Common use of Highlights Clause in Contracts

Highlights. The starting date of the FY22 LF MDA date was pushed back due to a COVID surge in Nepal in January 2022. MoHP has set the new MDA start date from 12th March 2022. • School based TAS2 in sixteen districts (Terhathum, Sunsari, Lalitpur Rural, Myagdi, Surketh, Jajarkot, Bhojpur, Udayapur, Dailekh, Accham, Bajura, Doti, Dadeldhura, Baitadi, Bajhang and Darchula) was completed. Results have been shared for 6 districts (Terhathum, Sunsari, Lalitpur Rural, Myagdi, Surketh, Jajarkot) all of which passed with one or no positive cases detected. Results from the remaining districts will finalized and shared in February. • Data collection for school based TAS 1 in two districts (Dhankuta and Bardiya) was also completed. Results will be finalized and shared in February. • Field work of Re Pre TAS began in five districts (▇▇▇▇▇▇, Kapilvastu, Dang, Banke and Kailali) in January and is planned to be completed by the end of February 2022. The surveys were interrupted by a COVID surge in Nepal in early January 2022. • Act| East Nepal staff provided technical support for LF MDA strategic planning meeting of provinces organized by MoHP/EDCD with support from WHO Nepal. Directors and officials from Provincial Health Ministries, Provincial Health Directorates and District Health Offices of 10 LF MDA districts (Jhapa, Morang, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke and Kailali) along with other national stakeholders participated in the meeting. Implementation of ▇▇▇ was discussed in this meeting. Act | East coordinated closely with WHO Country Office on this meeting. • Act | East contributed to and participated in the MoHP celebration of World NTD Day in the ministry’s meeting hall. The event included government representatives, WHO, and partners, with many joining virtually due to COVID-19. The meeting was chaired by [Redacted] from the MoHP and attended by the state Minister for Health and Population [Redacted]. During the meeting, the government expressed their commitment for control and elimination of NTDs.

Highlights. The starting date CMAM (Central de Medicamentos e Artigos Médicos (Center for Drugs and Medical Supplies)) is working with the airport custom authorities to collect the Zithromax, arriving from Brussels. • Act | East planned to implement additional MDA in Chinde and Pebane districts of Zambezia province rather than TIS in FY22. While this plan was initially approved at the FY22 LF March Trachoma Expert Committee meeting, ITI has notified the Mozambique program of Zithromax production delays requiring postponement of Zambezia MDA date was pushed back due to a COVID surge in Nepal in January 2022. MoHP has set the new MDA start date from 12th March October 2022. • School based TAS2 in sixteen districts (TerhathumFrom May 31 to June 3, SunsariMISAU hosted the HMIS provincial-level training, Lalitpur Rural, Myagdi, Surketh, Jajarkot, Bhojpur, Udayapur, Dailekh, Accham, Bajura, Doti, Dadeldhura, Baitadi, Bajhang and Darchula) was completed. Results have been shared for 6 districts (Terhathum, Sunsari, Lalitpur Rural, Myagdi, Surketh, Jajarkot) all of which passed with one or no positive cases detected. Results facilitated by trainers from the remaining districts Departamento de Informação para a Saúde (Department of Health Information [DIS]). Attendees included the NTD provincial focal points, USAID, ARISE, and Act | East staff. Topics discussed included: indicators to be inserted, presentation of the platform itself, data flow, data entry, data visualization, reporting, and next steps. Currently all NTD case management indicators are available in the HMIS. The DIS will finalized insert epidemiological, therapeutic, and shared in Februarygeographic coverage MDA indicators into the platform next month. Weekly meetings with MISAU, ARISE, USAID, and Act | East M&E staff will be held to follow up on this process. • Data collection for school based TAS 1 A consultant was recruited to develop the 2022-2030 NTD strategic plan. The consultant will work very closely with the NTD focal point at MISAU and the Act | East COP. Weekly meetings will be held to guide the progress and quality of the document. Act | East expects the consultant to complete work in July and present to MISAU and partners. • TT smartphone tool testing: Act | East will support the testing of the tool in two districts (Dhankuta Chemba district, Sofala province and BardiyaGuro district, Manica province) was also completedin July 2022. Results RTI is working to address IRB feedback. • Trachoma Assessments Using Rational and