What is the overall Analytic description of the Key informant Key informant Sampling to be agreed Content analysis and perception of overall perceptions of the interviews with the from national, alongside that of the interpretation of community members key side” actors in actors stated in the district, sub districts qualitative findings “supply and community Community Health Systems question national and leaders of the strengths strengthening component, community levels and weaknesses of the strengths and SWOT analysis as stated in the CHW program? What weaknesses of the CHW question has changed in the program community due to presence? What have been the Comparison of the actual Desk review of Grant documents Sampling as Content analysis and results of the program results against the program documents as in No. 1 Above. Sampling of Lower levels interpretation of community targets prescribed in the and reports District annual and health facilities will qualitative findings interventions on HIV, Project Theory of Review the baseline performance be done to achieve a Analysis of HMIS and TB and malaria change/M&E Plan and periodic reports including balance between the other relevant program coverage, and (annually) performance HMIS (Plus DQA districts and between performance trends in access to services Compare access and information collected where necessary) good and poor the sampled (diagnosis and utilization of services - pre annually against the for major malaria performing health districts/communities treatment, referral and and post Project project theory of indicators facilities. follow-up services, intervention change and M&E Key informants (Time and distance to including linkages Analytic description of the Framework from National, play role in the final between factors that hindered or Key informant Province, District, sample size) facilitated the achievement interviews as in No. 1 Health Facility care with institutional of program results above and community care and provision of Describe lessons learnt and SWOT analysis level care and support best practices services)? Is the CHW program Determination of the direct Literature review Proposal and None Content analysis and supported through and indirect costs of the CSS Review approved Strategic interpretation of costs Global Fund grant component budgets, mapping CSS documents, and other quantitative cost-effective? What is Determination of clients related costs and Project theory of findings the ratio of direct to serviced by the CHW at collate and analyse change, M&E plan, Analysis of HMIS and indirect costs for national and local level as expenditure reports activity, quarterly other relevant maintaining each selected in the sample. Comparison with the and annual performance trends in CHW; what is the cost cost of alternative reports; work
What is the overall perception of community members and community leaders of the strengths and weaknesses of CHW program? What has changed in the community due to presence? Analytic description of the overall perceptions of the key “supply side” actors in Community Health Systems strengthening component, the strengths and weaknesses of the CHW program Key informant interviews with the actors stated in the question SWOT analysis Key informant from national, district, sub national and community levels as stated in the question Sampling to be agreed alongside that of the districts Content analysis and interpretation of qualitative findings What have been the results of the community interventions on HIV, TB and malaria program coverage, and access to services (diagnosis and treatment, referral and follow-up services, including linkages between care with institutional care and provision of care and support services)? Comparison of the actual program results against the targets prescribed in the Project Theory of change/M&E Plan (annually) Compare access and utilization of services - pre and post Project intervention Analytic description of the factors that hindered or facilitated the achievement of program results Describe lessons learnt and best practices Desk review of program documents and reports Review the baseline and periodic performance information collected annually against the project theory of change and M&E Framework Key informant interviews as in No. 1 above SWOT analysis Grant documents as in No. 1 Above. District annual performance reports including HMIS (Plus DQA where necessary) for major malaria indicators Key informants from National, Province, District, Health Facility and community level Sampling as Sampling of Lower levels and health facilities will be done to achieve a balance between the districts and between good and poor performing health facilities. (Time and distance to play role in the final sample size) Content analysis and interpretation of qualitative findings Analysis of HMIS and other relevant performance trends in the sampled districts/communities Is the CHW program supported through Global Fund grant cost-effective? What is the ratio of direct to indirect costs for maintaining each CHW; what is the cost Determination of the direct and indirect costs of the CSS component Determination of clients serviced by the CHW at national and local level as selected in the sample. Literature review Review approved budgets, mapping CSS related costs and collate and analyse expenditure reports Comparison with the cost of alternative Proposal and Strategic documents, Project theory of change, M&E plan, activity, quarterly and annual reports; work None Content analysis and interpretation of costs and other quantitative findings Analysis of HMIS and other relevant performance trends in
CSS%20Evaluation%20Report%20(Revised%20Edition-August%202012).docx