SlideShare ist ein Scribd-Unternehmen logo
1 von 30
Select KPC Results for Projects
       that ended in 2011




         October 12, 2012
Projects by country




                      2
Technical intervention areas and
     levels of effort (LOE)
                     Start
PVO/NGO Country              NUT   PCM   CDD    MAL   MNC    CS    HIV
                     Year
CARE      Nepal      2007    5%    5%    5%           75%          10%
Concern   Rwanda     2006          30%   35%    35%
GOAL      Ethiopia   2007    25%         25%    25%   25%
Wellshare Tanzania   2006          15%   15%    20%   35%    15%
Plan      Nepal      2007                             100%
PSI       Malawi     2006                100%
RI        Niger      2007    30%         20%    20%   30%
Save      Malawi     2006                             100%
TOTAL                        8%    6%    25%    13%   46%    2%    1%

                                                                    3
CATCH Indicators with LOE moved

                             #         #          %
PVO           Country    Reported   Stat Sig   Stat Sig
Concern **    Rwanda         6         6        100 %
RI            Niger         11         9         82 %
PLAN          Nepal          4         2         50 %
Wellshare *   Tanzania      11         5         45 %
CARE          Nepal         10         4         40 %
SC            Malawi         5         2         40 %
GOAL          Ethiopia      11         4         36 %
PSI           Malawi         4         0         0%

                                                          4
CATCH indicators in M&E plan moved

                         #       #          %        # >=
PVO        Country   Reported Stat Sig   Stat Sig   Target
Concern Rwanda           4       4        100%        2
SC        Malawi         4       3         75%        1
RI        Niger          8       5         63%        6
Wellshare Tanzania       8       4         50%        5
PLAN      Nepal          2       1         50%        2
CARE      Nepal          5       2         40%        3
GOAL      Ethiopia      15       4         27%        9
PSI       Malawi         0       0          -         0

                                                             5
Relief International:
        Targeted CATCH/Key Indicators
               100


                80
Coverage (%)




                60


                40


                20


                 0




                     Baseline   Endline
                                          6
Concern Worldwide:
               Targeted CATCH Indicators
          100


               80
Coverage (%)




               60


               40


               20


                0
                    Child ITN   Soap    POU       ORS/ RHS   AntiMs   ARI Care-
                                                             <2days    seeking
                                       Baseline   Endline

                                                                                  7
Infant and Young Child Feeding:
                Results from 2010 & 2011
               100

                80
Coverage (%)




                60

                40

                20

                 0
                      Nepal   Liberia    Ethiopia      Peru    Niger   Cambodia
                     (CARE)    (MTI)     (GOAL)      (INMED)   (RI)      (IRD)
                                        Baseline    Endline

                                                                             8
Newborn postnatal visit within 3 days:
                Results from 2010 & 2011
               100


                80
Coverage (%)




                60


                40


                20


                 0
                      Nepal   Liberia   Kenya    Cambodia Kenya Tanzania      Nepal   Malawi
                     (CARE)    (MTI)     (HR)      (IRD) (AMREF) (Wellshare) (PLAN)    (SC)

                                                Baseline   Endline

                                                                                          9
DHS for comparison

                 DHS      DHS
     Country
                year 1   year 2
    Ethiopia     2005     2011
     Malawi      2004     2010
     Nepal       2006     2011
      Niger      2006      N/A
    Rwanda       2005     2010
    Tanzania   2004-05    2010

                                  10
4+ Antenatal Care Visits:
               A comparison of KPC and DHS data (2006/7 - 2011)

               100

               80
Coverage (%)




               60

               40

               20

                0
                        Goal              Save          CARE            Plan      Wellshare
                     (Ethiopia)         (Malawi)       (Nepal)         (Nepal)    (Tanzania)
                         Baseline DHS         Endline DHS        Baseline KPC    EndlineKPC


                                                                                              11
2+ Maternal Tetanus Toxoid Vaccinations:
               A comparison of KPC and DHS data (2006/7 - 2011)

               100

               80
Coverage (%)




               60

               40

               20

                0
                        Goal        Save         CARE       Plan     Wellshare     Relief
                     (Ethiopia)   (Malawi)      (Nepal)    (Nepal)   (Tanzania)   (Niger)
                         Baseline DHS        Endline DHS    Baseline KPC      EndlineKPC

                                                                                       12
Skilled Birth Attendance:
               A comparison of KPC and DHS data (2006/7 - 2011)

               100

               80
Coverage (%)




               60

               40

               20

                0
                        Goal         Save        CARE        Plan       Wellshare      Relief
                     (Ethiopia)    (Malawi)     (Nepal)     (Nepal)    (Tanzania)     (Niger)
                           Baseline DHS       Endline DHS     Baseline KPC      EndlineKPC

                                                                                           13
Breastfeeding within 1 Hour:
               A comparison of KPC and DHS data (2006/7 - 2011)

               100

                80
Coverage (%)




                60

                40

                20

                 0
                       Goal        Save         CARE        Plan     Wellshare     Relief
                     (Ethiopia)   (Malawi)     (Nepal)     (Nepal)   (Tanzania)   (Niger)
                           Baseline DHS      Endline DHS    Baseline KPC    EndlineKPC

