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HKI Report Template Action Against Malnutrition through Agriculture Nepal Child Survival Project Kailali and Baitadi Districts, Far Western Region Bajura Expansion District Final Evaluation Report Child Survival Health Grants Program –Innovation Category Helen Keller International – Nepal in collaboration with the Nepali Technical Assistance Group Cooperative Agreement GHS-A-00-08-00001 October 1, 2008-December 31, 2012 Submission Date April 3, 2013 Authors: Judiann McNulty, DrPH, External Consultant Jennifer Nielsen, PhD, HKI Headquarters Pooja Pandey, HKI Nepal Director of Programs Nisha Sharma, HKI Nepal M&E Officer • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Helen Keller International www.hki.org Table of Contents A. PRELIMINARY INFORMATION ........................................................................................................... 6 Executive Summary .................................................................................................................................................. 6 Key Findings/Results ............................................................................................................................................... 6 Main Conclusions ....................................................................................................................................................... 7 Recommendations .................................................................................................................................................... 8 B. OVERVIEW OF THE PROJECT, OR STRUCTURE, AND IMPLEMENTATION ........................... 9 C. EVALUATION METHODOLOGY AND LIMITATIONS .................................................................. 11 Quantitative Evaluation ....................................................................................................................................... 11 Qualitative Evaluation .......................................................................................................................................... 12 D. DATA QUALITY AND USE .................................................................................................................. 12 E. PRESENTATION OF PROJECT RESULTS ........................................................................................ 13 F. DISCUSSION OF THE PROGRESS TOWARDS ACHIEVEMENT OF RESULTS ........................ 13 1. Contribution Towards Project and OR Objectives ................................................................................. 13 2. Contextual Factors ............................................................................................................................................. 24 3. Role of Key Partners ......................................................................................................................................... 26 4. Overall Design Factors that Influenced Results ...................................................................................... 28 a. Contribution to Global Learning ........................................................................................................................ 28 b. Dissemination and Information Use .................................................................................................................. 30 G. CONCLUSIONS AND RECOMMENDATIONS .................................................................................. 30 Conclusions ............................................................................................................................................................... 30 Recommendations ................................................................................................................................................. 31 AA. ASSESSING THE OPERATIONS RESEARCH STUDY ................................................................. 33 BB. POTENTIAL FOR SCALE-UP ........................................................................................................... 34 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Helen Keller International 2 www.hki.org ANNEX 1. LEARNING BRIEFS ................................................................................................................ 35 A. Engaging Local Governance for Replication and Sustainability ....................................................... 35 B. Community capacity building: An approach to improve household food security and nutrition ..................................................................................................................................................................... 37 C. Strengthening Disadvantaged Families Through Agriculture and Nutrition in Baitadi District of Nepal....................................................................................................................................................................... 39 D. Advancing the Kamaiya in Kailali District of Nepal .............................................................................. 41 ANNEX 2. LIST OF PROJECT-RELATED PUBLICATIONS AND PRESENTATIONS .................. 43 ANNEX 3. PROJECT MANAGEMENT EVALUATION ......................................................................... 44 Planning ..................................................................................................................................................................... 44 Supervision of Project Staff ................................................................................................................................. 44 Human Resources and Staff Management ..................................................................................................... 44 Financial Management ......................................................................................................................................... 45 Logistics ..................................................................................................................................................................... 45 Information Management .................................................................................................................................... 46 Technical and Administrative Support ........................................................................................................... 47 Management Lessons Learned........................................................................................................................... 47 ANNEX 4. WORK PLAN TABLE ............................................................................................................. 48 ANNEX 5. RAPID CATCH TABLES ........................................................................................................ 50 ANNEX 6. M&E MATRICES ..................................................................................................................... 53 ANNEX 7. CHW TRAINING MATRIX .................................................................................................... 61 ANNEX 8. EVALUATION TEAM MEMBERS ........................................................................................ 62 ANNEX 9. EVALUATION ASSESSMENT METHODOLOGY .............................................................. 63 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Helen Keller International 3 www.hki.org ANNEX 10. LIST OF PERSONS INTERVIEWED ................................................................................. 68 ANNEX 11. FINAL OR REPORT ............................................................................................................. 70 ANNEX 12. SPECIAL PUBLICATIONS .................................................................................................. 97 ANNEX 13. PROJECT DATA FORM ....................................................................................................... 98 ANNEX 14. GRANTEE PLANS TO ADDRESS THE FE FINDINGS .................................................. 99 ANNEX 15. GRANTEE RESPONSE TO FINAL EVALUATION ....................................................... 100 ANNEX 16. SPECIFIC TECHNICAL RECOMMENDATIONS AND LESSONS LEARNED FOR REPLICATION IN NEPAL ....................................................................................................................... 102 ANNEX 17. SUMMARY TABLES ........................................................................................................... 107 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Helen Keller International 4 www.hki.org List of Abbreviations, Acronyms and Special Terms AAMA Action Against Malnutrition through Agriculture Project (AAMA = “Mother” in Nepali) ARI Acute Respiratory Infection BCC Behavior Change Communication BMI Body Mass Index CATCH Core Assessment Tool on Child Health CHD Child Health Division DADO District Agricultural Development Office DEO District Education Office DHO District Health Office DIP Detailed Implementation Plan ENA Essential Nutrition Actions FANTA Food and Nutrition
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