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

This will help ensure hfe will make a meaningful

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and grow partnerships. This will help ensure HFE will make a meaningful contribution to the HSDP-IV and ensure HFE’s reputation as global centre of excellence for obstetric fistula. Over the past ten years, some important lessons have learnt both for AusAID and HFE. For AusAID there are lessons around the use of intermediary NGOs based in a developed country as a conduit for funds to an NGO based in the south, as there may be gaps in their ability to provide appropriate support. If establishing trust funds, endowments etc. to provide sustainable funding for partner NGOs, how the legal instrument is framed needs to be considered in more detail as donors have limited ability to control the way the funds are used or applied. Finally, there are lessons around how to work with, and develop, the governance of local NGOs. For HFE (and other NGOs), rapid growth in size and income needs to be supported by systematic investment in appropriate culture change and the development of new structures, systems and management processes. International experience suggests that a specialist NGO like HFE needs to be proactive in the way it: engages and collaborates with other organisations working in the same field; develops new alliances, partnerships and collaborative relationships; aligns itself more closely with government policies; and develops strategies to enhance its comparative advantage. HFE can multiply and sustain the effect of its contribution to maternal mortality and morbidity reduction in Ethiopia as a full implementing and technical partner of the government of Ethiopia. There is evidence that this process has started and that many of the recommendations made in this report will reinforce action already initiated. The team recognises that the process of consolidation, re-structuring and strengthening of HFE will place numerous and significant demands on the new management and board, but also provides an opportunity for cost efficiencies and renewed effectiveness. HFE currently has a strong and diverse funding base with the potential to sustain most activities while other financing options and opportunities can be sought for the long-term. AusAID Health Resource Facility xvi Managed by HLSP in association with IDSS
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AID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Draft report 1. Introduction 1.1. Reproductive Health in Ethiopia Ethiopia has made significant progress in improving health outcomes over the past five years. Child mortality has fallen from 123 to 88/1000 between 2005 and 2010 and 40 per cent of remaining child deaths occur in the first month of life. The contraceptive prevalence rate (CPR) has increased from 15 per cent to 29 per cent although a quarter of married women still have an unmet need for family planning (FP). The maternal mortality rate (MMR) has stagnated at 676/100,000 live births and levels of facility-based delivery with a skilled birth attendant are very low (10 per cent national, 4 per cent in rural
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