                                                                                         14
Exclusive Breastfeeding 0-5 months:
               A comparison of KPC and DHS data (2006/7 - 2011)

               100

               80
Coverage (%)




               60

               40

               20

                0
                      CARE         Plan        Goal        Save      Wellshare      Relief
                     (Nepal)     (Nepal)    (Ethiopia)   (Malawi)    (Tanzania)    (Niger)
                          Baseline DHS     Endline DHS     Baseline KPC     EndlineKPC

                                                                                        15
Underweight:
               A comparison of KPC and DHS data (2006/7 – 2011)

               50

               40
Coverage (%)




               30

               20

               10

                0
                      Goal       Save       PSI          CARE        Plan       Relief
                    Ethiopia   (Malawi)   (Malawi)      (Nepal)     (Nepal)    (Niger)
                          Baseline DHS    Endline DHS     Baseline KPC    EndlineKPC

                                                                                       16
Pneumonia Care-seeking:
               A comparison of KPC and DHS data (2006/7 – 2011)

               100

               80
Coverage (%)




               60

               40

               20

                 0
                         CARE                   Concern               Wellshare
                        (Nepal)                (Rwanda)               (Tanzania)
                       Baseline DHS   Endline DHS      Baseline KPC    EndlineKPC

                                                                                    17
ORS/RHF:
               A comparison of KPC and DHS data (2006/7 - 2011)

               80


               60
Coverage (%)




               40


               20


                0
                       Goal          PSI        CARE      Concern     Wellshare      Relief
                    (Ethiopia)    (Malawi)     (Nepal)   (Rwanda) (Tanzania)        (Niger)
                            Baseline DHS     Endline DHS    Baseline KPC     EndlineKPC

                                                                                          18
Point-of-Use Water Treatment (2006/7 – 2011)

               80


               60
Coverage (%)




               40


               20


               0
                     CARE      Concern     GOAL       PSI        Relief   Wellshare
                    (Nepal)   (Rwanda) (Ethiopia)   (Malawi)    (Niger)   (Tanzania)
                                    Baseline (%)    Endline (%)


                                                                                   19
Soap at the Place for Hand Washing (2006/7 – 2011)

               100

                80
Coverage (%)




                60

                40

                20

                 0
                      Nepal    Rwanda        Niger       Tanzania       PSI        GOAL
                     (CARE)   (Concern)     (Relief)    (Wellshare)   (Malawi)   (Ethiopia)
                                          Baseline     Endline

                                                                                      20
Child ITN use:
               A comparison of KPC and DHS data (2006/7 – 2011)

               100

               80
Coverage (%)




               60

               40

               20

                 0
                        Concern             Wellshare                Relief
                       (Rwanda)             (Tanzania)              (Niger)
                       Baseline DHS   Endline DHS    Baseline KPC   EndlineKPC

                                                                                 21
Appropriate fever treatment:
               A comparison of KPC and DHS data (2006/7 – 2011)

               60



               40
Coverage (%)




               20



                0
                         Concern             Wellshare                Relief
                        (Rwanda)             (Tanzania)              (Niger)
                       Baseline DHS   Endline DHS    Baseline KPC   EndlineKPC

                                                                                 22
ANY QUESTIONS?
   Thank you!

www.mchipngo.net
  www.mchip.net

   Follow us on:
Detailed baseline and endline KPC
         survey information
          Sampling                                                  Endline
  PVO                 BL Den        BL Dates         EL Den                                                 Notes
           Method                                                    Dates
  CARE    Cluster       660          3/2008            660          3/2011       30 villages x 11 HHs x 2 districts
                                                                                 BL: 6 dist x 5 SAs x 95 HHs
                                                    120 (well)
Concern    LQAS         570         2-3/2007                       6-7/2011      EL: 6 dist x 20 HH (well), 61-74 HH (sick)
                                                    395 (sick)                   Well-child (0-23 mo); Sick-child (0-59 mo)
 GOAL      LQAS         114          2/2008            114          8/2011       6 SAs x 19 communities
                                                                             35 SAs x 19HHs
                     532 (2 dist) 2/2008 (2 dist)   532 (2 dist)             Parsa: 13 SAs=247 (2007 CATCH)
  PLAN     LQAS                                                     6-7/2011
                     133 (Bara) 6/2006 (Bara)       133 (Bara)               Sunsari: 15 SAs=285 (2007 CATCH)
                                                                             Bara: 7 SAs=133 (2000+ CATCH)
                                                                             3-stage stratified cluster sampling
   PSI    Cluster       300         2-3/2007           391         6-11/2010 Baseline KPC survey in Salima District
                                                                             Endline data extracted from 2010 DHS in Salima District
                                                                             BL: 30 clusters x 11HH from 453 villages in target district
 Relief   Cluster       330          1/2008            358           9/2011
                                                                             EL: 30 clusters x 12HH from 61 focus villages
                                                                             BL: 30 Clusters x 10 HHs
                                                                             EL: 45 Clusters x 10 HHs
  Save    Cluster       300          2/2007            450         6/2011(?)
                                                                             Over-sampled 15 clusters in Ekwendeni catchment area
                                                                             (22 from Ekwendeni area, 23 from non-Ekwendeni area)
                                                                             BL: 34 clusters x 10HHs
Wellshare Cluster       340         2-3/2007           390           6/2011
                                                                             EL: 30 clusters x 13HHs
                                                                                                                               24
FE KPC Best Practices
 Inclusion of BL and MT (if applicable) data
 Denominators and CIs for all %s (including BL and MT – not just EL)
 Comparison to baseline
 Possible explanations for changes or lack of change
 Tabulation tables as an annex
 Correct population-weighting
 DHS comparison (if applicable/possible)
 Dates that data were collected (including BL)
 Summary of any changes/recalculations that were made to BL data
  since DIP/initial submission
 Any differences in sampling methodology (BL vs. EL vs. MT)


