1 Impact Assessment Study Sample HANDS Intervention Area was - - PowerPoint PPT Presentation

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Impact Assessment Study Sample

HANDS Intervention Area was Included in this Study

Provinces (Sindh, Punjab and Baluchistan) 03 13Districts 13 81 Villages 81 404 Households (5 HH in each village) 404 Population 91365 Average Population per Village 1128

HANDS MISALI Interventions

S# District

1 Jacobabad 2 Jaffarabad 3 Jamshoro 4 Karachi Rural 5 Karachi Urban 6 Matiari 7 Muzaffargarh 8 Sanghar 9 Shaheed Benazir Abad 10 Tando Allahyar 11 Thatta 12 Tando Muhammad Khan 13 Umerkot

Thematic Areas of the Survey

Health

• Maternal Health
• Child vaccination
• Growth Monitoring
• Nutrition

Livelihood

• PSC
• Assets

IDEAS

• Shelter
• Infrastructure
• Energy

WASH

• Water
• Sanitation
• Hygiene

Education

• ECE
• Primary & Secondary
• Adult Literacy

Impact Assessment Study Sample

Impact Assessment Study Sample

39% 35% 26%

% of Population Comparison in Villages

Male Female Children n=91365

Impact Assessment Study Sample

76 39 31 10 20 30 40 50 60 70 80 CBO Formed CBO Registration CBO Account

Detail about CBOs

Yes n=81

Impact Assessment Study Sample

29.6 34.6 35.8 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 Metaled Gravel Earth (Bricked) Earthen Link Road

% of Types of Road Access

n=81

Impact Assessment Study Sample

33.3 14.8 58.0 24.7 19.8 51.9 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 Boys Primary Girls Primary Mix Primary Boys Secondary Girls Secondary ECE

% of Schools within 5 Kilometers in Villages

n=81

Impact Assessment Study Sample

11% 9% 38% 16% 10% 16%

% of Enrolled Students in Schools of the Villages (3 to 18 Years)

Boys Primary Girls Primary Mix Primary Boys Secondary Girls Secondary ECE n=81

Impact Assessment Study Sample

17% 9% 68% 1% 5% 0%

% of Drop out Students

Boys Primary Girls Primary Mix Primary Boys Secondary Girls Secondary ECE n=81

Impact Assessment Study Sample

14.8 19.8 14.8 18.5 45.7 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0 DHQ/ THQ Rural Health Centre Basic Health UnitGovt. Dispensary Private Clinic

% of Health Facility available in the village

Impact Assessment Study Sample

96.3 19.8 0.0 21.0 13.6 2.5 0.0 20.0 40.0 60.0 80.0 100.0 120.0 MARVI worker LHW CMW TBA LHV Doctor

% of Health worker in a village

Impact Assessment Findings

Impact Assessment Findings

71.6 48.8 10 20 30 40 50 60 70 80 HANDS Survey 2017 HANDS Survey 2018

Lime applied on Shelter

Impact Assessment Findings

Availability of Electricity 2017 2018 82% 89% Average Expenses on Alternate source 2017 2018 774 1233 Average Load Shedding per Day 11.9 hours

Impact Assessment Findings

19.5 5.3 10.2 61.5 2 1.5 13.5 3.6 3.1 74.1 1.0 4.7 15 3.4 2.9 74.5 1 3.2 10 20 30 40 50 60 70 80

Home Water Supply Community Tap Stand/Pipe Tube Well Hand Pump Dug Well Water Tanker

Main Source of Water(%)

PDHS 2012-13 HANDS Survey 2017 HANDS Survey 2018 n=404

Impact Assessment Findings

1.2 0.1 1.4 0.1 0.5 96.6 0.1 13.3 2.9 31.1 3.4 8.4 36.6 4.4 50.2 2.2 13.4 3.2 26 5

0.0 20.0 40.0 60.0 80.0 100.0 120.0

Boiling Add bleach /Cholorine/ Alum Stain through a cloth Use water filter Other No treatment Solar

Water Treatment Methods (%)

PDHS 2012-13 HANDS Survey 2017 HANDS Survey 2018

n=404

Impact Assessment Findings

73.7 26.3 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 Biological Contamination No Biological Contamination

Results of Water Test

n=76

Impact Assessment Findings

28 36 36 39.7 36.4 23.9 43.8 34.4 21.8 5 10 15 20 25 30 35 40 45 50

Flush to Sewerage Pit Latrine Open Defecation

Status of Sanitation Facilities

PDHS 2012-13 HANDS Survey 2017 HANDS Survey 2018

n=404

Impact Assessment Findings

60 67 68 71 57 76.4 58.7 77.5 71.5 10 20 30 40 50 60 70 80 90 Before Cooking Before Preparing Food /Child rearing After using Toilet

Hand Washing Practices (%)

USAID PSDW-HPP 2011 HANDS Survey 2017 HANDS Survey 2018

n=404

Impact Assessment Findings

53.1 11.1 34.6 1.2 10 20 30 40 50 60 Open Dumping Land filling Burning Other specify

