Annex 1

Results Matrix

Name of FC projekt Project no. (BMZ-No.)

Improving Mother and Child Care in urban Areas – Paropakar Maternity and 2018 67 613 / 2018 70 153 / 2020 76 775
Women’s Hospital Kathmandu
Country/Region Results Matrix compiled on
Nepal, Kathmandu Valley 08.11.2021

Objectives Indicators Sources Assumptions

DC-programme objective: Maternal mortality rate (per 100,000 live births) MICS and Do not fill!
NDHS 2016
The overarching program Baseline value: 190 (2013) reports
objective of German Development
Cooperation is identical to the Target value: 125 (2020/21)
objective of the Nepal Health
70 (SDG 2030)
Sector Strategy: Improvement of
the health and nutritional status of Actual value: 239 (2019)1
the Nepalese population, Achievable during project duration: no
especially the poor and
Source: Progress Report of the Health and Population Sector 2019/20
disadvantaged.
National Joint Annual Review

1
Source: Progress Report of the Health and Population Sector 2019/20 National Joint Annual Review
Objectives Indicators Sources Assumptions

Under-5 mortality rate (per 1,000 live births) NDHS 2016

report
Baseline value: 38 (2014)
Target value: 28 (2020/21)
25 (SDG 2030)
Actual value: 28 (2019)2
Achievable during project duration: yes

Neonatal mortality rate (per 1,000 live births) NDHS 2016

report
Baseline value: 23 (2014)
Target value: 17.5 (2020/21)
12 (SDG 2030)
Actual value: 16 (2019)3
Achievable during project duration: yes

2
Source: Nepal MICS 2019 (unicef.org)

3
Source: Nepal MICS 2019 (unicef.org)
Objectives Indicators Sources Assumptions

Total fertility rate (births per 1,000 women aged 15 - 19) NDHS 2016
Baseline: 2.3 (2014) report
Target value: 2.1 (2020/21)
Actual value: 2,0 (2019)4
Achievable during project duration: yes

Project objective Project indicator 1: Evaluations

The module objective is easier from Satellite
access to and increased use of The number of births increases to 500 in each Satellite Hospital in the Hospitals The Satellite Hospitals have the
qualitatively improved medical first year of operation. personnel and financial
care for pregnant women and resources to provide the
Baseline: tbd.
newborns in the selected Satellite required volume and quality of
Hospitals in Kathmandu Valley, Target value: tbd. services.
while at the same time Actual value: tbd.
decongesting and specializing the
Paropakar Maternity and Achievable during project duration: yes
Women's Hospital (Paropakar)
Project indicator 2: Evaluations
Kathmandu. As well as
from Satellite
strengthening gender equality and The number of women seeking specialized health services for women
Hospitals
women´s empowerment in and newborns offered by Paropakar is increasing at Paropakar during
leadership, management, service the first year of operation of the Satellite Hospital.
provi-sion and user groups in the
Baseline: tbd.
Satellite Hospital catchment area.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

4
Source: Nepal MICS 2019 (unicef.org)
Objectives Indicators Sources Assumptions

Project indicator 3: Satellite

Hospital
Gender equality and women’s empowerment in the management of the
statistics
Satellite Hospitals is strengthened. The Hospital Management
Committee provision mainstreams gender equality in management and
service provision and acts against all forms of discrimination including
GESI-Policy,
sexual harassment.
Anti- Sexual
Baseline: tbd. Harrassment
Target value: tbd. Policy and
Actual value: tbd. Gender Action
Plan.
Achievable during project duration: yes

Project indicator 4: Satellite The ANC indicator assumes that

Hospital a large proportion of the
Pregnant women delivering at the Satellite Hospitals attended at least
statistics satellites' future ANC clients will
four prenatal check-ups (4ANC).
go to public health services and
Baseline: tbd. appear in the municipal health
Target value: tbd. statistics.
Actual value: tbd.
Achievable during project duration: yes
To be confirmed
Objectives Indicators Sources Assumptions

Output A Indicator 1 Satellite

The satellite hospitals provide
needs- and quality-based
maternal and childcare according
to MoHP standards and work in a
functional network with Paropakar
and the municipalities.
Hospital
The Satellite Hospitals and Paropakar operate a common Statistics
computerized patient management and referral system.
It will be possible to find a
Baseline: tbd. common IT solution / framework
for all partners involved.
Target value: tbd.

Actual value: tbd. Management, medical and non-

medical staff internalize the
Achievable during project duration: yes need for client-centered care in
maternity and neonatal care
provision and adopt the required
behaviour.

