TMG performed an evaluation of Pathfinder International/Ethiopia’s (PI/E) reproductive health/family planning (RH/FP) performance under two agreements: the RH/FP Project and the Extended Service Delivery (ESD) project.
The evaluation was performed to make recommendations on which RH/FP activities should be included in the work plan of the USAID follow-on Family Planning/Maternal Newborn and Child Heath Program (FP/MNCH). The team conducted 177 separate interviews which included community-based reproductive health agents, health extension workers, CBRHA Implementing Partner Organizations and Ministry of Health supervisor, and households. TMG also visited and observed service delivery at health facilities in Amhara, Oronia, Southern Nations Nationalities and Peoples’ Region, and Tigray and observed service delivery at these sites. This also enables the evaluation team to develop firm impressions of the nature of the program on the ground and learn, first-hand, the opinions of the program from federal level down to the clients receiving services. Overall, TMG identified a number of important areas for further efforts in the new project. These include: developing an affordable survey instrument to establish a baseline survey on key indicators in projects districts and carry out this survey on a regular basis to measure change; establishing an accounting system to track the flow of funds an facilitate a cost analysis of project components; and putting in place systems to evaluate GOE tests for new ideas to modify current programs.