Solid Waste Management

HANDS Survey 2018

Impact Assessment Findings

75.2 9.3 24.0 80.8 16.8 26.75 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 CNIC B-Form/Birth Certificate Nikkah Nama

Social Protection (%)

HANDS Survey 2017 HANDS Survey 2018

Impact Assessment Findings

13.5 2.3 84.2 19.0 5.0 76.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 Cultivated Non Cultivated No Agriculture Land

Agriculture Land Status

HANDS Survey 2017 HANDS Survey 2018

n=404

Impact Assessment Findings

68.1 29.9 1.0 1.0 65.6 27.7 6.7 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 Owner Landlord Government Rented

Household Land Ownership (%)

HANDS Survey 2017 HANDS Survey 2018

n=404

Impact Assessment Findings

14.5 4.9 6.2 7.0 30.6 56.1 16.4 27.0 9.2 30 2.5 90.6 1.2 5.7 15.6 87.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 100.0 Refrigerator, Freezer or Washing Machine Air Conditioner, Air Cooler, Water Geyser or Heater At least one car/tractor and at least one motor cycle/scooter At least one car/tractor but NO motor cycle/ scooter NO car/tractor but at least one motor cycle/scooter Neither car/tractor Nor motor cycle/ scooter One Stove, Cooking Range, Microwave Oven Own TV

% Household Assets

HANDS survey 2017 HANDS survey 2018 n=404

Impact Assessment Findings

6.2 7.0 30.6 56.1 27.0 68.1 .2 4.7 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0

At least One Buffalo/ Bullock and at least one cow/goat/sheep At least One Buffalo/ Bullock but NO cow/goat/sheep NO Buffalo/ Bullock but at least one cow/goat/sheep Neither Buffalo/ Bullock nor cow/goat/sheep

Comparison of Live Stock

HANDS Survey 2017 HANDS Survey 2018

n=404

Impact Assessment Findings

0.0 3.6 12.7 83.6 0.5 0.5 1 98 0.0 20.0 40.0 60.0 80.0 100.0 120.0 0-11 12-18 19-23 24-100 Ultra Poor Vulnerable Poor Above Poverty Line

Comparison of Poverty Ranking (%)

HANDS Survey 2017 HANDS Survey 2018 n=404

Impact Assessment Study Sample

1% 17% 9% 73%

% of Type of Cooking Fuel

Coal Cow dunk Gas Wooden Stick

Impact Assessment Study Sample

1% 6% 5% 88%

% of Type of Stoves used

None Gas Stove Smokeless stove Traditional Stove

Impact Assessment Study Sample

Impact Assessment Study Sample

50 50

% of awareness about DRR Committee Formed village

Aware Unaware

Impact Assessment Study Sample

44.1 41.3 37.1 54.0 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Safer Places Emergency contact details of Police, DC, DHO, Fire Brigade, Darul Aman etc Blood donor list vehicle /taxi driver number availability

% Awareness about of DRR in villages in case of any Disaster

Impact Assessment Study Sample

4.7 58.7 24.0 12.6 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 at Inaccessible Place In Safe Locker Plastic Coding Other Places

% of awareness that how to keep safe important documents CNIC, Nikah Nama, Property Documents etc. during disaster

Impact Assessment Findings

42 62 74 20.3 28 45 10 20 30 40 50 60 70 80 NMR IMR Child Mortality

Early Childhood Mortality Comparison per 1000 Live Births

PDHS 2017-18 HANDS Survey 2018

Impact Assessment Findings

75.3 46.2 51.5 60 54 50.5 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 BCG PCV 3 Measles PDHS 2017-18 HANDS Survey 2018

Percentage of children (12-23 months) who received BCG, PCV3 and Measles vaccine (%)

Impact Assessment Findings

11 14 3.75 1.2 2 4 6 8 10 12 14 16 Diarrhoea Prevlance Care seeking for children with ARI symptoms

Percentage of children under age 5 Care seeking with ARI symptoms and Diarrhea treated with ORT in the last 2 weeks

PDHS 2017-18 HANDS Survey 2018

Impact Assessment Findings

Nutritional status of children 6-59 months through MUAC

State of Nutrition HANDS Survey 2018 MICS 2014 Normal (>12.5 cm)

82 58

Moderately Acute Malnutrition (MAM) (11.5- 12.5 cm)

12.2 25

Severely Acutely Malnutrition (SAM) (<11.5 cm)

5.8 17

Total

100 100

Impact Assessment Findings

41 47 64 79 71.8 75 84.2 52.5 60.0 86.6 10 20 30 40 50 60 70 80 90 100 Four or more ANC Visits 2 or more TT shots Institutional deliveries SBA attended last delivery PNC availed last delivery

Maternal Health Care (%)

MICS Sindh 2014 HANDS Survey 2018 n=433

Impact Assessment Findings

Impact Assessment Findings

Nutritional status of Pregnant and Lactating Women through MUAC in (%)

HANDS 2018 NNS 2011 Well Nourished (MUAC >21 cm)

