaccinations that they require. This result in particular directly contributes to the MOHS “Reaching Every Child” (REC) approach. Outcomes Result 2: 1. 25% increase in access to health facilities in Port Loko District 2. 20% increase in births attended to by skilled health personnel/institutional deliveries in Port Loko District 3. 25% increase in outreach services by health staff 4. 25% increase in mothers of children 0 – 24 months who had at least 2 ante-natal consultations in their last pregnancy in Port Loko District by end of December 2014 November 2010 (Update March 2011) original

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5. 25% increase in number of new consultations for 0 – 59 months at PHU by end of December 2014 6. 25% increase in children aged 24 months fully immunized in Port Loko District by end of December 2014 Multiplier effects Result 2: Improved outreach services: PHUs constitute the backbone of primary rural health services in Sierra Leone and there are still significant numbers of communities that are further than 3 miles from a PHU. In many instances they are much further from their nearest government health post. In order to obtain universal coverage the construction, staffing and equipping of PHUs alone will be insufficient. Many PHUs are already operating community outreach services but these lack support which prevents the scale up necessary to reach the most remote communities regularly. Projects in Moyamba and Kailahun demonstrate that this can be effectively accomplished and that positive impact resulting in a considerable opportunity to scale this up in other districts of Sierra Leone that have highly dispersed rural populations and limited existing health infrastructure. Outreach support through provision of additional motorbikes to PHUs will also improve PHU staff movement in general with far reaching subsequent benefits to their general service delivery and reporting. Improved distribution mechanisms: The distribution of drugs and vaccinations at district level is irregular and unreliable at present. This action will support the DHMT in assuring vaccine availability. The action will demonstrate a cost effective system fully integrated into the government health structure that can be used in other districts experiencing similar issues. Result 3: Improved knowledge and use of early childhood care and development practices by community groups in Port Loko District Community groups and health committees will benefit from the project through awareness raising and training activities that will improve their knowledge of maternal and child health and child monitoring and development issues. The action will ensure that these groups are able to support health and cognitive, physical, mental, behavioural and social development care and monitoring of children under five and the health of pregnant women. The accessibility will be taken care of by introducing child-friendly measures, giving mothers the opportunity to bring their kids without any barriers or embarrassment. It is intended that these activities will make available PHU services more targeted and effective. All primary school children, teachers and school management committees will gain awareness of maternal and child health issues and child development that will enable them to become advocates of change and community mobilisation. Through the child-to-child and child-to-adult methodologies that they will learn, school aged children will be well positioned to both support the spread of positive messages among their peers who are not in school and reinforce and support the work of existing community groups. This will ensure better health and child development practices among communities in the district. School teachers will be trained to raise child survival and development awareness in the classroom through school health clubs. Promoting and supporting school leadership is seen as an important function in creating mass awareness amongst children and communities on health issues. This is an approach recommended for scale up in the last EU external Result Oriented Monitor, especially in Port Loko District, to one of Plan’s EC funded projects in Sierra Leone where the monitor engaged stakeholders to look for opportunities for possible scale up. The Children’s Forum Network (CFN) – currently working on child rights issues in other districts through community drama and radio programs/discussions – and the radio broadcast component of the project will improve the ability of children in Port Loko District to be advocates for change through mass media. Both children participating and listeners will be made more aware of the issues addressed during the action that will enable them to remain as community sensitizers after the completion of the project. Local partner Pikin-to-Pikin Movement has been very successful in establishing and invigorating school health clubs in other districts in Sierra Leone. They will continue to improve their capacity to work in the area of maternal and child health and development, both with and through community groups. The coverage of Pikin-to-Pikin Movement will be 100% of primary schools in the district. Staff working for this organisation will hone their management skills of large projects in particular, which will make them more effective instruments of grassroots development. The action design recognises that local partners have local knowledge and understanding of local values, culture, child rearing practices and traditions that are an essential feature of sustainable development. Pikin-to-Pikin Movement has a strong history of managing community projects and have previously cooperated with Plan, including in the current Child Survival/Health and Development Project in Moyamba District. Full understanding and practice of ECCD will only take place if fathers as well as mothers and siblings have the knowledge and skills. Therefore special mothers and fathers groups and school health clubs will be created to address underlying constraints from gender perspectives. The functioning of these groups will be November 2010 (Update March 2011) original

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measured by regularity of meetings and pro-activity in engaging with the community; their impact will be measured through perception studies. Extra efforts will be taken to improve the nutritional status, such as iodisation of salt. Income generating activities of other projects will be looked at for integration to make this sustainable. Outcomes Result 3: 1. 25 % increase in number of parents with children aged 0 – 59 months who demonstrate good child stimulation and development support for at least speech or walk in Port Loko District by end of December 2014 2. 50% of father groups are functional by end of December 2014 3. 65% of mother groups are functional by end of December 2014 4. 80% of school health clubs in Primary schools are functional by end of December 2014 5. 75% of community health committees (CHC) established by PHU are functional by end of December 2014 (all PHU in Port Loko have CHC) 6. 25% of the PHUs are rated as child-friendly by women’s groups in the target area by December 2014 Multiplier effects Result 3: Adapt and re-produce materials and tools for developmental screening, counselling, support and education of mothers, fathers and caregivers: At present there is a lack of a comprehensive package of materials and tools that could be used by mothers, fathers and caregivers at the community level in Port Loko District. Through the action, these tools designed and tested in other CSD projects will be revised and improved in order that a complete set of materials that address early childhood care and development and gender issues is created. The roll out of these materials as well as the training that will accompany them will be taken from the model in the previous CSD projects (Moyamba, Kailahun) and can also be scaled up and used by MOHS as well as other NGOs working in the health sector in Sierra Leone. Integration of child survival and development (CSD) with ECCD and gender: CSD and ECCD are currently treated separately and lack a strong gender component, but good quality monitoring and intervention related to gender sensitized ECCD can have a significant impact on improving the health, wellbeing and survival of children. The impact of interventions related to nutrition and health can be particularly effective in this respect. Ensuring that health service providers as well as parents/caregivers including teachers and older children are aware of how to identify early childhood developmental issues and their underlying causes related to gender; carry out feasible screening methods; feasible support (counselling or management) that can be provided for children found to be defaulting in their normal growth or development; where to send default cases that need to be referred; what can be done in institutions like health facilities and pre-schools; and what can be done at home or within the communities using available local resources to help and address gender discrimination, will help to improve ECCD in Port Loko District. Result 4: Improved gender sensitivity, accountability and responsiveness of health service providers in Port Loko District The action emphasizes the importance of working with and through formal government structures to reduce maternal and under-five mortality and to improve the quality and scope of child survival and early childhood care and development services in Port Loko District. This will support the current government decentralisation policy. The action will also improve the ability of communities to provide better health monitoring and development for their children. However, for these improvements to remain sustainable the project will strengthen the relationship between local government, health service providers and communities. This will be achieved by increasing interaction between PHUs and formal community health groups, creating a two way relationship. Firstly, PHU staff will be able to support the activities of these community groups and will be able to work with community leaders to ensure that they remain functional. Secondly, community groups will create a voice by which communities can engage with health service providers to ensure that they provide the necessary and agreed levels of service and support, in part through the community competence process. Local partner Amazonian Initiative Movement (AIM) has expertise in community mobilization around gender issues. Through this action, the capacity of AIM to manage large projects will be strengthened, while AIM will strengthen the capacity of local partner P2P in the integration of gender issues in its community programming. A mother’s health affects her children’s chances of survival throughout childhood: affecting the care the child receives, their nutrition and their long-term development. Early/teenage pregnancy is common in Sierra Leone and has major complications for the survival and health of the young mother and her child. Addressing early/teenage pregnancy, other harmful traditional practices like FGM/C, lack of access to contraceptives and making the health services youth (adolescent) friendly will be an important component of the action, managed by AIM. The innovative nature of the integrated approach in the action will also November 2010 (Update March 2011) original

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provide the National Reproductive and Child Health/Expanded Programme on Immunization (RCH/EPI) Programme with a model that can be replicated in other areas of Sierra Leone to improve the care and support for mothers and young children nationwide. The RCH/EPI Programme will be supported to supervise, monitor and learn from the 5 DHMT zones within Port Loko District in order to address the serious problems of maternal and child morbidity and mortality in Sierra Leone. Outcomes Result 4: 1. 10 % reduction in early/teenage pregnancy cases under age of 18 by end December 2014 2. 50% of health facilities meet at least three of the five standards of youth friendly services (The gold standard for adolescent friendly health services is that they are effective, safe and affordable, they meet the individual needs of young people who return when they need to and recommend these services to friends.8) 3. 25% of PHUs are using the community competence process in Port Loko District by December 2014 Multiplier effects Result 4: Replication in other districts of Sierra Leone: This action is the result of up-scaling and adaptation from a similar project, with the inclusion of a strong gender component. It has been designed to share learning and good practice among health actors within Sierra Leone to reduce maternal and child mortality and to improve integration of health, nutrition and development services for children under five years of age in Sierra Leone. The action will develop and implement a documentation strategy, led by the Port Loko DHMT, to analyse and disseminate information about the achievements of the action, particularly at national level through annual learning meetings (surveillance review) of the MOHS RCH/EPI. Activities will then be undertaken to ensure that the MOHS and specifically the RCH/EPI Programme are part of this analytical process so that they are able to share the positive elements of the action throughout Sierra Leone. A variety of mediums will be used to facilitate this process including meetings, presentation discussions and the establishment of an electronic forum where good practices, experiences and lessons learnt from the implementation of the project can be shared with and discussed by other heath service providers in Sierra Leone. The integration of a strong gender component will ensure participation of men and women and increase the chance of achieving the objectives of the action: when discrimination compromises a mother’s access to health care and food, restricts her mobility or threatens her physical integrity, it affects her children wellbeing as well as her own. Replication in other Plan programme countries in Africa: Plan’s West Africa Regional Program Support Manager (PSM) will remain closely involved throughout the three years of the action to support implementation and facilitate sharing within the West African sub-region. The action is at the forefront of Plan International’s integrated child survival and development programming as gender and youth friendliness is incorporated in the actions. With ongoing support from the Regional PSM and Dutch Health Advisor it is expected that the action will have a major multiplier effect through the replication of the approach in Sierra Leone and Africa. The Regional Office and Plan in the Netherlands will work to spread lessons learned and good practice techniques throughout Plan International and the development community.

•

Making reference to the overall objective(s) and specific objective(s), outputs and results described in the concept note identify and describe in detail each activity (or work package) to be undertaken to produce results, justifying the choice of the activities and specifying the role of each partner (and associates or contractors or sub-grantees where applicable) in the activities. In this respect, the detailed description of activities must not repeat the action plan (to be provided in Section 2.2.3 below) but demonstrate coherence and consistency in the project design

0. Project Management Activity 1: Conduct gender-sensitive baseline study A gender-sensitive baseline study will be conducted in Port Loko District at action start in order to accurately track the impact of the action. The baseline will collect gender disaggregate data, taking the needs and rights of (young) women into account when looking at the current status of ante-natal care, child health and ECCD issues in the target communities. It will assess female and male perception of gender barriers to accessing health and ECCD services and look at what is already known, what is practiced and the possibilities for improvement. In other words, the communities’ knowledge, attitudes, practices and beliefs with regards to ante-natal care, child health and ECCD, as well as underlying gender causes of maternal, infant and under-5 mortality, will be covered in the baseline. 8 WHO/FCH 2002, Adolescent Friendly Services, an agenda for change. November 2010 (Update March 2011) original

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Activity 2: National project launch to create awareness of the action A national half-day project launch to create commitment and awareness of the action and its activities amongst stakeholders will be organised in Freetown and will be facilitated by Plan in Sierra Leone. The workshop will comprise up to 50 participants and will include the following: 1. Members of Parliament 2. Ministry of Health and Sanitation (including Port Loko District Health Management Team) 3. Pikin-to-Pikin Movement 4. Amazonian Initiative Movement 5. Plan (in the Netherlands) and Plan West Africa representatives 6. International NGOs working on maternal and child health and development 7. Representatives from multilateral/bilateral organisations (such as DFID, local EC delegation, World Bank, UNICEF, UNDP, etc.) 8. Civil Society representatives (national & district level) Activity 3: District level start-up workshop to create awareness regarding the action and its activities A district level start up workshop will be organised in the district headquarters of Port Loko. The workshop will comprise local NGO representatives, District Administrators and Councillors, officials from the DHMT, partner NGOs and the field staff. After the launch the partners will meet to discuss the action and the management requirements in further detail. Plan in Sierra Leone, with the support of Plan in the Netherlands, will be responsible for facilitating these workshops and the objectives will be to: •

Ensure the involvement of all stakeholders in the action

•

Create/review a common understanding of the action amongst stakeholders & staff working on the project

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Agree upon the practicalities of actualizing roles and responsibilities of all partners and the ways to share learning

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Reach a common understanding of the methodology for the implementation of the programme

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Agree upon monitoring and evaluation processes

The national level launch and district level start-up workshop, including the action’s objectives, will be publicised in local and national newspapers and/or television and radio networks. Activity 4: Quarterly project steering committee meetings (Note: this is also under Methodology) Project steering committee meetings will be held quarterly. Plan will coordinate the committee’s meetings but its chairmanship and meeting location will rotate amongst partners. The committee’s quarterly meetings will last for two days: one day for a field visit and the other to review the project action plan, budget and progress towards project objectives and results. Annual meetings (the fourth quarterly meeting per year) will aim to review progress under the overall strategic framework of child survival and development in Sierra Leone as well as the objectives and anticipated results of the action. Progress will be reviewed, problems identified and solutions will be suggested at these meetings. Result 1: Public health care staff in Port Loko District provide improved ante-natal, child survival and early childhood care and development (ECCD) services Activity 1.1: Conduct a 5-day Training of Trainers for 20 DHMT, 5 AIM and 5 P2P staff and 5 CFN on integrating ECCD, gender and youth-friendliness in child survival and development interventions Plan with technical support from trainers from the RCH/EPI Programme team and other specialists on early childhood care and development will conduct a training of trainers (ToT) on integrating ECCD, gender and youth-friendliness in child survival and development interventions for 20 members of the DHMT in Port Loko District (100% coverage, including MCH Aide coordinator), 10 partner staff (5 AIM, 5 P2P) and 5 Children’s Forum Network members. At appropriate moments (according to expertise), partners AIM and P2P will facilitate sessions on gender issues and child-to-child methodology. The training will include the following topics: •

Developmental services: growth monitoring (e.g. how to detect and record stunted/delayed growth); detection and treatment of hearing/sight/speech impairment;

•

Promoting the production of toys to improve early childhood development and raising awareness of this among parents;

•

Creating child-friendly PHUs;

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•

Home-based care giving (food preservation techniques; preparation and use of nutritious foods and balanced diet; hygiene and sanitation education);

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Gender issues, including barriers to (health) access;

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Data collection – quality; gender and age disaggregation; needed to “obtain a comprehensive understanding of the scope and effect of gender inequality [on health status of women and children]” 9.

