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BSF-IAe (1 January - 31st
March 2013)
Government of South Sudan
Fund Management of the Basic Services Fund – Interim Arrangement extension
(BSF-IAe)
Department for International Development(DFID)
BMB Mott MacDonald
8 May 2013
Mott MacDonald, Amsterdamseweg 15, 6814 CM Arnhem, PO Box 441, 6800 AK, Arnhem, Netherlands
T +31 (0)26 3577 111 F +31 (0)26 3577 577 W www.mottmac.com
BSF-IAe Completion Report (May 2013)
i
Content
Chapter Title Page
List of Abbreviations 1
Introduction and Background 3
1. Review of Progress and Performance 7
1.1 Impact: Improved health and education particularly in communities hosting large
numbers of returnees __________________________________________________________ 7
OUTCOME _____________________________________________________________________________ 10
1.2. Outcome: Improved access to effective primary health services and primary education,
particularly for vulnerable groups and in priority host communities for returnees ____ 10
OUTPUTS _____________________________________________________________________________ 11
Output 1. Strengthen primary health services, particularly for vulnerable groups and in priority host
communities for returnees _____________________________________________________ 11
Output 2. Strengthened Primary Education Services particularly for vulnerable groups and in
priority host communities for returnees _________________________________________ 12
Output Indicators 2.2 Teachers Trained (PSTT) & Output Indicator 2.3 Teachers Trained (ISTT) _______ 12
WASH _____________________________________________________________________________ 12
2. Fund Management 14
3. Assumptions and Risks 15
3.1 Austerity budget _______________________________________________________________ 15
4. Unit Costs 16
Annex 1a. Logical Framework 17
Annex 1b. Source table for Logframe 21
Annex 2. Grantee Overview 24
Annex 3. Grantee Disbursement 25
Annex 4a. Primary Health Targets and Achievements in all 4 phases 26
Annex 4b. Primary Education Targets and Achievements in 4 Phases 27
Annex 4c. WATSAN Targets and Achievements in 4 Phases 28
Annex 5a. Steering Committee Meeting Record 29
Annex 5b. Key Dates 30
Annex 6a. Summary Table – Primary Health Services 33
Annex 6b. Summary Table – all PH targets versus achievements 34
Annex 7. Summary Table – Primary Health facilities Staffing (1) 35
Annex 8. Summary Table – Primary Health Staffing and payroll (2) 36
Annex 9a. Summary Table – Primary Health Training (Long Term) 37
Annex 9b. Summary Table – Primary Health Training (Short Term) _______________________________ 37
Annex 9c. Summary Table – Primary Health Training (Categories of trainees) 38
BSF-IAe Completion Report (May 2013)
ii
Annex 9d. DHIS training 2012 39
Annex 10. Summary Table – Primary Education 40
Annex 11. Summary Table – Primary Education Long term Training 41
Annex 12. Summary Table – Primary Education Short term Training 42
Annex 13. Summary Table WATSAN – Waterpoints 43
Annex 14. Summary table – WATSAN Institutional Latrines 44
Annex 15. Summary Table – WATSAN Training 2012 45
Annex 16. Field Visits Record 46
Annex 17 Technical Assistance (TA) Days Allocated 48
Annex 18a. Primary Health Unit Costs 49
Annex 18b. Primary Education Unit Costs 52
Schools Construction _____________________________________________________________________ 52
Teacher Training _________________________________________________________________________ 54
Annex 18c. WATSAN Borehole Unit Costs 57
Construction of Boreholes _________________________________________________________________ 57
Rehabilitation of Boreholes ________________________________________________________________ 59
Minor and Major Repairs of Boreholes _______________________________________________________ 59
Annex18d. WATSAN Latrine Unit Costs 61
Institutional Latrines ______________________________________________________________________ 61
Household Latrines _______________________________________________________________________ 64
Annex 19. Grantee Project Summary 66
Tables
Table 1: BSF-IAe Basic Project Data ..................................................................................................... 3
Table 2: BSF Phases, finance and dates ............................................................................................... 3
Table 3: BSF’s donors with their contributions in GBP per phase............................................................. 4
Table 4: BSF financial allocation per sector (in GBP) .............................................................................. 4
Table 5: BSF-Phase, financial envelope in GBP and dates ..................................................................... 4
Table 6: BSF Beneficiaries per sector and per phase. ............................................................................ 5
Table 7: BSF number of grant contracts, INGO, NNGO (round & call for proposals) ................................. 5
Table 8: Maternal Mortality ratio; baselines and targets per source.......................................................... 7
Table 9: Proportion of birth attended by skilled health staff; baselines and targets per source ................... 8
Table 10: Birth attended by skilled health staff ....................................................................................... 8
Table 11: Under five mortality baselines and targets per source .............................................................. 8
Table 12: DPT3 coverage (Diphtheria, Pertussis,Tetanus) ...................................................................... 9
Table 13: Curative outpatients consultations (all ages) in all BSF phases ...............................................10
BSF-IAe Completion Report (May 2013)
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List of Abbreviations
AES Alternative Education System
ANC Ante-Natal Care
ALP Accelerated Learning Programme
BMB MM BMB Mott MacDonald
BSF Basic Services Fund
BSF IA Basic Services Fund Interim Arrangement(to bridge the period to a sector supportprogramme)
BSF IAe Basic Services Fund Interim Arrangementextension (12 month extension of the bridging period)
BPHS Basic Package of Health Services
CBR Crude Birth Rate
CED County Education Department
CHW CommunityHealth Worker
CHD County Health Department
CMO County Medical Officer
CPA Comprehensive Peace Agreement (date….)
CSO Civil Society Organisation
CWD County Water Department
DFID Departmentfor International Development,UK Government
DHIS DistrictHealth Information System
DPT3 Diphtheria,Pertussis,Tetanus 3
ELT English Teacher Training
EMIS Education ManagementInformation System
EPI Extended Programme Immunisation
FBO Faith Based Organisation
GoSS Governmentof South Sudan
HMIS Health ManagementInformation System
HPF MoH Health Pooled Fund with DFID as lead donor
IDP Internally Displaced Person
ISTT In-Service Teacher Training
LQAS Lot Quality Assurance Sampling (surveymethod)
MDG UN’s Millennium DevelopmentGoals
MMR Maternal Mortality Rate
MoEST Ministry of Education,Science and Technology
MoGEI Ministry of General Education and Instruction
MoFEP Ministry of Finance and Economic Planning
MoH Ministry of Health
MNRH Maternal Neonatal & Reproductive Health
MWRI Ministry of Water Resources and Irrigation
MDTF Multi Donor TrustFund
NGO Non Governmental Organisation
INGO International Non Governmental Organisation
NNGO National Non Governmental Organisation
OPD Outpatient Department
PHCC Primary Health Care Centre
PHCU Primary Health Care Unit
PTA Parent Teacher Association
PSTT Pre-Service Teacher Training
SHTP-2 Sudan Health Transformation Projectphase-2
SIDA Swedish International Development Agency
SPLM Sudan People Liberation Movement
SSDP South Sudan DevelopmentPlan
SSHP South Sudan Health Program
BSF-IAe Completion Report (May 2013)
2
SHTP MoH SouthSudan’s HealthTransformation Projectfinanced byUSAID ( 2007/12)
SRF Sudan Recovery Fund
TA Technical Assistance (BMB MM consultants )
TBA Traditional Birth Attendant
UN United Nations
WATSAN Water & Sanitation
WHO World Health Organisation
WUC Water User Committee
VHC Village Health Committee
BSF-IAe Completion Report (May 2013)
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Introduction and Background
Table 1: BSF-IAe Basic Project Data
Project Name Extension Basic Services Fund - Interim Arrangement
(BSF-IAe)
Duration 15 months from 1 January 2012-31 March 2013
Grants 12 months from 1 January-31 December 2012
Project Authority of the Governmentof the Republic of
South Sudan (GoSS)
GoSS Steering Committee chaired by Ministry of Finance
DFID (lead donor)16,312,200 £16.3 m
SIDA (Sweden) 3,687,800 £3.7 m (equivalentof Swedish Kroner 40m)
TOTAL donors contribution £20,000,000
Grant component £18,347,290
Location South Sudan
ManagementConsultant;BMB Mott MacDonald (BMB MM) 1 January 2012-28 February 2013
The process leading to the establishment of the BSF started with workshops held in 2004 (the
year before the CPA was signed in 2005) bringing Sudan Peoples Liberation Movement (SPLM),
Non Governmental Organisations (NGOs), Civil Society Organisations (CSOs) , the UN, donors
together to coordinate and plan support basic services provision in South Sudan. Key issues in
these discussions included: developing the capacity of GoSS ministries to plan and manage
basic services within the proposed local government framework; alignment of non-state actor
activities in basic service provision with (SPLM) /GoSS policy; development of common
standards for sector-based services; and improved harmonisation, co-ordination transparency
and accountability between GoSS, the international community and implementing partners
supporting basic services.
Table 2: BSF Phases, finance and dates
Total Contract ManagedFunds NGO grants Grant Dates BMB contract
Phase £ £ # From to from to
1 18,925,902 17,186,077 14 1-04-2006 31-12-2008 19-08-2006 31-12-2008
2 23,121,450 21,554,792 25 1-01-2009 31-06-2010 01-01-2009 31-08-2010
IA 43,013,082 39,970,000 38 1-07-2010 31-12-2011 01-03-2010 29-02-2012
IA extension 20,000,000 18,347,290 27 1-01-2012 31-12-2012 01-01-2012 31-03-2013
Total 105,060,434 97,058,159 103
With SPLM and GoSS, DFID initiated BSF as a bridge to assist basic services by non-state
service providers, while GoSS’ capacity to manage, finance and deliver social services was being
built up with the Multi Donor Trust Fund (MDTF).BSF’s status changed mainly because of delays
in MDTF’s delivery in investments in Basic Services and plans.
The first meeting of the Steering Committee (Rumbek, 28 October 2005) launched the BSF. In
2005 DFID engaged the NGO “Skills for Southern Sudan”, assisted by the IDL group (UK), to
organize the procurement of six grantees (Table 7). On 19 August 2006, after an international
tender, DFID appointed BMB MM as BSF’s management consultant. BMB MM set up a BSF
secretariat in Juba, staffed with TA, in Juba (Annex 17). The management model was
decentralized at the BSF secretariat that used 85% of the TA workdays. From the first round of
NGO projects, BMB MM took over all the contracts from DFID. Plans to roll BSF into South
BSF-IAe Completion Report (May 2013)
4
Sudan’s recovery Fund were abandoned as SRF concentrated on governance and security. As a
result BSF’s Steering Committee decided to extend the fund from its original closing date of 30
June 2008 to 31 December 2008.
BSF was further extended into BSF-2, which ended June 2010. For BSF-IA DFID again launched
an international tender for the management of the fund and on 30 March 2010 the contract was
awarded again to BMB MM for an inception phase that coincided with the final months of phase 2
and implementation until December 2011. On 16th January 2012 DFID signed a contract
amendment with BMB MM for the BSF-IA extension (BSF-IAe). This contract included a budget
with 2651 TA workdays for a 12 month period compared with 3368 TA days for the 18 months of
BSF-IA. All these extensions cover the 4.5 year period from 30 June 2008 (original end date of
BSF-1) till the end date of BSF-IAe on 31 March 2013.
BSF’s main expected results were the establishment of operational primary schools, primary
health clinics, drinking water points and latrines. This was done in parallel with capacity building,
including training of teachers and health professionals and management training of local
beneficiary groups, county authorities and the Steering Committee, to ensure that the access
gained would be maintained at minimum levels for the medium term (Annex 1).
Table 3: BSF’s donors with their contributions in GBP per phase
Phase Total (GBP)
Donor
DFID MINBUZA NORAD CIDA SIDA EU
BSF 1 18,925,902 18,925,902
BSF 2 23,121,450 9,001,450 6,500,000 3,720,000 3,900,000
BSF-IA 43,013,082 12,470,000 10,000,000 6,682,170 6,410,000 7,450,912
BSF-IAe 20,000,000 16,312,200 3,687,800
Total 105,060,434 56,709,552 16,500,000 10,402,170 3,900,000 10,097,800 7,450,912
Subsequently other donors decided to contribute to the fund and therefore a second phase
started on 1 January 2009 (Table 2 and 3).
Table 4: BSF financial allocation per sector (in GBP)
Phase Total Health Education WATSAN Capacity Building Unallocated
BSF 1 17,186,077 6,657,431 3,213,692 5,217,645 2,097,309
BSF 2 21,554,792 8,560,689 5,057,208 4,448,266 3,082,475 406,154
BSF-IA 39,970,000 18,938,767 9,504,000 8,688,401 2,715,630 123,201
BSF-IAe 18,347,290 13,002,072 3,441,009 942,049 855,148 107,012
Total 97,058,159 47,158,960 21,215,909 19,296,362 8,750,562 636,367
BSF was implemented through grants to non-state actors who could apply for grants in calls for
proposals, of which the fund issued 4. The first call was in 2005, the second in 2006, the third in
2008 and the fourth in 2010. The rationale behind this implementation model is the specialisation
of these non-state actors in Basic Service delivery, which was created already during the civil war
(Operation Lifeline Sudan). Over 80% of health services in South Sudan’s rural areas are still
supported by NGO/Faith Based Organisations.
Table 5: BSF-Phase, financial envelope in GBP and dates
Total Contract Grants NGO
grants
Grant Dates BMB contract
1 18,925,902 17,186,077 14 1-04-2006 31-12-2008 19-08-2006 31-12-2008
2 23,121,450 21,554,792 25 1-01-2009 31-06-2010 01-01-2009 31-08-2010
IA 43,013,082 39,970,000 38 1-07-2010 31-12-2011 01-03-2010 29-02-2012
BSF-IAe Completion Report (May 2013)
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IAe 20,000,000 18,347,290 27 1-01-2012 31-12-2012 01-01-2012 31-03-2013
Total 105,060,434 97,058,159 103
Main stakeholders were: the beneficiaries, members of the rural communities, with particular
inclusion of vulnerable groups: women and children, IDPs and returnees. Stakeholders were also
County, State and GoSS authorities of the Ministry of Health (MoH), the Ministry of General
Education and Instruction (MoGEI) and the Ministry of Water Resources and Irrigation (MWRI)
/Ministry of Physical Infrastructure), local government, BSF’s international donors, INGOs
(International NGO) and NNGOs (National NGO).
Table 6: BSF Beneficiariesper sector and per phase.
Phase
Primary Health Primary Education WASH - Water WASH - Sanitation Total
Target Actual % Target Actual % Target Actual % Target Actual % Target Actual %
BSF - 1 1,815,000 1,910,000 105 28,000 26,800 96 69,750 52,750 76 3,815 5,965 156 1,916,565 1,995,515 104
BSF - 2 2,605,000 2,885,000 111 33,250 25,600 77 62,000 75,750 122 20,480 24,230 118 2,720,730 3,010,580 111
BSF - IA 1,857,744 1,511,756 81 17,800 17,700 99 112,000 138,250 123 60,780 55,545 91 2,048,324 1,723,251 84
BSF - IAe 760,000 975,880 128 2,400 1,600 67 18,750 8,250 44 4,650 1,650 35 785,800 987,380 126
BSF-IAe, like its previous phase BSF-IA, was a transitional arrangement to allow time for GoSS,
in partnership with the international community, to develop sector plans for service delivery post-
Independence (9 July 2011) and to allow for a seamless, uninterrupted, transition into the new
interventions for support to primary health.
After the six years (2005/11) of the Interim Period of the Comprehensive Peace Agreement
(CPA) that followed the signing of the CPA in 2005, GoSS started a Transition period (2011/15)
that will culminate in South Sudan’s national elections planned for 2015. For this GoSS’
Transition period MoH and donors agreed to re-organise support for Primary Health
geographically (Table 6) and to harmonize the support. The three main interventions are: the
Integrated Service delivery project (USAID financed) in Eastern and Central Equatoria, the
Rapid Results heath project (financed by World Bank) in Upper Nile and Jonglei and the Health
Pooled Fund with DFID as lead donor in the remaining 6 States. Harmonisation applies to CHD
capacity, payroll, and, all future grants of HPF, like SHTP will, cover at least an entire county.
Health System Strengthening of County and State Ministry and support to direct service delivery
through health facilities and community support will be the key priority.
This report is prepared by the Management agent, BMB Mott MacDonald, as part of the terms of
reference of BSF-IAe.
Table 7: BSF number of grant contracts, INGO, NNGO (round & call for proposals)
Total contracts Lead agent INGO
Lead agent
NNGO
Consortium
member INGO
Consortium
member NNGO
BSF-1 Round 1 6 6 7
BSF-1 Round 2 8 7 1 4 6
BSF-2 Round 3a 11 9 2 8
BSF-2 Round 3b 5 4 1 1 4
Subtotal 30 26 4 5 25
BSF-IA Round 4a 32 30 2 1 23
BSF-IA Round 4b 6 6 1 4
Subtotal 38 36 2 2 27
BSF-IA extension
5 month bridge contracts with
24
3
20 3 0 4
BSF-IAe Completion Report (May 2013)
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IRC, JSI and SCiSS.
Total 162 144 15 14 108
BSF-IAe Completion Report (May 2013)
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1. Review of Progress and Performance
This section of the report addresses the logical framework’s impact, outcome and outputs with their
indicators, milestones, targets and achievements (Annex 1 and Annex 1b).
1.1 Impact: Improved health and education particularly in communities hosting large
numbers of returnees
Impact Indicator 1. Maternal Mortality Rate (MMR)
Table 8: Maternal Mortality ratio; baselines and targets per source
Maternal mortality Baseline Milestones Target
Logframe BSF-IA 1,500 NA 1,130 (Goss target 25% reduction)
Jam* (March 2005) 1,700
2006 Household survey 2,0541
MNRH (draft 2009/12) 2,054 1630 (2010) 1,300 (2012); 1040 (2015)
MDG 5 513 by 2015 (2054 reduced by 3 quarters)
Logframe BSF-IAe 2,054 3% reduction by end of 2012: from 2054 to 1992
*Jam =UN’s Joint Assessment Mission prior to the CPA.
Depending on the source values and targets for Maternal Mortality vary (Table 8). While the JAM (2005)
estimated the ( Maternal Mortality Rate (MMR) at 1700/100,000 live births, the South Sudan Household
Survey (SSHS of 2006) reports a MMR of 2,054 per 100,000 live births. MoH’s 2011 Maternal Neonatal &
Reproductive Health (MNRH) strategy sets the target for 2012 at 1,300/100,000 live births. Since 2006
MoH nor UN did update this estimate. Therefore there are no data to measure progress towards BSF’s
logical framework’s target of a 3% reduction. The District Health Information System (DHIS) and BSF-IAe
database are incomplete on maternal deaths because these records are limited to the health facilities and
maternal deaths mostly outside the facilities.
In the absence of updated information on MMR “birth attendance by skilled health personnel” can be used
to measure progress towards reducing maternal mortality. The proportion of births assisted in the BSF
supported health facilities by a skilled health worker (according the MDG definition and MoH policy) of all
expected births in 2012 was 1.5%, below BSF’s target of 5% and a fraction of the SSDP target of 30%.
Most facility-based deliveries were attended by other health workers with proven delivery skills such as
Community Midwives, Community Health workers, village midwives and trained Traditional Birth
Attendants (TBA) . But according to the MDG Handbook these do not classify as “skilled” birth attendant.
Of all pregnant women (4.2% of catchment population) in the catchment area 11% delivered in a BSF
supported health facility compared with 3 % in 2011.
1
This maternal mortality ratio (MMR) is the reported estimate for Southern Sudan from the 2006 Sudan Household Health
Survey (SHHS) and pertains to the years 2004-2006. This estimate should be interpreted w ith caution, as data collection did
not follow standard procedures and thus may have statistical errors. An adjusted United Nations inter-agency MMR
estimate for South Sudan has not been calculated yet. [from UNICEF Country Programme document 2012-2013]
BSF-IAe Completion Report (May 2013)
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Table 9: Proportion of birth attended by skilled health staff; baselines and targets per source
Baseline Targets
JAM (March 2005) 5% 90% by 2015
BSF-IA Logframe 5% (2006) 7% by Dec 2011
MNRH Strategy 2011-2013 14.75% (SHHS 2006) 20% by end of 2010
30% by end of 2012
40% by end of 2015
SSDP (2011-2013) 15% (2010) 30% by end of 2012
40% by end of 2013
BSF-IAe logframe 5000 (5%) by end of 2012
The baseline and target probably refer to a different definition of skilled attendant. Until 2012 community
midwives were also considered skilled as reflected in the Basic Package of Health Services (BPHS).
Several BSF-IAe grantees reported skilled attended births using this wider (than MDG’s) definition. BSF
Secretariat corrected the figures for this Completion Report.
Table 10: Birth attended by skilled health staff
BSF phase
Expected
deliveries
(4%)
Deliveries in
the facility
% attended
by skilled
in facility
% attended
by ‘unskilled’
Logframe
target skilled
attended birth
% attended by
skilled staff of
all births
BSF IA 74,311 2.9% (2832) 7% 0.78%
BSF-IAe 114,046 11% (12613) 14% 86% 5% (5000) 1.5%
BSF invested in quality Ante Natal Care (ANC) and delivery services through pre- and in service training
and mentoring on the job of health workers, provision of equipment and essential drugs and regular
supervision, thus contributing to safer deliveries and reduction of maternal mortality.
MoH’s targets are not “costed” and therefore not budgeted. For example to increase the “births attended by
skilled staff” to SSDP’s (South Sudan Development Plan 2011) target (30%) MoH needs to deploy
hundreds of qualified midwives whilst there are presently only very few available. Less than 15% of BSF
supported facilities have a qualified midwife. Moreover, in facilities with certificated midwives pregnant
women still risk to be attended by unskilled staff as observed in several urban PHCC in Juba and Wau and
in hospitals. The qualified midwives tend to become supervisors and advisers leaving the actual birth
attendance to community midwives and trained TBAs. Besides it will take several years to train midwives
and the training capacity in-country is low. Work permits for non-South Sudanese medical staff are
increasingly difficult to obtain. MoH’s policy is to phase out and upgrade Community Midwives to qualified
midwives and TBAs to Home Health Promoters.
Impact Indicator 2. Child or Under-five Mortality Rate (U5MR)
Table 11: Under five mortality baselines and targets per source
Under-five mortality MDG4 Baseline Target
JAM (March 2005) 250/1000 (2001) 83/1000 (2015)
2006 Household survey 134/1000 (2005/06)
BSF-IA Logframe (2010/11) 250/1000 188/1000 (GoSS target 25% reduction by 2011)
MNRH Strategy 2009/12 135/1000 ( 2006) 128/1000 (milestone 2011)
2010 SSHHS survey 105/1000 live births
MDG 4 Reduce by tw o thirds, betw een 1990 and 2015, the under-5 mortality rate
BSF-IAe 135/1000 7% reduction by end 2012  126/1000
Similarly to the MMR, values and targets for (Under 5 years old Mortality rate (U5MR) vary. The latest
figures are from the 2010 Household Survey: 105/1000 live births. DHIS only records death of under-fives
in the facilities while most children die at home. DHIS data are still incomplete because MoH started the
DHIS early 2011 and not all counties have adopted it yet.
BSF-IAe Completion Report (May 2013)
9
In the absence of updated data on child mortality, Extended program Immunization (EPI) coverage can be
used to measure progress towards reducing U5MR v(Table 12). SHHS (2010) recorded a DPT3
(Diphtheria, Pertussis, Tetanus) coverage rate of 15% (against a DPT3 coverage of 20% in the 2006
survey). SSDP sets the target for DPT 3 coverage for 2012 at 60%. BSF-IAe reached a DPT 3 coverage of
46% of all under-ones in the catchment population of BSF supported facilities. This is only an estimate but
indicates a sizeable contribution.
Increased utilization of curative health services and access to treatment of malaria, pneumonia and
diarrhoeal diseases also shows a trend towards reducing child mortality (Table 13). Utilization of curative
(Out Patient department ) OPD services by under-fives is measured by the number of recorded OPD
consultations over the total under-five population (20% of catchment population). BSF-IAe supported
facilities reported an OPD consultation rate of 1.00 visits per under-five capita per year. There are no
comprehensive figures on the utilization of preventive services (immunization, growth monitoring,
therapeutic feeding support etc.)
Table 12: DPT3 coverage (Diphtheria, Pertussis,Tetanus)
BSF phase
Target group of under
one year
Target in
logframe
DPT3
completed DPT3 coverage SSDP target
BSF IA (2011) 74,311 n.a. 29,709 40% 50%
BSF-IAe (2012) 114,046 35% (33,000) 52,176 46% 60%
Impact Indicator 3. Primary School drop-out rate
Trends show high levels of dropout especially girls in P-4 onward. Reasons for dropout include, poverty
(lack of cash for uniforms, fees etc), late enrolment, traditional gender role, low quality of teachers,
language barriers and lack of infrastructure. In every round of BSF, through the in-service, pre-service and
English language and PTA trainings, BSF grant recipients attempt to address the cultural paradigms that
students, especially girls face.
Since 2008 EMIS monitors and records the drop out in all 7000 primary education schools that are
included in EMIS database. MoGEI published its first EMIS in 2009 (EMIS is supported by USAID). EMIS
drop-out rate is between 25 and 30% in P1-2 which reduces to 15-20% in P2-3 (Fig 1). For girls this rate
peaks again at P4-5 when girls reach puberty.
BSF-IAe’s logframe’s baseline (Jan 2012) is 27% (girls 28%). BSF-IAe logframe target is 23%, which is 3%
below EMIS’s 2011 average of 26%. For P2-3 and P4-5 the national record is lower than BSF-IAe’s target
of a drop out of 23%. That means that this BSF-IAe baseline and target are not in line with EMIS. But the
EMIS data should be interpreted with caution since data collection and data quality still need improvement
and pupil’s ages vary more than usual, as is typical for a post-conflict situation.
The last quarter of 2012 showed a drop-out rate of 16% in schools supported by the organisation HARD
and 5% in schools supported by Food for the Hungry (FFH) due to teacher’ salaries not being paid. Lack of
payment of teacher salaries, caused teachers to not go to work toward the end of quarter 4, causing higher
student attrition rates at the end of 2012 (Annex 10).
Due to influx of returnees to Makal County the enrolment in FFH assisted schools there was high with a
pupil to classroom ratio of 176 -MoGEI recommends pupil to classroom ratio is maximum 50.
