The mid-term evaluation report for the United States Agency for International Development (USAID) funded Zambia Communications Support for Health (CSH) project. CSH is funded by USAID and is a four and a half year, $43 million contract implemented by Chemonics International under contract number GHS-I-00-07-00004-00, task order number GHS-I-05-07-00004. CSH began on July 8, 2010 and is scheduled to be completed by December 13, 2014. CSH sub-contractors include the Manoff Group and ICF International (ICFI). CSH sub-grantees include Afya Mzuri, and the Comprehensive Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV/AIDS) Management Program (CHAMP). This report includes the findings, conclusions, and recommendations that the evaluation team collected and developed during November December 2012. The USAID/Zambia Health Office contracted IBTCI as an independent entity to perform a mid-term performance evaluation of CSH. The objectives of this mid-term evaluation were three-fold: Part A (Retrospective): The evaluation sought to help determine what progress CSH has made in achieving its life-of-project targets and whether or not they are likely to achieve them by the end of the program. Additionally the evaluation looked at what components of the CSH program were working well and to explain why this was so. If there were parts that were not working well the evaluation went further to find out why. Part B (Prospective): Based on the findings and conclusions of the retrospective study, the evaluation made recommendations for CSH project implementation through December 2014, including the optimal mix of activities and funding for achieving project objectives and for aiding sustainability. Part C: Using the findings and conclusions of the prospective and retrospective studies, the evaluation framed issues to discuss or resolve at a level higher than the project, specifically at the level of the Government of the Republic of Zambia (GRZ) and/or other donor organizations, where applicable. (Excerpt, modified)

