Design and Planning of PHCs

2

Empowerment ~10 Microfinance group collection and distribution of funds

X X X X

Annex B: Log Frame

Program Description Indicators Verification Method Frequency Assumptions Goal: To reduce morbidity and mortality among infants and mothers in Afar State, Ethiopia Objective 1: Increase coverage of acute respiratory illness (ARI) treatment in infants by 30% in Zone 2 of Afar by year 3 Outcome 1: Increased coverage of ARI treatment

% of infants in need of ARI treatment that receive treatment within the last 2 weeks in Zone 2 (# of infants presenting signs of ARI that receive treatment / # of infants presenting signs of ARI)

Household Survey Yearly Local health posts equipped

with supplies

Output 1.1: HDA Leaders trained on ARI

% of HDA Leaders trained on ARI in Zone 2 (# HDA leaders trained / total HDA leaders)

Program Data Yearly HDA MOH Supervisory board in support of supervision schedule % of HDA Leaders who provided correct counseling on ARI during

supervision visits in Zone 2 (# of HDA Leaders fulfilling checklist requirements / # of HDA Leaders Supervised)

Program Data Monthly

Output 1.2: Women of reproductive age (15-49) receiving ARI educational messaging

% of WRA who were educated on ARI during a home visit in Zone 2 (# of women receiving ARI education / # of women receiving a home-visit)

Household Survey Yearly

Output 1.3: Improved knowledge of signs of ARI for women of reproductive age (15-49)

% of WRA able to correctly identify symptoms of ARI in Zone 2 (# of women able to correctly identify symptoms of ARI / # of women)

Household Survey Yearly

Output 1.4: Improved utilization of ARI services

% of ARI infant hospital visits in Zone 2 ( # of infants visiting hospital treated for ARI/ # of infant hospital visits)

Health facility records Monthly

Records are managed and stored well

% of infants that received an ARI referral from a HDA leader who actually sought care in Zone 2 (# of infants referred that were taken for care at a hospital / total infants referred)

Program Data / Household Survey

Monthly / Yearly

Objective 2: Increased coverage of diarrheal management in infants by 30% in Zone 2 of Afar by year 3 Outcome 2: Increased coverage of diarrhea treatment

% of infants with Diarrhea that receive treatment in the last 2 weeks in Zone 2 (# of infants presenting signs of diarrhea that receive treatment / # of infants presenting signs of diarrhea)

Household Survey Yearly

Output 2.1: HDA Leaders trained on diarrhea case management

% of HDA Leaders trained on diarrhea case management in Zone 2 (# HDA leaders trained / total HDA leaders)

Program Data Yearly

% of HDA Leaders who provided correct counseling on diarrhea during supervision visits in Zone 2 (# of HDA Leaders fulfilling checklist requirements / # of HDA Leaders Supervised)

Program Data Monthly

Output 2.2: Women of reproductive age (15-49) receiving diarrhea educational messaging

% of WRA who were educated on diarrhea during a home visit in Zone 2 (# of women receiving diarrhea management education / # of women receiving a home-visit)

Household Survey Yearly

# of ORS packets distributed to WRA Program Data Monthly Strong supply chain Output 2.3: Improved knowledge of infant diarrhea management for women of reproductive age (15-49)

% WRA able to correctly identify appropriate feeding during diarrhea in Zone 2 (# of women able to correctly identify appropriate feeding during diarrhea / # of women)

Household Survey Yearly

Output 2.4: Improved access to ORS for infants with diarrhea

% of children with Diarrhea in the last 2 weeks receiving ORS packets in Zone 2 (Number of infants with diarrhea in the two weeks preceding the survey given fluid from ORS packets or pre-packaged ORS fluids/Number of infants with diarrhea in the two weeks preceding the survey)

Household Survey Yearly

Strong Supply Chain

Output 1.4: Improved utilization of services for severe diarrhea

% of severe diarrhea infant hospital visits in Zone 2 ( # of infants visiting hospital treated for severe diarrhea / # of infant hospital visits)

Health facility records Monthly Records are managed and

stored well % of infants that received a severe diarrhea referral from a HDA who actually sought care in Zone 2 (# of infants referred for diarrhea that were taken for care at a hospital / total infants referred)

Program Data / Household Survey

Monthly / Yearly

Objective 3: Decrease the proportion of infants who are undernourished (aged 0 to 12 months) by 10% in Zone 2 of Afar by the end of year 5 Outcome 3.1: Increased coverage of nutrition counseling

% of WRA receiving nutrition counseling in Zone 2 (# of women receiving nutrition counseling / # of women)

Household Survey Yearly

Output 3.1.1: HDA Leaders trained on nutrition counseling

% of HDA Leaders trained on nutrition counseling in Zone 2 (# HDA leaders trained / total HDA leaders)

Program Data Yearly

% of HDA Leaders who provided correct counseling on nutrition during supervision visits in Zone 2 (# of HDA Leaders fulfilling checklist requirements / # of HDA Leaders Supervised)

Program Data Monthly

Output 3.1.2: Women of reproductive age (15-49) receiving nutrition educational messaging

% of WRA who were educated on nutrition during a home visit in Zone 2 (# of women receiving nutrition education / # of women receiving a home- visit)

Household Survey Yearly

Output 3.1.3: Improved knowledge of signs of infant nutrition for women of reproductive age

% of women of reproductive age able to correctly identify appropriate feeding practices of infants in Zone 2 (# of women able to identify appropriate feeding practices / # women)

Household Survey Yearly

Outcome 3.2: Increased coverage of infant growth monitoring

% of infants that had a MUAC measurement taken during home visit in Zone 2 (# of infants that had MUAC measurement taken / # of infants)

