Provide seed grant and technical support to EWNRA in Ethiopia

35 municipalities’ planning processes as a step toward institutionalizing and making PHE sustainable over the long term. BALANCED-Philippines will also gather necessary baseline information for its PMP e.g., current level of contraceptive prevalence, number of FP acceptors, number of current local policy reforms, etc., which is essential in monitoring progress over the life-of-project. The BALANCED-Philippines Year 1 workplan is included as Appendix 3 of this report, while the Year 2 workplan is being revised based on USAID Philippines feedback and input. CRC, PFPI and CI are finalizing the Project Design Document and workplan for the OEE- funded portion of the BALANCED-Philippines activity. OEE funds have enabled a partnership with PFPI and CI-Philippines to integrate CRM activities into the existing OH- funded project. The combined OH and OEE field-supported activities have three phases: • Initial phase with OH-only funding support from December 2010 to September 2011 nine months • Overlapping phase with combined OH and OEE funding support from October 2011 estimated start-up date to December 2012 15 months • End phase with OEE-only funding support from January to August 2013 eight months During Year 4, BALANCED will use core funds to complete a BMS in select BALANCED- Philippines sites to monitor health and pro-environment behaviors. Carry over funds from Year 3 will be used to complete the survey and draft the report See Activity 2.1 above. Organizations Involved Funded partners: CRC, PFPI, CI Collaborative Partners: LGU, rural health units RHU, NGOs, relevant USAID SO3 collaborating agencies CAs, Municipal Planning and Development Office, Barangay and Municipal Development Councils, EnvironmentCRM Office, peoples organizations POs, non-clinicalnon-pharmaceutical outlet owners, deputized wardens, DKT Philippines, Alphamed, PRISM 2 andor other private sector sources of FP supplies

3.3 Provide seed grant and technical support to EWNRA in Ethiopia

Ongoing Activity leader: Joan Castro Activity Start July 1, 2011 Activity End October 31, 2011 with possibility of extension RATIONALE FOR ACTIVITY Since Year 2, BALANCED has provided seed grants and technical assistance to EWNRA to strengthen the FP component of its PHE approach in the Wichi wetland-watershed region and its project in the Agelo Shenkora watersheds, the objectives of which are to: • Design, implement and assess sustainable PHE activities, 36 • Increase awareness of key community stakeholders i.e. wetland committee members, village leaders, etc of family planning and its role in conservation and family health, • Increase target communities’ awareness of family planning and its role in conservation and family health, and • Increase access to and use of modern FP methods. In Year 3, EWNRA received its second tranche of seed grant funding to monitor the existing cadre of PHE PEs and PHE providers, provide refresher training to PHE PEs and PHE providers, recruit and train youth PEs, develop youth IEC materials and strengthen PHE interventions to expand access to FP information and products at the grassroots level. As part of the grant, BALANCED staff provided technical assistance on project implementation, monitoring, and YPE training. At the end of BALANCED Year 3, EWNRA had funds remaining, hence BALANCED awarded them a no-cost extension to December 31, 2011. ACTIVITY SUMMARY During the remainder of the seed grant July to December 2011, local PHE advocacy will be intensified towards institutionalizing and mainstreaming the PHE approach. Activities will include field visits to EWNRA’s BALANCED project sites by both government and organizations interested in implementing PHE. PHE providers will continue distributing commodities to FP users and making referrals for new acceptors to MOH health extension workers HEWs for screening and other methods. PEs will continue implementing IEC and PE activities utilizing traditional community activities such as the coffee ceremony, edir village assembly, and dabo work groups. Youth PEs will counsel other youth on adolescent sexual and RH and pro-environment behaviors. Community theater groups will perform during micro-watershed committee meetings. New approaches will also be tried, such as working with existing groups, clubs and champions, and providing indirect incentives. As part of their final report, EWNRA will describe lessons learned from the seed grant process. Specific EWNRA activities in Year 4 will include: • Continue to distribute FP commodities through PHE providers. • Continue to conduct PHE adult PE and YPE activities, including conducting traditional community activities such as the coffee ceremony, edir, and dabo. • Tap community theater groups and youth groups to perform during micro-watershed committee meetings. • Submit final report including lessons learned from the seed grant process. BALANCED staff decided not to extend EWNRA’s seed grant beyond the no-cost extension owing in part to challenges in obtaining the quality of data that was agreed upon when the seed grant was awarded. Instead, valuable financial and human resources will be diverted to PHE projects that are working well and have fewer reporting challenges. That said, whenever BALANCED technical staff are in Ethiopia, they will continue to provide EWNRA with technical support, to the extent possible, in helping them turn their PHE project into a learning site for the 40 members of PHE Ethiopia. 37 BALANCED will draft lessons learned from its experience working with EWNRA on this seed grant. This will be useful for the BALANCED Project as it awards seed grants in Years 4 and 5 and to others who are trying to effectively support small conservation groups to integrate FPRH and health into their conservation projects. ORGANIZATIONS INVOLVED Funded partners: CRC, PFPI Strategic champion partners: EWNRA, local MOH of Metu and Illu Bora zones KEY OUTPUTS • Report on the second year of seed grant activities EXPECTED RESULTS AND INDICATORS Expected results: • Report on EWNRA seed grant results, which summarizes key findings and lessons learned. INDICATOR YR 4 TARGET 2.2a Number of success stories, peer review articles, conference papers, research studies documenting key actionable findings about the PHE approaches, their lessons extracted, and value-added PRH IR 2.2 1

3.4 Provide seed grant and technical support to WCS Zambia