Revisions from Original Proposal. There were a number of changes from the original proposal, to reflect changing conditions and the increasing familiarity of the IRC with its partners and with the situation in Kono. However, the major elements of the proposal have remained the same, including: - Program site - Partners - Choice of interventions - Major strategies, such as use of quality assurance, the use of health information to improve decision-making, and community Integrated Management of Childhood Illness. Some changes include: Number of beneficiaries A village-by-village census done to prepare for the KPC survey revealed that the population in the program area was approximately 46,000, rather than the 100,000 estimated during proposal development. The IRC has addressed this discrepancy by working with the DHMT to add more health facilities to the program’s catchment area. The District Medical Officer has accepted this solution and assigned nine more PHUs to the Child Survival Program. The IRC will begin work in the thirteen PHUs mentioned in the original proposal. The other nine PHUs will be added around the time of the mid-term. The original program area will act essentially as a pilot site. Also, the KPC survey will continue to use the same program area, so that subsequent surveys can be compared to the original. Program data from the facility and community reports will be used to insure that the areas added later are also progressing. The field team may also decide to do a second KPC survey in the new area.
Revisions from Original Proposal. The main table included in the M&E section of the original proposal was revised and further detailed. The new table, which became the work plan for the first two years as required in the DIP guidelines, includes intermediate results (outcomes), as well as specific results and process indicators for the same range of interventions originally proposed. The target area remains the same. See Appendix 4 for the map of the target area. In addition, a revised budget is included, which reflects the new Project HOPE’s NICRA with USAID approved on May 7, 2003. See Appendix 5 for the Memorandum of Understanding with the MOH and Project HOPE. Detailed Implementation Plan
