STRENGTHENING RURAL HEALTH DELIVERY PROJECT

EVALUATION, CONDUCED BY USAID PROJECT COMMITTEE TOGETHER WITH GOE AND CONTRACTS PERSONNEL, WAS BASED ON PROJECT DOCUMENTS, INCLUDING PREVIOUS EVALUATIONS. DUE TO THE EXISTENCE OF IBRD POPULATION PROJ IN MINIA GOVERNORATE, THE SIMILAR ASSIUT GOVERNORATE HAS REPLACED MINIA AS TEST SITE, WHILE INPUTS HAVE GENERALLY BEEN SATISFACTORY, THERE HAVE BEEN DELAYS IN COMMODITY PROCUREMENT DUE TO LACK OF SOECIFICATIONS, AND ADDITIONAL CENTRAL STAFF, FIELD, AND EGYPTIAN CONTRACT PERSONNEL ARE NEEDED TO PERFORM LOGISTICAL DUTIES FORCED ON CORE STAFF. REMEDY IS BEING SOUGHT FOR INABILITY OF GOVERNORATES IN TEST AREAS TO PROVIDE ADEQUATE VEHICLE MAINTENANCE AND REPAIR. DECISION ON WHETEHR TO MODIFY OR DISCONTINUE TECHNICAL ADVISORY COMMITTEE (TAC) PROVIDED FOR IN PP WILL BE MADE AFTER SECOND TAC MEETING. IMPLEMENTATION PLAN HAS BEEN COMPLETED AND PROJECT WILL BEIGN ON SCHEDULE 7/80. FIRST TRAUNCH OF VEHICLES HAS ARRIVED AND BEEN DISTRIBUTED TO ADDRESS TRANSPORTATION PROBLEM, AND SERVICES OF EGYPTIAN SPECIALISTS ARE BEING SOUGHT TO SURVEY THE COMMUNICATIONS SYSTEM. AN IN-COUNTRY TRAINING MANUAL FOR FIELD HEALTH PERSONNEL HAS BEEN PRODUCED AND 166 OF THE LATTER HAVE RECEIVED TRAINING, ESP IN BASIC SKILL. PARTI CIPANT TRAINING IN US HAS ALREADY BEEN PROVIDED FOR 3 SHORT-TERM TRAINEES, WITH 3 MORE SHORT-TERM AND 6 LONG-TERM TRAINEES SCHEDULED SHORTLY. A MAJOR PROBLEM IN THIS AREA HAS BEEN THE ENGLISH DEFICIENCY OF POTENTIAL TRAINEES. WHILE GENERA LLY STILL VALID, ORIGINAL PROJECT GOAL, PURPOSE, OUTPUTS, AND BUDGET NEED TO BE REVISED TO INCLUDE BENEFICIARIES OF MOH SERVICES, WITH CONCENTRATION ON A FEW SPECIFIC HEALTH PROBLEMS. ANY PP CHANGE SHOULD, HOWEVER, BE MADE ONLY AFTER TECHNICAL EVALUATION OF PROJECT SCHEDULED FOR 9/80. LESSONS LEARNED INCLUDE NEED FOR MORE ORIENTATION AND PLANNING TIME FOR CONTRACTORS. APPENDED TO PES (PD-AAC-020-A1) ARE TAC REPORT AND 3 OH QUARTERLY REPORTS. PES 79-1.