DOCSLIB.ORG

Evaluation of Zambia's First 1000 Most Critical Days Program

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Evaluation of Zambia's First 1000 Most Critical Days Program Final Evaluation Report Evaluation of Zambia’s First 1000 Most Critical Days Programme MAY 2018 Andrew Brudevold-Newman | Paula Dias | Hannah Ring Terry Roopnaraine | David Seidenfeld | Gelson Tembo MAKING RESEARCH RELEVANT AMERICAN INSTITUTES FOR RESEARCH | AIR.ORG Final Evaluation Report Evaluation of Zambia’s First 1000 Most Critical Days Programme MAY 2018 Andrew Brudevold-Newman | Paula Dias | Hannah Ring Terry Roopnaraine | David Seidenfeld | Gelson Tembo 1000 Thomas Jefferson Street NW Washington, DC 20007-3835 202.403.5000 www.air.org Copyright © 2018 American Institutes for Research. All rights reserved. Contents Page Executive Summary .........................................................................................................................1 Introduction ....................................................................................................................................18 Background and Theory of Change ...............................................................................................19 Study Design ..................................................................................................................................23 Deviations from Original Terms of Reference ..........................................................................24 Research Questions & Development Assistance Committee Criteria .......................................24 Stakeholder Consultation ...........................................................................................................25 Poverty & Malnutrition ..............................................................................................................25 Programme Implementation & Scale Up ...................................................................................27 Programme Impact .....................................................................................................................35 Endline Quantitative Data Collection & Analysis .....................................................................37 Endline Qualitative Data Collection & Analysis .......................................................................41 Findings..........................................................................................................................................42 Nutrition and Morbidity Effects ................................................................................................59 Heterogeneous effects ................................................................................................................60 Changes in outcomes in MCDP districts ...................................................................................61 Other Qualitative Findings .........................................................................................................63 Conclusion .....................................................................................................................................67 References ......................................................................................................................................70 Annex A: Heterogeneity Analysis .................................................................................................73 Annex B: Quantitative Endline Survey 2017.................................................................................78 Annex C: 1000 Days Endline Research: Beneficiary In-Depth-Interview Guide .......................118 Annex D: 1000 Days Qualitative Endline Research Coding Outline ..........................................126 Annex E: Terms of Reference_Zambia 1000 MCDP ..................................................................128 Annex F: List of Consultees ........................................................................................................145 Annex G: Rapid Qualitative Assessment Report .........................................................................146 Annex H: First Process Evaluation Report ..................................................................................230 Annex I: Rapid Follow Up Process Evaluation Report ...............................................................285 Tables Page Table 1. PI-Specific Challenges & Recommendations ..................................................................14 Table 2. Coordination, Communication, and Structural Challenges & Recommendations ..........17 Table 3. Endline sample summary statistics ..................................................................................39 Table 4. Effects on IFA, vitamin A, and deworming.....................................................................45 Table 5. Infant and young child feeding knowledge and practices ................................................47 Table 6. Receipt of agricultural inputs ...........................................................................................49 Table 7. Consumption of nutritious and diverse foods ..................................................................50 Table 8. WASH indicators .............................................................................................................55 Table 9. Nutrition outcomes ..........................................................................................................60 Table 10. Pre-post changes in outcomes in MCDP districts ..........................................................62 Table 11: Difference-in-differences estimates for children under 1 year of age ...........................74 Table 12: Difference-in-differences estimates for girls .................................................................75 Table 13: Difference-in-differences estimates in households where mothers completed primary school ...............................................................................................................................76 Figures Page Figure 1. Timeline of MCDP Evaluation Activities ........................................................................2 Figure 2. Research Questions ..........................................................................................................3 Figure 3: Estimated programme effects ...........................................................................................9 Figure 4: Core MCDP conceptual framework ...............................................................................10 