GPAF (IMP 056) Project Completion Report 31 May ChildHope UK 20170320060338

Global Poverty Action Fund
PROJECT COMPLETION REPORT

PROJECTS ENDING BY MARCH 2016
Please read the following instructions carefully
This Project Completion Report template includes DFID reporting requirements for 2016. It is designed to provide a report on your project as a whole which:
 enables you to communicate to DFID what GPAF funding has achieved through your project
 establishes a record of project achievement against its outcome and outputs
 draws out conclusions and lessons learnt of value and wider application
 contributes to learning on emerging results
 informs a wider analysis of all GPAF projects
 checks compliance with the terms and conditions of the grant.
The template is aligned to the 2015 Annual Report template where changes were made in response to the Fund Manager’s experience from previous rounds, input from the
GPAF Evaluation Manager and DFID requirements and considerations. Revisions have been made to strengthen the documents, whilst maintaining a high degree of
continuity with last year’s reports.
The key changes are:
 strengthened guidance and clearer wording of some questions, for example on logframes, risk and value for money
 a new sections on methodological tools, to support GPAF evaluation
 a revised and more open section on learning
 some different questions on project accountability to stakeholders
 a few new questions, for example on assumptions, collection of beneficiary data and meeting the requirements of your grant arrangement
 removal of a few questions, for example on beneficiaries
What is required?
 Refer back to your most recent Annual Report feedback letter which might well contain pointers for completing the PCR.
 Use the 2016 Project Completion Report template (this document) without altering its structure
 Cover the whole period of your project
 Keep within page length limits
 Ensure that you draw on and refer to the findings of your external evaluation
 Submit the report and all accompanying documentation including separate annexes as WORD /Excel documents, not as PDF files
GPAF Project Completion Report Template up to March 2016 1

 Send all required documents by e-mail to your Performance and Risk Manager.
 Hard copies are not required
 Entitle your email “GPAF [reference number] PCR and closure documents”
The PCR report is due after your project end date (unless otherwise agreed in writing by the Fund Manager).
What to send – use as checklist:
1. Narrative Report (this document)
Page
Checkbox Section and Title Notes
limit
1 Basic Information 2 Basic project data
Summary, Progress & A narrative summary of project progress and achievements including section 2.2 which, unlike
2 6
Achievements the rest of the report, specifically covers the final period of the project
3 Value for Money 2 A summary of actions and achievements in relation to value for money
4 Sustainability 1 Progress towards ensuring sustainability

Project Accountability to
5 1 Project mechanisms to gather beneficiary feedback and the challenges of responding
Stakeholders
6 Learning 2 Lessons from project implementation for learning and dissemination
Requirements of Grant
7 1 New section to ensure that the requirements of the Grant Arrangement have been met
Arrangement
Comments on Independent Grant Holder comments on the findings and recommendations of the project Independent Final
8 2
Final Evaluation Evaluation
A record of progress against the milestones and targets in your project logframe. Includes an
Outcome and output
Annex A 12 assessment of progress against each indicator and the evidence which supports the
scoring
statements of achievement. Includes table to record methodological tools used.

Page
Checkbox Section and Title Notes
limit
Consolidated beneficiary
Annex B 2 An overall summary of the number of individual project beneficiaries.
table
Annex Some basic information about your project to feed into an analysis of the whole portfolio of
Portfolio Analysis 3
C GPAF projects
2. Project Documents (attachments)
Check
Document Notes
box
Most recently approved Logframe and Activity Log in Excel format, with ‘Achieved’ boxes completed for
each indicator, and each relevant milestone.
Reporting Logframe
Please label this document: “GPAF (ref. no.) PCR Logframe (+ date prepared)”.
Please name the document “GPAF [ref. no] final evaluation report”. For guidance please refer to
Final (External) Evaluation Report
“Independent Final Evaluations – overview for GPAF grantees” and FAQs recently circulated
New photograph(s) which illustrates or tells a story of your project.
Photograph(s)
Attach as a separate file(s) (i.e. do not embed into another document), preferably as a JPEG file.
In separate document please provide:
* captions or explanations of the photo(s);
Supporting statement for photograph(s) * the photographer’s name, if possible;
* assurance that subjects have given their consent, both for the photograph to be taken and for its
possible use in learning/publicity materials.
3. Financial Report (attachment - use the most recent Excel template circulated with this report template)
Check
Document Notes
box
Worksheet 2 of excel template showing expenditure in the project’s final financial year
Final Annual financial report

Worksheet 4 of excel template showing a summary of expenditure over the life of your project
Financial summary
It is very important to note that:
 Project expenditure must be reported against the full detailed budget agreed by Fund Manager and not the summary budget used for expenditure claims.
 Any variances in excess of 10%, either positive or negative, (or transfers between main budget sub-headings) must be explained.
 You should show any variances both in terms of total amount in GBP (£) and percentage of your budget.
4. Closure documents
Check
Document Notes
box
Final claim or statement of The appropriate template will be sent separately (as dependent on nature of claims)
expenditure
Please use template provided with PCR document pack
Inventory of disposal of assets
Please use template provided with PCR document pack
Asset transfer letter
A hard copy of your Annual Audited Accounts for the financial year in which your project ended must be posted
Annual Audited Accounts (if
to the Fund Manager four months after the end of your financial year, unless an alternative deadline has been
available – see note)
agreed in writing by the Fund Manager.
Information and References
Purpose of the GPAF
The Global Poverty Action Fund (GPAF) is a demand-led fund supporting projects which are focused on:
 poverty reduction and
 pursuit of the Millennium Development Goals (MDGs)
through tangible changes to poor people’s lives including through:

 service delivery
 empowerment and accountability
 work on conflict, security and justice
Further Guidance documents that may help with the completion of this Project Completion Report:

Gender and Diversity:
 DFID Disability Framework 2014
Value For Money:

 BOND VFM Guidelines
 BOND – Integrating VFM into the Programme Cycle Diagram
 DFID VFM Guidelines
Quality of Evidence:
 BOND Quality of Evidence Guidelines
 DFID How-To-Note – Assessing the Strength of Evidence
Any Questions?
If you have any questions about the completion of your reporting requirements, please contact your Performance and Risk Manager.
Common questions with answers and further guidance as previously drawn up by TripleLine are being circulated as Frequently Asked Questions (FAQs) alongside this report.

GPAF PROJECT COMPLETION REPORT
SECTION 1: BASIC INFORMATION
This information is needed to update the Fund Manager’s records
1.1 Grant Holder Organisation Name ChildHope, UK
1.2 Grant Holder Organisation Address Development House, 56-64 Leonard street, London EC2A 4LT
1.3 Project partner(s) Child in Need Institute (CINI), Kolkata, India
 List implementation partners.
 Highlight any changes to partners.
 For multi-country projects, please indicate
which partner is in which country
1.4 Project Title Bringing the MDGs back on track: Improving health and nutrition outcomes for women
and children among vulnerable families living in urban and rural areas of West Bengal
1.5 GPAF Number IMP 056
1.6 Countries India
1.7 Location within countries Kolkata (Urban Slums) and North Dinajpur (Goalpokher District), West Bengal
1.8 Project Start & End Dates Start: 12/2012
End: 03/2016
1.9 Reporting Period From: 01/04/2015
To: 31/03/2016
1.10 Total project budget £ 668,569
1.11 Total funding from DFID £ 522,429
1.12 Financial contributions from other sources Total £149,729
Please state all other sources of funding and List all contributions
amounts in relation to this project. Sources CINI - £92,547
should be listed in bracket. ChildHope - £13,494
Panchayat (local self-government)- and clubs-£43,688
1.13 Date report produced 31/05/2016

1.14 Name and position of person(s) who compiled Name: Amit Arulanantham
this report Position: Programme Manger, ChildHope UK

Name: Swapan Bikash Saha
Position: Project Director, CINI
Name: Amrit Paswan and Sanchita Sengupta
Position: Learning and Impact Officer, and Nutrition Officer, CINI
1.15 Name, position & email address for the main Name: Amit Arulanantham
contact person for correspondence relating to Position: Programme Manger, ChildHope UK
this project Email: amit@childhope.org.uk
1.16 Secondary contact person (optional) Name : Jill Healey
Position: Executive Director, ChildHope UK
Email: jhealey@childhope.org.uk
1.17 Acronyms
Please try not to use too many acronyms, and explain all that you do use e.g. CHW – Community Health Worker.
Acronym Explanation
ANC Ante Natal Care
ANM Auxiliary Nurse Midwife
ASHA Accredited Social Health Activist
AWC Anganwadi Centre
AWW Anganwadi Worker
BDO Block Development Officer
BFM Beneficiary Feedback Mechanism
CA Change Agents
CBO Community Based Organisation
CINI Child in Need Institute
DRDA District Rural Development Authority
HDI Human Development Index
HHW Honorary Health Workers
ICDS Integrated Child Development Scheme

JSY Janani Suraksha Yojana
KMC Kolkata Municipal Corporation
MCH Maternal and Child Health
MIS Management Information System
NRC Nutrition Rehabilitation Centre
NRHM National Rural Health Mission
NREP Nutrition Rehabilitation Education Programme
Nutrimix A low cost ready to cook supplementary food containing cereal pulse mixture fortified with iron and iodine developed and
manufactured by CINI
PNC Post Natal Care
SAM Severe Acute Malnourished
SHG Self Help Group
ULB Urban Local Body
VHND Village Health & Nutrition Day

SECTION 2: SUMMARY, PROGRESS AND RESULTS (Up to 6 pages)
2.1 PROJECT SUMMARY (max 12 lines)
a. In your own words please describe your project, its context, who has benefitted from it and how and what overall change has been achieved.
The project was a community based development intervention which aimed to increase knowledge and awareness of 45,509 targeted population of
vulnerable women and children leading to their appropriate health and nutrition practices at the household level. The project also reached out the indirect
beneficiaries such as extended family members, club members, local Self Help Groups, and other community representatives to play facilitators’ role for
promoting health and nutrition initiatives in the community. The project empowered communities and advocated with government service delivery systems
to ensure that the mandated health and nutrition entitlements reach the population. The project was operational from December 2012 to March 2016 in
nine wards of Borough VII of Kolkata and 15 Gram Panchayats in Goalpokhar I block of North Dinajpur district.
The project intervened in the first 1000 days of life to improve coverage of ANC, PNC, Institutional delivery, JSY and routine immunization and infant and
young child feeding practices. Community events like Annaprashan (first rice ceremony) and Swad Bhakhan (special care during last trimester of
pregnancy) and initiatives like Nutrition Rehabilitation and Education program (NREP) and referral of severely under-weight children to government run
NRC worked on improving infant feeding practices and child nutrition levels. Reaching feedback from communities to government service providers has
been a unique initiative of the project to bridge the gaps between demand and service provision.
The four identified good practices that have led to positive outcomes are Self Monitoring by mothers using Pictorial Calendar, Improved Post Natal Care
due to incentivization with PNC kits, NREP sessions and the Beneficiary Feedback Mechanism. Some of the Behaviour Change Communication materials
developed for this project were 1000 day pictorial calendar for use of mothers, bilingual (Bangla and Hindi) guidebook on first 1000 days care for use of
field functionaries, trilingual ( Bangla, Hindi, and Urdu) pictorial leaflets for use of communities and NREP flip book for counselling session. Specifically
designed MIS software aided in robust monitoring and data collection of project at all levels.
From the Baseline survey conducted in 2013 to the Final Evaluation in 2016, maternal health indicators like ANC, PNC, JSY referrals and birth attended by
skilled personnel have significantly increased in both rural and urban project areas. Infant and young child feeding practices have also recorded a
significant improvement in project areas. Children in the normal weight range have increased while numbers of moderate and severe underweight children
have reduced significantly (Source – Project Logframe)
b. Please provide a couple of direct quotations from beneficiaries that illustrate how the project intervention has improved their lives.

