Monitoring, Evaluation and MIS
Responding to the need for accurate, timely and reliable data, we shaped up our Monitoring and Evaluation Unit by employing innovative M&E services that help measure changes produced by development assistance, identify successes and areas for improvement and evaluate and use the lessons learned to better programming.
Since its founding, RTM International has successfully carried out more than 100 monitoring and evaluation assignments, including performance and impact evaluations.
Our M&E Services:
• Impact and performance evaluations
• Program and sector assessments
• Needs assessment
• Data collection, data editing, data entry and data quality assessments.
• Result oriented management training on M&E.
• Program and sector assessments
• Needs assessment
• Data collection, data editing, data entry and data quality assessments.
• Result oriented management training on M&E.
Our M&E Clients:
Government of Bangladesh
- • Ministry of Health and Family Welfare
- • Health Economics Unit of the Ministry of Health and Family Welfare
- • NIPORT, Ministry of Health and Family Welfare
- • Ministry of Planning
- • Department of Livestock, Ministry of Fisheries and Livestock
Multilateral and Foreign Government
- • UK Department for International Development (DFID)
- • USAID
- • Academy for Educational Development
- • UNICEF Bangladesh Country Office
- • UNFPA, Bangladesh
- • World Bank, Bangladesh Country Office
- • International Planned Parenthood Federation Safe Abortion Action Fund
- • EngenderHealth
- • German Red Cross Society
- • Social Development Foundation
Our M&E Approach
Our professionals use proven quantitative and qualitative methodologies, paired with experimental and quasi-experimental survey and study designs, to ensure sound evaluations of clients’ program and projects. We also aim to strengthen the M&E capabilities of our implementing partners and local stakeholders.
The following are the highlights of RTM major monitoring activities:
Monitoring
• Third party Validation - Monitoring of Text book distribution (January to May, 2012)
Client: World Bank
The Directorate of Primary Education of the Ministry of Primary and Mass Education is responsible to implement the largest ever Primary Education Development Programme (PEDP 3) during the period from 2011 to 2016 jointly with the assistance of different development partners. One of the key elements of this programme aims at improving the quality of learning environment ensuring timely delivery of free textbooks to all eligible children so that each child learns. GOB is committed to increase delivery of textbooks gradually from 75% in 2011 to 95% of eligible children by 2014 within the month of January each year. To ensure whether the monitoring system is adequate to provide reliable information, RTM in cooperation with WB and DPE conducted a study Third Party Validation of distribution of text books at field level in the year 2012. With the financial assistance of World Bank RTM interviewed around 25000-30000 primary school students in different rural and urban areas of Bangladesh from about 500-600 schools where the HT of each selected school also were interviewed. The survey assessed whether 85% children had received books before January 2012. The study was completed in May, 2012.
• Verifying Monthly CLP outputs (July, 2010 - June, 2011)
Client: Char Livelihood Programme (CLP)
The CLP is being implemented by the Maxwell STAMP with the financial support from DFID. It is focused on addressing extreme poverty in Bangladesh. RTM International was assigned by the Char Livelihood Programme (CLP) for verification of monthly outputs of CLP activities over a period of 12 months in 5 districts of Rangpur Division. The ranges of outputs verified included transfer of kind and cash assets, monthly stipends, erosion grants, IEP safety nets, slab latrine, temporary food transfer, village savings and loan association. On the basis of outputs to be verified each month, plan for field work was developed accordingly. All data collected from the field were documented and preserved by an identity code for implementing by the partner concerned. Data were analyzed by output, by implementing partner and by geographical identity of the char/upazilla so that follow up action could be taken for identified gaps, corruption and undesirable results.
• Designing a ’Monitoring and Evaluation Plan’ of HNPSP (May - August, 2005)
Client: GIZ Bangladesh
RTM International worked as a resource organization for the Ministry of Health and Family Welfare and development partners in designing a ’Monitoring and Evaluation Plan’ of the Bangladesh health sector (HNPSP). The project team reviewed the existing data sources and identified the gaps with regard to data requirement, proposed rapid assessment procedures for timely generation of valid data or key measurable HNP outcome indicators, and developed a detailed impact evaluation for operationalizing the evaluation design. The support through this consultancy formed the basis of government M&E Plan for the health sector. The work was undertaken during May-August, 2005.
• Strengthening the monitoring and supervision system under DBRCHP (June, 2005 - May, 2009)
Client: UNFPA
RTM International implemented the Demand based Reproductive Health Commodity Project (DBRHCP) which was executed in two rural upazilas (Nabiganj and Raipur) and four wards of Dhaka city during June 2005 to May 2009. The project was funded by CIDA through UNFPA. As an implementing partner, RTM International facilitated the improvement of the local level supervision and monitoring system in the project areas of DBRHCP. The Deputy Director-Family Planning (DD-FP) from the district, Medical Officer- Maternal health, Child health and Family Planning (MO-MCHFP) from the upazila level visited the project areas and took several initiatives to improve the situation. Major steps were updating the MIS system, ensuring field level activities, holding target group meetings, and maximum utilization of internal logistics.