BSF-IAe Completion Report (May 2013)
10
Figure 1 South Sudan primary drop-out rate (%) 2010-2012 (EMIS)
OUTCOME
1.2. Outcome: Improved access to effective primary health services and primary education,
particularly for vulnerable groups and in priority host communities for returnees
Outcome Indicator 1. Outpatient consultations (curative care)
Table 13: Curative outpatients consultations (all ages) in all BSF phases
duration
grant
(months)
Number
supported
facilities
Total
catchment
population
catchmentpop
according to
Target
OPD
consults
Achieved
OPD
consults
Average
OPD cons
per HF
OPD
attendance
rate
BSF-1 33 69 1,815,000 50,000 per PHCC
15,000 per PHCU
none 74,2914 3,915 0.15
BSF-2 18 120 2,605,000 none 75,5146 4,195 0.19
BSF-IA 18 195 1,857,774 payam population none 1,511,756 5,168 0.54
BSF-IAe 12 272 2,851,149 payam population 760,000 1,367,084 5,637 0.53
BSF-1, BSF-2 and BSF-IA had no targets for Out patients consultations. OPD target for BSF-IAe was
based on expected attendance rates converted to absolute figures but these were based on
underestimated population figures (Table 13 and Annex 1b).
The figures above are a bit misleading due to the different approach in catchment population estimation.
The controversial BPHS standard of a population of 15.000 per PHCU and 50.000 per PHCC used in BSF
1 and 2 resulted in overestimates. After correction (based on average population per facility in BSF-IA and
BSF-IAe) the estimated OPD attendance rates for BSF-1 is 0.3 and for BSF-2 it is 0.4. After an initial
increase between 2006 and 2010 the OPD attendance rate for curative services stabilizes at 0.5 and
exceeds the SSDP targets for 2011-2013.
OPD attendance refers to curative services and excludes preventive services consultations like ANC
attendance, immunization, nutrition status screening, HIV/AIDS related services etc. Facilities are in reality
busier than the OPD figures suggest.
According to BSF secretariat the returnee population is not included in the population figures of the
National Statistical Yearbooks. This affects coverage figures: an estimated minimum of 500,000 returnees
0
5
10
15
20
25
30
35
40
45
P1-P2 P2-P3 P3-P4 P4-P5 P5-P6 P6-P7 P7-P8
2010
F
2010
Total
BSF-IAe Completion Report (May 2013)
11
live in host communities served by BSF supported facilities, based on UN’s Office for Migration. Taking
this population increase into account reduces OPD attendance rates as well as coverage figures for ANC,
attended delivery and DPT3 immunization.
Outcome Indicator 2. Primary pupil enrolment for classrooms constructed through BSF-2012.
Initially BSF-IAe planned £12m for Primary Health and £6m for Primary Education. In the course of BSF-
IAe’s budget grant consultations it became clear that PH needed £14.8m to meet extra demand for payroll
allocations (more and higher stipends), for extra drug supplies and for overall price increases. As a result
the Steering Committee approved a reduced allocation for Primary Education of £3.55 m and targets for
school construction and teacher training lowered from 133 to 48 classrooms and an overall reduction from
1,033 trained teachers (900 ISTT and 133 PSTT) to 214 ISTT and 158 PSTT).
This report compares progress with these reduced targets but the logical framework still has the original
targets. Thus the capacity-enrolment for the 48 classrooms constructed reached only 2400 (max. 50 pupils
per classroom) compared with the original logical framework target of 8,000 (based on 133 classrooms)
and compared with an actual attendance of 4,000 (Annex 10).
OUTPUTS
Output 1. Strengthen primary health services, particularly for vulnerable groups and in priority
host communities for returnees
Output Indicator 1.1. Women attending ANC service for 1st time
BSF phase
Pregnant women
(4.2%)
Target in logframe ANC 1st
visit ANC -1 coverage
SSDP target
BSF IA (2011) 78,027 n.a. n.a. n.a. n.a.
BSF-IAe (2012) 119,748 30% 64,067 54% n.a.
At 54% ANC-1coverage is higher than the logical framework’s target of 30%. But 46% of all pregnant
women do not attend ANC services. This percentage is probably even higher when the returnees’
population is taken into account. BSF-IA set no targets for ANC-1 and ANC 4 and recorded only ANC 2+.
Output Indicator 1.2. Women attending 4 or more ANC services
BSF phase
Pregnant women
(4.2%)
Target in
logframe
ANC 4+ visit ANC 4+
coverage
ANC care
rate
SSDP target
BSF IA (2011) 78,027 n.a. n.a. n.a. n.a. 15%
BSF-IAe (2012) 119,748 15% 31,417 26% 49% 30%
Around one quarter of all pregnant women attended ANC services at least 4 times and probably completed
the essential TT immunization. Of the 64,067 pregnant women who attended once (see table on indicator
1.1) 31,417 attended at least 4 times. This means that the ANC care rate is 0.49.
Output Indicator 1.3. Births attended by skilled health worker
Births in the facility % of all
expected birth
attended by
skilled staff
(MDG)
BSF
phase
Expected
deliveries
(4%)
Logframe
target skilled
attended birth
Total % attended
by skilled in
facility
% attended by
‘unskilled’ in
facility
SSDP
target*
BSF IA 74,311 7% 2.9% (2832) 0.78% 30%
BSF-IAe 114,046 5% (5000) 11% (12613) 14% 86% 1.5% 40%
* SSDP includes community midw ives the category “skilled”.
BSF-IAe Completion Report (May 2013)
12
While a growing number of pregnant women delivers in a health facility (11% in 2012 versus 2.9% in
2011), few pregnant women (1.5%) were actually attended to by a skilled birth attendant during birth giving
because qualified midwives are hardly available in South Sudan, particularly in peripheral health facilities.
In 3 supported urban PHCC in Juba there are several qualified midwives but in reality only 10% of the
deliveries are attended by them. The majority of deliveries is assisted by trained TBAs and community
midwives. To what extent the qualified midwives or clinical officers supervise is not recorded or reported.
Data on the outcome of the deliveries are incomplete; still births are clearly underreported.
Output Indicator 1.4. Children under 1 year completing DPT3
BSF phase
Target group of under
one year (4%)
Target in
logframe
DPT3
completed
DPT3 coverage
SSDP target
BSF IA (2011) 74,311 n.a. 29,709 40% 50%
BSF-IAe (2012) 114,046 35% (33,000) 52,176 46% 60%
DPT3 coverage increased over time, exceeds the target in the logical framework but still lags behind the
SSDP target. A coverage below 50% indicates that communities remain at risk of epidemics.
Output 2. Strengthened Primary Education Services particularly for vulnerable groups and in
priority host communities for returnees
Output Indicator 2.1. Number of classrooms constructed with 2 latrines per classroom, adequate
offices, teacher quarters and water points on school site
BSF-IAe ’s enrolment target for the 48 classrooms constructed is 2,400 as based on MoGEI recommend
maximum capacity of 50 students per classroom (Annex 10). Actual enrolment reached 4,485. Attendance
fell again to 4,000 which is still well above the recommended capacity.
Output Indicators 2.2 Teachers Trained (PSTT) & Output Indicator 2.3 Teachers
Trained (ISTT)
In BSF-IAe had only six grantees in Primary education, compared with twelve in the previous phase. A
total of 214 teachers were trained through ISTT (92% of target) and 158 through PSTT (97% of target).
WR's ISTT trainees increased test scores with seven per cent. ACROSS' YTTC PSTT trainees increased
theirs with 1%. WTI had a total of 425 teachers complete the ELT and 389 passed. 86% of targeted
teachers passed the training (Annex 11).
EMIS 2011 shows that there are approximately 26,549 teachers in South Sudan currently in the sc hool
system. Of those teachers, only 3,389 (13%) have received pre-service training. Since 2006 BSF grant
recipients have trained 2,198 teachers through in-service and 296 through pre-service training. This is 35%
of the national total of teachers trained through in-service and 8% of the national total of teachers trained
through pre-service training.
WASH
In GoSS’s post-CPA Transition period DFID dropped the WASH sector from its investment priorities in
basic services in South Sudan. As a result £46,915 or 5% of the budget was dedicated for water and
sanitation and these investments were strictly limited to wash for primary schools and health facilities.
Overall the grantees met their targets (Annex 13).
There always has been, and still is, widespread concern about the sustainability of newly drilled boreholes.
According to the MRWI’s 2007 Water Policy document 30-50% of the boreholes in South Sudan are non-
functional. There are a number of reasons: poverty, sub-standard drilling, inefficient contracts, spare parts
logistics and availability. To improve Value for Money BSF started financing the repair and rehabilitation of
broken down boreholes: compare a unit cost of £8,000 for a newly drilled borehole with this cost for
BSF-IAe Completion Report (May 2013)
13
repair/rehabilitation of £1,400-3,700 (Annex 18). And the passed cost for drilled borehole are sunk cost and
as such are not included in the economic cost benefit analysis making repair and rehabilitation more cost-
effective compared with newly drilled boreholes. To maximize VfM further BSF requested grantees to
make contracts based on Bill of Quantities or an itemized and costed list of all inputs (rather than lump
sums) and imposed the geological survey prior to drilIing.
In 2012 BSF’s secretariat conducted an assessment of all boreholes drilled with BSF financial support. The
responses included 69% of the newly drilled boreholes. The 31% of the boreholes on which no information
was received are mostly the inaccessible boreholes. The functionality rate was 96.5%. The main reasons
for reduced functionality were difficulties with pumping and an objectionable taste or colour. The
assessment showed once again that Water User Committees have a positive impact on borehole
functionality. Therefore, it is important to continue training of WUC, with a special focus on early warning
signs and preventive maintenance.
BSF-IAe Completion Report (May 2013)
14
2. Fund Management
At the end of BSF-IAe the grant disbursement reached 99% (Annex 3).The combined external grant audits
recorded 0.08 % ineligible expenses. Both these percentages indicate high levels of performance in
particular taking into account the short 12 months grant period and the short closing down period of 2
months ( DFID extended this to 3 months).
Main factors that contributed to this record are:
1 Selection of grantees included financial criteria; submission of at least 3 annual audits and the annual
turnover should be at least twice the requested grant;
2 Standard grant budgets linked to targets;
3 Monthly invoicing in arrears with monthly inspection of these invoices;
4 Two step audits with a first one after 9 month only since this allows more time to make corrections;
5 Timely payments-both of DFID to management agent and of management to grantees;
6 Decentralized management model with emphasis on BSF’s secretariat in Juba;
7 Intensive field monitoring by BMB MM TA team with the grantees (Annex 16);
8 Open-door policy of BSF’s secretariat to maximize opportunities for consultation between BMB Mott
MacDonald TA team and the grantees.
BSF-IAe Completion Report (May 2013)
15
3. Assumptions and Risks
BSF’s logical frame works include numerous assumptions but most of these are not real assumptions
since they describe situations that fall within the influence and responsibility of grantee and/or
management agent. A real assumption is an external factor which could affect progress, but over which
project management has no direct control. Therefore BSF-IAe’s assumption with output 2 :“NGO provide
minimum required standard of support” is not a real assumption since the grantee’s standard of support
falls within the mandate of the grantee and management consultant.
An assumption is positively formulated, for example “Primary School teachers receive their salaries by the
end of the month”. When formulated as negative statements, assumptions become ‘risks’ (i.e. salaries are
not paid).
BSF dealt with actually only one overriding circumstance that meets this criteria, namely that the
operational budgets of the relevant ministries are on course to meet running costs and salaries by the end
of the project (exit strategy).
For example the payroll of MoH; this is a real assumption since it is outside the influence of grantee and
management consultant but at the same time it effects the project’s implementation. In short the conclusion
is justified that BSF’s extensions (from the original small grant fund of GBP 8m meant as a short bridge to
the MDTF to what became a total of seven years of consecutive phases of grant funds amounting to a total
of £ 105 m GBP) became necessary because the main assumption, that GOSS would pay salaries in basic
services, was not met. The fact that the CPA would hold was also an important assumption that, in spite of
severe security crisis, did come through.
3.1 Austerity budget
In the period 1 January-31 December 2012 (BSF-IAe) two national budgets applied: The first one for FY
2011/12 from 9 July 2011 -8 July 2012 and the second from 9 July 2012 -8 July 2013 and BSF overlapped
with 6 month. Both budgets for the FY 2011/12 and FY 2012/13 were austerity budgets to deal with the
reduced oil revenues since GOSS stopped the oil production early in January 2011 (and production only
resumed in March 2013). The influence of these austerity budgets on basic services is difficult to quantity
but should not be underestimated.
Initially BSF-IAe planned to disburse 12m GBP for Primary Health and 6m GBP for Primary Education. In
the course of the budget consultations it became clear that PH needed 14.8m GBP to meet extra demand
for payroll (more and higher stipends); for extra drug supplies and for overall price increases. Since June
2011 the border between Sudan and SS has been closed. As a result prices of essentials (diesel etc.)
doubled and in Upper Nile tripled; there are also food shortages (grantees have to ship in food for their
staff at a high cost in for example Baliet and Kodok).
There are several issues with MoH salaries. Firstly, the electronic payroll is relatively new, secondly the
conditional transfers are under-budgeted and thirdly the last 3 years salaries have not increased. Besides
this, MoH is not yet fully compliant with MoFEP instructions that only classified staff (professional Grade 5
and up of enrolled nurses) are included and all non-classified (un- and semi-skilled) staff are excluded from
the payroll.
Additionally, the allocation for Primary Health increased to provide a reserve for six bridging grants to 4
former USAID/SHTP grantees (IRC, SCISS, CCM and John Snow int.) in the states where the new HPF
would be implemented for the five month period between1 August -31 December 2012 when HPF started.)
.
BSF-IAe Completion Report (May 2013)
16
4. Unit Costs
The unit costs for construction are recorded in Annex 18 a-18d. These costs do not easily lend themselves
for benchmarking and analysis of value for money mainly because:(i) there are no construction blueprints
for schools and health facilities and as a result standards and size vary; (ii) South Sudan is a big country
with an exceptionally poor transport infrastructure; (iii) geological conditions differ: foundations in soft sub
soils increase construction costs compared with rocky undergrounds that do not require foundations.
Security also played an important role in the costs of transport in particularly when, in early 2011, the
border with Sudan closed and essentials like fuel had to be flown in.
But one conclusion stands out: compare a unit cost of £8,000 for a newly drilled borehole with the cost for
repair/rehabilitation of £1,400-3,700. All cost incurred in the past for a drilled but broken borehole are so
called “sunk cost” and these sunk costs need not be included in the economic cost benefit analysis. This
makes repair and rehabilitation three to four times as cost-effective compared with newly drilled boreholes
.
BSF-IAe Completion Report (May 2013)
17
Annex 1a. Logical Framework
PROJECT
NAME
IMPACT Impact Indicator 1 Baseline Milestone 1 Milestone 2 Milestone 3 Target (date)
Improved
health and
education
particularlyin
communities
hosting large
numbers
returnees
Maternal Mortality Rate
(MMR)
Planned 2,054 per 100,000 births - - - 3% reduction (2012)
Achieved
Source
South Sudan Health Household survey2006, the target data will be from LQAS 2012
Impact Indicator 2 Baseline Milestone 1 Milestone 2 Milestone 3 Target (date)
Child Mortality Rate (<5y) Planned 135 per 1,000 - - - 7% reduction (2012)
Achieved
Source
South Sudan Health Household survey2006, the target data will be from LQAS 2012
Primary school drop-outrate Baseline Milestone 1 Milestone 2 Milestone 3 Target (date)
Planned M: 26.8
F:28.2
T:27.3
- - - M: 22.4
F: 23.2
T: 22.8
Achieved
Source
EMIS 2010
BSF-IAe Completion Report (May 2013)
18
OUTCOME Outcome Indicator 1 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Assumptions
Improved access to
effective primary
health services and
primaryeducation,
particularlyfor
vulnerable groups
and in priority host
communities for
returnees
Outpatient consultations Planned 0 380,000 760,000 (Dec 2012) Other service
providers achieve
similar improvements
in access to services
as BSF. No major
adverse external
events affect health,
e.g. epidemics,
security breakdown,
famine
Achieved
Source
BSF Quarterly Report
Outcome Indicator 2 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date)
Primary pupil enrolment
for classrooms
constructed through
BSF-2012
Planned 0 0 8,000 (Dec 2012)
Achieved
Source
BSF Quarterly Report
INPUTS (£) DFID (£) Govt (£) Other (£) Total (£) DFID SHARE (%)
20m 0 0 20m 100
INPUTS (HR) DFID (FTEs)
BSF-IAe Completion Report (May 2013)
19
OUTPUT 1 Output Indicator 1.1 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Assumption
Strengthened
primaryhealth
services,
particularlyfor
vulnerable
groups and in
priority host
communities
for returnees
Women attending 1 ante-natal care visits Planned 0 15,000 29,000 (Dec 2012) MoH and
NGOs provide
minimum
required
standard of
supportfor
health facility
operation.
-Inflation and
its affect on the
budgetdoes
not have an
impacton
achievementof
results.
Achieved
Source
BSF Quarterly Report
Output Indicator 1.2 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date)
Women attending 4 ante-natal care visits
Planned 0 7,500 15,000 (Dec 2012)
Achieved
Source
BSF Quarterly Report
Output Indicator 1.3 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date)
Births attended by skilled health workers Planned 0 2,500 5,000 (Dec 2012)
Achieved
Source
BSF Quarterly Report
IMPACT
WEIGHTING
(%)
Output Indicator 1.4 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date)
60 Under 1s completing DPT3 Planned 0 16,500 33,000 (Dec 2012)
Achieved
Source RISK RATING
BSF Quarterly Report Low
INPUTS (£) DFID (£) Govt (£) Other (£) Total (£) DFID SHARE (%)
13.1 0 0 13.1 100
INPUTS (HR) DFID (FTEs)
BSF-IAe Completion Report (May 2013)
20
OUTPUT 2 Output Indicator 2.1 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Assumptions
Strengthened
primaryeducation
services particularly
for vulnerable
groups and in
priority host
communities for
returnees
Classrooms constructed
(with 2 latrines per
classroom,adequate
offices,teacher quarters,
latrines and water points on
school site)
Planned 0 0 160 (Dec 2012) -MoE and NGOs
provide minimum
required standard of
supportfor school
operation
- That the impactof the
closed border between
South Sudan and
Sudan,which is having
an impacton prices of
essential goods,does
not affect achievement
of these results.
Achieved
Source
BSF Quarterly Report
Output Indicator 2.2 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date)
Teachers completing pre-
Service Training
(completion offinal year of
a 4 year course)
Planned 0 0 133 (Dec 2012)
Achieved
Source
BSF Quarterly Report
IMPACT
WEIGHTING (%)
Output Indicator 2.3 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date)
40 Teachers completing in-
service Training begun
under BSF-IA
Planned 0 0 900 (Dec 2012)
Achieved
Source RISK RATING
BSF Quarterly Report medium
INPUTS (£) DFID (£) Govt (£) Other (£) Total (£) DFID SHARE (%)
6.9 0 0 6.9 100
INPUTS (HR) DFID (FTEs)
BSF-IAe Completion Report (May 2013)
21
Annex 1b. Source table for Logframe
1 2 3 4 5 6
BSF IAe Value Source Formula 26 February comments/corrections by BSF secretariat
1 Population
HPF states
County based
1,476,976 These estimates are based on Census countypopulation
figures,but BSF-IAe rarely covers a full county - therefore new
estimates are based on Payam population figures
2 Population
Non-HPFstates
County based
1,115,595 These estimates are based on county population butBSF-IA
rarely covers a full county - therefore new estimates are based
at Payam level.
3 Total population
in BSF IAe
projectarea
County based
2,595,571 1,476,976 +
1,115,595
Figure is based on Census 2008 data and corrected for
population growth.
4 Under fives
County based
410,105 15.8% (SSHS) 2,595,571 x 15.8
/100
The percentage is based on age group specific figures ofthe
Census 2008.
5 BSF IAe
population in
project area
Payam based
1,892,954
6 CBR 50.5 /1000 WHO / SSHHS A crude birth rate of 5% seems high (see note below).Different
sources provide differentfigures ranging from 3% to 5%
7 Number of
expected births
95,594 5.05% of 1,892,954
8 Children under 1 95,594 5.05% of 1,892,954 With a child / under one the mortality rate of 106/1000 the
children reaching 1 year are 86,035.
Available key documents on demographic data state that the CBR is high:50.5/1000 while the under 5 groups represents 16% ofthe population according to the South
Sudan Household Survey2010. Thus only 64% reach the age of 5 year. This does notcorrespond with the U5 mortality figure of 250/1000 (UNFPA April 2007) or 135/1000
(MNRH Strategy 2009 / SSHH survey 2006). According to the BSF-primary health consultantthe CBR may be lower, rather 4% than 5%. This corresponds with demographic
figures used by the EPI departments ofthe MoH. Births:4%, age group 12-23 months:3.5%
9 Primary school
age group (5-18)
717,254
BSF-IAe Completion Report (May 2013)
22
Targets
outputs
Value Source Formula 26 February comments/corrections by BSF secretariat
10 Children under
one year
immunized with
DPT-3
33,000
(logframe)
SSDP target for
DPT 3 is 60% by
the end of 2012
BSF IAe has seta
lower target of
35%
95.594 / 100 x 35 If at least33,000 children will be immunized with DPT3 in BSF
IAe a 35% DPT-3 coverage is achieved.
The grantees have set a total target of 53,894 children to
complete DPT3 = 63%. If this is achieved, the SSDP target of
60% is reached.
11 Births attended
by skilled health
workers
5,000
(log frame)
SSDP target =
30% by end 2012
Target BSF-IAe
was initiallysetat
15% but seemed
too ambitious.
Reduced to 5%
by DFID
5000 =
approximately5%
of all expected
births
5% of all births =
4779.
1,892,954/1000 and x 50.5 (CBR) =95,594 births
5% of this CBR =4779 so target is 5,000 (rounded) based
Amended by DFID: to 5000 births attended by a skilled
health worker.
BSF-IAe will closelymonitor the developments with regard to
attended deliveries by other trained health personnel with
proven delivery skills such as communitymidwives and
MCHW. The observed trend in BSF-IA is that these health
workers are staffing the first line facilities;enrolled MW are very
scarce.
8a Pregnant
women paying
1st
ANC visit
29,000 BSF-IAe target for
2012 is 30% first
ANC
29,000 = 30% of
95594 (all pregnant
women / CBR)
HMIS / DHIS record 1 and 4 ANC and BSF-IAe database
needs to be consistent. Log frame therefore includes 1st
ANC
and 4th ANC visit. BSF IA only recorded ANC 2 or more.
BSF-IAe grantees seta total target of 57,526 1st
ANC = 60%
BSF-IAe Completion Report (May 2013)
23
8b Pregnant
women paying 4
ANC visits
15,000 BSF-IAe target for
ANC 4th
visit :
15%
SSDP target
=30% by the end
of 2012
15% of 95,594 =
14,339,rounded off
to 15,000
BSF-IA recorded only the number of pregnantwomen with 2 or
more ANC visits and achieved 45,345 in 12 months.
BSF-IAe grantees seta total target of 28,449 = 30%
9 Number ofOPD
consultations
per person per
year / utilization
rate
1,892,954 x
0.4 =
757,181
Rounded
760,000
SDDP target =
0.4 by the end of
2012
BSF-IAe target :
0.4
The BSF-IAe grantees have set a total of 1,786,601.If this is
achieved, it would mean a utilization rate of 0.94, twice as high
as the SDDP target. The grantees targets maytherefore be too
ambitious and deserve close monitoring
10 Pupil enrolment BSF-IAe
target: 8000
160 classrooms x
50 pupils = 8000
11 Number of
classrooms
constructed
BSF-IAe
target: 160
12 Teachers
completing pre-
service training
BSF-IAe
target : 133
13 Teachers
completing in
service training
BSF-IAe
target : 900
The target is 900 ( these are the students enrolled in BSF-IA
(target 1043) that will complete their ( 4 stage ) training in 2012
The education impact indicator is now "Drop out Rates."
DFID
Disclaimer recommended by BSF secretariat: since June 2011 the border betw een Sudan and SS is closed. As a result prices of essentials (dieseletc) have doubled and in Upper Nile tripled; There are
also food shortages (granteeshave to ship in food for their staff in for example Baliet and Kodok) . This emergency situation w illaffect the BSF-2012 budgets for Primary Health; the targets for education
cannot therefore be confirmed until the new budgets for 2012 are approved
BSF-IAe Completion Report (May 2013)
24
Annex 2. Grantee Overview
LEAD
AGENCY
CONSORTIUM
MEMBERS
START
DATE END DATE MONTH
Contract
amount
Addendum
1
BUDGET
GBP
ADRA CDS, AMA 01-Jan-12 31-Dec-12 12 600,655 24,924 625,579
ARC SUH, KDI,CLCP 01-Jan-12 31-Dec-12 12 750,959 750,959
AVSI
Catholic Diocese of
Torit 01-Jan-12 31-Dec-12 12 597,736 28,470 626,206
CARE 01-Jan-12 31-Dec-12 12 999,129 999,129
CCM 01-Jan-12 31-Dec-12 12 644,469 191,554 836,023
CMSI ECS 01-Jan-12 31-Dec-12 12 120,000 30,000 150,000
Concern 01-Jan-12 31-Dec-12 12 707,000 707,000
CordAid
Catholic Diocese of
Tambura-Yambio 01-Jan-12 31-Dec-12 12 345,009 345,009
GOAL 01-Jan-12 31-Dec-12 12 1,363,584 1,363,584
HealthNet CRM 01-Jan-12 31-Dec-12 12 1,187,367 22,377 1,209,744
IMA (UN) JDF 01-Jan-12 31-Dec-12 12 711,654 711,654
IMA (JON) JDF 01-Jan-12 31-Dec-12 12 766,447 (56,635) 709,812
IMC PRDA, NHDF 01-Jan-12 31-Jan-13 12 775,480 95,520 871,000
Malteser 01-Jan-12 31-Dec-12 12 616,486 616,486
Merlin 01-Jan-12 31-Dec-12 12 698,550 698,550
OVCI
Catholic Archdiocese
of Juba 01-Jan-12 31-Dec-12 12 398,893 398,893
Tearfund 01-Jan-12 31-Dec-12 12 1,099,775 1,099,775
World
Vision
Catholic Diocese of
Tambura-Yambio 01-Jan-12 31-Dec-12 12 600,001 (38,070) 561,931
JSI see
note) 01-Aug-12 31-Dec-12 5 233,341 (100,000) 133,341
IRC 01-Aug-12 31-Dec-12 5 654,226 654,226
SciSS 01-Aug-12 31-Dec-12 5 705,121 705,121
TOTALS: Primary Health: 20 GRANT RECIPIENTS 14,774,022
WTI 01-Jan-12 31-Dec-12 12 454,584 25,307 479,891
ACROSS
Yei Teacher Training
College 01-Jan-12 31-Dec-12 12 400,328 400,328
MRDA 01-Jan-12 31-Dec-12 12 399,351 399,351
WR ECS 01-Jan-12 31-Dec-12 12 406,699 406,699
HARD 01-Jan-12 31-Dec-12 12 998,022 18,394 1,016,416
FFH SDA 01-Jan-12 31-Dec-12 12 892,735 21,769 914,504
TOTALS: Primary Education: 6 GRANT RECIPIENTS 3,617,189
GRAND TOTAL: 27 GRANT RECIPIENTS 18,391,211
Underspent: -43,921
GRAND COMPONENT: 18,347,290
1. CCM received a BSF contract amendment for an increase to £ 836,023 to support the facilities
previously covered under the SHTP-2 grant in Warrap-State, Tonj South-County.
