Sightsavers Pakistan Final Evaluation

Learning from Evaluations- The Pakistan Urban Paediatric Eye Care Project (PUPEC)

Between 2011-2015 Sightsavers Pakistan implemented a child eye health project in five urban slum cities (Karachi, Rawalpindi, Lahore, Multan and Faisalabad) in Pakistan. The aims of the project were to:

1. Identify blind and low vision children within the five project cities

2. Provide the required eye care services (surgeries, spectacles, low vision devices) to children identified during school eye health activities

3. Increase eye health awareness in schools and adjacent communities

4. Strengthen eye health systems through human resource development

5. Establish effective programme management systems for efficient implementation of intervention

At the end of the project an End Term Project Evaluation was commissioned. The purpose of the End Term Project Evaluation was to explore key successes, challenges and lessons learnt to inform any childhood blindness control programme in future. The evaluation also sought to verify the achievement of intended results and outputs described in the project proposal and in the logical framework, and to measure the extent to which the PUPEC project has strengthened capacities of local implementing partners for combatting childhood blindness in Pakistan. Specifically, the evaluation focussed and attempted to answers questions on the following Sightsavers seven key evaluation criteria: relevance, effectiveness, efficiency, impact, sustainability, scalability / replicability and coherence / coordination.

The main recommendations of the evaluation are as below:

Project Management

1. Undertake mapping of institutional arrangements and actors to develop linkages and potential synergies at the outset and pursue these during the project.

2. Conduct a stakeholder analysis at the inception of the project to inform concurrent advocacy and communication requirements and coordination arrangements.

3. Conduct a baseline at the inception of the project to determine the referral pathway, willingness to pay and whether any local capacities in nearby health facilities or services need to be strengthened.

4. Develop a critical pathway along with necessary capacities to implement and monitor quality assurance mechanisms like use of a Global Positioning System (GPS) derived database (e.g. use of tablets) during screenings at the school cluster level to improve monitoring and strengthen the referral pathway.

Partnerships and Advocacy

1. Seek integration of school eye health through the education route by linking up with the inclusive education programme in Punjab.

2. Use the Education Sector Plans as entry portals for school health.

3. Organise consultation meetings under the leadership of the education department for integration of school eye health in the school curriculum.

4. Develop consensus on and produce school eye health guidelines by documenting best practices and learning under the auspices of the National Eye Health Committee

As a learning organisation, a management response was developed by Sightsavers Pakistan where specific actions have been proposed and agreed to take forward the recommendations in subsequent project design and implementation.

Charity Dandak

Institutional Funding Manager

Sightsavers UK