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FY 18 Mcgovern-Dole International Food for Education and Child Nutrition Project

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FY 18 Mcgovern-Dole International Food for Education and Child Nutrition Project FY 18 McGovern-Dole International Food for Education and Child Nutrition Project Baseline Evaluation Cameroon – 2019 Submitted by FFE-631-2018/011-00 Submitted to Isabelle McMahon Et4d, LLC 708 Montrose Ave. Patrick Gallagher Charlottesville, VA 22903 Nascent Solutions Inc. 85 S. Bragg St., Suite 500 Alexandria, VA 22312 Acknowledgments The evaluation team would like to thank Nascent Solutions Inc. and the U.S. Department of Agriculture (USDA) for their financial support. We would also like to thank the Ministry of Basic Education (MINEDUB) 1 of Cameroon and its regional offices in Ngaoundere, Garoua, and Bertoua, as well as Nascent’s staff for supporting and facilitating the rollout of the evaluation. We would also like to acknowledge Ms. Isabelle McMahon, Ms. Alice Michellazzi, Dr. Michel Rousseau, Ms. Brenda Sinclair, and Ms. Noreen Mucha from Evaluation Technology for Development (Et4d), and Mr. Bernard Ndi, Ms. Regular Ndifor, and Mr. Patrick Gallagher from Nascent for their support and advice. The views, opinions, and/or findings contained in this report are those of the author(s) and should not be construed as an official Nascent or Government position, policy, or decision, unless so designated by other documentation. DISCLAIMER: This publication was produced at the request of the United States Department of Agriculture. It was prepared by an independent third-party evaluation firm. The author’s views expressed in this publication do not necessarily reflect the views of the United States Department of Agriculture or the United States Government. Accessibility Note: An accessible version of this document can be made available by contacting [email protected] 1 Partners include the Ministry of Basic Education, Ministry of Public Health, Ministry of Agriculture and Rural Development, Ministry of Water and Energy, University of Illinois at Urbana-Champaign (AgReach Project), Caritas Kumbo, Michigan State University, International Medical Corps, and the International Literacy Society. Table of Contents 1 Introduction .............................................................................................................................. 1 1.1 Context ............................................................................................................................. 1 1.2 McGovern-Dole Project Description ................................................................................. 2 1.3 Project Activities ............................................................................................................... 3 1.4 Evaluation Purpose .......................................................................................................... 3 2 Evaluation Methodology .......................................................................................................... 4 2.1 Evaluation Design ............................................................................................................ 4 2.2 Evaluation Team .............................................................................................................. 5 2.3 Data Collection Sources and Limitations ......................................................................... 6 2.4 Sampling Strategy .......................................................................................................... 12 2.5 Field Work ...................................................................................................................... 17 2.5.1 Enumerator Recruitment and Training ................................................................... 17 2.5.2 Data Collection ....................................................................................................... 17 2.6 Quality Control and Ethical Conduct .............................................................................. 17 2.6.1 Review Board ......................................................................................................... 17 2.6.2 Field Quality Control ............................................................................................... 18 18 2.7 Data Analysis ................................................................................................................. 19 3 Challenges, Issues, and Limitations ...................................................................................... 19 3.1 Instruments .................................................................................................................... 19 3.2 Sample ........................................................................................................................... 20 3.3 Data Collection ............................................................................................................... 20 3.4 Data Analysis ................................................................................................................. 21 4 Performance Monitoring Plan (PMP) Indicators .................................................................... 21 4.1 Baseline Key Indicators ................................................................................................. 22 4.2 Proposed Additional Indicator or Modified Indicators ..................................................... 23 5 Literacy: EGRA Results ......................................................................................................... 25 5.1 Improved Literacy Indicator ............................................................................................ 25 5.2 Snapshot of Mean Scores by School Type .................................................................... 26 5.2.1 Mean Scores by Gender ........................................................................................ 27 5.2.2 Mean Scores by Location ....................................................................................... 29 5.3 Zero Scores ................................................................................................................... 30 5.3.1 Zero Scores by School Type and Gender .............................................................. 32 5.3.2 Zero Scores by School Type and Location ............................................................ 32 5.4 EGRA Reading Categories ............................................................................................ 34 5.5 Literacy Achievement Index ........................................................................................... 35 5.5.1 Literacy Achievement Index by School Type ......................................................... 36 5.5.2 Literacy Achievement Index by Gender ................................................................. 36 5.6 Literacy Achievement Index by Urban/Rural Location ................................................... 36 5.7 Proposed Targets .......................................................................................................... 37 6 Results of Stallings Observation: Time on Task and Student Attentiveness ......................... 39 6.1 Proportion of Teachers Meeting the MGD 1.1 Improved Quality of Instruction Indicator 39 6.2 Indicator MGD 1.2. Proportion of Classrooms Meeting the MGD 1.2 Improved Student Attentiveness Indicator .............................................................................................................. 42 6.3 Proposed Targets .......................................................................................................... 43 7 Women and Nutrition ............................................................................................................. 45 7.1 Analysis: Minimum Dietary Diversity-Women ................................................................ 45 7.1.1 Prevalence of (Mothers) Women of Reproductive age Consuming a Diet of Minimum Diversity ................................................................................................................. 45 7.2 Analysis: Women Nutrition Knowledge and Practices ................................................... 50 7.3 Women’s Dietary Practices ............................................................................................ 51 7.3.1 Women’s Perception of a Balanced Diet ................................................................ 51 7.3.2 Women’s Meal Frequency per Day ........................................................................ 52 7.3.3 Diet During Pregnancy ........................................................................................... 53 7.4 Women’s Exposure to Nutrition Education .................................................................... 54 8 Analysis: WASH in Schools and Student Hygiene Practices ................................................. 57 8.1 Student Hygiene Practice .............................................................................................. 57 8.1.1 Use of Handwashing Stations in Schools and at Home ......................................... 57 8.1.2 Handwashing with Soap (HWWS) – MGD SO02 ................................................... 58 8.1.3 Handwashing at Critical Times with Soap .............................................................. 59 8.1.4 Student Teeth Brushing Habits .............................................................................. 60 8.1.5 Student Bathing Habits .......................................................................................... 61 8.1.6 Student Hygiene Practices: FGD Findings from Parents and Teachers ................ 61 8.2 Sanitation
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