- Health and Nutrition
This evaluation study was undertaken on behalf of the Ministry of Health and Social Services (MoHSS), Primary Health Care Services Directorate, Family Health Division by a team of consultants. In 2012 the MoHSS piloted Community Health Worker Programme (CHWP), and following the successful pilot project in Opuwo, the MoHSS expanded the programme to the rest of the country. An evaluation was then required to guide the MoHSS on how to use the CHWs most effectively to achieve national health goals and contribute to the achievement of the post-2015 global Sustainable Development Goals (SDGs).
The purpose of this evaluation is to document the CHWP, assessing programmatic achievements and constraints by reviewing the existing conceptual framework and overall system, including financial support, management structure, supervision mechanism and governance. The aim is to gain an in-depth understanding of the progress and challenges, and to identify areas for improvement; to assess the alignment with, and appropriateness of, policies and guidelines for the community health programme; as well as to determine the extent and depth of coordination and collaboration for partnerships. The findings of the evaluation will mainly be used by MoHSS and partners, in their different capacities and functions, to inform policies and strategies and develop plans and interventions to improve programme performance. It could also be used in academic settings, especially public health and teaching on community health.
The overall goal of this evaluation was to understand whether the intended objectives of the CHWP were met and whether it resonates with the objectives in the strategic plan. The main objectives of the evaluation are to assess the impact, relevance, effectiveness, efficiency, coherence, sustainability, coordination, and human-rights based approach of the programme; document lessons and identify best practices in the implementation and management of the Programme; and to provide evidence to improve the programme design and implementation, and related policy change.