From July 1rst to July 19th 2000, Project HOPE, with the participation of the Regional Ministry of Health (MINSA) and community health volunteers (CHV’s), implemented the final KPC survey of the Child Survival (CS) project funded by US. Agency for International Development, Bureau of Humanitarian Response, Office of Private Voluntary Cooperation (USAID/BHR/PVC) and Project HOPE. The survey was implemented in 46 clusters in the rural communities in Region San Martín. Within these 46 clusters were 162 communities. The purpose of this survey was to; 1) assess which goals set by the Detailed Implementation Plan (DIP) had been reached and which ones were still in progress, 2) compare the final results to midterm and baseline to locate where the most progress has taken place, and 3) to gather baseline data on the prevalence, knowledge, and practices regarding acute respiratory infections (ARI) and malaria. This last objective is very important due to this project being extended for 3 more years covering the same interventions; nutrition and micronutrients, breast feeding, control of diarrheal diseases, family planning, and adding ARI and malaria.
This project was implemented by Project HOPE field staff, MINSA, CHV’s, The Center of Public Health of the Universidad Peruana Cayetano Heredia (UPCH) and with technical support from Project HOPE’s headquarters in Millwood, Virginia. One representative from HOPE’s headquarters also participated and helped the National Director supervise the implementation of the final KPC survey in the field.
Project staff used relatively the same survey instrument (for this survey sections on ARI and malaria were included) and cluster sample methodology that was used in the baseline and midterm surveys. The general survey instrument was developed by the former Child Survival Support program (CSSP) of John Hopkins University. Wording and the names of foods were revised to be culturally appropriate. All training was provided by the local staff. Ten or eleven interviews (depending on cluster size) of mothers with children under the age of three years were conducted in each of the 46 clusters.
In connection with the KPC survey, the Helen Keller International (HKI) survey was used to determine breastfeeding and feeding practices for children under the age of two years. Additionally, the regular foods that families consumed were directly weighed. This was to get a quantitative idea of the amounts of foods being consumed and the amounts of micronutrients being consumed. To complete the study tests for iron, vitamin A, and iodine were done.
Overall, the trend for this report is that the target communities are making some progress, but it is very minimal in comparison with the progress that was made from baseline to midterm. It is possible that the communities have hit a saturation point. In addition to only these slight increases, for some of the indicators there has been a back sliding. This is not true for everything though, for example over 80% of mothers are starting to breastfeed within 8 hours of the child’s birth, and use of modern contraceptives has increased by 20% since the midterm survey. Moreover, relations between MINSA and Project HOPE appear to be very strong, with both of these agencies collaborating on the intervention strategies.