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Project Cycle Management Training Handbook - CFCU

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<strong>Project</strong> <strong>Cycle</strong> <strong>Management</strong> <strong>Training</strong> <strong>Handbook</strong><br />

Overall<br />

Objective<br />

<strong>Project</strong><br />

Purpose<br />

Figure 21: An Example of a Completed Logframe<br />

Intervention Logic Objectively Verifiable<br />

Indicators<br />

Infant & maternal mortality rates<br />

reduced<br />

Health status of pregnant & nursing<br />

mothers, infants & babies improved.<br />

Results 1. Functioning primary healthcare<br />

service established at district level.<br />

2. Quality & efficiency of secondary<br />

healthcare improved.<br />

Activities 1.1 Rehabilitate/replace mobile clinic<br />

vehicles & equipment.<br />

1.2 Design & implement mobile clinic<br />

programme.<br />

1.3 Recruit & train village birth<br />

attendants.<br />

2.1 Rehabilitate staff housing.<br />

2.2 Recruit new staff.<br />

2.3 Design & implement new<br />

procedures for:<br />

• Personnel management<br />

• Vehicle & equipment<br />

maintenance<br />

• Drug storage & control<br />

• Financial control & cost<br />

recovery<br />

2.4 Design & implement staff training<br />

programme for:<br />

• Patient care<br />

• Hygiene maintenance<br />

• Basic accounting<br />

• Data collection & analysis<br />

• Mortality rates reduced for under-<br />

1s, under-5s & pregnant &<br />

nursing mothers from X to Y by<br />

19xx<br />

• Incidence of post-partum & neonatal<br />

infection within health<br />

centres reduced from X to Y by<br />

19xx<br />

• Rates of infectious diseases<br />

(polio, measles, tetanus) among<br />

under-5s reduced from X to Y by<br />

19xx<br />

• Incidence of acute birth<br />

complications reduced from X to<br />

Y by 19xx<br />

• Number of villages provided with<br />

regular PHC services increased<br />

from X to Y by 19xx<br />

• Proportion of under-5s vaccinated<br />

against polio, measles & tetanus<br />

increased from X to Y by 19xx<br />

• No. birth complications diagnosed<br />

& successfully assisted increased<br />

from X to Y by 19xx<br />

• Increased patient satisfaction with<br />

quality of services provided<br />

• Number of patients treated<br />

increased from X to Y by 19xx<br />

• Average cost of treatment per<br />

patient reduced from X to Y by<br />

19xx<br />

• Increased patient satisfaction with<br />

standards of care<br />

Technical Assistance<br />

Equipment<br />

Medical supplies<br />

(See activity schedule)<br />

Sources of<br />

Verification<br />

Dept of Health statistics,<br />

analysed ex-ante, midterm<br />

& ex-post<br />

Hospital & clinic records,<br />

analysed ex-ante, midterm<br />

& ex-post<br />

Sample survey of target<br />

group conducted &<br />

analysed in years 1, 3 &<br />

5<br />

Clinic attendance<br />

records, analysed<br />

quarterly<br />

Clinic vaccination<br />

records, analysed<br />

quarterly<br />

Client satisfaction<br />

survey, conducted<br />

annually<br />

Hospital records,<br />

analysed quarterly<br />

Client satisfaction<br />

survey, conducted<br />

annually<br />

Lump sum costs<br />

Reimbursables<br />

(See budget)<br />

Assumptions<br />

Incidence of infectious<br />

diseases in the household<br />

reduced.<br />

Mothers willing to attend<br />

clinics<br />

Household nutrition<br />

improved through increased<br />

seasonal availability of high<br />

protein foods, & increased<br />

proportion obreast-fed<br />

babies.<br />

Pregnant & nursing mothers<br />

able to access cash to pay<br />

for treatment.<br />

Department of Health<br />

maintains level of funding at<br />

pre-project levels in real<br />

terms.<br />

Suitably qualified staff<br />

willing to work in rural areas.<br />

Pre-condition:<br />

Department of Health<br />

implements Decentralisation<br />

Act to enable Provincial<br />

Health Office to rationalise<br />

staffing levels.<br />

33

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