Final Evaluation Report Mechi Eye CARE PROGRAMME Supported by Eye Care Foundation Implemented by Mechi Eye Hospital Sangh, Jhapa Final Evaluation Team Prof. Shiva Prasad Sapkota, Health Expert- Team Leader Ms. Indira Lamsal, Asst. Director, SWC - Member Mr. Bhava Nath Khatiwada, Undersecretary, MoHP - Member Mr. Babu Ram Bhandari, Finance Expert – Member Submitted to Social Welfare Council Harihar Bhavan, Lalitpur July, 2019 Page | 1 Acknowledgement The final evaluation team expresses its sincere gratitude to SWC for commissioning to conduct the final evaluation study of “Mechi Eye Care Programme” Supported by the Eye Care Foundation, the Netherlands Implemented by Mechi Eye Hospital Sangh, Jhapa. The team acknowledges the valuable support and cooperation provided by different individuals during the evaluation which has eventually helped in shaping the report in the current form. I extend our sincere gratitude to SWC for assigning the responsibility of final evaluation of Mechi Eye Care Programme (MECP). We would like to express our appreciation to respected SWC Member Secretary Mr. Rajendra Kumar Paudel, Evaluation Director, Ms. Bhagawati Lamsal, Deputy Director Mr. Dipendra Pant and all SWC executives for their suggestions and support. I would like to express my sincere thanks and appreciation towards my competent and hardworking team members Mr. Baburam Bhandari, financial expert, Ms. Indira Lamsal Asst. Director SWC, Mr. Bhavanath Khatiwada, Under Secretary, and MoHP. Without their eye for scrutiny and commitment the task would not have been accomplished. I express my heartfelt gratitude to Mr. Anil P. Gorkhaly, Eye Care Foundation, and Mechi Eye Hospital Sangh team members, Medical Director Dr. Purusottam Joshi and senior administrative Officer Mr. Suraj Kumar Rauniyar, Mechi Eye Hospital, Mr.Dhurba Kumar Siwakoti, Mayor Birtamod Municipality, Mr. Madhusudan Koirala, DPHO, District Public Health Office, Jhapa. I acknowledge for the support of PECC in charge, teacher, community people/ beneficiaries/clients who gave us valuable time for interviews. Prof. Shiva Prasad Sapkota Team Leader Page | 2 Contents Section I: Introduction ........................................................................................................................................ 14 1 Introduction ................................................................................................................................................ 14 1.1. Eye Care Foundation, the Netherlands ............................................................................................... 14 1.2. Mechi Eye Hospital Sangh (MEHS) Jhapa ............................................................................................ 15 1.3. Mechi Eye Hospital, Anarmani, Jhapa ................................................................................................. 15 1.4. Project Background ............................................................................................................................. 15 1.5. Project Objectives ............................................................................................................................... 16 1.6. Name of the project and its location .................................................................................................. 17 3.1 Duration of the Project: - 5 years (from June 2014 to June 2019) ................................................... 17 3.2 Intended Outcomes of the project ..................................................................................................... 17 1.7. Intended Beneficiaries of the project ................................................................................................. 18 1.8. Donor Information .............................................................................................................................. 19 1.9. Project Composition............................................................................................................................ 20 1.10. Mechi Eye Hospital Management Board (MEH) ............................................................................. 21 1.11. District and VDCs to be covered ..................................................................................................... 23 1.12. Financing Arrangements: Financial Analysis Section of this Report ............................................... 25 1.13. Objectives of the Evaluation ........................................................................................................... 25 1.14. Scope of the Evaluation .................................................................................................................. 27 1.15. Evaluation Research Questions: Annex .......................................................................................... 27 1.16. Evaluation Team Composition ........................................................................................................ 27 1.17. Organization of the Study Report ................................................................................................... 27 2 Section II ...................................................................................................................................................... 28 2.1 Study Approach ................................................................................................................................... 29 2.2 Study Design........................................................................................................................................ 29 2.3 Selection of Participants ..................................................................................................................... 29 2.4 Study Instruments/Tools of Data Collection ....................................................................................... 29 2.5 Mechanism of Fieldworks ................................................................................................................... 30 2.6 Data presentation and analysis techniques ........................................................................................ 30 2.7 Work Schedules of the study .............................................................................................................. 30 2.8 Limitations of Study ............................................................................................................................ 30 Page | 3 Section III ............................................................................................................................................................. 31 3.1 Project Report ..................................................................................................................................... 32 3.1.1 Overview ..................................................................................................................................... 32 3.1.2 Human resources at Mechi Eye Hospital, Jhapa ......................................................................... 36 3.1.3 Activities with physical target ..................................................................................................... 37 3.1.4 Surgical eye camps in the remote areas organized and operated by the Mechi Eye Hospital ... 40 3.1.5 Screening camps ......................................................................................................................... 43 3.1.6 Staff Development and Training ................................................................................................. 45 3.1.7 Primary Eye Care Training to other health Staff ......................................................................... 45 3.1.8 Children Screening / School Screening ....................................................................................... 46 3.1.9 Primary Eye Care Center (PECCs) at district level ....................................................................... 48 3.1.10 Scientific Workshop and Seminar ............................................................................................... 49 3.1.11 Eye Health Education .................................................................................................................. 49 3.1.12 National Programme Support ..................................................................................................... 50 3.1.13 Infrastructure Development (Construction and set-up Private ward cafeteria in the hospital) 50 3.1.14 Mechi Eye Hospital Board Management Meeting ...................................................................... 51 3.1.15 Mechi Eye Hospital Service Reporting System ............................................................................ 52 3.1.16 Perception and Feedback from the Hospital and Primary Eye Care Centre’s Employees .......... 52 3.1.17 Perception and Feedback from District Stakeholder .................................................................. 53 3.1.18 Perception and Feedback from beneficiaries (Patients) ............................................................. 53 3.1.19 Mechi Eye Hospital and Community/People Participation ......................................................... 54 3.1.20 Effectiveness of the Project ........................................................................................................ 54 3.1.21 Mechi Eye Hospital Sustainability ..............................................................................................