Child Survival Sustainability Assessment in Child Survival Project

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Child Survival Sustainability Assessment in
Child Survival Project

• Final Evaluation Sharing Workshop
• 7 September 2007
• Deepak Paudel, CARE Nepal
• Surendra Bhandari, Social Welfare Council

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• Sustainability counts in
• every steps,
• every works
• and
• starts from the beginning.

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Sustainability aspects . . . . .

• Institutionalization of project efforts
• Community ownership on project efforts
• Multi-sectoral system level impact of project
  efforts

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Sustainability Framework(USAID/CSTS)
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How the project approached community for
sustainable results ?
Community
FCHVs, LRP
Local Government HFOMC
Local NGOs
DHO/HF
MGs, Daabi
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Project inputs and result for sustainability

• Project inputs (DHO/HFs)
• Training on technical interventions (CB-IMCI,
  CDP)
• Formation of Project Advisory Committee and
  support RHCC/DHCC
• Support to strengthening integrated monitoring
  and HMIS reporting
• Support periodical review and planning

• Results
• 491 health staffs trained in CB-IMCI, and 95 in
  CDP
• Regularly operating PAC/RHCC/DHCC
• Improved HMIS reporting system incorporating
  FCHVs records
• Operationalized integrated monitoring checklist
  to assess progress status and for preparing staff
  work-plan

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Project inputs and result for sustainability

• Project inputs (NGOs)
• Training on technical interventions (CB-IMCI,
  CDP), community mobilization ( right-based
  approach, social-audit etc.) and leadership
  development.
• Representation of local NGOs into Project
  Advisory Committee and RHCC/DHCC
• Implementation of learning by working together
  approach to enhance program management,
  organizational development and partnership
  capacity

• Results
• 27 staffs/members have been trained
• NGOs are representing PAC/RHCC/DHCC
• NGOs have re-visited their organizational
  policies and modified making it more inclusive
• Capacity of NGOs have been developed to
  implement community mobilization interventions
  independently.

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Project inputs and result for sustainability

• Results
• 144 HFOMCs have been trained
• LGs started to funding health program especially
  for FCHV program
• HFOMC re-activated and performing their role
• Integrated multi-sectoral activities in
  coordination with LAs and with other CARE
  projects

• Project inputs (LGs/HFOMCs)
• Management training
• Exposure/orientation on partnership approach
• Orientation on multi-sectoral approach and its
  implementation
• Supportive monitoring

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Project inputs and result for sustainability

• Project inputs
• (Community)
• Training on project interventions for CHWs
• Formation and advocacy capacity building supports
  for CBOs (Daabi, FCHV-CC, MGs etc.)
• Saving and subsidize loan scheme for health care
  support.

• Results
• All CHWs and CBOs have been trained to perform
  their respective roles
• CBOs are operationalized and demanding/practicing
  quality health service
• Integrated multi-sectoral activities to
  complement health program

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Sustainability Dashboard
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THANK YOU FOR YOUR ATTENTION!