| General Information |
Project/Program |
Program |
| Project Name |
Reproductive Maternal Newborn Child Health /Health Systems Strengthening Program 2008 - 2013 |
| Duration |
October 2008 - September 2013 |
| Donor |
USAID |
| Implementiong Organization |
USAID,Reproductive and Child Health Alliance (RACHA), Reproductive Health Association of Cambodia (RHAC), University Research Corporation (URC), Population Services International (PSI) |
| Sector and/or Subsector Classification |
Health |
| Region |
19 districts of five provinces (Siem Reap, Pursat, Banteay Meanchey, Prey Veng and Koh Kong) |
| Financing |
N.I. |
| Analytical Information |
Stakeholders |
National Center for Tuberculosis and Leprosy ControlHealth Center Management Committee, National Center for HIV/AIDS /Dermatology and STD, National Maternal and Child Health Center, Provincial Rural Development Department, Reproductive Health Association of Cambodia, |
| Cross-cutting Issue |
Environment |
|
| Gender |
|
| Impact Analysis |
The program improved socio-economic environment, decreased fertility and improved quality and accessibility of preventive and curative services delivered by Hospitals, Health Centers and community volunteers. The present (2008- 2013) and the previous (2004- 2008) USAID health programs have been working towards each of these health goals by intensively supporting public health services of government hospitals and health centers and through the activities of community volunteers. The USAID projects include an impressive number of interventions which directly target improved health outcomes. |
| Effectiveness |
Ownership/Partnership |
Evaluation |
Collaboration amongst partners has markedly improved. USAID implementing partners are very professional and clearly have the required capacity to manage and implement their programs and have achieved the objectives stated in their projects. They are all three well respected by Ministry of Health, by other Health Partners and by health staff and communities in the field, both for their technical capacities and for their support for service delivery. As large local NGOs, both Reproductive Health Association of Cambodia and Reproductive and Child Health Alliance have become organizations well known for their expertise in the field of reproductive, maternal and child health and community level health work. They both have strong organizational capacities. |
| Rating |
4/5 |
| Policy Coherence/Harmonization |
Evaluation |
Policy Coherence and Harmonization not mentioned in evaluation report. |
| Rating |
N.A |
| Evaluation Framework |
Evaluation |
The evaluation team used a variety of methods for assessing and analyzing qualitative and quantitative information and data. It should firstly be clarified that the evaluation did not set out to validate all the data and activities reported by the partners. The aim of the field visits was to better understand the processes, to learn about progress, problems and recommendations from the stakeholders and beneficiaries, and to some extent confirm certain data or statements found in the implementing partner reports. The sample size of institutions visited was restricted by the time in country but did not limit the evaluation findings. The evaluation team was somewhat constrained by the breadth of technical areas to be covered in the four-week time frame. |
| Rating |
4/5 |
| Alignment/Composition of Finance |
Evaluation |
USAID as a development partner is committed to the principles of donor harmonization and alignment of the Paris Declaration, and has been working closely with all stakeholders, including attempting to link its activities with those of the Health Sector Support Program II. However, Composition of Finance have not mentioned in evaluation rerpot. |
| Rating |
2/5 |
| Other Remarks |
Based on Cambodian Demographic Health Survey (CDHS) 2005 and 2010, as well as on more recent project household surveys and Health Information System(HIS) data, the evaluation team can conclude with confidence that the USAID Health Program Goals for 2013 have been achieved. Given the intensive and widespread support for interventions directly targeting those goals, it is fair to say that the contribution of the USAID program and its projects towards the achievement of the Program Goals has been significant. |