•

Creating youth (adolescent) friendly PHUs

Plan in Sierra Leone will be responsible for organising the 5-day training in Port Loko Town. Output Activity 1.1: 35 staff (20 DHMT, 5 AIM, 5 P2P, 5 CFN) trained as trainers Activity 1.2: Develop training guide for Training of Trainers on integrating ECCD, gender and youthfriendliness in child survival and development interventions A user-friendly guide by and for Trained Trainers (ToT) on the integration of ECCD, gender and youthfriendliness in child survival and development interventions will be developed following the ToT, before inservice training workshops are conducted. Rather than a full manual, this guide will include “tips & tricks” and practical examples on how to effectively carry across a message (also to learners who may have limited literacy skills). Plan will coordinate the activity, and all partners will fully participate to include their inputs as appropriate according to their expertise. The trained trainers will then use the easily replicable guide in the trainings they facilitate, and so on. Output Activity 1.2: 1 replicable training guide Activity 1.3: Trained trainers conduct in-service training workshops for 212 PHU & hospital staff on integrating ECCD, gender and youth-friendliness in child survival and development interventions The DHMT staff who have undergone ToT will train all 200 PHU staff and 12 hospital staff on integrating ECCD, gender and youth-friendliness in child survival and development interventions. The module will be the same as the ToT undertaken by the DHMT staff at district level. Port Loko has 102 PHUs comprising 200 staff (30 males and 170 females) and the hospital 12 staff (4 male, 8 female). Each workshop will comprise 15-20 participants and last three days. Eleven sessions will be conducted in year one and eleven refresher sessions will be conducted in year three. The workshops will be held at chiefdom level and the DHMT with support from Plan in Sierra Leone will be responsible for organising the trainings and refreshers. Output Activity 1.3: 210 staffed trained on integrating ECCD, gender, youth-friendliness in CSD interventions Activity 1.4: Support district level (mobile) data collection, analysis, dissemination at district and national levels The action will support the procurement of 104 (102 for PHU, 2 for DHMT M&E staff) mobile phones to facilitate the DHMT in data collection, analysis and dissemination in a cost-effective manner, between physical monitoring visits to PHUs. Plan, with support from the DHMT, will negotiate for reduced communication tariffs with a local provider. Initially, mobile data collection will be done through traditional mobile communication. This activity will however link with the Girl Power (funded through Plan in the USA) program, which is currently testing different mobile data collection software using surveys to input and collect data. This will help to simplify data collection, reduce errors and enhance analysis and dissemination to further improve the implementation of this action and the work of the DHMT and PHUs in general. Output Activity 1.4: 104 mobile phones used in data collection, analysis and dissemination Activity 1.5: Monthly monitoring and supervision by District Health Management Team (DHMT) of PHU The DHMT currently has inadequate resources to access PHUs which limits their ability to monitor the quality of care and undertake data collection, analysis and dissemination at district level. The travel costs for the Port Loko DHMT will be supported through the provision of 6 motorbikes and 1 4x4 vehicle (including fuel and maintenance), enabling them to carry out supportive supervision at the PHU, chiefdom and district level. By performing this role more effectively DHMT staff will be able to track the progress of the project as well as identify and support PHUs that require additional resources including drugs and vaccines, staffing, equipment or training. It will also assist national and district level learning and sharing with MOHS (budgeted under Equipment). Output Activity 1.5: quarterly monitoring & supervision reports. DHMT staff are able to monitor all 102 PHUs once per quarter. That will be a total of at least 408 monitoring visits per year to all the PHUs. Activity 1.6: Enhance curriculum for Maternal and Child Health Aide (MCH Aide) education to include gender- and youth-sensitivity 9 Save the Children Fund, 2011; AN EQUAL START: Why gender equality matters for child survival and maternal health; November 2010 (Update March 2011) original

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MCH Aides are community nurses that carry out ante-natal, delivery and post-natal services within the PHUs. Judgmental and un-welcoming attitudes of healthcare providers can work as barriers to access, particularly concerning young women. A workshop will be organized to review and improve the current curriculum and training, which now includes ECCD, to include gender- and youth-sensitivity to ensure that MCH Aides are already aware and sensitive to this before they are certified. The activity will also review current training in patient management, referrals, drug prescription and counseling, particularly as these pertain to young women, as these are other areas of need identified by the DHMT. This activity will take place with the support of MOHS, Port Loko DHMT, AIM and Plan Sierra Leone Health Advisor as well as other relevant stakeholders. This enhancement will initially focus on district level with the intention of influencing the national curriculum as the action progresses. This has already been successful in Moyamba regarding the inclusion of ECCD in the curriculum (this is already included in Port Loko), giving strength to the lobby to influence the curriculum at the national level. Efforts will be made to scale-up this intervention at national level through the involvement of the RCH/EPI Programme to encourage nationwide learning and sharing of the improved curriculum. Output Activity 1.6: MCH training curriculum reviewed and enhanced in Port Loko District Activity 1.7: Construct, furnish and equip one Ante-Natal Care/Under-5 clinic and MCH Aide trainers’ quarters within Port Loko PHC Complex The Public Health Center complex in Port Loko, where MCH Aide training is also conducted, in its current form allows for only one group to be educated every other year. With the addition of an equipped ante-natal care/under-5 clinic within the complex, and quarters for a MCH Aide trainer, the quality and number of welltrained MCH Aides will improve (i.e. through the availability of a teaching clinic for on-campus practical sessions and staff quarters that encourage trainers to stay in Port Loko Town). This will also increase access to ante-natal care for pregnant women and basic health care and ECCD services for children under-5 (i.e. strong link to result 2). Output Activity 1.7: 1 ANC/U5 clinic and MCH Aide trainers quarters in PHC Complex in Port Loko Town Activity 1.8: Improve monitoring and supervision of MCH Aide practical training by MCH Aide coordinator During the three-year training course MCH Aides undertake two three-month and one six-month practical placements within PHUs. This is an important part of the training process but MCH Aides currently receive inadequate monitoring during their placements. To ensure that good quality mentoring and support is provided, the MCH Aide training facility will be supported with a motorbike and running costs to enable the MCH Aide coordinator to access all PHUs in the district. The improved curriculum and better monitoring of learning and practical application will improve MCH services in the district. Output Activity 1.8: 60 MCH Aides receive improved practical training, receiving at least one visit by the MCH Aide coordinator during each placement Activity 1.9: Organize exchange visit to Moyamba District for Port Loko DHMT In order to facilitate learning and sharing of best practices between similar actions, Plan will facilitate an exchange visit for 5 representatives – 3 from DHMT and 2 from AIM. The visit will occur in the third quarter of implementation, after the training of trainers has been completed. This will ensure vertical learning, especially as some partners are the same (i.e. Plan and Pikin-to-Pikin Movement), between the new project in Port Loko District, and the completed project in Moyamba District. The Port Loko DHMT in particular will see first-hand how data analysis, supervision and monitoring and evaluation activities are carried out to better understand how to put the new tools learned from the ToT into practice. Meanwhile, the Moyamba DHMT will learn about the gender component being integrated in the proposed action. The training guide developed in Activity 1.2 will be shared with counterparts in Moyamba and Kailahun Districts to assist with the integration of gender and youth-friendliness into health services even after the end of their own project. Output Activity 1.9: one exchange visit for 5 partner representatives to Moyamba District Result 2: Increased geographic coverage of public health care services in Port Loko District Activity 2.1: Rehabilitate and equip 2 Peripheral Health Units Many of the existing PHUs are in poor condition and do not provide a safe environment for staff and patients or for quality care. The project will support the rehabilitation and equipment of two PHUs to ensure that they are of high standard and conducive to providing quality, effective primary health care. The locations will be decided at the time of the rehabilitations based on the priorities of the MOHS and communities in Port Loko District at that time. The equipment is based on a standard MOHS package adapted to conditions in Sierra Leone from the international standard and will include: •

2 sets of MCH equipment

November 2010 (Update March 2011) original

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•

2 sets of PHU equipment

•

2 drug kits

•

2 sets of furniture

Plan in the Netherlands will raise funds through other channels to build two new PHUs. Output Activity 2.1: 2 rehabilitated and equipped PHUs in Port Loko Activity 2.2: Support community outreach activities by staff and community health workers (CHW) from PHU to remote communities through provision of motorbikes Not all communities in Port Loko District are able to utilise existing PHU services due to a number of barriers such as distance, inability to pay for transport, lack of support of husband/male partner (often the decisionmaker in financial matters), disability, and other issues, particularly faced by the most marginalized in society. To meet the health needs of these communities many PHUs provide outreach services. At the outreach clinics the communities are offered a range of PHU services as well as referrals to the more specialised health facilities such as the district hospital. When conducting outreach activities most PHU staff lack transport and must either pay for it themselves or walk and stay overnight within the communities that they serve. This activity will support and encourage outreach activities by providing 25 motorbikes for 25 PHUs. Fuel and maintenance costs will be the responsibility of the PHU/DHMT after one year (agreed as part of sustainability plan in the action). This will allow PHU outreach staff to travel to and from remote communities within the day, at no cost to themselves, to conduct outreach activities and provide health services to (marginalized) community members that may otherwise be unable to access their local PHU. The activity will contribute to raising staff morale and play an important role in reaching mothers and children under five, supporting the “Reaching Every Child” approach, to ensure that their development and health is correctly monitored and allow timely medical intervention when required. All 102 PHUs are involved in the outreach activities. The number of outreach points varies from PHU to PHU, but averages about 4 per PHU. Currently only 37 PHUs have motorbikes. This intervention will ensure that a total of 62 PHUs – more than half in the district – have motorbikes that can be used for outreach activities. This will represent both an increase in the number of villages reached as well as the frequency of visits made. The PHUs with motorbikes will carry out weekly outreach activities and support the PHUs without motorbikes by absorbing some of the outreach posts to ensure that remote communities receive needed health services. Output Activity 2.2: +/- 450 communities further than 5km from PHUs are reached bi-monthly (once every two months) through outreach activities Activity 2.3: Support transportation of vaccines from district to PHU level The government provides inadequate transportation to deliver vaccines and drugs from the district to the PHU level. It is essential that vaccines are transported to PHUs quickly so that they remain refrigerated and so that PHUs have a ready supply of medicines when necessary. The 102 PHUs are managed in 5 zones, each of which will be provided with motorbikes and running costs to support this transportation as well as improve other services such as PHU monitoring (see Activity 1.5; budgeted under Equipment) Output Activity 2.3: 102 PHUs in Port Loko District have 95% no stock-out rate of vaccines Result 3: Improved knowledge and use of early childhood care and development practices by community groups in Port Loko District Activity 3.1: Adapt and re-produce materials and tools for developmental screening, counselling, support and education of caregivers to be used in the PHU and communities Materials and tools for developmental screening, counselling, support and education of caregivers developed and produced in collaboration with the MOHS, Ministry of Social Welfare, Gender and Children’s Affairs (MSWGCA), the Ministry of Education, Science and Technology (MEST), the University of Sierra Leone and Plan will be adapted with the support of all partners according to their expertise, but especially AIM to ensure the inclusion of gender issues in the materials (for example, the joint male-female responsibilities of parenting). These will be used in the 102 PHUs as well as in the communities of Port Loko District. The tools focus on identifying those developmental issues that the health service is able to address so that this activity has a genuine health benefit. The DHMT will distribute the new materials and provide training to PHUs and Community Health Committees on how to use them effectively. Materials include: procedures to identify children with development issues, guidelines for counselling, toys for identifying developmental progress and developing locally made picture books. Output Activity 3.1: 240 sets of materials: 120 for PHU, 120 for community groups Activity 3.2: Adapt, produce and provide IEC materials to be used at the community level November 2010 (Update March 2011) original

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IEC materials developed in the EC-funded CSD projects in Moyamba and Kailahun Districts to disseminate information on child survival and development will be adapted to also include messages on gender awareness and sensitivity. These materials include posters, flipcharts and flyers for all 510 schools and 102 PHUs in Port Loko District. These materials are tested and proven tools for effective dissemination of information to the public, including the illiterate population. All materials will be pre-tested in communities before they are reproduced in large quantities for distribution. The IEC material will be adapted in two stages: •

Stage one: A two-day material adaptation workshop will be organised by Plan in Sierra Leone for 20 participants in Port Loko Town. Participants for this workshop will include representatives from each of the project partners, Ministry of Education, Science and Technology, University of Sierra Leone, community representatives from the project district, school children and teachers. Workshop facilitators will include partner staff, the Health Education Unit and School Health and Adolescent Programme and the Port Loko DHMT officials from the Ministry of Health. The workshop will finalise the design of the adapted material.

•

Stage two: The materials designed (flip chart, poster and wall painting) will be produced. The materials will include posters, calendars and one wall painting for each PHU. Flyers will be produced for distribution by PHUs and community groups.

Output Activity 3.2: IEC materials are adapted, produced and distributed Activity 3.3: Create child-friendly environments in PHUs Plan in collaboration with the MOHS, and MSWGCA will help the 102 PHUs in Port Loko District to create a safe and child-friendly environment for infants and toddlers. Such child-friendly settings will include clinic and waiting or observation rooms safe from materials that could harm children, friendly wall paintings and toys children appreciate and play with while in the PHU. The attitude of the health service providers in PHUs should be child-friendly and this will be addressed as part of the ECCD training for new MCH Aides and PHU staff. The activity will be conducted through DHMT and PHU staff and the Plan Child Protection Advisor will monitor and support the implementation of this activity. Output Activity 3.3: 102 PHUs in Port Loko District made child-friendly Activity 3.4: Reactivate/establish and train 204 (grand) mothers’ and fathers’ groups AIM and DHMT (PHU staff) will provide training and support for 204 community groups. This intervention will include establishing 102 fathers’ groups, piloted in Moyamba District. Men frequently control household resources and their prioritisation of the development of their children can have tangible benefits as well as social and emotional benefits. A discussion with Chiefdom elders (Activity 4.1) early on in the action will offer the best approach to establishing fathers’ groups. Most PHU in Port Loko District already have a link to (grand) mothers’ group. Groups will be established or reactivated where necessary. The fathers groups will be set up alongside existing mothers groups which are already known to be effective in raising awareness and transferring messages. TBAs will be encouraged to participate and possibly take leadership roles in the (grand) mothers’ groups in order to support their new role as community mobilisers and to make use of the knowledge they’ve gained through experience. Each group is linked to a PHU and the head of the PHU is responsible for ensuring that the groups are functioning. The training will include such topics as: •

Quality mother-child and father-child interaction during the early ages;

•

The importance of male involvement in child rearing and family planning;

•

Growth monitoring and peer-to-peer training for parents of malnourished children;

•

Community mobilization to use PHUs;

•

Dispelling myths and taboos regarding the diet of pregnant women and young children – for example, encouraging pregnant women to consume eggs and milk, not prohibiting it;

•

Creating awareness on the dangers of allowing pregnant women to conduct laborious tasks during the latter stages of pregnancy;

•

Importance of breast feeding for the first six months;

•

Equal treatment and support for girls, boys and disabled children;

Groups will be trained by PHU (102 trainings) in a 3-day workshop. One day refresher workshops will be offered in year 2 and year 3. To ensure focus on the gender issues, AIM will collaborate with PHU staff in providing the training to the community groups. The close link between the community groups and the health team (PHUs and DHMT) ensures the sustainability and functionality of the community groups. November 2010 (Update March 2011) original

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Output Activity 3.4: 102 (grand) mothers’ and 102 fathers’ groups established and functioning Activity 3.5: Capacitate and support the functioning of community health committees While community health committees (CHC) exist for all PHUs in Port Loko District, they rarely function well due to a lack of training and operational support. CHC will receive support and training, conducted by PHU staff with support from the DHMT, to ensure that they are active and effective in spreading gender-sensitive health messages to the communities and supporting PHUs. A total of 102 CHC will be supported over the three-year action period. CHC will be assessed by local PHU staff with support from DHMT to assess what level of support and training they require. Support costs will cover essential running costs such as notebooks and paper as well as materials for local IEC campaigns for more active committees. An estimated total of 1020 people (10 persons per committee) will be trained at chiefdom level for one-day per year in the following: •

Management

•

How to participate

•

Issues of child development and monitoring

•

The role of the community health committee

•

Support to the other community group activities

Output Activity 3.5: 102 CHC are functioning, as evidenced by regularity of meetings and minutes Activity 3.6: Conduct training workshops for children (school health clubs), teachers and school management committee members to promote child-to-child maternal health and child development health messaging This intervention is aimed at increasing awareness of maternal and child health issues and promoting action on ECCD in the project communities and among children. The child-to-child approach will be implemented through Pikin-to-Pikin Movement which is already successfully working with Plan Sierra Leone on similar project in 445 schools in 14 chiefdoms in Moyamba District, amongst others. P2P will conduct a 2-day training in each of the 510 schools in Port Loko. The training will include the following elements and students and adults will be trained in separate sessions: •

Teachers and School Management Committee members: to understand the importance of the project and of working through children. It encourages better child participation and support for the project and health clubs and is essential to gain support and facilitation in the communities.