• Monitoring and Supervision activities under UNHCR Project (October 2007- December, 2011)
Client: UNHCR
Client: UNHCR
UNHCR is coordinating with the Government of Bangladesh in protecting the rights of around 29000 registered Rohingya refugees living in the two official camps of Nayapara (Teknaf) and Kutapalong (Ukhia). RTM International, with financial support from UNHCR, World Food Program (WFP), and UNICEF, is implementing interventions e.g health, and vocational training for the Myanmar refugees living in the two camps (Teknaf and Ukhia) of Cox’s Bazar. The project activities are monitored and supervised at different levels to measure progress towards the achievement of the planned objectives. RTM International’s headquarter staff support and assist project staff through supportive supervision at different stages of project implementation. RTM International involved Local GOB officials, particularly RRRC, Civil Surgeon and Deputy Director Family Planning of Cox’s Bazar to visit the project areas to ensure collaboration and avoid duplication of efforts among stakeholders.
• Establish and manage an External Monitoring system for NGOs
Client: UNICEF
RTM International was contracted by UNICEF to act as an external Monitoring Agency in HIV and AIDS Targeted Intervention (HATI) project which is being implemented in 44 districts through 147 drop-in centers (DIC) run by 44 NGOs of 12 consortia each called a Lead Agency (LA). The monitoring was performed at three levels, ie. DIC, NGO and LA levels. The specific objectives of the assignment were to: (i) identify the weaknesses in reporting and recording tools and recommend measures for improvement (ii) collect, compile, analyze and summarize the monthly programmatic and financial reports of the 12 consortia (iii) provide technical assistance to the NGOs in modifying the logical framework, reporting and recording formats and indicators (iv) validate the information provided by the NGOs (v) and, arrange dissemination event with the NGOs, NASP, UNICEF and other stakeholders. The assignment was conducted during October 2008 - January 2009.
• Monitoring of the Emergency Relief Program for the flood victims (2007)
Client: ASD
RTM International worked as a resource organization for the monitoring of the emergency relief program for the flood victim of 2007 for the Emergency Cooperation Network (ECNET) led by Assistance for Slum Dwellers (ASD), a Dhaka based NGO where seven organizations were responsible for the distribution of the food relief activities in 1183 flood affected villages 105 unions from 21 upazilas. The relief came from Diaconia Emergency Aid (DEA), of Germany. The ECNET NGOs distributed the relief goods among 14177 flood affected families. RTM International was assigned the responsibility of a monitoring relief activities such as assessment of the quantity of relief goods in terms of quantity, quality and other aspect of distribution including eligibility of the beneficiaries. The methodology of monitoring included physical observation, discussions with flood victims, and discussion with local administration, local government institution, and local NGO management.
Evaluation
• "Economic Evaluation of Demand Side Financing For Maternal Health in Bangladesh" under the project "Review, Analysis and Assessment Issues Related to Health Care Financing and Health Economics in Bangladesh" (June 2009-February 2010)
Client: GIZ
The Deutsche Gesellschaft fur Technische Zusammenarbeit (GIZ) GmbH funded the Health Economics Unit of MOHFW for implementing a package of three health care studies related to health care financing and health economics in Bangladesh. The study on "Economic Evaluation of Demand Side Financing (DSF) For Maternal Health in Bangladesh" was one of the three studies conducted by RTM International in association with Abt Associates Inc. USA as part of the package. During the study on maternal health voucher scheme, RTM collected data at the household level from 2208 mothers who had their delivery during the six months preceding the survey.
• Assessment of quality at coverage of Youth Friendly Health Services in Bangladesh (October - December, 2010)
Client: WHO Bangladesh
Client: WHO Bangladesh
RTM International conducted the study in collaboration with ICDDRB with the financial support from WHO Bangladesh. The study included different health facilities in Bangladesh such as District Hospital, Upazila Health Complex (UHC), Union Health and Family Welfare Center (UHFWC), NGO clinic, Private Hospitals, and Pharmacies. More than 2,700 samples were covered during the data collection.
• Internal quick assessment of the Basic Education Program under UNHCR project in Cox’s bazar (March - May, 2010)
Client: UNHCR
Client: UNHCR
RTM International conducted an internal quick assessment of the Basic Education Program in the Rohingya Refugee Camps in Cox’s Bazar. The study team randomly visited 3 schools in Nayapara camp and 4 schools in Kutupalong camp. Major data collection techniques included review of documents and reports including school records, key informant interviews, in-depth interviews, observation of school sessions for attendance and other information, and FGDs. To achieve the objectives of the assessment, different stakeholders were interviewed and various sessions at different grades were observed.
