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Concurrent Evaluation of National Rural Health Mission 3-7 th February, 2009

TOT OF ZONAL AGENCIES. Concurrent Evaluation of National Rural Health Mission 3-7 th February, 2009. Objectives of the Concurrent Evaluation. To evaluate the impact of NRHM interventions, by Agencies outside the Government , and make recommendations on:

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Concurrent Evaluation of National Rural Health Mission 3-7 th February, 2009

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  1. TOT OF ZONAL AGENCIES Concurrent Evaluation of National Rural Health Mission3-7th February, 2009

  2. Objectives of the Concurrent Evaluation To evaluate the impact of NRHM interventions, by Agencies outside the Government, and make recommendations on: • The institutional mechanisms and monitoring systems that have been put in place. • Programme designs for consistency, feasibility and effectiveness with respect to goals of NRHM. • Operationalisation of the programme elements of NRHM, identifying managerial and design constraints. • Capacities available and adequacy building efforts. • Programme outcomes with the respect to the phase of the programme in each State.

  3. NRHM – The Key Principles • Distrust to trust • Employment to service guarantee • Inflexibility to flexibility • Centralized to decentralized action • Funds, functions, functionaries for service • Monitoring against institution specific goals • Institution specific recruitment • Building capacities at all levels

  4. NRHM – Key Challenges • Resident, skilled, community health worker • Quality of services from public systems • Enhancing accountable Nursing services • Partnerships with non governmental sector • Streamlined procurement and logistic systems in States like TNMSC • Meeting the challenge of skill development • Increasing the density of accountable and skilled human resources for health in rural areas • Adequate and flexible financing of health care • Making PRI/Community institutions and activities fully functional in each village/institution

  5. Time line for activities NRHM

  6. Scope and Extent • By Independent Agencies including PRCs • To cover all Districts within 1.5 years in Rounds • First Round (R-I & SR-I) to cover over 200 Districts from all States/UTs (29% of Districts) • Revisit after completion of Rounds

  7. Agencies • Field Agencies • one for each State/Sub-State (UP, MP) • 5 Zonal Agencies • one for 5-6 States • National - IIPS

  8. INDIA – Zones for Concurrent Evaluation All

  9. North Zone HP J&K UK UP Delhi Punjab & Chandigarh Haryana

  10. North East Zone Arunachal Pradesh Assam Sikkim Meghalaya Tripura West Bengal Manipur Nagaland Mizoram

  11. West Zone Rajasthan Madhya Pradesh Gujarat Daman & Diu Goa Maharashtra

  12. South Zone Karnataka Andhra Pradesh Andaman & Nicobar Islands Puducherry Kerala Lakshadweep Tamil Nadu

  13. Central Zone Jharkhand Bihar Chhattisgarh Dadra & Nagar Haveli Orissa

  14. COORDINATION MECHANISM

  15. Roles & Responsibilities: FIELD AGENCY • Desk review • Consultation with key stakeholders • Undertake evaluation as per the methods • Collection, collation & analysis of data using recommended tools • Provide data in prescribed format to Zonal agency • Coordinate with Zonal agency & prepare state reports • Complete the field work in 3 months and submit final report within one month after that

  16. Roles & Responsibilities: ZONAL AGENCY • Field test & finalize tools in consultation with MOHFW • Training of Field Agencies in Zone • Support field Agencies in data validation, compilation, data analysis, report generation • Coordinate regularly with field agencies to organize field survey, training, data compilation etc • Cross/back check data of field agencies • Recommending payments • Coordinate State Reports • Ensure final report from field agencies within 4 months and submit to MOHFW agency within 1 month after that

  17. Roles & Responsibilities: NATIONAL AGENCY • Overall monitoring and coordination for Evaluation Work including • field work • data flow • report generation • District/ State/ National reports • Thematic Evaluation • Training of Zonal Agencies • Monitoring the quality assurance of survey results • Develop data entry package and tabulation software for use by all Zonal and Field Agencies • Legal support for contractual commitments and obligations • Evolving framework for performance appraisal of agencies

  18. Roles & Responsibilities: MoHFW • Overall coordination of Concurrent Evaluation • Monitoring • Cross/back checking data

  19. Technical Advisory Committee • Dr. P.M. Kulkarni, JNU               - Chairperson     • Dr. Arvind Pandey, NIMS          - Member • Addl. DG (Statistics)      -               Member • Chief Director(Statistics)    -               Member • Director (NRHM)                       -              Member • Director(Statistics)           -            Member       • Representative from UNFPA    -            Member • Representative from World Bank -     Member • Representative from UNICEF        -              Member • Representative from WHO     -              Member • Representative from PRC IEG, Delhi - Member • Representative from PRC ISEC, Bangalore-          Member • Representatives from all Zonal Agencies    -          Member • IIPS Coordinator / Project Manager -              Member • Joint Director (Statistics)  -              Member (Convener)

  20. Roles & Responsibilities of TAC • To oversee and coordinate various activities in the Concurrent Evaluation. • To address technical issues relating to finalization of schedules, tabulation plan, data quality aspects, etc. • To review the progress of the Concurrent Evaluation on a periodic basis and ensure its timely completion.

  21. SAMPLE DESIGN • State HQ • District HQ and Hospitals • Two (2) CHCs in each district • Four (4) PHCs (2 PHCs per CHC) • Twelve (12) sub-centers (3 SCs per PHC) • Twelve (12) gram panchayats • 24 ASHAs • 1,200 households • All Eligible Women in selected household • Exit Interviews (IPD & OPD)

  22. PROCEDURE • Agencies to visit States • Canvass State Schedule • Canvass District Schedules/ Facility Schedule • Interview Health functionaries • Interview Households • Examine systems and efficacy of ASHAs, RKS, Untied funds etc

  23. DELIVERABLES • Inception report: within 15 days of 1st installment • Baseline report- Secondary data -Interaction with key stakeholders • Mid project progress report • End report • Case studies and Observation reports • Photographs • Hard and scanned copies of interview schedule • Any presentations • Final Report

  24. KEY ISSUES • All mails to be invariably marked to eval-nrhm@nic.in • All the Zonal Agencies to maintain updated Contact Details of Field Agencies • National Agency should maintain record of Contact Details of all the Agencies • All Zonal Agencies to develop Timeline for TOTs with Field Agencies • Training Calendar of ZONAL/Field to be developed

  25. At the end of the Workshop • National Agency • Plans for TOT for Data Entry • Monitoring Protocols • Plan for Desk Review Report • Zonal Agency • Timelines • Facilitation • Field Agency • Training Calendar for TOT of Field Agencies • Field Work Plan

  26. Website • Ministry: • http://mohfw.nic.in • Web page of National Rural Health Mission • HMIS Portal • http://nrhm-mis.nic.in

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