•

50 Children (25 boys and 25 girls) per school (25,500 primary school children): to understand health issues, how diseases are caused and spread as well as important child development messages. The students will also be trained to communicate these messages with other children out of school as well as with adults.

Teachers and school management committees will be trained at the end of year one, and school health clubs will receive their initial training during year two with follow up continuing for the remainder of the project by Pikin-to-Pikin field staff. After training, the health clubs will receive materials including information education communication/behaviour change communication (IEC/BCC) materials to assist them in their messaging and education campaigns. The school health clubs will play an important role in organising public events and competitions to see how much they know about the issues that have been discussed. These messages will then be spread through radio jingles and discussions, documentary film shows on ECCD in target schools/communities, inter-school quiz and drama competitions, which will include multi school events. Output Activity 3.6: 541 trainings: 1 training for each of 510 school health clubs (50 children per school); 31 trainings for a total of 1020 teachers (2 teachers per school) and 510 School Management Committee members (1 per SMC) Activity 3.7: Youth (from CFN & school health clubs) and teachers produce and present radio discussions and jingles that communicate key messages on maternal child health, gender and ECCD issues P2P, AIM and 5 Children’s Form Network representative will work with the school health clubs to produce innovative radio programmes based on a child-to-child and child-to-adult methodology. Plan in Sierra Leone has previously utilised radio as a very effective communication tool in its birth registration project and is currently doing so in the EC funded malaria project in Port Loko and Moyamba Districts as well as the ongoing Child Survival/Health and Development project in Moyamba District. The objective of this activity is to encourage children to communicate information on maternal and child health and child development issues through radio to the wider community targeting both their peers and the adult population. Since radio is such a powerful channel in information dissemination, it will go a long way in sensitising the public. A total November 2010 (Update March 2011) original

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of 48 radio discussions will be produced in years 2 and 3 of the action, so that there is a new programme about once every two weeks. The programmes will be broadcasted twice weekly over the two-year period in Port Loko District. A further 12 radio jingles will be produced over the two-year period by the school health club children and teachers, with the support of P2P and AIM, which will be aired twice daily. The jingles will communicate relevant messages to the target population in the district as well as other districts that will receive the transmission. The radio jingles will provide an opportunity for the project to reach a countrywide audience with key related messages. P2P and AIM will be responsible for organising this activity in coordination with the local Plan field office and the school children and teachers. Output Activity 3.7: 48 radio discussions, broadcasted approximately 4 times each in Port Loko District; 12 radio jingles produced, aired approximately 56 times each through community radio stations present within the district Activity 3.8: Support public events organised by community groups including children’s groups (movies, theatre, competitions, public education sessions, quiz competitions, sports events, etc.) Public events centred on child survival and development issues will be organised by and children’s groups. The events will be used to increase awareness of maternal and child health, gender and ECCD among communities. Such events will include movie shows, community theatres, public education sessions, sport events and quiz competitions throughout all 11 chiefdoms in Port Loko District. Plan Sierra Leone, P2P, AIM, (grand) mothers' and fathers’ groups, as well as school health clubs, the Port Loko Children’s Forum Network and the community health committees will take part in this intervention. Output Activity 3.8: The output of this activity will be defined during the lifetime of the action and will be determined by the activities the community groups decide to carry out. Activity 3.9: Support solar salt production, spray technology for iodisation and marketing at community level Plan program unit in Port Loko through collaboration with Plan program unit in Moyamba will facilitate learning in two salt producing communities in Port Loko District by linking them up with two communities in Moyamba District working on similar EU funded action to transfer their solar salt production and marketing techniques gained so far from the Moyamba project. The two supported communities in Port Loko District using community management of project (CMP) approach will form two combined groups (one in each community with a membership of at least 20, made up of men and women in order to increase women's capacity for salt production and therefore economic empowerment) that will be trained on project management and simple book keeping, solar salt production, iodization using knapsack sprayers and marketing (packaging, advertising and sales) techniques. Their iodised salt products will be sold within the Port Loko District through local markets and even beyond with the aim of meeting iodine related micronutrient needs of Port Loko District. Additional funds will be sought through Plan’s integrated project approach to further promote marketing and womens’ groups to produce and market iodised salt in the area. Output Activity 3.9: Two salt producing community groups formed, trained and functional (produce salt using solar methodology, iodise the salt using knapsack sprayer and successfully marketing) in two communities along the coastal area of Port Loko District. Result 4: Improved gender sensitivity, accountability and responsiveness of health service providers in Port Loko District Activity 4.1: Introduce gender component to chiefdom elders The introduction of a gender component into such an action is relatively innovative in Sierra Leone and requires the support of chiefdom elders to ensure its success. In order to increase ownership of the activities and impact of the outcomes, it is important that all decision-makers are involved and have a common understanding of the importance of tackling gender discrimination in reducing high infant, under-5 and maternal mortality and the benefits this has to society as a whole. AIM, with the support of Plan, will meet with chiefdom elders early in the second quarter of the action to share the project implementation plan including the gender component with them for their buy-in and support. Outcome Activity 4.1: 11 chiefdom elders introduced to the importance of the gender component Activity 4.2: Focus group discussions on gender issues at chiefdom level AIM will facilitate a consultation process with focus groups, including representatives of (grand) mothers’ and fathers’ groups, school health clubs and groups of young (adolescent) girls at chiefdom level in Port Loko District during which gender issues will be raised and discussed. These discussions will take place bimonthly as of the second quarter of the action. Specific topics will depend upon the experiences and input of the particular participants. Issues raised during these discussions will influence gender awareness raising activities, provide input for topics to be covered during radio discussions (Activity 4.5), ensure the (gender) November 2010 (Update March 2011) original

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content remains relevant throughout the action and in general encourage and enable discussion around gender-based norms. Output Activity 4.2: 165 focus group sessions Activity 4.3: Form and train 11 drama groups at chiefdom level to promote gender issues AIM will support the formation of one drama group per chiefdom in Port Loko District. The drama groups will be made up of 10 community members with skills or potential for training to perform quality community/culturally sensitive drama shows that will convey project messages and create a platform for discussions and subsequent behaviour change. They will mainly be youth comprising males and females. Each group will receive a 3-day drama training and gender sensitisation, specifically focusing on topics raised by the focus groups in Activity 4.2. Output Activity 4.3: 11 drama groups formed, trained and sensitised Activity 4.4: Support drama groups in 11 chiefdoms to carry out gender awareness raising The action will provide support to the drama groups to carry out one gender awareness raising event per month in years 2 and 3 of the action. Each event will be followed by a discussion period including questions and answers from the audience. The support will cover drama kits, transportation costs, drinks and refreshments for the members of the drama groups. Drama kits will include local musical instruments like “batter”, costume or dressings to depict what the group will want to communicate, as well as IEC materials that can be displayed around areas where drama performances are carried out. Output Activity 4.4: 264 gender awareness activities through drama are carried out Activity 4.5: Radio discussions and debates on gender issues AIM will organise for discussions and debates on gender issues to take place monthly on community radio stations in Port Loko District in years 2 and 3 of the action. The participants in the production of the discussions and debates, supported by AIM, will differ monthly and will include, for example, DHMT, members of (grand) mothers’ or fathers’ groups, youth (adolescents). The specific topics of discussion will also be chosen by the presenting group, but may include roles of fathers in increasing access to healthcare, contraception, harmful traditional practices, etc. Output Activity 4.5: 24 radio discussions/debates on gender issues Activity 4.6: Equip PHU with youth-friendly materials The “software” of youth-friendly services is included in the training of trainers under Activity 1.2. Part of that training includes the environment created by the attitude of the healthcare providers, such as confidentiality, acceptance and non-judging behaviour. This means listening to the needs of youth, particularly adolescent girls, including their often unmet needs for contraception. In an effort to contribute to a reduction in teenage pregnancy (strongly linked to high maternal mortality rates), this intervention provides the “hardware”, such as games and reading materials, to help attract youth to attend PHUs and provide correct information. Plan will consult with adolescent girls to ensure appropriateness of the materials for this particular group. Output Activity 4.6: 102 youth-friendly PHUs in Port Loko District by end December 2014 Activity 4.7: Quarterly experience sharing meetings (womens', fathers' and other community groups) at chiefdom level In years 2 and 3 of the action, AIM, with the support of DHMT and P2P, will coordinate quarterly experience sharing meetings at chiefdom level on gender issues as well as improvement in health services, etc. The meetings will gather representatives from (grand) mothers’ groups, fathers’ groups, school health clubs, drama groups and CHC, among others to share experiences and measure perception of changes in attitudes and behaviour. It will therefore act as monitoring for the action after the baseline, gathering information from the community view that will inform and improve implementation through lessons learned. Output Activity 4.7: Minutes (experiences) from 88 quarterly sharing meetings Activity 4.8: Annual experience sharing meeting at district level AIM will organise and chair an annual experience sharing meeting with the support of DHMT and P2P during which the experiences accumulated through the quarterly meetings at chiefdom level (Activity 4.7) will be presented at district level. Project partners and decision-makers, such as representatives of the Port Loko local council including Paramount Chiefs of the 11 chiefdoms, civil society at the district level lined ministries including education, social welfare, gender and children’s affairs at the district level, other health service providing partners within the district and the various community groups working with the project (1 representative per group per chiefdom), will be present at the district level meeting, providing an opportune occasion for lobby activities. Output Activity 4.8: 3 Annual experience sharing meetings November 2010 (Update March 2011) original

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Activity 4.9: Produce 2 CD (1 per year) with gender messages (through songs, poems & storytelling) to be broadcasted at community level One CD will be produced annually that will include messages from the gender awareness raising activities carried out through a variety of traditional forms by the different community groups or musicians. Music is very important in Sierra Leone and if the music is good everybody will want to learn it by heart, hence better understanding of the messages. This CD will be replicable and made available at PHUs so that the messages can be aired during community gatherings or in the PHUs, as well as through community radio stations for district-wide audience. Output Activity 4.9: 2 CDs produced with gender messages Activity 4.10: Facilitate Community Competence Process Plan with project partners will facilitate the Community Competence Process: a process which uses selfassessment and target setting, enhancing community participation, ownership of programmes, documentation, measurement of change, learning and sharing of good practices. This process will be implemented as a research, documentation and monitoring strategy. The child health and development competence process that will be promoted in this action will be facilitated through the PHU staff in the district, and managed by Plan Sierra Leone’s Internal Monitoring Unit. A team of four district facilitators will be trained in Port Loko, who will in turn train one representative from the professional staff of each of the 102 PHUs in the district on child health and development competence process, who will then cascade it to the communities. The training for the district facilitators and PHU staff is 3-days each. Topics to be covered include: •

Background to the competence process

•

Review of child survival package

•

Review of ECCD including the four cornerstones i.e. start early, prepare for success, improved quality primary health and inclusion of ECCD in policies.

•

Importance of gender issues, i.e. gender roles and norms, harmful traditional practices (FGM/C), etc.

•

Knowledge of self-assessment framework for child health and development competence including the key practices in child health and development as well as the 1 – 5 scoring system to determine levels of competence during pre and post action for improvement.

•

Facilitation skills

•

Learning and sharing and resource mobilization

Based on the way the competence process works, it will be used to plan and monitor this action from time to time within the life of the project. It will therefore serve as a participatory planning and monitoring tool in this action that will increase the communities’ participation in the project as well as measuring their own change among other benefits realised through the application of the competence process. It will also provide a means for communities to track the improvement of the health services that they receive over time which will be helpful for engaging health service providers to improve and sustain services. Output Activity 4.10: Community Competence Process applied in communities through 102 PHU Activity 4.11: Children’s video monitoring and evaluation The children’s video monitoring and evaluation is a participatory approach which will be part of the mid-term review and the final evaluation. The process will require a video camera (camcorder with accessories), training of the children and project staff on used of video camera and consultancy to support the preparation of the documentaries. A professional company will be hired to support the editing process to ensure the production of high quality films that can be presented to government and development stakeholders. The films will also act as a way of promoting learning and sharing for possible replication and scaling up in other districts through the National Surveillance Review Meetings of the DHMT (NSRM). It will provide young people with an opportunity to assess the current levels of services and the improvements they experience as a result of the project. In doing so it will be a valuable tool to ensure good project roll out and accountability of local government. Output Activity 4.11: 2 children’s documentaries Activity 4.12: Support the DHMT to learn and share experiences from Port Loko District at NSRM This wealth of experience in different child survival interventions in Sierra Leone is currently not well shared to enhance scaling-up of the identified good practices for better programming. The Port Loko DHMT will be encouraged and supported by Plan to present its findings, experiences and best practices at the National Surveillance Review Meetings of the DHMT (NSRM) and Ministry of Health and Sanitation and partner stakeholders, organised in Freetown on a quarterly basis. Other means of sharing include the Inter-agency November 2010 (Update March 2011) original

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Child Survival Committee (ICC), the Network of National Health Service Providers and the creation of an electronic platform for health actors to access and contribute to on the subject of maternal and child health, early childhood care development and gender. The Plan Sierra Leone Health Advisor and Communication Manager will facilitate this process. Output Activity 4.12: Learning from action disseminated at national level in multiple fora

November 2010 (Update March 2011) original

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6.2.2.