• Evaluation of the status of Smoke Free Policy Implementation and Law Compliance (November, 2009- February, 2010)
Client: The International Union Against Tuberculosis and Lung Disease (the Union)
• Evaluation of the status of Smoke Free Policy Implementation and Law Compliance (November, 2009- February, 2010)
Client: The International Union Against Tuberculosis and Lung Disease (the Union)
RTM International conducted a study to evaluate the status of Smoke Free Policy Implementation and compliance with the anti-tobacco law to find out what had already been done and what remained to be done to ensure a smoke free environment. The study was conducted in six city cooperation areas, six district towns and nine rural upazilas with financial support from the International Union Against Tuberculosis and Lung Disease (the Union).
• Impact Studies under Private Sector Health (2009 and 2010)
Client: KATALYST
• Impact Studies under Private Sector Health (2009 and 2010)
Client: KATALYST
Under Private Sector Health program of RTM International, a series of impact studies were conducted. The studies were funded by KATALYST. The overall impact of the interventions was assured to capture the real picture after implementation. As a part of Impact studies, a series of case studies of respondents were collected, interviews undertaken with target groups, observation of student’s progress in health training schools were carried out and a rapid profiling of healths paraprofessionals was undertaken.
• Market assessment of Uniject® device with pentavalent vaccine (October - November, 2010)
Client: PATH
• Market assessment of Uniject® device with pentavalent vaccine (October - November, 2010)
Client: PATH
PATH commissioned RTM International to conduct a study through the Qualitative in-person interviews with individuals involved with immunization in Bangladesh. The objective of the study was to obtain the feedback on the concept of pentavalent vaccine packaged in Uniject, to determine pentavalent use and average wastage rates over the past two years and to confirm the core benefits and differentiators of liquid pentavalent vaccine in Uniject versus other product formats (liquid or lyophilized vaccine in single- or multi-dose vials). RTM International conducted a total of 22 interviews with EPI service providers, and officials of the DGHS involved with policy and procurement. In addition, there was an observational visit to at least one routine immunization session in order to better understand the various contexts of use, benefits, and challenges that might be associated with use of Uniject to deliver pentavalent vaccine.
• Health Facility Assessment in Habiganj district under MaMoni project (September -December, 2010)
Client: Save the Children, USA
• Health Facility Assessment in Habiganj district under MaMoni project (September -December, 2010)
Client: Save the Children, USA
MaMoni - the integrated safe motherhood, newborn care and family planning project is working in Sylhet and Habiganj districts. MaMoni assigned RTM International the task to conduct a rapid assessment of the different levels of health facilities in Habiganj and to determine the status of the services for maternal and newborn health and family planning. RTM International under took health facility assessment of 262 health facilities which included District Hospital, Upazila Health Complex, Family Welfare Centers, Maternal and Child Health Welfare Center, Maternity Clinics, Union Sub Center, Rural Dispensary, and Community Clinics.
Pre(baseline) and Post Evaluation of Selected Targets groups of trainees in two border districts of Bangladesh on Knowledge of Avian Influenza (August - December 2009)
Client: Academy for Educational Development (AED)
The Academy for Educational Development had conducted training workshop on Avian Influenza for selected target audiences in the 6 border districts of Bangladesh. In order to assess their knowledge level, RTM International conducted a baseline survey and a post evaluation survey of the target groups. Two border districts of Jessore (Benapole) and Comilla (Bibir Bazar) of Bangladesh were selected for this study. The program had a cross sectional design adopting the qualitative approaches of in depth interview.
Rapid assessment of Attitudes and understanding related to H1N1 Influenza Immunization (June - November 2009)
Client: AED
A rapid qualitative assessment on H1N1 Influenza Immunization was conducted to determine the knowledge and attitude of the selected targets groups. Twenty four participants selected from three categories i.e. pregnant women, health workers and stakeholders were interviewed. The study was qualitative in nature and was conducted in several sites in Dhaka city.
Evaluation of the process and impact of LLP (September - November, 2009)
Client: WHO
RTM International evaluated the process and impact of local level planning for WHO. For this study, six districts from six divisions and one upazila from each district were selected. The study covered both the health and family planning personnel. A total of 24 districts and upazila health and family planning managers and 48 staff and service providers were interviewed through structured Kll and indepth formats respectively.
Review of Basic Integrated Services for the Urban Poor in Chittagong (July - August 2009)
Client: UNICEF
UNCEF Bangladesh has been working as a facilitating agency with Chittagong City Cooperation under the project "Basic Integrated Services for the Urban Poor in Chittagong". After a two and half years of project implementation, an assessment was conducted to determine the current impact of the project and progress so far.
Pre-market assessment of the Chlorhexidine Product (CHX) product for Umbilical cord Care in Bangladesh (August 2008 - October 2009)
Client: PATH
RTM International conducted a study on pre-market assessment of the CHX product in Bangladesh. The purpose of the study was to identify the issues associated with the introduction of the CHX product and factors that might facilitate the introduction of the product in Bangladesh to prevent cord infection.
