Evaluation Plan for Strengthening Health Outcomes (SHOW) Program

This report outlines an evaluation plan for the Strengthening Health Outcomes for Women and Children (SHOW) program, a multi-country initiative by Plan International Canada. The program aims to improve maternal, newborn, and child health, as well as sexual and reproductive health, in underserved regions of Bangladesh, Ghana, Haiti, Nigeria, and Senegal. The evaluation plan employs a quasi-experimental design, utilizing household surveys, health facility assessments, and secondary data review to assess the program's effectiveness in achieving its objectives. The evaluation will assess the program's relevance, effectiveness, and efficiency, using the DAC criteria. Key evaluation questions address whether the program meets healthcare needs, and the efficiency of its administration. The report details the evaluation methodology, timeline, and the roles and responsibilities of the consultants involved. The report also includes a literature review on related healthcare services and interventions.

Running head: EVALUATION PLAN
Evaluation Plan
Name of the student
Name of the university
Author’s name

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Table of Contents
Description.......................................................................................................................................2
Literature Review............................................................................................................................3
Evaluation Strategy..........................................................................................................................4
Purpose of the evaluation.........................................................................................................4
Evaluation approach................................................................................................................4
Evaluation Questions...............................................................................................................5
Evaluation methodology..........................................................................................................6
Time line..........................................................................................................................................8

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Introduction
The Plan International Canada (PIC) is an international development agency which was
developed in 1937. Plan International Canada is committed to achieving a sustainable standard of
lives changes in emerging nations for kids, relatives, and groups. Plan International Canada is a
not for profit agency, a self-regulating and comprehensive of all faiths and cultures, it tries to
create a kind of place where different rights for children and equality for girls will be considered
at the highest priority. Since the year 1968, PIC has been a part of an internal plan for the global
alliance. The alliance consists of 22 Nation-wide departments, 4 District departments and
provides different platforms to 50 different nations globally.
The Strengthening Health Outcomes for Women and Children (SHOW) is a four and a
half year long multi-country, gender-changing plan, which is financially supported by the
international relationships of Canada. This plan costs around CAD$65M, and its timeframe is
20th January 2016 - 30th June 2020.
By enhancing and improving the quality, handiness, consumption and liability of vital
maternal, new-born and child health/ sexual and reproductive health (MNCH/SRH) facilities,
SHOW targets to improve health results for around 1,594,257 Women of reproductive age
(WRA), comprising of 330,563 adult girls, and also an approximate of 914,572 children under
the age of five (consisting of 454,000 girls), and involve 1,522,785 men (339,000 adult boys) in
underserved regions of Bangladesh, Ghana, Haiti, Nigeria and Senegal.
The execution of SHOW program and achieving its outcomes in the five employing
nations is directed by different International departments of the PIC agency, in partnership with

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health organizations, an organization for women concerns, NGOs, with the support of Plan
Canada.
Description
The program proposed a project Strengthening Health Outcomes of Women and Children
(SHOW), which have been executed in Bangladesh, Ghana, Haiti, Nigeria and Senegal. This is a
gender-transforming 4.5-year, multi-country initiative financed by Global Affairs Canada. The
SHOW program aims to:
 Enhanced use of fundamental health facilities for the pregnant women, girls entering the
puberty phase, newborns to kids of age 5 residing in poverty
 Increased affordability, accessibility, approachability of the health services to WRA,
teenage girls, infants and kids under the age of 5 residing in poverty
 Enhanced dissemination and use of information by initiative, community recipients,
wellness commissions, promoters and policy makers
To measure the achievement of outcomes the PIC and SHOW program will compare results to
project baseline studies. There are two types of evaluation strategies:
 Data collection methods – It includes three methods Household survey, Health facility
assessment, Secondary data review.
 Sampling strategy – This approach utilizes a quasi-experimental design to assess the gaps
between SHOW interventions and recognized comparative regions before starting.

