Design and Planning of PHCs

PROPOSAL EVALUATION & CHECKLIST FORM

SUMMARY

Yes

No

1 to 5

Comments

Overall, the summary clearly and concisely summarizes the request

Identifies the grant application

Includes at least one sentence on credibility and previous work

Includes at least one sentence on problem

Includes at least one sentence on objectives

Includes at least one sentence on methods

Principal interventions are listed

Target population is identified

Time frame is specified

I. INTRODUCTION

Yes

No

1 to 5

Comments

Overall, the introduction describes the applicant agency and its qualifications for funding (credibility)

Clearly established who is applying for funds

Describes applicant agency purposes, goals, and philosophy

Describes applicant's program and activities

Describes applicant's target populations

Provides evidence of accomplishments and previous sources of funds

Offers statistical support of accomplishments

Documents contributions made by previous activities

Supports qualifications in area of activity which funds are sough (e.g. child survival, food relief)

Leads logically to the problem statement

Is as brief as possible

Is interesting

II. PROBLEM STATEMENT OR NEEDS ASSESSMENT

Yes

No

1 to 5

Comments

Overall, the problem statement clearly reflects assessment of the needs on which the proposal is based

Relates to purposes and goals of applicant agency and indicates how the agency came about the information leading to this proposal

Of reasonable size (not attempting to solve all problems)

Supported by statistical evidence

Supported by statements from the Ministry of Health

Target group clearly delineated

Stated in terms of target group needs and problems (not needs of the applicant)

Developed with input from local consultants in the host country

Contains adequate background material on host country and effectiveness of proposed interventions

Makes no unsupported interventions

Does not duplicate existing programs

Is as brief as possible

III. PROGRAM OBJECTIVES

Yes

No

1 to 5

Comments

Overall, program objectives describe the outcomes of the proposed project in measurable terms

At least one objective for each problem or need committed to the problem statement

Objectives are measurable

Objectives are realistic

Objectives are not methods or goals

Describes the population that will benefit

States the time by which objectives will be accomplished

Appropriate indicators are present for each objective

IV. METHODS

Yes

No

1 to 5

Comments

Overall, the section clearly describes the activities to be conducted in order to achieve the desired objectives

Flows naturally from problems and objectives

Clearly describes activities and how they will be carried out

States reasons for the selection of methods

Describes the work plan for the life of project or provides timeline

Described staffing of the program

Describes qualifications of staff so as to conduct specialized activities, such as training, financial management, and data analysis, in an adequate manner

Describes an appropriate supervision system for staff and volunteers

Describes training program in adequate detail

Describes target group selection for interventions

Describes how the community will participate in all phases of the program

Describes cooperation with the Ministry of Health and other organizations working in proposed location

Presents a reasonable scope of activities that can be conducted within the time line and resources of the program and the community

V. MONITORING AND EVALUATION (M&E)

Yes

No

1 to 5

Comments

Overall, the section clearly presents a plan for determining the degree to which objectives are met and methods are followed

Monitoring component is clearly described

Flow of information within the project is described

Personnel responsible for analysis of information are identified

Use of information to improve project methods is described

Nature and frequency of reports to be generated are described

Annual, mid-term and final evaluations are provided for

Presents a plan and modifying methods over the course of the program based on evaluations

Contains budgetary provision for monitoring and evaluation

Tells who will be doing the evaluation and how they were chosen

Describes what information will be collected at annual, mid-term, and final evaluations

Describes final report to be generated

VI. SUSTAINABILITY STRATEGY

Yes

No

1 to 5

Comments

Overall, section clearly describes a plan for sustaining some or all activities beyond the life of the project

Presents a specific plan to obtain future funding if program is to be continued

Presents a plan for evaluating and modifying methods over the course of the program so interventions may continuous beyond the life of the project

Describes how other funds will be obtained, if necessary to continue the project if not handled over to another agency or Ministry of Health

If project is not sustainable without further assistance, is the initial undertaking even justified?

Is accompanied by letters of commitment, if project is to be assumed by another agency or the Ministry of Health?

VII. Budget

Yes

No

1 to 5

Comments

Overall, section clearly delineates cost in a realistic manner and shows evidence of serious thought

Tells the same story as the proposal narrative

Is accompanied by a n narrative summary, which is consistent

Budget expenditures match the work plan

Detailed in all aspects

Clearly shows which costs are to be met by the donor and what "matching funds" are provided by the agency

Contains no unexplained amounts for miscellaneous or contingency

Includes all items asked of the donor

Includes all items paid for by other sources

Includes value of in-kind items

Details fringe benefits, separate from salaries

Separates travel costs, if required of donor

Includes all consultants

Separately details all non-personnel costs

Includes indicates costs where appropriate

Describes provisions for an audit

Describes what will happen with assets at end of project

Sufficient to perform tasks described in the narrative

OVERALL COMMENTS