| General Information |
Project/Program |
Project |
| Project Name |
Traditional Birth Attendant Programme |
| Duration |
1993-1996 |
| Donor |
United Nation Children's Fund (UNICEF) |
| Implementiong Organization |
Ministry of Health (MoH) |
| Sector and/or Subsector Classification |
Health |
| Region |
Stung Treng, Sesan, Siem Pang |
| Financing |
N.I. |
| Analytical Information |
Stakeholders |
United Nation Children's Fund (UNICEF), Department of International Development (DFID), The Ministry of Health (MoH), National Center for HIV/AIDS, Dermatology and STD's (NCHADS), Provincial Health Department (PHD), Village Development Committee (VDC), World Health Organization (WHO) |
| Cross-cutting Issue |
Environment |
"Environment" has not mentioned as a cross-cutting issue. |
| Gender |
The main objective of the project is gender related since it ultimately aims to maternal health. |
| Impact Analysis |
The evaluators found that the provincial health department, health centre staff, YWAM and more recently UNICEF, through a strong collaborative effort in
supporting the TBA programme have achieved an significant improvement in the quality of MCH services available to women in remote villages of Stung Treng. |
| Effectiveness |
Ownership/Partnership |
Evaluation |
The quality of programme management is good, with efficient implementation of plans and regular follow-up support and training of the TBAs. Programme documentation needs improvement, presently information and statistics are kept in various locations and recorded in different formats. Because of this information about the programme is not always easily accessible and achievements immediately identifiable. |
| Rating |
2/5 |
| Policy Coherence/Harmonization |
Evaluation |
Policy Coherence and Harmonization not mentioned in evaluation report. |
| Rating |
N.A. |
| Evaluation Framework |
Evaluation |
A literature review of relevant documents concerning Safe Motherhood and TBA programs in Cambodia and in other countries was conducted. This was followed by seven days field work in Stung Treng province. Study sites were selected independently by the evaluators and based on the geography and location, distance from the nearest health centre/referral hospital and time available for field work. The evaluators decided to spend quality time in fewer villages rather than rushing to cover many villages and districts. Eight villages in three districts were visited with overnight stays in two villages. Districts not visited during the evaluation were Sesan, where YWAM has not been involved since 1997 and Siem Pang, because of its remote location and time needed for travel. Although these two districts were not visited, interviews with key informants provided information concerning TBA's activities in these areas, and available MCH data from all districts was reviewed and considered. |
| Rating |
3/5 |
| Alignment/Composition of Finance |
Evaluation |
The quality of the TEA programme will undoubtedly suffer with hand over of responsibilities to less experienced and younger staff, but in the long term there should be increased benefits. During the evaluation the health centre staff expressed a willingness to assume more responsibility for TEA activities and in some health centres they have already began to increase their involvement. To achieve a successful transition strong support will be needed during a period of gradual hand over. It is clear that some health centres will need closer support than others. |
| Rating |
2/5 |
| Other Remarks |
|