2. JSI, IRC and SCiSS are ex USAID SHTP grantees funded by BSF from August 2012-31 December
2012..
BSF-IAe Completion Report (May 2013)
25
Annex 3. Grantee Disbursement
NGO
Contract
amount
(GBP)
Contract period Actual expenditure
Budget
remaining
(GBP)Period
No.
Months
Amount
(GBP) %
up until
Month
No. of
months (%)
ADRA 625,579 01.01 - 31.12.12 12 621,408 99 Dec-12 12 100 4,171
ARC 750,959 01.01 - 31.12.12 12 750,959 100 Dec-12 12 100 0
AVSI 626,206 01.01 - 31.12.12 12 626,206 100 Dec-12 12 100 0
CARE 999,129 01.01 - 31.12.12 12 962,788 96 Dec-12 12 100 36,341
CCM 836,023 01.01 - 31.12.12 12 835,960 100 Dec-12 12 100 63
CMSI 150,000 01.01 - 31.12.12 12 149,896 100 Dec-12 12 100 104
CONCERN 707,000 01.01 - 31.12.12 12 707,000 100 Dec-12 12 100 0
CORDAID 345,009 01.01 - 31.12.12 12 344,986 100 Dec-12 12 100 23
GOAL 1,363,584 01.01 - 31.12.12 12 1,363,584 100 Dec-12 12 100 0
HealthNetTPO 1,209,744 01.01 - 31.12.12 12 1,180,643 98 Dec-12 12 100 29,101
IMA (UN) 711,654 01.01 - 31.12.12 12 693,258 98 Dec-12 12 100 18,396
IMA (JON) 709,812 01.01 - 31.12.12 12 709,812 100 Dec-12 12 100 0
IMC 871,000 01.01 - 31.01.13 13 833,399 68 Jan-13 13 92 37,601
MALTESER 616,486 01.01 - 31.12.12 12 616,102 100 Dec-12 12 100 384
MERLIN 698,550 01.01 - 31.12.12 12 698,550 100 Dec-12 12 100 0
OVCI 398,893 01.01 - 31.12.12 12 398,834 100 Dec-12 12 100 59
TEARFUND 1,099,775 01.01 - 31.12.12 12 1,099,460 100 Dec-12 12 100 315
World Vision 561,931 01.01 - 31.12.12 12 532,507 95 Dec-12 12 100 29,424
WTI 479,891 01.01 - 31.12.12 12 479,891 100 Dec-12 12 100 0
ACROSS 400,328 01.01 - 31.12.12 12 399,927 100 Dec-12 12 100 401
MRDA 399,351 01.01 - 31.12.12 12 399,351 100 Dec-12 12 100 0
World Relief 406,699 01.01 - 31.12.12 12 406,699 100 Dec-12 12 100 0
HARD 1,016,416 01.01 - 31.12.12 12 1,016,416 100 Dec-12 12 100 0
FFH 914,504 01.01 - 31.12.12 12 914,504 100 Dec-12 12 100 0
JSI 133,341 01.08 - 31.12.12 5 132,583 100 Dec-12 5 100 758
IRC 654,226 01.08 - 31.12.12 5 629,923 96 Dec-12 5 100 24,303
SCiSS 705,121 01.08 - 31.12.12 5 670,013 95 Dec-12 5 100 35,108
Under spentby
NGOs -43,921 -43,921
Total allocated
BSF IAe 18,347,290 18,174,659 99 172,631
Unallocated 0
BSF-IAe Completion Report (May 2013)
26
Annex 4a. Primary Health Targets and Achievements in all 4 phases
BSF-1 ( 33 months ) BSF-2 (18 months) BSF-IA (18 months) BSF-IAe (12 months)
Target Achieved % Target Achieved % Target Achieved % Target Achieved %
New PHCC 18 7 39 5 3 60 10 12 120 1 1 100
Rehabilitated PHCC 0 6 0 8 0 15 - -
PHCC services supported 6 9 21 19 52 32 62 70 70 100
New PHCU 36 18 50 12 23 192 40 35 88 1 1 100
Rehab PHCU 0 11 0 6 0 22 - -
PHCU Services supported 5 15 300 75 60 80 142 101 71 201 201 100
Hospital Services supported 0 3 0 1 0 1 1 1
OPD Consultations (< and > 5) 0 (1) 742,914 0 (1) 755,146 1,857,744 (3) 1,511,756 81 760,000 (4) 1,367,084 180
Catchment Population) (2) 1,815,000 1,910,000 2,605,000 2,885,000 2,851,149
(1) Logframe for BSF-1 &2 set no OPD consultation targets. Only actual OPD attendance figures of each facility were recorded.
(2) Catchment populations in BSF-1 & 2 were calculated in accordance with BHPS of 50,000 beneficiaries for a PHCC and 15,000 for a PHCU. As a
result the catchment population estimates proved too high.
(3) In BSF-IA the target for OPD consultations was calculated as follows: 0.5 consultations per year per capita in payam population for newly established
health facilities; 0.7 consultations per year per capita in payam population for already supported facilities. Payam population data based on 2008
Census - National Bureau of Statistics.
(4) The OPD consultation target for BSF-IAe was based on the SSDP target for 2012 of 0.4 consultations per person per year: 1,892,954x0.4=757,181
so target is 760,000 rounded (see also annex 1c Source Doc)
The table below shows the OPD consultation rate for each of the phases, corrected for the duration of the grants
Phase
No. months in the
grant
facilities catchment pop catchment pop acc to OPD consultations
OPD consultations
per year
OPD consultations
per HF
OPD attendance rate
BSF-1 33 69 1,815,000 50,000 per PHCC
15,000 per PHCU
742,914 270,151 3,915 0.15
BSF-2 18 120 2,605,000 755,146 503,431 4,195 0.19
BSF-IA 18 195 1,857,774 payam population NBS 1,511,756 1,007,837 5,168 0.54
BSF-IAE 12 272 2,851,149 payam population NBS 1,367,084 1,367,084 5,637 0.53
BSF-IAe Completion Report (May 2013)
27
Annex 4b. Primary Education Targets and Achievements in 4 Phases
StudentBeneficiaries
Primary Education BSF 1-
IAe BSF-1 BSF-2 BSF-IA BSF-IAe Cumulative
Achieved
Target Achieved % Target Achieved % Target Achieved % Target Achieved %
New Classrooms constructed 152 160 105 161 192 119 220 218 99 48 48 100 618
School services 51 47 92 63 40 63 17 17 100 - - - -
Beneficiaries (pupils) ( 1) 28,000 26,800 96% 33,250 25,600 77% 17,800 17,700 99% 2,400 2,400 100% -
%: Percentage of target achieved
(1) Beneficiaries are calculated as 50 pupils per classroom or per school support service
Teacherstrained
(1) The figures for CEDs and Head Teachers trained were only in BSF-IAe disaggregated
(2) ELT – 389 teachers passed the ELT stage of training versus 425 enrolled in the course
Primary Education BSF 1-IAe ISTT PSTT CED (1) Head Teachers (1) ELT
BSF-IAe 214 158 231 164 389 (2)
BSF-IA 718 133 373 1,180
BSF- 2 1,248 6 736 39
BSF-1 812 0 22 0
BSF-IAe Completion Report (May 2013)
28
Annex 4c. WATSAN Targets and Achievements in 4 Phases
WATSAN BSF1-IAe
BSF-1 BSF-2 BSF-IA BSF-IAe Cumulative
Achieved
Target Achieved % Target Achieved % Target Achieved % Target Achieved %
New boreholes 195 156 80 138 148 107 214 250 117 28 25 89 579
Rehab boreholes 84 55 65 110 155 141 234 303 129 47 37 79 -
Total boreholes 279 211 76 248 303 122 448 553 123 75 62 83 -
Other water sources (1) 1 1 100 10 6 60 148 171 116 11 18 164 196
Water beneficiaries (users) (2) 69,750 52,750 76 62,000 75,750 122 112,000 138,250 123 18,750 15,500 82 -
Institutional latrines (stances) - - - 234 360 154 791 780 99 107 113 106 1,253
Household latrines - - - 1,756 1,246 71 4,246 3,309 78 0 0 4,555
Total latrines 763 1,193 156 1,990 1,606 81 5,037 4,089 81 107 113 106 5,808
Sanitation beneficiaries (3) 3,815 5,965 156 20,480 24,230 118 60,780 55,545 91 5,350 5,650 107 -
(1) This includes hafirs, sand filters, rainwater harvesting system, small water distribution system etc. As the number of benefic iaries varies for each
system, it has not been estimated.
(2) Borehole beneficiaries were originally calculated on the basis of 500 beneficiaries per unit, as per the SPHERE handbook (estimate for emergency
situation). BSF reduced this estimate to 250 in accordance with the MWRI's Technical Guidelines for construction and management of boreholes and
hand-pumps (2009)
(3) Sanitation beneficiaries are estimated as 5 people per household latrine and 50 beneficiaries for institutional latrines.
BSF-IAe Completion Report (May 2013)
29
Annex 5a. Steering Committee Meeting Record
No
.
Date Place Agenda Participants
1 28 October 2005 Rumbek BSF and TOR SC n.a.
2 10/11 January 2006 Juba Capacity building of SC and selection proposals 20
3 6, 7 April 2006 Juba Update on progress and 2nd call for proposals 20
4 6, 7 Sept 2006 Juba Evaluation of BSF NGOs, procedure for 2nd call 18
5 17 October 2006 Juba Pre-selection 2nd call 9
6 13 December 2006 Juba Selection of short listed proposals
7 7 May 2007 Juba Progress on implementation 15
8 22 August 2007 Juba Progress on implementation 14
9 6 December 2007 Juba Progress on implementation 14
10 10 January 2008 Juba Briefing MTR 15
11 19 January 2008 Juba De-briefing MTR 20
12 14 May 2008 Juba Progress on implementation and future of BSF
13 27 May 2008 Juba BSF and TOR SC 15
14 15 July 2008 Juba BSF extension 12
15 19 August 2008 Juba Planned
16 15 Sept 2008 Juba 3rd round priorities (special session on planning) 12
17 4 November 2008 Juba 3rd round concept papers pre-evaluation 14
18 10 December 2008 Juba 3rd round proposal ranking 11
19 10 March 2009 Juba Update on closing down Phase-1, starting up Phase-2 16
20 13 July 2009 Juba Update on implementation and exit strategies 20
21 26 August 2009 Juba Annual review debriefing
22 20 October 2009 Juba Progress on implementation and future of BSF 25
23 27 January 2010 Juba Implementation update 25
24 24 March 2010 Juba Disbursement update, revised SC ToR, application
procedures new round of proposals
18
25 14 May 2010 Juba BSF-2 & BSF-IA 17
26 1 June 2010 Juba BSF-2 & BSF-IA 25
27 8 Sept 2010 Juba BSF-IA 21
28 9 December 2010 Juba BSF-IA 20
29 30 March 2011 Juba BSF-IA; debriefing MTR 2011 27
30 9 May 2011 Juba BSF-IA 13
31 6 July 2011 Juba BSF-IA 22
32 26 August 2011 Juba BSF-IA 20
33 4 November 2011 Juba BSF-IA 22
34 20 January 2012 Juba BSF-IAe 18
35 4 April 2012 Juba BSF-IAe 16
36 25th May 2012 Juba BSF-IAe 16
37 11th September 2012 Juba BSF-IAe 16
38 9th November 2012 Juba BSF Review mission 23
39 31 January 2013 Juba BSF-IAe progress and closing down No quorum
40 26 March 2013 Juba BSF-IAe closing down 27
BSF-IAe Completion Report (May 2013)
30
Annex 5b. Key Dates
Year Date Event and details
2005 September DFID Khartoum contracts the IDL group (UK) and Skills for Southern Sudan to help prepare the
establishment of the Basic Services Fund
October First Steering Committee Meeting in Rumbek announcing the launch of the Basic Services Fund
November Skills for Southern Sudan launches first call for proposals
December DFID invites 6 consultancy companies to tender for the provision of management consultancy services to
the BSF
2006 January Second SC meeting to decide on selection of projects
DFID informs selected NGOs about aw ard of contract
February Deadline for the submission of tenders for the proposals for the management consultant
March DFID Khartoum signs accountable grant agreements w ith NGO grant recipients
Q2 Grant recipients receive first advance payments directly from DFID
August DFID signs contract w ith selected management consultant BMB Mott MacDonald (formerly Arcadis BMB)
Q 4 BMB MM starts transfer of contracts w ith grant recipients from DFID to BMB MM; DFID closes all grant
agreements by Dec. 2006
September BMB MM launches 2nd call for proposals
October Information w orkshop in Juba w ith pre-selected NGO
December Steering Committee meeting to decide on selection of NGOs
BMB MM informs selected NGOs about aw ard of contract
2007 January Second round project contracts signed betw een Grant recipients and BMB MM and effective 1 January 2007
February DFID and BMB MM sign contract amendment no.2 w hich includes £14.94m in NGO programme funds
(omission in initial contract)
March BMB MM starts to reimburse first claims from NGOs
November Planned Mid Term review gets delayed until December and later until January 2008
2008 January Post-election crisis in Kenya delays return of many international staff NGO staff
January BSF-1’s Mid Term Review (originally planned for Nov 2007) takes place
April DFID extends contract w ith BMB MM w ith 8 months until 31 December 2008 and tops up programme funds
w ith £1.68m
Q1-2 Contracts w ith NGOs are extended till 30 September 2008; all receive a cost extension, except AMREF,
SC-US and SC-UK due to delays w ith implementation
July Fieldtrip from Lessons Learnt analysis Primary Education
12 August Start dissemination Lessons Learnt w orkshop Primary Education
Q3 Contracts w ith NGOs are extended till 31 December 2008; this is a no-cost extension, w ithout additional
funding
Q 4 Decision to extend all first and second round BSF Grant recipients in primary health
September BMB MM launches 3rd call for proposals
Launch SRF (verify date) 1st call proposals (relevant to BSF?? WG)
26-29 October GOSS-second National Health Assembly (BSF consultant assisted in preparing the proceedings (on
w ebsite)
November Information w orkshop in Juba w ith pre-selected NGOs
December Steering Committee meeting to decide on selection of NGOs
BMB MM informs selected NGOs about aw ard of contract
2009 January DFID as lead donor signs agreements w ith NORAD and DGIS for additional contributions to BSF.
January DFID and BMB MM sign contract amendment no.9 w hich includes extension till 31 August 2010 (phase 2)
and new programme funds of £17.4m
February Phase 2 project contracts signed betw een Grant recipients and BMB MM and effective 1 January 2009 for a
duration of 18 months
12 February Start dissemination and sharing Lessons Learnt in Water & Sanitation
BSF-IAe Completion Report (May 2013)
31
Year Date Event and details
April CIDA contribution is confirmed and DFID and BMB MM sign contract amendment no. 10, w hich includes
additional programme funds of £3.9m
4th April Kick-off meeting w ith third round BSF grantees
April Field w orkon follow -up lessons learnt Primary Education
April BMB MM signs contracts w ith 4 additional grant recipients selected as runners-up during the third call
evaluation process; projects have a start date of 1 April 2009 and a duration of 15 months
20 May Financial reporting w orkshop
June Closure of all contracts signed w ith grant recipients selected in calls 1 and 2 (phase 1)
5 June Financial reporting w orkshop
16 June Closing w orkshop on first Peer Review that took place in Q 4 of 2008 (presentation of main findings and
conclusions)
22 September DFID and BMB sign contract amendment no. 11 including a reduction of the CIDA contribution (due to
sterling – dollar exchange rate fluctuations) plus a transfer of unspent programme funds from phase 1 to
phase 2
October Third GoSS Health Assembly w as planned but did not take place (BSF w ill assists again w ith consultant for
the drafting of proceedings)
26 October Submission of Phase 1 Final Report
2010 20 March Closing dow n w orkshop for BSF Implementing Partners
13-15 April National Elections
March-April Round of negotiations w ith NGO Implementing Partners to re-allocate budgets
1 March-30 June BSF-IA Inception phase
April-May Contract amendments (budget revisions) w ith NGO Implementing Partners
30 June End of contracts Primary Heath extension (round 1 and 2)
30 June End of contracts Round 3A and 3B
July - August BSF grantees submit final completion report, updated asset list, expenditure verification report (audit) and
final invoice
1 July ( 31
December 2011)
Start BSF-Interim Arrangement
31 August End of contract DFID-BMB MM
30 September Submission of Phase 2 Final Report
15 October DFID-BMB contract BSF-IA
2011 14 March-1 April BSF-IA Mid Term Review
9 January Referendum on status of Southern Sudan
9 July 2011 First independence Day for South Sudan
9 July Ends 6 year CPA Interim Period ( 9 July 2005-9July 2011)
9 July 2011 Start of 4 year Transition period (9 July 2011-9 July 2015)
11 July GOSS & DFID decide on extension of BSF-IA into a BSF-IA extension phase ( 1 Jan-31 December 2012
1 August Returnees allocation
September Drafting of DFID’s business case for BSF-IA extension
Quarter 4 Internal assessment of grantees for BSF-IA extension
5 December Deadline submission budget & w ork-plan for BSF-IA grants
31 December BSF-IA grants close
December/January Budget consultations w ith BSF-IA extension grantees
2012 1 January-29
February
Closing dow n (completion reports and final audits)
1 January Start of BSF-IA extension grants
15 January Contracts BSF-IA extension signed
January South Sudan Government stops oil production
January Sudan-South Sudan border closed
Transition from BSF to MoH’s Rapid Results Health Project (financed by World Bank) Jonglei and Upper
BSF-IAe Completion Report (May 2013)
32
Year Date Event and details
Nile
March Refugee crisis due to conflicts in South Kordofan and Blue Nile
1 August Transition contracts. Ex. SHTP2 grantees in HPF states w ere integrated into the BSF fund.
4 August Draft agreement South Sudan –Sudan on oil production and other (CPA) outstanding issues
27 September Agreement on oil production, citizenship, trade and security (1,800 km long and 15 km w ide demilitarized
buffer zone)
18 October Planned mobilization new HPF Fund manager
4-9 November BSF review mission
31 December Last day of grant period (grant expenses after midnight of 31 December are not eligible)
2013 1 January-31
March
BSF fund manager closing dow n period
15 April Deadline BSF-IAe Completion report
26 March 40th
and last Steering Committee
BSF-IAe Completion Report (May 2013)
33
Annex 6a. Summary Table – Primary Health Services
T=Target, A=Achieved,F=Female
Lead Agent
Facility Services (Cumulative) Consultations (Cumulative)
PHCC PHCU
Total Consultations
>5 years
Total Consultations
< 5 yrs
ANC
client 1st
visit
ANC
client
4th or
more
visits
EPI;
No.
children
< 1 full
DPT
Birth
attended
by
skilled
w orkers
T A T A Total F Total F Total Total Total Total
ADRA 2 2 14 14 34,849 19,324 22,913 12,051 2,788 1,667 3,975 103
ARC 6 6 2 2 24,843 14,555 16,795 8,793 1,600 803 5,054 191
AVSI 3 3 7 7 42,966 21,975 26,824 13,645 1,675 444 339 74
CARE 9 9 5 4 76,244 44,590 53,225 30,024 10,058 2,451 4,962 68
CCM 3 3 15 15 92,942 47,349 56,783 28,824 7,270 2,211 5,011 75
CMSI 1 1 4 4 10,825 7,484 9,035 4,176 3,135 1,024 1,731 0
CONCERN 2 2 16 20 77,187 42,454 42,952 21,495 9,987 5,013 4,967 124
CORDAID 2 2 6 6 18,779 9,094 10,939 5,299 1,159 741 571 32
GOAL 2 2 6 6 49,122 28,023 30,597 16,766 2,608 1,092 3,177 106
HealthNet 6 6 28 28 95,479 53,613 59,878 30,489 4,695 3,036 8,781 27
IMA (JON) 3 3 9 9 20,624 10,972 9,766 5,118 656 348 281 63
IMA (UN) 1 0 5 5 39,475 22,332 23,516 12,087 2,204 1,634 3,346 188
IMC 2 2 10 10 39,837 21,403 25,496 12,911 2,067 684 445 66
IRC 2 2 13 13 27,950 17,281 16,320 8,451 2,143 346 913 0
JSI 6 7 6 5 25,495 15,427 11,492 5,459 2,315 1,498 375 3752
MALTESER 4 4 20 20 41,156 21,621 19,781 10,031 1,373 1,474 1,135 0
MERLIN 7 7 2 2 36,645 20,598 26,663 13,753 1,714 709 2,441 15
OVCI 1 1 0 0 10,952 6,273 5,865 2,423 922 876 419 161
SCiSS 2 2 13 13 15,949 7,942 9,412 4,779 1,558 302 1,620 40
TEARFUND 2 3 9 9 42,220 23,916 34,729 19,815 2,859 3,924 2,888 0
WORLD VISION 2 2 8 8 20,776 10,846 9,788 4,759 1,281 1,140 1,128 41
Total 68 69 198 200 844,315 467,072 522,769 271,148 64,067 31,417 53,559 1,749
- HealthNet:Bonyo PHCU has not been sending reports – status unclear,Timsah PHCU (Raga County;WBeG)
has not been accessible and reporting in Q4 due to insecurity.Maluil PHCC (Jur River, WBeG) closed because
the SMoH were not able to supply staff.
- JSI: 6 PHCCs targeted,7 Achieved. The 7th PHCC is supportto the ANC clinic operated by Wau Midwifery
School,with additional ANC attendance returns only.
- OVCI runs Usratuna PHCC and provides technical assistance to the maternity services ofthree urban MoH
PHCCs:Kator, Nyakuron & Munuki. OVCI also conducts EPI outreach in close collaboration with the CHD
- Tearfund: Kodok PHCC was not targeted for Tearfund supportsince its handover to SMoH but has been
consistentlysupported with 9 key staff, medical equipment,utilities,training etc.by Tearfund, hence included in
achievements.
2
JSI reported a too high number of skilled attended births and skilled attended staff. BSFSecretariat corrected the staffing figuresbut
could not correct the delivery figures due to lack of information in spite of repeated requests to JSI. The real figure is likely to be
approximately 150 skilled attended births instead of 375
BSF-IAe Completion Report (May 2013)
34
Annex 6b. Summary Table – all PH targets versus achievements
Targets in the table were set bygrantees in their contracts with BSF Secretariat
Grantee
Facilities
supported
Payam based
catchment
population
OPD consultations
total ANC 1st visit ANC 4th visit DPT3
Delivery in facility
assisted by skilled
staff< 5 > 5
Target achieved Target achieved achieved Target achieved Target achieved Target achieved Target Achieved
ADRA 16 173,832 25,000 22,913 64,460 34,849 57,762 1,435 2,788 1,076 1,667 9,894 3,975 718 103
ARC 8 244,547 28,798 16,795 69,154 24,843 41,638 4,320 1,600 2,160 803 6,911 5,054 1,080 191
AVSI 10 76,379 28,000 26,824 38,000 42,966 69,790 2,700 1,675 400 444 400 339 400 74
CARE 13 213,114 31,214 53,225 128,198 76,244 129,469 4,981 10,058 3,944 2,451 3,094 4,962 1,328 68
CCM 18 171,536 13,646 56,783 76,608 92,942 149,725 4,590 7,270 1,945 2,211 4,096 5,011 400 75
CMSI 5 210,771 4,000 9,035 3,300 10,825 19,860 2,000 3,135 500 1,024 500 1,731 500 0
Concern 22 130,058 31,166 42,952 101,288 77,187 120,139 5,319 9,987 2,660 5,013 5,192 4,967 603 124
Cordaid 8 60,143 17 10,939 34,682 18,779 29,718 844 1,159 337 741 1,388 571 253 32
GOAL 8 95,164 23,891 30,597 52,253 49,122 79,719 3,175 2,608 2,699 1,092 3,175 3,177 454 106
HealthNet 34 262,442 38,900 59,878 111,000 95,479 155,357 8,000 4,695 2,800 3,036 3,350 8,781 1,700 27
IMA (DUK) 6 70,730 7,400 9,766 12,700 20,624 30,390 250 656 0 348 175 281 80 63
IMA (Melut) 12 7,506 17,840 23,516 32,800 39,475 62,991 4,320 2,204 0 1,634 1,260 3,346 880 188
IMC 12 160 21,686 25,496 122,314 39,837 65,333 4,046 2,067 2,832 684 1,248 445 809 66
Malteser 24 100,231 13,000 19,781 52,000 41,156 60,937 2,300 1,373 1,500 1,474 2,000 1,135 270 0
Merlin 9 147 17,535 26,663 92,055 36,645 63,308 2,740 1,714 1,370 709 4,110 2,441 1,096 15
OVCI 1 100 7,000 5,865 13,500 10,952 16,817 580 922 350 876 350 419 0 161
Tearfund 10 58,973 11,235 34,729 42,265 42,220 76,949 2,140 2,859 1,712 3,924 2,140 2,888 428 0
World Vision 10 90,073 12,000 9,788 45,000 20,776 30,564 3,786 1,281 2,164 1,140 3,786 1,128 500 41
JSI 12 155,329 13,200 11,492 14,400 25,495 36,987 1,667 2,315 800 1,498 934 375 975 375
IRC 15 93,902 8,226 16,320 27,420 27,950 44,270 1,452 2,143 400 346 4,980 913 550 0
SCiSS 15 161,661 21,396 9,412 24,008 15,949 25,361 2,200 1,558 1,090 302 2,069 1,620 482 40
Totals 268 2,851,149 392,474 522,769 1,157,405 844,315 1,367,084 62,845 64,067 30,739 31,417 61,052 53,559 13,506 1,749
OVCI supported the maternity services in 3 PHCC of the MoH ; skilled deliveries (161) in the 3 PHCC included in this table
JSI over-reported skilled attended births and availability of skilled attendants. Acting DG of Wau informed BSF on correct number of skilled staff but JSI did not send additional info in spite of requests.
3 ex-SHTP grantee figures relate to 5 months implementation period
BSF-IAe Completion Report (May 2013)
35
Annex 7. Summary Table – Primary Health facilities Staffing (1)
Lead Agent
No.
of
HF
Classified staff Un-classified staff (Quarterly Data)
Total
Facility
Staff
Clinical
Officer
Enrolled
nurse
Enrolled
midwife
Community
midwife
Lab.
