Your search found 2 Results
In: Growth Promotion for Child Development. Proceedings of a colloquium held in Nyeri, Kenya, 12-13 May 1992, edited by J. Cervinskas, N.M. Gerein, and Sabu George. Ottawa, Canada, International Development Research Centre [IDRC], 1993 Feb. 33-42.UNICEF has been a vocal advocate of the widespread application of growth monitoring and promotion (GMP) for 10 years. The UNICEF Evaluation Office is an office within UNICEF responsible for conducting global thematic evaluations of a wide range of UNICEF activities. Evaluations involve reviewing literature, drafting terms of reference for evaluating activities in selected countries, and reviewing findings leading to policy changes for UNICEF at the global level. This paper describes progress made in conducting evaluations of GMP efforts coordinated together with UNICEF's Senior Nutrition Advisor. Data were collected for 1990-91 through focus groups and interviews in China, Ecuador, Indonesia, Malawi, Thailand, Zaire, Zambia and subsequently analyzed. A summary is presented of actions reported to have been stimulated by the assessment and analysis of anthropometric data at household and community levels and constraints to actions identified. The following lessons learned were agreed upon during a review meeting: resources are short for GMP; programs should be implemented only where there is demand; GMP should no longer be promoted as an entry point to improve the health system or other sectors; existing, poorly done GMP programs waste resources and incur large opportunity costs; promoting growth for child development is important especially where growth faltering is prevalent; program management may take several forms; inabilities to analyze and respond are primary constraints to good GMP in most country programs; GMP can promote empowerment where the context allows; and GM data should not be analyzed under the auspices of the health sector in order to avoid bias.
Draft team member contributions to mid-term evaluation of the Population and Family Planning Project (608-0171) in Morocco.
[Unpublished] 1988 Mar. 13 p.The draft team member contributions to the mid-term evaluation of the population and family planning project in Morocco examine current progress and address future needs. Increased awareness of at least 1 method of family planning was attributed to a USAID-funded project. But, problems of access, religious constraints, and lack of method-specific media campaigns need to be addressed. An increased effort to direct promotion efforts toward men is needed, as a prior immunization program showed that the husband was a key factor in encouraging mothers to bring their children to be vaccinated. Because the local health worker plays a critical role at the community level, training and support for these workers should be emphasized. Media-specific and audience-specific campaigns, by the government and private sector, should focus on the most cost-effective means of reaching the provincial level population. Donor organizations (such as UNICEF, UNFPA and USAID) should address the IEC needs identified by the central health education office, whose role and supporting functions need to be strengthened. Content of family planning materials must be method-specific, using a systematic methodology to address problems of inappropriateness, inadequate contraceptive mix, and lack of field worker training materials. Improved distribution methods for existing materials, as well as increased use of television and mass media are viable options. Using the community more effectively by encouraging leader motivation and instituting incentives could help to improve promotional and distributional activities at the provincial level. An evaluation of training needs revealed that the workshop method of training may be overemphasized, and most health workers expressed a desire for lengthened training. The private sector could be sensitized to public health issues and needs and, in conjunction with out of country technical assistance, produce effective social marketing of contraceptives within the Moroccan context. Coordination with other donors would be beneficial, with the exchange of documents and meetings between the groups.