                                                                   25
Wellshare
 Reported MNC Indicators
100                                                                     Baseline
90                                                                      Final
                                                                        EOP Target
80
                                                                        TDHS 2010
70
60
50
40
30
20
10
  0
      ANC       Skilled   AMSTL   Newborn Cord Care PPC       PPC          EBF
      Visits   Provider           Wrapped          (Mother) (Newborn)

                                                                                   26
CARE                                            Plan
• CB-NCP (only Doti)                             • CB-NCP
• BPP/Safe Motherhood Package                    • FCHV-led Pregnant Women’s Groups (subset
• National c-IMCI strategy                       of mothers’ groups)
• Birthing center establishment                  • Strong engagement of VDCs
• FCHV-led mothers’ groups                       • Birthing center establishment
• Involvement of mothers-in-law and husbands
(decision makers)
• SATH in marginalized communities
• Leveraged other CARE projects

                  Wellshare                                           Save
• VHC establishment                              • IMNC training manual
• Long distance drivers – em trans & health ed   • CBMNC package
• Health advocates in 2 marginalized tribes      • KMC expansion
• AFYA 1-2-3 BCC campaign                        • ENC promotion (agogo)
(3 key messages / intervention area)
• TBA/CORPs-led community activities
• TBA-led Survive & Thrive
Groups, registers, home visits                                                        27
• TBAs repositioned
Concern                                     Relief
• CHW peer support groups                   • Women’s health groups
• CHW home visits w/ counseling             • Home visits
• Community mobilization database           • HW & CHW HH/C-IMCI training
• IMCI bulletin                             • TBAs repositioned as delivery companions
• Infrastructure development




                     GOAL                                         PSI
• Adapted care groups                       • Social marketing + behavior change
• CGV home visits                           • Targeted outreach communications
• CGV referrals & follow-ups                • Communication material development
• Worked at health post level – capacity,   • Helped with zinc inclusion in EDL
supportive supervision, QOC




                                                                                   28
[KU1]Will definitely remove but I think it would   be useful to share internally to show what grantees are/aren’t reporting
 [OB2]I think you can remove this section.


         Summary of information included
         in/missing from KPC reports
PVO                                                                        Information provided in KPC Report

CARE            Did not calculate weighted averages/did not explain why; no explanation for change (or lack thereof) in indicators; compared to
                baseline; provided tables with denominators; also did capacity assessments of HFs, HWs, and FCHV but didn’t seem to link them all
                together
Concern         Provided some potential explanations for indicators within intervention areas and also compared them to baseline; did not discuss
                other CATCH indicators at all; provided CIs with estimates; denominators in a separate table; pop weighted SAs!
GOAL            Provided some potential explanations; provided both denominators and CIs; compared to MTE and BL (but neither had CIs);
                reported in database as one area but showed disaggregated results in FE (2 woredas) having small denominators (57 each); did not
                pop weight SAs
PLAN            Did not provide potential explanations – just #s, decision rule tables, and recommendations by SA for low-performing indicators;
                provided tables with estimates compared to MTE & BL but without CIs or Denominators (needed to go into the decision rule table
                to figure them out); Did not pop-weight SAs!
PSI             Used 2010 DHS data in their final KPC report. The conducted a TRAC survey in 2011 but did not use it in their FE report.
                Did not provide explanations for change or lack of change. Did not even include all CATCH indicators in the final KPC report, which
                was very short (4 pages?).
Relief          Provided some potential explanations; provided tables with denominators; compared to baseline in discussion
Save            Did not provide explanations – just #s and summaries; provided tables with denominators and weighted averages with CIs, as well
                as baseline % and denominator (would have been nice to see CI also); compared #s to baseline; database can accommodate design
Wellshare       Provided Access file with KPC data; Also provided tabulation tables in their final KPC report; Provided BL & EL numerators, denominators, and
                CIs in indicator tables; Also compared to 2010 DHS; Did not include possible explanations for changes in the indicators in the KPC report – some
                in FE narrative.


