The effort of this project is in community organization, training and supervision of CHV’s, training and motivation of MINSA field staff, and in community education. The project does not supply any direct services. The project also provides technical assistance to the DIRES-SM in planning, evaluation, administrative reform, epidemiology, and professional improvement and in acquisition of basic intervention-specific pharmaceuticals.
* Excerpts from approved DIP
As stated in the executive summary, this project is being implemented in 162 communities. As of the baseline survey there were 30 clusters. After the baseline survey interventions began in these clusters. While other communities served as the control group. Project HOPE Staff traveled to the communities every three months to work with the health promoters in conducting intervention activities. This went on until the midterm survey (September 98.) After the survey was conducted and the results were known changes were made accordingly, i.e. family planning was decreased by 5%, and micronutrient interventions were increased by 5%. As per the DIP more communities were then introduced into the program. These communities along with the control communities now received the intervention activities. Additionally, Project HOPE in the first set of intervention communities. The health promoters now did all of the intervention work. Project HOPE’s main job for these communities was monitoring the situations in the communities and overseeing the capacity of the health promoters. In September 99 it came to light that another anthropometric project was being conducted by PRISMA in Region San Martín.
Thus, MINSA asked project HOPE to leave the area PRISMA was working in, and adopt other “new” communities (new clusters).
This was approximately 22 new communities that were then incorporated into the second intervention group. Given the fact that all communities have received interventions at one time or another, e.g. either before the midterm survey or after, it is not important to separate the groups into years of when the interventions occurred. Thus, this report compares the results from all three surveys; baseline, midterm, and final.
For clarity on the activities by years, see chart on the following page.
B. Objectives of the Survey
The main objective for this final survey was to determine if the child survival interventions in these targeted communities reached or were still progressing toward the goals stated in the DIP. (See Appendix for list of goals). This project was scheduled to end September 29, 2000, but will be extended for another three years, continuing the same interventions, and adding interventions for acute respiratory infections (ARI) and malaria. Thus, the results from the ARI and malaria sections of this survey will serve as the baseline for the three year extension, which is to begin September 30, 2000.
The four child survival interventions that are currently in place for this project are: nutrition and micronutrients (45% of effort)* breastfeeding (25% of effort), diarrheal disease control (20% of effort), and family planning (5% of effort)*.