SOMALI RELIEF AND RECOVERY PROGRM-SRRP Somaliland, Puntland, Galmudug and Jubbaland States of Somalia Endline Assessment Report December 2020 This project was funded Implementing Partner by USAID/OFDA Kenya Nairobi 00200, - 54354 BOX P.O. Ltd Co. Consulting Rufmo by: Prepared 1 Table of Contents 0 LISTS OF TABLES ................................................................................................................ 1 0 LIST OF FIGURES ................................................................................................................. 2 1 INTRODUCTION .................................................................................................................. 4 2 ENDLINE METHODOLOGY ............................................................................................... 6 3 ENDLINE EVALUATION FINDINGS ............................................................................... 12 3.1 DEMOGRAPHIC INFORMATION ..................................................................................................................... 12 3.2 RELEVANCE OF SRRP PROGRAMME .............................................................................................................. 14 3.2.1 Alignment to community priorities and consistency with the project goal ................... 14 3.3 EFFECTIVENESS OF PROGRAM INTERVENTIONS ........................................................................................... 17 3.3.1 Sector 1: Economic Recovery and Market systems-ERMS ..................................................... 17 3.3.2 Sector 2. Health ............................................................................................................................................... 26 3.3.3 Sector 3 -Humanitarian Coordination and Information Management........................... 34 3.3.4 Sector 4: Nutrition .......................................................................................................................................... 36 3.3.5 Sector 5 - Protection ..................................................................................................................................... 45 3.3.6 Sector 6 - Water, Sanitation and Hygiene (WaSH) .................................................................... 50 3.4 FEEDBACK MECHANISMS ................................................................................................................................ 55 3.5 SUSTAINABILITY ............................................................................................................................................... 57 3.6 CONTRIBUTING FACTORS ............................................................................................................................. 58 3.7 ADAPTABILITY AND FLEXIBILITY .................................................................................................................... 59 3.8 SIMILAR INTERVENTIONS ................................................................................................................................ 59 3.9 EFFICIENCY ....................................................................................................................................................... 59 3.10 VALUE FOR MONEY ......................................................................................................................................... 59 3.11 INNOVATION ................................................................................................................................................... 60 4 CROSS-CUTTING ISSUES ................................................................................................ 60 5 LESSONS LEARNT ............................................................................................................. 60 6 CONCLUSIONS AND RECOMMENDATIONS .............................................................. 60 6.1 CONCLUSIONS ................................................................................................................................................ 60 6.2 RECOMMENDATIONS ...................................................................................................................................... 62 7 ANNEXES ............................................................................................................................ 64 7.1 TOOLS ............................................................................................................................................................... 64 1 | P a g e 0 Lists of Tables Table 1: Quantitative Sample Distribution .................................................................................................................. 7 Table 2. Sampling methodology Summary ...................................................... Error! Bookmark not defined. Table 3:To what extent were the interventions relevant to your needs and priorities ................................ 15 Table 4: To what extent did the intervention(s) meet your expectations as a beneficiary? ......................... 16 Table 5: To what extent were you satisfied with the way the services were provided to you? .................. 16 Table 6: Household member engaged in Cash Assistance Program in the last 12 months ........................... 18 Table 7:Changes in Expenditure in the past one month ........................................................................................ 21 Table 8: Household Dietary Diversity Score ............................................................................................................ 22 Table 9: Livelihood coping Scores .................................................................... Error! Bookmark not defined. Table 10: Household hunger scale ............................................................................................................................... 24 Table 11:Training attended or message received in the last 12 months ............................................................ 36 Table 12: Nutritional educational messages recalled ................................... Error! Bookmark not defined. Table 13: Nutritional education message currently used/practiced .................................................................... 37 Table 14: In what ways has the nutritional educational message been beneficial to you and your household? ......................................................................................................................................................................... 37 Table 15: How useful has the nutrition education message been to you and your household? .................. 37 Table 16: Do you face any challenge implementing what you learnt? ................................................................. 38 Table 17: What challenges did you face in implementing what you learnt from the training? ...................... 38 Table 18: Was the OTP/TSFP treatment program accessible to all of the community members? ............. 38 Table 19: Was the design of the project appropriate for the community? ....................................................... 39 Table 20:During day and night yesterday, what did you give to your child? ............................................................... 39 Table 21: what was the main reason why you did not breastfeed? ..................................................................... 41 Table 22: Have you attended in the last 12 months IYCF counselling or nutrition, health and IYCF promotion and counselling? ............................................................................... Error! Bookmark not defined. Table 23: If yes, how likely are you to practice what you learnt from IYCF counselling or training? ......... 42 Table 24: How important have such group been to you/your household during pregnancy or breastfeeding period? ...................................................................................................................................................... 42 Table 25: Have pregnant and lactating mothers in the area been able to receive treatment for malnutrition in the last 12 months? ............................................................................................................................. 42 Table 26: How effective were the nutrition programs targeting children with malnutrition in terms of treating them? ................................................................................................................................................................... 43 Table 27: Was the timing of the counselling appropriate? ......................... Error! Bookmark not defined. Table 28:Have you/member of your household visited a health center in the past 12 months? ........ Error! Bookmark not defined. Table 29: In your view how was/would you rate the services provision at the health facility? ........... Error! Bookmark not defined. Table 30:What are the working/opening hours for the health facility? ... Error! Bookmark not defined. Table 31:How long does it take you to walk to the nearest health facility for servicesError! Bookmark not defined. Table 32: your last visit at the heath facilities were you/your household able to get drugs and other medical supplies at the facility ............................................................................ Error! Bookmark not defined. Table 33:Services household member receives during antenatal visit ..... Error! Bookmark not defined. Table 34: Where did you deliver