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Client Christian Aid
Donor European Union
Country Kenya
Service Summative Evaluation
Sector Maternal and Child Health
Period November 2016 – December 2016
Consultants Angela Nguku (Lead) and Donnelly Mwachi

Christian Aid in collaboration with the Narok county government, the Narok Integrated Development Programme (NIDP), Transmara Rural Development Programme (TRDP) and Christian Health Partners (CHP), have been implementing the project “Strengthening Rural Health Systems for improved Maternal and Child Health project in Narok County, Kenya” since January 2013 and ended in December 2016. The project was implemented in Narok North, Narok South, and Transmara Districts of Narok County.  The overall objective of the action was to contribute to reach the indicators of MDG 4 and MDG 5 in Narok county, with a specific objective of reducing preventable Under 5 and maternal morbidity and mortality by 10% through increasing access the quality of MCH services and reproductive services; improving nutrition to tackle micro-nutrient deficiencies and increasing advocacy and coordination in the health sector.


The project targeted to reach 6,000 pregnant and lactating women, 10,000 Children Under five years, 8,000 Women of Reproductive age, 500 Health Workers, 2 National CSO and 3 district MOH staff. The final beneficiaries of this action were 85,000 WRA, 100,000 children under five years, 500 health workers, and general community accessing improved health services, 4 health management teams at District and County levels and health stakeholders working in Narok County.

The project had four main result areas that it sought to attain:

Result Areas

  1. Improved quality of MNCH services provided in health facilities and increased demand for MNCH services at the community and facility level
  2. Improved nutrition status among under-fives and pregnant women in Narok County
  3. Reduced unmet needs for family planning among women of reproductive age in Narok County
  4. Strengthened capacity of the County/District Health Management teams and civil society organizations to lead, coordinate and supervise health services in Narok County

The role of Evidence Frontiers was to assess the extent of achievement of results from the baseline levels against the stated objectives and implementation approaches used. The following were the specific objectives to the assignment:

  1. To assess the progress made towards anticipated key project goals as per the project logical framework and any other unintended effects of the project and how the results may have been realized.
  2. To demonstrate how effective key project interventions approaches (OBA, community groups, IGA, integrated health and nutrition intervention, MNCH service quality improvement) has been in improving MNCH outcomes
  3. To highlight lessons learnt and provide specific, actionable and practical recommendations for future programming