Assessment of Results and Impact of the Program. Presented below is a summary chart of the results of Xxxx Xxxx. The chart is based on the program objectives and indicators presented in the project’s Detailed Implementation Plan (DIP) with several modifications that were approved by USAID based on recommendations from the Midterm Evaluation.
Assessment of Results and Impact of the Program. The final evaluation was conducted using a participatory approach, and the information and recommendations that are detailed in this report are a result of the KPC, HFA, FGD, home visits, the project monitoring system, and data reviews. The goal of this project is the sustained reduction in infant and child mortality by fostering a partnership between communities and health facilities to address the major causes of morbidity and mortality in children less than 5 years of age. Plan Cameroon successfully piloted IMCI in one district of Cameroon, leading the effort to introduce IMCI to the country, with the intention by Plan and the MOH (and UNICEF, WHO, HKI, PSI and others) to scale up IMCI throughout the entire country based on the results of this project (as well as the other two pilot districts carried out by UNICEF and WHO). Plan intends to submit another CS proposal, this time under the expanded impact category to scale up IMCI in four provinces in the country as part of a nation-wide scale up campaign being co-funded by several donors. This report is written with the intention of providing a road map for scale up of IMCI in Cameroon. The successes realized during this project will be capitalized on, while the weaknesses and constraints encountered are being thoroughly discussed and analyzed using a transparent approach. Recommendations have been drafted for all areas of the project with a focus on improving problematic issues for successful scale up. Everyone who participated in this project, and all those involved in the final evaluation collectively felt that the project had gotten off to a slow start. The first year and a half were taken up by preparing the foundation for the project, including hiring staff, positioning supplies and logistics, establishing community structures, and training Plan staff, AAPPEC staff and health promoters, health facility and other MOH staff, and all the community structures that would become the backbone for the implementation of the project. For this reason, everyone felt that the project had only really been producing results for a short period of time (barely over two years), and that in reality the project should continue for another two years in order to really demonstrate impact. They thought that the gains in the first two years (baseline to midterm) would not be as great as the gains in the final two years (midterm to final). However, a review of the data shows that in spite of the time taken for the project t...
Assessment of Results and Impact of the Program. ❑ The secret of success for improving utilization of health services and community participation is treating others well, kindness and deepening friendships among CHWs, health personnel and community members. ❑ Joint planning and implementation between CARE and the MOH beginning with the development of the proposal and detailed implementation plan paved the way for the success of CS Project interventions and enhanced sustainability. ❑ The participation of the MOH in project design and the commitment to unity and sincerity as basic values in all relationships with partners fostered the success of the CS Project. ❑ The degree of motivation of the volunteer network and the creation of strong relationships between CHWs and Health Posts is a result of direct implementation through the MOH and not separately by CARE. ❑ Teaching about health in the schools was an effective strategy for disseminating knowledge and motivating new health practices in the home. ❑ The implementation of adult education methodologies improved the CARE/MOH training program 100%. ❑ The changes that health personnel made to improve service delivery based on quality of care assessments were crucial to improving communication and acceptance of the services offered. ❑ The stability of MOH staff has been a key factor in the success of the CS Project. ❑ Food security activities are a good way to motivate participation, as families value their increased capacity to produce a variety of foods that improve both income and nutrition. ❑ Home food production activities were an excellent way to include men in health activities.