Household Survey Yearly

Output 3.2.1: HDA Leaders trained on growth monitoring and MUAC

% of HDA Leaders trained on growth monitoring in Zone 2 (# HDA leaders trained / total HDA leaders)

Program Data Yearly

% of HDA Leaders who provided correct counseling on growth monitoring during supervision visits in Zone 2 (# of HDA Leaders fulfilling checklist requirements / # of HDA Leaders Supervised)

Program Data Monthly

Output 3.2.2: Women of reproductive age (15-49)

% of WRA who were educated on growth monitoring during a home visit in Zone 2 (# of women receiving nutrition education / # of women

Household Survey Yearly

3

receiving growth monitoring educational messaging

receiving a home-visit)

Objective 4: Improve coverage of modern family planning (MFP) methods by 30% in WRA 15-49 in Zone 2 of Afar by Year 5 Outcome 4: Improved coverage of modern family planning (MFP) methods

% WRA who desire to either terminate or postpone childbearing, but who are not currently using a contraceptive method (# of women who are married or in a union and who have an unmet need for family planning / # of women who are married or in a union)

Household survey Yearly

Output 4.1: HDA Leaders trained on MFP

% of HDA Leaders trained on MFP in Zone 2 (# HDA leaders trained / total HDA leaders)

Program Data Yearly

% of HDA Leaders who provided correct counseling on MFP during supervision visits in Zone 2 (# of HDA Leaders fulfilling checklist requirements / # of HDA Leaders Supervised)

Program Data Monthly

Output 4.2: HEW Leaders trained on MFP, methods administration, follow-up, triage of adverse events, referral, and supply chain system

% of HEWs trained on MFP in Zone 2 (# HEWs trained / total HEWs) Program Data Yearly

% of HEWs who provided correct counseling on MFP during campaigns in Zone 2 (# of HEWs fulfilling checklist requirements / # of HEWs)

Program Data Monthly

Output 4.3: Women of reproductive age (15-49) receiving MFP educational messaging

% of WRA who were educated on MFP during a home visit in Zone 2 (# of women receiving MFP education / # of women receiving a home-visit)

Household Survey Yearly

% of WRA who were educated on MFP during a campaign in Zone 2 (# of women receiving ARI education / # of women receiving attending campaign)

Output 4.4: Improved knowledge of MFP in women of reproductive age (15-49)

% of WRA who have heard of at least 3 MFP methods in Zone 2 (# of women able to identify 3 MFP methods / # of women)

Household Survey Yearly

Output 4.5: Improved utilization of MFP services

% of WRM who received a MFP from a MFP campaign (# of women using MFP who received method from campaign/ # of women using MFP)

Household Survey Yearly Strong supply chain

Outcome 5: Increase coverage of basic vaccinations for children under five by 30% in Zone 2 of Afar by year 3 Outcome 5: Improved coverage of vaccination for children under 5

% of infants who received required vaccines by their first birthday (# of infants who received required vaccines by their first birthday / # of infants age 0-12 months)

Household survey Yearly

% of children under five who received required vaccines by their fifth birthday (# of children under 5 who received required vaccines by their fifth birthday / # of children under 5)

Output 5.1: HDA Leaders trained on vaccine requirements for infants and children under 5 and associated vaccine cards

% of HDA Leaders trained on vaccination in Zone 2 (# HDA leaders trained / total HDA leaders)

Program Data Yearly

% of HDA Leaders who provided correct counseling on vaccination during supervision visits in Zone 2 (# of HDA Leaders fulfilling checklist requirements / # of HDA Leaders Supervised)

Program Data Monthly

Output 5.2: HEW Leaders trained on vaccination, administration, and campaigns

% of HEWs trained on vaccination in Zone 2 (# HEWs trained / total HEWs)

Program Data Yearly

% of HEWs who provided correct vaccination services during campaigns in Zone 2 (# of HEWs fulfilling checklist requirements / # of HEWs)

Program Data Monthly

Output 5.3: Women of reproductive age (15-49) receiving vaccination messaging for children under- five

% of WRA who were educated on under-five vaccination during a home visit in Zone 2 (# of women receiving under-five vaccination education / # of women receiving a home-visit)

Household Survey Yearly

% of WRA who were educated on under-five vaccination during a campaign in Zone 2 (# of women receiving under-five vaccination education / # of women receiving attending campaign)

Output 5.4: Improved women of reproductive age (15-49) knowledge of MFP

% of WRA who have heard of at least 3 MFP methods in Zone 2 (# of women able to identify 3 MFP methods / # of women) Household Survey Yearly

Output 5.5: Improved coverage of infants with a vaccination card

% of infants with a vaccination card (# of infants 0-12 months who have a vaccination card / # of infants age 0-12 months)

Household Survey Yearly

% of children under 5 with a vaccination card (# of children under 5 with a vaccination card / # of children under 5)

Objective 6: Decrease proportion of women who identify at least one barrier to accessing care by 20% in Zone 2 of Afar by Year 5 Outcome 6.1: Decrease proportion of women who identify money as a barrier to accessing care

% of women who identify money as a barrier to accessing care (# of women identifying money as a barrier to accessing care / # of women)

Household Survey Yearly

Outcome 6.2: Decrease proportion of women who identify distance to health facility as a barrier to accessing care

% of women who identify distance to health facility as a barrier to accessing care (# of women identifying distance as a barrier to accessing care / # of women) Household Survey Yearly

Output 6.1: Women leaders trained on microfinance

% of Women Leaders trained on microfinance (# of women trained / # of women recruited)

Program Data Yearly

Annex C: Human Resources Table

Type of Worker Quantity of Worker Organizational Affiliation Responsibilities % Effort Devoted to

Project Activities Remuneration Entity

(Salary) in USD Role Description

Key Roles

Project Director (expat) 1 GCMCH

Overall supervision, project planning, 100% 60,000