Methodology (max 4 pages)

the methods of implementation and reasons for the proposed methodology; The implementation strategy involves all stakeholders including children, women and men from the target communities and ensures they play an active role. Plan in Sierra Leone will lead the coordination of activities using its ‘Child Centred Community Development’ (CCCD) approach, working in close coordination with the government of Sierra Leone, Pikin-to-Pikin Movement and Amazonian Initiative Movement. These organisations are experienced in health facility capacity building and awareness raising and will provide the required support to communities. The methodology consists of an integrated and holistic approach to capacity building, partnership and community system strengthening and participation, taking place within the framework of the Reproductive & Child Health Policy in Sierra Leone. Utilising existing maternal and child health structures: This action will be implemented through existing structures in the National Health Service delivery system for the sustainability of the interventions. Increasing the capacity of community health groups without supporting the district health service structures will not lead to sustainable impacts. The action works with and through the DHMT and PHU staff, with support from the RCH/EPI Programme at national level. Through school health clubs and community groups and health committees, existing community structures will participate in the implementation of this action and be capacitated to ensure the responsiveness and accountability of health services once the action is completed. Working in partnership with various stakeholders: This permits the action a wide scope and depth of impact. Local partners are able to engage effectively with communities and youth groups whereas the DHMT is the most effective way to involve and train health staff at the district and PHU level. Buy-in of the chiefdom elders will create ownership and allow for successful implementation. The participation of women’s, grandmother’s and father’s groups ensures civil society participation at the grassroots level. And training of school health clubs and the inclusion of teachers and School Management Committees will ensure that important local stakeholders are involved in the project. These aspects all lead to sustainability of the action. Youth and child participation and involvement: Young people are a powerful medium for improving awareness about child health and ECCD. Children in primary schools will run positive message campaigns and have proven to be very effective in disseminating messages through child-to-child and a child-to-adult approaches in similar actions. They will also be able to reach and engage with children that are not in school, such as older siblings who are primary caregivers, which is often difficult. Utilising local radio has proven to be a very effective means of communicating social change messages, especially in areas that without access to other media (e.g. TV, internet, and newspapers) and to the illiterate population. Plan works with local radio stations and will negotiate airtime to promote positive messages on maternal and child health, early childhood care and development and gender equity using child-to-child and child-to-adult approaches as an add on to their current collaboration with Plan Port Loko Program Unit. Child-to-Child methodology: In Sierra Leone, children are often not given the opportunity to openly discuss or exchange ideas with adults in the community. As a result, children often receive information from their peers. What these children learn in their school health clubs is shared with their peers in and out of school, with their parents and other community members. Positive health messages are transmitted in their communities leading to positive behavioural change. Using the child-to-child approach, things learnt early in childhood are more likely to be retained and practiced by the children later in life.

explain how the action is intended to build on the results of previous action; The proposed action is not a prolongation of a previous action, rather uses the core of two EC-funded projects in Moyamba and Kailahun Districts as a model. It integrates best practices and lessons learned through these projects as well as recommendations from evaluations. These projects have experienced successes in promoting breastfeeding, infant immunization and community mobilization, the partnership with the DHMT – a local authority – playing a key role. Recommendations include improving capacity to manage timely referrals of complicated deliveries; deeper integration of the project in DHMT operations; reassessing the number of field staff and improvement of communications. The proposed action addresses gender inequalities in Port Loko District as key to maternal and child health by including a strong gender component, which will include a gender-sensitive baseline study at project start and bi-monthly focus group meetings that will greatly influence the content of the activities to be carried out. The action will involve men, often the primary decision-makers, and raise their awareness of the importance of, for example, ante-natal care. The action will also implement mobile data collection, piloted in Moyamba and found to reduce costs and increase efficiency in monitoring, and learn from the Girl Power program which is currently testing data collection through mobile survey technology.

explain how the action fits or is coordinated with other programmes or initiatives; November 2010 (Update March 2011) original

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This action is part of Sierra Leone’s Reproductive and Child Health strategy which has been designed with consultation of the MOHS RCH/EPI Programme. This action will add value to on-going government efforts to expand the capacity and improve the quality of maternal and child health services provided by the PHUs. By ensuring the involvement of the DHMT throughout the process the action will compliment on-going health initiatives in Port Loko District and ensure synergy with the National Reproductive and Child Health Policy. Plan is currently implementing an EC funded Malaria project in Moyamba and Port Loko Districts and an EC funded Child Survival/Health and Development project in Moyamba and Kailahun Districts, all ending in early 2012. In the design of this action, every effort has been made to ensure that the various Plan projects are complimentary to ensure that Plan’s health programme is integrated, comprehensive and has the maximum possible impact. Through the MOHS partnership with other health service providers, other organizations and agencies including UNICEF and the World Food Programme (WFP) are providing support to Port Loko District health care delivery system. Plan on the other hand has been carrying out capacity building and school health club activities in some parts of Port Loko District through P2P, and working with AIM to fight female genital cutting/mutilation (FGC/M). Activities with P2P include health, hygiene, water and sanitation sensitization, and with AIM include interactive meetings, drama and radio broadcasts. This action will surely compliment the other MOHS and partners’ reproductive and child health interventions, particularly through the integrated gender component, as well as other Plan supported actions in Port Loko District. The synergy in this action and the other efforts lies in the fact that women and children benefiting from the school health club activities aimed at increased awareness on health, ECCD and gender are among the targeted population in this action. Also, mothers and children targeted but receiving inadequate interventions in the other actions will benefit added contributions from this action in Port Loko District.

the procedures for follow up and internal/external evaluation; Quarterly meetings of the project steering committee will be held in Port Loko Town. Plan will coordinate the committee’s meetings but its chairmanship will rotate amongst major project stakeholders that will sit on the committee. The committee’s quarterly meetings will last for two days: one day for a field visit and the other to review the project action plan, budget and progress towards project objectives and results. Annual review meetings of the action will take place to review progress under the overall strategic framework of child survival and development in Sierra Leone as well as the objectives and anticipated results of the action. Progress will be reviewed, problems identified and solutions will be suggested at these meetings. Monthly reviews will be organised to ensure effective reporting, co-ordination and monitoring of the project. The Plan Sierra Leone Health Adviser will visit project sites on a monthly basis, and submit quarterly and narrative reports to the Programme Support Manager. During these site visits young people, women and men will be encouraged to participate and give their views on the implementation of the project. The Plan Health Adviser will liaise with local partners and project associates including local communities to ensure effective implementation of the project. Day-to-day management and coordination of the action will be undertaken by the Plan Community Development Coordinator (CDC) who will report to the Plan Sierra Leone Health Advisor and the Programme Unit Manager. The CDC will maintain regular and open dialogue with partners including community members and school authorities. The project will be monitored through Plan’s Internal monitoring system, the Program Accountability System (PALS). The monitoring component of PALS provides the framework to measure progress towards results and objectives. Monitoring will be carried out at all levels, from local district based project implementation level to the country programme level through established mechanisms. A mid-term and final evaluation will be conducted by external independent consultants. The project evaluation will determine systematically and objectively the relevance, efficiency, effectiveness and impact of activities in the light of their objectives. The evaluators will employ a participatory methodology that will ensure the active participation of communities (on a sample basis) to provide a key input into the process and to serve as the main sources of qualitative data. Independent auditors identified in consultation with the European Commission will conduct annual financial audits.

the role and participation in the action of the various actors and stakeholders; Port Loko DHMT is the government health service delivery body at district level and is responsible for ensuring that this action is integrated into their existing programme and is sustainable. The DHMT will conduct training, monitoring and supervision at PHU level and will provide and help adapt standardised IEC materials for reproduction and dissemination. Pikin-to-Pikin Movement will be responsible for implementing the child-to-child component of the action through primary school health clubs (complementary to Plan’s CCCD approach). Their involvement in this action is aimed at ensuring that maternal or reproductive and child health messages and practices gained from school health clubs are shared in the community. (Plan’s CCCD approach will promote the involvement of children in the action and ensure it is integrated into primary education within the district.) Pikin-to-Pikin Movement have drawn on their extensive experience in this area to develop and enhance this project design. November 2010 (Update March 2011) original

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Amazonian Initiative Movement will be responsible for gender awareness training and sensitization of community groups (e.g. (grand) mothers’ and fathers’ groups) to raise awareness around gender issues, such as barriers to access and traditional gender-based roles, within the communities. Their involvement is aimed at increasing awareness at the grassroots level of the impact of gender inequity on health outcomes for women (particularly young women) and children. Plan in Sierra Leone has been responsible for the planning and preparation of the action in collaboration with local partners and stakeholders and will be responsible for the overall coordination. Plan will conduct a start-up workshop, advocacy workshops, reproduce and disseminate IEC/BCC materials on integrating ECCD and gender in maternal and child health and development interventions. Plan in Sierra Leone, with the participation of all the project partners, including the communities, will monitor and supervise the project. Plan will ensure that the action is implemented as a coherent project that will fulfil the objectives and lead to sustainable improvements once the action ends. Plan in the Netherlands has advised on the development of this proposal and will provide support for reporting and evaluation as well as technical support in managing the grant. Plan NL serves as a channel for information sharing with other Plan offices, statutory bodies such as the EC and international NGOs. Through direct communications with Plan supporters in the Netherlands (+/- 110,000 people), the press, and the Dutch development community, the project’s experiences and lessons will be shared widely.

the organisational structure and the team proposed for the implementation of the action); Plan Programme Staff: Health Advisor (20%) – ensures the action has the required technical input and is managed in coordination with the national RCH/EPI Programme. First point of contact with the MOHS and RCH/EPI Programme, ensures learning and best practices are linked into other programmes. Plan NL Project Technical Advisor (10%) – responsible for technical support throughout the grant, high performance standards and linking and learning through Plan International. Programme Unit Manager (10%) – supervises Community Development Coordinator directly in the field ensuring that action is implemented and well-coordinated as per plan. Community Development Coordinator (100%) – coordinates daily aspects of the action, key contact for project partners and responsible for local project coordination, monitoring and liaising with other organisations working on child survival. Child Protection Advisor (10%) – responsible for ensuring that the rights of children are observed according to Plan's policies and advises implementing partners on proper interaction with children. Gender Advisor (10%) – responsible for ensuring that gender is fully integrated, that Plan’s gender policy is observed and advises project on gender issues. Partnership Advisor (10%) – supports training project partners and provides supportive supervision on ECCD issues in the field during monitoring visits. Monitoring & Evaluation Officer (20%) – responsible for overall coordination and supervision of monitoring and evaluation and incorporates the project into Plan’s enhanced monitoring and evaluation system. Support Staff: Field Accountant (10%) and Accounts Officer (10%) – responsible for assisting programme and management staff with financial issues and the Plan Sierra Leone Finance manager, responsible for overall financial management and technical support for project partners. Administration Assistant (20%) – responsible for assisting management staff with logistics and administrative support at field level. Grants Coordinator (10%) – responsible for all grant transactions related to the project and liaises with Plan NL office and partners. Plan NL EC Compliance manager (5%) – responsible for compliance with EC requirements and EU contact. Driver (100%) – responsible for driving staff of Plan and partners safely to the project areas and other general services related to project implementation. Pikin-to-Pikin Movement Programme Staff: Executive Director (20%) – coordinates all the daily aspects of the project including coordination and monitoring for their respective components. Programme Manager (20%) – responsible for overall management of the programme activities for their respective components including (joint) planning, (joint) implementation, and reporting and oversees 4 Field Supervisors. Field Supervisors (4 x 100%) – based in Port Loko Town, responsible to coordinate and carry out activities in the district. Support Staff: Administration/Finance Assistant (100%) – responsible for assisting the organisation and other staff in logistics related to project implementation for respective components; responsible for the revision and processing of financial transactions and payments, provides support to all staff in financial reporting and monitoring. Driver (50%) – responsible for driving staff and partners and other general services related to P2P activity implementation. Amazonian Initiative Movement Programme Staff: Project Coordinator (50%) – responsible for overall coordination and monitoring of respective project components. Child Protection Officer (20%) - ensures that the rights of children are observed according to AIM’s policies and advises staff on proper interaction with children. Project November 2010 (Update March 2011) original

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Supervisor (100%) - responsible for daily management of the programme activities including (joint) planning, (joint) implementation, and reporting and oversees 4 Field Animators. Field Animators (4 x 100%) – responsible to coordinate and carry out activities in the district. Support Staff: Finance Officer (20%) – responsible for financial management and reporting and technical support for project. Administration/Finance Assistant (50%) – responsible for the revision and processing of financial transactions and payments, provides support to all staff in financial reporting and monitoring. DHMT: DHMT and PHU staff salaries will be covered by DHMT budget.

the main means proposed for the implementation of the action;

• 3 4x4 vehicles (with spare parts) for Plan, Port Loko DHMT and P2P to support implementation and improve PHU monitoring and supervision • 41 motorbikes with helmet and spare parts (25 - PHUs, 1 - MCH Aide Coordinator, 6 - DHMT, 1 - Plan, 4 P2P, 4 - AIM) to support implementation & management; to supervise MCH Aide trainees and PHU staff • 5 laptops (1 - Plan CDC, 1 - Plan M&E, 1 - DHMT, 1 - P2P, 1 - AIM) & 1 desktop PC with printer, UPS, toners for P2P to support project coordination and management at district and national level • 4 projectors and screens (1 - Plan, 1 - P2P, 1 - DHMT, 1 - AIM) to facilitate learning within project implementation and sharing of project experiences • 4 digital cameras (1 - Plan, 1 - P2P, 1 - DHMT, 1 - AIM) for project monitoring and supervision at field level and to facilitate communication and sharing of project activities and experiences • 5 video cameras with accessories (1 - Plan, 1 - P2P, 1 - DHMT, 1 – AIM & 1 for childrens’ M&E video) for project monitoring and documentation to enhance learning and sharing and capturing significant change stories resulting from the action • 3 generators (7.5 KVA) (1 - ANC/U5 clinic; 1 - P2P, 1 - AIM) for power in the ANC/U5 clinic (for health services and hands-on-deck MCH Aide training) and P2P and AIM offices • 106 mobile phones (1 per PHU for 102 PHUs, 4 - DHMT) to support cost-effective data collection

the attitudes of all stakeholders towards the action in general and the activities in particular; There has been a lot of interest and cooperation from local government (DHMT) at all levels of the process. The Port Loko DHMT fully participated in the situation analysis and the development of this action. The RCH/EPI programme has provided technical and policy direction and priorities during regular consultations at national level with MOHS. The government regards this action as complimentary to their overall national effort to improve the health of children and women in Sierra Leone. Pikin-to-Pikin Movement is currently part of similar on-going actions in Moyamba & Kailahun Districts, implemented with funding from the EC. The partner is enthusiastic about the action and has thus fully participated in the development of the proposed action. P2P has played a central role in blending the child health and development approach in Sierra Leone through its school based programmes and their input and experience has been vital in designing this project. Amazonian Initiative Movement is a new partner in CSD interventions, but has a successful partnership with Plan in implementing an EC funded FGC/M project in Port Loko District. AIM is pleased with the interaction and expects the gender component to be taken up well by community groups, fostering impact. The communities have been consulted during the designing of this action and the needs identified as part of Plan’s wider programme design in the district. Community representatives are very appreciative of the effort and hopeful that this action will be funded and successfully implemented with their full support. As such, the District Council M & E Officer will be part of the DHMT’s monthly joint field monitoring and supportive supervision team for this action.

the planned activities in order to ensure the visibility of the action and the EU funding. Visibility of the action will be achieved by putting in place a detailed visibility plan which will be drafted in the first quarter of the action and will be revised in the beginning of each new project year. All partners participating in the action will be involved in drafting the visibility plan and will take care that all possible sources of spreading information will be used. The role of Plan will be to strictly follow the Visibility Guidelines of the EC and ensure that all partners do as well. Main channels of information to be used: 1) Plan’s website (both international and in the Netherlands; 2) Social network services (twitter and Facebook) where Plan is present and has a large number of followers/friends; 3) INSIDE Plan Sierra Leone newsletter (published quarterly); 4) other printed materials issued by Plan (annual reports, policy documents, etc.); 5) websites of partner organisations in this action (P2P, AIM); 6) Materials printed by partner organisations; 7) Radio programmes described in Activities 3.7 and 4.5, will mention the EC as a main donor of the project; 8) EC will be mentioned during the National launch, start-up workshop and trainings (see Activities 1.1, 1.3, 3.4, etc.); 9) All training materials, manuals, guidelines and so forth will include EC logos and appropriate references; 10) special representative/visibility items will be produced (calendars, stickers, etc. with the project & EC logo). As mentioned above, while presenting the project in different media, the EC Visibility guidelines will be strictly followed at all times. November 2010 (Update March 2011) original

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6.2.3.