Uniform Surveys (TAURUS) Study: Act | East will support the collection of conjunctival swabs and dry blood spots during TIS in four districts (Mossuril, Ilha Mozambique, Nacala-A-Velha (Nampula province), Inhassunge (Zambezia province)) in June and July 2022. Longitudinal monitoring of TF, Ct infection and pgp3 will be finalized and shared conducted in Februaryan additional four districts (Guro, Tambara (Manica province), Chinde (Zambezia province)). • Field work of Re Pre TAS began TIS: Act | East will support TIS in five eight districts (in Cabo ▇▇▇▇▇▇▇, KapilvastuNampula, Dang, Banke and Kailali) Zambezia Provinces in January and is planned to be completed by the end of February 2022. The surveys were interrupted by a COVID surge in Nepal in early January July 2022. • Act| MDA: Act | East will support re-MDA in eight districts (Macossa, Tambara, Guro, Erati, Liupo, Ilha de Mogincual, Moma, and Memba) in August 2022. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/afro/country/mz National: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇.▇▇/ RTI HQ Team: [Redacted] Endemic diseases: # ever endemic districts: LF (63), Trachoma (20) & STH (77) TABLE: Activities supported by USAID in FY22 LF DSAs (#EUs) Re-Pre-TAS: 5/10 districts TAS1 : 2/7 districts TAS2 : 16/16 districts TAS3 : 0/13 districts HSS Domestic Resource Mobilization Case Study: ongoing GESI Behavior Change Activity: June 2022- September 2022 Summary and explanation of changes made to table above since last month: • Updated completed and ongoing surveys. • Updated dates for HSS activities • Act | East Nepal staff provided reviewed initial draft reports of completed LF MDA school awareness support activities in two districts (Bara and Jhapa) and LF MDA technical support for LF activity in two municipalities of Bara district. These activities were designed to strengthen MDA strategic planning meeting by increasing awareness among new populations and providing additional technical support, two areas of provinces organized by MoHP/EDCD with support from WHO Nepal. Directors and officials from Provincial Health Ministries, Provincial Health Directorates and District Health Offices of 10 LF MDA districts (Jhapa, Morang, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke and Kailali) along with other national stakeholders participated weakness identified in the meeting. Implementation of ▇▇▇ was discussed in this meetingthese districts. Act | East coordinated closely with WHO Country Office on this meetingteams reviewed the draft reports to understand reach of the activities, opportunities for replication, as well as challenges faced during implementation. The draft reports were returned to grantees for additional inputs and revisions and new draft reports are expected to be submitted in early June. • Act | East contributed Nepal met with WHO and EDCD to discuss LF program priorities and proposed activities for FY23. Discussion included review of FY22 LF MDA and DSAs, drug requirements for FY23 LF MDA and other activities that Act| East might support in the coming year. • NTD domestic resource mobilization case study discussions with USAID Nepal Mission and application for local ethical review and municipality data collection will begin in June/July. • TAS 3 in 5 districts (Saptari, Siraha, Bhaktapur, Lalitpur Urban, Kathmandu) targeted for late June, followed by 8 districts (Okhaldhunga, Kaski, Argakhachi, Pyuthan, Rolpa, Rukum East, Rukum West, Salyan) in July- August. • [Redacted] will represent Act | East at the SEARO RPRG meeting taking place in New Delhi, India June 28- July 1st. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/searo/country/np National: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇▇.▇▇▇.▇▇/ TABLE: Activities supported by USAID in FY22 LF OV SCH STH MDA 1/40 districts (0/39 TCC, 1/1 RTI) 1/98 districts (1/83 TCC, 0/15 RTI) 0/90 districts (TCC) 0/120 districts (TCC) DSAs (#EUs) Pre-TAS : 34/36 (TCC 34/35, RTI 0/1) TAS 1 : 1/38 (TCC 0/37, RTI 0/1) HSS Cross River State health financing assessment- Draft Report of Fund Flow Analysis completed. Summary and explanation of changes made to table above since last month: • LF re-MDA was conducted in Yala LGA of Cross River State • R4D presented a draft report of the Fund Flow Analysis • Act | East supported the CRS NTD team to finalize plans re-MDA activity in Yala LGA: activity timeline was jointly reviewed by RTI and State team to conduct final advocacy activities, cascaded training of personnel, flag-off ceremony, medicine distribution, electronic data capture and supervision of community treatment. o Act | East and the state NTD team jointly conducted advocacy visits to Western Yala Traditional Leaders and the Yala chapter of Christian Association of Nigeria (CAN). These advocacy efforts helped to secure the buy-in of the community leaders for a successful re- MDA in Yala. Over 45 Traditional leaders and the CAN executives attended the flag-off ceremony where they publicly swallowed IVM and ALB as a mark of support for the re-MDA. This demonstrated sense of ownership and trust and safety of the medicines and helped to reduce refusals during community treatment. o As part of health system strengthening for MDA in Yala, Act | East supported the cascaded training of healthcare workers at State, LGA, Health Facility and Community levels. A total of five (5) members of the State and six (6) members of the LGA NTD team, 125 FLHF workers and 864 CDDs were trained to implement the re-MDA in Yala. o Electronic Data Capture (EDC) was deployed to capture and transmit treatment data directly from community health facilities in Yala to a cloud-based server, from whence dashboard was observed to aid targeted field supervision. This is documented as first-time experience on Act | East MDA implementation in Nigeria. Challenges and recommendations have been documented for learning. • Act | East Nigeria shared experience on EDC preparatory processes at RTI Technical Round Table held on the May 5, 2022. Lessons from Nepal and Haiti helped to enrich the Nigeria EDC deployment in Yala re-MDA. • Act | East participated in the MoHP celebration 14th National Onchocerciasis Elimination Committee (NOEC) meeting held on 18th to 20th of World NTD Day in the ministry’s meeting hall. The event included government representatives, WHO, and partners, with many joining virtually due to COVID-19May 2022. The meeting discussed how to mitigate Onchocerciasis elimination gaps, cross-border transmission, status reclassification for states based on outcome of recent assessments, backlog of Dried Blood Spot (DBS) Samples and need for more Onchocerciasis laboratories in the country. FMOH shared some next steps to set-up laboratory in Abuja where samples could be processed. Concerns were raised over Benue and Cameroon borders with Cross River. The need for collaborative implementation of activities along border communities was chaired recommended to sustain the gains of Onchocerciasis elimination efforts in Cross River state. • Act | East participated on a national data Snapshot update meeting held in WHO office on the 25th and 26th of May 2022. Data gaps were identified and jointly updated by FMOH and implementing partners. Updated Snapshot will be disseminated by FMoH for subsequent program planning by partners at national and State-level. Joint work-plan development between partners, FMoH and State NTD teams was recommended. • Act | East FY23 workplan development meetings with CRS State and National NTD Programs in Nigeria in June 2022. • LF Technical Working Group Meeting in June 2022. • FMOH Supervision and Monitoring of CMS in Nigeria in June 2022. • Commodity reverse logistics for Yala re-MDA • Data review, analysis and reporting for Yala re-MDA WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/afro/country/ng National: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇▇.▇▇▇.▇▇/ RTI HQ Team: [Redacted] Districts/Provinces: 82 Endemic diseases: # ever endemic districts. LF (47) SCH (29) STH (82) MDA 2/46 28/28 provinces 82 provinces DSAs (#EUs) TAS1 : 1/2 TAS2 : 0/6 TAS3 : 0/7 HSS NTD costing analysis and province/municipality TA Summary and explanation of changes made to table above since last month: None • Act | East headquarters-based staff debriefed USAID Washington on meetings from their April-May visit to the Philippines. The meeting also covered proposed activities and strategy for ongoing partnership with the DOH into the next fiscal year of the project. Act | East staff has shared proposed activities with the DOH Disease Prevention and Control Bureau for feedback and comment. • Act | East provided comment on the NTD components of the Omnibus Health Guidelines via the DPCB International Health Partners group. Act | East recommended the Guidelines provide a longer- term vision for NTD programming within the guidelines. • National elections took place on May 9th. It is likely that there will some impact on DOH staffing with new political appointments and potentially further staffing changes once the new administration is in place, expected in July. • Act | East’s Technical Program Advisor, [Redacted] resigned his position with RTI at the end of May. Based on consultation