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Integrated Reproductive Health and Microfinance Project 1

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Funding Information ()

Total Actual Commitment:
962,685

Total Planned Commitment:
926,020

Total Actual Disbursements:
981,313

Total Planned Disbursements:
0

Total Actual Release of Funds :
951,726

Unallocated Disbursements:
-18,628

TOTAL PLANNED EXPENDITURES:
0

Additional info

Activity Created By:
Medicine du Monde

Created in workspace:
Medecine du Monde - Team

Computation:
Yes

Activity Created On:
11/09/2013

Activity updated on:
11/08/2015

Data Team Leader:
Medicine du Monde mdm@amp.org

Identification

Project Title:
Integrated Reproductive Health and Microfinance Project 1

AMP ID:
872383155878

Status: Completed

Status Reason: This project is 3 year (July 2011 to June 2014) has been completed as per planning and almost 100% of the activities are done.

Outputs:

To contribute to a sustainable reduction of maternal and new born morbidity and mortality among the population living in remote areas in Sindhupalchowk District, Nepal

Input:

To empower women to use SRH services by enhancing both their economic capacity and reproductive health knowledge

To improve the availability and access to SRH services

Impact:

Outcome:

SO1 ER1

The financial empowerment of the women is enhanced through micro-finance activities / microfinance education sessions.

SO1 ER2

The Sexual and Reproductive Health knowledge of women is improved through health education sessions held in women’s microfinance groups.

SO1 ER3

Family decision makers’ (husband / mother in law) awareness on reproductive health and financial access to SRH services issues is enhanced.

SO1 ER4

Women in the target area know and use emergency funds [EOF] and MOH incentives to benefit from relevant and timely referrals to SRH services

SO2 ER1

An operational network of Health Facilities and health workers (well equipped and skilled) improves the access to general preventive and curative SRH services.

SO2 ER2

An operational network of health facilities and health workers (equipped and skilled) improves the access to BEOC.

SO2 ER3

Financial access to SRH is strengthened through the provision of micro finance services (including emergency obstetric fund)

Climate Change Relevance:
Neutral

Physical Progress %:
100

Gender Marker:
Directly Supportive

budget
Activity is Off Budget

Donor Codes:

[Medecine du Monde ]

Humanitarian Aid:
No

Planning

Date of Agreement: 17/07/2011

Date of effectiveness: 01/07/2011

Proposed Start Date:

Actual Start Date:

Extension Date 2:

Extension Date 2 Comments:

Planned Completion Date: 30/06/2014

Extension Date 1:

Extension Date 1 Comments:

Location

[NEPAL] [Central (Madhyamanchal)] [Bagmati] [Sindhupalchok (Chautara)]

100%

Show Map

Implementation Level:

Development Region

Implementation Location:

District

National Plan

[National Development Plan (NDP)] [Social Development Policy] [Health and Nutrition]

100.0%

Sectors

Primary Sector

Nepal Sector Classification - HEALTH

(100.0)%

Secondary Sector

Nepal Functional Coding - HEALTH - Public health services

(100.0)%

Funding

Organization Name	:	Medecine du Monde
Organization Role	:	donor
Type Of Assistance	:
Earthquake Disaster Response	:
Conditions	:

Organization Name	:	Medecine du Monde
Organization Role	:	donor
Type Of Assistance	:	Grant Aid
Modality of Assistance	:	Project Support
Earthquake Disaster Response	:
Mode of Payment	:	Direct Payment Mode
Conditions	:
Funding Classification Date	:	15/07/2014

Planned Commitments
Planned	15/07/2014	89,360,888 Nepali Rupee
Subtotal Planned Commitments:		926,020

Actual Commitments
Actual	15/07/2014	92,899,132 Nepali Rupee
Subtotal Actual Commitments:		962,685


ACTUAL DISBURSEMENT:
Actual	15/07/2014	94,696,702 Nepali Rupee
	Recipient: Medecine du Monde as the Executing Agency
SUBTOTAL ACTUAL DISBURSEMENT:		981,313


Actual Expenditures:
Actual	31/12/2013	94,696,702 Nepali Rupee
SUBTOTAL ACTUAL EXPENDITURES:		951,726




