Common use of Highlights Clause in Contracts

Highlights. WI-HER and RTI collaborated with NTDCP to conduct a GESI Pause and Reflect (P&R) meeting in Arusha from October 17-19, 2022. The meeting brought together the six councils (Ulanga DC, Mlimba DC, Longido DC, Monduli DC, Simanjiro DC and Kiteto DC) where the GESI behavior change activity was implemented in FY22 to document lessons learned and plan for GESI implementation in FY23. The meeting highlighted the importance of health education in addressing barriers to MDA uptake and involving government and traditional community leaders in MDA. Participants also discussed how to integrate GESI lessons learned into the CDD training package and potential activities for CCHPs. • Act | East supported the NTDCP to conduct a preparation meeting for the upcoming CCHP Pause and Reflect meeting in November. The preparation meeting was conducted in Singida from October 21-23, 2022. The technical team involved officers from PORALG, Directorate of Policy and Planning (DPP) office of the MOH, R4D, and WI-HER who collaboratively reviewed the meeting agenda, presentations, and documentation tools. During this preparation meeting, NTDCP and ▇▇▇▇▇▇ strongly recommended a high-level advocacy following the CCHP P&R meeting. This will be important for more resource mobilization at national and sub-national levels. • Act | East will collaborate with NTDCP, DPP office of the MOH, and PORALG to conduct the CCHP P&R meeting from November 15-18 in Dodoma. The meeting will bring together district NTD coordinators and health secretaries from the 15 districts that implemented the CCHP activity in FY22 to gather feedback on the CCHP process, successes, challenges and way forward. • In collaboration with NTDCP and PORALG, Act | East will organize review and planning meetings for the districts and regions conducting trachoma and OV MDAs in FY23. The activity will be conducted in Morogoro from November 7-10, 2022 and will be followed by the training of trainers for trachoma and OV MDAs on November 11th. • Act | East will support the NTDCP to conduct SCH and STH MDA in 41 districts in November 2022. This MDA was postponed from FY22 Q4. • In collaboration with NTDCP, Act | East will conduct an LF disease-specific assessment (DSA) outcome investigation in Pangani DC and Kilwa DC in November. • Act | East Tanzania ▇▇▇▇▇ staff will attend the NTD Information System (NIS) training in Mozambique from November 28 – December 3rd. • Act | East will support NTDCP and the National Institute for Medical Research (NIMR) Tanga lab to conduct analysis of Dried Blood Spot (DBS) samples collected in FY22 for OV using OV16 rapid diagnostic tests. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/afro/country/tz Act | East Partner: RTI, The ▇▇▇▇▇▇ Center, WI-HER, R4D, Save the Children Total population: 46,205,893 (2022) RTI HQ Team: [Redacted] Endemic diseases: LF (66), TRA (41), OV (43), SCH (91), STH (136) TABLE: Activities supported by USAID in FY23 LF OV Trachoma MDA N/A 8/11 districts (R1) 0/11 districts (R2) 0/2 districts (Dec 2022) 0/5 districts (June 2023) DSAs (#EUs) TAS 2: 0/8 EUs TAS 3: 0/3 EUs N/A TSS+: 2 EUs Confirmatory mapping: 2 districts ▇▇▇▇▇ Targeted follow-up investigation in two districts of Nabilatuk and Buliisa Data quality assessment (DQA) in Buliisa district HSS High-level meeting on mainstreaming NTD drugs Building domestic resource mobilization capacity workshops National advocacy meeting Finalize and institutionalize GESI MDA training curriculum Finalize integration of GESI into MOH-led social and behavior change packages GESI behavior change activity scale up in two districts. Summary and explanation of changes made to table above since last month: N/A • Table is updated with planned FY23 activities. • OV MDA was completed in 8 districts by TCC. • On 15 September, an index case of Ebola virus disease (EVD) was identified in Mubende District, Uganda. The Ministry of Health declared an outbreak of Sudan EVD on 20 September. As of 6 November, 135 cases have been confirmed throughout 7 districts. The CoP has weekly update meetings with HQ and HO and is actively monitoring the situation. We are developing SOPs and monitoring closely how the virus evolves within Uganda to be ready to change plans should Ebola be confirmed in our implementing districts. • Cross border Joint MDA Review Meeting. Act | East supported the RTI team to attend the Joint MDA review meeting in Kisumu, Kenya from 26–27 October. The objective of the meeting was to review progress and document learnings and gains from the previous joint MDA and to disseminate the MDA results. The meeting was attended by Senior MOH officials from both countries, district officials from border districts, Secretary for Health West Pokot County and partners. Some of the key recommendations were (1) to delay trachoma impact survey in West Pokot for 1 more round of MDA to have a joint impact survey with Uganda to realize intended outcomes; (2) Kenya adopting house to house approach of MDA implementation with VHTs; and