Risk Perception Analysis on HIV/AIDS among WFP beneficiaries (December 2008 - January 2009)
Client: World Food Program (WFP)
RTM International was commissioned by WFP to conduct a study to assess the knowledge level situation as well as perception of risk of HIV/AIDS among the ultra-poor women under VGD in Sylhet district. The study was undertaken in 12 upazilas of Sylhet district among 390 WFP beneficiaries. It helped WFP to revise the HIV training module for further improvement of the knowledge level on HIV for a better understanding on the need and strategy to reach the target population.
Evaluation of Multiple Indicator Cluster Survey3 (February - April, 2008)
Client: UNICEF
RTM, on behalf of John Snow Incorporated, USA, conducted an evaluation of Multiple Indicator Cluster Survey3 which was undertaken in 2006 to monitor the indicators of child development in Bangladesh. The MICS3 was coordinated by UNICEF with Bangladesh Bureau of Statistics and Mitra and Associates as implementing partners. In addition to document review, RTM team interviewed the officials of UNICEF, BBS and Mitra and Associates as well as some field workers involved in the survey.
Evaluation of the pilot initiative with JOBS-IRIS under the project "Providing Technical Assistance for Designing and Implementing Livelihood Strategies for Adolescent Girls in Specific intervention areas (February - March 2008)
Client: UNICEF
RTM International conducted an evaluation of the technical assistance provided for designing and implementing livelihood strategies for adolescent girls in three districts. It reviewed JOB’s project approach and its relationship with local partners by way of linkages with local/international markets and its impact on the adolescent girls. The study also focused on the added-value of the general livelihood training, the intermediate outcomes of the technical trainings, important lessons learned and the elements of sustainability.
Performance Assessment of Partner Organizations under Social Development Foundation (November 2007 - January 2008)
Client: Social Development Foundation (SDF)
Social Development Foundation (SDF) is a World Bank supported national organization aiming to reduce vulnerabilities and expand opportunities to the very poor, particularly women, to improve the quality of their lives. SDF commissioned RTM International to carry out a performance assessment of the partner organizations in the districts of Jamalpur and Gaibandha focusing on the qualitative and quantitative aspects of their performance, outputs and outcomes.
Training and Supply of Nurses, Medical Assistants and Health Technicians in Bangladesh: An Assessment of the Current Situation (July - October 2007)
Client: JamesP.GrantSchool of Public Health, BRAC
RTM International conducted this study to assess the capacity of colleges/institutes to produce nurses, medical assistants and technicians; to examine the quality of education and training imparted at the colleges/institutes ; to identify problems in expanding the institutional capacity; to identify the effectiveness the health workers (e) and to examine their relevance in the Bangladesh context. The study was also a part of the Bangladesh Health Watch study and its main theme for 2007 was ’Health workforce’.
An Assessment of the Effect of Folk Theatre as a Communication Media for Avian Influenza Related Messages (May - July 2007)
Client: UNICEF
RTM international undertook a study for UNICEF to determine the effectiveness of theatre as a communication intervention in rural areas in channelizing selected Avian and Human Influenza related messages. The themes of messages included-(i) general information on avian influenza (ii) migratory birds and bird-flu (iii) bio-security (iv) cleanliness and (v) cooking. For this assignment 513 theatre audience were interviewed from 14 districts of the 3 administrative divisions of Bangladesh.
Rapid Situation Assessment of MARGs (May - September 2006)
Client: FHI
A Rapid Situation Assessment (RSA) was conducted to assess the prevailing situation with regard to risk behavior and network of Most At Risk Group’s MARGs in Jessore, Jafflong and Burimari areas of the country. This assessment was aimed to strengthen HIV and STI prevention, care and support activities of Bangladesh AIDS Program. The RSA were conducted in two phases: at the first phase the survey team mapped the selected MARGs and in the second phase review of the status of risk behavior of selected MARGs was conducted.
Assessment of Annual Development Program (ADP) for Utilization of National Sanitation Program (February - June 2007)
Client: UNICEF
RTM International conducted the assessment of Annual Development Program for utilization of National Sanitation Program which is jointly implemented by DPHE, LGED and UNICEF. The assessment primarily focused on the following issues a) the amount of fund released and how it tallies with the planned one b) review of actual expenditure of the LGI and its pattern and c) the allocation and utilization of ADP funds as per agreed plan. In addition the final report of the assignment included comments on the efficiency and effectiveness of program implementation of Local Government and its overall capacity to effectively implement the policy in the sector and the tasks assigned; comments and analysis on ADP allocation and its procedures and recommendations regarding alternative or modified utilization of ADP allocation and procedures that are sustainable in the long term and that can deal effectively with both the hardware and software aspects of sanitation, hygiene promotion and social mobilization.