Quotes from Mothers and Change Agents:
 Swati Das, 23, mother of two children- “I wonder what would have happened to me and my baby if CINI didi (CA) had not intervened. Because of her
help I got the benefits of the hospital and understand the importance of nutrition and ANC for pregnant mothers. I am so grateful to the CINI didi’s
(CAs). I will continue to talk about the importance of ANC to all the young women in my locality”.
 Sanam Khatun, 19, mother of one child - “I received nutrition support and counselling from CINI. I know the importance of post-natal care checkups
and encourage my neighbours also to avail the same. I understand how important health care and nutrion is, so I now save money and visit the
hospital on my own”.
 Narseen Begam, 28, mother of two children - “At the NREP session conducted by the CINI didi's (CAs), I joined the other mothers in the cooking
process (khichdi- mixture of rice, dal, vegetables, oil, and condiments) and learnt the cheaper and easy method of cooking nutritious meals. I
followed the advices at home which improved my child's health”.
 Piu Biswas, 32, Change Agent - “I helped people not to make the same mistakes, which I made by neglecting my child's and my own health. GPAF
project is ending, but I believe with the knowledge I gained, I can continue supporting and sharing knowledge with people around me”.
2.2 PROGRESS SINCE THE PERIOD COVERED BY THE LAST ANNUAL REPORT
a. What are the dates of this final reporting period? April 2015-March 2016
b. Please outline progress during this final period and any significant challenges (max 10 lines)

Some significant progress:
1. Community sensitization and empowerment was a core approach of the project to bring long lasting behavioural changes in the communities. Towards
the end, the project has created 10 Empowered Community Watch Groups” which while being part of the same community are transferring
knowledge and ensuring quality services from government, making duty bearers accountable.
2. The project built capacities of 114 SHGs, 351 CBOs and the local clubs around mother and child health. These groups are now playing the role of
facilitators to support behaviour change drive in the community.
3. The project was engaged with the maternal and child health system in both rural and urban project areas to improve delivery of out-reach services.
Though regular meetings and awareness programmes, existing convergent platforms like VHND and VHSNC were strengthened and streamlined. As
a result, health and nutrition issues came out as a priority agenda for the local government functionaries and were addressed through the project’s
activities.
4. Joint capacity building programme for CA and Government health workers was a multi-level and multilayered approach both with internal and external
stake holders, which ensured quality of ICDS and Health services such as providing improved quality of supplementary food, post immunization follow-
up and counselling for growth promotion, etc.
5. Advocacy was done at the state level for up-scaling the good practices of GPAF project to reach out the underserved urban population in the
remaining boroughs/slums of Kolkata Municipal Corporation. As a result the government has considered the need for opening new ICDS centres in the
underserved pockets, by adapting some good practices of GPAF project. This can be implemented by government after the election in 2016
Challenges:
1. Reaching out the underserved rural remote population in Goalpokher has been a major obstacle without appropriate government system and
structure.
2. The achievement of institutional delivery, especially amongst Muslim communities at rural Goalphoker project location was a major impediment
against the target. This is a sensitive issue in this conservative Muslim culture.
3. The government responses to the community needs on quality of health and nutrition services were not timely, despite the community voices/concerns
raised as part of feedback mechanism.
4. There were local elections that changed the leadership within the community, this made relationship building difficult as the project was not an initial
priority of newly elected officials.

c. Have there been any significant changes in relation to the following? Mark Y or N
i. Project design N
ii. Partner(s) N
iii. Context N
iv. Availability of match-funding (where relevant) N
d. Provide a brief explanation of what changed and why: Not applicable
n/a
2.3 RELEVANCE TO CONTEXT

Please explain what you did to ensure that the project interventions continued to respond to the priorities and needs of the target population and
any change in context. To what extent did your GPAF project remain relevant in the context where you are working?
At the beginning of the project a baseline survey was conducted to identify the community needs through which the important issues (quality of
supplementary food, referral cased to hospital/health centre, counselling to families, receipt of JSY money etc) were identified. Intervention was designed
to meet the identified needs with active engagement of existing government structures and workforce. The major initiatives taken during the project
implementation are the community competency development, improved access to utilization of services and strengthening linkage with government
development schemes to address the maternal and child health situation as mentioned in the outcome level indicators of logframe. The project was also
designed to assess whether the project interventions continued to respond to the priority and needs of the target population through annual rapid
assessments (3 assessments done at the end of each financial year). Recommendations from the assessments were incorporated in the programme
design. The project team members had regular interactions with community and government stakeholders to re-verify the relevance of the project
intervention to the local needs. Various tools such as Beneficiary feedback mechanism, stakeholder community meetings, focussed group discussions,
local government convergence meetings helped to identify and acknowledge the relevance to the project context.
A lot of effort was given by the project team in year two to strengthen the existing convergent platforms and organise ward Sabhas in the urban locations.
This process enabled to facilitate discussion and planning for improving health and nutrition services. However, the municipal elections in 2015, brought
about a change in the local context due to change in political representation. The new elected representatives had their set political agenda with less
priority in health and nutrition interventions. The project was re-strategized to ensure engagement of political representatives through frequent interaction
on needs of health and nutrition issues for improving maternal and child health and nutrition.
2.4 EQUITY (GENDER & DIVERSITY)

Did the project contribute to equity – i.e. equitable poverty reduction and the empowerment of men, women, girl and boys and relevant
marginalised groups to participate in decisions that affect them at the local and national level and start to equalise their life chances? (Mark with
an “X” in the appropriate box)

Yes X No To some extent:
a. Please explain your response in the space below, including reference to the gender and other power relations encountered by the project,
and any socio-economic analysis undertaken:
The desired impact of the project was to address poverty reduction by generating awareness among marginalized and migrant populations in urban and
rural project locations for accessing government services. Besides targeting women and under two children, the issue of equity was addressed by
ensuring the participation of male and female adults & children, female and male front line workers, male community decision makers in the sensitization
meetings/community based events. Project included the following activities:
1. Events (first rice ceremony, last trimester pregnancy ceremony, breast feeding and nutrition weeks) have been organised in all project locations,
inviting people irrespective of caste and religion for creating mass awareness on improving maternal and child health and nutrition in coordination with
the government functionaries with active involvement of community members and CBOs.
2. Mothers and other caregivers including male members of the families were sensitised on awareness of health and nutrition specific interventions and
existing government flagship programs and schemes. The program reached to 39,357 (pregnant women and mothers or under 2 children), so that
they can access to maternal and child health services.
3. 351 community based organisations like local clubs of Borough VII (162) and Goalpokhar block 1 (189) were trained on the government
programmes/schemes and their roles to track the service compliance.
4. 114 Self help groups constituted with representatives from the same community, belonging to varied socio-economic and religious groups were
engaged in promoting MCH services and 4 groups were engaged in packaging and supplying of post natal care kits to project, which ensured their
livelihoods. This initiative also empowered the women on decision making to spend money for improved family care.
5. 10, 0059 female Community Members demonstrated increased knowledge of MCH and SRH issues (refer to Annex A) towards improving their own
and their child’s health.
6. 529 Change Agents in Borough VII (298) and Goalpokhar 1 block (225) were trained from various socio – economic and religious background through
incremental training during monthly meeting. The work of change agents was incentive-based; which was used for their education and other health
purposes.
7. 5850 people of varied socio-economic and religious background participated in Ward sabha (510) and Gram sabha (5340) for discussing the issues
and prepared action plans
b. What has the project done to ensure that it was designed, implemented and monitored in such a way that gender needs and issues were
addressed or mainstreamed, and that it delivered and tracked improvements in the lives of women and girls? What analytical tools did you
use, if any, to do this? (Please refer to the guidance referenced on page 4)

Following steps were taken to ensure that the project was designed, implemented and monitored in such a way that gender needs and issues were
addressed or mainstreamed, and that it delivered and tracked improvements in the lives of women and girls:
1. The 2nd annual rapid assessment guided project staff to plan the interventions specific to gender disparities on male’s roles in child care. The club
members and CBOs are mostly male members were oriented on their roles to support women during pregnancy period, ensuring health checkups,
infant young child feeding, improving immunisation, and involvement in contraceptive choice.
2. It was found that the literacy level was low among the women in the target group, so special attention was given to ensure better information
dissemination through pictorial based BCC materials. This process not only sensitized the women but sensitized the male members to promote
antenatal, post-natal check-up, and institutional delivery at the family level.
3. Previously decision making power rested with influential male members of the community. Female community groups and female community watch
groups were formed, who demanded and acquired the basic health and sanitation services for their localities from local councillors and PRI
representatives. The key representatives of female community groups also participated in ward/gram sabha and they were part of the decision making
on woman and child related issues.
4. The project MIS was designed to capture gender disaggregated data in line with the project interventions
5. Special attention was given to the malnourished girl children during NREP sessions.
6. Working papers prepared by GPAF project staff, revealed that there is no gender differential on feeding and care among young children. However,
there is clear evidence that gender components inherent in the social determinants such as extent of decision making power of a woman through life
cycle which influences her own health and nutrition status as well as that of her child.
c. What steps did the grant holder and implementing partner(s) take to support the principles of equity, diversity and inclusion through:
i) organisational policies and practice, including the staffing profile of the project?
ii) promoting inclusion skills and competencies within the organisation?
Please respond particularly with reference to gender and disability.

ChildHope UK's core values follow closely the equality principles and are integral to its approach. As a women led organisation, all projects managed by
ChildHope promotes equality of opportunities by ensuring that children, women and people with disabilities are positively encouraged to be part of every
component of the project. To promote accessibility we work with project partners and other stakeholders, including community leaders and the
Government, to identify the most disadvantaged and raise awareness of opportunities to become involved in project activities. This includes using a range
of communication channel as well as directly approaching those most in need, recognising that the most socially excluded often have self-stigma that
prevents them coming forward for inclusion in such programmes.
The implementing partners also has a Gender Policy and Sexual Harassment at Workplace Policy to ensure gender equity within the workplace.
Staffing Profile:
The Project Management team has a gender ratio of 50:50
The Field Coordination team gender ratio is 50:50
In Urban the project location, all supervisors are female, whereas the supervisors in the rural area have a gender ratio of 50:50
All Change Agents hired are female for better working relationships and sensitivity to the female target group. They all have diverse background and
belong to different religion, caste, age group, qualification, etc.
ChildHope has also provided training to CINI staff and other project team members on Inclusive development which mainly focused on the inclusion of
disabled. Staff members were also trained on child protection, participation. ChildHope also facilitated the learning exchange programmes with other
partner organisations.
2.5 KEY RESULTS AND ACHIEVEMENTS FROM THE OUTSET OF THE PROJECT
Please provide a heading and summary of the three most significant project results or achievements over the whole project period (up to 10
lines each). This section provides you with an opportunity to tell the story of the project’s success and what you are most proud of. Please be
as specific as possible in describing the target groups; how many citizens benefited (men/women; girls/boys); and how they have benefitted.
Make it clear where the results and achievements were made in coalition or partnership with other, non-project actors. Where possible please
with particular reference to the objectives of the GPAF.

1. Increase in % of women attending at least 3 ANC during pregnancy and increase in % of women referred for JSY benefits
At the end of year 4, 98.4% women in urban and 82% women in rural areas attended at least 3 ANC during pregnancy against the baseline of 69% in
urban and 55% in rural. 86% women in urban and 77 % women in rural have been referred for JSY benefits against the baseline of 17% in urban and 55%
in rural.
Change Agents and Supervisors along with government frontline workers (ANM, ASHA, and HHW) generated awareness among the community during
sensitization meetings regarding the importance of ANC check up and JSY benefits. As follow up of sensitization meetings, change agents in coordination
with the frontline workers made home contacts to ensure next ANC check up and also track the dropout mothers due for ANC. They also help women in
registering for JSY benefits. Moreover, the self monitoring calendar also helped in motivating the beneficiaries to access health services on a regular basis
as they can keep track of their own and child’s health. The self- monitoring calendar was used for tracking compliance of services during first 1000 days of
life. It is a calendar consisting of all the major milestones related to maternal and child health like ANC, PNC, Immunization, Infant and young child feeding
practices etc.
2. Increase in % of women receiving at least 3 PNC care after delivery
At the end of year 4, 67% women in urban and 50 % women in rural have received at least 3 PNC checkups against the baseline 10% in urban and 45% in
rural
To improve the coverage of PNC check-ups within 42 days after delivery, PNC kit as an incentive was given to the woman post delivery. Demand of PNC
kit was increased as community understood the necessity and utility of the kit. Continuous awareness generation on the importance of PNC check up by
the change agents and supervisors along with government frontline workers helped a lot in motivating women to access the services.

