PROJECT GAVIs support for an outline

NAME
IMPACT Impact Indicator 1 Baseline (2010) Milestone 1 Milestone 2 Milestone 3 (March Assumptions
(December 2013) (December 2014) 2016)
Government led Under 5 mortality rate Planned 106 per 1000 live 95 per 1000 live See Theory of Change
health systems (per 1000 live births) births births
that save lives (reporting to be
disaggregated by gender Achieved
and poverty quintile) Source
Based on provisional data of 2010 Sudan Household Survey
Impact Indicator 2 Baseline (2006) Milestone 1 Milestone 2 Milestone 3 (March
(December 2013) (December 2014) 2016)
Maternal mortality ratio Planned 2054 per 100,000 1643 per 100,000
(per 100,000 live births) live births live births
(reporting to be Achieved No relevant survey
disaggregated by gender done in 2013
and poverty quintile) Source
Based on 2006 Sudan Household Survey. At present no MMR survey is planned yet for
2014-2015 though CIDA/USAID originally planned another survey in the next two years either
as a stand-alone maternal mortality survey or as wider DHS survey.

OUTCOME 1 Outcome Indicator 1 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March Assumptions
(December 2013) (December 2014) 2016)
Increased Percentage of 1-year Planned 18,000 (11%) 48,106 (20%) 75,000 (30%) 124,000 (50%) See Theory of Change
access to quality olds vaccinated with the The assumptions have to hold
health services, third dose of DPT to reach these milestones and
in particular by vaccine Achieved 51,954 (21.6%) targets:
children, Source (1) Government austerity
pregnant women budget doesn't affect the
and other MoH Health Management Information System (HMIS/DHIS) health spending by GRSS and
vulnerable Outcome Indicator 2 Baseline (2011) Milestone 1 Milestone 2 Milestone 3 (March that it at least stays the same.
groups. (December 2013) (December 2014) 2016) (2) Government maintains
Proportion of children Planned 15.3% 30% (290,000) central, state and county level
under 5 with fever in the capacity to allow development
last two weeks who were Achieved LQAS postponed of public financial
taken to a health facility management systems
(3) Government continues to
Source fund state transfers
(4) A central system for drug
Community LQAS survey. Note: 15.3% (2011) is the national average. The achievement
procurement and distribution is
might be lower in the HPF supported States as the proportion is; Unity State = 8.2%, Warrap
developed by government/ by
= 6.8%, NBeG = 3%, WBeG = 26.5%, Lakes = 11.9%, EES = 24.5%. Jonglei = 7%, Upper
donor partners; EMF supplies
Nile = 12.1%, CE = 30.9% and WES = 23.8%
including ACTs are regular,
Outcome Indicator 3 Baseline (2011) Milestone 1 Milestone 2 Milestone 3 (March
sufficient and covering all 6
(December 2013) (December 2014) 2016)
 Contraceptive Planned 6.5% 14% counties.
Prevalence Rate Achieved LQAS postponed (5) Conflict or security issues
remain localised to specific
Source areas
Community LQAS survey. Note: 6.5% is the national average. The achievement might be (6) The humanitarian
lower in the HPF supported States as the proportion is; Unity State = 3.5%, Warrap = 2.5%, mechanisms continue to have
NBeG = 3.4%, WBeG = 8.5%, Lakes = 5.6%, EES = 4.5%. (Jonglei = 3.5%, Upper Nile = capacity to deal with returnees
5.5%, CE = 13.9% and WES = 16.6%) and IDPs.
Outcome Indicator 4 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March (8) Other programmes
(December 2013) (December 2014) 2016) supported by UNICEF,
Percentage of births Planned 7,311 (2,8%) 10,444 (4%) 19,250 (7%) 42,870 (15%) UNFPA, USAID, CIDA, etc.
attended by skilled health continue
Achieved 14,903 (5.2%)
personnel
Source
MoH Health Management Information System

DFID () 82,000,000 Govt. () Other () 74,000,000 Total () 156,000,000

INPUTS (HR) DFID (FTEs) 1 RISK RATING

HIGH
OUTPUT 1 Output Indicator 1.1 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March Assumptions
(December 2013) (December 2014) 2016)

