• Anthropometric measures of children’s growth

– Weight, height, Mid-upper arm circumference

Indicators of progress

Photo credit: http://motherchildnutrition.org/index.html

Indicators of progress

Photo credit: Jen Taylor

Indicators of progress

Photo credit: Jen Taylor

After the Training

Photo credit: Jared Macary

Medical Director will supervise • Training of health workers• Refresher training every 6 months• Regular clinical team meetings to answer questions

Technical Director will supervise • Proper making of porridge• Monthly group meetings and education of families

Supervision

Association Espoir pour Demain

Key:

Supervisors Trained workers Mon & Eval

MonthlyMonitor # of women receiving nutrition counseling during the clinic visits# of women serving porridge to children & properly making it

Quarterly Monitor # of Mothers/families and health workers recognize benefits of proper nutrition# of women/families and health workers recognizing signs of undernourishment

Yearly Survey and Key Informant Interviews to Evaluate Overall Program

Final Evaluation(After 3 Years)Reduced infant/under 2 morbidity and mortality Anthropometric measurements and self-report

Monitoring & Evaluation

Time Table of Activities

Implementation of ActivitiesYear 1 Year 2 Year 3

Personnel Responsible1st

Qtr2nd Qtr

3rd Qtr

4th Qtr

1st

Qtr2nd Qtr

3rd Qtr

4th Qtr

1st

Qtr2nd Qtr

3rd Qtr

4th Qtr

Preparation

Baseline Survey X Technical and Medical Director

Procurement of porridge ingredients. classroom supplies

and incentivesX X X X X X pMTCT Medical /Coordinator

Develop curriculum for TOT and nutrition/rotating curriculum for mothers X X X Technical Director

Implementation and Monitoring

Training of Providers X X X X X X Technical and Medical Director

Training of Mothers/Families X X X X X X X X X X X X pMTCT Medical Assistant/Coordinator

Counseling for Women in Program X X X X X X X X X X X X All Medical Assistants and pMTCT Coordinator

Monthly meetings of mothers with providers X X X X X X X X X X X X pMTCT Medical Assistant/Coordinator

Assessment of Children for Signs of Undernourishment X X X X X X X X X X X X pMTCT Medical Assistant/Coordinator

Women Serving Enriched Porridge (Monitoring will be biannual) X X X X X X pMTCT Medical Assistant/Coordinator

Women making flour X X X pMTCT Medical Assistant/Coordinator

Evaluation

Survey and key informant interview regarding curriculum satisfaction and understanding X X X X X Technical Director and Home Visit Coordinator

Survey and key informant interview regarding overall program X X X

Technical Director, pMTCT Medical Coordinator and Home Visit Coordinator

Follow-up evaluation of those lost to drop-out X X X Technical Director, pMTCT Medical Coordinator and Home Visit Coordinator

Final evaluation regarding program impact X External Consultant

Dissemination of results X X X X X X Technical and Medical Director

Designation Line Item Cost per month Qty/FTE Total

Staff PMTCT Program Manager 2,500 1.00 30,000

  PMTCT Assistant Program Manager 600 1.00 7,200

  Technical Advisor 1,000 0.50 6,000

  Administrator/Office Manager 660 0.25 1,980

  Field Bookeeper/Accountant 800 0.25 2,400

  Subtotal Salaries   47,580

  Severance (1 month pay, local staff)   3,465

  Benefits and taxes (30% expat staff)     1,800

  Health Allowance (10% local salary)     4,158

  Total Staff       57,003

         

Travel Two trips for headquarters staff 4,000 2.0 8,000

  Per diem and accomodation, field travel     4,000

  Total Travel     12,000

         

Training Education Sessions Materials 50 12 600

  Education Sessions Transportation 100 12 1,200

  Health staff training 1,500 2.0 3,000

  Total Training     4,800

         

Materials Enriched flour packets 300 12.0 3,600

  Clinical monitoring tools 2,500 12 30,000

  Didactic material printing costs     3,000

  Total Materials     36,600

         

Monitoring & Evaluation

Development of nutrition M&E plan     2,000

Final evaluation     3,000

Total Monitoring and Evaluation     5,000

         

Operations Office equipment & supplies 100 12 1,200

  Phone/Fax/E-mail 100 12 1,200

  Computers   1,000 1 1,000

  Total Operating Costs     3,400

         

  TOTAL DIRECT COSTS     118,803

         

  8) Indirect costs      

  Indirect Costs -- audited 12% 14,256

         

  TOTAL PROJECT     133,059

Budget

Impact

Photo credit: Jared Macary

Thank YouQuestions?