Figure 5: Antenatal care is promoted at a local clinic ...................................................................20 Figure 6: Theory of Change for the MCDP ...................................................................................22 Figure 7: Evaluation Districts in Zambia .......................................................................................23 Figure 8. Village visited during the RQA in Nthope Ward, Chipata District ................................26 Figure 9. A rural health care facility in Chipata ............................................................................37 Figure 10. Exposure to MCDP trainings within the 24 MCDP endline communities (n=595) ...........................................................................................................................................40 Figure 11. Mothers in the evaluation districts were interviewed as part of the endline qualitative data collection ..............................................................................................................42 Figure 12. Food card exercise during endline qualitative data collection. ....................................52 Figure 13. Ideal meal for pregnant women: food card responses ..................................................53 Figure 14. Ideal meal for infants: food card responses ..................................................................53 Figure 15. Mothers shared their experiences with MCDP components during qualitative interviews .......................................................................................................................................57 Figure 16. Clinic in Chipata (Kova Ward) with an MCDP information board .............................63 Abbreviations and Acronyms AIR American Institutes for Research BCC Behaviour Change Communication CLTS Community-led Total Sanitation DAC Development Assistance Committee DFID Department for International Development DNCC District Nutritional Coordinating Committee FANSER Food & Nutrition Security, Enhanced Resilience project FES Focused Ethnographic Studies FGD Focus Group Discussion GIZ Deutsche Gesellschaft für Internationale Zusammenarbeit (German Agency for International Cooperation) GMP Growth Monitoring Promoters GRZ Government of the Republic of Zambia IDI In-depth interview IEC Information Education and Communication IFA Iron and folic acid IMAM Integrated Management of Acute Malnutrition IYCF Infant and Young Child Feeding KII Key informant interview MCD Ministry of Community Development and Social Welfare MCDP First 1000 Most Critical Days Programme MDES Minimum detectable effect size M&E Monitoring & Evaluation MLGH Ministry of Local Government and Housing MoA Ministry of Agriculture, Livestock and Fisheries MoE Ministry of Education MoGE Ministry of General Education MoH Ministry of Health MUAC Mid-upper arm circumference NFNC National Food and Nutrition Commission NGO Nongovernmental organization ODF Open Defecation Free PE Process Evaluation PI Priority Intervention RQA Rapid qualitative assessment SEA Standard enumeration
Load more

Recommended publications
  • REPORT of the AUDITOR – GENERAL on the ACCOUNTS
    REPORT of the AUDITOR – GENERAL ON THE ACCOUNTS FOR THE FINANCIAL YEAR ENDED 31st DECEMBER 2007 2 TABLE OF CONTENTS Page Introduction..................................................................................................... 1 Audit Scope and Methodology....................................................................... 1 Institutional Development.............................................................................. 1 International Co-operation............................................................................ 1 Accountability of Public Funds...................................................................... 2 Limitation of Scope....................................................................................... 2 Outturn and Appropriation Accounts............................................................ 2 General Revenues.......................................................................................... 3 Zambia Revenue Authority........................................................................... 3 Exceptional Revenue – Ministry of Energy and Water Development........... 6 Fees and Fines – Ministry of Homes Affairs – Police ................................. 7 Exceptional Revenue – Ministry of Agriculture and Cooperatives.............. 9 Fees and Fines - Ministry of Energy and Water – Water Board.................. 9 Fees and Fines – Ministry of Mines and Mineral Development.................. 10 Fees and Fines – Ministry of Home Affairs – Immigration....................... 12 Fees and
    [Show full text]
  • Zambia Country Operational Plan (COP) 2016 Strategic Direction Summary
    Zambia Country Operational Plan (COP) 2016 Strategic Direction Summary June 14, 2016 Table of Contents Goal Statement 1.0 Epidemic, Response, and Program Context 1.1 Summary statistics, disease burden and epidemic profile 1.2 Investment profile 1.3 Sustainability profile 1.4 Alignment of PEPFAR investments geographically to burden of disease 1.5 Stakeholder engagement 2.0 Core, near-core and non-core activities for operating cycle 3.0 Geographic and population prioritization 4.0 Program Activities for Epidemic Control in Scale-up Locations and Populations 4.1 Targets for scale-up locations and populations 4.2 Priority population prevention 4.3 Voluntary medical male circumcision (VMMC) 4.4 Preventing mother-to-child transmission (PMTCT) 4.5 HIV testing and counseling (HTS) 4.6 Facility and community-based care and support 4.7 TB/HIV 4.8 Adult treatment 4.9 Pediatric treatment 4.10 Orphans and vulnerable children (OVC) 5.0 Program Activities in Sustained Support Locations and Populations 5.1 Package of services and expected volume in sustained support locations and populations 5.2 Transition plans for redirecting PEPFAR support to scale-up locations and populations 6.0 Program Support Necessary to Achieve Sustained Epidemic Control 6.1 Critical systems investments for achieving key programmatic gaps 6.2 Critical systems investments for achieving priority policies 6.3 Proposed system investments outside of programmatic gaps and priority policies 7.0 USG Management, Operations and Staffing Plan to Achieve Stated Goals Appendix A- Core, Near-core, Non-core Matrix Appendix B- Budget Profile and Resource Projections 2 Goal Statement Along with the Government of the Republic of Zambia (GRZ), the U.S.
