“Beneficiary feedback mechanism” - CUAMM Pilot project

Methodology Suggestion boxes have been placed in all the eighteen villages, either at local Dispensaries or at Village offices.

SMS and missed calls. A dedicated phone number was created in order to receive the feedbacks from the beneficiaries. The phone number was advertised on the notice boards that have also been placed in the eighteen villages. Beneficiaries were this way enabled to provide their precious feedbacks by beeping, sensing SMS or making phone calls.

Doctors with Africa CUAMM with Tanzania for the right to health since 1968

Notice boards were placed in all eighteen villages to ensure that the beneficiaries would: a) be aware of the system, and b) receive response to their feedback after it had been taken in charge by the project.

Info: Doctors with Africa CUAMM New Bagamoyo Road, Plot 14 P.O. Box 23447 Dar es Salaam, Tanzania tel. +255 (022) 277 52 27 fax +255 (022) 277 59 28 www.doctorswithafrica.org/tanzania

Kasia Ciechanowska

The Pilot has focused on unsolicited feedback by SMS (and voice) from both direct and indirect beneficiaries. The approach aimed at exploring the hypothesis that using mobile technology would be more confidential, timely and accessible, and would also open up an existing communication channel enabling realtime feedbacks and adaptive programming. Distinctive aspect of this approach is that it is open to all members of the community, going beyond â&#x20AC;&#x153;the beneficiaryâ&#x20AC;? per se.

and access to maternal and child health services (MCH), on managing Severe Acute Malnutrition (setting up the Nutrition services in both), and continuing support to Tosamaganga District Referral Hospital, where CUAMM is implementing its ﬂagship program “mothers and children first” since 2012, aimed at ensuring free delivery services assisted by skilled personnel to all pregnant women. Also, in 2015, CUAMM started a project for integrated community-based HIV & Cervical cancer screening in Kilosa DC, involving St Kizito Hospital and referral facilities in its catchment area. Furthermore new programs started in 2015 in the region of Shinyanga (HIV/AIDS, since July 2015) and Simiyu and Ruyuma (nutrition, since December 2015). Main aim of CUAMM projects is to increase accessibility and quality of Facility (Hospitals, Peripheral Health Units) and community-based services, and also to improve distribution (and efficiency) of Human Resources for Health (HRH). To this end, within the framework of a EU-funded program, CUAMM implemented an innovative study combining both GIS (Geographical Information System) and WISN (Workload Indicators of Staffing Needs) tools, aiming to map and optimise, in limitedresource settings, the HRH available.

Doctors with Africa CUAMM, established in 1950, was the first certified NGO in the healthcare field in Italy and the largest Italian organization for the promotion and safeguard of the health of African populations. It conducts long-term projects within a developmental framework, an approach it extends to emergency situations in order to guarantee quality services that are accessible to all. Accordingly, it is committed to training dedicated human resources in Italy and Africa, to research and scientific dissemination in the technical field of health cooperation, to advocate for health as a universal human right, with particular consideration to the poorest and most disadvantaged members of the population. In Tanzania today In keeping with national and local policies, Doctors with Africa CUAMM aims to provide accessible and equitable health services. It operates towards the strengthening of Health Systems, improving service delivery at Hospitals and Peripheral Health Units, and enhancing the referral system. In 2015, most interventions took place in Iringa and Njombe Regions, and focused on increasing awareness

TANZANIA www.doctorswithafrica.org/tanzania

FLASH

2,081,000

11,541

1,374

496

Inhabitants involved by the intervention Bokoba

Inhabitants involved by the intervention

Assisted normal deliveries

C-sections performed

Children diagnosed with severe acute malnutrition

233

Dodoma

aganga

Morogoro Mikumi

Iringa

Children diagnosed with severe acute malnutrition

233

Dodoma

Children diagnosed with moderate acute Tosamaganga malnutrition Iringa

Morogoro Mikumi

Iringa

Morogoro

Njombe

Children diagnosed with moderate acute malnutrition

For children. For change. For good.

Beneﬁciary Feedback Mechanism (BFM) Pilot Project Rationale World Vision UK has received funding from DFID to carry out the BFM Pilot together with nine GPAF partners in eight countries. CUAMM was selected as one of the in-country partners for the implementation of the BFM Pilot and, therefore, in 2014 it started its implementation in Iringa DC. Globally, the BFM Pilot project has three approaches: 1. A low resource new technology model that will allow beneficiaries, groups representing beneficiaries or interested parties to provide unsolicited SMS (and voice) feedback; 2. A medium resource, pre-determined social research approach; 3. A higher resource model, where the method of collecting feedback is determined by a strong context analysis.

form of results verification and a means for stakeholders in the UK and in the country to hold the grant holder accountable; 3. To contribute to the evidence based on how and under what conditions, beneficiary feedback improves development results, and the level of resources required to design and manage BFM for meaningful impact.

Duration The BFM project started activities in August 2014, and will end in April 2016.

Therefore, CUAMM has integrated the project within its GPAF-funded program: Enabling access to improved mother and child health services for 101,632 women and newborn children in two districts of Tanzania, which started in April 2013 and will end in April 2016.

Objectives 1. Enhance understanding and responsiveness between beneficiaries, GPAF grant holders and DFID in order to: a) improve the appropriateness of the projects in making positive change to poor peoples’ lives; and b) increase the adaptability of GPAF project to unintended consequences (good or bad); 2. To provide information to DFID and the external GPAF fund manager on beneficiary views of the performance of the GPAF projects. This way, the BFM is intended as a

CUAMM BFM Pilot - Description The Theory of Change behind this Pilot is that beneficiary feedback will lead to greater accountability between recipients, donors and implementers, which will in turn lead to better decision-making and development results. The main purpose of the BFM Pilot is to provide feedback on DFID-GPAF Projects.

CUAMM has successfully established a model whereby beneficiaries are invited to freely provide feedbacks on the CUAMM GPAFfunded project they are part of through a low resource system based on SMS, missed calls and suggestion boxes. The BFM Pilot has been implemented in four wards: Lumuli, Maboga, Ifunda and Wasa across a total of eighteen villages.