with the DOH and USAID Washington, Act | East will re-advertise the position after new DOH staff settle in and priorities for Act | East support are further clarified, likely in Q1 of FY23. Ongoing FY22 activities will be supported by existing staff or consultants. • Costing analysis on NTDs in Leyte province will be revisited in June. WHO: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/philippines/ National: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇/covid-19/case-tracker Act | East Partner: RTI, FHF in Viet Nam Total population: Bangladesh (173,346,194); Lao PDR (7,119,891); Viet Nam (95,913,875) Districts: Bangladesh (64); Lao PDR (17); Viet Nam (63) TABLE: Activities in FY22, non-USAID funding LF Trachoma DSAs (#EUs) Bangladesh TAS3: 1/1 (TAS3 supported by WHO) Lao PDR TAS3: 1/1 (TAS3 supported by WHO) Viet Nam TSS: focal areas of Lung Ho commune (TSS supported by FHF) (complete) ▇▇▇▇▇ Learning activity on dossier development models Summary and explanation of changes made to table above since last month: None • [Redacted]’s visit and the WHO-coordinated stakeholders’ workshop for dossier finalization were delayed until June to accommodate various schedules. The workshop dates are set for June 12th and 13th and [Redacted] will travel to Dhaka to work with MOHFW and Act | East consultant from June 6th onwards. • Act | East consultant in Bangladesh and [Redacted] coordinated available data, existing dossier drafts and perceived gaps ahead of the visit. • Act | East regional dossier consultant, [Redacted], will travel to Bangladesh June 6-13 to work with the MOHFW on the dossier draft and attend the WHO-coordinated stakeholders’ workshop. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/searo/country/bd National: ▇▇▇▇▇://▇▇▇▇▇▇.▇▇▇.▇▇/ • WHO CO prepared and submitted an official letter of submission for the LF dossier for the Minister of Health’s signature. Once that letter is signed, the dossier will be officially submitted. It is expected to be ready by the end of the first week of June. • VNEH, FHF and Act | East supported a trachoma dossier workshop on May 20th. VNEH officials at the national level and regional officials from Ha ▇▇▇▇▇ province attended the workshop from the government. Act | East was represented by [Redacted] and the FHF Viet Nam team. Other participants included the WHO Country Office, USAID Viet Nam, and ITI. The workshop clarified the process of reviews and approvals required within the MOH and set out a clear timeline for the process. There are still gaps in surgery data required for the dossier data to be considered complete. This data is held at the regional level. Act | East will coordinate with VNEH to ensure that those data gaps are filled before the second dossier workshop, which will take place in FY23. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/wpro/country/vn TABLE: Activities supported by USAID in FY22 LF OV SCH STH Trachoma Mapping N/A OV Elimination mapping: 0/4 districts OV Exclusion mapping: 0/2 districts N/A N/A Desk review: 0/6 districts MDA 0/6 districts Round 1: 9/9 districts Round 2: 0/28 districts 0/35 districts 0/41 districts 0/9 districts (0/10 EUs) DSAs (#EUs) Re-Pre-TAS : 1/1 district TAS1 : 0/1 EU TAS3 : 9/23 EUs iTAS: 7/7 EUs Pre-stop MDA survey (epi): 0/2 districts Stop-MDA survey (epi & ent): 0/3 districts iTAS: 7/7 EUs 0/4 districts N/A TIS: 1/1 EU TSS: 2/2 EUs ▇▇▇▇▇ ▪ Coverage evaluation survey (CES) in 9 districts: 4/4 LF, 4/4 OV, 0/1 TRA ▪ Trachoma DSA outcome investigation in 3/6 districts ▪ Trachoma MDA microplanning in 8/10 EUs HSS ▪ Develop M&E plan for the sustainability activities in the NTD Master Plan ▪ Launch NTD Master Plan and Sustainability Plan ▪ Support TZNTDCP integration into the health sector planning SWAp TWG ▪ Support Comprehensive Council Health Plan (CCHP) development ▪ Strengthen federal and district capacity for planning, budgeting, and resource mobilization ▪ Advocacy Strategy Implementation: 1 high-level national and 1 regional/district level meeting ▪ GESI iDARE/behavior change activity in 5 districts (4 TRA, 2 OV) Summary and explanation of changes made to table above since last month: • Act | East supported NTDCP to conduct OV MDA in 9 district councils. • Act | East plans to support NTDCP to conduct OV pre-stop MDA survey in 2 district councils (revised from the MoHP and attended by the state Minister 1 district council). • Act | East supported NTDCP to conduct microplanning for Health and Population [Redacted]. During the meeting, the government expressed their commitment for control and elimination of NTDstrachoma MDA in 8 EUs.