    [Show full text]
  • The Iccf Group Brochure Ed
    THE ICCF GROUP BROCHURE ED. 2021-2022 INTERNATIONALCONSERVATION.ORG TABLE OF CONTENTS WHO WE ARE AND WHAT WE DO ................................................................ 4 WORKING WITH LEGISLATURES ..................................................................... 8 • Caucuses We Support ................................. 10 • ICCF in the United States ................................ 12 • The ICCF Group in the United Kingdom ......................................................................................................... 31 • The ICCF Group in Latin America & the Caribbean ...................................................................................... 39 • The ICCF Group in Africa ............................ 63 • The ICCF Group in Southeast Asia ................ 93 WORKING WITH MINISTRIES ....................................................................... 103 MISSION THE MOST ADVANCED WE WORK HOW TO ADVANCE SOLUTION IN CONSERVATION CONSERVATION GOVERNANCE GOVERNANCE BY BUILDING 1. WE BUILD POLITICAL WILL POLITICAL WILL, The ICCF Group advances leadership in conservation by building political will among parliamentary PROVIDING and congressional leaders, and by supporting ministries in the management of protected areas. ON-THE-GROUND SOLUTIONS 2. CATALYZING CHANGE WITH KNOWLEDGE & EXPERTISE We support political will to conserve natural resources by catalyzing strategic partnerships and knowledge sharing between policymakers and our extensive network. VISION 3. TO PRESERVE THE WORLD'S MOST CRITICAL LANDSCAPES
    [Show full text]
  • Environmental Project Brief
    Public Disclosure Authorized IMPROVED RURAL CONNECTIVITY Public Disclosure Authorized PROJECT (IRCP) REHABILITATION OF PRIMARY FEEDER ROADS IN EASTERN PROVINCE Public Disclosure Authorized ENVIRONMENTAL PROJECT BRIEF September 2020 SUBMITTED BY EASTCONSULT/DASAN CONSULT - JV Public Disclosure Authorized Improved Rural Connectivity Project Environmental Project Brief for the Rehabilitation of Primary Feeder Roads in Eastern Province Improved Rural Connectivity Project (IRCP) Rehabilitation of Primary Feeder Roads in Eastern Province EXECUTIVE SUMMARY The Government of the Republic Zambia (GRZ) is seeking to increase efficiency and effectiveness of the management and maintenance of the of the Primary Feeder Roads (PFR) network. This is further motivated by the recognition that the road network constitutes the single largest asset owned by the Government, and a less than optimal system of the management and maintenance of that asset generally results in huge losses for the national economy. In order to ensure management and maintenance of the PFR, the government is introducing the OPRC concept. The OPRC is a concept is a contracting approach in which the service provider is paid not for ‘inputs’ but rather for the results of the work executed under the contract i.e. the service provider’s performance under the contract. The initial phase of the project, supported by the World Bank will be implementing the Improved Rural Connectivity Project (IRCP) in some selected districts of Central, Eastern, Northern, Luapula, Southern and Muchinga Provinces. The project will be implemented in Eastern Province for a period of five (5) years from 2020 to 2025 using the Output and Performance Road Contract (OPRC) approach. GRZ thus intends to roll out the OPRC on the PFR Network covering a total of 14,333Kms country-wide.