Beneficiary Incidence Analysis (November 2006 - May 2007)
Client: Health Economics Unit (HEU), MoHFW
The Research Unit of RTM International also worked on BIA project to assess the distribution of benefits both in monetary terms, as well as more qualitative aspects of the utilization process. The aim of the analysis was to help the policy makers to determine whether or not public services are reaching the poor and other marginalized groups. The BIA analysis was based on both primary as well as secondary data. The secondary information were collected from the previous rounds of the National Health Accounts, Public Expenditure Review and Beneficiary Incidence Analysis conducted by the Health Economics Unit (HEU) of MoHFW. On the other hand, for primary data the study conducted exit patients interview of inpatients and outpatients attending the facility during the time of the study. The exit patient interview collected data from each of the six Divisions of the country. In each division, the sample covered one District Hospital, two Upazila Health Complexes and two Union Health and Family Welfare Centers. Thus the total number of health facilities under the six divisions was 30. The survey teams interviewed around 6500 exit patients who came during the day of the visits. They also collected different information on preparedness of the public health care facilities to provide quality care to the different clients.
Evaluation of Reproductive Health Projects (August - November 2005)
Client: UNFPA Bangladesh
RTM International carried out evaluation of two government projects on reproductive health:
- ’Capacity Development through Training for RH Program’, being implemented through the Directorate General of Health Services under the Ministry of Health and Family Welfare; and
- ’Strengthen BCC Unit to Support Advocacy Activities’ being implemented by the IEM Unit of the Directorate of Family Planning under the Ministry of Health and Family Welfare.
Review the Implementation of Facility-based IMCI (August - November 2005)
Client: UNICEF
A review of the implementation of facility based IMCI was conducted by RTM International, for Service Provision with Trained Human Resources, Essential Supplies and Drugs, Facility Utilization, Coverage and Quality of Care.
Evaluation of Community Clinic Pilots (October - November 2004)
Client: CIDA/USAID/DFID
RTM International conducted an evaluation of the country’s community clinics pilots managed on behalf of the Government of Bangladesh by Partners in Health and Development (PHD), NGO services Delivery Program (NSDP) and Plan International. The study identified the strengths and weaknesses of the three pilots and apprised the government and development partners of the lessons learnt for appropriate policy decision. The study was jointly funded by CIDA, USAID and DFID.
Review of design issues of urban health service delivery programs (August - September 2004)
Client: Concern Bangladesh
RTM International participated in the final evaluation of the USAID supported Child Survival Programs of CONCERN Bangladesh in two urban areas. This evaluation was useful in taking up projects for replication in other municipalities.
Review of design issues of urban health service delivery programs (October - November 2003)
Client: DFID Bangladesh
A study on the design issues of urban health service delivery programs was conducted by RTM International. This study recommended the ways and means to deepen the reach and widen the geographical coverage of health services to the residents of the country’s urban areas.
Assessment of Local Health Management committees (April to June, 2012)
Client: Health Economics Unit
The Health Economics Unit (HEU) of the Ministry of Health and Family Welfare (MoHFW), has been taking various efforts for improvement in the areas of health financing/health economics and equity especially designed to assist the poor and achieve the target of Millennium Development Goal. Under the leadership of HEU/MoHFW discussions have been conducted with key stakeholders and policy makers for the identification, design and implementation of one such health financing pilot in selected areas. The pilot has been conceptualized as a social health protection scheme termed SHASTHYO SHUROKHSHA KARMASUCHI (SSK). The SSK project aimed to i) Improve access of the poor to hospital inpatient care by reducing financial barriers, ii) Decentralize hospital activities for functional improvement in the health sector in phases as a part of Local Level Planning (LLP) and development, and iii) Introduce modern Information and Communication Technologies for increased efficiency and transparency in the health sector (e. g. claims processing, accounting, controlling and electronic patient records). The prime goal of the proposed study was to assess the existing state of Health Management Committees, identify their strengths and weaknesses, and place recommendations for strengthening their role, functionality and participation in the implementation of SSK pilots. The study was purely a qualitative one following a cross-sectional design and drawing information from both primary and secondary sources. The study design aimed to collect data through in-depth review of past and present health care management committees and also to explore a proposed model for such committees for future implementation. The study tried to find out a model for community participation through the local health care management committee in respect of planning, budgeting and monitoring elements of social health insurance and health financing.
Analysis of health policies including reference to public spending in eye health compared to other health programme (October 2010 – January 2011)
Client: Sightsavers Bangladesh
RTM International conducted a study which aimed to review and analyze the existing policies related to eye health and assess the level of public spending for the same compared to the spending in other health programmes. The scope of work under this assignmment included: i) review all relevant policy documents related to eye health care, promotion and prevention; ii) assess the allocation of public resources for eye health if possible separately for prevention and treatment; iii) calculate the actual proportion of spending on eye health compared to the spending in other heath programme; iv)gather stakeholder views and opinions for improvement in eye health promotion; and v) make recommendations for necessary policy and strategy changes for eye health promotion. Literature review and key informant interviews were conducted. The report was submitted on time and has been accepted by sponsor.