Technician
Lab.
Assistant
Pharmacy
technician
Pharmacy
assistant
Auxiliary
nurse
EPI
vaccinator
MCHW or
trained
TBA
CHW
ADRA 16 2 4 1 2 2 1 1 2 3 22 28 27 95
ARC 8 7 11 2 3 5 3 18 17 17 24 107
AVSI 10 5 12 2 2 2 2 0 3 9 6 15 27 85
CARE 13 10 4 2 4 4 4 0 3 0 14 43 15 103
CCM 18 1 1 2 1 6 15 1 43 25 18 113
CMSI 5 1 1 1 3 2 8
Concern 22 3 6 2 3 2 2 18 3 46 35 20 140
Cordaid 8 1 5 2 1 1 8 9 16 43
GOAL 8 5 4 2 2 1 1 4 12 22 16 69
HealthNet 34 2 13 1 17 3 3 16 5 48 51 55 214
IMA (UN) 6 1 18 3 10 1 1 1 33 24 12 5 109
IMA (JON) 12 2 2 1 1 2 2 1 2 2 5 4 24
IMC 12 1 2 2 1 13 9 8 17 8 61
Malteser 24 4 9 3 2 1 1 31 29 80
Merlin 9 6 9 2 5 1 2 4 3 16 2 50
OVCI 1 7 3 4 3 3 2 2 2 4 0 30
Tearfund 10 3 2 1 3 3 2 2 1 29 17 13 76
World Vision 10 2 1 1 1 4 4 11 11 31 66
JSI 12 6 29 5 38 2 4 7 2 5 9 8 115
IRC 15 4 5 5 2 2 1 5 2 18 26 8 78
SCiSS 15 3 5 3 7 2 2 1 2 1 31 32 39 128
Total 268 76 144 38 107 35 47 5 102 102 346 427 365 1,794
Total Classified Staff: 554 Total Unclassified Staff: 1,240
% Classified staff: 31% % Unclassified staff: 69
BSF-IAe Completion Report (May 2013)
36
Annex 8. Summary Table – Primary Health Staffing and payroll (2)
Lead Agent
Staff Payroll
Total
Facility
Staff
Classified staff
on MoH payroll
Unclassified staff
on MoH payroll
% staff on
MoH Payroll
Classified staff
on NGO payroll
Unclassified staff
on NGO payroll
% staff
on NGO
Payroll
Classified
staff on other
payroll
Unclassified
staff on other
payroll
% staff on
Other Payroll
ADRA 95 21 22% 15 59 78%
ARC 107 14 33 44% 8 4 11% 9 39 45%
AVSI 85 3 34 44% 13 11 28% 12 12 28%
CARE 103 9 69 76% 22 1 22% 0 2 2%
CCM 113 1 12 12% 25 75 88% 0 0 0%
CMSI 8 3 5 100%
Concern 140 5 7 9% 31 97 91%
CordAid 43 9 26 81% 1 7 19% 0 0 0%
GOAL 69 8 2 14% 7 52 86% 0 0 0%
HealthNet 214 40 73 53% 15 59 35% 0 27 13%
IMA (UN) 109 27 48 69% 8 26 31% 0 0 0%
IMA (JON) 24 1 10 46% 10 3 54% 0 0 0%
IMC 61 0 0 0% 19 42 100% 0 0 0%
Malteser 80 10 39 61% 9 22 39%
Merlin 50 20 21 82% 9 18%
OVCI 30 10 1 37% 12 7 63% 0 0 0%
Tearfund 76 0 0 0% 16 60 100% 0 0 0%
World Vision 66 11 8 29% 2 45 71% 0 0 0%
JSI 115 80 14 82% 11 10 18%
IRC 78 0 2 3% 24 52 97% 0 0 0%
SCiSS 128 1 1 2% 24 65 70% 0 37 29%
Total 1,794 249 421 37% 273 692 54% 32 127 9%
Total on MoH Staff 670 Total on NGO payroll 965 Tot on Other payroll 159
Analysis:of all classified staffonly46% are on MoH payroll and 34% of all unclassified staff.Classified staffconstitutes 31% ofth e facility staff while 69% are unclassified.
BSF-IAe Completion Report (May 2013)
37
Annex 9a. Summary Table – Primary Health Training
(Long Term)
Lead Agent Category of Trainees Total Female Training Days Total Training Days Female
ADRA Midwives(enrolled,CMW) 4 4 1,200 1,200
CMSI Clinical Officer 1 0 305 0
IMA (JON) Clinical Officer 1 0 90 0
IMA (UN) Midwives(enrolled, CMW) 1 0 90 0
TEARFUND
Midwives(enrolled,CMW) 12 9 3,960 2,970
Nurses 2 0 540 0
Grand Total 21 13 6,185 4,170
BSF-IAe funded the full time long term training of 2 CO for 3 months and 19 midwives/nurses for a full year
Annex 9b. Summary Table – Primary Health Training
(Short Term)
Lead Agent Total Female
Total on
MoH Payroll
Females on
MoH Payroll
Training
Days Total
Training Days
Female
ADRA 175 56 22 2 549 196
ARC 604 266 243 124 1,522 679
AVSI 169 50 30 1 710 227
CARE 128 55 61 13 599 248
CCM 438 147 17 1 1,258 358
CMSI 258 146 14 3 165 54
CONCERN 1,004 219 0 0 4,477 942
CORDAID 151 45 58 16 819 238
GOAL 581 183 40 24 1,482 417
HealthNet 443 96 182 33 1,744 472
IMA (JON) 18 0 5 130 0
IMC 474 180 5 0 474 180
IRC 390 127 39 4 674 152
JSI 28 20 2 2 84 60
MALTESER 252 65 112 10 888 65
MERLIN 465 195 49 11 898 446
OVCI 217 183 111 79 1,115 1,021
SCiSS 1,052 600 2 0 1,486 718
TEARFUND 236 89 24 12 1,124 439
WORLD
VISION 822 337 175 47 3,078 1,335
Total 7,905 3,059 1,191 382 23,276 8,247
* High number ofhealth workers trained by Concern and SCiSS concerns the training of communitybased cadres:
Home Health Promoters,Peer Educators,Boma Health Committee and CommunityConversation facilitators.
** Not all people trained are facility based staffbut all participants playan active role in the health system:VHC, school
health clubs,HHP, CHD staff etc.
BSF-IAe Completion Report (May 2013)
38
Annex 9c. Summary Table – Primary Health
Training (Categories of trainees)
Categories Of Trainees Total Female
Total
Training
Days
Female
Training
Days
CHD team members 288 86 1,475 477
CHWs / MCHWs 965 238 3,145 838
Clinical Officer 184 82 1,060 267
EPI vaccinators 425 72 1,867 346
Health Facility clerks, registrars etc. 55 7 228 24
HHPs, peer educators etc. 1,727 777 3,552 1,151
Laboratory staff 25 5 202 5
Midwives (enrolled,CMW) 218 172 5,875 4,668
Nurses 140 44 1,073 139
Others ( note 1) 1,695 581 4,173 1,053
Pharmacy staff, dispensers 95 4 373 20
SMoH team members 1 1 5 5
TBAs, Village Midwives 665 663 2,765 2,547
Village/Boma health committees 1,443 340 3,668 877
Total 7,926 3,072 29,461 12,417
Note 1:this category in includes a wide range of training; for example: nutritionists, lab auxiliaries,
vaccinator default-tracers, campaign trainers, and hygiene promotors; grantees trained facility-based staff
and members of the community involved in preventive activities and facility support, for example HHP,
Peer Educators, BHC/VHC.
Community case management;
This are the team in community are trained in how to identify a miner disease in community, and
how to give a first aid e.g. ( diarrhea, fever, upper respiratory truck infection ( URTI), skin
diseases eye infection etc , so this group have ORS, eye ointment, skin ointment and for fever
they have paracitamol and they refer the child early before the condition get
Hygiene promoters/ health educator;
They give health education in the health facility before they are attended to by clinical officer.
Nutritionist;
He/she also give health education on good diet and identify the malnutrition children by use of
MUAC and observation if the center have nutrition program they are attended to, if not they are
referred to feeding center .
BSF-IAe Completion Report (May 2013)
39
Annex 9d. DHIS training 2012
BSF-IAe Cumulative DHIS training 2012
State Counties
Facilitating
NGO
Beginner course Refresher Short course visits
CHD SMOH
NGO
Staff CHD SMOH
NGO
Staff CHD SMOH
NGO
Staff
WEQ Ibba Cordaid/CDTY 2
Nzara Cordaid/CDTY 1 1
Yambio 2 1 5
Nagero IMC 1
Mundri West AAH 1 1
Mundri East 1 1
Maridi Malteser/AAH 2 2
Tambura World Vision 3 2
Ezo World Vision 2 2
Mvolo 1
CEQ Juba ADRA 4 8 1 3
Terekeka ADRA 3 1
Eastern
Equatoria
Budi ADRA 1
Torit 1
NBEG Aweil North HealthNet 1
Unity Abiemnom CARE 3
Bentiu CARE 1
Guit CARE 1 1
Rubkona CARE 1 4
Parieng CARE 1 3
Mayom CARE 1 2
Jonglei Akobo IMC 2
WBeG Wau HealthNet 1 5 1 2 4
Jur river HealthNet 2 2
Lakes Rumbek UNDP 1 2
Warrap
Abyei GOAL 1 13
Twic 4 1
Nasir ADRA 1
Ulang GOAL 4 3
Baliet GOAL 2 1
CES/UN/Warrap Baliet, Juba,
Twic roving GOAL 7
Short course in
Juba Juba 7
Total 2012 17 female 21 14 51 26 5 18 0 0 3
Table: Cumulative DHIS training achievements 2011-2012
Year
Beginners course (5 days) Refresher course (5 days) Mentoring on the job (few hours)
CHD SMoH NGOs Total CHD SMoH NGOs Total CHD SMoH NGOs
2012 21 14 51 86 26 5 18 49 0 0 3
2011 14 2 35 51 0 0 5 5 0 0 0
Total 35 16 86 137 26 5 23 54 0 0 3
71% of all trainees were beginners;28% were refresher course participants
37% of beginners were CHD/SMoH staff; 57% of refresher trainees were CHD/SMoH staff
63% of beginners were NGO staff; 43% of refresher trainees were NGOstaff
17/138 participants in 2012 were female (18%) In 2011 the % of female participants was 10%
BSF-IAe Completion Report (May 2013)
40
Annex 10. Summary Table – Primary Education
Lead
Agent
School Construction 2012 Beneficiaries 2012
New Schools
New
Classrooms
Ideal
Enrolment1
Actual Enrolment2 Attendance
Target A % Target A % Target Tot F % F
3.ALP
Tot
4.ALP
F Tot F %F
HARD 4 4 100 36 36 100 1800 2270 742 33% 1910 623 33%
FFH 0 0 100 12 12 100 600 2215 818 37% 111 34 2112 761 36%
Total 4 4 100 48 48 100 2,400 4,485 1,560 35 111 34 4,022 1,384 34
(1) Enrolment calculated as 50 children per classroom
(2) Actual enrolment is the number of children registered to attend.
The pupil to classroom ratio (PCR) for HARD is 53, and for FFH 176, (due to the influx of refugees especially in Upper Nile).
Targets were all achieved, attendance figures in the last quarter showed a drop-out rate of 16% in HARD schools and 5% in FFH schools due to teachers salaries not being
paid. Drop-out rate based on enrolment/attendance data for 2012 is 5% for FFH and 16% for HARD.
BSF-IAe Completion Report (May 2013)
41
Annex 11. Summary Table – Primary Education Long term Training
Cumulative Data
Tot = Total, F=Female, %F=Percentage Female
Lead
Agent
ISTT PSTT ELT
Target
Stage 1 Stage 2 Stage 3
Target
T F %F
Av. test
score
increase
%
T F %F
Av. test
score
increase
%
T F %F
Av.
test
score
T F %F
Av. Test
score
increase
%
Target T F %F
Av. test
score
increase
%
WTI 450 389 136 35% 6%
ACROSS 100 100 16 16% 1%
MRDA 63 58 8 14%
WR 200 97 23 24% 16% 85 27 32% -9%
FFH 32 32 0 0% 53%
Total 232 32 0 0% 53% 97 23 85 27 0 163 158 24 15% 450 389 136 35% 6%
Course Total Trainees
ISTT 214
PSTT 158
ELT 389
(1) WTI- 389 is number that completed/passed the ELT stage of training
(2) Score Percentages in ISTT data represent the increased percentage points fromthe 1st test at the end of Phase 1 and the last test at the end of Phase 2.
(3) Score Percentages in ELT represent the increased percentage points fromthe 1st test at the end of the 1st Quarter to the last test at the end of the 4th Quarter
(4) WR Stage 3 average test score is low because the English capacity in Wau w as low. Due to lack of funding, the cohort also had done Stage 2 tw o yearsprior, lackof continuity made comprehension of the materials
difficult.
(5) ISTT trainings run part time for 400 hours per stage of training, usually broken up into 2 phases of 6 w eeks each.
(6) PSTT trainings run full time for 9 months of the year, fullqualification is after 2 years of fulltime training.
(7) In-Service Teacher Training (ISTT)is training for unqualified teachers alreadyin the classrooms. Training is broken into 4 Stages of curriculumdesigned by GoSS and is implemented usually in 3-4 years -1 stage per
year- ideally during the schoolholidays. Teachers are then monitored w ith follow up during their time in the classroom. Qualifications to enrol in an ISTT vary fromP8 to secondary school.
(8) Pre-Service Teacher Training (PSTT) is training for unqualified teachers who are not yet in the classroom. Students enrolled in a PSTT programme are secondary leavers who study the GoSS teacher training
curriculumfor 2 years fulltime.
(9) Currently the same GoSS approved curriculumis used for PSTT and ISTT trainings.
BSF-IAe Completion Report (May 2013)
42
Annex 12. Summary Table – Primary Education Short term Training
T= Target, F= Female, %= Percentage Achieved, Tot = Total, %F = Percentage Female
Lead
Agent
CED3
PTAMembers
Head teachers (short
term)
Target
Trainees T F %F
Target
days
Training
Days
Target
Trainees T F %F
Target
days
Training
Days T F %F
Training
Days
MRDA 92 43 19 44% 3 129 180 240 72 40% 2 480 66 14 21% 198
WR 150 108 8 7% 21 1620 70 192 73 38% 3 576 98 7 7% 1470
HARD 30 30 10 33% 1 30 55 42 13 31% 1 42
FFH 50 50 2 4% 1 50 120 162 65 40% 1 162
Cumulative
Total 322 231 39 22% 26 1,829 425 636 223 36% 7 1,260 164 21 13% 1,668
(1)In the logframes, targets for CED and HT are together, at the request of MoGEI they are broken out
(2) HT and CED trainings vary in length. WR uses the MoGEI curriculum which runs for 21 days.
BSF-IAe Completion Report (May 2013)
43
Annex 13. Summary Table WATSAN – Waterpoints
Lead agent
New
boreholes
Rehab
and
Repair
Rehab Repair
Other water
sources
Beneficiaries
Target Actual Target Actual Actual Target Actual Target Actual
ADRA 10 8 2,500 2,000
AVSI (1) 30 3 15 7,500 4,500
CARE 1 1 250 250
CCM (2) 1 0 250 0
CMSI 1 1 5 5 0 1,500 1,500
GOAL 1 1 0 0
IMC 12 0 12 3,000 3,000
Malteser 11 11 2,750 2,750
World Vision 7 7 0 0
HARD 2 2 500 500
FFH 3 3 0 0
SCiSS 2 2 500 500
Tearfund 2 7 0 500
Total 28 25 47 10 27 11 18 18,750 15,500
(1) AVSI – have repaired two boreholes more than once, so the beneficiaries remain the same.
(2) CCM are not building this borehole due to a change in priorities in the course of the project
BSF-IAe Completion Report (May 2013)
44
Annex 14. Summary table – WATSAN Institutional
Latrines
Lead agent
Institutional
latrines
(cubicles) Beneficiaries
Target Actual Target Actual
ADRA 12 12 600 600
AVSI 4 4 200 200
CARE 4 200
CCM 2 6 100 300
IMC 12 11 600 550
Malteser 26 26 1,300 1,300
Tearfund 13 16 650 800
World Vision 8 8 400 400
ACROSS 10 10 500 500
HARD 0 2 0 100
FFH 12 12 600 600
SCiSS 4 2 100 100
Goal 4 200
Total 107 113 5,250 5,650
BSF-IAe Completion Report (May 2013)
45
Annex 15. Summary Table – WATSAN Training 2012
Fem= Female, T. Days = Training Days
Water point sustainability (Cumulative)
Lead Agent
WUC members Borehole Caretakers Other
Target
Trainees
Achieved
Total
Trainees Fem
Achieved
T. Days
Target
Trainees
Achieved
Total
Trainees Fem
Achieved
T. Days
Target
Trainees
Achieved
Total
Trainees Fem
Achieved
T. Days
ADRA 100 100 50 100 20 22
AVSI 50 143 72 196 50 30 58 23 203
CCM 100 2 1482 134 34 190
CMSI 12 3 48 30
Malteser 110 20 0 100 22 10 0 50 180 8 0 56
World Vision 60 60 10 200 12 12 7 60 82 25 328
FFH 45 60 16 120 80 40 160
Total 465 395 151 764 136 22 7 110 1,714 362 122 937
BSF-IAe Completion Report (May 2013)
46
Annex 16. Field Visits Record
Dates No. State NGOs visited Monitors
2012
27-30 Jan 95 Warrap CCM Hannan + Wim
2-4 Feb 96 EE Torit MERLIN Hannan + Wim
13-17Feb 97 Unity State CARE Hannan + Geertruid
20-24 Feb 98 Western Equatoria
Malteser, Cordaid/DoTY, World
Vision
Hannan + Geertruid
22nd-27th Feb 99 NBG, WBG UMCOR, Windle, HARD Nic
29 Feb. – 2 March 100 Jonglei IRD / IMA Wim
6-8 March 101 Central Equatoria CMS-IRELAND Hannan
16 – 17 March 102 Upper Nile Tearfund Wim
18 – 20 March 103 Upper Nile IMA Wim
21 – 24 March 104 Upper Nile ADRA Wim
20-24 March 105 Upper Nile TearFund Hannan
30 March – 2 April 106 Jonglei IMA / IRD Wim
17-19 April 107 Upper Nile GOAL Hannan
1st-2nd March 108 Central Equatoria ACROSS/YTTC Caroline/Fiona
12-13th April 109 Western Equatoria MRDA Caroline
30 April – 2 May 110 Eastern Equatoria ARC – Kapoeta programmes Wim
1-4 May 111 WBeG Concern, HealthNet
Geertruid, Hannan
and Jay Bagria
3 May – 4 May 112 Eastern Equatoria SCiSS – Kapoeta North Wim
7 May – 8 May 113 Eastern Equatoria AVSI; Ikotos
Wim, Hannan,
Geertruid
9 May – 12 May 114 Eastern Equatoria ADRA - Budi
Wim, Hannan,
Geertruid
14-15 May 115 WEQ Malteser, Cordaid and WVI Geertruid
15th -17th May 116 Eastern Equatoria ARC Hannan
28-31 May 117 Central Equatoria ZOA (for borehole survey) Lucie
28 May – 4 June 118 WBeG Healthnet; Raga and Jur River Wim and Hannan
6 June – 9 June 119 Lakes SCiSS; Wulu Wim and Hannan
11 June – 16 June 120 Warrap CCM; (incl. ex. SHTPII programs) Wim and Hannan
11th-15th June 121 NBG, WBG HARD, WR/ECS Caroline
18th – 19th June 122 Central Equatoria CMS-I Hannan
21-29 June 123 Western Equatoria
MRDA (for borehole survey),
Intersos (For Borehole Survey),
World Vision, Malteser, UMCOR
Lucie
25th -30 June 124 Eastern Equatoria ARC, Merlin Hannan
26th-30th June 125
Upper Nile, Jonglei
(Pigi)
FFH, GOAL Caroline/Fiona
26 June -28 June 126 Jonglei IMC Akobo Wim
4th-6th July 127 Jonglei-Bor FFH Caroline
128
2 July – 5 July 129 Upper Nile IMA – Melut/Manyo Wim
6 July 130 Upper Nile Tearfund Wim
6 – 10 July 131
Western Bahr-el
Ghazal
JSI - Wau County Hannan
7 – 10 July 132 Jonglei IMA – Duk Wim
12 -15 July 134 Eastern Equatoria Caritas CH Lucie
14 – 19 July 135 Unity State Care - Rubkona Hannan
24 -27 August 136
Western Bahr-el
Ghazal
JSI –Wau County Wim and Hannan
27- 29 August 137
Northen Bahr-el
Ghazal ( NBeG)
IRC Aweil South Hannan and Wim
4-9 Sept 138 Western Equatoria Malteser & Cordaid Wim and Hannan
BSF-IAe Completion Report (May 2013)
47
21- 26 Sept 139
Western Bahr-
elGhazal
JSI and Healthnet TPO Wim + MOH
12-15 Sept 140 WBeG WTI Caroline
17-22 Sept 141 WBeG & NBeG HARD Caroline
24 -29 Sept 142 Lakes State Save the Children Hannan + dr. Orero
27-29 Sept 143 Lakes State Save the Children Wim + dr. Orero
2 – 4 Oct 144 Eastern Equatoria ARC & Save the Children Hannan and Wim
3-5 Oct 145 WBeG HARD Lucie
11 – 14 Oct 146 Upper Nile Goal / Tearfund Hannan + MoH
21 -29 Oct 147 Nairobi Conference MCH handbook Hannan
15-17 November 148 NBeG HARD Caroline
16-17 November 149 Yambio; WES Joint review; WV, CDoTY, Malteser Geertruid
19 – 27 November
(Hannan)
19 – 23 Nov.
Geertruid
150 Unity State CARE
Hannan
Geertruid
21 – 24 November 151 WBeG JSI Wim
27-29 November 152 CEQ ZOA Lucie
28-30 November 153 Upper Nile & Jonglei FFH Caroline
6-8 December 154 CEQ ACROSS Caroline & Fiona
11 – 15 December 155 Upper Nile
Tearfund – Fashoda
ADRA – Nasir
Wim + MoH
15-17 December 156 NBeG HARD Caroline
2013
28-30 January 157 WEQ MRDA Caroline
28-Jan-1 Feb 158 NBeG IMC
Hannan & Dr.
George Edward
4-8 Feb 159 Unity CARE Hannan
20-23 Feb 160 WES CORDAID Hannan
March 161 ….Raja Hannan
BSF-IAe Completion Report (May 2013)
48
Annex 17 TechnicalAssistance (TA) Days Allocated
Budgeted
Days
Actual
Remaining
Balance
Klaziena (Kate)
Louw es 278 266.0 12.0
Lucie Leclert 192 186.4 6.1
Allard Jansen 296 290.0 6.0
Sarah Baba Lasuba 298 293.0 5.0
Wim Groenendijk 254 248.0 6.0
Hannan Yousif 349
349.0
0.0
Nicholas Ramsden 40 39.0 1.0
Caroline D'Anna 241 225.0 16.0
Fiona Bailey 259 259.0 0.0
Joseph Gama 265 245.5 19.2
Support Team
Adriana van
Ommering 30 22.3 7.8
Patricia Schw erzel 50 52.0 -2.0
Wim Romp 6 6.0 0.0
Reinier Battenberg 5 3.0 2.0
Erik Holtus 64 64.8 -0.8
Short Term Experts
Geertruid Kortmann 79 77.0 2.0
Kate Hutton 25 25.0 0.0
Clarissa Mulders 17 16.3 0.8
Total Days 2,748 2,667.1 81.0
BSF-IAe Completion Report (May 2013)
49
Annex 18a. Primary Health Unit Costs
Grant recipient Unit Cost
PHCC
Unit
Cost
PHCU
Comments
BSF -1
GOAL (Upper Nile) 35,116 Major rehabilitation of existing building, incl. latrines, rainwater collection & hand washing facilities etc.
30,744 Construction of new buildings, including latrines, rainwater collection and hand washing facilities etc.
Merlin (EEQ) 49,000 Main new building (without staff “tukuls”)
26,000 Permanent 4-room building, including 3 “tukuls” for staff housing
Tearfund (Upper Nile) 26,667 New 7 room brick building; constructed with extensive community participation
8,889 New 3 room brick building; constructed with extensive community participation
CCM 37,000 Large 7 room building; can be upgraded to PHCC, incl. medical furniture and -equipment, latrines etc.
CARITAS (EEQ) 55,000 New 8 room building with piped water system etc., comprehensive furnishing.
Medair (Upper Nile) 26,000 Rehabilitation and furnishing of an existing large PHCC building
25,000 New 4 room building with latrines, water tank etc.
AMREF (CEQ) 49,000 New 9 room building, basic design
23,900 New 3 room building
Save US (Upper Nile) 92,000 New 10 room building with furnishing, piped water system
23,150 New 4 room building
OVCI 39,800 Rehabilitation of large urban PHCC in Juba and extension with a new wing for laboratory and maternity
Grant recipient Unit Cost
PHCC
Unit
Cost
PHCU
Comments
BSF-2
CMS Ireland (CES) 34,670 New building incl. furnishing, latrines, borehole, electrical installation & generator, solar power systems
CONCERN (NBG) 26,667 Construction of complete 4 room building
IRD (Jonglei) 26,600 Basic design 3 room building
Swiss Red Cross
(Unity)
46,875 Basic construction costs large building (no furnishing included)
21,875 Basic 4 room building
Medair (Upper Nile) 27,700 Basic 4 room building with latrines etc.
World Vision 16,000 Basic 3 room building with furnishing and basic equipment.
BSF-IAe Completion Report (May 2013)
50
Grant recipient Unit Cost
PHCC
Unit
Cost
PHCU
Comments
BSF-IA
ADRA 50,700 New construction of maternity wing for a PHCC in Nasir Upper Nile
11.980 Rehabilitation of a PHCC in Budi
ARC 59,918 Major rehabilitation/extension of PHCC including latrines (3340GBP) and borehole (6700 GBP)
29,959 Newly constructed PHCU excluding the borehole (6741 GBP)
Merlin 54,119 Loronyo PHCC: newly built 2 room maternity and 4 room OPD extension
OVCI 147,218 Large new 4 room extension of Usratuna PHCC in Juba town. High standards.