3. Number of moderately & severely malnourished children 0-2 years have reduced after accessing NREP supplementary feeding programme
Endline Evaluation Baseline

Borough VII : (Total children : 8344, M- 4422, F- 3922) Borough VII
Male: Normal – 73.6% (3255) , Moderate – 21.4% (946), Severe - 5% (221) Male: N - 65% (3148), M-19% (920), S-16% (775)
Female: Normal – 88.7% (3479), Moderate – 9.7% (380), Severe – 1.6% (63) Female: N -70% (3013), M-14% (603), S-16% (689)
Goalpokhar: (Total children: 18029, M – 9465, F- 8564) Goalpokhar
Male: Normal- 57% (5395), Moderate – 32.2% (3048), Severe – 10.8% (1022) Male: N- 54% (3502), M-34% (2205), S-12% (779)
Female: Normal -77.7% (6654) , Moderate – 17.1% (1464), Severe -5.2% (445) Female: N -72% (3978), M-20% (1105), S-8% (442)
With the initiative of GPAF, 12 days Nutrition Rehabilitation Education Programme (NREP) sessions were conducted jointly with government peripheral
workers and community based organisations for the mothers/caregivers of malnourished children on feeding demonstration, care and personal hygiene.
The NREP sessions were also conducted in the non ICDS areas by supervisors and change agents with the initiative of community. These children were
followed up for a period of 18 days through home contacts to track behavioural practice at home. Children who were not gaining weight within 2-3 months
were referred to government runs Nutrition Rehabilitation Centre (NRC) for institutional care. CINI introduced a roaster to track the attendance of visit to
these sessions and weight monitoring. The mascot drawn by mothers is a baby and every visit will lead to drawing of one part of the body. If someone is
absent one day, that part will not be drawn (for example hands) and it will be shown that the baby would not be normal. This helped in creating peer
pressure and motivating the mothers to come for these sessions.
a. Please list key factors that contributed positively to your overall achievements
1. Engagement of government functionaries and local key stakeholders was there right from the project planning, implementation, and monitoring of
project activities. Micro plan was prepared in each ward and Gram Panchayat with active involvement of government peripheral workers and
community based groups.
2. IEC & BCC materials and feedback tools were developed based on the local context analysis and community inputs.
3. Sensitised local community based organisations were actively engaged in identifying the issues related to poor service delivery. The groups also
apprised the government key personnel to improve service delivery.
4. Mothers with support of family members were involved to track the service compliance using self monitoring calendar during first 1000 of life
b. List key challenges or factors which impacted negatively on progress and how they were addressed

1. Challenge - Communities didn’t give much priority on health and nutrition issues; rather their interest was more on basic amenities and livelihood.
Mitigation – Communities and families were sensitized repeatedly on the importance of health and nutrition issues and the burden of ill health on
family economy. This was mainly done by Change Agents (Community Volunteers).
2. Challenge - Migrant population without proper identity card was not able to opt for JSY benefits
Mitigation – Local councillors were sensitised through regular meetings with the help of local community leaders to issue a letter of identity
equivalent to identity proof for opting JSY benefits
3. Challenges: Low coverage of services among the migrant populations in unregistered slums.
Mitigation – NREP sessions were organised in un-served pockets in consultation with ICDS government officials. The unregistered families
through CA were motivated to bring their children to areas where the government services (ANC check up and Immunization) were present.
4. Challenge: Government never made attempt to receive feedback from community to improve the service quality
Mitigation – BFM as a pilot initiative was started in four wards of Borough VII to collect feedback on services from the community. BFM was used
as a communication and advocacy tool to give feedback and demand services from government departments. Learning from BFM has also been
shared with community members to motivate and continue the good work.
2.6 UNINTENDED (POSITIVE) OUTCOMES

Were any unintended outcomes that have been observed as a result of your project implementation during the project period? Please list and
explain below.
Issues such as immunisation, safe drinking water, and sanitation were not planned under GPAF project, however building knowledge around these
interventions have a direct impact on maternal and child health and nutrition. These interventions were taken up with equal vigour by the project base on
local needs and made an integral part of capacity building, awareness and group meetings. Additionally, the BFM pilot incorporated these indicators too in
their feedback format, since these issues directly impact on the living conditions of the community.
2.7 UNINTENDED (NEGATIVE) CONSEQUENCES

Did project implementation lead to any unintended negative effects during the project period? Please list and explain below.
No
2.8 PROJECT LOGFRAME
a. On the basis of your project implementation experience, do you consider there to be any key aspects of your project which have not been
sufficiently captured in your project logframe (such
as hard-to-measure qualitative results)? (mark box): Yes No X
If yes, please use the space below to explain.

b. Did any of the assumptions underpinning your logframe or wider ‘theory of change’ come under challenge? Please explain what happened
and, broadly, the impact.
NA
2.9 RISK MANAGEMENT & MITIGATION

With reference to the project’s risk management matrix, please use the table below to describe the main risks you faced during the project
period and how you dealt with them.
Was this action
Which risks materialized in the project period? Was the risk anticipated? What action did you take to address the risk? sufficient?
Describe briefly. Yes / No / To some extent Briefly explain. Yes / No / To
some extent
Drop out of Change Agents from the To some extent After regular recruitments and turnover, In year 2 a Yes
programme (529 retained out of 600 recruited) decision was taken to focus on the retention and
capacity building of the remaining CA’s instead of
investing a lot of time in recruiting new ones. A new
position of Lead CA was created among the CA’s
based on performance and additional responsibilities
were given to support the field operations.
Low morale of CA due to less incentive from To some extent The incentive of Change Agents was increased from Rs To some extent
the project compared to government ASHA 500 to Rs 600 per month. The project team lobbied with
worker of NRHM programme KMC for considering CA as government urban ASHA
workers which can transfer learning in other
communities and also help in retaining the trained
workforce. It was acknowledged by a few government
officials that CA had better updated knowledge and
skills in comparison with other government field health
workers. Government officials are reflecting on this and
may take a decision after the election in June 2016.

Involvement of urban local bodies and elected No The project team member including CAs had regular To some extent
political members during convergence meetings with the government officials and appraised
platform them about the project progress. In these meetings,
community members were also able to raise issues
concerning them. It took a long time to get their
commitment but now in a lot of communities and ward,
they are happy to listen to the community members,
their issue and their feedback.
JSY, PNC services – services not reaching the Yes The project team had discussions in forums like ward To some extent
community sabha, panchayat, district and state level dissemination
meetings. The process involved a lot of lobbying with
the government officials to approve for joint visits of
change agents and government health workers to
houses in different locations, in order to identify
mothers with complications and refer them to health
centres. As a result of this initiative the JSY and PNC
coverage was increased as can be seen by the end line
survey/ evaluation figures.
ICDS not cooperating with project staff to No This was highlighted as one of the risks in the last To some extent
organised NREP session annual report. To mitigate this, regular meetings were
held with CDPO and ICDS supervisors (senior
government officials), circular was issued from district
headquarters to organise NREP sessions at the AWW
centres where the magnitude of child was a concern.
During our field visit and interaction with 3 CDPOs, it

was observed that they were keen on working on the
project. All of them also recommended to continue
NREP sessions.

SECTION 3: VALUE FOR MONEY (Up to 2 pages)
See introductory section on page 4 for guidance and resources on Value for Money
3.1 Economy: Buying inputs of the appropriate quality at the right price. What policies and practices have been followed by the project
to ensure that funds were used to purchase inputs economically? What did the project do to drive down costs whilst maintaining the
necessary standards of quality? Include references to the use of any relevant unit cost benchmarks. (DFID considers inputs to
include staff, consultants, raw materials and capital to produce outputs.)
Adequate measures were followed to economize all the project related costs. All the procurements were done through a standard tendering process
where a minimum of three bidders were invited and the lowest or the most reasonable bidder received the final contract. All the project staffs were highly
experienced and have been working in this sector for considerable amount of time. It was also found that most of the employees have been with the
organization for a long time.
The project used community infrastructure effectively. During the evaluation qualitative interviews, the club members and the Government stakeholders
informed that they provided infrastructure support for some of the CINI activities. This was possible due to the good rapport established by CINI with all
the stakeholders. During the interview with the Program staff, it was also reported that the organization is very prudent about out of pocket expenditures.
Most of the program staff used public transport and used standard accommodation for any project related travel. CINI has been working in these areas for
a very long time and thus it did not have to incur large cost in setting up the project. Many of the program staffs have been working with the organization
or other projects before.
One significant achievement of the program was to achieve match funding for this project. In the current context, where DFID’s withdrawal of funding for
India resulted in other donors (e.g. JOAC, GOAC, etc.) pulling out, it was very difficult to secure the necessary 25% match funding for this project. This
was particularly difficult in a district such as North Dinajpur where there are limited CSR opportunities. However, ChildHope and CINI managed to raise
money through various community platforms and leverage other Government funding. It managed to establish a symbiotic relationship with the state
government, where they supported the government by bridging the manpower gap and the Government helped in achieve program objectives by aligning
their activities to some of the program activities. Along with this, CINI contributed a large part from their own general funding reserve. The program has
also been successful in motivating the community to contribute. During the discussions with club members and Self Help Groups, it was reported that the
community was also contributing small amounts at individual level for improving overall maternal and child health status of the respective project locations.
3.2 Efficiency: Converting inputs to outputs through project activities. What steps have you taken during the project to ensure resources
(inputs) were used efficiently to maximise the results achieved, such as numbers reached or depth of engagement? Include
references to the use of any relevant cost comparisons (benchmarks) at the output level (e.g. standard training cost per trainee) and
any efficiencies gained from working in collaboration with others.

The efficiency of the program was analysed by comparing the unit cost of the programme outputs with comparable national and global benchmarks or unit
costs of other similar programme implemented by CINI. The analysis focused on the understanding whether the project has been an improvement in cost
efficiency over time.
It was revealed in the evaluation that various steps were taken to improve the efficiency of the project in terms of cost. The managers of other projects
visited the project locations during their project monitoring visits and provided technical support which reduced costs of outsourcing consultants. CINI and
the Government provided space for holding meetings and workshop related to the project. IT personnel from CINI provided free/low cost services for
management of the database. Project management staffs, as well as field level workers were encouraged to attend other projects training programmes on
relevant issues for the development of their skills. This reduced the amount of funds the project spent on training.
Capacity building of key stakeholders and service providers.

Yearly cost per program output (this data was captured from final evaluation of GPAF project, conducted KPMG, India)
S.No Output Indicator GBP per unit output

