Results and outcomes. The Kita CSP did extremely well in this component with only one out of eight indicators falling short of the project target. i.e the proportion of children 6-59 months who received Vitamin A twice in the past 12 months was noted at 50% at the final, as compared to the 60% target. Except for the above indicator, all others for Immunization and Vitamin A surpassed the objectives set by the project. The success in the area of coverage is particularly notable because of the challenges faced. For, percentage of children 12-23 months completely vaccinated by the first birthday, the project saw a change from 51% at the baseline to 77.2% at the final. The target was 71%. Likewise the project saw a great reduction in the drop out rate, with the proportion of children 12-23 months with DPT 1 minus those with DPT 3 going from 49% at baseline to 18.9% at the final, more than meeting the 20% objective. The proportion of children 12-23 months with measles vaccine also did very well, beginning with 51% at baseline and ending with 83.5% at final, surpassing the 80% target. Mothers of children 0-23 months who delivered at health facilities reporting that they received at least 2 doses of Vitamin A (200,000 IU) before leaving the center was 97.2% at the final compared to the target 60%. No baseline data is available. In terms of disease surveillance: the proportion of cases of measles, polio, neonatal tetanus reported to the health facilities was 100%, and the response by the health facility on reported data was 100%. Success in related indicators also monitored by the project but not in the DIP included: Children 0-23 months who have an immunization card (49% at baseline and 94.6% at the final – target was 80%); Mothers of children 0-23 months who delivered at the health facility reported receiving Vitamin A was 40.1% at the midterm LQAS, and 97.2% at the final KPC, more than achieving the 60% target; and Mothers of children 0-23 months with a prenatal card was 70% at the final, again bypassing the 60% target.
Results and outcomes. The results for the diarrhea component were mixed. When it came to the proportion of children 0-5 months who received only breast milk in the 24 hours before the survey (exclusive breastfeeding), there was a big improvement from the baseline 11.6% to 62.4% at the final, achieving the 60% target. Although there was no baseline data for the proportion of mothers able to site at least 2 methods of preventing diarrhea, the final was 67.6%, almost reaching the project target of 70. But the results for diarrhea treatment with ORS or home-based fluids seem to indicate that there has been no change (25.2% at baseline and 25.5% at final). FGD discussions with mothers seem to indicate that the above question was understood to mean use of ORS packets only because in all group interviews it was clear that the preparation of sugar, salt, solution at home was common knowledge. Mothers also spoke about giving other fluids such a liquid porridge and breast milk; all of the above they said, as substitutes for ORS packets when they can’t get them. The results for the proportion of HC staff, relais, and ASACOs trained for this component was 100%, 95.7% and 0% respectively. Thus with respect to the first two cadre, the project target was achieved, and close to being achieved. Tremendous success in related IMCI indicators that were monitored by the project, although not included in the DIP objectives, were the following: Mothers of children 0-23 months who know 2 signs indicating that a child needs care went from 35.3% at baseline to 87.8% at the final, above and beyond the 60% target; Children 0-23 months who were sick who received at least the same amount or more than usual to drink went from 26.6% at baseline to 85.8% at the final, again more than the 60% target; and Children 0-23 months who were sick who received at least the same amount, or more than usual to eat started at 21% at baseline and went to 86.3% at final, again surpassing the 60% target. Although the project also followed the indicator for immediate breastfeeding: percent of children who received breast milk within the first hour of birth, the results seem to indicate a difference in how the question was posed at the baseline and final (79.7% and 51.5% respectively) because the a big reduction in this indicator does not make sense. At the baseline, the enumerators probably focused on whether or not the child received colostrom (as this was emphasized to be the rationale behind the question). While at the final...
Results and outcomes. The project achieved two out of three objectives set for the pneumonia case management component. When it came to the proportion of children 0-23 months with fast/difficult breathing taken to a health facility, the project contributed to an enormous improvement, as it was 20% at the baseline and jumped to 60% at the final. This achievement was far beyond the 40% objective set. The proportion of fever cases referred to the health facility (overlapping symptom with malaria) was 59.1% at baseline and jumped to 83.7% at final (as mentioned under malaria results). This also surpassed the target of 75%. As has already been mentioned under the other components, the proportion of CSCom (health facility) staff trained was 95.7%, close to the 100% target. And lastly, although no precise objective was set for the following related capacity building indicator, the proportion of CSComs with 10 essential drugs in stock during the last six months (including antibiotics) went from none (zero) to a third (33.3%) in the sample of 12 CSComs surveyed.