Duration and indicative action plan for implementing the action (max 4 pages)

The duration of the action will be 36 months. Year 1 Activity Project Mgmt 0.1 Baseline Execute 0.1 0.2 National launch Execute 0.2 0.3 District start-up Execute 0.3 0.4 Steering Committee Execute 0.4 Result 1 1.1 5-day ToT Execute 1.1 1.2 Training guide Execute 1.2 1.3 In-service training PHU Execute 1.3 1.4 proc mobiles for data collection Execute 1.4 1.5 procure 4x4/motors for monitoring Execute 1.5 1.6 Enhance curriculum Execute 1.6 1.7 construct ANC/U5 clinic Execute 1.7 1.8 procure motor for MCH Aide monitor. Execute 1.8 1.9 Exchange visit Execute 1.9 Result 2 2.1 Rehab. 2 PHU Execute 2.1 2.2 motors for outreach Execute 2.2 2.3 motors for vac transport Execute 2.3 Result 3

Semester 1 Month 1 2

November 2010 (Update March 2011) original

Semester 2 7 8 9

Implementing body Plan Plan Plan Plan (rotational)

Plan & partners All partners DHMT

DHMT

DHMT, AIM, Plan Plan

Plan

Plan Plan, DHMT DHMT

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3.1 Screening material Execute 3.1 3.2 IEC mat for comm lev Execute 3.2 3.3 Childfriend PHU Execute 3.3 3.4 train moms/fathers Execute 3.4 3.5 train CHC Execute 3.5 3.6 train SHC, teachers, SMC Execute 3.6 3.7 youth radio Execute 3.7 3.8 community events Execute 3.8 3.9 salt iodization Execute 3.9 Result 4 4.1 Intro to chiefdoms Execute 4.1 4.2 focus grps Execute 4.2 4.3 train drama groups Execute 4.3 4.4 drama events Execute 4.4 4.5 radio â&#x20AC;&#x201C; gender Execute 4.5 4.6 youthfriendly PHUs Execute 4.6 4.7 Qtr exp sharing Execute 4.7 4.8 Annual exp sharing Execute 4.8 4.9 CDs Execute 4.9 4.10 train CCP faciliators/PHU Execute 4.10 4.11 childrens documentary Execute 4.11 4.12 DHMT NSRM Execute 4.12 November 2010 (Update March 2011) original

Plan, DHMT Plan, P2P, AIM Plan, DHMT AIM, DHMT DHMT P2P P2P, AIM P2P, AIM Plan, DHMT

AIM, Plan AIM AIM AIM AIM Plan, AIM AIM, DHMT, P2P AIM, DHMT, P2P AIM Plan Plan DHMT

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Years 2 and 3 Activity Project Mgmt 0.1 Baseline Execute 0.1 0.2 National launch Execute 0.2 0.3 District start-up Execute 0.3 0.4 Steering Committee Execute 0.4 Result 1 1.1 5-day ToT Execute 1.1 1.2 Training guide Execute 1.2 1.3 In-service training PHU Execute 1.3 1.4 proc mobiles for data collection Execute 1.4 1.5 procure 4x4/motors for monitoring Execute 1.5 1.6 Enhance curriculum Execute 1.6 1.7 construct ANC/U5 clinic Execute 1.7 1.8 procure motor for MCH Aide monitor. Execute 1.8 1.9 Exchange visit Execute 1.9 Result 2 2.1 Rehab. 2 PHU Execute 2.1 2.2 motors for outreach Execute 2.2 2.3 motors for vac transport Execute 2.3 Result 3 3.1 Screening material Execute 3.1

Semester 3

November 2010 (Update March 2011) original

Implementing body Plan Plan Plan Plan (rotational)

Plan & partners All partners DHMT

DHMT

DHMT, AIM, Plan Plan

Plan

Plan Plan, DHMT DHMT

Plan, DHMT

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3.2 IEC mat for comm lev Execute 3.2 3.3 Childfriend PHU Execute 3.3 3.4 train moms/fathers Execute 3.4 3.5 train CHC Execute 3.5 3.6 train SHC, teachers, SMC Execute 3.6 3.7 youth radio Execute 3.7 3.8 community events Execute 3.8 3.9 salt iodization Execute 3.9 Result 4 4.1 Intro to chiefdoms Execute 4.1 4.2 focus grps Execute 4.2 4.3 train drama groups Execute 4.3 4.4 drama events Execute 4.4 4.5 radio â&#x20AC;&#x201C; gender Execute 4.5 4.6 youthfriendly PHUs Execute 4.6 4.7 Qtr exp sharing Execute 4.7 4.8 Annual exp sharing Execute 4.8 4.9 CDs Execute 4.9 4.10 train CCP faciliators/PHU Execute 4.10 4.11 childrens documentary Execute 4.11 4.12 DHMT NSRM Execute 4.12

November 2010 (Update March 2011) original

Plan, P2P, AIM Plan, DHMT AIM, DHMT DHMT P2P P2P, AIM P2P, AIM Plan, DHMT

AIM, Plan AIM AIM AIM AIM Plan, AIM AIM, DHMT, P2P AIM, DHMT, P2P AIM Plan Plan DHMT

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6.2.4.

Sustainability of the action (max 3 pages)

Describe the expected impact of the action, at technical, economic, social, and policy levels The proposed action will improve the technical capacity of the local health services (DHMT & PHU) in Port Loko District to provide quality health care to the target population, particularly (young) women and children, through targeted trainings with PHU staff and influencing training curriculum for MCH Aide training. Plan has been successful in working with its partners to affect curriculum change in integrating ECCD into child survival and development interventions in the past. The partnership with the Port Loko DHMT and the strong relationship between Plan in Sierra Leone with the MOHS will provide for a strong voice in affecting further policy change at the national level to integrate ECCD, gender and youth-friendliness in the curriculum, to offer a more complete training turning out high-quality, responsive MCH Aides. Actively working directly with community groups will ensure that community group members are capacitated to relay health messages to the local population and to hold health service providers accountable. Gender awareness raised among the target population will have vast impact in a number of areas, most directly regarding access to health care for women and children and their health status. In the short term, this will have social impact on e.g. the behaviour and involvement of men in their involvement in ante-natal care and/child (health) care; better health status of children under 5 (reduced malnutrition, higher rates of immunization, etc.); and the ability for youth and women to access sexual and reproductive health and rights services (i.e. family planning) leading to lower teenage pregnancy rates. The proposed action will contribute to a 25% reduction in the infant mortality rate and under-5 mortality rate, and a 30% reduction in the maternal mortality rate by December 2014 (close of the action) in Port Loko District. Long term impact of such changes is increased economic capacity and empowerment of women and the community at large.

Describe a dissemination plan and the possibilities for replication and extension of the action outcomes Throughout the action, project partners will share experiences and lessons learned during implementation of interventions on a quarterly basis. These experiences and lessons will also be shared at national level by the Port Loko DHMT during the quarterly National Surveillance Review Meetings of DHMT (NSRM), during which all DHMT of Sierra Leone gather in part for experience sharing and learning. Further, information on the action will be spread through the production and dissemination of a project information booklet, newspaper and radio adverts (also providing EC visibility) and IEC material. The diffusion of lessons learned through progress and evaluation reports and a documentary developed by children, is ensured through various means, i.e. project coordination events, awareness raising events at the chiefdom and district levels, national level meetings with different ministries and different working groups on health in Sierra Leone and the Netherlands. Within Plan, the lessons learned will be shared through various internal meetings and the quarterly newsletter â&#x20AC;&#x2DC;INSIDE Plan Sierra Leoneâ&#x20AC;&#x2122;. They will also circulate on Plan and partnersâ&#x20AC;&#x2122; websites and press releases from Plan in Sierra Leone in various national and local newspapers. This action has the potential to reach vast scale in Sierra Leone, as is seen by the success in Moyamba and Kailahun Districts. The proposed action is a scaling-up of these two projects, with the integration of an important gender component. The DHMT from each district as a partner in each of the three actions not only ensures that interventions are done within existing structures, but also creates a strong lobby to affect change at national level. Further multiplier effects have been identified by result in the Description of the Action.

Provide a detailed risk analysis and contingency plan.

Physical/Environmental

Plan and implementing partners have identified the following risks and mitigation measures: Risks Mitigation Measures/Contingency Plans Flooding or excessively heavy rains: This will limit Project/supply transport mainly motorbikes, rather access to communities and limit their ability to than 4x4 vehicles to improve access. Communityparticipate in the project. based activities planned mainly outside wet Likelihood: high; Impact: medium season. Wild fires in dry season Likelihood: high; Impact: low/medium Cholera/diarrhea epidemics Likelihood: low/medium; Impact: medium/high

November 2010 (Update March 2011) original

P2P covers these topics standard in sensitization/trainings (prevention of fires; sanitation and hygiene) The community groups strengthened and developed during the project will create a forum through which communities are better able to respond to environmental emergencies. Plan has both DRR and emergency plans in place to support relief phases if necessary and links with national level emergency preparedness efforts. Page 32 of 70

Political Economic

Change of political priorities or failure of government to implement Reproductive and Child Health and Development Policy: This could lead to a lack of support from the government for supporting these services and hinder the implementation and sustainability of the action. Likelihood: low; Impact: medium Households suffer from increased or endemic levels of food insecurity: This could undermine willingness and ability to participate in the project. It could also lead to increased levels of malnutrition and greater vulnerability to preventable disease. Likelihood: low; Impact: medium Operational costs increase due to global economic crisis: Higher costs of consumables and transportation. Likelihood: medium/high; Impact: medium/high

Social

Civil unrest, particularly in light of 2012 elections: This could potentially lead to a suspension of the project. Likelihood: medium; Impact: low

Reluctance to commit to informal (grand) mothers and fathers groups: If there has been experience of similar groups that previously functioned poorly or received little support this could dissuade community members from participating. Incidence: med-low; Impact: med-high

Plan in Sierra Leone is developing contingency plans for all its programming. Plan will also ensure that activities start as planned, whereby communities will be active before the elections and therefore able to continue functioning, even if not reachable from Freetown. Long lasting working relationships between the local government and Plan ‘s programme units and civil society partners on the ground will ensure continuation of the action”; i.e. even if national support is not there we continue to work on the ground with local government officials. Community sensitization on food security during project meetings and promotion of backyard gardening and other locally appropriate activities.

Plan will monitor this closely and will source additional funds should this become necessary. Use of mobile phones for data collection and motorbikes for vaccine transfer, for example, also help to reduce operational costs. Plan and partners will ensure that negative concerns are correctly addressed, particularly through involvement of Chiefdom elders and District Councils, as well as sharing good practices of similar groups from the Moyamba and Kailahun EC funded actions.

Participation by women and children is not accepted by communities: Traditional beliefs undermine womens’ status in society which could possibly prevent essential contribution by women and children. Likelihood: medium; Impact: med-high Communities over-burdened with different initiatives: This could reduce willingness to participate and make the action less effective Incidence: low; Impact: med-high

Plan will hold a regular dialogue with both male and female decision makers such as (religious) community leaders and Chiefdom elders and other decision makers to ensure community acceptance of the action.

Lease of land to foreign investors, i.e. mining companies – potentially lead to child labor, sexual exploitation of minors, etc. Incidence: medium; Impact: high

This is a general concern in the area and Plan in Sierra Leone (Freetown & Port Loko Program office) will use their network to begin lobby activities with the government and with the companies to sensitize them about potential negative impact.

The project has been designed with community input and should be closely aligned to their needs and interests. Plan will ensure regular dialogue to ensure that the project remains relevant and of interest and existing structures will be used where possible to avoid creating parallel structures.

Describe the main preconditions and assumptions during and after the implementation phase. The main preconditions and assumptions are that current levels of security will be maintained and that there will be no renewed violence or major population movement or disbursement during the project. The GoSL will remain committed to the goal of improved care and development of young children and will continue to support this agenda over the period of the project and beyond. Target groups and local stakeholders are willing to participate in the project, apply the training and fully take on their roles and responsibilities. Good collaboration between partners is maintained and the government remains committed to working with NGO partners in the health sector.

Explain how sustainability will be secured after completion of the action: November 2010 (Update March 2011) original

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To ensure sustainability of the activities and outcomes of the action, the project steering committee will discuss and develop an exit strategy during their quarterly meetings starting at the end of year 2, once the mid-term evaluation has been carried out and recommendations taken into account. a. Financial sustainability: The project aims to improve capacities of all implementing partners â&#x20AC;&#x201C; Port Loko DHMT, child-to-child project partner Pikin-to-Pikin Movement and gender specialist Amazonian Initiative Movement, as well as Peripheral Health Unit (PHU) staff, schoolteachers and school children and community groups including, health committees. The action does not establish an alternative system for child survival within the district, rather works according to the national strategic plan for Child Health and Development of the GoSL and in partnership with the MOHS through the DHMT. Local initiatives and materials will be used for the information education and communication component of the project. Also, tools to create adolescent- and child-friendly services and improve early childhood development (including toys and games) in the PHUs and within the communities will be developed from local initiatives and with local materials and technology. As such, although costs will be involved in the development of these tools and materials, they will be inexpensive and also help to stimulate the local economy. The GoSL has committed to improving maternal and child health as part of their Poverty Reduction Strategy. The MOHS and the District Health Management Teams have agreed to support the project during implementation as well as take over activities after the action has ended. Project activities according to the DHMT and District Council will be included in district development plans and annual work plans, ensuring that interventions will be included in the district budget in the future. b. Institutional sustainability: The proposed activities, both at the health facility and at the community level, are part of the governmentâ&#x20AC;&#x2122;s National Reproductive and Child Health Strategy which has its own momentum for sustainability. The adaptation and inclusion of ECCD, gender and youth-friendliness in Maternal and Child Health Aide training in the district and the capacity building of the health management structures are investments in institutional sustainability. The same inclusiveness and integration of ECCD, gender and youth-friendliness is included in the training package for in-service health professional training, schoolteachers, community and childrenâ&#x20AC;&#x2122;s groups for both training of trainers and cascade trainings that will take place in the project. This is expected to create ownership and lead to positive behaviour changes amongst communities, children, schoolteachers and health service providers in the Port Loko District thus ensuring better culturally and institutionally sustainable practices. Further, health information systems will be strengthened through the inclusion of data collection during the trainings, and the implementation of mobile data collection. The grassroots capacity building element of this action, including the child health and development competence (which changes mindset from expert mentality to self-actualization, increases participation, service utilization, ownership and sustainability) will make communities, especially the parents, youth and school children, more aware of the facts of maternal and child health, early childhood care and development, and gender issues and encourage active participation in decisions. Household caregivers and community groups will play a responsible role in monitoring provision of ante-natal care under-five health and development at village level. The project will also build the capacity of PHU staff to deliver better quality healthcare for pregnant women and young children. The training of MCH Aides is being specifically focused upon to achieve this, but all PHU staff in the district will receive training to support the full integration of this component within the health system. c. Policy level sustainability: By working with and through the government at local and central levels it is expected that the project will positively influence policy and practice, which could have benefits for children across Sierra Leone. At national level, thanks to the success of the past CSD actions in Moyamba and Kailahun Districts, Plan is likely to be involved in curriculum review for the training of Maternal and Child Health Aides. Political sustainability at district and chiefdom level is assured through the involvement of the District Council and Chiefdom elders early on in the action, and the positive relationship of Plan and partners with these decision makers. By working through the current health system and structures, the proposed action will complement and strengthen the strategic policy of Ministry of Health to reduce maternal, infant and child mortality in Sierra Leone. Further, through civil society strengthening activities, community groups will be capacitated to hold service providers accountable. d. Environmental sustainability The proposed action has minimal environmental impact. Offering trainings at community level and collecting data by mobile phone will help to minimize environmental impact. During construction and rehabilitation of buildings, environmentally responsible measures will be adhered to. November 2010 (Update March 2011) original

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6.2.5.

Logical Framework

Please fill in Annex C10 to the Guidelines for applicants.

Explanations can be found at the following address: http://ec.europa.eu/europeaid/reports//index_en.pdf

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6.3.