Management System for Human Resource for Health (HRH) Information, Projection of HRH for Medical Technologist and Nursing Development Planning (March to June, 2010)
Client: JICA
RTM International was commissioned by JICA and the MOHFW to conduct the following three studies for proposing an HRD plan in nursing up to 2021 based upon the existing projection models of demand and supply of nurses: i) Human Resource for Health (HRH) Information; ii) Projection of Human Resource in Health (HRH) for Medical Technologist; iii) Plan of Nursing Development. RTM International adopted qualitative method of data collection through secondary data review, key informant interview, the in-depth interview and FDGs. The evaluation team covered both the nursing and other professional related with nursing and curriculum and teaching materials. For understanding the communication and monitoring system, the officials at the central level were also interviewed. The recommendations made in the final report included suggestion of improvements required for level, revision of curriculum and teaching materials and projection of required nurses.
Reconstruction, Economic Development and Livelihoods (REAL Project) Baseline Survey (June - July 2009)
Client: Helen Keller International, Bangladesh
The purpose of the survey was to establish baseline data that would help in tracking progress and changes in the future resulting from HKI’s development interventions in the impact areas. The baseline survey for REAL project was conducted with the specific objectives: to assess the household assets, income, expenditures and income-generating activities; to find out the existing status of the household food security; women empowerment; and to determine the nutritional status through dietary recall and anthropomorphic measurements. The survey covered all unions included in the program within the 4 upazilas of the two districts. Data were gathered through the successful completion of 180 interviews within the sample households of experimental group and 180 interviews within the sample households of control group with respondents. In each sample household, only one woman was identified as eligible for an interview. A household questionnaire was administered for the household interview with the eligible respondent.
Perceived quality of nutrition services and satisfaction of community people regarding nutrition services and their utilization status (April - June 2013)
Client: Institute of Public Health Nutrition
RTM international conducted a study on the perceived quality and satisfaction on nutrition services and their utilization among the community people. The study was based on both the quantitative and qualitative techniques for data collection. In order to make the study findings representative and valid all seven divisions were selected. The main focus of the study was to explore the knowledge on the users’ satisfaction with nutrition care provided to children aged 0-5 years in Bangladesh. Thus the respondents’ group of the study comprised the parents/care givers of children under 5. Detailed knowledge and practice of the parents/caregivers on nutrition indicators were assessed. Further, the study included the currently pregnant women, lactating mothers, adolescent girls and caregivers of under 5 children for data collection on the selected nutrition activities. Data were collected from 2100 pregnant women, lactating mothers, adolescent girls and caregivers of under 5 children.
Assessment of Current Situation of Quality of Care in Reproductive Health and Family Planning Services (June 2006)
Client: NIPORT
In this study were identified and considered a number of indicators to assess the QoC in RH-FP services in Bangladesh. The broader category of the indicators were (a) preparedness of services providers and provisions, (b) Providers behaviour and practice, (c) follow up and referral of clients, (d) access, (e) monitoring and supervision, and (f) clients’ satisfaction. However, the study was mainly based on primary data. It also utilized the relevant information from the available secondary sources. The study followed a cross sectional statistical design to obtain information from the primary, secondary and tertiary sources. In order to achieve the objectives of the study, samples from different segments of the population such as service providers, service recipients and program managers were obtained. Information were gathered from MCWC, Upazilla FP clinic and UHFWC selected randomly from 21 districts based on their service performance. Information from MCHTI – a tertiary level facility was also collected for possible comparison. In addition, a number of key informants were interviewed at the DFP offices for better understanding of the existing situation of QoC in RH-FP services.
Formulation of Bangladesh HNPSP monitoring and Evaluation Plan (May - August 2005)
Client: GTZ Bangladesh / MOHFW
RTM International worked as a resource organization for the Ministry of Health and Family Welfare and development partners in designing a ’Monitoring and Evaluation Plan’ of the Bangladesh health sector (HNPSP). The project team reviewed the existing data sources and identified the gaps with regard to data requirement and proposed rapid assessment procedures for timely generation of valid data or key measurable HNP outcome indicators, and developed a detailed impact evaluation for operationalizing the evaluation design. The support through this consultancy formed the basis of government M&E Plan for the health sector.
Study on the Injecting Drug Users (September 2004 - March 2005)
Client: Family Health International, Bangladesh Office
RTM International undertook a study entitled "Assessment of Injecting Drug Users ’(IDUs) Sexual Network and Risk Behavior in Indonesia and Bangladesh’. This study probed into the sexual behavior of IDUs in Bangladesh who are considered to be the most vulnerable among the at risk populations to contact HIV/AIDS.
Pre (baseline) and Post Evaluation of Selected Target groups of trainees in two border districts of Bangladesh on Knowledge of Avian Influenza (Aug 2009 - Dec 2009)
Client: Academy for Educational Development (AED), US office
These studies were conducted for assessing the knowledge level of selected target groups belonging to 6 border districts of the country, where trainings were provided on Avian Influenza by AED. RTM International conducted a baseline survey and a post evaluation survey of the target groups in the districts of Jessore and Comilla, out of the six border districts, selected on a random basis. The study followed a cross-selectional design adopting the qualitative approaches of in-depth interview.