Highlights. WI-HER In collaboration with NTDCP, Act | East continued to conduct field pretesting of SBCC/IEC materials and RTI collaborated messages in Tanga and Arusha regions from 27 July to 10 August 2022. A final workshop was held with NTDCP from 11th to conduct a GESI Pause 19th August in Morogoro to fine-tune materials and Reflect (P&R) meeting in Arusha messages and incorporate inputs from October 17field pre-19, 2022. The meeting brought together testing before submission to the six councils (Ulanga DC, Mlimba DC, Longido DC, Monduli DC, Simanjiro DC and Kiteto DC) where the GESI behavior change activity was implemented in FY22 to document lessons learned and plan for GESI implementation in FY23. The meeting highlighted the importance of health education in addressing barriers to MDA uptake and involving government and traditional community leaders in MDA. Participants also discussed how to integrate GESI lessons learned into the CDD training package and potential activities for CCHPsnational review committee. • Act | East supported the NTDCP to conduct a preparation LF and trachoma dossier development meetings from August 5-6th and 8-9th, respectively, to review compiled dossier data and narrative components. • Act | East supported NTDCP to hold the Tanzania Onchocerciasis Expert Advisory Committee (TOEAC) meeting in Dar es Salaam from August 17-19th. Act | East will incorporate the TOEAC’s recommendations into the revised FY23 work plan. • Act | East supported NTDCP to conduct half-day Technical Working Group meetings for LF, trachoma, OV, SCH and STH on August 22nd. Act | East also supported the Annual Joint Planning Meeting from August 25-26th with key implementing partners. • Act | East supported NTDCP to conduct an SCH and STH Technical Expert Advisory Committee (SSTEAC) meeting on August 24th. Key recommendations included to triangulate WASH coverage data alongside the SCH precision mapping data in 53 districts and to analyze STH prevalence in the surveyed wards to better understand the way forward for STH MDA in wards where SCH MDA will be stopped. It was recommended that these data be analyzed and presented in advance of the next meeting. • In collaboration with NTDCP, Act | East began developing an M&E plan for the upcoming CCHP Pause and Reflect meeting in NovemberNTD Master Plan. The preparation An initial technical meeting was conducted held in Singida Dodoma from October 21-23, 29th August to 2nd September 2022. The technical team involved officers Key NTD stakeholders and M&E experts were invited from PORALGresearch and learning institutions, Directorate of Policy and Planning (DPP) office of the MOH, R4D, and WI-HER who collaboratively reviewed the meeting agenda, presentations, and documentation tools. During this preparation meeting, NTDCP and ▇▇▇▇▇▇ strongly recommended a high-level advocacy following and partners (RTI, World Vision, Crown Agents, Merck). Key indicators from the CCHP P&R meetingsustainability and master plans were extracted and improved by adding definitions, targets, data sources, reporting frequency and responsible persons. This will be important for more resource mobilization at national and sub-national levels. • An Act | East will collaborate with NTDCP, DPP office of East-supported consultant is now compiling the MOH, and PORALG first draft M&E plan prior to conduct the CCHP P&R validation meeting from November 15-18 planned in Dodoma. The meeting will bring together district NTD coordinators and health secretaries from the 15 districts that implemented the CCHP activity in FY22 to gather feedback on the CCHP process, successes, challenges and way forward. • In collaboration with NTDCP and PORALG, Act | East will organize review and planning meetings for the districts and regions conducting trachoma and OV MDAs in FY23. The activity will be conducted in Morogoro from November 7-10, 2022 and will be followed by the training of trainers for trachoma and OV MDAs on November 11th. • Act | East will support the NTDCP to conduct SCH and STH MDA in 41 districts in November 2022. This MDA was postponed from FY22 Q4late September. • In collaboration with NTDCP, Act | East will conduct an LF disease-specific assessment TAS3 in 6 EUs (DSABabati DC, Hanang DC, Kiteto DC, Simanjiro DC, Mbulu DC, and Mbulu TC) outcome investigation in Pangani DC and Kilwa DC in November. • Act | East Tanzania ▇▇▇▇▇ staff will attend the NTD Information System (NIS) training in Mozambique of Manyara region from November 28 – December 3rdSeptember 11–23rd. • Act | East will support NTDCP conduct supportive supervision for LF MDA in 6 councils and OV MDA in 15 councils. • Pre-MDA activities for SCH/STH MDA are expected to begin in late September once the National Institute for Medical Research drugs arrive in country. • In collaboration with NTDCP, Act | East will complete the last round of GESI coaching activities in Manyara and Arusha regions (NIMRLongido, Monduli, Simanjiro and Kiteto) Tanga lab to conduct analysis of Dried Blood Spot (DBS) samples collected in FY22 for OV using OV16 rapid diagnostic testsSeptember. • The NTD Master Plan M&E plan validation meeting is planned from September 26 – 28th. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/afro/country/tz National: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇/en/covid-19-info Act | East Partner: RTI, The ▇▇▇▇▇▇ Center, WI-HER, R4D, Save the Children Total population: 46,205,893 41,740,474 (20222019) RTI HQ Team: [Redacted] Endemic diseases: LF (6664), TRA (4151), OV (4332), SCH (9192), STH (136134) TABLE: Activities supported by USAID in FY23 FY22 LF OV SCH STH Trachoma MDA N/A 8/11 9/9 districts (R1) 0/11 3/11 districts (R2) 0/2 8/11 districts (Dec 2022R2) 0/5 N/A N/A 5/5 districts (June 2023Oct 2021) 5/5 districts (August 2022) DSAs (#EUs) TAS 2TAS3: 0/8 EUs TAS 3: 0/3 16/16 EUs N/A TSS+: 2 EUs Confirmatory mapping: 2 districts N/A N/A N/A ▇▇▇▇▇ Targeted follow-up investigation Trachoma coverage evaluation survey (CES) in two 3 districts of Nabilatuk and Buliisa (completed) Data quality assessment in Moroto (DQAcompleted) in Buliisa NTD data management training using DHIS2 (completed) HSS Develop national NTD program advocacy strategy (completed) Targeted cost analysis National and district HSS High-level meeting on mainstreaming NTD drugs Building domestic resource mobilization capacity workshops National advocacy meeting funds flow analysis (completed) Finalize and institutionalize GESI MDA training curriculum Finalize integration of Develop national SBC packages for NTDs and GESI into MOH-led social and behavior change packages GESI behavior change activity scale up in two districts. districts SCH/STH partner mapping exercise Summary and explanation of changes made to table above since last month: N/A • Table is updated with planned FY23 activitiesTAS 3 in 9 additional EUs was completed. • OV Trachoma MDA was completed in 8 districts by TCC. • On 15 September, an index case of Ebola virus disease (EVD) was identified in Mubende District, Uganda. The Ministry of Health declared an outbreak of Sudan EVD on 20 September. As of 6 November, 135 cases have been confirmed throughout 7 districts. The CoP has weekly update meetings with HQ and HO and is actively monitoring the situation. We are developing SOPs and monitoring closely how the virus evolves within Uganda to be ready to change plans should Ebola be confirmed in our implementing 5 districts. • Cross border Joint MDA Review Meeting. Act | East supported the RTI team to attend the Joint MDA review meeting District funds flow analysis was completed in Kisumu4 districts of Amudat, Kenya from 26–27 October. The objective of the meeting was to review progress Moroto, Nakapiripirit and document learnings and gains from the previous joint MDA and to disseminate the MDA results. The meeting was attended by Senior MOH officials from both countries, district officials from border districts, Secretary for Health West Pokot County and partners. Some of the key recommendations were (1) to delay trachoma impact survey in West Pokot for 1 more round of MDA to have a joint impact survey with Uganda to realize intended outcomes; (2) Kenya adopting house to house approach of MDA implementation with VHTs; andNabilatuk.

Highlights. WI-HER and RTI collaborated with NTDCP to conduct a GESI Pause and Reflect (P&R) meeting in Arusha from October 17-19, 2022. The meeting brought together the six councils (Ulanga DC, Mlimba DC, Longido DC, Monduli DC, Simanjiro DC and Kiteto DC) where the GESI behavior change activity was implemented in FY22 to document lessons learned and plan for GESI implementation in FY23. The meeting highlighted the importance of health education in addressing barriers to MDA uptake and involving government and traditional community leaders in MDA. Participants also discussed how to integrate GESI lessons learned into the CDD training package and potential activities for CCHPs. • Act | East supported the NTDCP to conduct a preparation meeting for the upcoming CCHP Pause and Reflect meeting in November. The preparation meeting was conducted in Singida from October 21-23, 2022. The technical team involved officers from PORALG, Directorate of Policy and Planning (DPP) office of the MOH, R4D, and WI-HER who collaboratively reviewed the meeting agenda, presentations, and documentation tools. During this preparation meeting, NTDCP and ▇▇▇▇▇▇ strongly recommended a high-level advocacy following the CCHP P&R meeting. This will be important for more resource mobilization at national and sub-national levels. • Act | East will collaborate with NTDCP, DPP office of the MOH, and PORALG to conduct the CCHP P&R meeting from November 15-18 in Dodoma. The meeting will bring together district NTD coordinators and health secretaries from the 15 districts that implemented the CCHP activity in FY22 to gather feedback on the CCHP process, successes, challenges and way forward. • In collaboration with NTDCP and PORALGNTDCP, Act | East will organize review conducted OV exclusion mapping survey in Newala DC and planning meetings for the districts and regions conducting trachoma Newala TC and OV MDAs pre-stop MDA survey in FY23. The activity will be conducted in Morogoro from November 7-10, 2022 Kilosa DC and will be followed by the training of trainers for trachoma and OV MDAs on November 11th. • Act | East will support the NTDCP to conduct SCH