A presentation from the 2014 Annual Results and Impact Evaluation Workshop for RBF, held in Buenos Aires, Argentina.

1. Laos’s
CCT
program:
Community
Nutrition
Project
Objective:
• To
improve
the
coverage
of
essential
MCH
services
and
improve
mother
and
child
caring
practices
among
pregnant
and
lactating
women
and
children
less
than
two
years
old
Coverage:
• 62
Health
Center
(HC)
in
26
District
of
7
Southern
provinces
(approximately
220,000
persons)
.
This
region
has
the
highest
incidence
of
poverty
in
the
country
Target:
Pregnant
women
and
children
under
2
in
the
catchment
area
of
the
HC.
CCT:
i)
payment
to
beneHiciaries;
and
(ii)
payment
to
health
providers,
both
based
on
utilization.

2. Why
CCT
for
MCH?
Utilization
of
MCH
basic
services
are
very
low:
• less
than
a
third
of
pregnant
women
receive
ANC
from
skilled
health
personnel,
• less
than
25
%
of
women
deliver
with
the
assistance
of
skilled
health
personnel

3. Challenges
• Lack
of
skilled
birth
attendance
and
resources
in
remote
areas
if
CCT
will
be
scaled
up.
• Financial
management
and
veriHication
mechanism
are
not
systematic
in
place:
For
cash
payments
against
CCT,
it
is
more
efHicient
to
use
a
third
party
arrangement
rather
than
the
use
of
HC
staff.
• Funds
Hlow
arrangements
must
be
well
deHined
and
standards
must
be
set

4. Positive
results
to
date
 85%
of
all
eligible
women
in
the
catchment
areas
enrolled
in
target
facilities
and
basic
maternal,
child
and
nutrition
services
provided.

Primary
care
system
was
strengthened.
High
community
participation
via
community
based
action.

Manual,
guidelines
and
health
education
materials
and
guidelines
were
produced,
which
could
be
used
for
large
scale.

Midwives
and
nurses
were
trained
in
both
MCH,
and
nutrition

Key
lessons
in
both
administrative
and
health
care
extracted:
reporting,
veriHication,
cash
control,
etc…

5. CNP
Results