Grand Bassa Impact Evaluation Report for Milestone 9

The program aims to bring care within reach of 1.2 million people, with a focus on remote communities. Since its launch in July 2016, the program has deployed 3,934 community health workers and clinical supervisors, serving over 800,000 people and delivering 1.6 million treatments and malnutrition screenings to children under five. In Grand Bassa County, LMH has worked alongside the local government and the central Ministry of Health to recruit, train, equip, and support 358 CHAs to serve as the first line of defense against disease. These CHAs provide a comprehensive package of lifesaving primary healthcare services to women, children, and men who would otherwise be left without access to care. The goal is to reach full county coverage within the next two years. The CHAs in Grand Bassa have conducted 344,638 routine household visits and 100,592 sick child treatments for malaria, pneumonia, and diarrhea in children under five. They have also performed 19,238 prenatal visits for pregnant women who live more than five kilometers from a health facility, and received 11,396 restock visits from their clinical supervisors. The Grand Bassa Impact Evaluation aims to evaluate the impact of the CHA program on maternal and child health services and outcomes. The evaluation began in 2018 with a survey that covered 4,000 households, followed by another that covered 1,300 households. The evaluation has collected data on various indicators, including the number of sick child treatments, routine household visits, and prenatal visits conducted by CHAs. The evaluation has also collected data on the cost-effectiveness of the CHA program. The cost-effectiveness study aims to understand the cost of delivering healthcare services through the CHA program and the impact of these services on health outcomes. The study has collected data on the costs of training, deploying, and equipping CHAs, as well as the costs of providing healthcare services through the program. The evaluation has also collected data on the demographic and structural factors that affect the delivery of healthcare services through the CHA program. The study has collected data on the characteristics of the population served by the CHA program, including their age, sex, and socioeconomic status. The study has also collected data on the structural factors that affect the delivery of healthcare services, including the availability of healthcare facilities and the availability of healthcare workers. The evaluation has also collected data on the care-seeking behavior of the population served by the CHA program. The study has collected data on the factors that influence the decision of individuals to seek healthcare services, including their knowledge of healthcare services, their perception of the quality of healthcare services, and their ability to pay for healthcare services. The evaluation has also collected data on the service utilization of the population served by the CHA program. The study has collected data on the number of healthcare services used by individuals, including the number of visits to healthcare facilities, the number of treatments received, and the number of medications prescribed. The evaluation has also collected data on the impact of the CHA program on the health outcomes of the population served. The study has collected data on various health outcomes, including the number of deaths, the number of illnesses, and the number of disabilities. The study has also collected data on the quality of healthcare services provided through the CHA program, including the quality of care provided, the timeliness of care provided, and the patient satisfaction with care provided. The evaluation has also collected data on the lessons learned from the implementation of the CHA program. The study has collected data on the challenges faced by the program, including the challenges related to the COVID-19 outbreak, and the strategies used to overcome these challenges. The study has also collected data on the successes of the program, including the successes related to the recruitment, training, and deployment of CHAs, and the successes related to the delivery of healthcare services through the program. The evaluation has also collected data on the possibilities for scaling up the CHA program. The study has collected data on the potential for expanding the program to other counties and districts, and the potential for increasing the number of CHAs deployed. The study has also collected data on the potential for improving the quality of healthcare services provided through the program, including the potential for improving the quality of care provided, the potential for improving the timeliness of care provided, and the potential for improving patient satisfaction with care provided. The evaluation has also collected data on the financial sustainability of the CHA program. The study has collected data on the costs of implementing the program, including the costs of training, deploying, and equipping CHAs, and the costs of providing healthcare services through the program. The study has also collected data on the potential for generating revenue through the program, including the potential for generating revenue through the sale of healthcare services, and the potential for generating revenue through the sale of healthcare products. The evaluation has also collected data on the impact