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The purpose of the evaluation is to examine the effectiveness of the program in achieving the
stated objectives. The evaluation will identify the characteristics and process of successful early
intervention approaches that provide significant benefits to children, women and families.
This evaluation plan will answer the following question –
 Is PIC meeting the healthcare needs of the pregnant women, girls entering the puberty
phase, newborns to kids of age 5 who are living in poverty?
 Is the PIC and SHOW program’s administration and implementation efficient and
effective?
Literature Review
There are various papers that have discussed about the healthcare services for women, children
and community members.
PROGRAM STRATEGY
 A similar kind of paper is there that discusses the project
Countdown to 2030. In 81 nations that address for 95% of
reproductive and 90% of all child deaths in the world,
Countdown-2030, the objective is to promote tracking and
measuring the wellbeing of women, children, and
teenagers (Boerma et al. 2018).
To accomplish the program results, efficient measures to
be implemented for all the people in nations which
should be rapidly expanded with the support of changes
to fundamental socio-economic circumstances,
including empowerment for women (Boerma et al.
2018).
 There was a similar kind of study which was conducted in
Afghanistan. In terms of enhancing maternal and child
wellbeing and sustainability, Afghanistan has made
significant improvements since 2001. However, the
Afghanistan has used preventive and curative
interventions covering all phases of the caring spectrum.
Interventions included certain criteria's family planning
needs satisfied, antenatal care with a skilled provider,

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universal coverage of health intervention as well as further
health progress lies in the country's social-economic and
national inequalities (Akseer et al. 2016).
skilled attendant at birth and certain other components
(Akseer et al. 2016).
 Overall, even in many of the poorer countries, the health
and well-being of females, kids, and youth is improving
quicker than ever before. The change is largely thanks to
the Every Woman Every Child (EWEC), one of the
world's most effective wellness projects over the years
(Langer et al. 2015).
The EWEC initiative is implementing the EWEC
Global Strategy through nation-led, multi-stakeholder
commitment and partnership and shared responsibility
for outcomes, assets, and privileges. There were
different kind of interventions for maternal health
priorities like hand-washing training, access to high-
quality maternal health care; for the health of adults
sustainable sanitation in schools; for children, vaccines
were provided for different diseases, hand-washing
training (Langer et al. 2015).
 In 2015, 193 governments initiated a 2030 Agenda for
progress for the next 15 years, which was later distilled
into the SDGs. The agenda comprised of reducing
poverty; gender equality; improving health of WRA, and
children, health insurance; and justice for everyone. Many
SDGs were incorporated in the Global Strategy for
Women’s, Children’s and Adolescent Health 2016–2030.
While data on several indicators are collected for
various age groups, it is not fully exploited and
disaggregated by sex and age to make adolescents
visible in reporting, or for informing and monitoring
policies for prevention and tailored interventions. Data
on children up to 18 years of age should be further
disaggregated by age sub-groups.

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Qualification of the consultant
The selection procedure for the consultants in the PIC occurs through a series of steps.
Such as people who have the experience, familiarity in creating strategies and supervisory
assessments for MNCH/SRHR platforms in emerging nations. The criteria for the multi-
disciplinary team should be:
 The individual should hold a master’s or doctorate or any higher post in the international
organization, public health agency, or other social sciences, statistics or in any other field
for which a CV is required.
 The individual should have at least 10 years’ experience in the management, collection,
and evaluation of reports, studies, and information, mostly in the worldwide non-profit
agencies and/or multilateral organizations. It is also mandatory to know different national
and international studies.
 Extensive national and international experience in assessing health outcomes in
developing contexts
Evaluation Strategy
Purpose of the evaluation
The objective of the evaluation is to assess the program's efficiency in attaining its specified
goals. In this assessment, the features of successful early intervention methods will be identified
to the fullest degree feasible and offer major advantages for females of reproductive age (WRA),
young girls, newborns and poor kids. In spite of its projected expenses and advantages, it will
also design the long-term effects of PIC and SHOW. The assessment results will help to build

