Target States High Impact Project - Mid-Term Evaluation

In 2009, the Targeted States High Impact Project (TSHIP), USAID/Nigeria’s flagship project, started improving the quality and delivery of a number of integrated high impact Maternal, Newborn and Child Health (MNCH), Family Planning (FP), and Reproductive Health (RH) interventions in two States, Bauchi and Sokoto in Nigeria. The TSHIP, along with other USG projects, is part of USAID/Nigeria’s “Focus State Strategy” designed to achieve impact at the State level. The TSHIP design was based of the achievements of prior USG projects, and on a number of assumptions, to achieve the following four strategic subobjectives as measured by 25 indicators:

1. Strengthen State and local capacity to deliver and promote high-impact interventions;
2. Strengthen service delivery at Primary Health Centers (PHC) and referral levels;
3. Strengthen the roles of households and communities; and
4. Improve policies, programming and resource allocation. 

TSHIP is being implemented by the JSI Institute as the prime organization along with a number of partners. The present draft Mid-Term Evaluation (MTE) report describes the methodology to assess how well the TSHIP has strengthened State and local governments, service delivery and referrals and the role of households (HH). The findings were used by the MTE team to also validate the design assumptions as presented in the project’s results framework, and make recommendations to maximize the impact of the TSHIP. This is the final report that was submitted after review of a draft report by USAID/Nigeria.