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

13 this will involve ensuring clear reporting

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13 This will involve ensuring clear reporting requirements, monitoring of loan provisions and clarity of roles. Obstetric fistula and the story of HFE continue to attract interest and money from public donations but this will arguably change as the problem of OF diminishes. HFE’s strategy will need to consider this changing scenario in its strategy and financial planning. Value for money HFE has estimated the cost per standard repair procedure at the main hospital and Bahir Dar Outreach Centre to range from US$755 to US$1,474 depending on location and severity 13 Clarity on the HFE/HFA partner relationships is provided at http://www.hamlinfistula.org.au/ AusAID Health Resource Facility xii 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 of the case. This is certainly within typical international ranges for developing countries 14 . HFE also report an overall surgery success rate of 82 per cent, similar to an international average of 86 per cent reported by a meta-analysis of 19 studies 15 . Given the undoubted transformational and lasting impact of a successful fistula repair, these results signify that VfM of the donor investment has been achieved, albeit that VfM could be further improved by closer collaboration with Government for better case detection. The cost of training a BSc midwife in HCM is US$16,000 over the four year period which is comparable with costs in other countries. Though considerably higher than FMOH’s costs of training midwives, the clinical skills and experience upon graduation are unquestionably higher at HCM. HFE’s relatively low output of graduates, however, indicates that better VfM and sustainable impact would be achieved by refocusing efforts on helping to improve quality of pre-service midwifery training within the other 46 midwife training institutions and 18 universities and in-service training and mentoring to improve services and midwife retention generally. Australian volunteers Australian volunteers have provided valuable technical assistance to the HCM, ensuring training is consistent with international standards. Not all planned positions could be filled (such as in the FMOH) and there continues to be a need for experienced, long-term volunteers to build capacity in HCM and FMOH. Recruitment is currently underway with AVI. HCM need not limit itself to Australian volunteers. 16 HFE planning for volunteers must ensure that pre-conditions for recruitment and placement can be met. The following table summarises the detailed recommendations laid out in section 4.2. Table 2: Summary Recommendations Area Recommendations Program delivery Fistula repair Rehabilitation and re-integration Maintain high clinical standards and deliver services to maximum capacity by strengthening professional and referral links with government and other NGO facilities and strengthening collaborative efforts to address case detection.
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