Malteser 18,145 Basic modest 4 room construction incl. Rainwater collection system and latrine
CORDAID 21,463 New 6 room constructions (PHCU) with large roofed waiting area including rainwater collection, latrines
World Vision 38,094 New maternity/inpatient wing of PHCC including rehabilitation of OPD building excl latrine ( 2.922 GBP)
14,836 Full rehabilitation of a PHCU including rainwater harvesting system (gutters + tank)
HealthNet ** 148,794 New min. 10 room PHCC in Jur river (WBeG) (including 2 staff houses for midwife and home for guard)
74,397 New 4 room PHCU in Jur River (WBeG) including double staff house, fencing
Concern ** 32,134 New 4 room construction (PHCU)
63,693 Rehabilitation including lighting of PHCC
Malaria Consortium ** 18,996 Average costs of new construction of 4 room PHCU. Other facilities underwent repair
CCM ** 32,134 New 4room PHCU. Average of 5220 GBP for toilets in few health facilities
CARE ** 18,944 2 new 5 room PHCC
IRD ** 82,191 Maternity, inpatient- and surgical unit as extension of Duk Lost Boys PHCC
IMC ** 49,235 New 5 room PHCC in Thokliel
13,670 New .3.room constructed PHCU. To keep costs low adobe (mud wall) design was applied + community
participation. Good quality
Tearfund ** 94,223 Accrual of former phase. Costs of 3 new PHCUs.
Medair ** 64,994 Extension of Melut PHCC with TB ward. Costs exclude extension of Wadekona PHCC by 2 room OPD
block)
32,497 Newly built 3 room PHCU.
Goal ** 42,825 5 room new facility including incinerator and water treatment system.
AVSI 26,848 Newly constructed PHCU / 5 room
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13 05 09 BSF-IAe COMPLOT

  • 1. BSF-IAe (1 January - 31st March 2013) Government of South Sudan Fund Management of the Basic Services Fund – Interim Arrangement extension (BSF-IAe) Department for International Development(DFID) BMB Mott MacDonald 8 May 2013
  • 2.
  • 3. Mott MacDonald, Amsterdamseweg 15, 6814 CM Arnhem, PO Box 441, 6800 AK, Arnhem, Netherlands T +31 (0)26 3577 111 F +31 (0)26 3577 577 W www.mottmac.com
  • 4. BSF-IAe Completion Report (May 2013) i Content Chapter Title Page List of Abbreviations 1 Introduction and Background 3 1. Review of Progress and Performance 7 1.1 Impact: Improved health and education particularly in communities hosting large numbers of returnees __________________________________________________________ 7 OUTCOME _____________________________________________________________________________ 10 1.2. Outcome: Improved access to effective primary health services and primary education, particularly for vulnerable groups and in priority host communities for returnees ____ 10 OUTPUTS _____________________________________________________________________________ 11 Output 1. Strengthen primary health services, particularly for vulnerable groups and in priority host communities for returnees _____________________________________________________ 11 Output 2. Strengthened Primary Education Services particularly for vulnerable groups and in priority host communities for returnees _________________________________________ 12 Output Indicators 2.2 Teachers Trained (PSTT) & Output Indicator 2.3 Teachers Trained (ISTT) _______ 12 WASH _____________________________________________________________________________ 12 2. Fund Management 14 3. Assumptions and Risks 15 3.1 Austerity budget _______________________________________________________________ 15 4. Unit Costs 16 Annex 1a. Logical Framework 17 Annex 1b. Source table for Logframe 21 Annex 2. Grantee Overview 24 Annex 3. Grantee Disbursement 25 Annex 4a. Primary Health Targets and Achievements in all 4 phases 26 Annex 4b. Primary Education Targets and Achievements in 4 Phases 27 Annex 4c. WATSAN Targets and Achievements in 4 Phases 28 Annex 5a. Steering Committee Meeting Record 29 Annex 5b. Key Dates 30 Annex 6a. Summary Table – Primary Health Services 33 Annex 6b. Summary Table – all PH targets versus achievements 34 Annex 7. Summary Table – Primary Health facilities Staffing (1) 35 Annex 8. Summary Table – Primary Health Staffing and payroll (2) 36 Annex 9a. Summary Table – Primary Health Training (Long Term) 37 Annex 9b. Summary Table – Primary Health Training (Short Term) _______________________________ 37 Annex 9c. Summary Table – Primary Health Training (Categories of trainees) 38
  • 5. BSF-IAe Completion Report (May 2013) ii Annex 9d. DHIS training 2012 39 Annex 10. Summary Table – Primary Education 40 Annex 11. Summary Table – Primary Education Long term Training 41 Annex 12. Summary Table – Primary Education Short term Training 42 Annex 13. Summary Table WATSAN – Waterpoints 43 Annex 14. Summary table – WATSAN Institutional Latrines 44 Annex 15. Summary Table – WATSAN Training 2012 45 Annex 16. Field Visits Record 46 Annex 17 Technical Assistance (TA) Days Allocated 48 Annex 18a. Primary Health Unit Costs 49 Annex 18b. Primary Education Unit Costs 52 Schools Construction _____________________________________________________________________ 52 Teacher Training _________________________________________________________________________ 54 Annex 18c. WATSAN Borehole Unit Costs 57 Construction of Boreholes _________________________________________________________________ 57 Rehabilitation of Boreholes ________________________________________________________________ 59 Minor and Major Repairs of Boreholes _______________________________________________________ 59 Annex18d. WATSAN Latrine Unit Costs 61 Institutional Latrines ______________________________________________________________________ 61 Household Latrines _______________________________________________________________________ 64 Annex 19. Grantee Project Summary 66 Tables Table 1: BSF-IAe Basic Project Data ..................................................................................................... 3 Table 2: BSF Phases, finance and dates ............................................................................................... 3 Table 3: BSF’s donors with their contributions in GBP per phase............................................................. 4 Table 4: BSF financial allocation per sector (in GBP) .............................................................................. 4 Table 5: BSF-Phase, financial envelope in GBP and dates ..................................................................... 4 Table 6: BSF Beneficiaries per sector and per phase. ............................................................................ 5 Table 7: BSF number of grant contracts, INGO, NNGO (round & call for proposals) ................................. 5 Table 8: Maternal Mortality ratio; baselines and targets per source.......................................................... 7 Table 9: Proportion of birth attended by skilled health staff; baselines and targets per source ................... 8 Table 10: Birth attended by skilled health staff ....................................................................................... 8 Table 11: Under five mortality baselines and targets per source .............................................................. 8 Table 12: DPT3 coverage (Diphtheria, Pertussis,Tetanus) ...................................................................... 9 Table 13: Curative outpatients consultations (all ages) in all BSF phases ...............................................10
  • 6. BSF-IAe Completion Report (May 2013) 1 List of Abbreviations AES Alternative Education System ANC Ante-Natal Care ALP Accelerated Learning Programme BMB MM BMB Mott MacDonald BSF Basic Services Fund BSF IA Basic Services Fund Interim Arrangement(to bridge the period to a sector supportprogramme) BSF IAe Basic Services Fund Interim Arrangementextension (12 month extension of the bridging period) BPHS Basic Package of Health Services CBR Crude Birth Rate CED County Education Department CHW CommunityHealth Worker CHD County Health Department CMO County Medical Officer CPA Comprehensive Peace Agreement (date….) CSO Civil Society Organisation CWD County Water Department DFID Departmentfor International Development,UK Government DHIS DistrictHealth Information System DPT3 Diphtheria,Pertussis,Tetanus 3 ELT English Teacher Training EMIS Education ManagementInformation System EPI Extended Programme Immunisation FBO Faith Based Organisation GoSS Governmentof South Sudan HMIS Health ManagementInformation System HPF MoH Health Pooled Fund with DFID as lead donor IDP Internally Displaced Person ISTT In-Service Teacher Training LQAS Lot Quality Assurance Sampling (surveymethod) MDG UN’s Millennium DevelopmentGoals MMR Maternal Mortality Rate MoEST Ministry of Education,Science and Technology MoGEI Ministry of General Education and Instruction MoFEP Ministry of Finance and Economic Planning MoH Ministry of Health MNRH Maternal Neonatal & Reproductive Health MWRI Ministry of Water Resources and Irrigation MDTF Multi Donor TrustFund NGO Non Governmental Organisation INGO International Non Governmental Organisation NNGO National Non Governmental Organisation OPD Outpatient Department PHCC Primary Health Care Centre PHCU Primary Health Care Unit PTA Parent Teacher Association PSTT Pre-Service Teacher Training SHTP-2 Sudan Health Transformation Projectphase-2 SIDA Swedish International Development Agency SPLM Sudan People Liberation Movement SSDP South Sudan DevelopmentPlan SSHP South Sudan Health Program
  • 7. BSF-IAe Completion Report (May 2013) 2 SHTP MoH SouthSudan’s HealthTransformation Projectfinanced byUSAID ( 2007/12) SRF Sudan Recovery Fund TA Technical Assistance (BMB MM consultants ) TBA Traditional Birth Attendant UN United Nations WATSAN Water & Sanitation WHO World Health Organisation WUC Water User Committee VHC Village Health Committee
  • 8. BSF-IAe Completion Report (May 2013) 3 Introduction and Background Table 1: BSF-IAe Basic Project Data Project Name Extension Basic Services Fund - Interim Arrangement (BSF-IAe) Duration 15 months from 1 January 2012-31 March 2013 Grants 12 months from 1 January-31 December 2012 Project Authority of the Governmentof the Republic of South Sudan (GoSS) GoSS Steering Committee chaired by Ministry of Finance DFID (lead donor)16,312,200 £16.3 m SIDA (Sweden) 3,687,800 £3.7 m (equivalentof Swedish Kroner 40m) TOTAL donors contribution £20,000,000 Grant component £18,347,290 Location South Sudan ManagementConsultant;BMB Mott MacDonald (BMB MM) 1 January 2012-28 February 2013 The process leading to the establishment of the BSF started with workshops held in 2004 (the year before the CPA was signed in 2005) bringing Sudan Peoples Liberation Movement (SPLM), Non Governmental Organisations (NGOs), Civil Society Organisations (CSOs) , the UN, donors together to coordinate and plan support basic services provision in South Sudan. Key issues in these discussions included: developing the capacity of GoSS ministries to plan and manage basic services within the proposed local government framework; alignment of non-state actor activities in basic service provision with (SPLM) /GoSS policy; development of common standards for sector-based services; and improved harmonisation, co-ordination transparency and accountability between GoSS, the international community and implementing partners supporting basic services. Table 2: BSF Phases, finance and dates Total Contract ManagedFunds NGO grants Grant Dates BMB contract Phase £ £ # From to from to 1 18,925,902 17,186,077 14 1-04-2006 31-12-2008 19-08-2006 31-12-2008 2 23,121,450 21,554,792 25 1-01-2009 31-06-2010 01-01-2009 31-08-2010 IA 43,013,082 39,970,000 38 1-07-2010 31-12-2011 01-03-2010 29-02-2012 IA extension 20,000,000 18,347,290 27 1-01-2012 31-12-2012 01-01-2012 31-03-2013 Total 105,060,434 97,058,159 103 With SPLM and GoSS, DFID initiated BSF as a bridge to assist basic services by non-state service providers, while GoSS’ capacity to manage, finance and deliver social services was being built up with the Multi Donor Trust Fund (MDTF).BSF’s status changed mainly because of delays in MDTF’s delivery in investments in Basic Services and plans. The first meeting of the Steering Committee (Rumbek, 28 October 2005) launched the BSF. In 2005 DFID engaged the NGO “Skills for Southern Sudan”, assisted by the IDL group (UK), to organize the procurement of six grantees (Table 7). On 19 August 2006, after an international tender, DFID appointed BMB MM as BSF’s management consultant. BMB MM set up a BSF secretariat in Juba, staffed with TA, in Juba (Annex 17). The management model was decentralized at the BSF secretariat that used 85% of the TA workdays. From the first round of NGO projects, BMB MM took over all the contracts from DFID. Plans to roll BSF into South
  • 9. BSF-IAe Completion Report (May 2013) 4 Sudan’s recovery Fund were abandoned as SRF concentrated on governance and security. As a result BSF’s Steering Committee decided to extend the fund from its original closing date of 30 June 2008 to 31 December 2008. BSF was further extended into BSF-2, which ended June 2010. For BSF-IA DFID again launched an international tender for the management of the fund and on 30 March 2010 the contract was awarded again to BMB MM for an inception phase that coincided with the final months of phase 2 and implementation until December 2011. On 16th January 2012 DFID signed a contract amendment with BMB MM for the BSF-IA extension (BSF-IAe). This contract included a budget with 2651 TA workdays for a 12 month period compared with 3368 TA days for the 18 months of BSF-IA. All these extensions cover the 4.5 year period from 30 June 2008 (original end date of BSF-1) till the end date of BSF-IAe on 31 March 2013. BSF’s main expected results were the establishment of operational primary schools, primary health clinics, drinking water points and latrines. This was done in parallel with capacity building, including training of teachers and health professionals and management training of local beneficiary groups, county authorities and the Steering Committee, to ensure that the access gained would be maintained at minimum levels for the medium term (Annex 1). Table 3: BSF’s donors with their contributions in GBP per phase Phase Total (GBP) Donor DFID MINBUZA NORAD CIDA SIDA EU BSF 1 18,925,902 18,925,902 BSF 2 23,121,450 9,001,450 6,500,000 3,720,000 3,900,000 BSF-IA 43,013,082 12,470,000 10,000,000 6,682,170 6,410,000 7,450,912 BSF-IAe 20,000,000 16,312,200 3,687,800 Total 105,060,434 56,709,552 16,500,000 10,402,170 3,900,000 10,097,800 7,450,912 Subsequently other donors decided to contribute to the fund and therefore a second phase started on 1 January 2009 (Table 2 and 3). Table 4: BSF financial allocation per sector (in GBP) Phase Total Health Education WATSAN Capacity Building Unallocated BSF 1 17,186,077 6,657,431 3,213,692 5,217,645 2,097,309 BSF 2 21,554,792 8,560,689 5,057,208 4,448,266 3,082,475 406,154 BSF-IA 39,970,000 18,938,767 9,504,000 8,688,401 2,715,630 123,201 BSF-IAe 18,347,290 13,002,072 3,441,009 942,049 855,148 107,012 Total 97,058,159 47,158,960 21,215,909 19,296,362 8,750,562 636,367 BSF was implemented through grants to non-state actors who could apply for grants in calls for proposals, of which the fund issued 4. The first call was in 2005, the second in 2006, the third in 2008 and the fourth in 2010. The rationale behind this implementation model is the specialisation of these non-state actors in Basic Service delivery, which was created already during the civil war (Operation Lifeline Sudan). Over 80% of health services in South Sudan’s rural areas are still supported by NGO/Faith Based Organisations. Table 5: BSF-Phase, financial envelope in GBP and dates Total Contract Grants NGO grants Grant Dates BMB contract 1 18,925,902 17,186,077 14 1-04-2006 31-12-2008 19-08-2006 31-12-2008 2 23,121,450 21,554,792 25 1-01-2009 31-06-2010 01-01-2009 31-08-2010 IA 43,013,082 39,970,000 38 1-07-2010 31-12-2011 01-03-2010 29-02-2012
  • 10. BSF-IAe Completion Report (May 2013) 5 IAe 20,000,000 18,347,290 27 1-01-2012 31-12-2012 01-01-2012 31-03-2013 Total 105,060,434 97,058,159 103 Main stakeholders were: the beneficiaries, members of the rural communities, with particular inclusion of vulnerable groups: women and children, IDPs and returnees. Stakeholders were also County, State and GoSS authorities of the Ministry of Health (MoH), the Ministry of General Education and Instruction (MoGEI) and the Ministry of Water Resources and Irrigation (MWRI) /Ministry of Physical Infrastructure), local government, BSF’s international donors, INGOs (International NGO) and NNGOs (National NGO). Table 6: BSF Beneficiariesper sector and per phase. Phase Primary Health Primary Education WASH - Water WASH - Sanitation Total Target Actual % Target Actual % Target Actual % Target Actual % Target Actual % BSF - 1 1,815,000 1,910,000 105 28,000 26,800 96 69,750 52,750 76 3,815 5,965 156 1,916,565 1,995,515 104 BSF - 2 2,605,000 2,885,000 111 33,250 25,600 77 62,000 75,750 122 20,480 24,230 118 2,720,730 3,010,580 111 BSF - IA 1,857,744 1,511,756 81 17,800 17,700 99 112,000 138,250 123 60,780 55,545 91 2,048,324 1,723,251 84 BSF - IAe 760,000 975,880 128 2,400 1,600 67 18,750 8,250 44 4,650 1,650 35 785,800 987,380 126 BSF-IAe, like its previous phase BSF-IA, was a transitional arrangement to allow time for GoSS, in partnership with the international community, to develop sector plans for service delivery post- Independence (9 July 2011) and to allow for a seamless, uninterrupted, transition into the new interventions for support to primary health. After the six years (2005/11) of the Interim Period of the Comprehensive Peace Agreement (CPA) that followed the signing of the CPA in 2005, GoSS started a Transition period (2011/15) that will culminate in South Sudan’s national elections planned for 2015. For this GoSS’ Transition period MoH and donors agreed to re-organise support for Primary Health geographically (Table 6) and to harmonize the support. The three main interventions are: the Integrated Service delivery project (USAID financed) in Eastern and Central Equatoria, the Rapid Results heath project (financed by World Bank) in Upper Nile and Jonglei and the Health Pooled Fund with DFID as lead donor in the remaining 6 States. Harmonisation applies to CHD capacity, payroll, and, all future grants of HPF, like SHTP will, cover at least an entire county. Health System Strengthening of County and State Ministry and support to direct service delivery through health facilities and community support will be the key priority. This report is prepared by the Management agent, BMB Mott MacDonald, as part of the terms of reference of BSF-IAe. Table 7: BSF number of grant contracts, INGO, NNGO (round & call for proposals) Total contracts Lead agent INGO Lead agent NNGO Consortium member INGO Consortium member NNGO BSF-1 Round 1 6 6 7 BSF-1 Round 2 8 7 1 4 6 BSF-2 Round 3a 11 9 2 8 BSF-2 Round 3b 5 4 1 1 4 Subtotal 30 26 4 5 25 BSF-IA Round 4a 32 30 2 1 23 BSF-IA Round 4b 6 6 1 4 Subtotal 38 36 2 2 27 BSF-IA extension 5 month bridge contracts with 24 3 20 3 0 4
  • 11. BSF-IAe Completion Report (May 2013) 6 IRC, JSI and SCiSS. Total 162 144 15 14 108
  • 12. BSF-IAe Completion Report (May 2013) 7 1. Review of Progress and Performance This section of the report addresses the logical framework’s impact, outcome and outputs with their indicators, milestones, targets and achievements (Annex 1 and Annex 1b). 1.1 Impact: Improved health and education particularly in communities hosting large numbers of returnees Impact Indicator 1. Maternal Mortality Rate (MMR) Table 8: Maternal Mortality ratio; baselines and targets per source Maternal mortality Baseline Milestones Target Logframe BSF-IA 1,500 NA 1,130 (Goss target 25% reduction) Jam* (March 2005) 1,700 2006 Household survey 2,0541 MNRH (draft 2009/12) 2,054 1630 (2010) 1,300 (2012); 1040 (2015) MDG 5 513 by 2015 (2054 reduced by 3 quarters) Logframe BSF-IAe 2,054 3% reduction by end of 2012: from 2054 to 1992 *Jam =UN’s Joint Assessment Mission prior to the CPA. Depending on the source values and targets for Maternal Mortality vary (Table 8). While the JAM (2005) estimated the ( Maternal Mortality Rate (MMR) at 1700/100,000 live births, the South Sudan Household Survey (SSHS of 2006) reports a MMR of 2,054 per 100,000 live births. MoH’s 2011 Maternal Neonatal & Reproductive Health (MNRH) strategy sets the target for 2012 at 1,300/100,000 live births. Since 2006 MoH nor UN did update this estimate. Therefore there are no data to measure progress towards BSF’s logical framework’s target of a 3% reduction. The District Health Information System (DHIS) and BSF-IAe database are incomplete on maternal deaths because these records are limited to the health facilities and maternal deaths mostly outside the facilities. In the absence of updated information on MMR “birth attendance by skilled health personnel” can be used to measure progress towards reducing maternal mortality. The proportion of births assisted in the BSF supported health facilities by a skilled health worker (according the MDG definition and MoH policy) of all expected births in 2012 was 1.5%, below BSF’s target of 5% and a fraction of the SSDP target of 30%. Most facility-based deliveries were attended by other health workers with proven delivery skills such as Community Midwives, Community Health workers, village midwives and trained Traditional Birth Attendants (TBA) . But according to the MDG Handbook these do not classify as “skilled” birth attendant. Of all pregnant women (4.2% of catchment population) in the catchment area 11% delivered in a BSF supported health facility compared with 3 % in 2011. 1 This maternal mortality ratio (MMR) is the reported estimate for Southern Sudan from the 2006 Sudan Household Health Survey (SHHS) and pertains to the years 2004-2006. This estimate should be interpreted w ith caution, as data collection did not follow standard procedures and thus may have statistical errors. An adjusted United Nations inter-agency MMR estimate for South Sudan has not been calculated yet. [from UNICEF Country Programme document 2012-2013]
  • 13. BSF-IAe Completion Report (May 2013) 8 Table 9: Proportion of birth attended by skilled health staff; baselines and targets per source Baseline Targets JAM (March 2005) 5% 90% by 2015 BSF-IA Logframe 5% (2006) 7% by Dec 2011 MNRH Strategy 2011-2013 14.75% (SHHS 2006) 20% by end of 2010 30% by end of 2012 40% by end of 2015 SSDP (2011-2013) 15% (2010) 30% by end of 2012 40% by end of 2013 BSF-IAe logframe 5000 (5%) by end of 2012 The baseline and target probably refer to a different definition of skilled attendant. Until 2012 community midwives were also considered skilled as reflected in the Basic Package of Health Services (BPHS). Several BSF-IAe grantees reported skilled attended births using this wider (than MDG’s) definition. BSF Secretariat corrected the figures for this Completion Report. Table 10: Birth attended by skilled health staff BSF phase Expected deliveries (4%) Deliveries in the facility % attended by skilled in facility % attended by ‘unskilled’ Logframe target skilled attended birth % attended by skilled staff of all births BSF IA 74,311 2.9% (2832) 7% 0.78% BSF-IAe 114,046 11% (12613) 14% 86% 5% (5000) 1.5% BSF invested in quality Ante Natal Care (ANC) and delivery services through pre- and in service training and mentoring on the job of health workers, provision of equipment and essential drugs and regular supervision, thus contributing to safer deliveries and reduction of maternal mortality. MoH’s targets are not “costed” and therefore not budgeted. For example to increase the “births attended by skilled staff” to SSDP’s (South Sudan Development Plan 2011) target (30%) MoH needs to deploy hundreds of qualified midwives whilst there are presently only very few available. Less than 15% of BSF supported facilities have a qualified midwife. Moreover, in facilities with certificated midwives pregnant women still risk to be attended by unskilled staff as observed in several urban PHCC in Juba and Wau and in hospitals. The qualified midwives tend to become supervisors and advisers leaving the actual birth attendance to community midwives and trained TBAs. Besides it will take several years to train midwives and the training capacity in-country is low. Work permits for non-South Sudanese medical staff are increasingly difficult to obtain. MoH’s policy is to phase out and upgrade Community Midwives to qualified midwives and TBAs to Home Health Promoters. Impact Indicator 2. Child or Under-five Mortality Rate (U5MR) Table 11: Under five mortality baselines and targets per source Under-five mortality MDG4 Baseline Target JAM (March 2005) 250/1000 (2001) 83/1000 (2015) 2006 Household survey 134/1000 (2005/06) BSF-IA Logframe (2010/11) 250/1000 188/1000 (GoSS target 25% reduction by 2011) MNRH Strategy 2009/12 135/1000 ( 2006) 128/1000 (milestone 2011) 2010 SSHHS survey 105/1000 live births MDG 4 Reduce by tw o thirds, betw een 1990 and 2015, the under-5 mortality rate BSF-IAe 135/1000 7% reduction by end 2012  126/1000 Similarly to the MMR, values and targets for (Under 5 years old Mortality rate (U5MR) vary. The latest figures are from the 2010 Household Survey: 105/1000 live births. DHIS only records death of under-fives in the facilities while most children die at home. DHIS data are still incomplete because MoH started the DHIS early 2011 and not all counties have adopted it yet.
  • 14. BSF-IAe Completion Report (May 2013) 9 In the absence of updated data on child mortality, Extended program Immunization (EPI) coverage can be used to measure progress towards reducing U5MR v(Table 12). SHHS (2010) recorded a DPT3 (Diphtheria, Pertussis, Tetanus) coverage rate of 15% (against a DPT3 coverage of 20% in the 2006 survey). SSDP sets the target for DPT 3 coverage for 2012 at 60%. BSF-IAe reached a DPT 3 coverage of 46% of all under-ones in the catchment population of BSF supported facilities. This is only an estimate but indicates a sizeable contribution. Increased utilization of curative health services and access to treatment of malaria, pneumonia and diarrhoeal diseases also shows a trend towards reducing child mortality (Table 13). Utilization of curative (Out Patient department ) OPD services by under-fives is measured by the number of recorded OPD consultations over the total under-five population (20% of catchment population). BSF-IAe supported facilities reported an OPD consultation rate of 1.00 visits per under-five capita per year. There are no comprehensive figures on the utilization of preventive services (immunization, growth monitoring, therapeutic feeding support etc.) Table 12: DPT3 coverage (Diphtheria, Pertussis,Tetanus) BSF phase Target group of under one year Target in logframe DPT3 completed DPT3 coverage SSDP target BSF IA (2011) 74,311 n.a. 29,709 40% 50% BSF-IAe (2012) 114,046 35% (33,000) 52,176 46% 60% Impact Indicator 3. Primary School drop-out rate Trends show high levels of dropout especially girls in P-4 onward. Reasons for dropout include, poverty (lack of cash for uniforms, fees etc), late enrolment, traditional gender role, low quality of teachers, language barriers and lack of infrastructure. In every round of BSF, through the in-service, pre-service and English language and PTA trainings, BSF grant recipients attempt to address the cultural paradigms that students, especially girls face. Since 2008 EMIS monitors and records the drop out in all 7000 primary education schools that are included in EMIS database. MoGEI published its first EMIS in 2009 (EMIS is supported by USAID). EMIS drop-out rate is between 25 and 30% in P1-2 which reduces to 15-20% in P2-3 (Fig 1). For girls this rate peaks again at P4-5 when girls reach puberty. BSF-IAe’s logframe’s baseline (Jan 2012) is 27% (girls 28%). BSF-IAe logframe target is 23%, which is 3% below EMIS’s 2011 average of 26%. For P2-3 and P4-5 the national record is lower than BSF-IAe’s target of a drop out of 23%. That means that this BSF-IAe baseline and target are not in line with EMIS. But the EMIS data should be interpreted with caution since data collection and data quality still need improvement and pupil’s ages vary more than usual, as is typical for a post-conflict situation. The last quarter of 2012 showed a drop-out rate of 16% in schools supported by the organisation HARD and 5% in schools supported by Food for the Hungry (FFH) due to teacher’ salaries not being paid. Lack of payment of teacher salaries, caused teachers to not go to work toward the end of quarter 4, causing higher student attrition rates at the end of 2012 (Annex 10). Due to influx of returnees to Makal County the enrolment in FFH assisted schools there was high with a pupil to classroom ratio of 176 -MoGEI recommends pupil to classroom ratio is maximum 50.