2013-14 2014-15 2015-16
Women acquire the knowledge and skill to act
1 Number of CA's trained 35.2 69.4 44.5
as Change Agent
Enhanced capacity of key stakeholders and Number of government health
service providers (CINI staff, govt Integrated professionals trained in DFID-funded
Child Development Services ICDS and project interventions. (ICDS/ JSY social
2 8.4 1.0 .9
National Rural Health Mission supervisors) welfare schemes, proper nutrition/
enables quality service delivery. feeding practices, SRH & MCH services
& family planning)
Increased access to essential Ante and Post
Percentage and estimated number of
3 Natal Care (ANC & PNC) services for mothers 728.7 1020.3 428.0
women receiving PNC kits
and child nutrition services for 0-2 year olds
Increased knowledge of and referral to the
government funded Janani Suraksha Yojana Percentage and estimated number of
4 158.2 205.5 21.0
(JSY) scheme for pregnant women in the target eligible women referred to JSY
communities.
Increased awareness, involvement and
Number of Community-Based
coordination of stakeholders in Janani
Organisations (CBOs) showing greater
5 Suraksha Yojana (JSY), Ante and Post Natal 41.8 137.2 7.4
awareness on MCH services and related
Care (ANC & PNC) services and Integrated
health/ social welfare schemes
Child Development Services (ICDS)
SECTION 4: SUSTAINABILITY (Up to 1 page)
4.1 What have you done to ensure that project outcomes - positive changes to peoples’ lives - will be sustained beyond the lifetime of the GPAF grant?
Change Agents are an important component of the program. Change Agents will continue good maternal and child care practices at the family and
communityEffectiveness:
3.3 level throughProject outputs
peer group achieving the
education. desired to
In addition outcome on other
this, the poverty reduction. like the CBOs, local clubs and SHG groups have been
stakeholders
empowered Totowhat extenttheir
demand do rights
you consider
throughthe project
various to have achieved
awareness meetings.the anticipated changes for beneficiaries and target groups? How well did the
outputs of the project work towards the achievement of the outcome?
TAll
hethe changeoutcome
expected agents ofofthe
theproject
projectreported that they
was to train plan to based
community continue with the program
volunteers activities
demonstrating after theknowledge
increased closure offor thecommunity
project as sensitization
well. During the
and
discussion theytomentioned
empowerment, bring long that though
lasting it wouldchange
behavioural be slightly
among difficult
the to keep the
mothers. Towomen
ensure motivated
this process butthe
thetrained
learning from the
change program
agents was the
improved immense and
knowledge
theyawareness
and would continue to perform
of pregnant women theandroleyoung
of Change
mothersAgents in theand
on health community. Manyschemes.
social welfare women in the locality look up to them for information and they are
keen on continuing with this role.
Community report card was introduced which empowered the community for raising their voices to demand for and access to quality services. The
In terms of the
government systems
service and processes
providers were trained created underservice
for better the program
deliveryliketoNREP,
reach Beneficiary Feedback Mechanism
out to the vulnerable population. The and Self-Monitoring
SHG, CBO andCalendar,
local clubsduring
were
the endtoline
trained surveyfamilies
support and evaluation aboutcommunities
in respective 90 percent ofand the ensure
Changequality
Agentsservice
mentioned that the
delivery Government service
by government would continue to use
providers. The them in their
existing day to
convergent
day learning
platforms wereand about 87.8and
strengthened percent of the Change
streamlined. Health and Agents mentioned
nutrition that the community
issues featured is likelyintothese
as priority agenda use meetings.
it after the project closure. In terms of the
learning and awareness created through the program, about 83 percent of the Change Agents mentioned that the community would take ownership and
work
All the towards overall
above output improvement
level process ledintomaternal
changesand child
at the health.level
outcome It was observed
(below), thatduring
critical Change Agents
the first 1000in days
NorthofDinajpur
life: are more optimistic about the
project sustainability than the Change Agents in Kolkata. This can be attributed to the difference in social networks in rural areas as compared to the
urban areas. The ChangeofAgents
- Percentage/number in Kolkata
births attended by cater
skilledtohealth
a large population
personnel which isR also
(Baseline: – 38%,very
U –mobile. Further, Rmany
90%; Endline: – 59%, of these Change Agents are also
U – 95%)
engaged in other work whereas in North Dinajpur, it is a closer community and the Change
- Percentage/number of women attending at least 3 antenatal care (ANC) checkups during pregnancy (Baseline: R – 55%, Agents get more opportunities to interact
U – 69%; with the other
Endline: R–
community members.
82%, U – 98%) Table below shows the perception of the Change Agents with respect to the key questions on sustainability.
- Percentage/Number of women having completed at least 3 post-natal care (PNC) checkups within 42 days after delivery (Baseline: R – 45%, U –
Table10%;
1: Change Agent’s
Endline: opinion
R – 50%, U – on
67%)Sustainability (Source: Evaluation report)
- Percentage/ number of children under 2 malnourished at time of baseline which reach normal weight as per WHO growth chart. (Baseline: R – M
End line (%)
54%, F 72%, U – M 65%, F 70%; Endline: R – M 57% F 78%; U – M 71% F 76%)
Statements Total Kolkata North Dinajpur
- Percentage/Number of children having exclusive breast feeding up to 6 months of age (Baseline: R – 42%, U – 14%; Endline: R – 89%, U – 87%)
(N=41) (N=21) (N=20)
Whether planning to continue the activities under the program after it ends 100 100 100
3.4WhetherHave there been or do you anticipate multiplier effects from this project? Multiplier effects include leveraging additional funds, longer term or
the program created systems and processes for Government
larger scale implementation or replication of approaches and results. Where additional 90.2 project funds were 81secured, how were 100they used to
functionaries which will continue stay after it ends
enhance delivery? In the PCR, we are particularly interested in assessing the potential and likelihood of scale up or replication.
Whether program has created systems and processes for Community which will
Government is keen to up-scale NREP and PNC kit distribution across North Dinajpur, Golpokher 87.8district after its customization,
76.2 following100
the state
continue after it ends
government policy. There is a need to provide technical and operational management support to government at the initial stage to initiate the up-scale of
Whether
these the community
good practices willproject
of GPAF take ownership of continuing Program learnings
in two districts. 82.9 71.4 95
A total of seven Change Agents, out of the sample of 41 mentioned that the community will not take ownership of the project learning. Out of which, 6
reported that the community lacks the motivation to change their practice and this could only be sustained through a sustained effort to change the
behaviours of the community. Out of these 7 Change Agents, 5 Change Agents are from Kolkata.
Table below depicts the distribution of the Change Agents by the reasons for which they feel that the community will not take
ownership.
End line (%)
Statements
Total (N=7)
Community is less motivated 6
SECTION 5: PROJECT ACCOUNTABILITY TO STAKEHOLDERS (Up to 1 page).
DFID is particularly interested in project mechanisms to enable project beneficiaries to provide feedback to project managers, and project responses to
it. The purpose of beneficiary feedback is to maintain accountability to the people who the project is designed to assist or empower, and to ensure the
relevance, effectiveness and sustainability of the intervention. The questions below aim to enhance understanding of the use of beneficiary feedback
mechanisms within the GPAF portfolio.
5.1 Method: What feedback do you seek from primary beneficiaries, how have you collected this information and when?
The project collects feedback from beneficiaries to get information on the service delivery issues like institutional delivery, ANC and PNC check-up,
PNC kit, JSY benefits, ICDS services, participation in NREP session, referral to NRC, other non project interventions like immunization and sanitation.
Feedback is also collected on CAs engagement with the community and coordination with service providers. Feedback mechanism is followed to
connect beneficiaries with actual services being received.
The Beneficiary Feedback Mechanism (BFM) pilot project had been rolled out under the umbrella of GPAF project, with technical assistance of World
Vision UK. The goal was to provide an accessible feedback mechanism to the community so that they can raise their voices about the government
service reach and its quality. Feedback was taken from the beneficiary on a regular basis during home visits by Change Agents which was further
recorded in the project MIS. Community group meeting minutes were recorded regularly by staff members on a weekly basis and finally the community
gave their personal feedback in the feedback boxes.
Feedback collected was consolidated and analysed, and evaluated during end of the year surveys. This was shared with stakeholders and community
members during convergent meetings (ward/gram sabha) and state level meeting to rank the services of the government and make action plan for
improving service delivery.
5.2 Challenge:
a. What challenges did your project face in collecting feedback from its primary beneficiaries?

 Community was not spontaneous to provide feedback at the initial stage since they were not used to providing feedback on government services.
To overcome this challenge, continuous interactions and meetings took place with the community members to make them aware of their rights.
They were informed about their entitlements of government services. As a result people started accessing services and raise their voices about
the service quality and provide feedback. In a recent learning dissemination event hosted by World Vision UK, GPAF project was declared as the
most successful project in accessing community feedback and government services.
 Due to the problem of illiteracy, the tools of collecting feedback had to be changed a number of times to make it user friendly. At the end, pictorial
feedback formats was successfully put into practise. Feedback were also collected during group meetings so as to help women who are not
comfortable in writing or posting.
b. What challenges did your project face in acting upon beneficiary feedback?
 The feedback was shared with government service providers and elected representatives of wards but the action to be taken was time consuming
as many of the issues require change at policy level and approvals of higher authorities based outside the state, at the centre.
 Political situation was a major challenge of working in the project location as there was a constant tension between political parties for power. The
councillor and political party members had their own specific political agenda and were not concerned with health and nutrition issues.
5.3 Change: If you made any significant change to project design and / or delivery as a result of beneficiary feedback, please describe it here.
As a result of beneficiaries feedback some of the activities were improved:

1. Changing the quality of sanitary napkin as part of the PNC kits
2. Provide variants of supplementary nutrition as part of the PNC kit and NREP session
3. Regular weighing of children was a major constraint in underserved areas of ICDS due to unavailability of weighing scale. Later, this was
provided by CINI to ensure regular growth monitoring
4. Drinking water and other sanitation facilities were improved significantly in Ward 56, 59 of Kolkata with the intervention of local clubs
leveraging resources from KMC (local government bodies/ council)

SECTION 6: LEARNING (Up to 2 pages)
Please identify the top 5 lessons you have learnt from this project, including from things which have not gone well and innovative approaches. Be
specific and clear in describing the lesson and in explaining how you applied learning to improve project delivery or wider organisational practice.
Provide each area of learning with a descriptive title and an explanation. By way of illustration, these could include:
 innovation – how could models tested by the project be replicated or scaled up?
 equity and gender – did you learn about approaches to reducing inequalities, working to challenge power dynamics; participation in decision-
making?
 capacity building – have you learnt how to enable civil society to address poverty or negotiate or claim their rights? What worked well?
 monitoring and evaluation – what have you learned about measuring results, successful tools and methods, demonstrating achievement?
 empowerment and accountability – what enhances these processes? How have you overcome resistance or indifference?
 design – did original assumptions about what would work to deliver outputs or outcomes need to be changed? How did you know? What did you
do?
 organisational constraints – did you encounter difficulties due to organisational culture, practice or capacity which you had to address?
Learning
How did this lead to changes or improvements in the way you (i.e. grant holder or partner) have
(Provide both a title and an
worked?
explanation)
At the commencement of the project interventions, those indicators and processes where
behaviour change was most difficult were identified and intensive steps were taken to address
these barriers and bring about a change. Four innovations emerged as Good Practices that not
only work at the community/systemic level but are also is sustainable and easily replicable in other
contexts. They are (1) Self Monitoring and Tracking by mothers leading to improved coverage of
Innovation – how could models
essential health and nutrition services, (2) Incentivizing Post Natal Care leading to improved
tested by the project be replicated or
1. awareness and coverage of PNC services, (3) Community led and managed process to manage
scaled up?
and reduce child malnutrition and (4) Empowered Communities giving feedback to improve quality
of services.
Two good practices like incentivising postnatal care and NREP session have been identified by
the government for scale-up with some modifications based on the government policies.

Equity and gender differential are an undercurrent that was felt throughout every aspect of
project intervention. It was visible in women’s lack of decision making power be it about the
choice of having a child, or the place to deliver or about taking her malnourished child to the NRC.
The annual end line assessment observed that, “there was no apparent discrimination in the
feeding practices and health care of the girl child, but this was probed further and detailed
analysis was done. When it comes to nutritional status, most of the gender disaggregated data
pertains to the children less than 5 years. The exact gap in the nutritional status of boys and girls
under 2 years and the factors contributing to the variance, if any, was an area worthy of study
further, exploration and understanding. Gender Differentials in Health and Nutrition indicators are
traditionally viewed through the prism of disparate infant and young child feeding practices at the
household level and incongruent health seeking behaviours for boy and girl children.
A study was conducted in order to understand the degree or extent of gender discrimination in
2. Equity and gender feeding practices and health interventions for children less than 2 years and to investigate if there
were any other causes that had a profound impact and bearing on the extent of malnutrition
among boys and girls less than two years. The study reveled that there was hardly any
discrimination between the feeding and health care practices of boy and girl children below two
years. The vulnerability of children be it boy or girl in this age group to malnutrition, in households
at a lower socio economic status, was compounded by the vulnerability of the mother. As long as
women do not have control over resources in the family and their own reproductive choices, they
will not be able to navigate their children to a state of better nutrition and health. As long as
women are kept out of key decisions like when to marry, when and how many children to have
and how to allocate household resources they will continue to serve as the cross bearers of the
Intergenerational Cycle of Malnutrition. What is needed is a paradigm shift to integrate gender in
to every single health and nutrition interventions. The woman needs to be seen as an individual in
her own right and not merely a past, present or future mother.
3. Capacity building The project staff and change agents were trained initially on project indicator twice (at the
beginning of the programme). But this was not adequate to uplift their knowledge and skills, as
understood from their feedback to project management team. So incremental training was
organised every month based on the data analysed from MIS and field observations. This
resulted in improved timely delivery of the project activities as per the log frame indicators.
Regular monthly reflection and review sessions of staff members ensured that data collected for