                                                                                                                                                    29
Health Facility Delivery:
A comparison of KPC and DHS data (2006/7 – 2011)

 90
                                      Baseline DHS
 80                                   Endline DHS
                                      Baseline KPC
 70                                   EndlineKPC

 60

 50

 40

 30

 20

 10

  0
       Save       CARE        Plan          Wellshare
       Malawi     Nepal       Nepal         Tanzania

                                                        30

Weitere ähnliche Inhalte

Andere mochten auch

Hospital sector 39
Hospital sector 39Hospital sector 39
Hospital sector 39
Shyam Singh
 
Apollo Hospital case study
Apollo Hospital case studyApollo Hospital case study
Apollo Hospital case study
Pulkit Yadav
 

Andere mochten auch (7)

Specific Multi-drug Resistance MRSA-VRSA-ESBL-KPC
 Specific Multi-drug Resistance MRSA-VRSA-ESBL-KPC Specific Multi-drug Resistance MRSA-VRSA-ESBL-KPC
Specific Multi-drug Resistance MRSA-VRSA-ESBL-KPC
 
Hospital sector 39
Hospital sector 39Hospital sector 39
Hospital sector 39
 
hospital case study
hospital case studyhospital case study
hospital case study
 
Case study
Case studyCase study
Case study
 
Shouldice Hospital
Shouldice HospitalShouldice Hospital
Shouldice Hospital
 
Apollo Hospital case study
Apollo Hospital case studyApollo Hospital case study
Apollo Hospital case study
 
ECCMID 2014: Outbreak of colistin-resistant Klebsiella pneumonia Carbapenemas...
ECCMID 2014: Outbreak of colistin-resistant Klebsiella pneumonia Carbapenemas...ECCMID 2014: Outbreak of colistin-resistant Klebsiella pneumonia Carbapenemas...
ECCMID 2014: Outbreak of colistin-resistant Klebsiella pneumonia Carbapenemas...
 

Ähnlich wie Rapid Catch Indicators Lunch Roundtable_10.12.12

Ähnlich wie Rapid Catch Indicators Lunch Roundtable_10.12.12 (6)

Teleuse@BOP4
Teleuse@BOP4Teleuse@BOP4
Teleuse@BOP4
 
The Transfer Project: Reflections After Ten Years
The Transfer Project: Reflections After Ten YearsThe Transfer Project: Reflections After Ten Years
The Transfer Project: Reflections After Ten Years
 
Drivers of Africa's Rainbow Revolution
Drivers of Africa's Rainbow RevolutionDrivers of Africa's Rainbow Revolution
Drivers of Africa's Rainbow Revolution
 
GPRHCS 2011 Progress and Achievements
GPRHCS 2011 Progress and AchievementsGPRHCS 2011 Progress and Achievements
GPRHCS 2011 Progress and Achievements
 
Managing internationalisation: institutional co-operation
Managing internationalisation: institutional co-operationManaging internationalisation: institutional co-operation
Managing internationalisation: institutional co-operation
 
saskdocs' Presentation to SUMA Delegates - January 31, 2012uma presentation e...
saskdocs' Presentation to SUMA Delegates - January 31, 2012uma presentation e...saskdocs' Presentation to SUMA Delegates - January 31, 2012uma presentation e...
saskdocs' Presentation to SUMA Delegates - January 31, 2012uma presentation e...
 

Mehr von CORE Group

Mehr von CORE Group (20)

Presentation_Behar - Private Public Partnerships and CKDu
Presentation_Behar - Private Public Partnerships and CKDuPresentation_Behar - Private Public Partnerships and CKDu
Presentation_Behar - Private Public Partnerships and CKDu
 
Presentation_World Vision - Private Public Partnerships and CKDu
Presentation_World Vision - Private Public Partnerships and CKDuPresentation_World Vision - Private Public Partnerships and CKDu
Presentation_World Vision - Private Public Partnerships and CKDu
 
Presentation_Wesseling - Private Public Partnerships and CKDu
Presentation_Wesseling - Private Public Partnerships and CKDuPresentation_Wesseling - Private Public Partnerships and CKDu
Presentation_Wesseling - Private Public Partnerships and CKDu
 
Presentation_NCDs - Private Public Partnerships and CKDu
Presentation_NCDs - Private Public Partnerships and CKDuPresentation_NCDs - Private Public Partnerships and CKDu
Presentation_NCDs - Private Public Partnerships and CKDu
 
Presentation_HRH2030 - Opportunities to optimize and integrate CHW
Presentation_HRH2030 - Opportunities to optimize and integrate CHWPresentation_HRH2030 - Opportunities to optimize and integrate CHW
Presentation_HRH2030 - Opportunities to optimize and integrate CHW
 
Presentation_Save the Children - Building Partnerships to Provide Nurturing Care
Presentation_Save the Children - Building Partnerships to Provide Nurturing CarePresentation_Save the Children - Building Partnerships to Provide Nurturing Care
Presentation_Save the Children - Building Partnerships to Provide Nurturing Care
 
Presentation_Video - Building Partnerships to provide nurturing care
Presentation_Video - Building Partnerships to provide nurturing carePresentation_Video - Building Partnerships to provide nurturing care
Presentation_Video - Building Partnerships to provide nurturing care
 
Presentation_Perez - Building Partnerships to provide nurturing care
Presentation_Perez - Building Partnerships to provide nurturing carePresentation_Perez - Building Partnerships to provide nurturing care
Presentation_Perez - Building Partnerships to provide nurturing care
 
Presentation_Robb-McCord - Building Partnerships to provide nurturing care
Presentation_Robb-McCord - Building Partnerships to provide nurturing carePresentation_Robb-McCord - Building Partnerships to provide nurturing care
Presentation_Robb-McCord - Building Partnerships to provide nurturing care
 