and STH MDA in 41 districts in November 2022. This MDA was postponed from FY22 Q4Tunduru DC. • In collaboration with NTDCP, Act | East will conduct an LF disease-specific assessment (DSA) outcome investigation conducted training of trainers for OV, STH and SCH in Pangani DC 19 districts and Kilwa DC 5 regions on June 14th in NovemberMbeya region. • Act | East Tanzania and NTDCP held the FY23 work planning meeting from June 6–9th in Morogoro to agree on FY23 activities for LF, trachoma, OV, SCH/STH and HSS. Act | East HQ and USAID staff participated virtually. • Act | East and NTDCP conducted district advocacy and community sensitization meetings from June 22-27th, targeting nomadic pastoralist groups in 5 district councils in the Arusha and Manyara regions ahead of MDA in July. • Act | East and NTDCP conducted a workshop to finalize the new IEC/BCC material and messages, which are now ready for pre-testing in the field. The new IEC/BCC materials will be ready for FY23 MDAs after pre-testing and printing. • Act | East supported coaching visits with the GESI behavior change teams in Ulanga and Mlimba councils following OV MDA. The teams noted that MDA uptake among those who refused medication previously was up to 98.8% and GESI and NTDs were integrated into village governance systems, whereby CDDs were invited to discuss the work during village meetings. In Mlimba DC, iDARE teams expanded GESI to other hamlets. • Act | East and NTDCP are planning for trachoma MDA in 9 districts in July 2022. MDA will begin with a cross border MDA launch event in Narok, Kenya on July 12th. • Conduct MDA training of trainers for LF, STH and SCH to 6 districts and 4 regional NTD team members from Lindi, Mtwara, Pwani and Tanga regions on July 6th in Dar es Salaam. • Conduct OV elimination mapping in 4 district councils (Handeni DC, Kilindi DC, Iringa DC and Kilolo DC). • Conduct TAS3 in 8 EUs (Ulanga DC, ▇▇▇▇▇▇▇ staff will attend the NTD Information System (NIS) training in Mozambique from November 28 – December 3rd. • Act | East will support NTDCP DC, Gairo DC, Ifakara TC, Mlimba DC, Ludewa DC, Mbinga DC, Mbinga TC and the National Institute for Medical Research (NIMR) Tanga lab to conduct analysis of Dried Blood Spot (DBS) samples collected in FY22 for OV using OV16 rapid diagnostic testsNyasa DC). WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/afro/country/tz Act | East Partner: RTI, The ▇▇▇▇▇▇ Center, WI-HER, R4D, Save the Children Total population: 46,205,893 43,290,897 (20222021) RTI HQ Team: [Redacted] Endemic diseases: LF (6664), TRA (4151), OV (4312), SCH (9192), STH (136134) TABLE: Activities supported by USAID in FY23 FY22 LF OV SCH STH Trachoma MDA N/A 8/11 9/9 districts (R1) 0/11 8/11 districts (R2) 0/2 N/A N/A 5/5 districts (Dec 2022Oct 2021) 0/5 districts (June 20232022) DSAs (#EUs) TAS 2TAS3 : 0/8 EUs TAS 3: 0/3 7/16 EUs N/A TSS+: 2 EUs Confirmatory mapping: 2 districts N/A N/A N/A ▇▇▇▇▇ Targeted follow-up investigation Trachoma coverage evaluation survey (CES) in two 3 districts of Nabilatuk and Buliisa (completed) Data quality assessment in Moroto (DQAcompleted) in Buliisa NTD data management training using DHIS2 (completed) HSS Develop national NTD program advocacy strategy (completed) Targeted cost analysis National and district HSS High-level meeting on mainstreaming NTD drugs Building domestic resource mobilization capacity workshops National advocacy meeting funds flow analysis Finalize and institutionalize GESI MDA training curriculum Finalize integration of Develop national SBC packages for NTDs and GESI into MOH-led social and behavior change packages GESI behavior change activity scale up in two districts. districts SCH/STH partner mapping exercise Summary and explanation of changes made to table above since last month: N/A • Table is updated with planned FY23 activities. • OV MDA was completed in 5 districts in June for a total of 8 districts by TCC. • On 15 September, an index case of Ebola virus disease (EVD) was identified in Mubende District, Uganda. The Ministry of Health declared an outbreak of Sudan EVD on 20 September. As of 6 November, 135 cases have been confirmed throughout 7 districts. The CoP has weekly update meetings with HQ and HO and is actively monitoring the situation. We are developing SOPs and monitoring closely how the virus evolves within Uganda to be ready to change plans should Ebola be confirmed in our implementing districts. • Cross border Joint MDA Review Meeting. Act | East supported the RTI team to attend the Joint MDA review meeting in Kisumu, Kenya from 26–27 October. The objective of the meeting was to review progress and document learnings and gains from the previous joint MDA and to disseminate the MDA results. The meeting was attended by Senior MOH officials from both countries, district officials from border districts, Secretary for Health West Pokot County and partners. Some of the key recommendations were (1) to delay trachoma impact survey in West Pokot for 1 more round of MDA to have a joint impact survey with Uganda to realize intended outcomes; (2) Kenya adopting house to house approach of MDA implementation with VHTs; andcomplete.