79.8 81

Malnourished (MUAC <21 cm)

20.2 19

Total

100 100

Impact Assessment Findings

Status of Family Planning

FP Methods HANDS 2018 HANDS 2017 PDHS 2017-18 Current CPR 47.80% 43.60% 25% Unmet need 28% 10% 17%

Impact Assessment Findings

13.0 2.2 17.6 0.7 9.2 2.4

Modern Method Percentage Distribution of Current Users (%)

Condom Implant Injection IUCD Pills TL

Impact Assessment Findings

64.9 9.7 9.7 18.1 2.7 5.2 23.3 4.5 1.7

20.0 17.3 18.1 20.0 2.5 9.9 25.7 6.2 2.5 4.5 35.6 32.4 30.7 9.7 19.1 10.4 10.9 0.0 1.0 14.6 10.4 9.7 19.8 11.4 7.4 17.8 9.7 1.0 2.7 2.7 2.5 12.1 7.9 2.2 9.4 0.0 0.2 1.0 2.7 0.0 14.1 11.6 2.5 8.2 0.0 0.0 0.7 0.5 0.5 11.1 10.4 6.2 18.8 0.0 8.4 18.3 23.5 18.6 28.0 24.5 22.3 24.3 86.1

0.0 20.0 40.0 60.0 80.0 100.0 120.0 Bread Rice Pulses Vegetable Meat Poultry/Egg Milk/Yogurt Fruits Others

% Dietary Pattern of Children

Daily > once Daily once Weekly > once Weekly Once Monthly >once Monthly once Occasionally Never

Impact Assessment Findings

52.8 47.2

3 to 5 Years Children=417

Male Female

Impact Assessment Findings

Education Level (3 to 4 years)

Sex of Children ECE/ Primary Never Been to school School Going Children # % # % 2017 Male 95 60.9 61 39.1 59.7 Female 77 58.3 55 41.7 2018 Male 200 90.9 20 9.1 90.1 Female 176 89.3 21 10.7

Impact Assessment Findings

41.5 36.7 35.5 33.6 34.5 32.6 28.3 25.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 Male Female Male Female Male Female Male Female Home Made Toys Toys from Shop House Hold Objects Out side objects/ Marbels

% of Playing Activities (3-4 years)

HANDS Survey 2018

Impact Assessment Findings

15.6 12.2 10.6 8.9 16.8 13.2 23.0 19.4

0.0 5.0 10.0 15.0 20.0 25.0 Male Female Male Female Male Female Male Female Reading Books or Looked at the Pictures Told Stories Sung Song with Took out side the Home Compound

In Last 3 Days any Family Member Engaged Children (3 -4 year) in Following Activities

HANDS Survey 2018

Impact Assessment Findings

13.2 11.3 17.5 11.3 9.8 8.6 15.1 11.8

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0 Male Female Male Female Male Female Male Female Named, Counted and drew Things Identify 10 letters of Alphabet Raed atleast four Popular Words Child Recognize 1 to 1-10 Numbers

% of Children Who can Read and Count (3- 4 years)

HANDS Survey 2018

Impact Assessment Findings

26.6 23.0 25.9 25.4

21.0 22.0 23.0 24.0 25.0 26.0 27.0 Male Female Male Female Kick, Bite or Hit other childrens Child get along with other childrens

Child Behaviour Ask from Parents (3-4 years

HANDS Survey 2018

Impact Assessment Findings

54.7 45.3

5 to 12 Years Children= 541

Male Female

Education Level (5-12 Years)

Sex of Children Primary Middle / Metric Never Been to school School Going Children # % # % # % 2017 Male 235 84.8 22 7.9 20 7.3 89.3 Female 182 79.5 13 5.7 34 14.8 2018 Male 277 93 8 3.3 11 3.7 95.3 Female 228 93.1 3 1.2 14 5.7

Impact Assessment Findings

Impact Assessment Findings

36.5 46.5 17.9 16.3 25.0 16.7 9.8 10.2 10.8 10.2

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0 Male Female Male Female Male Female Male Female Male Female Beginer/Nothing Letters Words Sentence Story Telling

Basic Learning Skills (5 to 12 years)

HANDS Survey 2018

Impact Assessment Findings

52.6 47.4

13 to 18 Years Children=194

Male Female

Impact Assessment Findings

Education Level (13-18 Years)

Sex of Children Primary Middle / Metric Intermediate Never Been to school School Going Children

#

% # % # % # % 2017 Male 24 55.8 12 27.9 1 2.3 5 11.6 82.2 Female 29 60.4 7 14.6 1 2.1 11 22.9 2018 Male 95 92.2 3 2.9 1 1 4 3.9 94.8 Female 83 89.2 3 3.2 1 1.1 6 6.5

Impact Assessment Findings

36.3 63.7

Total Literacy Status

Litrate people Never been to school n=952 Age group = 15 to 45 Years

Impact Assessment Findings

38% 62%

Total Male Literacy Status

Male Litrate Male Illiterate n=495

35% 65%

Total Female literacy status

Female Litrate Female Illiterate n=457