  • 15. BSF-IAe Completion Report (May 2013) 10 Figure 1 South Sudan primary drop-out rate (%) 2010-2012 (EMIS) OUTCOME 1.2. Outcome: Improved access to effective primary health services and primary education, particularly for vulnerable groups and in priority host communities for returnees Outcome Indicator 1. Outpatient consultations (curative care) Table 13: Curative outpatients consultations (all ages) in all BSF phases duration grant (months) Number supported facilities Total catchment population catchmentpop according to Target OPD consults Achieved OPD consults Average OPD cons per HF OPD attendance rate BSF-1 33 69 1,815,000 50,000 per PHCC 15,000 per PHCU none 74,2914 3,915 0.15 BSF-2 18 120 2,605,000 none 75,5146 4,195 0.19 BSF-IA 18 195 1,857,774 payam population none 1,511,756 5,168 0.54 BSF-IAe 12 272 2,851,149 payam population 760,000 1,367,084 5,637 0.53 BSF-1, BSF-2 and BSF-IA had no targets for Out patients consultations. OPD target for BSF-IAe was based on expected attendance rates converted to absolute figures but these were based on underestimated population figures (Table 13 and Annex 1b). The figures above are a bit misleading due to the different approach in catchment population estimation. The controversial BPHS standard of a population of 15.000 per PHCU and 50.000 per PHCC used in BSF 1 and 2 resulted in overestimates. After correction (based on average population per facility in BSF-IA and BSF-IAe) the estimated OPD attendance rates for BSF-1 is 0.3 and for BSF-2 it is 0.4. After an initial increase between 2006 and 2010 the OPD attendance rate for curative services stabilizes at 0.5 and exceeds the SSDP targets for 2011-2013. OPD attendance refers to curative services and excludes preventive services consultations like ANC attendance, immunization, nutrition status screening, HIV/AIDS related services etc. Facilities are in reality busier than the OPD figures suggest. According to BSF secretariat the returnee population is not included in the population figures of the National Statistical Yearbooks. This affects coverage figures: an estimated minimum of 500,000 returnees 0 5 10 15 20 25 30 35 40 45 P1-P2 P2-P3 P3-P4 P4-P5 P5-P6 P6-P7 P7-P8 2010 F 2010 Total
  • 16. BSF-IAe Completion Report (May 2013) 11 live in host communities served by BSF supported facilities, based on UN’s Office for Migration. Taking this population increase into account reduces OPD attendance rates as well as coverage figures for ANC, attended delivery and DPT3 immunization. Outcome Indicator 2. Primary pupil enrolment for classrooms constructed through BSF-2012. Initially BSF-IAe planned £12m for Primary Health and £6m for Primary Education. In the course of BSF- IAe’s budget grant consultations it became clear that PH needed £14.8m to meet extra demand for payroll allocations (more and higher stipends), for extra drug supplies and for overall price increases. As a result the Steering Committee approved a reduced allocation for Primary Education of £3.55 m and targets for school construction and teacher training lowered from 133 to 48 classrooms and an overall reduction from 1,033 trained teachers (900 ISTT and 133 PSTT) to 214 ISTT and 158 PSTT). This report compares progress with these reduced targets but the logical framework still has the original targets. Thus the capacity-enrolment for the 48 classrooms constructed reached only 2400 (max. 50 pupils per classroom) compared with the original logical framework target of 8,000 (based on 133 classrooms) and compared with an actual attendance of 4,000 (Annex 10). OUTPUTS Output 1. Strengthen primary health services, particularly for vulnerable groups and in priority host communities for returnees Output Indicator 1.1. Women attending ANC service for 1st time BSF phase Pregnant women (4.2%) Target in logframe ANC 1st visit ANC -1 coverage SSDP target BSF IA (2011) 78,027 n.a. n.a. n.a. n.a. BSF-IAe (2012) 119,748 30% 64,067 54% n.a. At 54% ANC-1coverage is higher than the logical framework’s target of 30%. But 46% of all pregnant women do not attend ANC services. This percentage is probably even higher when the returnees’ population is taken into account. BSF-IA set no targets for ANC-1 and ANC 4 and recorded only ANC 2+. Output Indicator 1.2. Women attending 4 or more ANC services BSF phase Pregnant women (4.2%) Target in logframe ANC 4+ visit ANC 4+ coverage ANC care rate SSDP target BSF IA (2011) 78,027 n.a. n.a. n.a. n.a. 15% BSF-IAe (2012) 119,748 15% 31,417 26% 49% 30% Around one quarter of all pregnant women attended ANC services at least 4 times and probably completed the essential TT immunization. Of the 64,067 pregnant women who attended once (see table on indicator 1.1) 31,417 attended at least 4 times. This means that the ANC care rate is 0.49. Output Indicator 1.3. Births attended by skilled health worker Births in the facility % of all expected birth attended by skilled staff (MDG) BSF phase Expected deliveries (4%) Logframe target skilled attended birth Total % attended by skilled in facility % attended by ‘unskilled’ in facility SSDP target* BSF IA 74,311 7% 2.9% (2832) 0.78% 30% BSF-IAe 114,046 5% (5000) 11% (12613) 14% 86% 1.5% 40% * SSDP includes community midw ives the category “skilled”.
  • 17. BSF-IAe Completion Report (May 2013) 12 While a growing number of pregnant women delivers in a health facility (11% in 2012 versus 2.9% in 2011), few pregnant women (1.5%) were actually attended to by a skilled birth attendant during birth giving because qualified midwives are hardly available in South Sudan, particularly in peripheral health facilities. In 3 supported urban PHCC in Juba there are several qualified midwives but in reality only 10% of the deliveries are attended by them. The majority of deliveries is assisted by trained TBAs and community midwives. To what extent the qualified midwives or clinical officers supervise is not recorded or reported. Data on the outcome of the deliveries are incomplete; still births are clearly underreported. Output Indicator 1.4. Children under 1 year completing DPT3 BSF phase Target group of under one year (4%) Target in logframe DPT3 completed DPT3 coverage SSDP target BSF IA (2011) 74,311 n.a. 29,709 40% 50% BSF-IAe (2012) 114,046 35% (33,000) 52,176 46% 60% DPT3 coverage increased over time, exceeds the target in the logical framework but still lags behind the SSDP target. A coverage below 50% indicates that communities remain at risk of epidemics. Output 2. Strengthened Primary Education Services particularly for vulnerable groups and in priority host communities for returnees Output Indicator 2.1. Number of classrooms constructed with 2 latrines per classroom, adequate offices, teacher quarters and water points on school site BSF-IAe ’s enrolment target for the 48 classrooms constructed is 2,400 as based on MoGEI recommend maximum capacity of 50 students per classroom (Annex 10). Actual enrolment reached 4,485. Attendance fell again to 4,000 which is still well above the recommended capacity. Output Indicators 2.2 Teachers Trained (PSTT) & Output Indicator 2.3 Teachers Trained (ISTT) In BSF-IAe had only six grantees in Primary education, compared with twelve in the previous phase. A total of 214 teachers were trained through ISTT (92% of target) and 158 through PSTT (97% of target). WR's ISTT trainees increased test scores with seven per cent. ACROSS' YTTC PSTT trainees increased theirs with 1%. WTI had a total of 425 teachers complete the ELT and 389 passed. 86% of targeted teachers passed the training (Annex 11). EMIS 2011 shows that there are approximately 26,549 teachers in South Sudan currently in the sc hool system. Of those teachers, only 3,389 (13%) have received pre-service training. Since 2006 BSF grant recipients have trained 2,198 teachers through in-service and 296 through pre-service training. This is 35% of the national total of teachers trained through in-service and 8% of the national total of teachers trained through pre-service training. WASH In GoSS’s post-CPA Transition period DFID dropped the WASH sector from its investment priorities in basic services in South Sudan. As a result £46,915 or 5% of the budget was dedicated for water and sanitation and these investments were strictly limited to wash for primary schools and health facilities. Overall the grantees met their targets (Annex 13). There always has been, and still is, widespread concern about the sustainability of newly drilled boreholes. According to the MRWI’s 2007 Water Policy document 30-50% of the boreholes in South Sudan are non- functional. There are a number of reasons: poverty, sub-standard drilling, inefficient contracts, spare parts logistics and availability. To improve Value for Money BSF started financing the repair and rehabilitation of broken down boreholes: compare a unit cost of £8,000 for a newly drilled borehole with this cost for
  • 18. BSF-IAe Completion Report (May 2013) 13 repair/rehabilitation of £1,400-3,700 (Annex 18). And the passed cost for drilled borehole are sunk cost and as such are not included in the economic cost benefit analysis making repair and rehabilitation more cost- effective compared with newly drilled boreholes. To maximize VfM further BSF requested grantees to make contracts based on Bill of Quantities or an itemized and costed list of all inputs (rather than lump sums) and imposed the geological survey prior to drilIing. In 2012 BSF’s secretariat conducted an assessment of all boreholes drilled with BSF financial support. The responses included 69% of the newly drilled boreholes. The 31% of the boreholes on which no information was received are mostly the inaccessible boreholes. The functionality rate was 96.5%. The main reasons for reduced functionality were difficulties with pumping and an objectionable taste or colour. The assessment showed once again that Water User Committees have a positive impact on borehole functionality. Therefore, it is important to continue training of WUC, with a special focus on early warning signs and preventive maintenance.
  • 19. BSF-IAe Completion Report (May 2013) 14 2. Fund Management At the end of BSF-IAe the grant disbursement reached 99% (Annex 3).The combined external grant audits recorded 0.08 % ineligible expenses. Both these percentages indicate high levels of performance in particular taking into account the short 12 months grant period and the short closing down period of 2 months ( DFID extended this to 3 months). Main factors that contributed to this record are: 1 Selection of grantees included financial criteria; submission of at least 3 annual audits and the annual turnover should be at least twice the requested grant; 2 Standard grant budgets linked to targets; 3 Monthly invoicing in arrears with monthly inspection of these invoices; 4 Two step audits with a first one after 9 month only since this allows more time to make corrections; 5 Timely payments-both of DFID to management agent and of management to grantees; 6 Decentralized management model with emphasis on BSF’s secretariat in Juba; 7 Intensive field monitoring by BMB MM TA team with the grantees (Annex 16); 8 Open-door policy of BSF’s secretariat to maximize opportunities for consultation between BMB Mott MacDonald TA team and the grantees.
  • 20. BSF-IAe Completion Report (May 2013) 15 3. Assumptions and Risks BSF’s logical frame works include numerous assumptions but most of these are not real assumptions since they describe situations that fall within the influence and responsibility of grantee and/or management agent. A real assumption is an external factor which could affect progress, but over which project management has no direct control. Therefore BSF-IAe’s assumption with output 2 :“NGO provide minimum required standard of support” is not a real assumption since the grantee’s standard of support falls within the mandate of the grantee and management consultant. An assumption is positively formulated, for example “Primary School teachers receive their salaries by the end of the month”. When formulated as negative statements, assumptions become ‘risks’ (i.e. salaries are not paid). BSF dealt with actually only one overriding circumstance that meets this criteria, namely that the operational budgets of the relevant ministries are on course to meet running costs and salaries by the end of the project (exit strategy). For example the payroll of MoH; this is a real assumption since it is outside the influence of grantee and management consultant but at the same time it effects the project’s implementation. In short the conclusion is justified that BSF’s extensions (from the original small grant fund of GBP 8m meant as a short bridge to the MDTF to what became a total of seven years of consecutive phases of grant funds amounting to a total of £ 105 m GBP) became necessary because the main assumption, that GOSS would pay salaries in basic services, was not met. The fact that the CPA would hold was also an important assumption that, in spite of severe security crisis, did come through. 3.1 Austerity budget In the period 1 January-31 December 2012 (BSF-IAe) two national budgets applied: The first one for FY 2011/12 from 9 July 2011 -8 July 2012 and the second from 9 July 2012 -8 July 2013 and BSF overlapped with 6 month. Both budgets for the FY 2011/12 and FY 2012/13 were austerity budgets to deal with the reduced oil revenues since GOSS stopped the oil production early in January 2011 (and production only resumed in March 2013). The influence of these austerity budgets on basic services is difficult to quantity but should not be underestimated. Initially BSF-IAe planned to disburse 12m GBP for Primary Health and 6m GBP for Primary Education. In the course of the budget consultations it became clear that PH needed 14.8m GBP to meet extra demand for payroll (more and higher stipends); for extra drug supplies and for overall price increases. Since June 2011 the border between Sudan and SS has been closed. As a result prices of essentials (diesel etc.) doubled and in Upper Nile tripled; there are also food shortages (grantees have to ship in food for their staff at a high cost in for example Baliet and Kodok). There are several issues with MoH salaries. Firstly, the electronic payroll is relatively new, secondly the conditional transfers are under-budgeted and thirdly the last 3 years salaries have not increased. Besides this, MoH is not yet fully compliant with MoFEP instructions that only classified staff (professional Grade 5 and up of enrolled nurses) are included and all non-classified (un- and semi-skilled) staff are excluded from the payroll. Additionally, the allocation for Primary Health increased to provide a reserve for six bridging grants to 4 former USAID/SHTP grantees (IRC, SCISS, CCM and John Snow int.) in the states where the new HPF would be implemented for the five month period between1 August -31 December 2012 when HPF started.) .
  • 21. BSF-IAe Completion Report (May 2013) 16 4. Unit Costs The unit costs for construction are recorded in Annex 18 a-18d. These costs do not easily lend themselves for benchmarking and analysis of value for money mainly because:(i) there are no construction blueprints for schools and health facilities and as a result standards and size vary; (ii) South Sudan is a big country with an exceptionally poor transport infrastructure; (iii) geological conditions differ: foundations in soft sub soils increase construction costs compared with rocky undergrounds that do not require foundations. Security also played an important role in the costs of transport in particularly when, in early 2011, the border with Sudan closed and essentials like fuel had to be flown in. But one conclusion stands out: compare a unit cost of £8,000 for a newly drilled borehole with the cost for repair/rehabilitation of £1,400-3,700. All cost incurred in the past for a drilled but broken borehole are so called “sunk cost” and these sunk costs need not be included in the economic cost benefit analysis. This makes repair and rehabilitation three to four times as cost-effective compared with newly drilled boreholes .
  • 22. BSF-IAe Completion Report (May 2013) 17 Annex 1a. Logical Framework PROJECT NAME IMPACT Impact Indicator 1 Baseline Milestone 1 Milestone 2 Milestone 3 Target (date) Improved health and education particularlyin communities hosting large numbers returnees Maternal Mortality Rate (MMR) Planned 2,054 per 100,000 births - - - 3% reduction (2012) Achieved Source South Sudan Health Household survey2006, the target data will be from LQAS 2012 Impact Indicator 2 Baseline Milestone 1 Milestone 2 Milestone 3 Target (date) Child Mortality Rate (<5y) Planned 135 per 1,000 - - - 7% reduction (2012) Achieved Source South Sudan Health Household survey2006, the target data will be from LQAS 2012 Primary school drop-outrate Baseline Milestone 1 Milestone 2 Milestone 3 Target (date) Planned M: 26.8 F:28.2 T:27.3 - - - M: 22.4 F: 23.2 T: 22.8 Achieved Source EMIS 2010
  • 23. BSF-IAe Completion Report (May 2013) 18 OUTCOME Outcome Indicator 1 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Assumptions Improved access to effective primary health services and primaryeducation, particularlyfor vulnerable groups and in priority host communities for returnees Outpatient consultations Planned 0 380,000 760,000 (Dec 2012) Other service providers achieve similar improvements in access to services as BSF. No major adverse external events affect health, e.g. epidemics, security breakdown, famine Achieved Source BSF Quarterly Report Outcome Indicator 2 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Primary pupil enrolment for classrooms constructed through BSF-2012 Planned 0 0 8,000 (Dec 2012) Achieved Source BSF Quarterly Report INPUTS (£) DFID (£) Govt (£) Other (£) Total (£) DFID SHARE (%) 20m 0 0 20m 100 INPUTS (HR) DFID (FTEs)
  • 24. BSF-IAe Completion Report (May 2013) 19 OUTPUT 1 Output Indicator 1.1 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Assumption Strengthened primaryhealth services, particularlyfor vulnerable groups and in priority host communities for returnees Women attending 1 ante-natal care visits Planned 0 15,000 29,000 (Dec 2012) MoH and NGOs provide minimum required standard of supportfor health facility operation. -Inflation and its affect on the budgetdoes not have an impacton achievementof results. Achieved Source BSF Quarterly Report Output Indicator 1.2 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Women attending 4 ante-natal care visits Planned 0 7,500 15,000 (Dec 2012) Achieved Source BSF Quarterly Report Output Indicator 1.3 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Births attended by skilled health workers Planned 0 2,500 5,000 (Dec 2012) Achieved Source BSF Quarterly Report IMPACT WEIGHTING (%) Output Indicator 1.4 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) 60 Under 1s completing DPT3 Planned 0 16,500 33,000 (Dec 2012) Achieved Source RISK RATING BSF Quarterly Report Low INPUTS (£) DFID (£) Govt (£) Other (£) Total (£) DFID SHARE (%) 13.1 0 0 13.1 100 INPUTS (HR) DFID (FTEs)
  • 25. BSF-IAe Completion Report (May 2013) 20 OUTPUT 2 Output Indicator 2.1 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Assumptions Strengthened primaryeducation services particularly for vulnerable groups and in priority host communities for returnees Classrooms constructed (with 2 latrines per classroom,adequate offices,teacher quarters, latrines and water points on school site) Planned 0 0 160 (Dec 2012) -MoE and NGOs provide minimum required standard of supportfor school operation - That the impactof the closed border between South Sudan and Sudan,which is having an impacton prices of essential goods,does not affect achievement of these results. Achieved Source BSF Quarterly Report Output Indicator 2.2 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) Teachers completing pre- Service Training (completion offinal year of a 4 year course) Planned 0 0 133 (Dec 2012) Achieved Source BSF Quarterly Report IMPACT WEIGHTING (%) Output Indicator 2.3 Baseline Milestone 1 Milestone 2 (6/2012) Milestone 3 Target (date) 40 Teachers completing in- service Training begun under BSF-IA Planned 0 0 900 (Dec 2012) Achieved Source RISK RATING BSF Quarterly Report medium INPUTS (£) DFID (£) Govt (£) Other (£) Total (£) DFID SHARE (%) 6.9 0 0 6.9 100 INPUTS (HR) DFID (FTEs)
  • 26. BSF-IAe Completion Report (May 2013) 21 Annex 1b. Source table for Logframe 1 2 3 4 5 6 BSF IAe Value Source Formula 26 February comments/corrections by BSF secretariat 1 Population HPF states County based 1,476,976 These estimates are based on Census countypopulation figures,but BSF-IAe rarely covers a full county - therefore new estimates are based on Payam population figures 2 Population Non-HPFstates County based 1,115,595 These estimates are based on county population butBSF-IA rarely covers a full county - therefore new estimates are based at Payam level. 3 Total population in BSF IAe projectarea County based 2,595,571 1,476,976 + 1,115,595 Figure is based on Census 2008 data and corrected for population growth. 4 Under fives County based 410,105 15.8% (SSHS) 2,595,571 x 15.8 /100 The percentage is based on age group specific figures ofthe Census 2008. 5 BSF IAe population in project area Payam based 1,892,954 6 CBR 50.5 /1000 WHO / SSHHS A crude birth rate of 5% seems high (see note below).Different sources provide differentfigures ranging from 3% to 5% 7 Number of expected births 95,594 5.05% of 1,892,954 8 Children under 1 95,594 5.05% of 1,892,954 With a child / under one the mortality rate of 106/1000 the children reaching 1 year are 86,035. Available key documents on demographic data state that the CBR is high:50.5/1000 while the under 5 groups represents 16% ofthe population according to the South Sudan Household Survey2010. Thus only 64% reach the age of 5 year. This does notcorrespond with the U5 mortality figure of 250/1000 (UNFPA April 2007) or 135/1000 (MNRH Strategy 2009 / SSHH survey 2006). According to the BSF-primary health consultantthe CBR may be lower, rather 4% than 5%. This corresponds with demographic figures used by the EPI departments ofthe MoH. Births:4%, age group 12-23 months:3.5% 9 Primary school age group (5-18) 717,254
  • 27. BSF-IAe Completion Report (May 2013) 22 Targets outputs Value Source Formula 26 February comments/corrections by BSF secretariat 10 Children under one year immunized with DPT-3 33,000 (logframe) SSDP target for DPT 3 is 60% by the end of 2012 BSF IAe has seta lower target of 35% 95.594 / 100 x 35 If at least33,000 children will be immunized with DPT3 in BSF IAe a 35% DPT-3 coverage is achieved. The grantees have set a total target of 53,894 children to complete DPT3 = 63%. If this is achieved, the SSDP target of 60% is reached. 11 Births attended by skilled health workers 5,000 (log frame) SSDP target = 30% by end 2012 Target BSF-IAe was initiallysetat 15% but seemed too ambitious. Reduced to 5% by DFID 5000 = approximately5% of all expected births 5% of all births = 4779. 1,892,954/1000 and x 50.5 (CBR) =95,594 births 5% of this CBR =4779 so target is 5,000 (rounded) based Amended by DFID: to 5000 births attended by a skilled health worker. BSF-IAe will closelymonitor the developments with regard to attended deliveries by other trained health personnel with proven delivery skills such as communitymidwives and MCHW. The observed trend in BSF-IA is that these health workers are staffing the first line facilities;enrolled MW are very scarce. 8a Pregnant women paying 1st ANC visit 29,000 BSF-IAe target for 2012 is 30% first ANC 29,000 = 30% of 95594 (all pregnant women / CBR) HMIS / DHIS record 1 and 4 ANC and BSF-IAe database needs to be consistent. Log frame therefore includes 1st ANC and 4th ANC visit. BSF IA only recorded ANC 2 or more. BSF-IAe grantees seta total target of 57,526 1st ANC = 60%
  • 28. BSF-IAe Completion Report (May 2013) 23 8b Pregnant women paying 4 ANC visits 15,000 BSF-IAe target for ANC 4th visit : 15% SSDP target =30% by the end of 2012 15% of 95,594 = 14,339,rounded off to 15,000 BSF-IA recorded only the number of pregnantwomen with 2 or more ANC visits and achieved 45,345 in 12 months. BSF-IAe grantees seta total target of 28,449 = 30% 9 Number ofOPD consultations per person per year / utilization rate 1,892,954 x 0.4 = 757,181 Rounded 760,000 SDDP target = 0.4 by the end of 2012 BSF-IAe target : 0.4 The BSF-IAe grantees have set a total of 1,786,601.If this is achieved, it would mean a utilization rate of 0.94, twice as high as the SDDP target. The grantees targets maytherefore be too ambitious and deserve close monitoring 10 Pupil enrolment BSF-IAe target: 8000 160 classrooms x 50 pupils = 8000 11 Number of classrooms constructed BSF-IAe target: 160 12 Teachers completing pre- service training BSF-IAe target : 133 13 Teachers completing in service training BSF-IAe target : 900 The target is 900 ( these are the students enrolled in BSF-IA (target 1043) that will complete their ( 4 stage ) training in 2012 The education impact indicator is now "Drop out Rates." DFID Disclaimer recommended by BSF secretariat: since June 2011 the border betw een Sudan and SS is closed. As a result prices of essentials (dieseletc) have doubled and in Upper Nile tripled; There are also food shortages (granteeshave to ship in food for their staff in for example Baliet and Kodok) . This emergency situation w illaffect the BSF-2012 budgets for Primary Health; the targets for education cannot therefore be confirmed until the new budgets for 2012 are approved
  • 29. BSF-IAe Completion Report (May 2013) 24 Annex 2. Grantee Overview LEAD AGENCY CONSORTIUM MEMBERS START DATE END DATE MONTH Contract amount Addendum 1 BUDGET GBP ADRA CDS, AMA 01-Jan-12 31-Dec-12 12 600,655 24,924 625,579 ARC SUH, KDI,CLCP 01-Jan-12 31-Dec-12 12 750,959 750,959 AVSI Catholic Diocese of Torit 01-Jan-12 31-Dec-12 12 597,736 28,470 626,206 CARE 01-Jan-12 31-Dec-12 12 999,129 999,129 CCM 01-Jan-12 31-Dec-12 12 644,469 191,554 836,023 CMSI ECS 01-Jan-12 31-Dec-12 12 120,000 30,000 150,000 Concern 01-Jan-12 31-Dec-12 12 707,000 707,000 CordAid Catholic Diocese of Tambura-Yambio 01-Jan-12 31-Dec-12 12 345,009 345,009 GOAL 01-Jan-12 31-Dec-12 12 1,363,584 1,363,584 HealthNet CRM 01-Jan-12 31-Dec-12 12 1,187,367 22,377 1,209,744 IMA (UN) JDF 01-Jan-12 31-Dec-12 12 711,654 711,654 IMA (JON) JDF 01-Jan-12 31-Dec-12 12 766,447 (56,635) 709,812 IMC PRDA, NHDF 01-Jan-12 31-Jan-13 12 775,480 95,520 871,000 Malteser 01-Jan-12 31-Dec-12 12 616,486 616,486 Merlin 01-Jan-12 31-Dec-12 12 698,550 698,550 OVCI Catholic Archdiocese of Juba 01-Jan-12 31-Dec-12 12 398,893 398,893 Tearfund 01-Jan-12 31-Dec-12 12 1,099,775 1,099,775 World Vision Catholic Diocese of Tambura-Yambio 01-Jan-12 31-Dec-12 12 600,001 (38,070) 561,931 JSI see note) 01-Aug-12 31-Dec-12 5 233,341 (100,000) 133,341 IRC 01-Aug-12 31-Dec-12 5 654,226 654,226 SciSS 01-Aug-12 31-Dec-12 5 705,121 705,121 TOTALS: Primary Health: 20 GRANT RECIPIENTS 14,774,022 WTI 01-Jan-12 31-Dec-12 12 454,584 25,307 479,891 ACROSS Yei Teacher Training College 01-Jan-12 31-Dec-12 12 400,328 400,328 MRDA 01-Jan-12 31-Dec-12 12 399,351 399,351 WR ECS 01-Jan-12 31-Dec-12 12 406,699 406,699 HARD 01-Jan-12 31-Dec-12 12 998,022 18,394 1,016,416 FFH SDA 01-Jan-12 31-Dec-12 12 892,735 21,769 914,504 TOTALS: Primary Education: 6 GRANT RECIPIENTS 3,617,189 GRAND TOTAL: 27 GRANT RECIPIENTS 18,391,211 Underspent: -43,921 GRAND COMPONENT: 18,347,290 1. CCM received a BSF contract amendment for an increase to £ 836,023 to support the facilities previously covered under the SHTP-2 grant in Warrap-State, Tonj South-County. 2. JSI, IRC and SCiSS are ex USAID SHTP grantees funded by BSF from August 2012-31 December 2012..