Pre(baseline) and Post Evaluation of Selected Targets groups of trainees in two border districts of Bangladesh on Knowledge of Avian Influenza (August - December 2009)
Client: Academy for Educational Development (AED)
The Academy for Educational Development had conducted training workshop on Avian Influenza for selected target audiences in the 6 border districts of Bangladesh. In order to assess their knowledge level, RTM International conducted a baseline survey and a post evaluation survey of the target groups. Two border districts of Jessore (Benapole) and Comilla (Bibir Bazar) of Bangladesh were selected for this study. The program had a cross sectional design adopting the qualitative approaches of in depth interview.
Rapid assessment of Attitudes and understanding related to H1N1 Influenza Immunization (June - November 2009)
Client: AED
A rapid qualitative assessment on H1N1 Influenza Immunization was conducted to determine the knowledge and attitude of the selected targets groups. Twenty four participants selected from three categories i.e. pregnant women, health workers and stakeholders were interviewed. The study was qualitative in nature and was conducted in several sites in Dhaka city.
Evaluation of the process and impact of LLP (September - November, 2009)
Client: WHO
RTM International evaluated the process and impact of local level planning for WHO. For this study, six districts from six divisions and one upazila from each district were selected. The study covered both the health and family planning personnel. A total of 24 districts and upazila health and family planning managers and 48 staff and service providers were interviewed through structured Kll and indepth formats respectively.
Review of Basic Integrated Services for the Urban Poor in Chittagong (July - August 2009)
Client: UNICEF
UNCEF Bangladesh has been working as a facilitating agency with Chittagong City Cooperation under the project "Basic Integrated Services for the Urban Poor in Chittagong". After a two and half years of project implementation, an assessment was conducted to determine the current impact of the project and progress so far.
Pre-market assessment of the Chlorhexidine Product (CHX) product for Umbilical cord Care in Bangladesh (August 2008 - October 2009)
Client: PATH
RTM International conducted a study on pre-market assessment of the CHX product in Bangladesh. The purpose of the study was to identify the issues associated with the introduction of the CHX product and factors that might facilitate the introduction of the product in Bangladesh to prevent cord infection.
Risk Perception Analysis on HIV/AIDS among WFP beneficiaries (December 2008 - January 2009)
Client: World Food Program (WFP)
RTM International was commissioned by WFP to conduct a study to assess the knowledge level situation as well as perception of risk of HIV/AIDS among the ultra-poor women under VGD in Sylhet district. The study was undertaken in 12 upazilas of Sylhet district among 390 WFP beneficiaries. It helped WFP to revise the HIV training module for further improvement of the knowledge level on HIV for a better understanding on the need and strategy to reach the target population.
Evaluation of Multiple Indicator Cluster Survey3 (February - April, 2008)
Client: UNICEF
RTM, on behalf of John Snow Incorporated, USA, conducted an evaluation of Multiple Indicator Cluster Survey3 which was undertaken in 2006 to monitor the indicators of child development in Bangladesh. The MICS3 was coordinated by UNICEF with Bangladesh Bureau of Statistics and Mitra and Associates as implementing partners. In addition to document review, RTM team interviewed the officials of UNICEF, BBS and Mitra and Associates as well as some field workers involved in the survey.
Evaluation of the pilot initiative with JOBS-IRIS under the project "Providing Technical Assistance for Designing and Implementing Livelihood Strategies for Adolescent Girls in Specific intervention areas (February - March 2008)
Client: UNICEF
RTM International conducted an evaluation of the technical assistance provided for designing and implementing livelihood strategies for adolescent girls in three districts. It reviewed JOB’s project approach and its relationship with local partners by way of linkages with local/international markets and its impact on the adolescent girls. The study also focused on the added-value of the general livelihood training, the intermediate outcomes of the technical trainings, important lessons learned and the elements of sustainability.
Performance Assessment of Partner Organizations under Social Development Foundation (November 2007 - January 2008)
Client: Social Development Foundation (SDF)
Social Development Foundation (SDF) is a World Bank supported national organization aiming to reduce vulnerabilities and expand opportunities to the very poor, particularly women, to improve the quality of their lives. SDF commissioned RTM International to carry out a performance assessment of the partner organizations in the districts of Jamalpur and Gaibandha focusing on the qualitative and quantitative aspects of their performance, outputs and outcomes.
Training and Supply of Nurses, Medical Assistants and Health Technicians in Bangladesh: An Assessment of the Current Situation (July - October 2007)
Client: JamesP.GrantSchool of Public Health, BRAC
RTM International conducted this study to assess the capacity of colleges/institutes to produce nurses, medical assistants and technicians; to examine the quality of education and training imparted at the colleges/institutes ; to identify problems in expanding the institutional capacity; to identify the effectiveness the health workers (e) and to examine their relevance in the Bangladesh context. The study was also a part of the Bangladesh Health Watch study and its main theme for 2007 was ’Health workforce’.
