Other Issues Identified by the Team Sample Clauses

Other Issues Identified by the Team. All of the issues identified during the final evaluation have been thoroughly discussed throughout this report. No additional issues were raised or identified.
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Other Issues Identified by the Team. [The following comments do not reflect on any weaknesses of the Plan KIDCARE program, but are the results of using the foundation of the KIDCARE partnership to highlight areas where the partners could expand to address problems that remain in Kilifi District.] Need to expand the KIDCARE model to include Maternal and Newborn Care Although it was not the focus of the KIDCARE project, the epidemiologic patterns of maternal and infant mortality, experience in project implementation and results from focus group discussions and key informant interviews reveal that more needs to be done to increase skilled delivery and address newborn mortality. As overall U5 mortality decreases, newborn mortality represents an increasing percentage of child deaths. Newborn mortality is largely hidden in Kilifi and babies who die are not buried in the open as are older children. The team heard anecdotal reports that dead newborns are buried in the floor of the house, There is a need for a maternal and newborn program that expands the focus on the special interventions that can have an impact in that area. Recent research results from other countries can provide lessons learned that should be tested in Kenya. Due to the key importance of family planning in reducing maternal and infant mortality, it should be included as an integral component of a maternal and newborn program. Addressing transportation challenges for access to EmOC will need to be included for women in distant rural areas far away from referral facilities. Kenya is unlikely to make progress in MDG 5 without significant community-health facility linkages to increase skilled deliveries. Community mobilization alone, however, will have limited impact in this area. But the Kilifi DMOH has shown remarkable commitment to collaborative planning to develop mutually-identified health system solutions to problems. Hence, this could be a good environment to “show how it can be done” in a poor and challenged environment in Kenya if attempted soon after the completion of the KIDCARE project. Diarrhea Prevention Strategies Need to be Expanded to Decrease Prevalence Although significant improvements were made in factors known to contribute to diarrhea, prevalence (50% in 12-24 months olds) remains too high. FGDs conducted during evaluation field work attempted to determine some factors contributing to the high prevalence. Open defecation, inconsistent compliance with all key hand washing behaviors, water shortages and overall poo...
Other Issues Identified by the Team. During field visits to Nacala-a-Velha and Memba Districts, the FE team observed that SC had already established a field level Development Area Program (DAP) Office in Nacala Porto. Staffing included a chief of logistics, secretaries, receptionist, bookkeeper, agronomists, and drivers. The office space was being shared with the CS-16 program staff who depended heavily on the DAP staff for logistical and administrative support. From the discussions held with the SC and the DAP field staffs, it was learned that the DAP has been in the area of Nacala Porto for more than three years and that they are expected to remain there for an additional two years. The DAP focus has been on agriculture with special interest in improving food security in the communities. From the interview conducted with the health program staff, the FE team learned that although DAP/Food Security programs had different funding sources and overall goals, there are aspects of the two programs that are complementary and that could have been emphasized to ensure closer collaboration among the two program teams in Nampula Province.
Other Issues Identified by the Team. All of the topics identified by the Evaluation Team as pertinent to this evaluation have been addressed in the previous sections of the report.

Related to Other Issues Identified by the Team

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