Mid Term EVALUATION PLI II project - CARE International's ...
Mid Term EVALUATION PLI II project - CARE International's ...
Mid Term EVALUATION PLI II project - CARE International's ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
IBTCI – <strong>Mid</strong>-<strong>Term</strong> Performance Evaluation of the Pastoral Livelihoods Initiative Phase <strong>II</strong> (<strong>PLI</strong> <strong>II</strong>) - DRAFT<br />
Animal Health<br />
• The system of fee-for-service Community Animal Health Workers (CAHWs) and private sector<br />
vendors of veterinary pharmaceuticals should be continued and expanded.<br />
Early Warning Systems<br />
• To improve the ability of the Government of Ethiopia (GOE) and its partners to forecast and plan<br />
for crises, funding of early warning systems should be restored and the capacity of the GOE to<br />
collect, analyze, and disseminate data and forecasts should be strengthened.<br />
Health and PEPFAR Wrap-Around<br />
• With respect to health-related messaging, much more attention should be paid to reaching out-ofschool<br />
youth.<br />
• <strong>PLI</strong> <strong>II</strong> should expand efforts to promote income-generating groups by PLHIV, both as a means of<br />
providing economic and psycho-social support to PLHIV and also because they have proven to be a<br />
stigma-free modality for condom distribution.<br />
• <strong>PLI</strong> <strong>II</strong> should consider reallocating resources more to modalities that do not assume literacy<br />
because, currently, many of the resources used to deliver health messages go for printed materials<br />
which assume that users are literate. However, given the high rate of illiteracy among pastoralists<br />
and agro-pastoralists, especially women, these printed materials are not effective.<br />
• Other <strong>PLI</strong> <strong>II</strong> partners should see how the IRC and Mercy Corps experiences with Traditional Birth<br />
Attendants (TBA) can be replicated for their own woredas. In Somali region, <strong>PLI</strong> <strong>II</strong> implementers<br />
have been making effective use of TBA to promote ante-natal care (ANC) and encouraging women<br />
to have their babies in health facilities.<br />
• Consideration should be given to the establishment of guest rooms or tukuls where women could<br />
stay a few days in advance of when they anticipate giving birth to reduce the risk of complications<br />
and, if necessary, where they can recuperate post-partum. While more women are making use of<br />
ANC, there are few health facilities reasonably available for pastoralist or agro-pastoralist women,<br />
especially women with high-risk pregnancies, to give birth.<br />
DRAFT<br />
xiv