Highlights. WI-HER and RTI collaborated In collaboration with NTDCP to conduct a GESI Pause and Reflect NTDCP, Act | East conducted trachoma confirmatory mapping surveys in 11 district councils, representing 10 EUs (P&R) meeting in Arusha from October 17-19Maswa DC, 2022. The meeting brought together the six councils (Ulanga Mlele DC, Mpimbwe DC, Tanganyika/Mpanda DC, Momba DC, Mbozi DC, Mbeya DC, Ludewa DC, Mlimba DC, Longido Ulanga DC, Monduli and Malinyi DC, Simanjiro DC and Kiteto DC) where the GESI behavior change activity was implemented in FY22 to document lessons learned and plan for GESI implementation in FY23). The meeting highlighted the importance of health education in addressing barriers to MDA uptake field data collection was preceded by a two-day training for graders and involving government and traditional community leaders in MDA. Participants also discussed how to integrate GESI lessons learned into the CDD training package and potential activities for CCHPs. • Act | East supported the NTDCP to conduct a preparation meeting for the upcoming CCHP Pause and Reflect meeting in November. The preparation meeting was conducted in Singida from October 21-23, 2022. The technical team involved officers from PORALG, Directorate of Policy and Planning (DPP) office of the MOH, R4D, and WI-HER who collaboratively reviewed the meeting agenda, presentations, and documentation tools. During this preparation meeting, NTDCP and ▇▇▇▇▇▇ strongly recommended a high-level advocacy following the CCHP P&R meeting. This will be important for more resource mobilization at national and sub-national levels. • Act | East will collaborate with NTDCP, DPP office of the MOH, and PORALG to conduct the CCHP P&R meeting from November 15-18 in Dodoma. The meeting will bring together district NTD coordinators and health secretaries from the 15 districts that implemented the CCHP activity in FY22 to gather feedback on the CCHP process, successes, challenges and way forward. • In collaboration with NTDCP and PORALG, Act | East will organize review and planning meetings for the districts and regions conducting trachoma and OV MDAs in FY23. The activity will be conducted in Morogoro from November 7-10, 2022 and will be followed by the training of trainers for trachoma and OV MDAs recorders on November 11th21–22nd. • Act | East will support the NTDCP to conduct SCH Fieldwork commenced on November 23rd and STH MDA in 41 districts in November 2022. This MDA was postponed from FY22 Q4completed on December 16th. • In collaboration with NTDCP, Act | East will conduct an conducted LF disease-specific assessment (DSA) DSA outcome investigation in Pangani ▇▇▇▇▇▇▇ DC and Kilwa DC in NovemberDecember 2022. The activity was conducted among fishing communities and surrounding villages and involved qualitative and quantitative data collection methods. Results will inform adaptations for the next LF MDA planned in August 2023. • Act | East supported NTDCP to conduct advocacy meetings and community sensitization in Longido DC and Ngorongoro DC for trachoma and Njombe TC for OV from December 11 – 18th. 2022. The community sensitization was conducted at select villages within each district, whereby local authorities highlighted the importance of MDA participation. • With support from WI-HER, the Tanzania ▇▇▇▇▇ staff team developed detailed plans for the pre- and post-MDA GESI behavior change activity in Mlimba DC and Ulanga DC ahead of OV MDA in February. This included enhancing the data collection tools and producing a coaching guide. The WI-HER team, in collaboration with RTI and NTDCP, also continued to refine the CDD training curriculum addendum. • On December 5th and 7th, the Act | East Tanzania leadership team including the HSS Advisor held an advocacy meeting with PORALG where FY23 Act | East activities were presented with a focus on how to strengthen collaboration. The Director of Health and Nutrition Services, PORALG, emphasized the need for high-level advocacy for NTD domestic financing to the level of the Minister of Health, the parliament, and regional commissioners. • In collaboration with NTDCP and PO-RALG, Act | East will attend conduct the CCHP Pause and Reflect meeting from January 17 – 20th, followed by a meeting to formulate NTD Information System (NIS) training indicators for integration into PlanRep on January 23-25th. Both meetings will take place in Mozambique from November 28 – December 3rdMorogoro. • Act | East will collaborate with NTDCP to support GESI coaching activities in Mlimba DC and Ulanga DC in Morogoro region ahead of OV MDA. • Act | East will work with the NTDCP and to begin preparations towards development of the National Institute for Medical Research schistosomiasis strategy plan. • Act | East will conduct a trachoma Data Quality Assessment (NIMRDQA) Tanga lab to conduct analysis of Dried Blood Spot (DBS) samples collected in FY22 for OV using OV16 rapid diagnostic testsKiteto DC in January 2023. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/afro/country/tz Act | East Partner: RTI, The ▇▇▇▇▇▇ Center, WI-HER, R4D, Save the Children Total population: 46,205,893 (2022) COP: [Redacted] Districts: 136 RTI HQ Team: [Redacted] Endemic diseases: LF (66), TRA (41), OV (43), SCH (91), STH (136) TABLE: Activities supported by USAID in FY23 LF OV Trachoma MDA N/A 8/11 11/11 districts (R1) 0/11 districts (R2) 0/2 districts (Dec 2022Jan 2023) 0/5 districts (June 2023) DSAs (#EUs) TAS 2: 0/8 EUs Eus TAS 3: 0/3 EUs N/A TSS+: 2 EUs Confirmatory mapping: 2 districts ▇▇▇▇▇ Targeted follow-up investigation in two districts of Nabilatuk and Buliisa Data quality assessment (DQA) in Buliisa district HSS High-level meeting on mainstreaming NTD drugs Building domestic resource mobilization capacity workshops National advocacy meeting Finalize and institutionalize GESI MDA training curriculum Finalize integration of GESI into MOH-led social and behavior change packages GESI behavior change activity scale up in two districts. Summary