Highlights. Preliminary review of coverage evaluation survey results from Guro district in September, indicate validation of reported coverage. • Inhassunge district, Zambezia province had TIS results indicating the need for re-MDA in FY23. Act | East has added the district to planned MDAs in March 2023. The starting date DSA outcome investigation is ongoing. • The Act | East COP is working with the NTD coordinator and the provincial lab technician to ship the TAURUS study samples, collected during TIS in four districts, to the University of California San Francisco for processing. • TT smartphone tool testing: RTI will support the testing of the FY22 LF MDA date was pushed back due to a COVID surge in Nepal in January 2022. MoHP has set the new MDA start date from 12th March 2022. • School based TAS2 in sixteen districts (Terhathum, Sunsari, Lalitpur Rural, Myagdi, Surketh, Jajarkot, Bhojpur, Udayapur, Dailekh, Accham, Bajura, Doti, Dadeldhura, Baitadi, Bajhang and Darchula) was completed. Results have been shared for 6 districts (Terhathum, Sunsari, Lalitpur Rural, Myagdi, Surketh, Jajarkot) all of which passed with one or no positive cases detected. Results from the remaining districts will finalized and shared in February. • Data collection for school based TAS 1 tool in two districts (Dhankuta Chemba district, Sofala province and BardiyaGuro district, Manica province) was also completedin November 2022. Results • Steering committee meeting: Act | East will support a 2-day meeting in Maputo in December 2022 for the participants of the 11 provinces and NTD partners, where program performance will be finalized and shared in Februaryreviewed. • Field work of Re Pre TAS began NIS regional workshop: RTI Mozambique will host the NIS regional training workshop in five Maputo in late November 2022. WHO: ▇▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇.▇▇▇/region/afro/country/mz/ National: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇.▇▇/ Mapping 4 districts DSAs (#EUs) Pre-TAS: 4 districts (VBDRTC), 1 district (▇▇▇▇▇▇ PPL) TAS2: 3 districts (VBDRTC) TAS3: 9 districts (VBDRTC) ▇, Kapilvastu, Dang, ▇▇▇▇ Act | East staff NIS database testing and training HSS GESI behavior change activity in Banke district (WI-HER) Dissemination of domestic resource mobilization case study for NTDs (R4D) Summary and Kailali) explanation of changes made to table above since last month: Table is updated with planned FY23 activities. • Act | East Nepal worked with FAIRMED Nepal to discuss proposed social mobilization activities targeting FY23 LF MDA and develop a FAA package for submission to USAID in January and is planned to be completed by the end of February November 2022. The surveys were interrupted by a COVID surge • Act | East Nepal Program Manager [Redacted] presented “Efforts in Nepal in early January 2022addressing persistent transmission of LF: Experiences from Nepal" through the virtual platform of the COR-NTD 2022 conference on October 5th. • Act| East Nepal staff provided technical support for LF MDA strategic planning meeting of provinces organized by met with MoHP/EDCD with support from WHO Nepal. Directors officials and officials from Provincial Health Ministries, Provincial Health Directorates discussed the implementation schedule of Act| East FY23 planned activities and District Health Offices selection of 10 LF MDA districts (new sites for upcoming Re-Pre-TAS in Jhapa, Morang, Bara, Lamjung, Parbat, Baglung, Kapilvastu, Dang, Banke Bara and Kailali) along with other national stakeholders participated Baglung districts. • Setup for the GESI behavior change activity concluded in the meeting. Implementation ▇▇▇▇ 3 of ▇▇▇▇▇ was discussed in this meetingdistrict, implemented by WI-HER. Act | East coordinated closely with WHO Country Office The District GESI Team, Root Agents from the health center, and community influencers on this meetingthe Behavior Change Team were trained and equipped to implement solutions and interventions to increase MDA acceptance and uptake among the selected cohort members and the broader community. WI-HER will visit ▇▇▇▇ 3 again before the February 2023 MDA begins for a coaching visit to support the influencers and Root Agents troubleshoot any challenges and refine their action plans ahead of MDA. • Act | East contributed to and participated in the MoHP celebration of World NTD Day in the ministry’s meeting hall. The event included government representatives, WHO, and partners, with many joining virtually due to COVID-19. The meeting was chaired by [Redacted] from will transition into the MoHP and attended by role of ▇▇▇▇▇ focal point for the state Minister for Health and Population SPIN portfolio, replacing [Redacted]. During the meeting, the government expressed their commitment for control and elimination of NTDs.