Government of India United States Agency for International Development World Vision THIRD ANNUAL REVIEW REPORT Ballia Rural Integrated Child Survival Project Uttar Pradesh, India USAID Grant # FAO – 00 – 98 – 00041 – 00 January 31, 2002 Beginning Date : October 1, 1998 Ending Date : September 30, 2002 Submitted to Child Survival Grant Program USAID/BHR/PVC PVO Field Office : PVO Headquarters: K.A.Jayakumar David Grosz, MPH World Vision India WVUS Program Officer for India ADP Ballia World Vision Inc P.O.Box 25 34834 Weyerhaeuser Way South Harpur, Ballia, U.P 277 001 Federal Way, Washington 98063 Phone: (91) 54 982 3014 Phone: 253/815-2092 Fax : (91) 54 982 3014 Fax : 253/815-3424 email:
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[email protected] TABLE OF CONTENTS LIST OF APPENDICES 4 LIST OF ACRONYMS 5 1. EXECUTIVE SUMMARY 6 2. INTRODUCTION 8 3. EXPECTATIONS OF THE THIRD ANNUAL REVIEW 9 4. METHODOLOGY FOR THE THIRD ANNUAL REVIEW 10 5. PROJECT BACKGROUND 12 6. MODELS OF REPLICATION 14 7. CAPACITY BUILDING: 16 8. SUSTAINABILITY 19 9. MAIN ACCOMPLISHMENTS 22 PREVENTION OF MALNUTRITION & VITAMIN A DEFICIENCY 22 INCREASED COVERAGE OF IMMUNIZATION 24 DIARRHEA AND PNEUMONIA CASE MANAGEMENT 26 BIRTH SPACING 27 ESSENTIAL CARE OF THE NEWBORN 29 DEVELOPMENT OF BASELINES FOR THE DISTRICT 29 10. SUPPORT SYSTEMS 30 MANAGEMENT 30 HUMAN RESOURCE 31 HEALTH MANAGEMENT INFORMATION SYSTEM 32 FINANCE 34 11. ISSUES IDENTIFIED BY THE MTE AND THE PROJECT RESPONSE 36 12. CHALLENGES AND CONSTRAINTS 39 ADP Ballia Third Annual Review Report, October 2001 Page No. 2 13. CHANGES IN THE PROJECT DESIGN 40 14.