and explanation of changes made to table above since last month: N/A • Table is updated MOH declared Uganda Ebola free on January 11, 2023. Prior to the announcement there were no new Ebola cases in Uganda for 42 days. ▪ Review of the NTD Master Plan (2023 to 2027): The MOH, with planned FY23 activities. • OV MDA was completed in 8 districts by TCC. • On 15 Septembertechnical and financial support from World Health Organization (WHO), an index case of Ebola virus disease (EVD) was identified in Mubende District, Uganda. The Ministry of Health declared an outbreak of Sudan EVD on 20 September. As of 6 November, 135 cases have been confirmed throughout 7 districts. The CoP has weekly update meetings with HQ and HO and is actively monitoring organized a three-day workshop to finalize the situation. We are developing SOPs and monitoring closely how the virus evolves within Uganda to be ready to change plans should Ebola be confirmed in our implementing districts. • Cross border Joint MDA Review MeetingNTD Master Plan. Act | East supported was represented through RTI, WIHER and R4D. There are plans to launch the new Master Plan on World NTD Day at the end of January. ▪ Delivery of drugs to the districts: Medicines were successfully delivered to the districts of Moroto and Nabilatuk for the upcoming trachoma MDA in January. ▪ FAA meeting with Amudat district team: The team from RTI held a meeting with the Administrative and Technical team of Amudat district to attend explain the Joint FAA package to the district and agree on timelines. Pre-MDA review meeting activities (trainings and social mobilisation) will be scheduled to start in Kisumu, Kenya the first week of April 2023 upon FAA approval. ▪ MDA preparatory meetings: The Programs and ▇▇▇▇▇ teams have met with Finance and Procurement to plan for the upcoming MDA. Presentations for training at various levels and for the microplanning meetings were prepared. Tools and other related materials have been prepared and ready to be delivered to the districts. Teams from 26–27 OctoberMoH and RTI that will support the exercise have been identified. The objective ▪ Held check-in meetings with the trained influencer teams in the 16 new villages selected for the GESI behavior change activity in Moroto and Nabilatuk Districts. WI-HER facilitated the influencers' development of action plans to increase MDA uptake ahead of the meeting upcoming MDA. ▪ Met with Amudat District leadership and health center in-charge personnel to set up Act | ▇▇▇▇'s continued engagement on behavior change ahead of Amudat's MDA later in the year. ▪ Continued coordination with StC on the integration of key barriers to MDA uptake into StC's community dialogues in our three overlapping villages ▪ Treatment in refugee settlements: MDA was to review progress carried out in 2 refugee camps; Palorinya in Obongi districts and document learnings Palabek in Lamwo district. ▪ Entomological assessments: A total of 4,416 S.damnosum flies were caught from Moyo, Nwoya, Amuru, Adjumani, Gulu, Omoro, Pader, Kitgum, Lamwo, and, Kasese districts. ▪ Training of Health Workers/Sub County Focal Persons and gains from Parish Supervisors is ongoing in the previous joint MDA and to disseminate the MDA results. The meeting was attended by Senior MOH officials from both countries, district officials from border 12 districts, Secretary for Health West Pokot County and partners. Some of the key recommendations were (1) to delay trachoma impact survey in West Pokot for 1 more round of MDA to have a joint impact survey with Uganda to realize intended outcomes; (2) Kenya adopting house to house approach of MDA implementation with VHTs; and.

Highlights. WIIn collaboration with NTDCP, Act | East conducted microplanning meetings using the new WHO microplanning manual in selected health facilities of Ngorongoro DC, Monduli DC, Longido DC, Simanjiro DC, Kongwa DC North, Chamiwino DC South, Mpwapwa DC North and Kalambo DC EUs from 23rd May to 4th June 2022. Sites for microplanning were selected based on TF prevalence, low coverage, and characteristics like scattered, pastoralist/mobile, and hard to reach populations, and communities with high rates of refusal of MDA. • Act | East supported a cross-HER and RTI collaborated border MDA planning meeting with NTDCP to conduct a GESI Pause and Reflect (P&R) meeting Kenya in Arusha from October 17-19, region to plan for synchronized MDA in June 2022. The meeting brought together resulted in an action plan and timeline for implementation of pre-MDA and MDA activities in border districts. Act | East and NTDCP will also participate in a follow-up virtual cross border planning meet with Kenya in June head of the six joint MDA planned at the end of May. • Act | East and NTDCP conducted a workshop for development of a creative brief for IEC/BCC material and messages development from 30th May to 3rd June 2022 and involved participants from MoH (i.e., NTDCP, National Malaria Control Program, Health Promotion Support, National AIDS Control Program), PO-RALG, Crown Agents (ARISE project) and RTI International. The creative brief development workshop preceded the IEC/BCC material and messages workshop that is planned from 6th to 11th June 2022. • Act | East and NTDCP conducted supportive supervision for IVM MDA for Oncho in 9 councils (of Bumbuli DC, Mkinga DC, Korogwe DC, Muheza DC, Lushoto DC, Ulanga DC, Mlimba DC, Malinyi DC and Ifakara TC from 9th to 22nd May. • Act | East in collaboration with NTDCP commenced implementation of GESI behavior change activities in four trachoma-endemic councils (Longido DC, Monduli DC, Simanjiro DC and Kiteto DC) where ). In the two regions of Arusha and Manyara, 30 Regional Health Management Team members were oriented on GESI concepts. This capacity building was cascaded down to 61 Council Health Management Team members, 36 GESI council implementers, 420 Community IDARE teams and 601 community members. Preliminary findings indicate the following: o More health education is