Presentation_Discussion - Norms Shifting Interventions
Presentation_Discussion - Norms Shifting InterventionsPresentation_Discussion - Norms Shifting Interventions
Presentation_Discussion - Norms Shifting Interventions
 
Presentation_Krieger - Norms Shifting Interventions
Presentation_Krieger - Norms Shifting InterventionsPresentation_Krieger - Norms Shifting Interventions
Presentation_Krieger - Norms Shifting Interventions
 
Presentation_NSI - Norms Shifting Interventions
Presentation_NSI - Norms Shifting InterventionsPresentation_NSI - Norms Shifting Interventions
Presentation_NSI - Norms Shifting Interventions
 
Presentation_Igras - Norms Shifting Interventions
Presentation_Igras - Norms Shifting InterventionsPresentation_Igras - Norms Shifting Interventions
Presentation_Igras - Norms Shifting Interventions
 
Presentation_Petraglia - Norms Shifting Interventions
Presentation_Petraglia - Norms Shifting InterventionsPresentation_Petraglia - Norms Shifting Interventions
Presentation_Petraglia - Norms Shifting Interventions
 
Presentation_Sprinkel - Norms Shifting Interventions
Presentation_Sprinkel - Norms Shifting InterventionsPresentation_Sprinkel - Norms Shifting Interventions
Presentation_Sprinkel - Norms Shifting Interventions
 
Presentation_Tura - Norms Shifting Interventions
Presentation_Tura - Norms Shifting InterventionsPresentation_Tura - Norms Shifting Interventions
Presentation_Tura - Norms Shifting Interventions
 
Presentation_Sacher - Norms Shifting Interventions
Presentation_Sacher - Norms Shifting InterventionsPresentation_Sacher - Norms Shifting Interventions
Presentation_Sacher - Norms Shifting Interventions
 
Innovative Financing Mechanisms and Effective Management of Risk for Partners...
Innovative Financing Mechanisms and Effective Management of Risk for Partners...Innovative Financing Mechanisms and Effective Management of Risk for Partners...
Innovative Financing Mechanisms and Effective Management of Risk for Partners...
 
Presentation_Multisectoral Partnerships and Innovations for Early Childhood D...
Presentation_Multisectoral Partnerships and Innovations for Early Childhood D...Presentation_Multisectoral Partnerships and Innovations for Early Childhood D...
Presentation_Multisectoral Partnerships and Innovations for Early Childhood D...
 
Presentation_Jurczynska - Catalyzing Investments in RMNCAH at the Community L...
Presentation_Jurczynska - Catalyzing Investments in RMNCAH at the Community L...Presentation_Jurczynska - Catalyzing Investments in RMNCAH at the Community L...
Presentation_Jurczynska - Catalyzing Investments in RMNCAH at the Community L...
 