APPLICANT'S EXPERIENCE OF SIMILAR ACTIONS

Project title: Girl Power Location of the action Sierra Leone, Moyamba district and Western Area

Sector (Section 3.2.2 of Section 3): Gender; 15150 Strengthening civil society Cost of the action (EUR) € 5.028.750

lead manager or partner Plan Sierra Leone

Donors to the action (name)11 Dutch Ministry of Foreign Affairs

Amount contributed (by donor) € 5.028.750

Dates (from dd/mm/yyyy to dd/mm/yyyy) 01/01/2011 to 31/12/2015

Objectives and results of the action The project objective is to strengthen civil society organizations in Moyamba district and Western area with a specific focus on: 1) eliminating violence against girls and young women, 2) increasing the socio-economic empowerment of girls and young women and 3) increasing the socio-political empowerment of girls and young women. The project is being implemented by the Child Rights Alliance in Sierra Leone comprised of Plan Sierra Leone, DCI and One Family People. Objectives 1. To increase access to quality post primary education for 3,000 teenage girls (including disabled adolescent girls) through creating inclusive, child friendly/gender sensitive conducive learning environment and training of school governance structures, and other education stakeholders in 10 Chiefdoms in Moyamba District and Western Area by 2015. 2. To enhance socio-economic empowerment of 1250 young women through training in life and entrepreneurial skills for self-reliance in 10 Chiefdoms in Moyamba District and Western Area by 2015. 3. To support 20 Civil Society Organizations, and three Coalitions, Networks and Umbrella Organizations in Moyamba District and Western Area to undertake lobby and mount campaigns with Government and other Education stakeholders and conduct community sensitization/awareness raising with traditional and religious leaders for the promotion of girls and other vulnerable and marginalized children’s education by 2015. Key results are: 1. Increased capacity of schools for access to quality basic education by girls and other vulnerable and marginalized children including disabled children 2. Attitudes and behaviours of education stakeholders to promote girl child education 3. Increase in knowledge and skills of young women in small scale enterprise development 4. Local Civil Society Groups, community, traditional, religious leaders and duty bearers organized to address/respond to girl child educations issues 5. Increased organizational skills amongst alliance project partners for managing projects and results monitoring for impact. A system in place to promote, document, produce and share organizational learning across programs and partners

If the Donor is the European Union or an EU Member State, please specify the EU budget line, EDF or EU Member State.

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Project title: Program Empowering self-help sanitation of rural and peri-urban communities and schools in Africa Location of the action Sierra Leone: Bombali District

Cost of the action (EUR) € 504.000

Sector (Section 3.2.2 of Section 3): 14030 Basic drinking water supply and basic sanitation; 14081 Education and training in water supply and sanitation; 15050 Strengthening civil society lead manager or partner Plan Sierra Leone

Donors to the action (name)12 Dutch Ministry of Foreign Affairs

Amount contributed (by donor) € 504.000

Dates (from dd/mm/yyyy to dd/mm/yyyy) 01/01/2010 to 31/12/2014

Objectives and results of the action NOTE: This is part of a Pan-African CLTS Program which is being implemented in 8 African countries. General Objectives of the Pan African program: • (1) To reduce infant and child morbidity and mortality in 8 African countries, and (2) to empower rural and peri-urban communities. Specific Objectives: (1) To improve sanitation and hygiene practices in rural and urban communities and schools in 8 African countries, and (2) capacity and networks are strengthened on CLTS, SLTS and UTS in the 8 African countries. Sierra Leone program: Objective: Increase access to improved human excreta disposal facilities & improve hygiene behaviour of 150 villages in 2 chiefdoms in Bombali District by 2014. Expected Key results: 1. Adequate sanitation and hygiene practices are applied by the persons in the project areas 2. Capacities of partners (CSOs, youth partner-BOYA) and Plan Sierra Leone are strengthened and empowered to monitor and sustain improved Environmental sanitation services; and local governments (DC/DHMT or local authorities) are strengthened to deliver their sanitation responsibilities. 3. District Health Management Teams and District Council are strengthened to deliver their sanitation responsibilities in Bombali District and are able to demonstrate improved environmental sanitation services. 4. 60% of the population of 260 communities in 2 chiefdoms in Bombali use key hygiene practices. 5. 13 chiefdoms in Bombali are exposed to key hygiene messages through radio programme. 6. All participating community based organisations have trained community structures for maintenance of sanitation facilities. Results as of end-2010: • 46 communities and 20 schools have been triggered, of which 8 village communities have reached ODF status. 80% of the remaining communities have almost completed construction of their local latrines. • The 8 ODF communities have improved sanitary conditions and children and women have access to these facilities. Women are reporting of improvement in privacy, convenience, dignity and security as well as social status in the 8 ODF communities • Neighbouring communities/chiefdoms have written invitation letters to the project. Project title: Promoting Child Survival in Burkina Faso 12

Sector (Section 3.2.2 of Section 3): 122 Basic health; 15150 Strengthening civil society; 16064 Social mitigation of HIV/AIDS

If the Donor is the European Union or an EU Member State, please specify the EU budget line, EDF or EU Member State.

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Location of the action Burkina Faso

Cost of the action (EUR) € 2.051.797

lead manager or partner Plan Burkina Faso

Donors to the action (name)13

Amount contributed (by donor)

Dutch Ministry of Foreign Affairs and Private funding

€ 2.051.797

Dates (from dd/mm/yyyy to dd/mm/yyyy) 01/08/06 – 21/12/09

Objectives and results of the action Burkina Faso has some of the lowest health indicators in the world. Fragile and social conditions are root causes of the problem. Children under five are at high risk of contracting malaria, diarrhoea and respiratory tract infections and they are at risk to epidemics such as meningitis. The capacity of the health care system is limited and common illnesses can prove fatal. The infant mortality rate is 104 per 1000 new-borns. The mortality rate of children under five is one of the highest in the world, at 197 per 1000 live births. The objective of the programme is to improve the health status of children under 5 and women of childbearing age. Objectives 1. Increase immunization level to 90% and provide additional micronutrients 2. Promotion of diarrhoea cases management and breastfeeding promotion of 20% 3. Decrease of acute respiratory infections with 10% 4. Increase of malaria prevention and case management of 25 % 5. Decrease of mother to child transmission of hiv/aids with 15% 6. At least 80% of women have access to quality pre- and post natal care and delivery services, including services to HIV infection during pregnancy Key results are: 1. Two new health structures are supported and revitalization of community level health structures originally established in 1980s 2. Improved access to and quality of Community health Workers in 775 targeted villages 3. Trained MOH service providers and Health Centre management Committees in 87 health facilities 4. Behavioural change among communities including health care seeking. Project title: Promotion of community based mother and neonatal health in the district of Tanguieta, Benin Location of the action

Cost of the action (EUR)

Sector (Section 3.2.2 of Section 3): Gender; 122 Basic health; 15150 Strengthening civil society; 16064 Social mitigation of HIV/AIDS lead manager or partner

Donors to the action (name)14

Amount contributed (by donor)

If the Donor is the European Union or an EU Member State, please specify the EU budget line, EDF or EU Member State.

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Dates (from dd/mm/yyyy to dd/mm/yyyy)

Benin

€ 103.750

Plan Benin

Private funding

€ 103.750

15/10/09 – 31/11/11

Objectives and results of the action The infantile death rate reflects the state of health of the country. The analysis and diagnosis of the situation of the maternal and neonatal mortality in Benin show that indicators have stagnated for several decades around 473 maternal deaths per 100.000 and 38 deaths of new-borns per 1000 live births. To address pressing health care issues, Plan Benin in partnership with health public service, implements a community mobilization strategy that helps to improve maternal and newborn health by strengthening and enhancing the ability and skills of household members. The role of government is to provide health care mainly through health centres. The health workers provide outreach service to the population at the grassroots level, but this is lacking often. Plan Benin completes this gap by working and strengthening the grassroots level. Overall objective: The project aims to contribute to the reduction of neonatal mortality rate from 38 / 1000 living births in 1996 to 21 / 1000 living births in Tanguieta health district. Specific objectives: 1. Increase at least 80% the use of the obstetric and neonatal services in health centres in the selected districts 2. Increase by 80 % childbirths attended by skilled health staff in the health centres in the selected districts 3. Reinforce the capacities of the individuals, the families and the community in taking care of mothers of new-borns and their new-borns 4. To increase the capacity of community to manage household, obstetrical and neonatal care by promoting the recognition of signs of danger and the referral to the health centre in appropriate time 5. Organize integrated management of obstetrical and neonatal care including the prevention of mother to child transmission of HIV at community level. Key results are: 1. Community participation and mobilization with a local plan of action in at least 100 villages 2. At least 100 volunteer mother selected and trained in villages with poor accessibility to the obstetric and neonatal care are performing in at least 50 communities of the selected commune 3. At least 80% of mothers of new-born and their new-borns are followed and correctly taken care of by the 100 volunteer mothers trained on basic obstetric and neonatal care 4. At least 90% of the new-borns are completely immunized before the age of 12 months 5. Behaviour change communication for obstetric and neonatal care and HIV prevention among women of childbearing age and their male partners is strengthened Project title: Primary Health Care / HIV AIDS and Water & Sanitation Location of the action

Cost of the action (EUR)

Sector (Section 3.2.2 of Section 3): 122 Basic Health (12220 – 12281); 14030 Basic drinking water supply & sanitation; 15150 Strengthening civil society; 16064 Social mitigation of HIV/AIDS lead manager or partner

Donors to the action (name)15

Amount contributed (by donor)

If the Donor is the European Union or an EU Member State, please specify the EU budget line, EDF or EU Member State.

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Dates (from dd/mm/yyyy to dd/mm/yyyy)

Zambia

€ 6.697.931

Plan Zambia

Dutch Ministry of Foreign Affairs

€ 3.651.108

July 2003 – December 2009

Objectives and results of the action Zambia is among the 42 countries in Africa that contribute 90% of U5 deaths worldwide and has one of the highest maternal mortality rates. Main challenges include social cultural factors leading to delays in seeking health care, poor transport resulting in delays in reaching facilities, shortage of appropriately trained staff, delays in provision of care at the health facilities and inadequate appropriate infrastructure and inadequacy of drugs and other essentials. Objectives 7. Reduce the incidence of preventable childhood illnesses in all communities by 2009 8. Increase the % of women of child bearing age with access to antenatal care in all communities from 24% to 60 % by 2009 9. Increase % of adolescents taking appropriate measures to avoid HIV/AIDS/STDs in all communities from 37% to 60 % by 2009 10. Increase the % of mothers taking appropriate measures to avoid HIV/AIDS/STDs in all communities from 37% to 60 % by 2009. The project aims to increase capacities at community level, strengthen government capacities and improve the collaboration between communities and government services. To achieve ownership and create strong local partnerships, all target groups – including children and youth – were actively involved during the design, implementation and monitoring of the project. The first phase of this project was implemented in Mazabuka, Chadiza and Chibombo. During the second phase, starting in 2007, the project was scaled up to include Mansa District as well. Key results: 5. Improved care seeking behaviour and compliance to management of childhood illnesses 6. Improved home care of sick children 7. Improved practices for disease prevention 8. Improve growth and development in under 5s 9. Improved antenatal, delivery and postnatal outcomes 10. Enhanced community capacity for prevention, care and support for families impacted by HIV/AIDS 11. Communities mobilized around HIV/AIDS with increased awareness for prevention, care and support for PLWHA Project title: Adolescent Sexual and Reproductive Health project Location of the action

Cost of the action (EUR)

Sector (Section 3.2.2 of Section 3): Gender; 13020, 13040, 13081 Population policies/programs and reproductive health; 15150 Strengthening civil society; 16064 Social mitigation of HIV/AIDS; 43082 Research/scientific institutions lead manager or partner

Donors to the action (name)16

Amount contributed (by donor)

If the Donor is the European Union or an EU Member State, please specify the EU budget line, EDF or EU Member State.

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Dates (from dd/mm/yyyy to dd/mm/yyyy)

Sri Lanka

€ 477.747

Plan Sri Lanka

Dutch Ministry of Foreign Affairs

€ 477.747

July 2004 – March 2010

Objectives and results of the action This project is related the proposed action in that: • a participatory assessment was done to understand barriers to service (similar to the gender assessment in the proposed action) • partners consisted of both non-governmental and governmental organizations/bodies • it was a project with national reach (the proposed action is linked through its model and networking to other similar projects in Sierra Leone) Overall Objective: Raise % adolescent and communities who has basic knowledge of SRH from 35,5 to 40% through peer education approach involving adolescents and youth between 10 to 24 years of age Specific Objectives: 1. To promote and raise awareness of ASRHR though a peer-to-peer IEC approach involving youth aged 10-18 years in Plan and non-Plan communities 2. To increase the capabilities of Plan staff and that of its local NGO/GO partners in designing and implementing a program for young people’s ASRHR 3. To carry out a nationwide study to understand the specific problems and service gaps related to Knowledge, Attitude, Practices and Behaviour (KAPB) on Sexual and Reproductive Health (SRH) among young people aging 10 to 24 years. Some key results are: • Establishment of a national and regional level youth leader network in advocating their peer groups and communities on ASRHR issues • Training of peer leaders trainers capable to disseminate ASRHR knowledge and skills among their peer networks • Establishment of parent networks among groups of parents who are sensitized and enhanced on addressing ASRHR issues among young people and creation of environments of prevention and promotion of SRHR of young people • Strengthened cooperation among young leader networks, families, communities, government and non-government sectors to promote preventive strategies and promotion of SRH for young people • Three research reports and one IGQM handbook • Establishment of SRH centre at the Faculty of Medicine, University of Kelanyia • Establishment of youth friendly health services (YFHS) in three hospitals in SL Project title: Child Health and Development in Moyamba District Location of the action

Cost of the action (EUR)

Sector (Section 3.2.2 of Section 3): 122 - Basic health (in particular 12220; 12230; 12281); 15050 Strengthening civil society lead manager or partner

Donors to the action (name)17

Amount contributed (by donor)

If the Donor is the European Union or an EU Member State, please specify the EU budget line, EDF or EU Member State.

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Dates (from dd/mm/yyyy to dd/mm/yyyy)

Sierra Leone

€ 1,142,240

Plan UK

EC PVD

EC PVD = € 714,471.13

Partner: Pikin-to-Pikin Movement

Plan UK

Plan UK =€ 427,768.88

01/01/2008 to 31/12/2012

Objectives and results of the action Please note, this is NOT the applicant’s (Plan Nederland) experience, but Plan’s in Sierra Leone and is referred to in the CN of this proposal. The action presented is based on – among others - the experiences of this specific example. The overall objective of the project is to improve the health and cognitive, physical, mental, behavioural and social development of children under five years of age in Moyamba District of Sierra Leone. The specific objective of the project is to reduce under five mortality and to increase access to early childhood care and development services in 14 Chiefdoms of Moyamba district in Sierra Leone by 2011. The project is on-going, and after 4 years it is expected that the project will have the following results: 1) The population of Moyamba District makes increasing use of maternal and child health services; 2) Health workers in Moyamba District apply developmental screening tools, and counsel and support mothers on means to stimulate the cognitive, physical, mental, behavioural and social development of their children as part of their routine services; 3) Grandmothers’, mothers' and fathers' groups are active in the communities of Moyamba District, supporting the health, nutrition, and holistic development of children under five years of age; 4) Children's groups in Moyamba District are active in promoting the health, nutrition, and development of their younger brothers and sisters using the child-to-child approach and children’s radio programs; 5) Communities in Moyamba District are actively involved in health service delivery through community health committees; 6) Based on the experience gained in Moyamba District, there will be greater integration of health, nutrition, and development services for children under-five in Sierra Leone.

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THE APPLICANT

EuropeAid ID number18 Name of the organisation

8.1.