needed on preventive chemotherapy for trachoma, and social mobilization should begin several weeks before the campaign; o Some communities still relate MDA with possibilities of infertility, impotence and other harmful outcomes; o Women may need permission to take the preventive medication from their husbands; o Communities are wary of any medication given out in a campaign modality and have more trust in receiving medications directly from health facilities; o Maasai communities proposed pasturing in rotation to allow those who are out to come back for MDA if it is held during the dry season (June-December); and o Involvement of traditional and influential community leaders, such as the Laigwanani for the Maasai, up to the Hamlet leaders in the government system is highly important for a positive behavior change activity was implemented in FY22 to document lessons learned and plan for GESI implementation in FY23. The meeting highlighted the importance towards improved uptake of health education in addressing barriers to MDA uptake and involving government and traditional community leaders in MDA. Participants also discussed how to integrate GESI lessons learned into the CDD training package and potential activities for CCHPspreventive medication. • Act | East supported the NTDCP Complete microplanning for trachoma MDA in Kiteto districts (Kiteto DC North and Kiteto DC South EUs) from 13th to conduct a preparation meeting for the upcoming CCHP Pause and Reflect meeting in November. The preparation meeting was conducted in Singida from October 21-23, 17th June 2022. The technical team involved officers • Conduct OV pre-stop MDA survey in 2 district councils of Kilosa and Tunduru DCs, including training of research assistants and laboratory technicians. Fieldwork is planned from PORALG, Directorate of Policy and Planning (DPP) office of the MOH, R4D, and WIJune 19-HER who collaboratively reviewed the meeting agenda, presentations, and documentation tools. During this preparation meeting, NTDCP and ▇▇▇▇▇▇ strongly recommended a high-level advocacy following the CCHP P&R meeting. This will be important for more resource mobilization at national and sub-national levels27th. • Act | East will collaborate with NTDCPConduct OV elimination mapping in 4 district councils (Handeni DC, DPP office Kilindi DC, Iringa DC and Kilolo DC) and OV exclusion mapping in 2 district councils of the MOH, Newala DC and PORALG to conduct the CCHP P&R meeting from November 15-18 in Dodoma. The meeting will bring together district NTD coordinators and health secretaries from the 15 districts that implemented the CCHP activity in FY22 to gather feedback on the CCHP process, successes, challenges and way forwardNewala TC. • In collaboration with NTDCP Following the IEC/BCC materials and PORALGmessages workshop in June, Act | East will organize review and planning meetings for the districts and regions conducting trachoma and OV MDAs in FY23. The activity will be conducted in Morogoro from November 7-10, 2022 and will be followed by the training of trainers for trachoma and OV MDAs on November 11th. • Act | East will support the NTDCP to conduct SCH and STH MDA in 41 districts in November 2022. This MDA was postponed from FY22 Q4. • In collaboration with NTDCP, Act | East will conduct an LF disease-specific assessment (DSA) outcome investigation in Pangani DC and Kilwa DC in November. • Act | East Tanzania ▇▇▇▇▇ staff will attend the NTD Information System (NIS) training in Mozambique from November 28 – December 3rd. • Act | East will support NTDCP to pre-test and refine messages in the National Institute field. • Conduct advocacy and sensitization meetings prior to MDA in four district councils (Ngorongoro, Longido, Kalambo and Mpwapwa). • Carry out enhanced supportive supervision for Medical Research trachoma MDA in 9 districts (NIMR) Tanga lab 10 EUs). • Support NTDCP to conduct analysis MDA training of Dried Blood Spot trainers sessions for OV, SCH, STH and LF MDAs planned in Septembers. These TOT sessions will kick off in mid-June and run through the end of the month. • The FY23 work planning meeting is scheduled for June 8-9th in Morogoro and virtually. • Conduct GESI coaching activities in 6 councils (DBSLongido DC, Monduli DC, Simanjiro DC, Kiteto DC, Ulanga DC and Mlimba DC) samples collected in FY22 for OV using OV16 rapid diagnostic testsArusha, Manyara and Morogoro regions. • Through a local consultant, complete the sustainability advocacy strategy. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/afro/country/tz National: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇/en/covid-19-info Act | East Partner: RTI, The ▇▇▇▇▇▇ Center, WI-HER, R4D, Save the Children Total population: 46,205,893 41,740,474 (20222019) RTI HQ Team: [Redacted] Endemic diseases: LF (6664), TRA (4151), OV (4332), SCH (9192), STH (136134) TABLE: Activities supported by USAID in FY23 FY22 LF OV SCH STH Trachoma MDA N/A 8/11 9/9 districts (R1) 0/11 3/11 districts (R2) 0/2 N/A N/A 5/5 districts (Dec 2022Oct 2021) 0/5 districts (June 20232022) DSAs (#EUs) TAS 2TAS3: 0/8 EUs TAS 3: 0/3 7/16 EUs N/A TSS+: 2 EUs Confirmatory mapping: 2 districts N/A N/A N/A ▇▇▇▇▇ Targeted follow-up investigation Trachoma coverage evaluation survey (CES) in two 3 districts of Nabilatuk and Buliisa (completed) Data quality assessment in Moroto (DQAcompleted) in Buliisa NTD data management training using DHIS2 (completed) HSS Develop national NTD program advocacy strategy (completed) Targeted cost analysis National and district HSS High-level meeting on mainstreaming NTD drugs Building domestic resource mobilization capacity workshops National advocacy meeting funds flow analysis Finalize and institutionalize GESI MDA training curriculum Finalize integration of Develop national SBC packages for NTDs and GESI into MOH-led social and behavior change packages GESI behavior change activity scale up in two districts. districts SCH/STH partner mapping exercise Summary and explanation