  • 30. BSF-IAe Completion Report (May 2013) 25 Annex 3. Grantee Disbursement NGO Contract amount (GBP) Contract period Actual expenditure Budget remaining (GBP)Period No. Months Amount (GBP) % up until Month No. of months (%) ADRA 625,579 01.01 - 31.12.12 12 621,408 99 Dec-12 12 100 4,171 ARC 750,959 01.01 - 31.12.12 12 750,959 100 Dec-12 12 100 0 AVSI 626,206 01.01 - 31.12.12 12 626,206 100 Dec-12 12 100 0 CARE 999,129 01.01 - 31.12.12 12 962,788 96 Dec-12 12 100 36,341 CCM 836,023 01.01 - 31.12.12 12 835,960 100 Dec-12 12 100 63 CMSI 150,000 01.01 - 31.12.12 12 149,896 100 Dec-12 12 100 104 CONCERN 707,000 01.01 - 31.12.12 12 707,000 100 Dec-12 12 100 0 CORDAID 345,009 01.01 - 31.12.12 12 344,986 100 Dec-12 12 100 23 GOAL 1,363,584 01.01 - 31.12.12 12 1,363,584 100 Dec-12 12 100 0 HealthNetTPO 1,209,744 01.01 - 31.12.12 12 1,180,643 98 Dec-12 12 100 29,101 IMA (UN) 711,654 01.01 - 31.12.12 12 693,258 98 Dec-12 12 100 18,396 IMA (JON) 709,812 01.01 - 31.12.12 12 709,812 100 Dec-12 12 100 0 IMC 871,000 01.01 - 31.01.13 13 833,399 68 Jan-13 13 92 37,601 MALTESER 616,486 01.01 - 31.12.12 12 616,102 100 Dec-12 12 100 384 MERLIN 698,550 01.01 - 31.12.12 12 698,550 100 Dec-12 12 100 0 OVCI 398,893 01.01 - 31.12.12 12 398,834 100 Dec-12 12 100 59 TEARFUND 1,099,775 01.01 - 31.12.12 12 1,099,460 100 Dec-12 12 100 315 World Vision 561,931 01.01 - 31.12.12 12 532,507 95 Dec-12 12 100 29,424 WTI 479,891 01.01 - 31.12.12 12 479,891 100 Dec-12 12 100 0 ACROSS 400,328 01.01 - 31.12.12 12 399,927 100 Dec-12 12 100 401 MRDA 399,351 01.01 - 31.12.12 12 399,351 100 Dec-12 12 100 0 World Relief 406,699 01.01 - 31.12.12 12 406,699 100 Dec-12 12 100 0 HARD 1,016,416 01.01 - 31.12.12 12 1,016,416 100 Dec-12 12 100 0 FFH 914,504 01.01 - 31.12.12 12 914,504 100 Dec-12 12 100 0 JSI 133,341 01.08 - 31.12.12 5 132,583 100 Dec-12 5 100 758 IRC 654,226 01.08 - 31.12.12 5 629,923 96 Dec-12 5 100 24,303 SCiSS 705,121 01.08 - 31.12.12 5 670,013 95 Dec-12 5 100 35,108 Under spentby NGOs -43,921 -43,921 Total allocated BSF IAe 18,347,290 18,174,659 99 172,631 Unallocated 0
  • 31. BSF-IAe Completion Report (May 2013) 26 Annex 4a. Primary Health Targets and Achievements in all 4 phases BSF-1 ( 33 months ) BSF-2 (18 months) BSF-IA (18 months) BSF-IAe (12 months) Target Achieved % Target Achieved % Target Achieved % Target Achieved % New PHCC 18 7 39 5 3 60 10 12 120 1 1 100 Rehabilitated PHCC 0 6 0 8 0 15 - - PHCC services supported 6 9 21 19 52 32 62 70 70 100 New PHCU 36 18 50 12 23 192 40 35 88 1 1 100 Rehab PHCU 0 11 0 6 0 22 - - PHCU Services supported 5 15 300 75 60 80 142 101 71 201 201 100 Hospital Services supported 0 3 0 1 0 1 1 1 OPD Consultations (< and > 5) 0 (1) 742,914 0 (1) 755,146 1,857,744 (3) 1,511,756 81 760,000 (4) 1,367,084 180 Catchment Population) (2) 1,815,000 1,910,000 2,605,000 2,885,000 2,851,149 (1) Logframe for BSF-1 &2 set no OPD consultation targets. Only actual OPD attendance figures of each facility were recorded. (2) Catchment populations in BSF-1 & 2 were calculated in accordance with BHPS of 50,000 beneficiaries for a PHCC and 15,000 for a PHCU. As a result the catchment population estimates proved too high. (3) In BSF-IA the target for OPD consultations was calculated as follows: 0.5 consultations per year per capita in payam population for newly established health facilities; 0.7 consultations per year per capita in payam population for already supported facilities. Payam population data based on 2008 Census - National Bureau of Statistics. (4) The OPD consultation target for BSF-IAe was based on the SSDP target for 2012 of 0.4 consultations per person per year: 1,892,954x0.4=757,181 so target is 760,000 rounded (see also annex 1c Source Doc) The table below shows the OPD consultation rate for each of the phases, corrected for the duration of the grants Phase No. months in the grant facilities catchment pop catchment pop acc to OPD consultations OPD consultations per year OPD consultations per HF OPD attendance rate BSF-1 33 69 1,815,000 50,000 per PHCC 15,000 per PHCU 742,914 270,151 3,915 0.15 BSF-2 18 120 2,605,000 755,146 503,431 4,195 0.19 BSF-IA 18 195 1,857,774 payam population NBS 1,511,756 1,007,837 5,168 0.54 BSF-IAE 12 272 2,851,149 payam population NBS 1,367,084 1,367,084 5,637 0.53
  • 32. BSF-IAe Completion Report (May 2013) 27 Annex 4b. Primary Education Targets and Achievements in 4 Phases StudentBeneficiaries Primary Education BSF 1- IAe BSF-1 BSF-2 BSF-IA BSF-IAe Cumulative Achieved Target Achieved % Target Achieved % Target Achieved % Target Achieved % New Classrooms constructed 152 160 105 161 192 119 220 218 99 48 48 100 618 School services 51 47 92 63 40 63 17 17 100 - - - - Beneficiaries (pupils) ( 1) 28,000 26,800 96% 33,250 25,600 77% 17,800 17,700 99% 2,400 2,400 100% - %: Percentage of target achieved (1) Beneficiaries are calculated as 50 pupils per classroom or per school support service Teacherstrained (1) The figures for CEDs and Head Teachers trained were only in BSF-IAe disaggregated (2) ELT – 389 teachers passed the ELT stage of training versus 425 enrolled in the course Primary Education BSF 1-IAe ISTT PSTT CED (1) Head Teachers (1) ELT BSF-IAe 214 158 231 164 389 (2) BSF-IA 718 133 373 1,180 BSF- 2 1,248 6 736 39 BSF-1 812 0 22 0
  • 33. BSF-IAe Completion Report (May 2013) 28 Annex 4c. WATSAN Targets and Achievements in 4 Phases WATSAN BSF1-IAe BSF-1 BSF-2 BSF-IA BSF-IAe Cumulative Achieved Target Achieved % Target Achieved % Target Achieved % Target Achieved % New boreholes 195 156 80 138 148 107 214 250 117 28 25 89 579 Rehab boreholes 84 55 65 110 155 141 234 303 129 47 37 79 - Total boreholes 279 211 76 248 303 122 448 553 123 75 62 83 - Other water sources (1) 1 1 100 10 6 60 148 171 116 11 18 164 196 Water beneficiaries (users) (2) 69,750 52,750 76 62,000 75,750 122 112,000 138,250 123 18,750 15,500 82 - Institutional latrines (stances) - - - 234 360 154 791 780 99 107 113 106 1,253 Household latrines - - - 1,756 1,246 71 4,246 3,309 78 0 0 4,555 Total latrines 763 1,193 156 1,990 1,606 81 5,037 4,089 81 107 113 106 5,808 Sanitation beneficiaries (3) 3,815 5,965 156 20,480 24,230 118 60,780 55,545 91 5,350 5,650 107 - (1) This includes hafirs, sand filters, rainwater harvesting system, small water distribution system etc. As the number of benefic iaries varies for each system, it has not been estimated. (2) Borehole beneficiaries were originally calculated on the basis of 500 beneficiaries per unit, as per the SPHERE handbook (estimate for emergency situation). BSF reduced this estimate to 250 in accordance with the MWRI's Technical Guidelines for construction and management of boreholes and hand-pumps (2009) (3) Sanitation beneficiaries are estimated as 5 people per household latrine and 50 beneficiaries for institutional latrines.
  • 34. BSF-IAe Completion Report (May 2013) 29 Annex 5a. Steering Committee Meeting Record No . Date Place Agenda Participants 1 28 October 2005 Rumbek BSF and TOR SC n.a. 2 10/11 January 2006 Juba Capacity building of SC and selection proposals 20 3 6, 7 April 2006 Juba Update on progress and 2nd call for proposals 20 4 6, 7 Sept 2006 Juba Evaluation of BSF NGOs, procedure for 2nd call 18 5 17 October 2006 Juba Pre-selection 2nd call 9 6 13 December 2006 Juba Selection of short listed proposals 7 7 May 2007 Juba Progress on implementation 15 8 22 August 2007 Juba Progress on implementation 14 9 6 December 2007 Juba Progress on implementation 14 10 10 January 2008 Juba Briefing MTR 15 11 19 January 2008 Juba De-briefing MTR 20 12 14 May 2008 Juba Progress on implementation and future of BSF 13 27 May 2008 Juba BSF and TOR SC 15 14 15 July 2008 Juba BSF extension 12 15 19 August 2008 Juba Planned 16 15 Sept 2008 Juba 3rd round priorities (special session on planning) 12 17 4 November 2008 Juba 3rd round concept papers pre-evaluation 14 18 10 December 2008 Juba 3rd round proposal ranking 11 19 10 March 2009 Juba Update on closing down Phase-1, starting up Phase-2 16 20 13 July 2009 Juba Update on implementation and exit strategies 20 21 26 August 2009 Juba Annual review debriefing 22 20 October 2009 Juba Progress on implementation and future of BSF 25 23 27 January 2010 Juba Implementation update 25 24 24 March 2010 Juba Disbursement update, revised SC ToR, application procedures new round of proposals 18 25 14 May 2010 Juba BSF-2 & BSF-IA 17 26 1 June 2010 Juba BSF-2 & BSF-IA 25 27 8 Sept 2010 Juba BSF-IA 21 28 9 December 2010 Juba BSF-IA 20 29 30 March 2011 Juba BSF-IA; debriefing MTR 2011 27 30 9 May 2011 Juba BSF-IA 13 31 6 July 2011 Juba BSF-IA 22 32 26 August 2011 Juba BSF-IA 20 33 4 November 2011 Juba BSF-IA 22 34 20 January 2012 Juba BSF-IAe 18 35 4 April 2012 Juba BSF-IAe 16 36 25th May 2012 Juba BSF-IAe 16 37 11th September 2012 Juba BSF-IAe 16 38 9th November 2012 Juba BSF Review mission 23 39 31 January 2013 Juba BSF-IAe progress and closing down No quorum 40 26 March 2013 Juba BSF-IAe closing down 27
  • 35. BSF-IAe Completion Report (May 2013) 30 Annex 5b. Key Dates Year Date Event and details 2005 September DFID Khartoum contracts the IDL group (UK) and Skills for Southern Sudan to help prepare the establishment of the Basic Services Fund October First Steering Committee Meeting in Rumbek announcing the launch of the Basic Services Fund November Skills for Southern Sudan launches first call for proposals December DFID invites 6 consultancy companies to tender for the provision of management consultancy services to the BSF 2006 January Second SC meeting to decide on selection of projects DFID informs selected NGOs about aw ard of contract February Deadline for the submission of tenders for the proposals for the management consultant March DFID Khartoum signs accountable grant agreements w ith NGO grant recipients Q2 Grant recipients receive first advance payments directly from DFID August DFID signs contract w ith selected management consultant BMB Mott MacDonald (formerly Arcadis BMB) Q 4 BMB MM starts transfer of contracts w ith grant recipients from DFID to BMB MM; DFID closes all grant agreements by Dec. 2006 September BMB MM launches 2nd call for proposals October Information w orkshop in Juba w ith pre-selected NGO December Steering Committee meeting to decide on selection of NGOs BMB MM informs selected NGOs about aw ard of contract 2007 January Second round project contracts signed betw een Grant recipients and BMB MM and effective 1 January 2007 February DFID and BMB MM sign contract amendment no.2 w hich includes £14.94m in NGO programme funds (omission in initial contract) March BMB MM starts to reimburse first claims from NGOs November Planned Mid Term review gets delayed until December and later until January 2008 2008 January Post-election crisis in Kenya delays return of many international staff NGO staff January BSF-1’s Mid Term Review (originally planned for Nov 2007) takes place April DFID extends contract w ith BMB MM w ith 8 months until 31 December 2008 and tops up programme funds w ith £1.68m Q1-2 Contracts w ith NGOs are extended till 30 September 2008; all receive a cost extension, except AMREF, SC-US and SC-UK due to delays w ith implementation July Fieldtrip from Lessons Learnt analysis Primary Education 12 August Start dissemination Lessons Learnt w orkshop Primary Education Q3 Contracts w ith NGOs are extended till 31 December 2008; this is a no-cost extension, w ithout additional funding Q 4 Decision to extend all first and second round BSF Grant recipients in primary health September BMB MM launches 3rd call for proposals Launch SRF (verify date) 1st call proposals (relevant to BSF?? WG) 26-29 October GOSS-second National Health Assembly (BSF consultant assisted in preparing the proceedings (on w ebsite) November Information w orkshop in Juba w ith pre-selected NGOs December Steering Committee meeting to decide on selection of NGOs BMB MM informs selected NGOs about aw ard of contract 2009 January DFID as lead donor signs agreements w ith NORAD and DGIS for additional contributions to BSF. January DFID and BMB MM sign contract amendment no.9 w hich includes extension till 31 August 2010 (phase 2) and new programme funds of £17.4m February Phase 2 project contracts signed betw een Grant recipients and BMB MM and effective 1 January 2009 for a duration of 18 months 12 February Start dissemination and sharing Lessons Learnt in Water & Sanitation
  • 36. BSF-IAe Completion Report (May 2013) 31 Year Date Event and details April CIDA contribution is confirmed and DFID and BMB MM sign contract amendment no. 10, w hich includes additional programme funds of £3.9m 4th April Kick-off meeting w ith third round BSF grantees April Field w orkon follow -up lessons learnt Primary Education April BMB MM signs contracts w ith 4 additional grant recipients selected as runners-up during the third call evaluation process; projects have a start date of 1 April 2009 and a duration of 15 months 20 May Financial reporting w orkshop June Closure of all contracts signed w ith grant recipients selected in calls 1 and 2 (phase 1) 5 June Financial reporting w orkshop 16 June Closing w orkshop on first Peer Review that took place in Q 4 of 2008 (presentation of main findings and conclusions) 22 September DFID and BMB sign contract amendment no. 11 including a reduction of the CIDA contribution (due to sterling – dollar exchange rate fluctuations) plus a transfer of unspent programme funds from phase 1 to phase 2 October Third GoSS Health Assembly w as planned but did not take place (BSF w ill assists again w ith consultant for the drafting of proceedings) 26 October Submission of Phase 1 Final Report 2010 20 March Closing dow n w orkshop for BSF Implementing Partners 13-15 April National Elections March-April Round of negotiations w ith NGO Implementing Partners to re-allocate budgets 1 March-30 June BSF-IA Inception phase April-May Contract amendments (budget revisions) w ith NGO Implementing Partners 30 June End of contracts Primary Heath extension (round 1 and 2) 30 June End of contracts Round 3A and 3B July - August BSF grantees submit final completion report, updated asset list, expenditure verification report (audit) and final invoice 1 July ( 31 December 2011) Start BSF-Interim Arrangement 31 August End of contract DFID-BMB MM 30 September Submission of Phase 2 Final Report 15 October DFID-BMB contract BSF-IA 2011 14 March-1 April BSF-IA Mid Term Review 9 January Referendum on status of Southern Sudan 9 July 2011 First independence Day for South Sudan 9 July Ends 6 year CPA Interim Period ( 9 July 2005-9July 2011) 9 July 2011 Start of 4 year Transition period (9 July 2011-9 July 2015) 11 July GOSS & DFID decide on extension of BSF-IA into a BSF-IA extension phase ( 1 Jan-31 December 2012 1 August Returnees allocation September Drafting of DFID’s business case for BSF-IA extension Quarter 4 Internal assessment of grantees for BSF-IA extension 5 December Deadline submission budget & w ork-plan for BSF-IA grants 31 December BSF-IA grants close December/January Budget consultations w ith BSF-IA extension grantees 2012 1 January-29 February Closing dow n (completion reports and final audits) 1 January Start of BSF-IA extension grants 15 January Contracts BSF-IA extension signed January South Sudan Government stops oil production January Sudan-South Sudan border closed Transition from BSF to MoH’s Rapid Results Health Project (financed by World Bank) Jonglei and Upper
  • 37. BSF-IAe Completion Report (May 2013) 32 Year Date Event and details Nile March Refugee crisis due to conflicts in South Kordofan and Blue Nile 1 August Transition contracts. Ex. SHTP2 grantees in HPF states w ere integrated into the BSF fund. 4 August Draft agreement South Sudan –Sudan on oil production and other (CPA) outstanding issues 27 September Agreement on oil production, citizenship, trade and security (1,800 km long and 15 km w ide demilitarized buffer zone) 18 October Planned mobilization new HPF Fund manager 4-9 November BSF review mission 31 December Last day of grant period (grant expenses after midnight of 31 December are not eligible) 2013 1 January-31 March BSF fund manager closing dow n period 15 April Deadline BSF-IAe Completion report 26 March 40th and last Steering Committee
  • 38. BSF-IAe Completion Report (May 2013) 33 Annex 6a. Summary Table – Primary Health Services T=Target, A=Achieved,F=Female Lead Agent Facility Services (Cumulative) Consultations (Cumulative) PHCC PHCU Total Consultations >5 years Total Consultations < 5 yrs ANC client 1st visit ANC client 4th or more visits EPI; No. children < 1 full DPT Birth attended by skilled w orkers T A T A Total F Total F Total Total Total Total ADRA 2 2 14 14 34,849 19,324 22,913 12,051 2,788 1,667 3,975 103 ARC 6 6 2 2 24,843 14,555 16,795 8,793 1,600 803 5,054 191 AVSI 3 3 7 7 42,966 21,975 26,824 13,645 1,675 444 339 74 CARE 9 9 5 4 76,244 44,590 53,225 30,024 10,058 2,451 4,962 68 CCM 3 3 15 15 92,942 47,349 56,783 28,824 7,270 2,211 5,011 75 CMSI 1 1 4 4 10,825 7,484 9,035 4,176 3,135 1,024 1,731 0 CONCERN 2 2 16 20 77,187 42,454 42,952 21,495 9,987 5,013 4,967 124 CORDAID 2 2 6 6 18,779 9,094 10,939 5,299 1,159 741 571 32 GOAL 2 2 6 6 49,122 28,023 30,597 16,766 2,608 1,092 3,177 106 HealthNet 6 6 28 28 95,479 53,613 59,878 30,489 4,695 3,036 8,781 27 IMA (JON) 3 3 9 9 20,624 10,972 9,766 5,118 656 348 281 63 IMA (UN) 1 0 5 5 39,475 22,332 23,516 12,087 2,204 1,634 3,346 188 IMC 2 2 10 10 39,837 21,403 25,496 12,911 2,067 684 445 66 IRC 2 2 13 13 27,950 17,281 16,320 8,451 2,143 346 913 0 JSI 6 7 6 5 25,495 15,427 11,492 5,459 2,315 1,498 375 3752 MALTESER 4 4 20 20 41,156 21,621 19,781 10,031 1,373 1,474 1,135 0 MERLIN 7 7 2 2 36,645 20,598 26,663 13,753 1,714 709 2,441 15 OVCI 1 1 0 0 10,952 6,273 5,865 2,423 922 876 419 161 SCiSS 2 2 13 13 15,949 7,942 9,412 4,779 1,558 302 1,620 40 TEARFUND 2 3 9 9 42,220 23,916 34,729 19,815 2,859 3,924 2,888 0 WORLD VISION 2 2 8 8 20,776 10,846 9,788 4,759 1,281 1,140 1,128 41 Total 68 69 198 200 844,315 467,072 522,769 271,148 64,067 31,417 53,559 1,749 - HealthNet:Bonyo PHCU has not been sending reports – status unclear,Timsah PHCU (Raga County;WBeG) has not been accessible and reporting in Q4 due to insecurity.Maluil PHCC (Jur River, WBeG) closed because the SMoH were not able to supply staff. - JSI: 6 PHCCs targeted,7 Achieved. The 7th PHCC is supportto the ANC clinic operated by Wau Midwifery School,with additional ANC attendance returns only. - OVCI runs Usratuna PHCC and provides technical assistance to the maternity services ofthree urban MoH PHCCs:Kator, Nyakuron & Munuki. OVCI also conducts EPI outreach in close collaboration with the CHD - Tearfund: Kodok PHCC was not targeted for Tearfund supportsince its handover to SMoH but has been consistentlysupported with 9 key staff, medical equipment,utilities,training etc.by Tearfund, hence included in achievements. 2 JSI reported a too high number of skilled attended births and skilled attended staff. BSFSecretariat corrected the staffing figuresbut could not correct the delivery figures due to lack of information in spite of repeated requests to JSI. The real figure is likely to be approximately 150 skilled attended births instead of 375
  • 39. BSF-IAe Completion Report (May 2013) 34 Annex 6b. Summary Table – all PH targets versus achievements Targets in the table were set bygrantees in their contracts with BSF Secretariat Grantee Facilities supported Payam based catchment population OPD consultations total ANC 1st visit ANC 4th visit DPT3 Delivery in facility assisted by skilled staff< 5 > 5 Target achieved Target achieved achieved Target achieved Target achieved Target achieved Target Achieved ADRA 16 173,832 25,000 22,913 64,460 34,849 57,762 1,435 2,788 1,076 1,667 9,894 3,975 718 103 ARC 8 244,547 28,798 16,795 69,154 24,843 41,638 4,320 1,600 2,160 803 6,911 5,054 1,080 191 AVSI 10 76,379 28,000 26,824 38,000 42,966 69,790 2,700 1,675 400 444 400 339 400 74 CARE 13 213,114 31,214 53,225 128,198 76,244 129,469 4,981 10,058 3,944 2,451 3,094 4,962 1,328 68 CCM 18 171,536 13,646 56,783 76,608 92,942 149,725 4,590 7,270 1,945 2,211 4,096 5,011 400 75 CMSI 5 210,771 4,000 9,035 3,300 10,825 19,860 2,000 3,135 500 1,024 500 1,731 500 0 Concern 22 130,058 31,166 42,952 101,288 77,187 120,139 5,319 9,987 2,660 5,013 5,192 4,967 603 124 Cordaid 8 60,143 17 10,939 34,682 18,779 29,718 844 1,159 337 741 1,388 571 253 32 GOAL 8 95,164 23,891 30,597 52,253 49,122 79,719 3,175 2,608 2,699 1,092 3,175 3,177 454 106 HealthNet 34 262,442 38,900 59,878 111,000 95,479 155,357 8,000 4,695 2,800 3,036 3,350 8,781 1,700 27 IMA (DUK) 6 70,730 7,400 9,766 12,700 20,624 30,390 250 656 0 348 175 281 80 63 IMA (Melut) 12 7,506 17,840 23,516 32,800 39,475 62,991 4,320 2,204 0 1,634 1,260 3,346 880 188 IMC 12 160 21,686 25,496 122,314 39,837 65,333 4,046 2,067 2,832 684 1,248 445 809 66 Malteser 24 100,231 13,000 19,781 52,000 41,156 60,937 2,300 1,373 1,500 1,474 2,000 1,135 270 0 Merlin 9 147 17,535 26,663 92,055 36,645 63,308 2,740 1,714 1,370 709 4,110 2,441 1,096 15 OVCI 1 100 7,000 5,865 13,500 10,952 16,817 580 922 350 876 350 419 0 161 Tearfund 10 58,973 11,235 34,729 42,265 42,220 76,949 2,140 2,859 1,712 3,924 2,140 2,888 428 0 World Vision 10 90,073 12,000 9,788 45,000 20,776 30,564 3,786 1,281 2,164 1,140 3,786 1,128 500 41 JSI 12 155,329 13,200 11,492 14,400 25,495 36,987 1,667 2,315 800 1,498 934 375 975 375 IRC 15 93,902 8,226 16,320 27,420 27,950 44,270 1,452 2,143 400 346 4,980 913 550 0 SCiSS 15 161,661 21,396 9,412 24,008 15,949 25,361 2,200 1,558 1,090 302 2,069 1,620 482 40 Totals 268 2,851,149 392,474 522,769 1,157,405 844,315 1,367,084 62,845 64,067 30,739 31,417 61,052 53,559 13,506 1,749 OVCI supported the maternity services in 3 PHCC of the MoH ; skilled deliveries (161) in the 3 PHCC included in this table JSI over-reported skilled attended births and availability of skilled attendants. Acting DG of Wau informed BSF on correct number of skilled staff but JSI did not send additional info in spite of requests. 3 ex-SHTP grantee figures relate to 5 months implementation period
  • 40. BSF-IAe Completion Report (May 2013) 35 Annex 7. Summary Table – Primary Health facilities Staffing (1) Lead Agent No. of HF Classified staff Un-classified staff (Quarterly Data) Total Facility Staff Clinical Officer Enrolled nurse Enrolled midwife Community midwife Lab. Technician Lab. Assistant Pharmacy technician Pharmacy assistant Auxiliary nurse EPI vaccinator MCHW or trained TBA CHW ADRA 16 2 4 1 2 2 1 1 2 3 22 28 27 95 ARC 8 7 11 2 3 5 3 18 17 17 24 107 AVSI 10 5 12 2 2 2 2 0 3 9 6 15 27 85 CARE 13 10 4 2 4 4 4 0 3 0 14 43 15 103 CCM 18 1 1 2 1 6 15 1 43 25 18 113 CMSI 5 1 1 1 3 2 8 Concern 22 3 6 2 3 2 2 18 3 46 35 20 140 Cordaid 8 1 5 2 1 1 8 9 16 43 GOAL 8 5 4 2 2 1 1 4 12 22 16 69 HealthNet 34 2 13 1 17 3 3 16 5 48 51 55 214 IMA (UN) 6 1 18 3 10 1 1 1 33 24 12 5 109 IMA (JON) 12 2 2 1 1 2 2 1 2 2 5 4 24 IMC 12 1 2 2 1 13 9 8 17 8 61 Malteser 24 4 9 3 2 1 1 31 29 80 Merlin 9 6 9 2 5 1 2 4 3 16 2 50 OVCI 1 7 3 4 3 3 2 2 2 4 0 30 Tearfund 10 3 2 1 3 3 2 2 1 29 17 13 76 World Vision 10 2 1 1 1 4 4 11 11 31 66 JSI 12 6 29 5 38 2 4 7 2 5 9 8 115 IRC 15 4 5 5 2 2 1 5 2 18 26 8 78 SCiSS 15 3 5 3 7 2 2 1 2 1 31 32 39 128 Total 268 76 144 38 107 35 47 5 102 102 346 427 365 1,794 Total Classified Staff: 554 Total Unclassified Staff: 1,240 % Classified staff: 31% % Unclassified staff: 69
  • 41. BSF-IAe Completion Report (May 2013) 36 Annex 8. Summary Table – Primary Health Staffing and payroll (2) Lead Agent Staff Payroll Total Facility Staff Classified staff on MoH payroll Unclassified staff on MoH payroll % staff on MoH Payroll Classified staff on NGO payroll Unclassified staff on NGO payroll % staff on NGO Payroll Classified staff on other payroll Unclassified staff on other payroll % staff on Other Payroll ADRA 95 21 22% 15 59 78% ARC 107 14 33 44% 8 4 11% 9 39 45% AVSI 85 3 34 44% 13 11 28% 12 12 28% CARE 103 9 69 76% 22 1 22% 0 2 2% CCM 113 1 12 12% 25 75 88% 0 0 0% CMSI 8 3 5 100% Concern 140 5 7 9% 31 97 91% CordAid 43 9 26 81% 1 7 19% 0 0 0% GOAL 69 8 2 14% 7 52 86% 0 0 0% HealthNet 214 40 73 53% 15 59 35% 0 27 13% IMA (UN) 109 27 48 69% 8 26 31% 0 0 0% IMA (JON) 24 1 10 46% 10 3 54% 0 0 0% IMC 61 0 0 0% 19 42 100% 0 0 0% Malteser 80 10 39 61% 9 22 39% Merlin 50 20 21 82% 9 18% OVCI 30 10 1 37% 12 7 63% 0 0 0% Tearfund 76 0 0 0% 16 60 100% 0 0 0% World Vision 66 11 8 29% 2 45 71% 0 0 0% JSI 115 80 14 82% 11 10 18% IRC 78 0 2 3% 24 52 97% 0 0 0% SCiSS 128 1 1 2% 24 65 70% 0 37 29% Total 1,794 249 421 37% 273 692 54% 32 127 9% Total on MoH Staff 670 Total on NGO payroll 965 Tot on Other payroll 159 Analysis:of all classified staffonly46% are on MoH payroll and 34% of all unclassified staff.Classified staffconstitutes 31% ofth e facility staff while 69% are unclassified.