Rapid Catch Indicators Lunch Roundtable_10.12.12

  • 1. Select KPC Results for Projects that ended in 2011 October 12, 2012
  • 3. Technical intervention areas and levels of effort (LOE) Start PVO/NGO Country NUT PCM CDD MAL MNC CS HIV Year CARE Nepal 2007 5% 5% 5% 75% 10% Concern Rwanda 2006 30% 35% 35% GOAL Ethiopia 2007 25% 25% 25% 25% Wellshare Tanzania 2006 15% 15% 20% 35% 15% Plan Nepal 2007 100% PSI Malawi 2006 100% RI Niger 2007 30% 20% 20% 30% Save Malawi 2006 100% TOTAL 8% 6% 25% 13% 46% 2% 1% 3
  • 4. CATCH Indicators with LOE moved # # % PVO Country Reported Stat Sig Stat Sig Concern ** Rwanda 6 6 100 % RI Niger 11 9 82 % PLAN Nepal 4 2 50 % Wellshare * Tanzania 11 5 45 % CARE Nepal 10 4 40 % SC Malawi 5 2 40 % GOAL Ethiopia 11 4 36 % PSI Malawi 4 0 0% 4
  • 5. CATCH indicators in M&E plan moved # # % # >= PVO Country Reported Stat Sig Stat Sig Target Concern Rwanda 4 4 100% 2 SC Malawi 4 3 75% 1 RI Niger 8 5 63% 6 Wellshare Tanzania 8 4 50% 5 PLAN Nepal 2 1 50% 2 CARE Nepal 5 2 40% 3 GOAL Ethiopia 15 4 27% 9 PSI Malawi 0 0 - 0 5
  • 6. Relief International: Targeted CATCH/Key Indicators 100 80 Coverage (%) 60 40 20 0 Baseline Endline 6
  • 7. Concern Worldwide: Targeted CATCH Indicators 100 80 Coverage (%) 60 40 20 0 Child ITN Soap POU ORS/ RHS AntiMs ARI Care- <2days seeking Baseline Endline 7
  • 8. Infant and Young Child Feeding: Results from 2010 & 2011 100 80 Coverage (%) 60 40 20 0 Nepal Liberia Ethiopia Peru Niger Cambodia (CARE) (MTI) (GOAL) (INMED) (RI) (IRD) Baseline Endline 8
  • 9. Newborn postnatal visit within 3 days: Results from 2010 & 2011 100 80 Coverage (%) 60 40 20 0 Nepal Liberia Kenya Cambodia Kenya Tanzania Nepal Malawi (CARE) (MTI) (HR) (IRD) (AMREF) (Wellshare) (PLAN) (SC) Baseline Endline 9
  • 10. DHS for comparison DHS DHS Country year 1 year 2 Ethiopia 2005 2011 Malawi 2004 2010 Nepal 2006 2011 Niger 2006 N/A Rwanda 2005 2010 Tanzania 2004-05 2010 10
  • 11. 4+ Antenatal Care Visits: A comparison of KPC and DHS data (2006/7 - 2011) 100 80 Coverage (%) 60 40 20 0 Goal Save CARE Plan Wellshare (Ethiopia) (Malawi) (Nepal) (Nepal) (Tanzania) Baseline DHS Endline DHS Baseline KPC EndlineKPC 11
  • 12. 2+ Maternal Tetanus Toxoid Vaccinations: A comparison of KPC and DHS data (2006/7 - 2011) 100 80 Coverage (%) 60 40 20 0 Goal Save CARE Plan Wellshare Relief (Ethiopia) (Malawi) (Nepal) (Nepal) (Tanzania) (Niger) Baseline DHS Endline DHS Baseline KPC EndlineKPC 12
  • 13. Skilled Birth Attendance: A comparison of KPC and DHS data (2006/7 - 2011) 100 80 Coverage (%) 60 40 20 0 Goal Save CARE Plan Wellshare Relief (Ethiopia) (Malawi) (Nepal) (Nepal) (Tanzania) (Niger) Baseline DHS Endline DHS Baseline KPC EndlineKPC 13
  • 14. Breastfeeding within 1 Hour: A comparison of KPC and DHS data (2006/7 - 2011) 100 80 Coverage (%) 60 40 20 0 Goal Save CARE Plan Wellshare Relief (Ethiopia) (Malawi) (Nepal) (Nepal) (Tanzania) (Niger) Baseline DHS Endline DHS Baseline KPC EndlineKPC 14
  • 15. Exclusive Breastfeeding 0-5 months: A comparison of KPC and DHS data (2006/7 - 2011) 100 80 Coverage (%) 60 40 20 0 CARE Plan Goal Save Wellshare Relief (Nepal) (Nepal) (Ethiopia) (Malawi) (Tanzania) (Niger) Baseline DHS Endline DHS Baseline KPC EndlineKPC 15
  • 16. Underweight: A comparison of KPC and DHS data (2006/7 – 2011) 50 40 Coverage (%) 30 20 10 0 Goal Save PSI CARE Plan Relief Ethiopia (Malawi) (Malawi) (Nepal) (Nepal) (Niger) Baseline DHS Endline DHS Baseline KPC EndlineKPC 16
  • 17. Pneumonia Care-seeking: A comparison of KPC and DHS data (2006/7 – 2011) 100 80 Coverage (%) 60 40 20 0 CARE Concern Wellshare (Nepal) (Rwanda) (Tanzania) Baseline DHS Endline DHS Baseline KPC EndlineKPC 17
  • 18. ORS/RHF: A comparison of KPC and DHS data (2006/7 - 2011) 80 60 Coverage (%) 40 20 0 Goal PSI CARE Concern Wellshare Relief (Ethiopia) (Malawi) (Nepal) (Rwanda) (Tanzania) (Niger) Baseline DHS Endline DHS Baseline KPC EndlineKPC 18
  • 19. Point-of-Use Water Treatment (2006/7 – 2011) 80 60 Coverage (%) 40 20 0 CARE Concern GOAL PSI Relief Wellshare (Nepal) (Rwanda) (Ethiopia) (Malawi) (Niger) (Tanzania) Baseline (%) Endline (%) 19
  • 20. Soap at the Place for Hand Washing (2006/7 – 2011) 100 80 Coverage (%) 60 40 20 0 Nepal Rwanda Niger Tanzania PSI GOAL (CARE) (Concern) (Relief) (Wellshare) (Malawi) (Ethiopia) Baseline Endline 20
  • 21. Child ITN use: A comparison of KPC and DHS data (2006/7 – 2011) 100 80 Coverage (%) 60 40 20 0 Concern Wellshare Relief (Rwanda) (Tanzania) (Niger) Baseline DHS Endline DHS Baseline KPC EndlineKPC 21
  • 22. Appropriate fever treatment: A comparison of KPC and DHS data (2006/7 – 2011) 60 40 Coverage (%) 20 0 Concern Wellshare Relief (Rwanda) (Tanzania) (Niger) Baseline DHS Endline DHS Baseline KPC EndlineKPC 22
  • 23. ANY QUESTIONS? Thank you! www.mchipngo.net www.mchip.net Follow us on:
  • 24. Detailed baseline and endline KPC survey information Sampling Endline PVO BL Den BL Dates EL Den Notes Method Dates CARE Cluster 660 3/2008 660 3/2011 30 villages x 11 HHs x 2 districts BL: 6 dist x 5 SAs x 95 HHs 120 (well) Concern LQAS 570 2-3/2007 6-7/2011 EL: 6 dist x 20 HH (well), 61-74 HH (sick) 395 (sick) Well-child (0-23 mo); Sick-child (0-59 mo) GOAL LQAS 114 2/2008 114 8/2011 6 SAs x 19 communities 35 SAs x 19HHs 532 (2 dist) 2/2008 (2 dist) 532 (2 dist) Parsa: 13 SAs=247 (2007 CATCH) PLAN LQAS 6-7/2011 133 (Bara) 6/2006 (Bara) 133 (Bara) Sunsari: 15 SAs=285 (2007 CATCH) Bara: 7 SAs=133 (2000+ CATCH) 3-stage stratified cluster sampling PSI Cluster 300 2-3/2007 391 6-11/2010 Baseline KPC survey in Salima District Endline data extracted from 2010 DHS in Salima District BL: 30 clusters x 11HH from 453 villages in target district Relief Cluster 330 1/2008 358 9/2011 EL: 30 clusters x 12HH from 61 focus villages BL: 30 Clusters x 10 HHs EL: 45 Clusters x 10 HHs Save Cluster 300 2/2007 450 6/2011(?) Over-sampled 15 clusters in Ekwendeni catchment area (22 from Ekwendeni area, 23 from non-Ekwendeni area) BL: 34 clusters x 10HHs Wellshare Cluster 340 2-3/2007 390 6/2011 EL: 30 clusters x 13HHs 24
  • 25. FE KPC Best Practices  Inclusion of BL and MT (if applicable) data  Denominators and CIs for all %s (including BL and MT – not just EL)  Comparison to baseline  Possible explanations for changes or lack of change  Tabulation tables as an annex  Correct population-weighting  DHS comparison (if applicable/possible)  Dates that data were collected (including BL)  Summary of any changes/recalculations that were made to BL data since DIP/initial submission  Any differences in sampling methodology (BL vs. EL vs. MT) 25
  • 26. Wellshare Reported MNC Indicators 100 Baseline 90 Final EOP Target 80 TDHS 2010 70 60 50 40 30 20 10 0 ANC Skilled AMSTL Newborn Cord Care PPC PPC EBF Visits Provider Wrapped (Mother) (Newborn) 26
  • 27. CARE Plan • CB-NCP (only Doti) • CB-NCP • BPP/Safe Motherhood Package • FCHV-led Pregnant Women’s Groups (subset • National c-IMCI strategy of mothers’ groups) • Birthing center establishment • Strong engagement of VDCs • FCHV-led mothers’ groups • Birthing center establishment • Involvement of mothers-in-law and husbands (decision makers) • SATH in marginalized communities • Leveraged other CARE projects Wellshare Save • VHC establishment • IMNC training manual • Long distance drivers – em trans & health ed • CBMNC package • Health advocates in 2 marginalized tribes • KMC expansion • AFYA 1-2-3 BCC campaign • ENC promotion (agogo) (3 key messages / intervention area) • TBA/CORPs-led community activities • TBA-led Survive & Thrive Groups, registers, home visits 27 • TBAs repositioned
  • 28. Concern Relief • CHW peer support groups • Women’s health groups • CHW home visits w/ counseling • Home visits • Community mobilization database • HW & CHW HH/C-IMCI training • IMCI bulletin • TBAs repositioned as delivery companions • Infrastructure development GOAL PSI • Adapted care groups • Social marketing + behavior change • CGV home visits • Targeted outreach communications • CGV referrals & follow-ups • Communication material development • Worked at health post level – capacity, • Helped with zinc inclusion in EDL supportive supervision, QOC 28
  • 29. [KU1]Will definitely remove but I think it would be useful to share internally to show what grantees are/aren’t reporting [OB2]I think you can remove this section. Summary of information included in/missing from KPC reports PVO Information provided in KPC Report CARE Did not calculate weighted averages/did not explain why; no explanation for change (or lack thereof) in indicators; compared to baseline; provided tables with denominators; also did capacity assessments of HFs, HWs, and FCHV but didn’t seem to link them all together Concern Provided some potential explanations for indicators within intervention areas and also compared them to baseline; did not discuss other CATCH indicators at all; provided CIs with estimates; denominators in a separate table; pop weighted SAs! GOAL Provided some potential explanations; provided both denominators and CIs; compared to MTE and BL (but neither had CIs); reported in database as one area but showed disaggregated results in FE (2 woredas) having small denominators (57 each); did not pop weight SAs PLAN Did not provide potential explanations – just #s, decision rule tables, and recommendations by SA for low-performing indicators; provided tables with estimates compared to MTE & BL but without CIs or Denominators (needed to go into the decision rule table to figure them out); Did not pop-weight SAs! PSI Used 2010 DHS data in their final KPC report. The conducted a TRAC survey in 2011 but did not use it in their FE report. Did not provide explanations for change or lack of change. Did not even include all CATCH indicators in the final KPC report, which was very short (4 pages?). Relief Provided some potential explanations; provided tables with denominators; compared to baseline in discussion Save Did not provide explanations – just #s and summaries; provided tables with denominators and weighted averages with CIs, as well as baseline % and denominator (would have been nice to see CI also); compared #s to baseline; database can accommodate design Wellshare Provided Access file with KPC data; Also provided tabulation tables in their final KPC report; Provided BL & EL numerators, denominators, and CIs in indicator tables; Also compared to 2010 DHS; Did not include possible explanations for changes in the indicators in the KPC report – some in FE narrative. 29
  • 30. Health Facility Delivery: A comparison of KPC and DHS data (2006/7 – 2011) 90 Baseline DHS 80 Endline DHS Baseline KPC 70 EndlineKPC 60 50 40 30 20 10 0 Save CARE Plan Wellshare Malawi Nepal Nepal Tanzania 30

