Final evaluation : Chitral child survival program Pakistan : CSHGP cooperative agreement number GHN-00-08-00010-00

The CCSP's strategic objective was to reduce maternal and neonatal mortality and morbidity by increasing the access to and utilization of the obstetric and neonatal continuum of care in the target communities. The four intermediate results were envisaged to contribute to the project purpose through: (1) increased awareness of obstetric and neonatal complications, increased utilization of 'Birth Preparedness and Complications Readiness' (BPCR) plans, and an improved enabling environment for maternal, neonatal and child health (MNCH); (2) strengthened community midwife (CMW) referral linkages for obstetric and neonatal services; (3) increased availability of trained CMWs; and, (4) reduced financial barriers to accessing obstetric and neonatal continuum of care. Data from the end line survey report, the Community Based Savings Group (CBSG) assessment reports, and project Management Information System (MIS) show that the project has achieved remarkable results in terms of overall outcomes and outputs particularly in improving skilled birth attendance, continuum of care and increasing use of maternal care services by women participating in CBSGs. These improvements will contribute to reducing morbidity and mortality of mothers and neonates in the program population, however, overall impact on maternal and infant deaths has to be measured in the longer run. (Excerpt, modified)