Strengthened Under 5 OPD Planned OPD consultations OPD consultations OPD consultations OPD consultations (1) Government continue to
delivery of consultations curative curative under 5 curative under 5 male = curative under 5 curative under 5 pay those on the gvt. payroll
health services, (disaggregated by male = 300,913 400,000 male = 450,000 male = 500,000 (2) Government find the funds
particularly gender), under 5 OPD consultations OPD consultations OPD consultations OPD consultations to support procurement and
responsive to consultations curative under 5 curative under 5 female curative under 5 curative under 5 distribution of drugs for 2015
the needs of preventive/promotive female = 299,323 = 400,000 female = 450,000 female = 500,000 (3) EMF drugs, incl. ACTs,
women and services and total under Consultations Consultations Consultations Consultations continue to cover all counties
children 5 consultations preventive under 5 preventive under 5 preventive under 5 preventive under 5 and supplies are regular
male and female = male and female = male and female = male and female = (4) Availability of qualified
172,818 300,000 400,000 500,000 midwives in the state, country
Total consultations Total consultations Total consultations Total consultations and/or region and willingness
under 5 male and under 5 male and under 5 male and under 5 male and to work in remote facilities is
female = female = 1,100,000 female = female = 1,500,000 ensured
773,054 1,300,000 (5) The FP project is
Achieved <5 cur male: 408,753 effectively awarded to a bidder
<5 cur female: 409,380 (6) WHO and other
<5 preventive/prom: programmes continue to
334,243 support BEmONC and
Total < 5 consultations: CEmONC) as planned
1,152,376
Source
MoH Health Management Information System / DHIS
 Output Indicator 1.2 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March
(December 2013) (December 2014) 2016)
Number (%) of children Planned 750,000 (80%) 870,000 (90%)
under five years with
diarrhoea who receive Achieved New Indicator since 14
ORT Source
MoH Health Management Information System/ DHIS
Output Indicator 1.3 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March
(December 2013) (December 2014) 2016)
Percentage of women Planned 20,500 (8%) 34,000 (12%) 57,000 (20%) 85,740 (30%)
who attended at least Achieved 49,383 (18.3%)
four times for antenatal
care during pregnancy
Source
MoH Health Management Information System
Output Indicator 1.4 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March
(December 2013) (December 2014) 2016)
Number of acceptors Planned 3,500 6,000 7,000 9,000
new to modern Achieved
contraception (indicator 6,858
13 HMIS) Source
MoH Health Management Information System

Output Indicator 1.5 Baseline (2013) Milestone 1 Milestone 2 Milestone 3 (March

(December 2013) (December 2014) 2016)
Number of facilities with Planned All HPF supported All HPF supported All HPF supported
capacity to offer hospitals (3) provide hospitals provide hospitals (8 public +
Emergency Obstetric CEmONC but 0 CEmONC; 7 faith based)
care (disaggregate PHCC provide 25% of all counties provide CEmONC;
BEmONC and BEmONC (39) have at least 80% of all counties
CEmONC)(in QPR) one PHCC with (39) have at least
BEmONC (-1) one PHCC with
BEmONC (-1)
Achieved All HPF supported
hospitals (3) provide
CEmONC but 0 PHCC
provide BEmONC
Source:
IMPACT EmONC needs assessment 2013 and Quarterly technical progress reports
WEIGHTING
(%)
50%
INPUTS () RISK RATING
HIGH
INPUTS (HR) DFID (FTEs)

OUTPUT 2 Output Indicator 2.1 Baseline (2013) Milestone 1 Milestone 2 Milestone 3 (March Assumptions
(December 2013) (December 2014) 2016)
Communities Number of health Planned 80% of all HPF All functional health See Theory of Change
have increased facilities with a health supported facilities facilities have a (1) Government develops
ownership, committee in place for have a functioning committee in place county health plans
governance and communities to give health committee (2) Conflict remains localised
demand for feedback regarding Achieved No reliable information (3) State MoH continues to
health services health services receive state transfers from
Source
government
Quarterly technical progress reports from lead service provider in the (4) HPF team has a focal
Counties person for the community
Output Indicator 2.2 Baseline (2013) Milestone 1 Milestone 2 Milestone 3 (March component in place with
(December 2013) (December 2014) 2016) funding from Strategic
Number of documented Planned At least 2 joint At least one joint Development Fund
joint meetings held meetings per year meeting held and
between the CHD/IP and held and documented per
the health committee and documented in all quarter in all PHCC
facility staff (4 parties) PHCC and in 50% and in 50% of
of PHCU PHCUs
Achieved Incomplete information
in database
Source
Quarterly Technical Progress Reports (QTPR)
Output Indicator 2.3 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March
(December 2013) (December 2014) 2016)
Number and percentage Planned 0 At least 20% of At least 40% of
of health committee committee committee
representatives that are members are members are
women women women
Achieved No reliable information
Source
Quarterly Technical Progress Reports (QTPR)