Indicator 2 Satellite The absorption capacity and

Digital health records are created for female patients and newborns at Hospital workload of the limited number
Paropakar, in the Satellite Hospitals and assigned Health Posts at the statistics of personnel (limited particularly
start of the Satellite Hospitals' first year of operation. in the beginning), allows for the
various planned capacity
Baseline: tbd.
building measures
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

Indicator 3 Satellite
Referrals from female patients and their newborns are made digitally in Hospital
the Paropakar network. statistics
Baseline: tbd.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

Indicator 4 Satellite
Objectives Indicators Sources Assumptions
X % of newborns born in the Satellite Hospitals receive all four Hospital
elements of essential care: immediate and throughout drying, statistics
immediate skin-to-skin contact, delayed cord clamping and initiation of
breastfeeding in the first hour.
Baseline: tbd.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

Output B: Indicator 1 Satellite

Care at the Satellite Hospitals
follows a modern patient-centered
and women-led approach.
Pregnant women delivering at Satellite Hospitals are satisfied with the Hospital
patient-centered dimensions of healthcare services received. statistics
Baseline: tbd.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

Indicator 2 Satellite
Women can experience birth with a companion of their choice at the Hospital
Satellite Hospitals. statistics
Baseline: tbd.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

Output C Indicator 1 Satellite MoHP approves sufficient condi-

The operation of the Satellite Hospital tional grants and staff positions
Hospitals is financially Hospital management committees are able to secure sufficient funding so that the planned staff
statistics
sustainable. for the Satellite Hospitals to provide the targeted range and quality of positions can be filled.
services. Each Satellite Hospital has a business plan for the first five
Objectives Indicators Sources Assumptions
years of operation.
Baseline: tbd. Municipalities contribute their
fair share to the operation costs
Target value: tbd.
of the Satellite Hospitals and
Actual value: tbd. additional staff.
Achievable during project duration: yes

Indicator 2 Satellite Budget allocations of MoHP are

Hospital sufficient for the satellite
Medical equipment and infrastructure is in a state of operational hospitals to provide free
statistics
readiness. Each Satellite Hospital has a professional maintenance and services just as Paropakar
facility management.
Baseline: tbd.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

Output D Indicator 1 Satellite

Hospital
Paropakar strengthens gender Gender requirements are set in job advertisements for local staff and statistics
equality. attention is paid to appropriate applicant qualifications during
recruitment starting with the recruitment process for the Satellite
Hospitals. All job advertisements for local staff are published in a Recruitment
gender-sensitive format. Paropakar has developed a gender equality process
human recourse policy.
Baseline: tbd.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes
Objectives Indicators Sources Assumptions

Indicator 2 Satellite
Hospital
Paropakar conducts in close cooperation within the Satellite Hospital statistics
network semi-annual behaviour change and information, education
campaigns regarding sexual and reproductive health and rights
beginning one year prior to the Satellite Hospitals' first year of
operation.

Baseline: tbd.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

Indicator 3 Satellite
Hospital
The Satellite Hospitals each operate a one-stop crisis management statistics
service for victims of gender-based violence.
Baseline: tbd.
Target value: tbd.
Actual value: tbd.
Achievable during project duration: yes

Activities within the project Do not fill! Do not fill! (Assumptions regarding outputs)
Objectives Indicators Sources Assumptions

Principal activities for output A

- Sign Memorandum of
understanding between
Ministry of Health and
Population (MoHP),
Paropakar and Chandragiri
municipality and Tarekeshwor
municipality for the
management of the Satellite
Hospitals
- Construct satellite hospitals
- Equip the satellite hospitals
and install computerized
patient referral systems and
digital applications for the
improvement of medical
performancefor patient
referral via mobile phone
- Provide sufficient support for
the start-up phase of the
Satellite Hospitals
Objectives Indicators Sources Assumptions

Principal activities for output B

- Train health facility
management committees to
focus on quality assurance in
all its aspects and provide
necessary support to develop
a quality assurance strategy
- Train management and staff
in modern client-centred care
- Development of clinical skills
program focusing on women-
centred care

Principal activities for output C

- Develop a medium-term
hospital development plan
that is updated annually
- Train hospital management in
financial management
- Development of a gender-
oriented marketing strategy to
promote the Paropakar
branded Satellite Hospitals

Principal activities for output D

- Create gender-sensitive job
descriptions in the human
resource management
process
- Set up one-stop crisis
management service centres
for victims of gender-based
Objectives Indicators Sources Assumptions
violence in the Satellite
Hospitals