of changes made to table above since last month: N• NTD data management training using DHIS2 was completed. • Development of a national NTD program advocacy strategy was completed • OV MDA completed in 3 districts. • Trachoma MDA targets updated to reflect twice annual TRA MDA. • Data Review and Annual Work planning Meetings. From May 20–22, Act | East supported MOH to conduct the FY23 data review and annual work-planning. The meeting was chaired by the Ag. Asst. Commissioner of Health services and attended by NTD Program managers, District representatives and Act | East consortium partners including Wi-HER, R4D, The ▇▇▇▇▇▇ Center and StC. • NTD Data Management training using DHIS2: From May 19-20, Act | East provided financial and technical support to the Ministry of Health, Division of Health Information to train district biostatisticians, health facility medical records personnel and NTD FPs in the districts of Buliisa, Moroto, Amudat, Nabilatuk and Nakapiripirit on the use of DHIS2 to manage NTD MDA data from 2022. One of the main recommendations from the training was how to combine the age ranges in the HMIS form used for Trachoma MDA data entry so that it can be entered into DHIS2. • Workshops for coaching and strengthening local capacity for planning, budgeting, and resource mobilization efforts. From May 16-17, Act | East, through partner R4D, provided financial and technical support to MOH to conduct a 2-day workshop with 30 district leaders, from Nebbi, Buliisa, Moroto, Nakapiripirit, Nabilatuk, and Amudat, to strengthen national and district administrative capacity for planning, budgeting, and domestic resource mobilization for NTD programming. Participants included the District Heads of Finance, District Health Officers, District Planners, Biostatisticians, Senior Accounts Assistants and NTD Focal Persons. • Targeted advocacy session for the development of Cabinet Paper on NTDs. On May 11, following a request from the Hon. Minister of Health for a cabinet paper on NTDs in Uganda, Act | East supported the NTD Program Managers and the MOH Policy Department to hold a meeting in our boardroom to draft the Cabinet Paper and submit to the Hon. Minister of Health by early June. • Multi-sectoral coordination in District Health Management Team meetings. From May 10- 13, Act | East provided technical and financial support for one-day District Health Management Team meetings in Buliisa, Moroto, Nakapiripirit, Nabilatuk, and Amudat for 40 participants per district. The meetings were used to provide feedback from the coverage evaluation survey; discuss the last MDA data; discuss findings on the barriers to MDA access and uptake from the GESI behavior change activity cohort members; and conduct advocacy for stakeholder and district leadership involvement in the June MDA. Additionally, each district received the NTD sustainability plan 2020 – 2025 and the Health Financing consultant took the stakeholders through sustainable financing approaches. • GESI behavior change activities: With technical support from WI-HER, GESI behavior change activities continued in Nabilatuk, Amudat, and Moroto where district level and facility-based root agents provide ongoing coaching and support to the identified cohorts of individuals who missed/A refused MDA. This coaching will be ongoing until the June MDA. • Table GESI MDA materials training curriculum: Act| East, through partner Wi-HER began to draft the GESI training addendum. Plan is for final integration and updates to materials in FY23 as these materials are only updated at a specific time once per year. • Airing of radio spot messages and radio talk shows: Ahead of the June MDA, StC supported the airing of a total of 240 spot messages which aired four times per day in Pokot, Ngakarimojong, Swahili and English, targeting both nomadic and non-nomadic communities in Amudat, Nabilatuk, Moroto and Nakapiripirit districts. Messages aired on three local radio stations including a Kenyan based station (Heritage FM, Ateker FM and Kenyan based Kalya FM). StC also conducted three radio talk shows on Heritage and Ateker FM with planned FY23 activitiesdistrict political leadership, the Chairperson Local Council [Redacted] (political head of the district) and Town Council Mayor, as well as technical persons from the District Health Office, District Health Educators and Health Assistants. The talk shows lasted for one-hour and aimed to sensitize communities within the endemic communities about trachoma MDA and benefits of community compliance to the administered medicines. • OV MDA was completed in 8 the districts by TCC. • On 15 Septemberof ▇▇▇▇, an index case of Ebola virus disease (EVD) was identified ▇▇▇▇▇ and Kasese, with over 95% MDA coverage registered in Mubende District, Uganda. The Ministry of Health declared an outbreak of Sudan EVD on 20 September. As of 6 November, 135 cases have been confirmed throughout 7 districts. The CoP has weekly update meetings with HQ and HO and is actively monitoring the situation. We are developing SOPs and monitoring closely how the virus evolves within Uganda to be ready to change plans should Ebola be confirmed in our implementing all 3 districts. • Cross border Joint MDA Review Meeting. Act | East supported the RTI team to attend the Joint MDA review meeting Community Drug Distributors were trained in KisumuAmuru, Kenya from 26–27 October. The objective Pader, and Oyam districts ahead of the meeting was to review progress and document learnings and gains from the previous joint MDA and to disseminate the MDA results. The meeting was attended by Senior MOH officials from both countries, district officials from border districts, Secretary for Health West Pokot County and partners. Some of the key recommendations were (1) to delay trachoma impact survey in West Pokot for 1 more round of MDA to have a joint impact survey with Uganda to realize intended outcomes; (2) Kenya adopting house to house approach of MDA implementation with VHTs; andupcoming MDAs.