NL-2008-CPM-0901665251 Plan Nederland

IDENTITY

Information requested under this point need only be given in cases where there have been modifications or additions as compared to the information given in the Concept note form. The applicant's contact details for the purpose of this action: Legal Entity File number19 Abbreviation Registration Number (or equivalent) Date of Registration

Place of Registration Official address of Registration Country of Registration20/ Nationality 21 E-mail address of the Organisation Telephone number: Country code + city code + number Fax number: Country code + city code + number Website of the Organisation Any change in the addresses, phone numbers, fax numbers and in particular e-mail, must be notified in writing to the Contracting Authority. The Contracting Authority will not be held responsible in case it cannot contact an applicant. 18 19

This number is available to an organisation which registers its data in PADOR. For more information and to register, please visit http://ec.europa.eu/europeaid/work/onlineservices/pador/index_en.htm If the applicant has already signed a contract with the European Commission

For organisations. [If not in one of the countries listed in Section 2.1.1 of the Guidelines, please justify its location].

For individuals. [If not in one of the countries listed in Section 2.1.1 of the Guidelines, please justify its location].

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All applicants must encode then information in points 3.2, 3.3 and 3.4 under their PADOR registration and it is not necessary to complete these in the paper application. See also Section 2.2 of the guidelines for applicants.

8.2.

PROFILE

Legal status □ Yes □ No □ Yes NGO □ No □ Political Value based22 □ Religious □ Humanistic □ Neutral Is your organisation linked with □ Yes, parent entity: (please specify its EuropeAid ID:…………………………) another entity? □ Yes, controlled entity(ies) □ Yes, family organization / network entity23 □ No, independent Profit-Making

8.2.1. Category24

Category Public □ Public Administration □ Decentralised representatives of Sovereign States □ International Organisation □ Judicial Institution □ Local Authority □ Implementation Agency □ University/Education □ Research Institute □ Think Tank □ Foundation □ Association □ Media □ Network/Federation □ Professional and/or Industrial Organisation □ Trade Union □ Cultural Organisation □ Commercial Organisation

Private Implementation Agency University/Education Research Institute Think Tank Foundation Association Media Network/Federation Professional and/or Industrial Organisation Trade Union Cultural Organisation Commercial Organisation Other Non State Actor

Please choose only one set of values.

23 E.g. confederation / federation /Alliance. 24

Please specify 1) the Sector to which your organisation belongs, as defined in its statutes (or equivalent document): Public (established and/or funded by a public body) OR Private (established and/or funded by a private entity); 2) in the appropriate column, the Category to which your organisation belongs (ONE CHOICE ONLY).

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8.2.2. □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

Sector(s)25

11 111 11110 11120 11130 11182 112 11220 11230 11240 113 11320 11330 114 11420 11430 12 121 12110 12181 12182 12191 122 12220 12230 12240 12250 12261 12281 13 130 13010 13020 13030 13040 13081 14 140 14010 14015 14020 14030 14040 14050 14081 15 151 15110 15120

Education Education, level unspecified Education Policy & Admin. Management Education Facilities And Training Teacher Training Educational Research Basic education Primary Education Basic life skills for youth and adults Early childhood education Secondary education Secondary education Vocational Training Post-secondary education Higher Education Advanced Tech. & Managerial Training Health Health, general Health Policy & Admin. Management Medical education/training Medical Research Medical Services Basic health Basic Health Care Basic Health Infrastructure Basic Nutrition Infectious Disease Control Health Education Health Personnel Development Population programmes Population polices/programs and reproductive health Population Policy And Admin. Mgmt Reproductive Health Care Family planning Std Control Including HIV/Aids Personnel development for population & reproductive health Water Supply and Sanitation Water supply and sanitation Water Resources Policy/Admin. Mgmt Water Resources Protection Water supply & sanitation - Large systems Basic drinking water supply & basic sanitation River Development Waste Management/Disposal Education & training in water supply and sanitation Government and Civil Society Government and civil society, general Economic and development policy/planning Public sector financial management

25 Please tick the box for each sector your organisation has been active in the past 7 years. The sectors come from the DAC list set up by the OECD November 2010 (Update March 2011) Page 45 of 70 original

□ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

15130 15140 15150 15161 15162 15163 15164 152 15210 15220 15230 15240 15250 15261 16 16010 16020 16030 16040 16050 16061 16062 16063 16064 21 210 21010 21020 21030 21040 21050 21061 21081 22 220 22010 22020 22030 22040 23 230 23010 23020 23030 23040 23050 23061 23062 23063 23064 23065 23066 23067

Legal and judicial development Government administration Strengthening civil society Elections Human Rights Free Flow Of Information Women's equality organisations and institutions Conflict prevention an resolution, peace and security Security system management and reform Civilian peace-building, conflict prevention and resolution Post-conflict peace-building (UN) Reintegration and SALW control Land mine clearance Child soldiers (prevention and demobilisation) Other Social Infrastructure and Service Social/welfare services Employment policy and admin. mgmt. Housing policy and admin. management Low-cost housing Multisector aid for basic social services Culture and recreation Statistical capacity building Narcotics control Social mitigation of HIV/AIDS Transport and Storage Transport and storage Transport Policy & Admin. Management Road Transport Rail Transport Water Transport Air Transport Storage Education & Training In Transport & Storage Communications Communications Communications Policy & Admin. Mgmt Telecommunications Radio/Television/Print Media Information and communication technology (ICT) Energy Energy generation and supply Energy Policy And Admin. Management Power Generation/Non-Renewable Sources Power Generation/Renewable Sources Electrical Transmission/Distribution Gas distribution Oil-Fired Power Plants Gas-Fired Power Plants Coal-Fired Power Plants Nuclear Power Plants Hydro-electric Power Plants Geothermal energy Solar energy

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23068 23069 23070 23081 23082 24 240 24010 24020 24030 24040 24081 25 250 25010 25020 31 311 31110 31120 31130 31140 31150 31161 31162 31163 31164 31165 31166 31181 31182 31191 31192 31193 31194 31195 312 31210 31220 31261 31281 31282 31291 313 31310 31320 31381 31382 31391 32 321 32110 32120

Wind power Ocean power Biomass Energy education/training Energy research Banking and Financial Services Banking and financial services Financial Policy & Admin. Management Monetary institutions Formal Sector Financial Institutions Informal/Semi-Formal Financial intermediaries Education/trng in banking & fin. services Business and Other Services Business and other services Business support services and institutions Privatisation Agriculture, Forestry and Fishing Agriculture Agricultural Policy And Admin. Mgmt Agricultural development Agricultural Land Resources Agricultural Water Resources Agricultural inputs Food Crop Production Industrial Crops/Export Crops Livestock Agrarian reform Agricultural alternative development Agricultural extension Agricultural Education/Training Agricultural Research Agricultural services Plant and post-harvest protection and pest control Agricultural financial services Agricultural co-operatives Livestock/Veterinary Services Forestry Forestry Policy & Admin. Management Forestry development Fuel wood/charcoal Forestry education/training Forestry research Forestry services Fishing Fishing Policy And Admin. Management Fishery development Fishery education/training Fishery research Fishery services Industry, Mining and Construction Industry Industrial Policy And Admin. Mgmt Industrial development

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32130 32140 32161 32162 32163 32164 32165 32166 32167 32168 32169 32170 32171 32172 32182 322 32210 32220 32261 32262 32263 32264 32265 32266 32267 32268 323 32310 33 331 33110 33120 33130 33140 33181 332 33210 41 410 41010 41020 41030 41040 41050 41081 41082 43 430 43010 43030 43040 43050 43081

Small and medium-sized enterprises (SME) development Cottage industries and handicraft Agro-Industries Forest industries Textiles - leather & substitutes Chemicals Fertilizer plants Cement/lime/plaster Energy manufacturing Pharmaceutical production Basic metal industries Non-ferrous metal industries Engineering Transport equipment industry Technological research and development Mineral resources and mining Mineral/Mining Policy & Admin. Mgmt Mineral Prospection And Exploration Coal Oil and gas Ferrous metals Non-ferrous metals Precious metals/materials Industrial minerals Fertilizer minerals Offshore minerals Construction Construction Policy And Admin. Mgmt Trade and Tourism Trade policy and regulation Trade Policy And Admin. Management Trade facilitation Regional trade agreements (RTAs) Multilateral trade negotiation Trade education & training Tourism Tourism Policy And Admin. Management General Environment Protection General environmental protection Environmental Policy And Admin. Mgmt Biosphere protection Bio-diversity Site Preservation Flood Prevention/Control Environmental education/training Environmental research Other multisector Other multisector Multisector Aid Urban Development And Management Rural Development Non-agricultural alternative development Multisector education/training

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□ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

43082 51 510 51010 52 520 52010 53 530 53030 53040 60 600 60010 60020 60030 60040 60061 60062 60063 72 720 72010 72040 72050 73 730 73010 74 740 74010 91 910 91010 92 920 92010 92020 92030 93 930 93010 99 998 99810 99820

Research/scientific institutions General budget support General budget support General budget support Development food aid/food security Development food aid/food security assistance Food Aid / Food Security Programmes Other commodity assistance Other commodity assistance Import support (capital goods) Import support (commodities) Action relating to debt Action relating to debt Action relating to debt Debt forgiveness Relief of multilateral debt Rescheduling and refinancing Debt for development swap Other debt swap Debt buy-back Emergency and distress relief Emergency and distress relief Material relief assistance and services Emergency food aid Relief coordination; protection and support services Reconstruction relief and rehabilitation Reconstruction relief and rehabilitation Reconstruction relief and rehabilitation Disaster prevention and preparedness Disaster prevention and preparedness Disaster prevention and preparedness Administrative costs of donors Administrative costs of donors Administrative Costs Support to NGO Support to NGO Support to national NGOs Support to international NGOs Support to local and regional NGOs Refugees Refugees (in donor countries) Refugees (in donor countries) Unallocated/unspecified Unallocated/unspecified Sectors Not Specified Promotion of Development Awareness

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8.2.3.

Target group(s)

□ All □ Child soldiers □ Children (less than 18 years old) □ Community Based Organisation(s) □ Consumers □ Disabled □ Drug consumers □ Educational organisations (school, universities) □ Elderly people □ Illness affected people (Malaria, Tuberculosis, HIV/AIDS) □ Indigenous peoples □ Local authorities □ Migrants □ Non Governmental Organisations □ Prisoners □ Professional category □ Refugees and displaced □ Research organisations/Researchers □ SME/SMI □ Students □ Urban slum dwellers □ Victims of conflicts/catastrophies □ Women □ Young people □ Other (please specify): ……………………………..

8.3.

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8.4. 8.4.1.

CAPACITY TO MANAGE AND IMPLEMENT ACTIONS Experience by sector

Sector

Year(s) of Experience

Experience in the past 7 years

□ Less than 1 □ 1 to 3 years □ 4 to 7 years

□ Less than 1 year □ 1 to 3 years □ 4 to 7 years □ 7 years +

□ 7 years +

8.4.2.

Number of Projects in the past 7 years □ 1 to 5 □ 6 to 10 □ 11 to 20 □ 21 to 50 □ 51 to 200 □ 200 to 500 □ 500+

□ Less than 1 □ 1 to 3 years □ 4 to 7 years □ 7 years +

□ Less than 1 year □ 1 to 3 years □ 4 to 7 years □ 7 years +

□ 1 to 5 □ 6 to 10 □ 11 to 20 □ 21 to 50 □ 51 to 200 □ 200 to 500 □ 500+

□ Less than 1 □ 1 to 3 years □ 4 to 7 years □ 7 years +

□ Less than 1 year □ 1 to 3 years □ 4 to 7 years □ 7 years +

□ 1 to 5 □ 6 to 10 □ 11 to 20 □ 21 to 50 □ 51 to 200 □ 200 to 500 □ 500+

Estimated Amount (in thousand Euros) in the past 7 years □ Less than 1 □ 1 to 5 □ 5 to 20 □ 20 to 50 □ 50 to 100 □ 100 to 300 □ 300 to 1.000 □ 1000+ □ Unknown □ Less than 1 □ 1 to 5 □ 5 to 20 □ 20 to 50 □ 50 to 100 □ 100 to 300 □ 300 to 1.000 □ 1000+ □ Unknown □ Less than 1 □ 1 to 5 □ 5 to 20 □ 20 to 50 □ 50 to 100 □ 100 to 300 □ 300 to 1.000 □ 1000+ □ Unknown

Experience by geographical area

By Geographical area (country or region)

Year(s) of Experience

Number of Projects in this geographical area in the past 7 years

□ Less than 1 year □ 1 to 3 years □ 4 to 7 years □ 7 years +

□ 1 to 5 □ 6 to 10 □ 11 to 20 □ 21 to 50 □ 51 to 200 □ 200 to 500 □ 500+

□ Less than 1 year

□ 1 to 5

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Estimated Amount (in thousand Euros) invested in this geographical area in the past 7 years □ Less than 1 □ 1 to 5 □ 5 to 20 □ 20 to 50 □ 50 to 100 □ 100 to 300 □ 300 to 1.000 □ 1000+ □ Unknown □ Less than 1

Indicative list of regions Europe EU Europe non-EU Eastern Europe Central America South America South-East Asia North-East Asia South Asia Central Asia Mediterranean Gulf Countries Eastern Africa Central Africa Western Africa Page 51 of 70

□ 1 to 3 years □ 4 to 7 years □ 7 years +

□ 6 to 10 □ 11 to 20 □ 21 to 50 □ 51 to 200 □ 200 to 500 □ 500+

□ Less than 1 year □ 1 to 3 years □ 4 to 7 years □ 7 years +

□ 1 to 5 □ 6 to 10 □ 11 to 20 □ 21 to 50 □ 51 to 200 □ 200 to 500 □ 500+

□ 1 to 5 □ 5 to 20 □ 20 to 50 □ 50 to 100 □ 100 to 300 □ 300 to 1.000 □ 1000+ □ Unknown □ Less than 1 □ 1 to 5 □ 5 to 20 □ 20 to 50 □ 50 to 100 □ 100 to 300 □ 300 to 1.000 □ 1000+ □ Unknown

Southern Africa Indian Ocean Caribbean Pacific

Cross-reference of experience by Sector and by Geographical area: Sector(s) (as selected in 3.2.2)

8.4.3. •

Geographical area(s) (country or region, as identified previously)

Resources

Financial data Please provide the following information, if applicable, on the basis of the profit and loss account and balance sheet of your organisation, amounts in thousand Euros Year

Turnover or equivalent

Net earnings or equivalent

Total balance sheet or budget

Shareholders’ equity or equivalent

Medium and long-term debt

Shortterm debt (<1 year)

N26 N-1 N-2

N = previous financial year.

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•

Financing Source(s) Please tick the source(s) of the revenues of your organisation and specify the additional information requested Year

N N N N N N N N N

Source

N–1 N–1 N–1 N–1 N–1 N–1 N–1 N–1 N–1 N–2 N–2 N–2 N–2 N–2 N–2 N–2 N–2 N–2

Source

□ EU □ Member States Public Bodies □ Third Countries Public Bodies □ United Nations □ Other International Organisation(s) □ Private Sector □ Member's fees □ Other (please specify): ………… Total □ EU □ Member States Public Bodies □ Third Countries Public Bodies □ United Nations □ Other International Organisation(s) □ Private Sector □ Member's fees □ Other (please specify): ………… Total

Percentage (total for a given year must be equal to 100%)

Number of feepaying members (only for source = Member's fees) N/A N/A N/A N/A N/A N/A N/A N/A

100% Percentage (total for a given year must be equal to 100%)

Number of fee-paying members (only for source = Member's fees) N/A N/A N/A N/A N/A N/A

100%

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

Furthermore, where the grant requested exceeds EUR 500 000 (EUR 100 000 for an operating grant), please provide the references of the external audit report established by an approved auditor for the last financial year available. This obligation does not apply to international organisations nor to public bodies.

