Design and Planning of PHCs

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USAID MNCH

Diarrheal Disease Ghana

Log Frame &

Monitoring & Evaluation Plan

Dec. 2, 2018

Reduce Morbidity & Mortality of diarrheal diseases in rural-poor & socially-excluded Ghana communities.
Objectives: Indicators: Means of Verification: Assumptions:
Objective 1: Strengthen and build capacity of 60% of CHW's and 40% of rural-poor families with children under-five to reduce the incidence of Diarrheal Disease in five year project period. % of population attending WASH training events # of CHW trainings conducted # of community trainings conducted Survey data  Test results  Community members will have knowledge of prevention methods and be empowered to seek treatment for diarrheal diseases. 
Output 1: Increased number of CHW’s trained to provide knowledge on causes, control & prevention of Diarrheal disease.  Pre-test & post tests   Number of CHW’s trained      Test results  Survey data  There will be CHWs readily accessible to community members. 
Output 2: Increased amount of  literature & materials to educate the community on causes, control, & prevention of diarrheal diseases. Number of education materials distributed    Number of CHW lead workshops     Survey data  CHW records  CHW’s will be comfortable enough with the material to teach the material to community members.  
Activities: Establish relationship with current CHW’s and community. Conduct pre-tests, focus groups, & surveys. Develop trainings & education materials. Train CHW’s in the community on diarrheal diseases & on ways to get information to the community. All to happen at the beginning of the project, within the first year.

Isabel Slettebak (IS) - You don't need the "..to reduce the incidence of diarrhea disease". In the next couple of slides if you see highlighted portions they are not needed

Isabel Slettebak (IS) - This needs to be more specific. What survey? What test?

Isabel Slettebak (IS) - Assumptions are what do you have to assume for the activity. Ex: If you are going to be training are you assuming there is a facility to do the training in?

Isabel Slettebak (IS) - I would reformat this to be included in the table and matched to its output. Activities should have indicators, MOV and assumptions

Reduce Morbidity & Mortality of diarrheal diseases in rural-poor & socially-excluded Ghana communities.
Objectives: Indicators: Means of Verification: Assumptions:
Objective 2: Develop WASH practices in rural-poor communities in Ghana, providing a 55% increase in access to clean drinking water, hygiene practices, and sanitation over the 5-year life of the project. % of population seeking treatment for diarrhea symptoms.    Proportion of MNCH having received ORS    # of households with a toilet    % of population attending WASH training events    Survey data  Test results  Community members will be empowered to seek treatment for diarrheal diseases.  That current systems are already in place.
Output 3: Improve water systems to create greater access to safe drinking water. # of homes with presence of harmful bacteria present in water # of homes with safe water storage containers Proportion of homes using a particular water source and # of diarrheal disease cases. Proportion of MNCH having received ORS  Household surveys on water practices  Public records Water test results Observation of water turbidity Communities have a central water system and will be open to a change/improvement.
Output 4: Healthy hygiene and sanitation behaviors are adopted. % of population attending WASH training events # of WASH kits distributed % of households utilizing soap & water to wash their hands # of households with a toilet  Household surveys Attendance records for community training events Home visit data Community is open to change and if given the proper resources and training will implement the change. Community is willing to share information regarding their hygiene and sanitation practices.
Activities: Activities and trainings to promote model hygiene & sanitation behaviors. Improvement in latrines and water supply. Distribute WASH kits to community members. All to happen mid project, end of year 1 or beginning of year 2 and most of the activities will be ongoing depending on the communities progress.

Isabel Slettebak (IS [2]) - Great indicators!

Isabel Slettebak (IS [2]) - I would make sure to limit my indicators to measuring exactly what the output is. How does ORS have to do directly with improved water systems?

Reduce Morbidity & Mortality of diarrheal diseases in rural-poor & socially-excluded Ghana communities.
Objectives: Indicators: Means of Verification: Assumptions:
Objective 3: Raise Awareness to increase 70% of rural-poor communities’ knowledge on proper feces disposal and integrate safe disposal of feces into national policy/guidelines. Proportion of rural communities with improved feces disposal services # of community trainings conducted # of communities with government involvement in feces disposal Survey data  Test results  Existing records National data Community members have an existing system of feces disposal and the ability to change those behaviors.
Output 5: Reduce exposure to diarrheal diseases by improving behaviors and processes related to feces disposal management in rural-poor communities.  Proportion of houses with a constructed toilet    % of communities declared ODF  Household surveys on feces disposal practices    Public records  Communities will utilize sanitary processes for waste management. 
Output 6: Increase access to healthcare services. Number of health clinics within 10 mile radius    % of population seeking treatment at health clinics    Proportion of CHWs to population  % of population seeking treatment for diarrhea symptoms.  Survey data  CHW records  There will be more healthcare clinics/providers within an accessible distance from community members. 
Activities: Conduct surveys and focus groups focused on current use of health system and feces disposal behaviors and practices. Meet with MoH and country officials to improve feces disposal management and healthcare services available in these communities. Ongoing throughout the life of the project.