  • 42. BSF-IAe Completion Report (May 2013) 37 Annex 9a. Summary Table – Primary Health Training (Long Term) Lead Agent Category of Trainees Total Female Training Days Total Training Days Female ADRA Midwives(enrolled,CMW) 4 4 1,200 1,200 CMSI Clinical Officer 1 0 305 0 IMA (JON) Clinical Officer 1 0 90 0 IMA (UN) Midwives(enrolled, CMW) 1 0 90 0 TEARFUND Midwives(enrolled,CMW) 12 9 3,960 2,970 Nurses 2 0 540 0 Grand Total 21 13 6,185 4,170 BSF-IAe funded the full time long term training of 2 CO for 3 months and 19 midwives/nurses for a full year Annex 9b. Summary Table – Primary Health Training (Short Term) Lead Agent Total Female Total on MoH Payroll Females on MoH Payroll Training Days Total Training Days Female ADRA 175 56 22 2 549 196 ARC 604 266 243 124 1,522 679 AVSI 169 50 30 1 710 227 CARE 128 55 61 13 599 248 CCM 438 147 17 1 1,258 358 CMSI 258 146 14 3 165 54 CONCERN 1,004 219 0 0 4,477 942 CORDAID 151 45 58 16 819 238 GOAL 581 183 40 24 1,482 417 HealthNet 443 96 182 33 1,744 472 IMA (JON) 18 0 5 130 0 IMC 474 180 5 0 474 180 IRC 390 127 39 4 674 152 JSI 28 20 2 2 84 60 MALTESER 252 65 112 10 888 65 MERLIN 465 195 49 11 898 446 OVCI 217 183 111 79 1,115 1,021 SCiSS 1,052 600 2 0 1,486 718 TEARFUND 236 89 24 12 1,124 439 WORLD VISION 822 337 175 47 3,078 1,335 Total 7,905 3,059 1,191 382 23,276 8,247 * High number ofhealth workers trained by Concern and SCiSS concerns the training of communitybased cadres: Home Health Promoters,Peer Educators,Boma Health Committee and CommunityConversation facilitators. ** Not all people trained are facility based staffbut all participants playan active role in the health system:VHC, school health clubs,HHP, CHD staff etc.
  • 43. BSF-IAe Completion Report (May 2013) 38 Annex 9c. Summary Table – Primary Health Training (Categories of trainees) Categories Of Trainees Total Female Total Training Days Female Training Days CHD team members 288 86 1,475 477 CHWs / MCHWs 965 238 3,145 838 Clinical Officer 184 82 1,060 267 EPI vaccinators 425 72 1,867 346 Health Facility clerks, registrars etc. 55 7 228 24 HHPs, peer educators etc. 1,727 777 3,552 1,151 Laboratory staff 25 5 202 5 Midwives (enrolled,CMW) 218 172 5,875 4,668 Nurses 140 44 1,073 139 Others ( note 1) 1,695 581 4,173 1,053 Pharmacy staff, dispensers 95 4 373 20 SMoH team members 1 1 5 5 TBAs, Village Midwives 665 663 2,765 2,547 Village/Boma health committees 1,443 340 3,668 877 Total 7,926 3,072 29,461 12,417 Note 1:this category in includes a wide range of training; for example: nutritionists, lab auxiliaries, vaccinator default-tracers, campaign trainers, and hygiene promotors; grantees trained facility-based staff and members of the community involved in preventive activities and facility support, for example HHP, Peer Educators, BHC/VHC. Community case management; This are the team in community are trained in how to identify a miner disease in community, and how to give a first aid e.g. ( diarrhea, fever, upper respiratory truck infection ( URTI), skin diseases eye infection etc , so this group have ORS, eye ointment, skin ointment and for fever they have paracitamol and they refer the child early before the condition get Hygiene promoters/ health educator; They give health education in the health facility before they are attended to by clinical officer. Nutritionist; He/she also give health education on good diet and identify the malnutrition children by use of MUAC and observation if the center have nutrition program they are attended to, if not they are referred to feeding center .
  • 44. BSF-IAe Completion Report (May 2013) 39 Annex 9d. DHIS training 2012 BSF-IAe Cumulative DHIS training 2012 State Counties Facilitating NGO Beginner course Refresher Short course visits CHD SMOH NGO Staff CHD SMOH NGO Staff CHD SMOH NGO Staff WEQ Ibba Cordaid/CDTY 2 Nzara Cordaid/CDTY 1 1 Yambio 2 1 5 Nagero IMC 1 Mundri West AAH 1 1 Mundri East 1 1 Maridi Malteser/AAH 2 2 Tambura World Vision 3 2 Ezo World Vision 2 2 Mvolo 1 CEQ Juba ADRA 4 8 1 3 Terekeka ADRA 3 1 Eastern Equatoria Budi ADRA 1 Torit 1 NBEG Aweil North HealthNet 1 Unity Abiemnom CARE 3 Bentiu CARE 1 Guit CARE 1 1 Rubkona CARE 1 4 Parieng CARE 1 3 Mayom CARE 1 2 Jonglei Akobo IMC 2 WBeG Wau HealthNet 1 5 1 2 4 Jur river HealthNet 2 2 Lakes Rumbek UNDP 1 2 Warrap Abyei GOAL 1 13 Twic 4 1 Nasir ADRA 1 Ulang GOAL 4 3 Baliet GOAL 2 1 CES/UN/Warrap Baliet, Juba, Twic roving GOAL 7 Short course in Juba Juba 7 Total 2012 17 female 21 14 51 26 5 18 0 0 3 Table: Cumulative DHIS training achievements 2011-2012 Year Beginners course (5 days) Refresher course (5 days) Mentoring on the job (few hours) CHD SMoH NGOs Total CHD SMoH NGOs Total CHD SMoH NGOs 2012 21 14 51 86 26 5 18 49 0 0 3 2011 14 2 35 51 0 0 5 5 0 0 0 Total 35 16 86 137 26 5 23 54 0 0 3 71% of all trainees were beginners;28% were refresher course participants 37% of beginners were CHD/SMoH staff; 57% of refresher trainees were CHD/SMoH staff 63% of beginners were NGO staff; 43% of refresher trainees were NGOstaff 17/138 participants in 2012 were female (18%) In 2011 the % of female participants was 10%
  • 45. BSF-IAe Completion Report (May 2013) 40 Annex 10. Summary Table – Primary Education Lead Agent School Construction 2012 Beneficiaries 2012 New Schools New Classrooms Ideal Enrolment1 Actual Enrolment2 Attendance Target A % Target A % Target Tot F % F 3.ALP Tot 4.ALP F Tot F %F HARD 4 4 100 36 36 100 1800 2270 742 33% 1910 623 33% FFH 0 0 100 12 12 100 600 2215 818 37% 111 34 2112 761 36% Total 4 4 100 48 48 100 2,400 4,485 1,560 35 111 34 4,022 1,384 34 (1) Enrolment calculated as 50 children per classroom (2) Actual enrolment is the number of children registered to attend. The pupil to classroom ratio (PCR) for HARD is 53, and for FFH 176, (due to the influx of refugees especially in Upper Nile). Targets were all achieved, attendance figures in the last quarter showed a drop-out rate of 16% in HARD schools and 5% in FFH schools due to teachers salaries not being paid. Drop-out rate based on enrolment/attendance data for 2012 is 5% for FFH and 16% for HARD.
  • 46. BSF-IAe Completion Report (May 2013) 41 Annex 11. Summary Table – Primary Education Long term Training Cumulative Data Tot = Total, F=Female, %F=Percentage Female Lead Agent ISTT PSTT ELT Target Stage 1 Stage 2 Stage 3 Target T F %F Av. test score increase % T F %F Av. test score increase % T F %F Av. test score T F %F Av. Test score increase % Target T F %F Av. test score increase % WTI 450 389 136 35% 6% ACROSS 100 100 16 16% 1% MRDA 63 58 8 14% WR 200 97 23 24% 16% 85 27 32% -9% FFH 32 32 0 0% 53% Total 232 32 0 0% 53% 97 23 85 27 0 163 158 24 15% 450 389 136 35% 6% Course Total Trainees ISTT 214 PSTT 158 ELT 389 (1) WTI- 389 is number that completed/passed the ELT stage of training (2) Score Percentages in ISTT data represent the increased percentage points fromthe 1st test at the end of Phase 1 and the last test at the end of Phase 2. (3) Score Percentages in ELT represent the increased percentage points fromthe 1st test at the end of the 1st Quarter to the last test at the end of the 4th Quarter (4) WR Stage 3 average test score is low because the English capacity in Wau w as low. Due to lack of funding, the cohort also had done Stage 2 tw o yearsprior, lackof continuity made comprehension of the materials difficult. (5) ISTT trainings run part time for 400 hours per stage of training, usually broken up into 2 phases of 6 w eeks each. (6) PSTT trainings run full time for 9 months of the year, fullqualification is after 2 years of fulltime training. (7) In-Service Teacher Training (ISTT)is training for unqualified teachers alreadyin the classrooms. Training is broken into 4 Stages of curriculumdesigned by GoSS and is implemented usually in 3-4 years -1 stage per year- ideally during the schoolholidays. Teachers are then monitored w ith follow up during their time in the classroom. Qualifications to enrol in an ISTT vary fromP8 to secondary school. (8) Pre-Service Teacher Training (PSTT) is training for unqualified teachers who are not yet in the classroom. Students enrolled in a PSTT programme are secondary leavers who study the GoSS teacher training curriculumfor 2 years fulltime. (9) Currently the same GoSS approved curriculumis used for PSTT and ISTT trainings.
  • 47. BSF-IAe Completion Report (May 2013) 42 Annex 12. Summary Table – Primary Education Short term Training T= Target, F= Female, %= Percentage Achieved, Tot = Total, %F = Percentage Female Lead Agent CED3 PTAMembers Head teachers (short term) Target Trainees T F %F Target days Training Days Target Trainees T F %F Target days Training Days T F %F Training Days MRDA 92 43 19 44% 3 129 180 240 72 40% 2 480 66 14 21% 198 WR 150 108 8 7% 21 1620 70 192 73 38% 3 576 98 7 7% 1470 HARD 30 30 10 33% 1 30 55 42 13 31% 1 42 FFH 50 50 2 4% 1 50 120 162 65 40% 1 162 Cumulative Total 322 231 39 22% 26 1,829 425 636 223 36% 7 1,260 164 21 13% 1,668 (1)In the logframes, targets for CED and HT are together, at the request of MoGEI they are broken out (2) HT and CED trainings vary in length. WR uses the MoGEI curriculum which runs for 21 days.
  • 48. BSF-IAe Completion Report (May 2013) 43 Annex 13. Summary Table WATSAN – Waterpoints Lead agent New boreholes Rehab and Repair Rehab Repair Other water sources Beneficiaries Target Actual Target Actual Actual Target Actual Target Actual ADRA 10 8 2,500 2,000 AVSI (1) 30 3 15 7,500 4,500 CARE 1 1 250 250 CCM (2) 1 0 250 0 CMSI 1 1 5 5 0 1,500 1,500 GOAL 1 1 0 0 IMC 12 0 12 3,000 3,000 Malteser 11 11 2,750 2,750 World Vision 7 7 0 0 HARD 2 2 500 500 FFH 3 3 0 0 SCiSS 2 2 500 500 Tearfund 2 7 0 500 Total 28 25 47 10 27 11 18 18,750 15,500 (1) AVSI – have repaired two boreholes more than once, so the beneficiaries remain the same. (2) CCM are not building this borehole due to a change in priorities in the course of the project
  • 49. BSF-IAe Completion Report (May 2013) 44 Annex 14. Summary table – WATSAN Institutional Latrines Lead agent Institutional latrines (cubicles) Beneficiaries Target Actual Target Actual ADRA 12 12 600 600 AVSI 4 4 200 200 CARE 4 200 CCM 2 6 100 300 IMC 12 11 600 550 Malteser 26 26 1,300 1,300 Tearfund 13 16 650 800 World Vision 8 8 400 400 ACROSS 10 10 500 500 HARD 0 2 0 100 FFH 12 12 600 600 SCiSS 4 2 100 100 Goal 4 200 Total 107 113 5,250 5,650
  • 50. BSF-IAe Completion Report (May 2013) 45 Annex 15. Summary Table – WATSAN Training 2012 Fem= Female, T. Days = Training Days Water point sustainability (Cumulative) Lead Agent WUC members Borehole Caretakers Other Target Trainees Achieved Total Trainees Fem Achieved T. Days Target Trainees Achieved Total Trainees Fem Achieved T. Days Target Trainees Achieved Total Trainees Fem Achieved T. Days ADRA 100 100 50 100 20 22 AVSI 50 143 72 196 50 30 58 23 203 CCM 100 2 1482 134 34 190 CMSI 12 3 48 30 Malteser 110 20 0 100 22 10 0 50 180 8 0 56 World Vision 60 60 10 200 12 12 7 60 82 25 328 FFH 45 60 16 120 80 40 160 Total 465 395 151 764 136 22 7 110 1,714 362 122 937
  • 51. BSF-IAe Completion Report (May 2013) 46 Annex 16. Field Visits Record Dates No. State NGOs visited Monitors 2012 27-30 Jan 95 Warrap CCM Hannan + Wim 2-4 Feb 96 EE Torit MERLIN Hannan + Wim 13-17Feb 97 Unity State CARE Hannan + Geertruid 20-24 Feb 98 Western Equatoria Malteser, Cordaid/DoTY, World Vision Hannan + Geertruid 22nd-27th Feb 99 NBG, WBG UMCOR, Windle, HARD Nic 29 Feb. – 2 March 100 Jonglei IRD / IMA Wim 6-8 March 101 Central Equatoria CMS-IRELAND Hannan 16 – 17 March 102 Upper Nile Tearfund Wim 18 – 20 March 103 Upper Nile IMA Wim 21 – 24 March 104 Upper Nile ADRA Wim 20-24 March 105 Upper Nile TearFund Hannan 30 March – 2 April 106 Jonglei IMA / IRD Wim 17-19 April 107 Upper Nile GOAL Hannan 1st-2nd March 108 Central Equatoria ACROSS/YTTC Caroline/Fiona 12-13th April 109 Western Equatoria MRDA Caroline 30 April – 2 May 110 Eastern Equatoria ARC – Kapoeta programmes Wim 1-4 May 111 WBeG Concern, HealthNet Geertruid, Hannan and Jay Bagria 3 May – 4 May 112 Eastern Equatoria SCiSS – Kapoeta North Wim 7 May – 8 May 113 Eastern Equatoria AVSI; Ikotos Wim, Hannan, Geertruid 9 May – 12 May 114 Eastern Equatoria ADRA - Budi Wim, Hannan, Geertruid 14-15 May 115 WEQ Malteser, Cordaid and WVI Geertruid 15th -17th May 116 Eastern Equatoria ARC Hannan 28-31 May 117 Central Equatoria ZOA (for borehole survey) Lucie 28 May – 4 June 118 WBeG Healthnet; Raga and Jur River Wim and Hannan 6 June – 9 June 119 Lakes SCiSS; Wulu Wim and Hannan 11 June – 16 June 120 Warrap CCM; (incl. ex. SHTPII programs) Wim and Hannan 11th-15th June 121 NBG, WBG HARD, WR/ECS Caroline 18th – 19th June 122 Central Equatoria CMS-I Hannan 21-29 June 123 Western Equatoria MRDA (for borehole survey), Intersos (For Borehole Survey), World Vision, Malteser, UMCOR Lucie 25th -30 June 124 Eastern Equatoria ARC, Merlin Hannan 26th-30th June 125 Upper Nile, Jonglei (Pigi) FFH, GOAL Caroline/Fiona 26 June -28 June 126 Jonglei IMC Akobo Wim 4th-6th July 127 Jonglei-Bor FFH Caroline 128 2 July – 5 July 129 Upper Nile IMA – Melut/Manyo Wim 6 July 130 Upper Nile Tearfund Wim 6 – 10 July 131 Western Bahr-el Ghazal JSI - Wau County Hannan 7 – 10 July 132 Jonglei IMA – Duk Wim 12 -15 July 134 Eastern Equatoria Caritas CH Lucie 14 – 19 July 135 Unity State Care - Rubkona Hannan 24 -27 August 136 Western Bahr-el Ghazal JSI –Wau County Wim and Hannan 27- 29 August 137 Northen Bahr-el Ghazal ( NBeG) IRC Aweil South Hannan and Wim 4-9 Sept 138 Western Equatoria Malteser & Cordaid Wim and Hannan
  • 52. BSF-IAe Completion Report (May 2013) 47 21- 26 Sept 139 Western Bahr- elGhazal JSI and Healthnet TPO Wim + MOH 12-15 Sept 140 WBeG WTI Caroline 17-22 Sept 141 WBeG & NBeG HARD Caroline 24 -29 Sept 142 Lakes State Save the Children Hannan + dr. Orero 27-29 Sept 143 Lakes State Save the Children Wim + dr. Orero 2 – 4 Oct 144 Eastern Equatoria ARC & Save the Children Hannan and Wim 3-5 Oct 145 WBeG HARD Lucie 11 – 14 Oct 146 Upper Nile Goal / Tearfund Hannan + MoH 21 -29 Oct 147 Nairobi Conference MCH handbook Hannan 15-17 November 148 NBeG HARD Caroline 16-17 November 149 Yambio; WES Joint review; WV, CDoTY, Malteser Geertruid 19 – 27 November (Hannan) 19 – 23 Nov. Geertruid 150 Unity State CARE Hannan Geertruid 21 – 24 November 151 WBeG JSI Wim 27-29 November 152 CEQ ZOA Lucie 28-30 November 153 Upper Nile & Jonglei FFH Caroline 6-8 December 154 CEQ ACROSS Caroline & Fiona 11 – 15 December 155 Upper Nile Tearfund – Fashoda ADRA – Nasir Wim + MoH 15-17 December 156 NBeG HARD Caroline 2013 28-30 January 157 WEQ MRDA Caroline 28-Jan-1 Feb 158 NBeG IMC Hannan & Dr. George Edward 4-8 Feb 159 Unity CARE Hannan 20-23 Feb 160 WES CORDAID Hannan March 161 ….Raja Hannan
  • 53. BSF-IAe Completion Report (May 2013) 48 Annex 17 TechnicalAssistance (TA) Days Allocated Budgeted Days Actual Remaining Balance Klaziena (Kate) Louw es 278 266.0 12.0 Lucie Leclert 192 186.4 6.1 Allard Jansen 296 290.0 6.0 Sarah Baba Lasuba 298 293.0 5.0 Wim Groenendijk 254 248.0 6.0 Hannan Yousif 349 349.0 0.0 Nicholas Ramsden 40 39.0 1.0 Caroline D'Anna 241 225.0 16.0 Fiona Bailey 259 259.0 0.0 Joseph Gama 265 245.5 19.2 Support Team Adriana van Ommering 30 22.3 7.8 Patricia Schw erzel 50 52.0 -2.0 Wim Romp 6 6.0 0.0 Reinier Battenberg 5 3.0 2.0 Erik Holtus 64 64.8 -0.8 Short Term Experts Geertruid Kortmann 79 77.0 2.0 Kate Hutton 25 25.0 0.0 Clarissa Mulders 17 16.3 0.8 Total Days 2,748 2,667.1 81.0
  • 54. BSF-IAe Completion Report (May 2013) 49 Annex 18a. Primary Health Unit Costs Grant recipient Unit Cost PHCC Unit Cost PHCU Comments BSF -1 GOAL (Upper Nile) 35,116 Major rehabilitation of existing building, incl. latrines, rainwater collection & hand washing facilities etc. 30,744 Construction of new buildings, including latrines, rainwater collection and hand washing facilities etc. Merlin (EEQ) 49,000 Main new building (without staff “tukuls”) 26,000 Permanent 4-room building, including 3 “tukuls” for staff housing Tearfund (Upper Nile) 26,667 New 7 room brick building; constructed with extensive community participation 8,889 New 3 room brick building; constructed with extensive community participation CCM 37,000 Large 7 room building; can be upgraded to PHCC, incl. medical furniture and -equipment, latrines etc. CARITAS (EEQ) 55,000 New 8 room building with piped water system etc., comprehensive furnishing. Medair (Upper Nile) 26,000 Rehabilitation and furnishing of an existing large PHCC building 25,000 New 4 room building with latrines, water tank etc. AMREF (CEQ) 49,000 New 9 room building, basic design 23,900 New 3 room building Save US (Upper Nile) 92,000 New 10 room building with furnishing, piped water system 23,150 New 4 room building OVCI 39,800 Rehabilitation of large urban PHCC in Juba and extension with a new wing for laboratory and maternity Grant recipient Unit Cost PHCC Unit Cost PHCU Comments BSF-2 CMS Ireland (CES) 34,670 New building incl. furnishing, latrines, borehole, electrical installation & generator, solar power systems CONCERN (NBG) 26,667 Construction of complete 4 room building IRD (Jonglei) 26,600 Basic design 3 room building Swiss Red Cross (Unity) 46,875 Basic construction costs large building (no furnishing included) 21,875 Basic 4 room building Medair (Upper Nile) 27,700 Basic 4 room building with latrines etc. World Vision 16,000 Basic 3 room building with furnishing and basic equipment.
  • 55. BSF-IAe Completion Report (May 2013) 50 Grant recipient Unit Cost PHCC Unit Cost PHCU Comments BSF-IA ADRA 50,700 New construction of maternity wing for a PHCC in Nasir Upper Nile 11.980 Rehabilitation of a PHCC in Budi ARC 59,918 Major rehabilitation/extension of PHCC including latrines (3340GBP) and borehole (6700 GBP) 29,959 Newly constructed PHCU excluding the borehole (6741 GBP) Merlin 54,119 Loronyo PHCC: newly built 2 room maternity and 4 room OPD extension OVCI 147,218 Large new 4 room extension of Usratuna PHCC in Juba town. High standards. Malteser 18,145 Basic modest 4 room construction incl. Rainwater collection system and latrine CORDAID 21,463 New 6 room constructions (PHCU) with large roofed waiting area including rainwater collection, latrines World Vision 38,094 New maternity/inpatient wing of PHCC including rehabilitation of OPD building excl latrine ( 2.922 GBP) 14,836 Full rehabilitation of a PHCU including rainwater harvesting system (gutters + tank) HealthNet ** 148,794 New min. 10 room PHCC in Jur river (WBeG) (including 2 staff houses for midwife and home for guard) 74,397 New 4 room PHCU in Jur River (WBeG) including double staff house, fencing Concern ** 32,134 New 4 room construction (PHCU) 63,693 Rehabilitation including lighting of PHCC Malaria Consortium ** 18,996 Average costs of new construction of 4 room PHCU. Other facilities underwent repair CCM ** 32,134 New 4room PHCU. Average of 5220 GBP for toilets in few health facilities CARE ** 18,944 2 new 5 room PHCC IRD ** 82,191 Maternity, inpatient- and surgical unit as extension of Duk Lost Boys PHCC IMC ** 49,235 New 5 room PHCC in Thokliel 13,670 New .3.room constructed PHCU. To keep costs low adobe (mud wall) design was applied + community participation. Good quality Tearfund ** 94,223 Accrual of former phase. Costs of 3 new PHCUs. Medair ** 64,994 Extension of Melut PHCC with TB ward. Costs exclude extension of Wadekona PHCC by 2 room OPD block) 32,497 Newly built 3 room PHCU. Goal ** 42,825 5 room new facility including incinerator and water treatment system. AVSI 26,848 Newly constructed PHCU / 5 room