monitoring purpose were used appropriately and plans were adjusted or improvised accordingly.
It also helped in learning from each other. A training on participatory learning and planning exit
strategy was extremely useful as it helped the team to capture learning from the project and
review its exit strategy and priorities the activities which needed more attention.
Initially, the community members were not interested in health and nutrition issues as these
interventions were not the immediate supportive means to their livelihood needs. The positive
deviance mothers from community were identified and they were used for peer education.
Earlier information was collected in loose sheets (MIS sheets) which was not great for compilation
and analysis. Later, it was organized in to a booklet form at a later stage. The CAs received two
rounds of training on how to fill up the formats. The new formats had provision to fill in reasons for
noncompliance if any, which the CAs and Supervisors think as very relevant (as this helped in
identifying the reason for which any service was not being taken). Monitoring of the urban project
areas was more intense because of the presence of the project management team.
4. Monitoring and evaluation
End of each year, an end line survey was conducted which helped in triangulation of the data
collected by Project MIS and Staff members. It was further verified through community meetings
and their feedback. The entire process has been very useful in assessing the progress made as
per the logframe milestones and indicators, and also to review/ revise the targets. Most of the
logframe targets were increased during annual reviews and achieved during implementation.
5. Empowerment and accountability The project empowered the community about their rights and entitlements to enable them to
secure the state mandated entitlements in maternal and child health and nutrition. A mechanism
was initiated to collect feedback from beneficiaries to get information on the service delivery
issues like institutional delivery, ANC and PNC check-up, PNC kit, JSY benefits, ICDS services,
participation in NREP session, referral to NRC, other non project interventions like immunization
and sanitation. Feedback was also collected on CAs engagement with the community and
coordination with service providers. Feedback mechanism was followed to connect beneficiaries
with actual services being received.
The purpose of the beneficiary feedback mechanism was to provide an accessible feedback
mechanism to the community so that they can raise their voices about the government service
reach and its quality. Feedback was taken from the beneficiary on a regular basis, during home
visit by Change Agents which was recorded in project MIS, during group meetings with

community members which was recorded in group meeting formats and finally the community
gives their personal feedback in the feedback boxes. Feedback collected were consolidated and
analysed. This was shared with government stakeholders and community members during
convergent meetings (ward/gram sabha) to rank the services of the government and make action
plan for improving service delivery.
The process was very slow during the initial stage since the community were not used to provide
feedback on government services due to low literacy rate and lack of rights awareness. Looking
at this issue, a pictorial feedback format was introduced followed by community rights awareness
meetings. Feedback was also collected during group meetings, to help women who were not
comfortable in writing or filling the feedback form. These feedback was shared with government
service providers and elected representatives of wards, which again took a lot of time as most of
the officials didn’t like the approach of getting community feedback. However, frequent visits in
small groups (community members, CA and staff) to various departments helped them to put their
voice and issues collectively and strongly. Gradually, the officials started giving time, taking
feedback and gave response. Some of the officials found the feedback process very useful as
they have limited time and large area to cover, which they find difficult to attend. The feedback
process helped in highlighting key issues to relevant departments, as a result water and
sanitation issues were solved in some of the wards. The process in the presence of CAs and
empowered community members is anticipated to continue after the closure of project.
Are there any other lessons (up to 3) which you have learned that you think may be particularly useful for other partners, grant holders, the fund
manager or for DFID? Please describe them and explain their wider relevance below.
1. Government line departments work vertically and mostly in silo; as a result the services do not reach vulnerable groups in remote areas.
Strengthening the convergent platforms at different service delivery points can help to improve service coverage.
2. Population in the un-served pockets are mostly excluded from basic services. Advocating at municipality level to organize special health camp
in coordination with other existing NGO projects can help improve coverage.
3. There is a lack of BCC materials available from the government for community sensitization in local languages. Developing pictorial material in
line with existing MCP card of government for the care givers in different languages can effectively influence community practice.
4. A major problem with government programmes in urban areas is that less priority is given to family contacts during home visits by government
frontline workers. By NGO Change Agents making joint visits with the frontline workers they are able to model need-based counselling.

SECTION 7: REQUIREMENTS OF GRANT ARRANGEMENT (Up to 1 page)
7.1 Responses to Due Diligence Recommendations
Please use the space below to comment on any actions taken during this final period in response to any Due Diligence recommendations not implemented by the time of
the last report.
 ChildHope has closely monitored the allocation of duties to ensure that Programme Managers, supervisors, Change Agents and other team members have sufficient
resources to manage their projects effectively. This has been ensured through regular Skype/Phone calls, training programmes and project visits.
 Match funding of 25% plus has been secured and spent during the final year reporting period with the support of local government, panchayat and other sources of
CINI and ChildHope. Total DFID fund utilised was £159,864 which was matched by another £40,413 (25.28%). The total DFID actual expenditure for all year was
£506,078 match by another £149,729 (29%)
a. Use of DFID logo
Clause 58 of your original Grant Arrangement commits you, unless agreed otherwise, to explicitly acknowledge DFID's support through use of DFID's UK Aid logo in all
communications with the public or third parties about your project. Please outline the ways in which you have done this during the reporting period.
The DFID logo has been used on event banners, web pages, process document, video documentation and BCC awareness raising materials.
SECTION 8: EVALUATION CONCLUSIONS AND RECOMMENDATIONS (Up to 2 pages)
8.1 Please enter key conclusions / recommendations from the Independent Final Evaluation report – and the project management responses
Evaluation Conclusions/ Recommendations Your response
1. 1. Extension of the program activities: Majority of the stakeholders (Government We do agree with the recommendation given by KPMG. The project duration
officials, elected representatives and CBOs) categorically mentioned that for any should be for at least for five years to ensure its long lasting impact. However, at
nutritional intervention to have a significant impact, it should have duration of at least present no funding is available to continue this important work. DFID decision to
5 years. It is therefore recommended that the GPAF program should be extended for pull funding out of India in 2013 had a huge influence on other UK donors and it
at least 2 more years. now very difficult of access multiyear funding for such a genuine cause. CSR
(corporate funding in India) have their own agenda and goes along with the ruling
parties’ priorities – currently, it is Swach Bharat (Clean India). So most of the
government and CSR funds are routed towards sanitation/clean India initiatives.
However, we will be applying for the AmplifyChange fund for a phase two on
accessing service delivery in the rural project location.

2. 2. Leveraging Government Programs: Alternate models of implementing few crucial It’s a good suggestion indeed. We had a number of dialogues with the senior
components of the programme (like other funding sources) should also be explored. officials of the state government to fill the vacant positions and create new
CINI can work on leveraging existing government schemes. There is a huge shortage centres in the 30% of the un-served areas especially in Kolkata district. National
of manpower in the Government as highlighted by the interviewed Government Health Mission (NHM) recruits ASHA (accredited social health activists) locally to
respondents. The Change Agents recruited under this programme have been able to reach out the poor in under and un-served areas of Kolkata. CINI has submitted
support the Government field level health functionaries and bridge the gap created by proposals to women and child development and health and family welfare
the manpower shortage. It is recommended that a funding mechanism for continuing departments, Govt. of West Bengal to bridge the operational gaps and up-scaling
good practices of GPAF/BFM projects through facilitation mode.
the program for another two years should be identified and some key elements of the
programme like Change Agents, Self-monitoring calendar and beneficiary feedback
mechanism be retained.
3. 3. Greater Advocacy at state level: The CINI programme has some innovative best We do agree with this suggestion. We have developed process documents and
practices like Self-monitoring calendar, Beneficiary Feedback Mechanism, NREP good practice working papers of GPAF and BFM projects for learning
which have proved to be very useful. These innovations could be taken up at a larger dissemination, and advocacy at the state level for up-scaling off good practices.
level through advocacy at the state level. This will help in scaling up and
sustainability.
4. 4. Holistic Approach to attract CSR fund: Funding from CSR needs to be explored to a Some good practices of GPAF and BFM projects like self monitoring through
larger extent and brand CINI needs to be marketed for enhancing fund flow and pictorial calendar, NREP session, and community feedback mechanism have
implementing similar projects in future. However, it has been our experience that been identified and introduced in other CINI projects with funding from corporates
Corporates and PSUs are inclined towards investing in programs where there are like ITC and IT company.
tangible benefits which are visible and preferably in an around operating locations.
Interventions that improve maternal and child health can be implemented along with
other interventions on areas such as livelihood, skill development, enterprise
development where there is already some amount of community mobilization.

5. 5. Linkage with ANMs, AWWs and ASHAs: The sustainability of the program results is In the final year, with the approval of local government authorities the project has
highly dependent on linkages with grass root level health workers. It is important that organised numerous capacity building session for CA and government health
they take ownership of the program learning. CINI should ensure there is a proper workers. State level learning dissemination meetings were to inspire and share
knowledge transfer to these stakeholders before exiting. good practices with senior government officials. A few learning exchange
meeting were organised for all the CAs. We have also plans to disseminate the
evaluation findings and project learning in both the project locations beyond the
project life with our own limited resources.
6. 6. Motivating the CBOs to take ownership: One major success of the programme was With the support of staff members and CA local CBOs and clubs have prepared
the investment by the Community based organization like local clubs, and SHGs etc contextual plans to continue some activities like community meetings, events like
in few of the program activities like meetings and infrastructure support. The first rice ceremony/ ceremonial function in last trimester of pregnancy, and
community should be further motivated to take up ownership of few critical activities. community feedback system.
The CBOs/ULBs/PRIs can also play a crucial role in ensuring accountability of duty
bearers in providing quality services.
7. 7. Incentivizing post natal care: Though there has been an improvement in PNC There was a significant improvement of PNC coverage from 21% (baseline) to
indicator, the overall PNC coverage is low. Greater communication efforts for PNC 59% (end-line) as per evaluation report of KPMG. The whole concept of PNC kit
should be put in future programs. Incentivizing PNC should be explored. has been appreciated by the health and family welfare department, Govt. of West
Bengal. As a result of regular meetings, relationship building and learning
sharing, state government officials have shown commitment to continue to supply
PNC kit as an incentive by adding a few more items like haemoglobin and
bilirubin kits.
8.2 Please use the space below for any further comments on the Independent Final Evaluation (IFE) report, or the IFE process.
The terms of reference was designed by ChildHope in consultation with CINI India. The process of recruiting the evaluators involved a very competitive and fair process,
where proposals where invited and shortlisted. Out of approx. 35 proposals, 8 agencies were shortlisted and interviewed. Based on the score, reputation and experience of
working on DFID programmes KPMG India was selected, and we are happy with their quality of work and report.

ANNEX A: OUTCOME AND OUTPUT SCORING
(Up to 12 pages).
OUTCOME
A.0.1 Outcome: write in full your project outcome statement in the box below
Improved maternal health of pregnant women, lactating mothers and improved nutrition of children less than two years of age in nine municipal wards (all slum settlements) of
Borough VII of Kolkata District and one block (Goalpokhar 1) of North Dinajpur District of West Bengal.
A.0.2 Outcome Score: Please provide an overall outcome score (A++ to C)
A+
A.0.3 Justify the score: The score is based on an aggregate of actual achievement against all outcome indicator targets in the logframe. Please explain how you determined
this score.
The score is justified because the target has been achieved in most of the outcome indicators, referring to the project MIS and Endline Evaluation data.
1. Community competence development
2. Improved access to utilization of government services
3. Strengthening linkages with government schemes (ICDS , NHM)
4. Creating a community feedback system for making the service delivery more transparent by sharing feedback with service providers (KMC, ICDS, and Urban local
bodies) to improve service delivery
5. Community based management of child malnutrition and its linkage with institutional based care
It should be noted that most of the targets were revised and increased last year during annual reporting. Hence, in the current year the project have exceeded the
achievements compared to the original project targets.
A.0.4 For each of the indicators:

a) write the outcome indicator in full, as included in the most recently approved logframe;
b) state the target and report against it; and
c) provide a narrative explanation of any over or under achievement.
Indicator 1:Percentage of births attended by skilled health personnel
Progress:
94.8% (6470/6825) of births attended by skilled health personnel in Borough VII against the year 3 milestone target 95% (6484/6825)
59.3% (4793/8082) of births attended by skilled health personnel in Goalpokhar 1 against the year 3 milestone target 50% (4041/8082)
Urban –The year 3 target was almost achieved. But still there were some cases were not admitted in the government hospital, due to inadequate beds. Some families had
home delivery due to lack of transport facilities at night.
Rural – The project has achieved the target. However, home delivery is still highly prevalent in Goalpokhar, due to distant location of PHCs and other health facilities. Most of

