I.
Evaluation Title
Pakur Mother & Child Survival Project – Evaluation of Gender Component.
II.
Project Description
The Pakur Mother and Child Survival project is being implemented from 2012 to 2014 in Pakur
district of Jharkhand state, India by HealthBridge Foundation of Canada and EFICOR
(Evangelical Fellowship of India Commission on Relief).
Overall Objective: Reduce maternal and child morbidity and mortality in Pakur district
through increasing access to health services.
Project Objectives:
1. Improve the supply of health care by strengthening the delivery of health services at the
village level.
2. Increase demand for health care by educating communities.
3. Engage men and mothers in-law to reduce social barriers in accessing health care.
III.
Rationale for Evaluation
The call is for a process evaluation of the implementation of activities related to objective 3, the
Gender component of the project. The purpose of the evaluation is to assess the quality of
implementation of gender-related strategies, whether the project is on track in achieving the
expected gender-related outcomes, and identify recommendations for strengthening the
delivery of the Gender component of the project. The gender-related strategies are described in
Annex 3. The expected gender-related outcomes are described below, and in more detail in
Annex 2:
 Intermediate Outcome: Increased shared decision making at the household level about
maternal, newborn and child health (MNCH) practices.
 Immediate Outcome 100: Increased capacity of EFICOR and local and government health
institutions to design and deliver effective, coordinated and gender-sensitive programs and
services related to MNCH.
 Immediate Outcome 400: Increased acceptance of shared decision making at the household
level about MNCH amongst men and women.
 Immediate Outcome 500: Increased perceived ability of men and women to make shared
decision about MNCH.
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IV.
Scope & Focus
The Consultant will:
1. Evaluate the quality of implementation of the gender-related strategies
a) Have the project strategies been implemented as planned across all 6 blocks?
b) Are the strategies adequate to achieve the desired outcomes in terms of their
design and implementation?
c) See questions specific to each strategy in Annex 3
2. Assess progress made in achieving the expected gender-related outcomes
a) To what extent do stakeholders1 demonstrate changes in attitudes around male
involvement, family communication and decision making around maternal and
child health?
b) To what extent do beneficiaries demonstrate changes in attitudes and practices
within families around nutrition and rest for pregnant mothers, and pregnant
mothers accessing health care?
c) To what extent has the project made progress towards achieving the expected
gender-related outcomes, as specified in the project Performance Measurement
Framework in Annex 2?
3. Identify challenges, lessons learned and provide recommendations for strengthening the
implementation of gender-related strategies
V.
Stakeholder involvement
The Consultant is expected to conduct a participatory evaluation involving project partners,
beneficiaries and other parties deemed to be relevant by EFICOR. Stakeholder participation is to
be an integral component of evaluation design and planning; information collection; the
development of findings; evaluation reporting; and results dissemination.
VI.
Evaluation Process
a. Work Plan: Due December 14th 2013
The Consultant will prepare an evaluation work plan that will specify the methods ,
data sources and timeline for conducting the evaluation. The Work Plan will be
submitted to HealthBridge by December 14th 2013. It will be discussed and approved by
EFICOR and HealthBridge by December 21st 2013, and act as the agreement between
parties for how the evaluation is to be conducted.
1
Stakeholders include Pregnant Women & Lactating Mothers, Husbands, Mother- In – Law, Other family members,
Frontline health workers, Village Health , Sanitation & Nutrition Committee members, EFICOR staff both Male &
Female from the Head Quarters and Field.
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b. Field Work: January 6th – 18th 2014
Data collection is to be conducted at Pakur in Jharkhand in consultation with
HealthBridge and EFICOR. This field work is expected to be no longer than two weeks
in duration. EFICOR is to be briefed on arrival and before departure from the field.
c. Evaluation Report
The Consultant will analyze the data and prepare an evaluation report that puts forward
a summary of the findings, lessons learned and recommendations in detail. The final
report is to be submitted by January 31st 2014.
VII.
Deliverables
The Consultant will prepare: 1) an evaluation work plan; and, 2) an evaluation report.
Both the work plan and report will need to be approved by EFICOR and HealthBridge
before being finalized.
Annexures:
1. Logic Model – see attached document. Gender-related outputs and outcomes are
highlighted in yellow.
2. Performance Measurement Framework – see attached document. Gender-related
outputs and outcomes are highlighted in yellow
3. Gender-related Strategies Utilized in the Project and Corresponding Evaluation
Questions
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Annex 3: Gender-related Strategies Utilized in the Project and Corresponding Evaluation Questions
Activity from Work Plan
Activity 110: Train EFICOR &
VHSNCs
Strategies
Gender training for EFICOR


Activity 120: Coordination of
MNCH services
Activity 130: Gendersensitivity Training
At regular coordination meetings with Block and District
Officials, gender-related issues are brought forth by EFICOR
staff
Gender training for front-line service providers (ASHA, AWW,
ANM, MPW)
Gender seminars with Government Health Officers
Activity 230: Home and
Community Counseling
Activity 410: IEC & Media
materials to promote shared
decision making
ASHAs, AWWs and ANMs provide counselling to both mothers,
fathers and mothers in-law and encourage joint
communication and decision making
Develop and disseminate materials that promote husband
involvement in maternal and child health, and shared family
decision making

Is this being done by EFICOR staff? If yes,
what issues have been brought forth? If not,
why?
 To what extent has the training changed the
attitudes and practices of front-line service
providers?
 Has this activity been completed? If not, why?
To what extent have the seminars changed the
attitudes and practices of Government Health
Officers?
 To what extent are the front-line service
providers doing this? What are the barriers?


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Evaluation Questions
To what extent has the training increased the
capacity of EFICOR staff (both in the field and
at Headquarters) to champion gender issues
related to maternal and child health?
Do staff feel confident in developing and
implementing initiatives to address gender
issues relevant to maternal and child health?
Do beneficiaries accurately understand the
messages being conveyed in the leaflet and
video?
How can we improve the messaging and/or
dissemination of the IEC materials?
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Activity from Work Plan
Activity 510: Discussion groups
on shared decision making
(Sass, Bahu, Pati Sammelan)
Strategies
Bring pregnant and lactating mothers, husbands and mothers
in-law together in joint education about maternal and child
health, how husbands can support their wives, and encourage
communication and shared decision making.
Evaluation Questions

To what extent do the groups encourage and
facilitate family communication and shared
decision making about maternal and child
health?

To what extent do the groups provide
practical strategies for husbands and mothers
in-law to support the health of pregnant and
lactating women and their children?

To what extent do beneficiaries demonstrate
changes in attitudes and practices after
attending the group with respect to:
a) Rest and nutrition for pregnant and lactating
mothers
b) Involvement of husbands in maternal and
child health
c) Sharing of decisions about maternal and child
health
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