Honduras project 522-0216 · 1990–2000 · health systems, policy and finance · Camp Dresser and McKee, Inc. (CDM)

Midterm evaluation of a project to strengthen primary health care (PHC) in Honduras, with emphasis on child survival (CS) and rural water and sanitation (WS). Evaluation covers 6/88-6/91. Despite the project's enormous complexity, all components except operations research have begun and many are on or ahead of target. In the CS component, pneumonia control, growth monitoring, and breastfeeding promotion have been delayed by lack of guidelines and insufficient training; other efforts, e.g., immunization, have exceeded target. The threat of cholera has stimulated progress in disease control despite lack of local planning. As for other health care activities, the women's health and birth spacing component has adopted a "reproductive risk" approach and is ready to begin operations; support for tuberculosis control is minimal, but satisfactory; AIDS control is in a formative stage; and vector control has met targets, although hindered by a horizontal management structure. Most WS targets are being met despite coordination problems. Both the Ministry of Health's (MOH) Environmental Sanitation Division and PVO's have been productive. The National Autonomous Water and Sewer Authority's

Source: DEC abstract, PD-ABE-338 (1992). This is the source's own text, not a cited summary of the documents.