the time women deliver at home due to unavailability of Matri jan ( the vehicle provided by government to transport pregnant women to hospital during delivery). Very large
remote areas are covered by only 1-2 government vehicles. Although, during meetings with chief medical officers and other authrorities this issues were highlighted, which will
be reflected upon by higher state level authorities after the election in June 2016.
`Indicator 2:Percentage of women attending at least 3 antenatal care (ANC) checkups during pregnancy
Progress:
98.4% (6716/6825) women attending at least 3 ANC during pregnancy in Borough VII against the year 3 milestone target 95% (6484/6825)
82.3% (6651/8082) women attending at least 3 ANC during pregnancy in Goalpokhar 1 against the year 3 milestone target 83% (6708/8082)
Change Agents and Supervisors along with frontline government health workers (ANM, ASHA, and HHW) have generated good awareness among the community during
sensitization meetings regarding the importance of ANC check up. As follow up of sensitization meetings, change agents in coordination with the frontline workers made home
contacts to ensure next ANC check up and also track the dropout mothers due for ANC.
Indicator 3:Percentage of women having completed at least 3 post-natal care (PNC) checkups within 42 days after delivery:
Progress:
66.8% (4559/6825) women having completed at least 3 PNC checkups within 42 days after delivery in Borough VII against year 3 milestone target 65% (4436/6825)
50.2% (4057/8082) women having completed at least 3 PNC checkups within 42 days after delivery in Goalpokhar1 against year 3 milestone target 67% (5415/8082)
The target of Goalpokhar was under achieved because some mothers were hesitant to go for the 3rd and 4th PNC check-up after delivery, since there were no health
complications, and poor communication in rural area discourage them to walk miles and still wait for the public transportation. However, they went for the first two PNC check
ups and PNC kit as incentive played a major role in that. All delivery cases were also visited at home by Change Agent and ASHA workers.
Indicator 4: Percentage of children under 2 malnourished at time of baseline which reach normal weight as per WHO growth chart. (The nutritional
status as per WHO growth chart N=normal, M=moderately underweight, S=severely underweight)
Target (Year 3) Progress
Borough VII (Total children : 8968) Borough VII : (Total children : 8967, M- 4728, F- 4240)
Male-N-71% 3356, M-16% 756, S-13 % 615 Male-Normal-73.6%(3479), Moderate-21.4% (1013), Severe- 5%(236);
Female- N-76% 3222, M-11% 466, S-13% 551 Female- N-88.7% (3761), M- 9.7%(411) , Severe-1.6%(68)
Goalpokhar, Block 1 (Total children : 12010) Goalpokhar: (Total children: 12007, M – 6332, F- 5675)
Male-N-62%-3926, M-29%-1836, S-9%-570 Male- Normal- 57% (3609), Moderate – 32.2%(2039) , Severe- 10.8% (684);
Female- N-82%-4655, M-14%-795, S-4%-227) Female- Normal -77.7%(4411) , Moderate 17.1%(969), Severe-5.2% (295)
The figures clearly shows that better income and health facilities in the urban set up has increased normal and moderate categories, at the same time decreasing the
severe cases. However, due to higher incidences of poverty, illiteracy and poor health in rural areas project such as this needs to be continued for at least a 2-3 more years

to see the real progress.
Indicator 5:Percentage of children having exclusive breast feeding up to 6 months of age

Progress:
89.2% (7829/8968) in Borough VII against year 3 milestone target of 74%
87.3% (10712/ 12010) in Goalpokhar 1 against year 3 milestone target of 85%
Government health service providers and project staff have been trained on importance of early initiation and exclusive breastfeeding. The CAs tracked mothers for ensuring
exclusive breastfeeding using the self monitoring calendar. Special events like breast feeding week and community based awareness camps were organised to create
awareness on necessity of exclusive breast feeding.
A.0.5 Disaggregate the number of citizens benefitting from this outcome. Describe briefly who they were and how they benefitted. Adult = 18 years and above; Child = below
18 years.
Adult Adult Child Child Total How many of the total Brief description Change/improvement
Male Female Male Female given are people with (e.g. farmers) (e.g. income increased)
disabilities (if known)? The following statements have been made referring to the
above data (A 0.4)
N.A. U – 6470 N.A. N.A. 11,263 1 women Institutional Delivery
R - 4793 They are aware of the maternal health services & importance
of institutional delivery.
N.A. U – 6715 N.A. N.A. 13,366 N.A. ANC Check up
R - 6651 The beneficiaries are The women attended 3 ANC check-ups. As a result better
Hindu, Muslims, Schedule health care was ensured before and after delivery
N.A. U - 4559 N.A. N.A. 8,616 N.A. Caste, Schedule Tribe and PNC Check up
R - 4057 migrant population from The women attended3 PNC check-ups & post delivery
neighbouring states. complications were minimized
(U- urban, R – Rural)
N.A. N.A. U – 4728 U – 4240 20,975 1 male child Nutritional status of children
R - 6332 R - 5675 There was a significant improvement in nutritional status of
children in urban areas, however in Goalpokhar there was a
Children 0-2 years slight increase in malnutrition of children.
N.A. N.A. U- 4134 U- 3695 18,541 N.A. Exclusive Breast Feeding
R - 5656 R - 5056 There was significant improvement in breast feeding
practices in both the project locations.

A.0.6 State the evidence used to measure the progress described and comment on its strength. Please refer to the preceding guidance on Annex A on how to complete the
section effectively.
Achievement are sourced from end line survey and evaluation of the project & calculated on the basis of Project MIS. The end line survey and evaluation was done by
Independent external agency KPMG-India who are known for their credibility and have many such relevant experience of working on DFID projects.
OUTPUT 1
A.1.1 Output 1 Write in full
Women acquire the knowledge and skills to act as volunteer Change Agents (CAs) and promote essential MCH services and increase MCH awareness among community
members.
A.1.2 Output 1 score (A++ to C)
A+
A.1.3 Justify the score: The score is based on an aggregate of actual achievement against output indicator milestones in the logframe. Please explain how you determined
this score.
Most of the target set for year three has been achieved and some exceeded.
A.1.4 For each of the indicators (add extra rows if required):

a) write the indicator in full, as included in the most recently approved logframe
Indicator 1.1: Number of trained CA’s demonstrating increased knowledge of MCH and SRH issues
Progress:
298 CA demonstrating increased knowledge of MCH and SRH issues in Borough 7 against year 3 milestone target 375
225 CA demonstrating increased knowledge of MCH and SRH issues in Goalpokhar 1 against year 3 milestone target 275
Trained CA’s demonstrating increased knowledge of MCH and SRH issues (Source - Final Evaluation)
Total% Urban % Rural %
4 ANC before delivery 80.5% 90.5% 100 %
100 IFA during pregnancy 73.2% 95.2% 50%
Two TT during pregnancy 100% 100% 100%
JSY provide cash after delivery 90.2% 81% 100%
PNC 4th checkup at 42 days 100% 100% 100%

Exclusive Breast Feeding 92.7% 95.2% 90.0%
Average 89.43% 93.65% 96%
89.43% of Change Agents demonstrated increased knowledge of MCH and SRH issues.
The knowledge and skills are been strengthened of existing change agents (adolescent girls and women) through incremental learning during monthly meetings.
The trained change agents sensitize and educate the mothers during sensitization camps and home visits. They also track the mothers who are defaulters and ensure
compliance of services. The project created a new role of Lead Change Agents whose responsibility was to provide hand holding support to the weak and newly appointed
CAs. A number of CAs left the project after being trained due to very lower incentive, household activities or getting better job opportunities. Decision was taken in year three to
not invest time in filling the vacant positions, instead motivate and build the capacity of existing CAs. Therefore, those CAs who were more proactive and educated than others,
were given the new role of Lead CAs which proved to be successful. CAs were the backbone of the project and the most important resource for sustainability as they belong to
the same community where the project was implemented.
Indicator 1.2: Percentage of female community members demonstrating increased knowledge of at least 3 key SRH and/or MCH issues (eg. proper hygiene, nutrition &
feeding practices) as a result of peer education by CAs & Nutrition Rehabilitation Education Programme (NREP).
Progress:
77.4% (5282) female Community Members demonstrating increased knowledge of MCH and SRH issues in Borough VII against year 3 milestone target 65% (4436)
75.7% (6118) female Community Members demonstrating increased knowledge of MCH and SRH issues in Goalpokhar 1 against year 3 milestone target 60% (4849)
1155 female community members (U- 578, R – 577) were assessed during the endline evaluation to understand whether they are demonstrating increased knowledge. The
following table gives the % of women who have received the services (6 chosen indicators) of MCH and SRH, measured as demonstrating knowledge:
Female Community Members demonstrating increased knowledge of MCH and SRH issues
Total % Urban % Rural %
4 ANC 90.4% 98.4% 82.3%
100 IFA during pregnancy 94.8% 92.6% 96.4%
Two TT during pregnancy 98.7% 98.8% 98.6%
Received money from JSY after delivery 28.5% 21% 37%
Received four PNC checkups within 42 days 58.9% 66.8% 50.2%
Exclusive Breast Feeding 88.2% 87.3 % 89.3%
Average 76.6% 77.4% 75.7%
The CAs and Supervisors counselled the female community members and provide support to maintain and fill in the Self monitoring calendar. Continuous awareness
programmes on ANC, PNC, JSY and child care were organised. The CAs tracked community members, followed by home visits to assess the practice level behaviours.

A.1.5 Disaggregate the number of citizens engaged with this output. Describe briefly who they were and how they were engaged. Adult = 18 years and above; Child =
below 18 years.
How many of the total
Adult Adult Child Child
Total given are people with Brief description Nature of engagement
Male Female Male Female
disabilities (if known)?
N.A. N.A. N.A. N.A. CAs are adolescents CA demonstrating knowledge
U- 225 young girls and married Change agents are incentive based local volunteers who are
523
R - 298 women. They belong to engaged in counselling and generating awareness amongst
the same communities. community members in their respective areas.
N.A. N.A. N.A. N.A. The beneficiaries are Female community members demonstrating knowledge
Hindu, Muslims, ST, SC Sensitized community members demand for services and
U-5282
11400 and migrant population practice good behaviour related to health and nutrition.
R - 6118
from neighbouring
states.
Output 2
A.2.1 Output 2 Write in full:
Enhanced capacity of key stakeholders and service providers (CINI staff, government Integrated Child Development Services ICDS and National Rural Health Mission
supervisors) enables quality service delivery.
A+
this score.
The target was achieved and exceeded. Active engagement with government service providers and participation of communities has been a key factor.

a) write the indicator in full, as included in the most recently approved logframe;

Indicator 2.1: Number of government health professionals trained in DFID-funded project interventions (ICDS/ JSY social welfare schemes, proper nutrition/ feeding practices,
SRH & MCH services & family planning)
Progress:
386 government health professionals trained in DFID-funded project interventions in Borough VII against milestone 3 target 300
1419 government health professionals trained in DFID-funded project interventions in Goalpokhar I against milestone 3 target 1019
Structural and refresher training was organised for government health professionals through different government convergent meetings. The government health functionaries
(medical officers, honorary health workers, Anganwadi workers, ASHA) of ICDS and NRHM program at the district, Block and Borough have been trained on project
interventions, especially on government schemes and policies. The orientation enabled them to improve service delivery in the outreach pockets based on the operational gaps
identified.
Indicator 2.2:Number of community feedback report cards showing improved quantity and quality of services provided by the Government health providers(focussing on JSY
and ANC/ PNC check-ups)
Progress:
9 Report cards were prepared in Borough VII against milestone 3 target of 10. This was facilitated in 17 Ward Sabhas (urban parliament)
12 Report cards were prepared in Goalpokhar 1 against milestone 3 target of 10. This was facilitated in 178 Sansad level meetings.
The existing convergent platforms in urban locations were strengthened. The representatives from KMC, ICDS, Urban local bodies, elected councillors of each ward were
engaged in reviewing the feedback given by community members on government services. Ward wise action plan was made in presence of community members and followed
up in the following meetings. The information was incorporated in the community report card to assess the progress against the plan.
In Goalpokhar, the community members and government service providers were oriented on the process and purpose of Community report card and the importance of Gram
Sabha (village parliament). Feedback was collected from 178 sansads of14 panchayat. The information was shared during gram sabha which enabled them to prepare the
VHSNC plan with optimal utilization of the available fund.
Indicator 2.3: Number of CINI staff (direct project staff) trained in a range of development approaches by ChildHope UK
Target: 30 CINI staff trained in Child and Young Peoples Safeguarding (Protection, Participation, etc); finance management.
Progress: 30 project and organisation staff trained on Child and Young Child Participation (CYPP) and Safeguarding, finance management, Participatory learning, etc.
Progress:
In 2014, 30 staff were trained on finance management, child protection and young people’s participation meeting project target. However, in the final year in
2015, same number of staff were trained on participatory learning approaches, exchange of best practices and finalising the exit plan. In addition to this, 4 staff

members were also part of ChildHope Global partners learning exchange and networking workshops in 2014 and 2015.
below 18 years.
Adult Male Adult Child Child Total How many of the Brief description Nature of engagement
Female Male Female total given are
people with
disabilities (if
known)?
U-8 U – 378 N.A N.A 1805 N.A They are all government health Government functionaries trained
R - 12 functionaries
R –1407 AWW, ASHA, ANM, Medical These trained government officials ensured service
officer, ICDS and health convergence at village health nutrition day/ and
supervisors and CDPOs. supply chain management. They reviewed the
progress of the project during monthly review
meetings and ensured micro-plan at the outreach
pockets.
U – 303 U- 189 N.A N.A 2450 N.A Government service providers, Community Report Card
R - 1246 R- 712 Urban local body representatives,
elected councillor and political party These members are actively involved in identifying the
representatives, local club service delivery gaps and outreach coverage. They
members, gram Panchayat make action plans based on the identified gaps and
member, community follow-up on the actions required in the subsequent
representatives, self help group meetings.
members, influential local
representatives
08 22 N.A N.A 30 N.A Programme Management and Field CINI staff trained by ChildHope
Management team
Output 3

Increased access to essential Ante and Post Natal Care (ANC & PNC) services for mothers and child nutrition services for 0-2 year olds
A
this score.
Most of the target set for year three in the logframe has been achieved and some exceeded.