IMPACT RISK RATING

WEIGHTING
(%)
20%
INPUTS () Medium
INPUTS (HR) DFID (FTEs)

OUTPUT 3 Output Indicator 3.1 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March Assumptions
(December 2013) (December 2014) 2016)
Strengthened Number of HPF Steering Planned 1 HPF Steering (a) 6 HPF Steering (a) 10 (cumulative) (a) 14 (cumulative) See Theory of Change
health systems Committee meetings Committee Committee meetings HPF Steering HPF Steering (1) Government continue to
at State and chaired by the meetings chaired by chaired by GRoSS Committee Committee pay salaries and NGO workers
County level Government of the GRoSS and 0 State meetings chaired by meetings chaired by are transferred onto
with detailed Republic of South Sudan Oversight (b) At least 2 State GRoSS GRoSS government payroll
focusing on and number of State Committee Oversight Committee (2) Salaries are harmonised
Policy Oversight Committee meetings held meetings (SOC) held (b) At least 2 State (b) At least 3 State (3) Government PFM
Human meetings held per year in all states Oversight Oversight processes continue
resources for except Unity Committee (SOC) Committee (4) LSSAI benchmarks are
Health meetings held in meetings held in reached
Health each state except each state except (5) SMOH and SOC
Financing Unity Unity committee members ensure
including Achieved 6 SC and 6 SOC in their availability for SOC
strengthening of RFP-1 states and 2 in meetings
payroll and RFP-2 states
LSSAI Source
Health
Information Minutes of HPF Steering Committee meetings and State Oversight Committee meetings
Leadership Output Indicator 3.2 Baseline (2013) Milestone 1 Milestone 2 Milestone 3 (March
and governance (December 2013) (December 2014) 2016)
Number of facilities with Planned 0% 25% 50% 80%
quarterly integrated of HPF supported of HPF supported
supportive supervision health facilities health facilities
visits conducted by Achieved 7%
county health department
Source
using the QSC tool
QSC reports received through the DHIS.

Output Indicator 3.3 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March

(December 2013) (December 2014) 2016)
Number of health Planned 70% 80%
facilities submitting HMIS
reports through the DHIS Achieved 54%
(according to the data Source
flow policy)
MoH Health Management Information System. Note; the MoH data
flow policy includes reporting from health facility to CHD by the 5th of
the month, from CHD to SMoH by the 14th of the month and from
SMoH to MoH by the 30th of the month
Output Indicator 3.4 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March
(December 2013) (December 2014) 2016)
 Proportion of counties Planned Proportion of Proportion of counties Proportion of Proportion of
with one joint plan, and counties with one with one joined plan = counties with one counties with one
one review system for all joined plan = 0 5% joined plan = 50% joined plan = 75%
government and NGO Proportion of Proportion of counties Proportion of Proportion of
health services counties with one with one review system counties with one counties with one
review system = 0 =0 review system review system =
Proportion of Proportion of counties =20% 60%
counties with one with one joined plan Proportion of Proportion of
joined plan, and one and one review system counties with one counties with one
review system =0 =0 joined plan and one joined plan and one
review system = review system =
20% 60%
Achieved No precise figures but
at least 5% of counties
with joined plan
Source
Minutes of annual joint (CHD and SP) work planning meetings and
submission of joined work plan and budget to HPF secretariat.
Number of counties = 39 in the 6 States.
Output Indicator 3.5 Baseline (2012) Milestone 1 Milestone 2 Milestone 3 (March
(December 2013) (December 2014) 2016)
Number of counties Planned 75% of counties All counties apply
submitting SSEPS forms, use SSEPS for SSEPS for all
disaggregated by salaries paid salaries whether
government and through HPF paid through
implementing partner government payroll
(number of SSEPS forms or by HPF
completed and sent to Achieved 6/39 counties filled the
HPF) forms for IP payroll
Source
Quarterly Technical Progress Report and follow up by PFM team
IMPACT
WEIGHTING
(30%)
INPUTS () RISK RATING
HIGH
INPUTS (HR) DFID (FTEs)