Por estos dos motivos, defensa de JOH solicita repetir juicio
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Definition of 'Support'
1. Expanding orphans and vulnerable children
support in Haiti: Improving the definition
of ‘support’
Elaine Baruwa, PhD, Rachelle Castagnol, MD, Asha Sharma, MA, Natasha Hsi, MPH, Abt Associates
Background Educational Support Results Nutritional Support Results
HIV can further debilitate Haitian children beyond
$300 $500
their already challenged circumstances
$450
2008 WHO estimates for Haiti: 50% primary
$250
school enrollment, DTP3 immunization rate of $400
53%, 29% of children <5 years old are moderately $350
$200
to severely malnourished $300
PEPFAR and Global Fund have been funding OVC $250
$150
programs since 2003 $200
June 12th earthquake exacerbated an already harsh
$100 $150
situation for children in and around Haiti’s densely
populated capital, Port-au-Prince $100
EMMUS-IV* estimated 25% of children to be $50 $50
‘vulnerable’ in 2006 – which equates to $0
Household Food Individual Food Package Ready-to-Use 3 Meals/Day/Child
approximately 800,000 children in 2009 $0
Primary Education Secondary Uniforms School Bags Vocational Training
Package Therapeutic Food
Course/Child
Education
*http:/www.measuredhs.com/pub_details.cfm?ID=767 Partner 1 Partner 2 Partner 3 Partner 4 Partner 1 Partner 2 Partner 3 Partner 4
All partners report providing educational support to thousands All partners report providing educational support to thousands
Objectives and Methods of OVC but of OVC but
Type of support varies widely Type and cost of support varies widely across partners (as
Precisely define and cost the OVC services delivered Cost per child varies widely low as $50 and as high as $450)
in Haiti
Recommendations include: Recommendations include:
To deepen understanding of OVC support provided
Partners should be required to report precise descriptions Partners should be required to report precise descriptions
beyond broad PEPFAR indicators reported of support and costs per child supported of support and costs per child supported
To support program funding decision-making
Impact evaluations are critical, funders fund children in Impact evaluations are critical, funders want to
school but school fees ≠ educated child increase/improve OVC nutrition, but no partner monitored
To support quality improvement activities child weight
The four largest PEPFAR implementing partners were
selected for:
Key informant interviews (program managers, Next Steps
financial o cers) Increasing the specificity of M&E and financial reporting
Financial report reviews Health Systems20/20 is piloting output-based financial reporting of community-based care (including
Monitoring and evaluation data reviews OVC care) in Mozambique and Tanzania in 2011
Further work on understanding impact of services delivered is highly recommended
To di erentiate between process measures and actual impact/achievements and streamline care to
high-impact interventions
To ensure appropriate use of costing information – the cheapest should not always be used and the
most expensive should not always be dropped
To reduce barriers to partnering with other funders by ensuring that each funder can identify their
contribution and impact
To increase our understanding of potential use of OVC support/partners in reaching OVCs with health
June 2011
January 2010
interventions, referral 'systems' and monitoring of impact
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