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

Assess hfes program alignment with ethiopias health

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Assess HFE’s program alignment with Ethiopia’s Health Sector Development Plan IV. Review the types and extent of HFE’s engagement with the FMoH, including HFE’s role in national planning for midwives, including training and placement, and make recommendations on how integration of services could be further enhanced. Comment on how HFE collaborates with UNFPA and WHO and other stakeholders on midwifery training and fistula prevention. Briefly map out other donor support for prevention and repair of fistula in Ethiopia. Program Delivery AusAID Health Resource Facility 74 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 Evaluate program delivery, management and supervision modalities; including assessing efficiency and effectiveness including value for money, in the context of AusAID’s Aid Effectiveness Policy, making recommendations for improvement. o Identify the reasons why key targets (number of obstetric fistula cases cured and births attended by a skilled birth attendant) in the design document for AusAID’s most recent funding could not be met. Review the strategic plan to address the issue of identification and referral, which was prepared by the Medical Director and comment on the extent to which the strategy has been implemented, the barriers to its effective implementation and whether it is likely to achieve its goal. o Review HFE’s plans to construct 25 MCH clinics 65 and midwives’ accommodation and seek assurances as to how the sustainability of these constructions and the approach will be ensured. The review will also consider how the expansion strategy aligns with the future health sector strategy of the Ethiopian Government and links the clinics with government run health centres. o Review whether the strategy of using Australian volunteers remains the most appropriate, given the difficulties encountered and which has delayed key activities, including mentoring of academic staff and collaboration with FMOH. o Review progress in developing an MoU with South Sudan on collaboration for Training of Fistula repair in South Sudan. o Assess the value for money of HFE’s operations considering the following: Does the program have realistic and appropriate objectives and a clear plan as to how and why the planned interventions will have the intended impact? Does the program have robust delivery arrangements that support the desired objectives and demonstrate good governance and management through the delivery chain? Are robust risk and fraud management strategies in place and practiced? Is the program having a transformational, positive and lasting impact on the lives of the intended beneficiaries, and is it transparent and accountable?
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