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This report presents findings of a mid-term review of the Orbis International Africa (OIA) project support to promote the uptake of child eye health services within the Ashanti Region, Ghana. The purpose of the project was to promote the uptake of child eye health services, by strengthening the Ghanaian health system. The project was funded by Standard Chartered Bank – Seeing is Believing (SiB). The project is part of a wider OIA programme in Ghana that aims to establish a comprehensive paediatric eye care service in the Ashanti Region. The evaluation was conducted by a team of 6 Orbis staff from Orbis International (OI) headquarters, New York office, the UK Affiliate office, the Orbis International Africa (OIA) regional, Cape Town office. The evaluation followed an empowerment evaluation approach to engage relevant project stakeholders in thinking and reflection on how to improve programme practice and used a mixed method approach. A review of the original project proposal, project quarterly progress reports and 6-monthly donor reports was conducted and a total of 28 key stakeholders were interviewed. Interviews included regional health representatives, district health representatives and community level project implementing partners from two districts, Atwima Kwanwoma District and Ejisu Jueban Municipal District. A total of five project staff interviews were held – three with project staff from the Orbis Ghana office and two from the OIA Cape Town office. The limitations of the evaluation included the unavailability of Queen Mothers, female chiefs who play a central role in traditional governance within communities, including maternal and child health, as well as, community members to participate in the interviews. Another limitation was that time in country was limited, as the evaluation team conducted an evaluation of the KATH project concurrently.