Undisbursed Balance:		-18,628

Total Planned Commitments:	926,020
Total Actual Commitments:	962,685
Total Actual Disbursements:	981,313
TOTAL ACTUAL EXPENDITURES:	951,726
Undisbursed Balance:	-18,628
Consumption Rate:	97%
Delivery rate:	102%

Key Achievements

Key achievements of the project covering two sector Health and Microfinance: • During these three years of program, we supported 17 Government staffs (ANMs) in receiving the Skilled Birth Attendants Training as a major part of capacity building in rendering quality MNN services. .Likewise all the ten health facilities were supported with the various equipments for the delivery of safe sexual and reproductive health services on the basis of need and type of health facility. Also technical support with equipments was given to the two PHCCs as they are the referral unit mostly to these working VDCs. In strengthening the physical infrastructure of the health facility, 4 health facility building were new constructed, 2 health facilities were supported for the renovation of the birthing room. Similarly all the 10 VDCS were supported with the stretchers (9 in each VDC) as a basic means of transportation.• With the aim to reducing the financial barrier in seeking the health service, we created 6 new registered women cooperatives; in other 4 VDCs we integrated our activities with already established cooperatives. These all cooperatives were initially supported with the revolving fund of Rs 400000. Also Obstetric Emergency Fund was established where each VDC was provided with Rs 60,000 which can be used in case of referral for unmanageable complications among pregnant women and neonates. The operation and monitoring of the use of this fund was handed over to the cooperative itself .Similarly, six different cooperative management trainings were given to the manager and executive members from each cooperative of all the ten VDCs. One of the cooperatives that we created was successful in covering all the household of the VDC which has been exemplary for us.Knowledge related to reproductive health of recently delivered women, their husbands and mother in laws is improved as following:1. Service utilization rate in the health facilities is increased.2. Fertility rate is decreased 2.5 to 2.3 from baseline to endline survey3. Knowledge of need of ANC is increased to 96% from the baseline 84%.4. Practice of 4 times ANC consultation is increased to 84% from the baseline 53%.5. Knowledge of need of Institutional delivery is increased to 92% from the baseline 74%.6. Knowledge of need of PNC is increased to 92% from the baseline 67%.7. Knowledge of need of PNC within 24 hours of delivery is increased to 48% from the baseline 6%.8. Knowledge of New born care: Mean score of 6 recommended actions in increased to 51% from baseline 20%.9. Knowledge of Mean score of 7 danger signs of newborn (after 28 days of birth) is increased 43% from baseline 145.10. Knowledge of Mean score of 7 recommended actions of birth preparedness is increased to 44% from baseline 14%.11. Reported having an Obstetric Emergency Fund (OEF) in their VDC is increased to 62% from 6% baseline.12. Knowledge on free delivery service is increased to 88% from baseline 61%.13. Heard about transportation to birthing centre (delivery incentives) is increased 89% from baseline 71%.Changes in the practice of reproductive health of recently delivered women is as following:1. Practice of ANC check up is increased from 77.6 to 87.4%.2. Practice of recommended four ANC consultations is increased from 55.2 to 84.5%.3. Practice of institutional delivery is increased from 38.9%in the baseline to 59.2% in the endline.4. Practice of home delivery has been decreased to 40.8% from 60.3% in the baseline.5. Practice of PNC within 24 hours is increased from 7.1% to 49.5%.6. Practice of PNC after 24 hours or no PNC at all is decreased from 92.9 % to 50.5 %.7. Practice of calling for assistance by health worker is decreased from 10.6% to 4.8%.8. Practice of waiting and watching in case of illness is decreased from 23.1% to 17.5%.9. The appearance of the danger signs in neonates has been decreased from 27.4% to 9.8%.However the preference to go to the health facility in case of danger signs remains unchanged at 63.4%. This shows the problem in behavioural change despite of having good knowledge, which need to be addressed further.10. The practice on utilization of the family planning services has slightly gone down from 37.4% to 36.2% which due to social reasons (husbands moving out for employment). 30/06/2014
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