Year

Name of approved auditor

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Period of validity Page 53 of 70

From dd/mm/yyyy to dd/mm/yyyy

N–1

From dd/mm/yyyy to dd/mm/yyyy

N–2

From dd/mm/yyyy to dd/mm/yyyy

•

Number of staff (full-time equivalent) please tick one option for each type of staff Type of staff

Paid

Unpaid

HQ Staff: recruited and based in Headquarters (located in Developed Country)

□ < 10

□ > 10 and < 50

□ > 50 and < 100

□ > 100

□ N/A

□ < 10

□ > 10 and < 50

□ > 50 and < 100

□ > 100

□ N/A

□ < 10

□ > 10 and < 50

□ > 50 and < 100

□ > 100

□ N/A

Expat Staff: recruited in Headquarters (located in Developed Country) and based in Developing Country

Local staff: recruited and based in Developing Country

8.5. Name

LIST OF THE MANAGEMENT Profession

BOARD/COMMITTEE OF YOUR ORGANISATION

Function

Country of Nationality

On the board since

Mr Ms

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10 PARTNERS OF THE APPLICANT PARTICIPATING IN THE ACTION 10.1.

DESCRIPTION OF THE PARTNERS

This section must be completed for each partner organisation within the meaning of Section 2.1.2 of the Guidelines for Applicants. Any associates as defined in the same section need not be mentioned. You must make as many copies of this table as necessary to create entries for more partners. Partner 1 EuropeAid ID number

Full legal name

SL-2011-FRX-290876441 Port Loko District Health Management Team (DHMT)

Where the European Commission is the Contracting Authority: All Partners must encode this information under their PADOR registration. It is not necessary to complete this in the paper version. See also Section 2.2 of the guidelines for applicants. Date of Registration

N/A (governmental/public body)

Place of Registration

Port Loko

Legal status28

Governmental/Public Body

Official address of Registration29

District Health Management Team, Government Hospital, Port Loko

Country of Registration30/ Nationality 31

Sierra Leone

Contact person

Dr. Victor E. Matt- Lebby

Telephone number: country code + city code + number

232-76- 60-32-51

Fax number: country code + city code + number

E-mail address

vmattlebby@yahoo.com

Number of employees

STAFF: 20 DHMT members, Primary Health Care (PHC) workforce such as: 11 Community Health Officers (CHO), 6 State Enrolled Community Health Nurses (SECHN), 12 Extended Disease Control Unit (EDCU) Assistants, 172 Maternal and Child Health (MCH) Aides, 31 Porters/Labourers and 3 Midwives. The district needs more trained staff.

Other relevant resources

1 vehicle, 10 motor bikes, 4 computers, 1 generator, 1 5.KVA, 1 Power point projector, 1 projector screen, 1 stabilizer, 1 coloured printer, 2 black ink desk top printer, 1 combing machine and 1 stabilizer

This number is available to an organisation which registers its data in PADOR. For more information and to register, please visit http://ec.europa.eu/work/europeaid/onlineservices/pador/index_en.htm.

E.g. non profit making, governmental body, international organisation.

If not in one of the countries listed in Section 2.1.1 of the Guidelines, please justify its location.

For organisations

For individuals

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Experience of similar actions, in relation to the role in the implementation of the proposed action

Developing and implementing district operational plans. Monitoring and evaluating child survival projects. Capacity building at both district and PHU levels. Coordinating programmes and stakeholders (development partners, NGOs, etc.)

History of cooperation with the applicant

DHMT started partnership with Plan Sierra Leone in April 2007. There had been a strong collaboration and continued support from Plan Sierra Leone in complementing the health ministryâ&#x20AC;&#x2122;s effort. Demand for continuity of the implemented projects is very high for integrated child survival activity in the district.

Role and involvement in preparing the proposed action

DHMT contributed in the situation analysis, preparation of the proposal and the budget of the project.

Role and involvement in implementing the proposed action

Capacity building by training all PHU staff in the aspect of ECCD, supervision and monitoring of PHU activities, enhance training curriculum on child survival and ECCD for MCH Aides and monitor MCH Aides in training on practical. Train CHC at community level on child health issues and ECCD

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Partner 2 EuropeAid ID number32

SL-2009-GXG-2102291184

Full legal name

Pikin-to-Pikin Movement (P2P)

21 Jul 1998

Place of Registration

Freetown, Sierra Leone

Legal status33

Non-profit making, Non-Governmental Organisation

Official address of Registration34

13 Macdonald Street, Freetown, Sierra Leone

Country of Registration35/ Nationality 36

Sierra Leone

Contact person

Abdulai Deadehwai Swaray

Telephone number: country code + city code + number

+232 76 646220/+232 33 505384

Fax number: country code + city code + number E-mail address

pikintopikin@yahoo.com

Number of employees

Other relevant resources

Vehicle, Motor bikes, office equipments, office furniture, staff, office space etc

Experience of similar actions, in relation to the role in the implementation of the proposed action

Pikin-To-Pikin has implemented similar project in partnership with Plan Sierra Leone in Moyamba and Kailahun districts. P2P has expertise in disseminating health related messages to schools and communities using child-centred, peer-to-peer methodologies in various projects: • School sanitation and hygiene education project – Information, Education and Communication on hygiene, water and sanitation in Moyamba, Port Loko and Bombali districts and the Western Area of Sierra Leone through child-to-child approach in primary schools. • Information, Education and Communication on HIV/AIDS in primary schools and their communities in Moyamba district. • Development and printing of IEC materials on malaria in the Western Area.

History of cooperation with 32

Pikin-To-Pikin started working with Plan since 2001 to date in

This number is available to an organisation which registers its data in PADOR. For more information and to register, please visit http://ec.europa.eu/work/europeaid/onlineservices/pador/index_en.htm.

E.g. non profit making, governmental body, international organisation.

If not in one of the countries listed in Section 2.1.1 of the Guidelines, please justify its location.

For organisations

For individuals

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the applicant

Moyamba, Port Loko, Kailahun and Bombali districts. We have implemented various projects like the School Sanitation and Hygiene Education Project, Child Survival and Development Project, Malaria Prevention and Control Project, etc.

Role and involvement in preparing the proposed action

The organisation participated in the context analysis, concept note write up and also putting the proposal together.

Role and involvement in implementing the proposed action

Pikin-To-Pikin will be implementing the child-to-child component of the project.

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Partner 3 Europea id ID number37

SL-2011-FOQ-2708763729

Full legal name

Amazonian Initiative Movement (AIM)

Date of Registration

15th November, 2003

Place of Registration

Free Town

Legal status38

Non Profit Making NGO

Oficial address of Registration39

Lunsar, Port Loko District., Sierra Leone

Country of Registration40/ Nationality 41

Sierra Leone

Contact person

James Kunduno

Telephone number: country code + city code + number

+232- 76- 292-852/+232- 76- 738-517/

Fax number: country code + city code + number

Not applicable

E-mail address

aimgn2001@yahoo.co.uk./aimsl2001@yahoo.co.uk/jameskndn@ya hoo.co.uk

Number of employees

Other relevant resources

Office Space, Bikes

Experience of similar actions, in relation to the role in the implementation of the proposed action

Breaking the silence on child and women’s rights, Gender Based violence

History of cooperation with the applicant

Since 2007, we have been in partnership with Plan Sierra Leone implementing the project on Breaking the Silence on Girls and women’s rights

Role and involvement in preparing the proposed action

Situational analysis with focus on gender issues, development of concept paper, proposal writing and budget preparation.

Role and involvement in implementing the proposed action

Implementation of the gender Sensitivity and development component of the project; Gender Assessment, Promotions and gender sensitivity awareness campaigns, gender Mainstreaming, focus group discussion, support gender aggregate data collection analysis and dissemination at district and national level, training and workshops with parents’ groups, creating gender sensitive

This number is available to an organisation which registers its data in PADOR. For more information and to register, please visit http://ec.europa.eu/work/europeaid/onlineservices/pador/index_en.htm.

E.g. non profit making, governmental body, international organisation.

If not in one of the countries listed in Section 2.1.1 of the Guidelines, please justify its location.

For organisations

For individuals

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environment, etc.

Important:

This application form must be accompanied by a signed and dated partnership statement from each partner, in accordance with the model provided.

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ASSOCIATES OF THE APPLICANT PARTICIPATING IN THE ACTION

This section must be completed for each associated organisation within the meaning of Section 2.1.2 of the Guidelines for Applicants. You must make as many copies of this table as necessary to create entries for more associates. Associate 1 Full legal name EuropeAid ID number42 Country of Registration Legal status43 Official address Contact person Telephone number: country code + city code + number Fax number: country code + city code + number E-mail address Number of employees Other relevant resources Experience of similar actions, in relation to role in the implementation of the proposed action History of cooperation with the applicant Role and involvement in preparing the proposed action Role and involvement in implementing the proposed action

42 43

This number is available to an organisation which registers its data in PADOR. For more information and to register, please visit http://ec.europa.eu/europeaid/work/onlineservices/pador/index_en.htm. E.g. non profit making, governmental body, international organisation.

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12 CHECKLIST FOR THE FULL APPLICATION FORM PUBLICATION REFERENCE:

131657

TITLE OF THE CALL:

NON STATE ACTORS (NSA) AND LOCAL AUTHORITIES IN DEVELOPMENT

BUDGET LINE:

21.03.01 and 21.03.02

ADMINISTRATIVE DATA

To be filled in by the applicant

Name of the Applicant

Plan Nederland

EuropeAid ID number

NL-2008-CPM-0901665251

Nationality44/Country45 registration

and

date

of The Netherlands, 06-03-1975

Legal Entity File number46

6000233319

Legal status47

Non-profit making, Non-governmental

Partner 1

Name: Port Loko District Health Management Team (DHMT) EuropeAid ID: SL-2011-FRX-290876441 Nationality and date of establishment: Sierra Leonean, N/A Legal status: government body, local authority

Partner 2

Name: Pikin-to-Pikin Movement (P2P) EuropeAid ID: SL-2009-GXG-2102291184 Nationality and date of establishment: Sierra Leonean, 21 Jul 1998 Legal status: non-profit making, non-governmental

For individuals.

For organisations.

If the applicant has already signed a contract with the European Commission.

E.g. non profit making, governmental body, international organisationâ&#x20AC;Ś

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Partner 3

Name: Amazonian Initiative Movement (AIM) EuropeAid ID: SL-2011-FOQ-2708763729 Nationality and date of establishment: Sierra Leonean, 10 Nov 2001 Legal status: non-profit making, non-governmental

13 BEFORE SENDING YOUR PROPOSAL, PLEASE CHECK THAT EACH OF THE FOLLOWING POINTS IS COMPLETE AND RESPECTS THE FOLLOWING CRITERIA: Title of the Proposal: Child Survival and Development in Port Loko

To be filled in by the applicant Yes No

PART 1 (ADMINISTRATIVE) 1. The correct grant application form, published for this call for proposals, has been used 2. The Declaration by the applicant has been filled in and has been signed

The proposal is typed and is in English, the language most commonly used by the target population in the country in which the action takes place. One original and 2 copies are included

An electronic version of the proposal (CD-Rom) is enclosed

Each partner has completed and signed a partnership statement and the statements are included. Please indicate “Not applicable” (NA) if you have no partner The budget is presented in the format requested, is expressed in € and is enclosed

The logical framework has been completed and is enclosed

PART 2 (ELIGIBILITY) 9. The duration of the action is between 12 months and 36 months (the minimum and maximum allowed) 10. The requested contribution is between 300,000 EURO and 1,000,000 EURO (the minimum and maximum allowed) for NSA and 250,000 EURO and 500,000 EURO (the minimum and maximum allowed) for LA

11. The requested contribution is between 50 % and 75 % of the estimated total eligible costs (minimum and maximum percentage allowed) for International NGOs and 50 % and 90 % of the estimated total eligible costs (minimum and maximum percentage allowed) for Local NGOs

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12. The requested contribution has not been modified by more than 20% compared to the amount requested at concept note stage. [13. the requested contribution is equal or less than 50% of the estimated total accepted costs (maximum percentage allowed)]

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X X

15 DECLARATION BY THE APPLICANT The applicant, represented by the undersigned, being the authorised signatory of the applicant, in the context of the present call for proposals, representing any partners in the proposed action, hereby declares that the applicant has the sources of financing and professional competence and qualifications specified in Section 2 of the Guidelines for Applicants; the applicant undertakes to comply with the obligations foreseen in the partnership statement of the grant application form and with the principles of good partnership practice; the applicant is directly responsible for the preparation, management and implementation of the action with its partners, if any, and is not acting as an intermediary; the applicant and its partners are not in any of the situations excluding them from participating in contracts which are listed in Section 2.3.3 of the Practical Guide to contract procedures for EU external actions (available from the following Internet address: http://ec.europa.eu/europeaid/work/procedures/implementation/index_en.htm. Furthermore, it is recognised and accepted that if we participate in spite of being in any of these situations, we may be excluded from other procedures in accordance with Section 2.3.5 of the Practical Guide; the applicant and each partner (if any) is in a position to deliver immediately, upon request, the supporting documents stipulated under Section 2.4 of the Guidelines for Applicants.; the applicant and each partner (if any) are eligible in accordance with the criteria set out under Sections 2.1.1 and 2.1.2 of the Guidelines for Applicants; if recommended to be awarded a grant, the applicant accepts the contractual conditions as laid down in the Standard Contract annexed to the Guidelines for Applicants (annex G); the applicant and its partners are aware that, for the purposes of safeguarding the financial interests of the EU, their personal data may be transferred to internal audit services, to the European Court of Auditors, to the Financial Irregularities Panel or to the European Anti-Fraud Office. The following grant applications have been submitted (or are about to be submitted) to the European Institutions, the European Development Fund and the EU Member States in the last 12 months:

• • • •

NSA LA Liberia – Full Proposal NSA LA Mozambique – Concept Note NSA LA Indonesia – Full Proposal NSA LA Development Education – Concept Note

The applicant is fully aware of the obligation to inform without delay the Contracting Authority to which this application is submitted if the same application for funding made to other European Commission departments or European Union institutions has been approved by them after the submission of this grant application. Signed on behalf of the applicant Name

Ismène R.A.C. Stalpers

Signature Position

Resource Mobilisation Manager

Date

18th November 2011

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16 ASSESSMENT GRID OF THE FULL APPLICATION FORM (TO BE USED BY THE CONTRACTING AUTHORITY) YES OPENING

&ADMINISTRATIVE CHECK

1. The submission deadline has been respected 2. The checklist of the Application form has been duly completed. DECISION : The Committee has decided to evaluate the full application form after having passed the administrative check. The administrative verification has been conducted by: Date:] EVALUATION OF THE FULL APPLICATION FORM DECISION

A. The Committee has recommended the proposal for Eligibility verification after having been provisionally selected within the top ranked scored proposals within the available financial envelope. B. The Committee has recommended the proposal for Eligibility verification after having been put on the reserve list according to the top ranked scored proposals The evaluation of the proposal has been conducted by: Date: ELIGIBILITY VERIFICATION

3. The checklist of the Application form has been duly completed. 4. The supporting documents listed hereunder, submitted according to the Guidelines (Section 2.4), satisfied all the eligibility criteria of the applicant and its partner(s) (if any) a. The applicant's statutes b. The statutes or articles of association of all partners November 2010 (Update March 2011) original

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c. The applicant's external audit report (if applicable) d. The Legal Entity File (see annex D of the Guidelines for Applicants) is duly completed and signed by the applicant and is accompanied by the justifying documents requested. e. A Financial Identification form (see annex E of the Guidelines for Applicants). f. Copy of the applicantâ&#x20AC;&#x2122;s latest accounts. The assessment of the eligibility has been conducted by: Date: DECISION:

The Committee has selected the proposal for funding after having verified its eligibility according to the criteria stipulated in the Guidelines for Applicants.

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