Implement recommendations from the Glacier Melt Study Secure funding for PHE implementation for at least one country

39 helped VEDCO refine its PHE implementation plan. Subsequent to Dr. Hernandez’s technical assistance visit, VEDCO implemented the following: • Conducted three inception meetings in each of the districts where the seed grant activities are being conducted. The meetings were to increase the community’s understanding of the value of PHE integration to their families and communities. A total number of 68 people 52 male, 16 female—members of the local government, parish and at the village level—attended the meetings. • Trained 65 36 male, 29 female APEs. Of these, 50 APEs are actively involved in providing information on PHE linkages and FP to the community. • Drafted an MOA with the Uganda Health Marketing Group for CBDs to sell FP commodities at subsidized prices. Meanwhile, the project’s APEs will refer potential FP clients to the MOH clinics for screening and FP methods. Simultaneously, the project is working with the MOH to translate the referral forms into the local language. Results from Activity 3.6 • 34 18 male, 16 female participants 15 from VEDCO and 19 from BCMT trained on PHE CBDPE systems 1.1 • 65 36 male, 29 female VEDCO APEs trained on PHE PECBD systems 1.1 • 8 VEDCO trainees training APEs 1.2 • 2 technical assistance visits 1 to VEDCO and 1 to BMCT made 1.4b • VEDCO replicating CBDPE systems into their activities in Uganda 3.1

3.7 Implement recommendations from the Glacier Melt Study

The BALANCED Project received Buy-in funds from the USAID Asia Bureau to address selected recommendations stemming from the Changing Glaciers and Hydrology in Asia: Addressing Vulnerabilities to Glacier Melt Impacts report. In this reporting period, activities contributing toward this goal included: 1 Finalized a follow-on report with an expanded issues analysis and recommendations to USAID for integrated, multi-sectoral programming in USAID-supported Asia countries at highest risk for health and livelihood impacts from glacier melt GM; and a matrix of current and emerging USAID Mission strategies and priority areas of investment in the countries identified. After receiving the final report, however, Mary Melnyk requested additional semantics changes. These were completed and the report resubmitted to her for final approval. Dissemination of the report remains pending receipt of this approval. 2 Finalized and received USAID approval of a scope of work to develop a practical, program planning tool for USAID technical and program staff across multiple sectors to use in guiding the design of holistic or integrated approaches to GM that address both climate-related variability and non-climatic change factors that predispose individuals 40 and communities to GM vulnerabilities activity to be started in first quarter of next reporting period. Results from Activity 3.7 • NA 6

3.8 Secure funding for PHE implementation for at least one country

In Year 3, the BALANCED Project received 500,000 in field support from the USAIDPhilippinesOH for a two-year project to strengthen and scale-up the PHE approach in the VIP and Danajon Bank bioregions. The OH funds were directed at expanding access to FP information and services in these two key bio-regions. In the first half of Year 4, USAIDPhilippines OEECC awarded the Project 800,000 to scale-up CRM activities in the OH-funded PHE sites until August 2013. The OH-funded activities were scheduled to end October 2012. Thus, during this reporting period, USAIDPhilippines OH requested that we submit a concept paper for 300,000 of supplemental funding to extend support to the current as well as the new FP activities through August 2013. During this reporting period we successfully leveraged 302,886 Results from Activity 3.8 • Philippines Mission Buy-in of 300,000 • US2,886 leveraged in the Philippines IR3 Priorities for next period July 1 to December 31, 2012 The individual listed in bold is the leadindividual responsible for bringing the activity to completion. Supporting team members follow. This is the best estimate at the time of this report, however, the lead or other team members may change based on staff availability and other factors. General Continue to leverage funds from donors and partners to support and complement the BALANCED Project in the East Africa and Asia Linda, Joan, Elin. Tanzania • Conduct monitoring, mentoring, and follow-up meetings with existing CBDs, PHE providers, APEs and YPEs Juma 6 At the time of this report, the public report is pending final approval by Mary Melnyk, USAID 41 • Provide continuing technical oversight for the BALANCED-funded PHE activities in Pangani and the integration and replication of CBFP into the on-going USAIDTanzania funded Pwani project in Bagamoyo District as the BALANCED activities wrap up in March 2013 Ricky, Elin • Conduct the second BMS in eight villages and prepare a report that compares the 2009 and 2012 data Elin • Air three radio spots with PHE messages on Pangani FM radio station Juma, Marko • Conduct advocacy meetings and train PHE champions with the end goal of integrating PHE into the Pangani district development plan Juma • Print 300 copies of the translated Reference Guide for PHE Community-based Distributors and PHE Adult Peer Educators and distribute to the PHE CBDs and PEs Juma • Print 300 copies of the job aid for PHE CBDs and Adult PEs and distribute to the CBDs and PEs Juma • Attend National Family Planning Technical Working Group meeting every month and report on TCMP PHE activities, as requested Juma Philippines • Strengthen the FP supply system so that the majority of CBDs have a continuous supply of FP supplies in the “new” sites and “maintenance” sites PFPI • Finalize IEC materials and distribute PFPI • Continue to follow up on MOAs with local government units PFPI • Strengthen the capacity of CBDs and PEs in project sites that are the most responsive through regular supportive supervision meetings and assistance PFPI • Continue advocacy for the integration of PHE and FPRH activities into LGU policies, such as local developmentEnvironmentCRMFisheries plans, development plans, investment plans, etc. PFPI, CIP • Finalize the MPA assessment and identification of MPAs that will receive strengthening support in the VIP CIP • Initiate CRM and livelihood activities under IRs 4 and 5 CIP, PFPI Ethiopia • Provide technical support to PHE Ethiopia on ME, as needed Elin Zambia • Follow-up with WCS Zambia to monitor the status of the following activities: Ricky, Joan − Remaining refresher courses for APEs 42 − Development of an institutional PHE Policy for WCS Zambia − Sustainabilityscale-up plan for the WCS Zambia model − Documentation of lessons learned and best practices Uganda • Follow-up with VEDCO and BMCT on PE training and project activities in general Ricky • Conduct YPE TOT with VEDCO and BCMT staff Ricky • Follow-up on VEDCO and BMCT youth activities Ricky PNG • Follow-up with TKCP on its PHE CBDPE system and PE training Joan • Train TKCP and partner staff on youth peer education Joan ANE • Develop a draft tool to guide the design of integrated approaches to GM vulnerability reduction that address both non-climatic and climate-related factors Lesley, L.D’Agnes • Conduct field visit to solicit comments and feedback on the content and format of the tool from a small number of internal andor external reviewers e.g., Rochelle Rainey, USAIDHealth; Kristina Yarrow andor personnel from USAID Central Asia; or RDMAOFDA and NGO practitioners, and revise accordingly Lesley, L. D’Agnes

III. Key Management Tasks