    [Show full text]
  • Zambia Page 1 of 8
    Zambia Page 1 of 8 Zambia Country Reports on Human Rights Practices - 2003 Released by the Bureau of Democracy, Human Rights, and Labor February 25, 2004 Zambia is a republic governed by a president and a unicameral national assembly. Since 1991, multiparty elections have resulted in the victory of the Movement for Multi-Party Democracy (MMD). MMD candidate Levy Mwanawasa was elected President in 2001, and the MMD won 69 out of 150 elected seats in the National Assembly. Domestic and international observer groups noted general transparency during the voting; however, they criticized several irregularities. Opposition parties challenged the election results in court, and court proceedings were ongoing at year's end. The anti-corruption campaign launched in 2002 continued during the year and resulted in the removal of Vice President Kavindele and the arrest of former President Chiluba and many of his supporters. The Constitution mandates an independent judiciary, and the Government generally respected this provision; however, the judicial system was hampered by lack of resources, inefficiency, and reports of possible corruption. The police, divided into regular and paramilitary units under the Ministry of Home Affairs, have primary responsibility for maintaining law and order. The Zambia Security and Intelligence Service (ZSIS), under the Office of the President, is responsible for intelligence and internal security. Civilian authorities maintained effective control of the security forces. Members of the security forces committed numerous serious human rights abuses. Approximately 60 percent of the labor force worked in agriculture, although agriculture contributed only 15 percent to the gross domestic product. Economic growth increased to 4 percent for the year.
    [Show full text]
  • Zambia Page 1 of 16
    Zambia Page 1 of 16 Zambia Country Reports on Human Rights Practices - 2002 Released by the Bureau of Democracy, Human Rights, and Labor March 31, 2003 Zambia is a republic governed by a president and a unicameral national assembly. Since 1991 generally free and fair multiparty elections have resulted in the victory of the Movement for Multi -Party Democracy (MMD). In December 2001, Levy Mwanawasa of the MMD was elected president, and his party won 69 out of 150 elected seats in the National Assembly. The MMD's use of government resources during the campaign raised questions over the fairness of the elections. Although noting general transparency during the voting, domestic and international observer groups cited irregularities in the registration process and problems in the tabulation of the election results. Opposition parties challenged the election result in court, and court proceedings remained ongoing at year's end. The Constitution mandates an independent judiciary, and the Government generally respected this provision; however, the judicial system was hampered by lack of resources, inefficiency, and reports of possible corruption. The police, divided into regular and paramilitary units operated under the Ministry of Home Affairs, had primary responsibility for maintaining law and order. The Zambia Security and Intelligence Service (ZSIS), under the Office of the President, was responsible for intelligence and internal security. Members of the security forces committed numerous, and at times serious, human rights abuses. Approximately 60 percent of the labor force worked in agriculture, although agriculture contributed only 22 percent to the gross domestic product. Economic growth slowed to 3 percent for the year, partly as a result of drought in some agricultural areas.
    [Show full text]
  • ZAMBIA Situation Report Last Updated: 15 Jun 2020
    ZAMBIA Situation Report Last updated: 15 Jun 2020 HIGHLIGHTS (15 Jun 2020) The first imported COVID-19 case was reported on 18 March 2020 and as of 08 June 1,200 cases have been confirmed, including ten deaths. Out of the country’s 119 districts, 27 have reported cases of COVID-19. Laboratory testing and reagents have been identified as key challenge. On 8 May, the Government withdrew some of the initial measures and recommended opening of schools for student examination years, restaurants and gyms. During a food distribution in Siakasipa FDP, Kazungula District, people wait to receive assistance maintaining social On 1 June, examination classes in both primary and distancing. Photo: World Vision secondary re-opened on condition that all public health guidelines and regulations are enforced. KEY FIGURES FUNDING CONTACTS Laura Hastings 10.1M 6.2M $132.9M $6.7M Humanitarian Affairs Officer, Zambia people in need people targeted requested (May-Oct received [email protected] 2020) Guiomar Pau Sole 27 Communications & Information partners operational 7.8% Management, Regional Office for funded Southern & Eastern Africa [email protected] BACKGROUND (15 Jun 2020) Situation Overview Zambia recorded its first case of COVID-19 on 18 March 2020 and, as 8 June, 1,200 cases had been confirmed and 10 deaths reported. Out of the 119 districts, 27 districts have reported COVID-19 cases. The Government of Zambia introduced a series of measures to mitigate against the spread of the virus including closure of regional airports, restrictions of public gatherings of more than 50 people, closures of religious institutes, bars and restaurants.
