A summary of progress against high level indicators of goal and purpose for the PRRINN-MNCH programme is presented in this report. The PRRINN-MNCH logical framework (logframe) includes the two goal indicators (with targets) related to Millennium Development Goals 4 and 5:
- To reduce the under-five mortality rate by two thirds between 1990 and 2015.
- To increase the percentage of births attended by a Skilled Birth Attendant (SBA) from an estimated baseline figure of 39% to just over 50%.
And six purpose indicators and targets:
- Percentage of infants fully immunised by first birthday – baseline 16%, target 32%
- Percentage of women aged 15-49 with appropriate TT doses – baseline 15%, target 50%
- Caesarean section rates in targeted CEOC clusters – baseline 0.5%, target 1.25%
- Percentage of women receiving ANC – baseline 21%, target 50%
- Measles incidence reduced by 80% – baseline 22,250 cases, target 556 cases
- Polio incidence reduced to near zero – baseline 237 cases
PRRINN-MNCH developed a comprehensive monitoring and evaluation framework in 2009, combining the logframes of the PRRINN and MNCH projects. Data, largely from the routine health management information system (HMIS) and the PRRINN-MNCH baseline and end-line household surveys (HHS 2009 and 2013) were used to track progress.
Using multiple criteria analysis, output and outcome data were consolidated and, when considered in light of relative disease burden, provide a favourable picture of cost effectiveness and value for money (VfM). Employing an explicitly subjective weighting system, the programme is delivering a range of outputs and outcomes at an estimated cost per person of £0.43 in 2013, which equates to a cost of between £16 and £33 per child life saved.
PRRINN-MNCH has been successful in reaching the targets of the goal and purpose indicators and saving a significant number of women’s and children’s lives.