1. The Detailed Implementation Plan (DIP) Process The coming of age of a Detailed Implementation Plan process is the DIP workshop and most of our efforts are geared towards it. PhasePre -requisite/Preparation Pre WorkshopGuideline for DIP shared with CO Data: SA, BL, HFA, ASA, WASH, FR/Barrier Presentations ready Agenda, Invitations, Venue WorkshopParticipation, consultation and learning, consensus, Post WorkshopDocument the DIP and share with partners (minus budget)

2. What is done in the USAID and other donor DIP workshops? revise, if necessary, and refine program goals, objectives/results, indicators and targets; strategize on major interventions; determine critical project tasks and activities; clarify roles and responsibilities of implementing groups; prioritize planned activities with partners. Post plenary – multitude of small groups – participation is best elicited if done by special topic area and/or area of interest.

3. In country – DIP write up Heavy lifting by ACD/HSC/PM/M&E/Advocacy Backstop is expected to assist as needed Programming begins Atlanta plus team Peer review of DIP CO by CO - ? Webex Suggest possible changes – Finalize DIP – Firm deadline for Atlanta Atlanta team Work on future reports/strategies Stepping back What happens after the workshop?

4. What is worth emulating from CSHGP guidelines Level of effort LOE Targets Maps Large number of usable tools – or some variation Reach out to partners and key players Consensus and buy in Comprehensive package of usable tools guidelines and tables Post DIP CO leads the implementation

5. Possible Incremental Improvements LOE by different time frames and sub LOE by sectors Strategize by most doable, measurable and effective strategies (possible think biggest bang for buck) One time big tent activity – or pre/post smaller group activities? Priorities – whose? Question have we spent enough time for good inputs and consensus? Outcome – Identify best thinkers/implementers – rope them for different committees Advisory committees – by development sector? Else sub committees Agree in DIP to update targets if indicated (greater achievement bias)

6. Time for Questions

7. Borrowable Concepts - 1 Beneficiary PopulationNumber Infants: 0-11 months5,193 Children: 12-23 months5,193 Children: 24-59 months15,580 Children 0-59 months25,966 Women 15-49 years28,561 Total Population129,830 Illustration of Beneficiary Calculation for Project Example – Rwanda child survival

8. Borrowable Concepts - 2 Target to be achieved Current StatusEnd of Project Target to be achieved Stunting – 36%18% Home Based ECD Center (10%) 100% Example – Rwanda child survival

9. Borrowable concepts 3 Level Of Effort (LOE) Agriculture – 40% IYCF – 40% Wash – 10% Anemia – 10% Example for illustrative purpose only

10. Borrowable Concepts – 4 Management and Human Resource Table PositionNumberResponsibilitiesLOEAffiliation Mother Leaders CHWs 1157  Share MCH and ECD messages Report to CHWs new pregnancies, cases of malnutrition, 30%Community Volunteer Example – Rwanda child survival

11. Borrowable Concepts – 5 Training Plan #LevelInterventionContent Venue (subdistrict namesO Durati on Trainees Total # Trainers 1. 2. Sector Community Health ECD Train Binome on C-IMCI training Module Child Stim/n ML Nyarubaka, Kayenzi, Musambira et Karama Nyarubaka 5 days 3 days 208 CHW binôme 1500 ML CARE staff, MOH Contrac tor Example – Rwanda child survival

12. Borrowable concept 6 Facilities/Systems Assessments Health Facility Assessment From lowest level till district level 1) HW staffing and expertise level per HC 2) Supplies and equipment – IFA availability in past one year 3) HR – training status –Nepal – CARE does most training. Agriculture Sector From lowest level till district level Wash Sector Assessment From lowest level till district level

13. Borrowable Concept 7 Research/Evaluation Plan PlanMethodologyTimelineResponsible Phase one: Home-based ECD Assessment - Reflection session - Documentation of lessons learned August 2011 Project staff Phase Two: Barrier Analysis - FGD - Key informant interviews - Coverage analysis in select communities August- October 2011 Project staff Phase Three: Feasibility Trial Trials of Improved Practices (TIPs) October- January 2011 Project staff Scale up - Reflection session - Documentation of lessons learned January 2012 Project staff Final evaluation - Survey among mothers of children < 24 months (KAP and anthropometric Survey) - ECD assessment - CHW survey August 2012 Project staff with external consultants

14. DomainActivity Intervention area Comparison area CHWMLsCHWML Nutrition Growth monitoring and promotionXXXN/A Screening and referral for malnutritionXXXN/A Maternal Health Mobilize pregnant women for ANC XXN/A risk signs during pregnancy and referralX XN/A Birth preparation plan XXN/A Borrowable Concept 8 Difference in Roles and Responsibilities in Intervention and Comparison Areas

15. Time for Questions Thanks