    [Show full text]
  • Provincial Health Literacy Training Report Northern and Muchinga Provinces
    Provincial Health Literacy Training Report Northern and Muchinga Provinces AT MANGO GROVE LODGE, MPIKA, ZAMBIA 23-26TH APRIL 2013 Ministry of Health and Lusaka District Health Team, Zambia in association with Training and Research Support Centre (TARSC) Zimbabwe In the Regional Network for Equity in Health in east and southern Africa (EQUINET) With support from CORDAID 1 Table of Contents 1. Background ......................................................................................................................... 3 2. Opening .............................................................................................................................. 4 3. Ministry of Health and LDHMT ............................................................................................ 5 3.1 Background information on MOH ................................................................................. 5 3.2 Background on LDHMT ............................................................................................... 6 4. Using participatory approaches in health ............................................................................ 7 5. The health literacy programme ............................................................................................ 9 5.1 Overview of the Health literacy program ...................................................................... 9 5.2 Using the Zambia HL Manual ......................................................................................10 5.3 Social mapping ...........................................................................................................10
    [Show full text]
  • USAID/Zambia Partners in Development Book
    PARTNERS IN DEVELOPMENT July 2018 Partners in Zambia’s Development Handbook July 2018 United States Agency for International Development Embassy of the United States of America Subdivision 694 / Stand 100 Ibex Hill Road P.O. Box 320373 Lusaka, Zambia 10101 Cover Photo: As part of a private -sector and youth-engagement outreach partnership, media entrepreneur and UNAIDS Ambassador Lulu Haangala Wood (l), musician and entrepreneur Pompi (c), and Film and TV producer Yoweli Chungu (r) lend their voices to help draw attention to USAID development programs. (Photo Credit: Chando Mapoma / USAID Zambia) Our Mission On behalf of the American People, we promote and demonstrate democratic values abroad, and advance a free, peaceful, and prosperous world. In support of America's foreign policy, the U.S. Agency for International Development leads the U.S. Government's international development and disaster assistance through partnerships and investments that save lives, reduce poverty, strengthen democratic governance, and help people emerge from humanitarian crises and progress beyond assistance. Our Interagency Initiatives USAID/Zambia Partners In Development 1 The United States Agency for International Development (USAID) is the lead U.S. Government agency that works to end extreme global poverty and enable resilient, democratic societies to realize their potential. Currently active in over 100 countries worldwide, USAID was born out of a spirit of progress and innovation, reflecting American values and character, motivated by a fundamental belief in helping others. USAID provides development and humanitarian assistance in Africa, Asia and the Near East, Latin America and the Caribbean, and Europe. Headquartered in Washington, D.C., USAID retains field missions around the world.