Indicator 3.1: Percentage of pregnant women aware of the need for antenatal care (ANC) check-ups
Progress:
99.7% (6804/6825) pregnant women aware of the need for antenatal care (ANC) check-ups in Borough VII against year 3 milestone target 100% (6825/6825)
98.1% (7928/8082) pregnant women aware of the need for antenatal care (ANC) check-ups in Goalpokhar 1 against year 3 milestone target 96% (7760/8082)
Change Agents jointly with government health field workers organised awareness camps on early registration and antenatal care among community members followed by
home visits. Along with this, several community meetings and individual household interaction took place to raise the awareness.
Indicator 3.2:Percentage of pregnant women aware of the need for Post Natal Care (PNC) check-ups
Progress:
96.2% (6566/6825) pregnant women aware of the need for Post Natal Care (PNC) check-ups in Borough VII against year 2 milestone target 93% (6347/6825)
86.8% (7015/8082) pregnant women aware of the need for Post Natal Care (PNC) check-ups in Goalpokhar 1 against year 2 milestone target 87% (7031/8082)
PNC awareness has improved after repeated awareness sessions by CAs on the need of PNC post delivery with the community members.
Indicator 3.3: Number of moderately & severely malnourished children 0-2 years without complications accessing NREP supplementary feeding programme
Progress:
29% {465 (F- 176, M - 289)/ 1610 (identified in field) } moderately & severely malnourished children 0-2 years without complications accessing NREP supplementary feeding
programme in Borough VII against year 3 milestone target 2136 (F -1004, M – 1132)
Children attending NREP : Severe 93 (F – 53, M – 40) , Mod 372 (F – 123, M – 249) – 4 disabled
37% {2232 (F – 870 , M – 1362)/ 5979 (identified in field)} moderately & severely malnourished children 0-2 years without complications accessing NREP supplementary
feeding programme in Goalpokhar I against year 3 milestone target 1296 (F – 660, M – 636)
Children attending NREP: Severe - 416 (F-237, M-179), M 1815 (F- 632, M – 1183)

The target achieved are based on the malnourished cases identified. The participation in rural location was higher as most of the women were housewife or agricultural labour
who spared time for 12 days. In urban areas the participation was lower as it was difficult for women to leave work for 12 continous days. They were made aware of
government services such as ICDS with the help of CA and local clubs, and were accessing these services.
NREP sessions were conducted in all the locations during the reporting period - 77 U, 192 R. Later on, children were enrolled in government ICDS centers for supplementary
nutrition. The children were screened by change agents using WHO growth chart and were referred to NREP sessions those who are moderately and severely malnourished
without medical complications for special nutrition supplementation and care for 12 days. The weight of those children were taken before the NREP session started and further
weight taken to see the improvement of nutritional status of children on the last day. These children were followed up for 18 days by the change agents during home visits to
see the mothers practice on child care learned from NREP sessions. The impact of NREP session for reduction of child malnutrition were as follows:
Urban Rural
Severely underweight to Moderately underweight to Remarks Severely underweight to Moderately underweight Remarks
moderately underweight normal weight moderately underweight to normal weight
25 out of 93 (27%) 65 out of 372 (17%) NREP sessions were 242 out of 417 (58%) 601 out of 1815 (33%) NREP sessions were
465 total Children 465 total Children repeated in high burden 2232 total Children 1623 total Children repeated in high
wards burden wards
Indicator 3.4:Number of severely/ acutely malnourished children 0-2 years with complications referred to govt-run Nutrition Rehabilitation Centres (NRCs) for therapeutic food,
medicine & food for mother:
Progress:
7 (F – 6, M – 1) out of 38 children identified severe/ acute malnourished children 0-2 years with complications referred to govt-run Nutrition Rehabilitation Centres (NRCs) for
therapeutic food, medicine & food for mother in Borough VII against year 3 milestone target 405 (F – 215, M – 190)
283 (F – 151, M – 132) out of 298 children identified severe/ acute malnourished children 0-2 years with complications referred to govt-run Nutrition Rehabilitation Centres
(NRCs) for therapeutic food, medicine & food for mother in Goalpokhar 1 against year 3 milestone target 147 (F- 75, M – 72)
Number of severely malnourished children with medical complications referred to NRC by supervisors for inpatient treatment. The targets in Borough VII were underachieved
due to the following reason:
1. Child admitted with 1 caregiver can stay in the NRC – women not willing to go as they have older children to take care of, along with their job
2. Number of days (12) were too long for a woman to leave her household chores
3. Only 1 NRC was available in the vicinity, but even this centre was far from the field locations
4. Currently, in Urban areas due to shortage of bed, NRC were not admitting children immediately, they are first referred to hospital doctor and then shifted to NRC, thereby
lengthening the whole treatment time
Indicator 3.5:Percentage of women receiving PNC kits
Progress:
64.2% (4381/6825) of women receiving PNC kits in Borough VII against year 3 milestone target 49% (3345/6825)

94.0% (7597/8082) of women receiving PNC kits in Goalpokhar 1 against year 2 milestone target 73% (5900/8082)
To improve the coverage of 4 PNC check-ups within 42 days after delivery, PNC kit as an incentive was given by the project to the woman post-delivery. Demand of PNC kit
has increased as community understands the necessity and utility of the kit. PNC kit was prepared by the project resources with some input (IFA tablets) from government.
below 18 years.
How many of the
total given are
Total people with Brief description Nature of engagement
disabilities (if
known)?
The mothers are from Awareness on ANC
U- 6804 marginalized population and They attended meeting on importance of 4 ANC checkups.
N.A. N.A. N.A. 14732 N.A
R - 7928 minority groups. They are aware about their entitlements of government
services.
The mothers are from Awareness on PNC
U – 6566 marginalized population and They attended meeting on importance of 4 PNC checkups.
N.A. N.A. N.A. 13581 N.A
R - 7015 minority groups. They demand for PNC checkups from government health
functionaries.
N.A. 4 They are under 2 children of Children attended NREP
2697 poor family and marginalized The mothers have participated in NREP sessions, spent time
U – 289 U – 176
N.A. family and showed interest to learn about care of malnourished
R - 1362 R - 869
children. They shared their positive experience with
neighbours.
N.A. N.A They are under 2 children Children referred to NRC
290 screed through MUAC tape They stayed at NRC as per guideline of government of India.
U–1 U–6
N.A. and referred to NRC The mothers actively engaged in care and stimulation of their
R- 132 R - 151
children. They learned how to prepare low cost nutritious food
for feeding children during and after illness.
They are the Post Natal PNC kit delivered
U- 4381
N.A. N.A. N.A. 11978 N.A mothers, belongs to below They attended 4 PNC checkups to get the PNC kit as an
R- 7597
poverty level. incentive.

Output 4
Increased knowledge of and access to the government funded Janani Suraksha Yojana (JSY) scheme for pregnant women in the target communities.
A+
A.4.3 Justify the score: The score is based on an aggregate of actual achievement against output indicator milestones in the logframe. Please explain how you
determined this score.
The target against the logframe milestones has been achieved. Mothers were made aware of Janani Suraksha Yojana scheme and its benefits through community
sensitisation meetings and change agents referred each eligible mother to sub-centre/health centre for the registration of JSY. The change agents ensured 4 ANC
checkups, institutional delivery so that they get this benefit. However, in spite of good awareness and follow up, some mothers who migrated from other states, belonged to
unregistered slum pockets and faced problem to get this benefit, since they do not have bank accounts as it is mandatory of government for cash transfer. To open a bank
account they were unable to present local residential proof.

Indicator 4.1: Percentage of eligible women (giving birth and receiving PNC in government facilities) knowledgeable about JSY scheme - aware of the location and criteria
for accessing JSY facilities
Progress:
92.6% (6320/6825) eligible women (giving birth and receiving PNC in government facilities) knowledgeable about JSY scheme in Borough VII against year 3 milestone
target 78% (5324/6825)
90%(7274/8082) eligible women (giving birth and receiving PNC in government facilities) knowledgeable about JSY scheme in Goalpokhar against year 3 milestone target
72% (5819/8082)
Staff and CAs had to put in lot of efforts to sensitise the community on JSY scheme. The oriented club members, the panchayat and ward councillors also supported
change agents to organise awareness camps

Indicator 4.2:Percentage of eligible women referred to JSY
Progress:
86.3% (5890/6825) of eligible women referred to JSY in Borough VII against year 3 milestone target 55 % (3754/6825)
77.3% (6247/8082) of eligible women referred to JSY in Goalpokhar 1 against year 3 milestone target 65% (5254/8082)
Change agent and ASHA jointly followed up cases and ensured referral of mothers for JSY enrolment
below 18 years.
U- 6320 The mothers who attended meeting on JSY scheme,
N.A. N.A. N.A.
R- 7274 13,594 marginalized population and minority
U- 5890 The mothers are from marginalized population and minority
N.A. N.A. N.A. 12,137
R - 6247
A.4.6 State the evidence used to measure the progress described and comment on its strength Please refer to the preceding guidance on how to complete the section
effectively.
Output 5
A.5.1 Output Write in full
Increased awareness, involvement and coordination of stakeholders in Janani Suraksha Yojana (JSY), Ante and Post Natal Care (ANC & PNC) services and Integrated
Child Development Services (ICDS)
A ++
A.5.3 Justify the score: The score is based on an aggregate of actual achievement against output indicator milestones in the logframe. Please explain how you
determined this score.
The club members were sensitized frequently on their support to increasing awareness, monitoring activities. The SHG groups were actively involved to support community
sensitization activities with support of change agents, most of them are part of SHGs.

Indicator 5.1: Number of Community-Based Organisations (CBOs) showing greater awareness on MCH services and related health/ social welfare schemes
Progress:
U – 162 (total club) Community-Based Organisations (CBOs) showing greater awareness on MCH services and related health/ social welfare schemes in Borough VII
against year 3 milestone target 300
R – 189 (total clubs) Community-Based Organisations (CBOs) showing greater awareness on MCH services and related health/ social welfare schemes in Goalpokhar 1
against year 3 milestone target 100
In Goalpokhar I, In year 3 we had reached out to 189 clubs against the revised target of 100. However, only 162 CBOs actively participated and shown awareness on MCH
and other health/social services. The main reason on underachievement in the urban areas was non-availability of the urban club members. In urban areas, most of the
local clubs members are engaged either in full time job or in business, and it was difficult for them to find time for these activities – despite of follow up meetings. Also,
some of them had other priorities and did not show any interest.
Indicator 5.2:Number of sensitization meetings on project interventions e.g. ANC, PNC, JSY, NREP approach, etc. organised by CINI at ward, block, district and state
level with key stakeholder
Progress:
State level dissemination meet - 1 meeting
247 meetings (3 district+ 244 ward level) with stakeholders organised in Borough VII against year 3 milestone target 12
178 meetings with stakeholders organised in Goalpokhar 1 against year 3 milestone target of 17
All the convergent meetings, 1st, 2nd, 3rd Saturday meetings, VHSNC meetings etc. have been factored to the achieved number, as a result the target is over achieved. This
was important in order to phase out and hand over some of the project activities. CAs conducted meetings in the presence of staff members (mentoring process) with
government and panchayat workers.
Indicator 5.3: Number of SHGs actively involved in promoting MCH services, PNC kits and welfare schemes
Progress:
17 groups of 150 member SHGs actively involved in promoting MCH services, PNC kits and welfare schemes in Borough VII against year 3 milestone target of 8
97 groups of 1168 members SHGs actively involved in promoting MCH services, PNC kits and welfare schemes in Goalpokhar 1 against year 3 milestone target of 5
Many change agents of GPAF projects were also the active members of existing SHGs who were engaged in sensitising the community in GPAF project interventions and
sensitise the other members of SHG to support their family. Also, SHG members are mostly women and where able to connect with the issues related to MCH. Therefore,
the targets were easily met and exceeded.

