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Evaluation of Lady Health Workers Program (Country-led evaluation)
Overview
The LHWP was set up to ensure provision of primary, preventative, promotive and some curative care services at community level mainly in remote rural and urban slum areas. The main objective of the LHWP is to increase the utilisation of promotive, preventative and curative services at the community level, particularly for women and children in poor and underserved areas.
The importance of the LHWP in the Pakistan healthcare system is reflected in National Vision Action Planning documents, which cites the central role of LHWs in improving access to and the quality of Reproductive, Maternal, Newborn, Child, Health and Nutrition, primary care with community-based services to ensure the continuum of care in rural districts and urban slums, as well as in overcoming financial barriers to care-seeking and intervention uptake.
The objectives of the evaluation were to:
•Provide the M/o NHSR&C and DOHs and other stakeholders with accurate, credible, and usable information on the performance of the LHW Programme under the changing context;
•Examine changes in the programme performance since the 4th evaluation in 2008-09 and the devolution in 2011 against the DAC criteria for evaluation;
•Explore the determinants of this performance (internal and external, such as the enabling environment) and the system support;
•Review and assess the benefits of LHW programme received by the entire health system in various ways, especially where the LHWs are used by various stakeholders for supporting their programmatic objectives;
•Document the socio-economic benefits to the LHWs and LHs, their families and communities of working with the programme; and
•Provide analysis and recommendations on how to further strengthen the programme's performance.
The Evaluation follows a theory-based evaluation approach based on an explicit formulation of a Theory of Change for the LHWP and followed a Realist Evaluation perspective. The Evaluation has covered all regions of the country.
Report Details
| Year Published | |
| Type | |
| Joint | No |
| Partner/s | N/A |
| Agency Focal Point | Shamshad Begum |
| Focal Point Email | shamsbegum@unicef.org |
| Managed by Independent Evaluation Office | No |
| Geographic Scope | Country |
| Country/ies |
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Evaluation of Lady Health Workers Program (Country-led evaluation)