    [Show full text]
  • Zambia USADF Country Portfolio
    Zambia USADF Country Portfolio Overview: Country program established in 1984 and reopened in U.S. African Development Foundation Partner Organization: Keepers Zambia 2004. USADF currently manages a portfolio of 23 projects and one Country Program Coordinator: Guy Kahokola Foundation (KZF) Cooperative Agreement. Total active commitment is $2.9 million. Suite 103 Foxdale Court Office Park Program Manager: Victor Makasa Agricultural investments total $2.6 million. Youth-led enterprise 609 Zambezi Road, Roma Tel: +260 211 293333 investments total $20,000. Lusaka, Zambia Email: [email protected] Email: [email protected] Country Strategy: The program focuses on support to agricultural enterprises, including organic farming as Zambia has been identified as a Feed the Future country. In addition, there are investments in off-grid energy and youth led-enterprises. Enterprise Duration Grant Size Description Mongu Dairy Cooperative Society 2012-2017 $152,381 Sector: Agriculture (Dairy) Limited Town/City: Mongu District in the Western Province 2705-ZMB Summary: The project funds will be used to increase the production and sales of milk through the purchase of improved breed cows, transportation, and storage equipment. Chibusa Home Based Care 2013-2018 $187,789 Sector: Agriculture (Food Processing) Association Town/City: Mungwi District in the Northern Province of Zambia 2925-ZMB Summary: The project funds will be used to provide working capital for purchasing grains, increase milling capacity, build a storage warehouse, and provide funds to improve marketing. Ushaa Area Farmers Association 2013-2018 $94,960 Sector: Agriculture (Rice) Limited Town/City: Mongu District in the Western Province of Zambia 2937-ZMB Summary: The project funds will be used to provide working capital for purchasing rice, build a storage warehouse, and provide funds to improve marketing.
    [Show full text]
  • Rice Production Diagnostic for Chinsali and Mfuwe, Zambia
    Rice production diagnostic for Chinsali (Chinsali District, Northern Province) and Mfuwe (Mwambe District, Eastern Province), Zambia By Erika Styger July 2014 For COMACO and David R. Atkinson Center for Sustainable Development Rice production diagnostic for Chinsali (Chinsali District, Northern Province) and Mfuwe (Mwambe District, Eastern Province), Zambia Written by Erika Styger, SRI International Network and Resources Center (SRI-Rice), International Programs, College of Agriculture and Life Sciences, Cornell University, Ithaca, NY, USA All photos by Erika Styger For COMACO, Lusaka, Zambia and David R. Atkinson Center for a Sustainable Future, Cornell University, Ithaca, NY, USA © 2014 SRI International Network and Resources Center (SRI-Rice), Ithaca, NY For more information visit http://sri.cals.cornell.edu/, or contact Erika Styger ([email protected]) Rice diagnostic for Chinsali and Mfuwe, Zambia; by Erika Styger, Cornell University, July 2014 ([email protected]) 2 Table of Content Table of Content 3 1. Introduction 4 2. Rice systems in Zambia and COMACO rice production zones 7 3. Northern Floodplain Rice Production zone, Chinsali District, Northern Province 9 3.1. Agricultural system overview 9 3.2. Rice production practices 10 3.3. The application and performance of the System of Rice Intensification 11 3.4. Challenges and constraints to rice intensification 13 3.5. Description of three lowland rice production zones in Chinsali 15 3.6. Adaptation to climate variability – opportunities for intensification 16 3.7. Chama rice quality loss 18 3.8. Implementation strategies for rice intensification for the 2014/2015 cropping 20 season 4. Dambo Rice Production Zone, Mfuwe, Mwambwe District, Eastern Province 23 4.1.
    [Show full text]
  • Midterm Evaluation
    Interim Performance Evaluation: Increasing Economic and Social Empowerment of Adolescent Girls and Women in Rural Zambia (EMPOWER) United States Department of Labor Bureau of International Labor Affairs Date: May 17, 2019 Author: Deborah Orsini, Management Systems International This report was prepared for the U.S. Department of Labor (DOL) under Contract Number 1605DC-18-F-00414. The views expressed are those of the author and should not be attributed to DOL, nor does mention of trade names, commercial products, or organizations imply endorsement of the same by the U.S. Government. Table of Contents Acknowledgments ............................................................................................................ii Acronyms ........................................................................................................................ iii Executive Summary ........................................................................................................ 5 Evaluation Conclusions ........................................................................................................... 6 Recommendations .................................................................................................................. 9 Project Description ........................................................................................................ 12 Project Context ......................................................................................................................12 Project Targets and Objectives ..............................................................................................13
    [Show full text]