FAMILY PLANNING PROJECT : HIGH INSTITUTE OF PUBLIC HEALTH (COMPONENT) GRANT NO. 263-78-G-0019

Evaluation covers the period 8/78-6/1/81 and is based on a previous major project evaluation. The High Institute of Public Health (HIPH) established an MOH field training center in the Village of Abbis II. Construction costs rose from $44,286 to $133,513 and delays necessitated a 10-month project extension. Training equipment, materials, and vehicles are in place. All HIPH graduates during the project utilized the MOH Center and the Abbis II community in the course of their community based education/training. Although training was planned in maternal and child health/family planning (MCH/FP), public health nursing, and in school, geriatric, and mental health, the inclusion of non-FP public health areas contradicts the use of family planning funds to support the project. Thus, the in-service training program for approximately 190 physicians and nurses in Aswan, Alexandria, and Port Said emphasized MCH/FP. Training quality was high but no attempt was made to assess how the training was used. It may be more cost-effective to limit future efforts to training trainers. Several operational research activities (e.g., social worker outreach, oral rehydration therapy) were conducted, but definitive results were not obtained and no formal mechanism exists to communicate results to the MOH. A complicated "family folder" health facility record-keeping system was developed but has not yet been tested. It is recommended that any follow-on project should establish an effective outreach system at the training center, focus HIPH training efforts on training trainers, emphasize family planning, test successful project developments (e.g., the family folder) on a wider scale, establish a mechanism for communicating successful service delivery, and should not need to provide HIPH with further long-term expatriate technical assistance. A Contractor Performance Evaluation Report for One America, Inc. is attatched.