Isabel Slettebak (IS) - By when?

Isabel Slettebak (IS [2]) - This should be past tense since it is an output of your activities...you want to have increaseD

Isabel Slettebak (IS [2]) - This sounds more like an activity - Outputs are what you want to achieve (or what you get out of your activities)

Reduce Morbidity & Mortality of diarrheal diseases in rural-poor & socially-excluded Ghana communities.
Goal & Objective(s) Performance Indicator(s) Activity Input(s) Data Collection Methods/Source(s) Frequency & Schedule Responsible Party Assumption(s)
Project Goal: To reduce the mortality and morbidity of diarrheal diseases among maternal, neonatal, and child populations, particularly amongst the rural-poor and socially excluded communities in Ghana. Reduction in mortality & morbidity of diarrheal diseases among maternal, neonatal, & child populations. Diarrheal management & control measures Direct observations; Feedback from CHW during review Meetings; Interviews with family heads; Clinic health reports Years 1-4 (Quarterly) PMU-Monitoring Committee; Community Leaders; & Representatives from PATH, ECHO, Healing Waters International; Africare, & MoH Ghana Over 90% compliance rate amongst beneficiaries; Timely disbursement of funds; favorable political will; Minimal fluctuation rates
Objective 1: Strengthen and build capacity of 60% of CHW's and 40% of rural-poor families with children under-five to reduce the incidence of Diarrheal Disease in five year project period. CHWs training needs assessment.  Pre & Post-test for CHW’s CHW training evaluations & outcome reports.  # of community members who complete training.  #r of targeted trainers. Distribute literature, host community classes, health events, train CHWs. Direct observations; Feedback from CHW during review Meetings; Interviews with family heads; Clinic health reports Years 1-2   (Bi-weekly)  PMU-Monitoring Committee; Community Leaders; & Representatives from PATH, ECHO, Healing Waters International; Africare, & MoH Ghana Over 95% compliance rate amongst beneficiaries; Timely disbursement of funds; favorable political will; Minimal fluctuation rates

Isabel Slettebak (IS) - Great goal!

Reduce Morbidity & Mortality of diarrheal diseases in rural-poor & socially-excluded Ghana communities.
Goal & Objective(s) Performance Indicator(s) Activity Input(s) Data Collection Methods/ Source(s) Frequency & Schedule Responsible Party Assumption(s)
Objective 2: Develop WASH practices in rural-poor communities in Ghana, providing a 55% increase in access to clean drinking water, hygiene practices, and sanitation over the 5-year life of the project. Percentage of MNCH with diarrhea sought care from an appropriate healthcare provider.  Proportion of MNCH received oral rehydration therapy (ORS) or recommended home fluids.  Number of community members (families) informed on available treatments.   Number of MNCH diarrheal disease cases.   Number of WASH kits distributed.  Household surveys on WASH practices. Distribute literature, CHW's host community classes and training events.   Host training sessions on WASH practices, give hygiene kits to all community members with soap, water tablets, water storage containers, etc. and literature teaching best practices. Direct observations; Feedback from CHW during review Meetings; Interviews with family heads; Clinic health reports Years 1-2   Bi-weekly PMU-Monitoring Committee; Community Leaders; & Representatives from PATH, ECHO, Healing Waters International; Africare, & MoH Ghana Over 95% compliance rate amongst beneficiaries; Timely disbursement of funds; favorable political will; Minimal fluctuation rates
Objective 3: Raise Awareness to increase 70% of rural-poor communities’ knowledge on proper feces disposal and integrate safe disposal of feces into national policy/guidelines. Household surveys on feces disposal practices.  Percentage of communities declared ODF  Proportion of households with a constructed toilet . Integrate Open defecation free verification (ODF) protocols and national sanitation policies, strategies, or monitoring mechanisms. Implement raising awareness program to change the behavior of caregivers in safe disposal of child feces both a community and household level. Direct observations; Feedback from CHW during review Meetings; Interviews with family heads; Clinic health reports  Year 3-4   Bi-monthly PMU-Monitoring Committee; Community Leaders; & Representatives from PATH, ECHO, Healing Waters International; Africare, & MoH Ghana Over 97% compliance rate amongst beneficiaries; Timely disbursement of funds; favorable political will; Minimal fluctuation rates