Pakur Mother and Child Survival Project Final Report
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Pakur Mother and Child Survival Project Final Report Pakur Mother and Child Survival Project Final Report November 2011 – March 2015 Prepared by: HealthBridge Foundation of Canada Contributions by: Evangelical Fellowship of India Commission on Relief Date: Submitted June 29, 2015 Project Number: S-065363 Purchase Order: 7057868 Vendor: 1001218 HealthBridge Foundation of Canada, June 2015 Page 1 Pakur Mother and Child Survival Project Final Report Table of Contents 1. Executive Summary ............................................................................................................................... 6 2. Introduction ........................................................................................................................................ 11 3. Project Summary ................................................................................................................................. 12 4. Project Context ................................................................................................................................... 16 5. Overall Project Performance Assessment ........................................................................................... 17 5.1 Intermediate Outcomes .................................................................................................................... 17 5.2 Immediate Outcomes ....................................................................................................................... 23 5.2.1 Outcome 100: Increased capacity of EFICOR and government health institutions ....................... 23 5.2.2 Outcome 200: Increased access to MNCH care and counselling ............................................... 27 5.2.3 Knowledge of Appropriate MNCH Practices .............................................................................. 32 5.2.4 Increased Acceptance of Shared Decision Making about MNCH .............................................. 35 5.2.5 Increased Perceived Ability to Make Shared Decisions about MNCH ....................................... 36 5.3 Assessment of Implementation of the UN Commission of Information and Accountability for Women’s and Children’s Health ............................................................................................................. 37 6. Project Management .......................................................................................................................... 38 6.1 Governance ....................................................................................................................................... 38 6.2 Work Planning and Logistics ............................................................................................................. 38 6.3 Technical and Financial Monitoring and Reporting .......................................................................... 39 6.4 Public Relations ................................................................................................................................. 40 7. Risk Management ............................................................................................................................... 40 8. Crosscutting Themes and Priorities .................................................................................................... 43 8.1 Report on Implementation of Gender Equality Strategy .................................................................. 43 8.2. Environment ..................................................................................................................................... 44 8.3 Governance Considerations .............................................................................................................. 45 HealthBridge Foundation of Canada, June 2015 Page 2 Pakur Mother and Child Survival Project Final Report 9. Budget Management .......................................................................................................................... 46 10. Success Factors ............................................................................................................................... 47 10.1 Relevance .................................................................................................................................... 47 10.2 Appropriateness of Design .......................................................................................................... 48 10.3 Sustainability ............................................................................................................................... 49 10.4 Partnership .................................................................................................................................. 50 10.5 Innovation ................................................................................................................................... 51 10.6 Appropriateness of Resource Utilization .................................................................................... 52 10.7 Informed and Timely Action ....................................................................................................... 52 11. Lessons Learned and Recommendations ........................................................................................ 53 11.1 Lessons Learned .............................................................................................................................. 53 11.2 Recommendations .......................................................................................................................... 55 12. Final Financial Report ...................................................................................................................... 55 13.0 Annexes ............................................................................................................................................... 56 13.1 Annex A: Project Logic Model ......................................................................................................... 56 13.2 Annex B Project Organizational Chart ............................................................................................ 57 13.3 Annex C Indian Rural Health System ............................................................................................... 58 13.4 Annex D: Performance Measurement Framework and Narrative ................................................. 59 13.5 Annex E Endline Knowledge Practice Coverage Survey Report .................................................... 63 13.6 Annex F Endline Rapid Health Facility Assessment Survey Report ................................................ 63 13.7 Annex G Gender Evaluation Report ............................................................................................... 63 13.8 Annex H Final Evaluation Report.................................................................................................... 63 13.9 Annex I: Risk Register and Response Strategies ............................................................................. 64 13.10 Annex J: Analysis of Variances in Budget Forecasts and Actual Disbursements .......................... 69 HealthBridge Foundation of Canada, June 2015 Page 3 Pakur Mother and Child Survival Project Final Report 13.10 Annex K Project Milestone and Tombstone Data ........................................................................ 70 13.11 Annex L List of Key Participating Governments and Civil Society Partners .................................. 76 13.12 Annex M List of all Project and Technical Reports ........................................................................ 77 13.13 Annex N: List of all Consultants .................................................................................................... 78 13.14 Annex O: Distribution and Transfer of Project Assets .................................................................. 79 List of Tables and Figures Table 1: Direct and Indirect Beneficiaries reached by the project ............................................................. 13 Table 2: Baseline (2012) and endline (2014) utilization rates of maternal and newborn health services . 18 Table 3: Baseline (2012) and endline (2014) utilization rates of child nutrition and infectious disease management services ................................................................................................................................. 19 Table 4: Baseline (2012) and endline (2014) rates of inter-spousal discussion and shared decision making about MNCH practices. ............................................................................................................................... 22 Table 5: Analysis of Budget Forecasts compared to Actual Disbursements for Main Budget Categories . 47 Table 6: Analysis of Budget Forecasts compared to Actual Disbursements by Main Activity .................... 47 Table 7: Analysis of Budget Forecasts compared to Actual Disbursements by Intermediate Outcome .... 47 Figure 2: Strengths and areas for improvements in gender-sensitive programs and services. (Source: Gender Evaluation Annex G) ....................................................................................................................... 27 Figure 3: Availability of essential medicines at Health Sub-Centres in Pakur ............................................. 31 Figure 4: Knowledge of MNCH practices amongst men and women in Pakur at baseline and endline..... 34 Figure 5: Breastfeeding, Infant and Young