Hinweis der Redaktion

  1. Most common indicators moved = EBF (4) and Soap (4)
  2. Most common indicators moved = EBF (4) and Soap (4)GOAL: 4 &gt; target, 1 target w/in CI, 1 w/o target
  3. Changes in grayed out indicators are not statistically significant
  4. 100%!
  5. 100%!
  6. 100%!
  7. 3 stat sigNepal – PWGs encourage ANC, gov incentives to attend 4+Wellshare – BCCGoal – increased 2+ but not 4+
  8. + Relief = 2 stat sigGoal – increasing ANC -&gt; increase in MTTRelief – mother &amp; child care through gov
  9. + Relief = 3 stat sigPlan, Care – Govt incentives for HF deliveries, biggest limitation to HF deliveries = transportCARE – 55 birthing centers, SBA training, delivery kits, newborn deaths within 24h decreasedPlan – local recruitment of ANMs and HWs (gov policy), birth center expansion, social recognition awardsGOAL – worked with TBAs and HEWs to promote safe/clean deliveries. Prior no HEW hands-on experienceRelief – TBAs often perform deliveries in HFs, promoted SBA &amp; companions to delivery esp through CGsWellshare – repositioned TBA role, village level vital event registers feeding into district level HMIS, TBA training on HBLSS, STGs
  10. 1 stat sig + maybe Goal + maybe Relief = 1-3 stat sigNo real commentary on this indicatorPlan saw a large increase even though EBF was common
  11. + Relief = 4 stat sigRelief – a large increase (endline &gt; 2 x the 2010 national nutrition survey)GOAL – CGs and CHPs through SBCC strategy with home visits
  12. 1 stat sig Relief – increased in EBF and CF but food insecurity
  13. 2 stat sigConcern – CCM/P phased in during 1st two yearsWellshare – ABs not available at HPs until last year of project, but caregivers trained in careseekingCARE – already high
  14. + Relief = 2 stat sigRelief – could have been better with HH distribution by CGVsConcern – lagged behind DHS &amp; both malaria and pneumo; did improve fluid and food intake thoughGoal – trained HEWsPSI – Thanzi ORS expansion (intro in 1999), CBD by Safe Water and Hygiene Promoters, high cost a worryWellshare – BCCZINCConcern – IRC piloted zinc in 2005 &amp; included in all EIP districts, stockouts at EL thoughGoal – zinc added to EDL in May 2009PSI – helped pilot zinc with a CIDA CCM project after MTE; plan to bundle
  15. 3 stat sigGoal – Water Guard distributed monthly by CGVs 2008 – 3/2010 when social marketing began, developed a network of suppliersRelief – BCC local &amp; appropriate methodsPSI – Water Guard safe water solution (SWS) and Wa Ufa (powder)Wellshare – Mostly boil, PUR and Water Guard only available in larger markets, negative perceptions of products (e.g., toxic residue)
  16. 4 stat sigRelief – challenging: started after MNC &amp; BF, can’t leave soap by latrines or in a container, costly; soap production trainingPSI – FE recommended research to understand decreaseConcern – tippy taps (practical options) + health promo messages = hand washing stations but soap had to be hidden from goats
  17. **No Ethiopia DHS data – but neither KPC increase was stat sigITN: + Relief = 2 stat sigGoal – endemic in woredas but not in region as a whole, ITN distributions in 2005/06 &amp; 2009/10; not reflected in EL KPC but in a separate survey was found to be 83%, used CGs and CHPs + IRS campaignsRelief – ITN distribution , BCC around peak malaria timesWellshare – national distribution to pregnant women and U5s through PMI &amp; GF
  18. **No Ethiopia DHS data – but neither KPC increase was stat sigFEVER RX: + Relief = 2 stat sigConcern – HBM, RDT intro so def of correct Rx changed (End-line figure is defined by either correct treatment after RDT or presumptive treatment (depending on existing policy in health sector at time of survey)) At time of the KPC survey, 2/6 districts (Kirehe and Ngoma) = near complete RDT implementation while 4 districts were still phasing in RDTs. As a result, the treatment varies considerably by district. At endline, correct Rx is defined as a child with fever who was seen by a trained provider within 24 hours of onset and either given presumptive treatment or tested with and RDT and treated in accordance with the results of the test. When correct treatment is broken down by whether RDTs were used or not, the effect of having RDTs becomes apparent: 89% of children who had access to RDT received correct treatment, compared to just 29% of those who were not tested and treated presumptively. Goal – trained HEWs – HPs had Rx but lacked reliable stocks and were open only sporadically Wellshare – HWs trained in RDTs but ran out of supply.