A.5.5 Disaggregate the number of citizens engaged with this output. Describe briefly who they were and how they were engaged. Adult = 18 years and above; Child
= below 18 years.
They are members of local clubs CBO s showing greater awareness
U – 3633 U- 18 6266 and belong to different religion, they provide space for meetings and participate in
N.A. N.A. N.A.
R – 2615 R- 0 socio economic background community group meetings
(Clubs Urban - 162 and Rural – 189)
They are state government and Sensitization programme with stakeholders
U – 312 U – 203
N.A. N.A. 2473 N.A. KMC officials (Health, ICDS, They provide training and issue government order
R – 1246 R - 712
Water and Sanitation) (Meetings Urban – 247, Rural – 178)
They are the local women and SHGs actively promoting MCH awareness
1318 belong to poor and marginalized They are engaged in community sensitisation
U – 150 family. They form groups which activity. (97 SHGs in Rural and 17 in Urban)
N.A. N.A. N.A. N.A.
R- 1168 are registered so that they get
minor funds for pursuing small
business
A.5.6 State the evidence used to measure the progress described and comment on its strength. Please refer to the preceding guidance on Annex A on how to complete
the section effectively.

A.7 Methodological Tools
The table below should be used to provide the details of the specific tools that you or your implementing partner uses to measure project indicators, particularly any bespoke
tools you have developed for yourself but also details of any industry standard tools you have used. Please include sufficient information to describe the methods and to enable
the reader to understand how the data was derived. There is an example of a response to this section of the report in the FAQ guidance. Add more rows if needed.
Method Purpose of Tool Summary of methodology

Quantitative method Mothers’ Interview: The objective of the interview was to The end-line study covered 1155 households, with 578
assess the knowledge, attitude and practice of the households being covered in Borough VII and 577 households
mothers with respect to maternal and child health. We being covered in Goalpokhar 1. The process of selecting the
also assessed the health of the last child based on the households is as defined below:-
weight and MUAC. The questionnaire also focused on Step 1: Purposive selection of CINI agents based on number of
children in the target age group they are catering to. 138 CINI
assessing the sustainability of the programme results
Change agents were selected from across both the project
based on the response given by the beneficiaries. areas to ensure proportionate representation from each of the
CA Interview: The objective of the Change Agent wards and gram panchayats.
interviews was to understand the impact of the GPAF
project on their knowledge of maternal and child health Step 2: Based on the list of households received from the CINI
issues. agents, mothers per CINI agent were we randomly selected,
The questionnaire also explored the Change Agent’s with a child in the 6-24 months age group.
perception of the sustainability of the programme

Qualitative method A qualitative interview with the key stakeholders was 41 quantitative interviews were also conducted with Government
conducted to understand the non-tangible benefits of the and community based stakeholders covered in Borough 7 and
program. The focus of the qualitative interviews was to Goalpokhar 1 project locations
understand whether the government stakeholder and
community are willing to take ownership of the program CINI and ChildHope officials were interviewed
results and whether they think the program has led to overall
improvement of the maternal and child health conditions of
the project geography.
CINI and ChildHope interview: The objective of the interview

was to understand how the programme was implemented,
how has the programme performed with respect to the
intended results, how has CINI ensured value for money,
what is the sustainability plan for the programme.The
interview also explored the relationship between CINI,
Childhope and DFID.
Government and community based stakeholders: This

discussion focused on understanding the role of external
stakeholders and how effectively CINI has leveraged this
relationship. The discussion also explored their perception of
the programme components and results. The discussion also
explored possible ways of scaling up the program.

ANNEX B: CONSOLIDATED BENEFICIARY DATA (Up to 2 pages)
You will need to use the beneficiary figures for the outcome level in Annex A to arrive at a consolidated total number of people benefitting.
If the same beneficiaries are represented in more than one of the outcome indicators and have therefore benefitted in more than one way, please ensure you do not double count
them when calculating the consolidated total. (See FAQs for further guidance.)
B.1 CONSOLIDATED BENEFICIARY TABLE
Gender Disaggregated Data

OVERALL TOTAL Adult Male Adult Female Female (below 18 Child Male Child Female (under 18
(18 years +) (18 years +) years) (under 18 years) years)
i) Consolidated total number
of project beneficiaries
achieved in this reporting year 48,732 9375 12626 358 13887 (under 2) 12486 (under 2)
ii) Consolidated total number

of project beneficiaries 25,460 13887 (under 2) 12486 (under 2)
59,661 9375 358
achieved by the project as a
whole
a. Please explain how you arrived at the figures given in row (ii) – beneficiaries reached by the project – with reference to the figures reported in the outcome section of Annex A.0.5
The figure has been derived from the project MIS avoiding double counting.
- Adult Male numbers were not counted in the previous years as the main focus was women and children, however, in the final year a lot of work has also been done with adult male
through clubs and government official, hence their numbers are included in the report.
- Adult female numbers are similar as reported last year as the activities implemented were in the same communities. They have benefitted from at least one of the services, e.g.
Awareness programmes, NRC, NREP, ANC, PNC and Skilled Institutional delivery. Until last year, the number was 23555, increased to 25,460 in the final year.
- Children (0-2 years male & female) who were assessed in the normal and moderate nutritional status in the reporting period through rapid assessment, benefiting from the project
intervention. Male child until year 3 was 10,137 which increased to 13,887 in the final year. Female child until year 3 was 9226, increased to 12486 in the final year.
Severe status children numbers are not included as their nutritional status were yet to be assessed as improved.
b. Provide a clear summary description of all your outcome level beneficiaries (e.g., people living with HIV/AIDS; disabled children; soapstone workers; child labourers) and how

each group benefitted.
The beneficiaries of this project come from the marginalised communities in the rural location. In urban location, most of them were migrant population coming from neighbouring
states in search of livelihoods. Since, they were part of the communities where the project was implemented, all of them directly or indirectly benefited from the project activities, e.g.
awareness of MCH issues, JSY scheme, BFM, etc.
c. Indicate or estimate the percentage or number of disabled beneficiaries reached in the box below.
As per the MIS, there were only 4 disabled children in the project.
B.2 DATA COLLECTION AND DISAGGREGATION

a. What challenges and difficulties, if any, did the project encounter in collecting and reporting
i) exact beneficiary numbers
ii) disaggregated data (including particularly by disability)?
No, the data were collected by staff members and recorded/analysed in the project head office MIS. Further, the year-end survey was used to triangulate the data through the
support of external expert agencies.
b. Did you disaggregate your data collection any further to better understand your beneficiaries? Examples might include extreme poor, widows, orphaned children, older men and
women, ethnic groups, socio-economic status).
N.A.
c. How did the collection and analysis of disaggregated data (including by gender and disability) influence project design, approach, delivery or learning?
Gender disaggregate data generated from project MIS was used to reach out to deprived women and children. During the entire project implementation, only 4 disabled children
were identified. Parents of these children were referred to government hospital and linked with the existing government social welfare schemes.

ANNEX C: PORTFOLIO ANALYSIS (Up to 3 pages)
DFID captures and compare performance and results across the whole GPAF portfolio based on the information provided in project reports. Please answer each of the following
questions.
C1 MILLENNIUM DEVELOPMENT GOALS (MDGs)

Which of the Millennium Development Goals has your project contributed to directly? Choose up to Please indicate their order of How much does the project contribute
3 importance for the project (1/2/3): to the selected MDGs? (sum of
entries should = 100%).
MDG 1: Eradicate Extreme Hunger and Poverty
MDG 2: Achieve Universal Primary Education
MDG 3: Promote Gender Equality and Empower Women 3 5%
MDG 4: Reduce Child Mortality 2 45%
MDG 5: Improve Maternal Health 1 50%
MDG 6: Combat HIV/AIDS, Malaria and Other Diseases
MDG 7: Ensure Environmental Sustainability
MDG 8: Develop a Global Partnership for Development
C.2 METHODOLOGICAL APPROACH

What is the main methodological approach being used by the project to bring about the changes envisaged? Please select up to three factors and prioritise them as 1,
2 and 3 (with 1 being of highest significance).
a. Rights awareness
1
e.g. making ‘rights holders’ more aware of their rights so that they can claim rights from ‘duty bearers’
b. Advocacy
2
e.g. advocating publicly for changes in policy and/or practice on specific targeted issues
c. Modelling
e.g. demonstrating best practice / approaches / behaviours which can be adopted or replicated by others to bring wider improvements in
policy or practice
d. Policy engagement
e.g. building relationships with decision-makers behind the scenes, pragmatic collaboration on policy development to achieve incremental
improvements

e. Service provision in collaboration with government
e.g. working with government to enhance the services already provided 3
f. Service provision in parallel to government

e.g. providing an alternative service
g. Monitoring of government policy
e.g. monitoring budget-making or enforcement of rights
If you are using other methodological approaches please note in the box below.
C.3 CAPACITY BUILDING

Whose capacity (in the main) has been built through the project? Select a maximum of 3. (Mark with an “X” in the appropriate boxes)
a. End-beneficiaries (poor and vulnerable groups) ×
b. Local leaders
c. Local community-based organisations ×
d. Civil society organisations / networks
e. Local government ×
f. National government
g. Local implementing partner(s)
h. Trade unions
i. Private sector organisations
j. Other (Please name below)
C.4 ENVIRONMENTAL CHANGE AND CLIMATE CHANGE MITIGATION

a. How would you describe the project’s environmental impact? (Mark with an “X” as appropriate)
Negative Neutral × Positive
None of the project activities impact directly on environment and climate change. The PNC kit was made from bio-degradable materials. More often public transportation was used
by staff members to do the local travel, where possible Skype/phone calls was used instead of travel.

b. Describe actions the project took to reduce negative environmental impact (use bullet points)
 N.A
c. Describe any activities taken by the project to build climate change resilience (use bullet points)
 N.A.

GPAF (IMP 056) Project Completion Report 31 May ChildHope UK 20170320060338

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Global Poverty Action Fund

PROJECT COMPLETION REPORT

Please read the following instructions carefully

The key changes are:

GPAF Project Completion Report Template up to March 2016 1

What to send – use as checklist:

1. Narrative Report (this document)

4 Sustainability 1 Progress towards ensuring sustainability

6 Learning 2 Lessons from project implementation for learning and dissemination

GPAF Project Completion Report Template up to March 2016 2

2. Project Documents (attachments)

GPAF Project Completion Report Template up to March 2016 3

It is very important to note that:

through tangible changes to poor people’s lives including through:

GPAF Project Completion Report Template up to March 2016 4

Value For Money:

GPAF Project Completion Report Template up to March 2016 5

1.13 Date report produced 31/05/2016

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GPAF Project Completion Report Template up to March 2016 7

GPAF Project Completion Report Template up to March 2016 8

GPAF Project Completion Report Template up to March 2016 9

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2.3 RELEVANCE TO CONTEXT

2.4 EQUITY (GENDER & DIVERSITY)

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GPAF Project Completion Report Template up to March 2016 13

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Endline Evaluation Baseline

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2.6 UNINTENDED (POSITIVE) OUTCOMES

2.7 UNINTENDED (NEGATIVE) CONSEQUENCES

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2.9 RISK MANAGEMENT & MITIGATION

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During our field visit and interaction with 3 CDPOs, it

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Capacity building of key stakeholders and service providers.

S.No Output Indicator GBP per unit output

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As a result of beneficiaries feedback some of the activities were improved:

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SECTION 8: EVALUATION CONCLUSIONS AND RECOMMENDATIONS (Up to 2 pages)

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A.0.4 For each of the indicators:

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Indicator 5:Percentage of children having exclusive breast feeding up to 6 months of age

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A.1.4 For each of the indicators (add extra rows if required):

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A.2.4 For each of the indicators (add extra rows if required):