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the ability to provide WRA, youths, newborns and kids with efficient and cost-effective early
intervention.
Evaluation Criteria
There are certain numbers of questions that will guide the evaluation process of the project
against the DAC Criteria for Evaluating Development Assistance:
1. Relevance: The degree to which the program is suitable to the significances of the target
beneficiary group, stakeholders, and to the donor.
 Was the project pertinent to the requirements of the recipients, as recognized during the
project design stage?
 Were the executed actions and attained outcomes of the SHOW project reliable with the
envisioned influences and effects?
2. Effectiveness: The degree to which the program achieved its desired outcomes.
 To what amount the desired outcomes were achieved?
 How did the project help in achieving these outcomes?
Evaluation approach
In developing program logic and methodology, the paper embraced the results-based
accountability model. This strategy involves concentrating on attaining and assessing group
outcomes reflecting government objectives.
Three key elements of the evaluation strategy are:
 Evaluation of results to see if the programme's demands are met and to improve long-
term outcomes of participating kids and relatives

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 Evaluation of the method that will measure management and check the efficiency and
effectiveness of the program management.
 Monetary assessment, which includes a cost-effectiveness evaluation and a total program
advantage.
Evaluation Questions
This evaluation plan will answer the following question –
 Does the strategies implemented by the PIC are able to meet the healthcare needs of the
women of reproductive age (WRA), adolescent girls, newborns and children that are
under the line of poverty?
 What is the level of efficiency and accuracy of the PIC and SHOW program in
administering and implementing its strategies for the above-mentioned group?
 Does the program developed would be able to help the target population to meet their
needs through cost effective manner?
The evaluation plan, analyzing the age and gender of participants, will also involve questions
relating to Gender Equality inclusion questionnaires.
 Marital status of respondents
 Type of assistance given during, before and after birth by the male partner of WRA
 The level of women's participation and decision-making in meetings and challenges
Evaluation methodology
By comparing the results with the project's basic and mid-term research, the program's will
evaluate the efficiency of the proposal. This includes the key elements of the assessment.

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 Household survey - The household study includes WRA (15–49 years) as main participants
with the birth of a newborn in the 24 months/two-year period prior to the study. A survey
will be done on the family members including the male partner about the latest pregnancy at
home that fulfil criteria. Taking into account the extensive regional range of each of the
SHOW proposal regions, the household study will be performed using a multi-stage random
cluster testing technique to guarantee cost-effectiveness and efficient execution of surveys, as
was achieved at the start and mid-stage.
 Health facility evaluation, including both surveys on centre personnel and ability and on the
delivery of service and information governance with important informants (wellness centre
employees) and observations on the architecture and maintenance of the facility.
 To accomplish the evaluation purpose and the outcomes, the evaluation plan will comprise of
different primary and secondary information in order to evaluate the advancement against all
indicators comprised in the SHOW Performance Measurement Framework (PMF), and also
responds to the Evaluation Criteria.
Research Question Evaluation part Methods Measurements
Is PIC meeting the healthcare
needs of the women of
reproductive age (WRA),
adolescent girls, newborns and
children who are living in
poverty?
Results evaluation Minimum dataset
Comparison group outcomes
data
WRA, adolescent girls,
newborns and children
demographics,
vulnerabilities, risks and
needs
Process data: intake, case
management, service use,
duration

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Is the PIC and SHOW program’s
administration and
implementation efficient and
effective?
Process evaluation Minimum dataset Inputs, process, outputs,
satisfaction
The Consultant(s) will act as the principal organizer of the SHOW project's Five Country Final
Evaluation and will be accountable for study design and methodology, recruiting and managing
local research team(s), monitoring information compilation an entry/transcription, analyzing all
information, and publishing reports.
There are certain other roles and responsibilities of the Consultant/team:
 Project papers, including but not restricted to the Logic Model, Performance Measurement
Framework, PIP, Gender Assessment, Project Reports, Sustainability Plans, Investment in Health
Plans Baseline and Mid-term Reports.
 Ensure all instruments are converted into local dialects, contextualized for every nation and tested
before enumerator practice with females, males, young people, health care workers and group
stakeholders.
 Verifying, processing and analyzing all the raw data.
Time line
The consultative service is anticipated to start in January 2019 and the field data collection is
anticipated to start in March 2019. The completion of all the information collections by the

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beginning of August 2019 must also take place and Plan Canada must submit the initial study
and approve it by 30th September.