joint-aus-us-gov-review-hamlin-fistula-ethiopia-final-report.doc

Review of cost v spend will indicate whether ausaid

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Review of cost v spend will indicate whether AusAID financing is needed to support OF repair services. Support for prevention activities alongside AusAID bilateral support should be reviewed as HFE’s new management leads major organisational change and intensifies efforts to engage more strategically with FMOH especially in the area of skilled delivery. AusAID technical guidance for HFE at country level remains important and will help HFE at this critical time. Effectiveness 4 HFE can be more effective and in OF, increasing number of patients through improved case detection (within the context of the Health Extension Program); improving quality of M&E will help demonstrate effectiveness. Efficiency 4 HFE can be more efficient and is already on track to address cost efficiencies. Sustainability 5 HFE has done well to create a strong and diverse funding base leveraging support through TV and press coverage as well as fund raising. Planned efficiencies and a revised approach for prevention with closer engagement with FMOH will strengthen long-term sustainability. With a steady increase in uptake of family planning and skilled delivery 19 and likely reduction in obstetric fistula cases – a new role for HFE will become increasingly important. Maintenance of infrastructure at HC level and running of ambulances have significant financing implications unless incorporated into FMOH budgets. Monitoring & Evaluation 3 It was surprising to learn that for an organisation of its size and renown the HFE M&E unit has only been developed to its current level in the past 1 ½ years though service statistics have been generated for many years. TA provided earlier has not brought the unit to a sufficient level of competency as reflected in the weak 2011-2012 report prepared by a consultant and submitted to AusAID without quality assurance. The unit is not yet sufficiently developed to provide a robust and critical assessment of the impact of donor support and to do so properly will require deeper investigation using social science research skills. Gender equality 5 HFE addresses the needs of the most marginalised women and employs a significant body of senior women in the organisation. It also has men working with women in rehabilitation. Women occupy senior positions in the organisation including on the board. 18 Public private partnerships are incorporated into current policy dialogue and will be given greater emphasis in the 20 year visioning. 19 2005 and 20011 DHS showed contraceptive prevalence rate more than doubled in six years from 10.9% to 23.4 %. FMOH HMIS. EFY 2004 Annual Report showed skilled delivery rose from 16.6% to 20.4% from EFY 2003-2004. AusAID Health Resource Facility xv Managed by HLSP in association with IDSS
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Joint AusAID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Final report Conclusion HFE now has the opportunity, with new and experienced professional staff and a new board, to mend bridges where needed, put in place robust systems to support a larger organisation and grow partnerships. This will help ensure HFE will make a meaningful contribution to the
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