An Assessment of the Effect of Folk Theatre as a Communication Media for Avian Influenza Related Messages (May - July 2007)
Client: UNICEF
RTM international undertook a study for UNICEF to determine the effectiveness of theatre as a communication intervention in rural areas in channelizing selected Avian and Human Influenza related messages. The themes of messages included-(i) general information on avian influenza (ii) migratory birds and bird-flu (iii) bio-security (iv) cleanliness and (v) cooking. For this assignment 513 theatre audience were interviewed from 14 districts of the 3 administrative divisions of Bangladesh.
Rapid Situation Assessment of MARGs (May - September 2006)
Client: FHI
A Rapid Situation Assessment (RSA) was conducted to assess the prevailing situation with regard to risk behavior and network of Most At Risk Group’s MARGs in Jessore, Jafflong and Burimari areas of the country. This assessment was aimed to strengthen HIV and STI prevention, care and support activities of Bangladesh AIDS Program. The RSA were conducted in two phases: at the first phase the survey team mapped the selected MARGs and in the second phase review of the status of risk behavior of selected MARGs was conducted.
Assessment of Annual Development Program (ADP) for Utilization of National Sanitation Program (February - June 2007)
Client: UNICEF
RTM International conducted the assessment of Annual Development Program for utilization of National Sanitation Program which is jointly implemented by DPHE, LGED and UNICEF. The assessment primarily focused on the following issues a) the amount of fund released and how it tallies with the planned one b) review of actual expenditure of the LGI and its pattern and c) the allocation and utilization of ADP funds as per agreed plan. In addition the final report of the assignment included comments on the efficiency and effectiveness of program implementation of Local Government and its overall capacity to effectively implement the policy in the sector and the tasks assigned; comments and analysis on ADP allocation and its procedures and recommendations regarding alternative or modified utilization of ADP allocation and procedures that are sustainable in the long term and that can deal effectively with both the hardware and software aspects of sanitation, hygiene promotion and social mobilization.
Beneficiary Incidence Analysis (November 2006 - May 2007)
Client: Health Economics Unit (HEU), MoHFW
The Research Unit of RTM International also worked on BIA project to assess the distribution of benefits both in monetary terms, as well as more qualitative aspects of the utilization process. The aim of the analysis was to help the policy makers to determine whether or not public services are reaching the poor and other marginalized groups. The BIA analysis was based on both primary as well as secondary data. The secondary information were collected from the previous rounds of the National Health Accounts, Public Expenditure Review and Beneficiary Incidence Analysis conducted by the Health Economics Unit (HEU) of MoHFW. On the other hand, for primary data the study conducted exit patients interview of inpatients and outpatients attending the facility during the time of the study. The exit patient interview collected data from each of the six Divisions of the country. In each division, the sample covered one District Hospital, two Upazila Health Complexes and two Union Health and Family Welfare Centers. Thus the total number of health facilities under the six divisions was 30. The survey teams interviewed around 6500 exit patients who came during the day of the visits. They also collected different information on preparedness of the public health care facilities to provide quality care to the different clients.
Evaluation of Reproductive Health Projects (August - November 2005)
Client: UNFPA Bangladesh
RTM International carried out evaluation of two government projects on reproductive health:
- ’Capacity Development through Training for RH Program’, being implemented through the Directorate General of Health Services under the Ministry of Health and Family Welfare; and
- ’Strengthen BCC Unit to Support Advocacy Activities’ being implemented by the IEM Unit of the Directorate of Family Planning under the Ministry of Health and Family Welfare.
Review the Implementation of Facility-based IMCI (August - November 2005)
Client: UNICEF
A review of the implementation of facility based IMCI was conducted by RTM International, for Service Provision with Trained Human Resources, Essential Supplies and Drugs, Facility Utilization, Coverage and Quality of Care.
Evaluation of Community Clinic Pilots (October - November 2004)
Client: CIDA/USAID/DFID
RTM International conducted an evaluation of the country’s community clinics pilots managed on behalf of the Government of Bangladesh by Partners in Health and Development (PHD), NGO services Delivery Program (NSDP) and Plan International. The study identified the strengths and weaknesses of the three pilots and apprised the government and development partners of the lessons learnt for appropriate policy decision. The study was jointly funded by CIDA, USAID and DFID.
Review of design issues of urban health service delivery programs (August - September 2004)
Client: Concern Bangladesh
RTM International participated in the final evaluation of the USAID supported Child Survival Programs of CONCERN Bangladesh in two urban areas. This evaluation was useful in taking up projects for replication in other municipalities.
Review of design issues of urban health service delivery programs (October - November 2003)
Client: DFID Bangladesh
A study on the design issues of urban health service delivery programs was conducted by RTM International. This study recommended the ways and means to deepen the reach and widen the geographical coverage of health services to the residents of the country’s urban areas.
Assessment of Local Health Management committees (April to June, 2012)
Client: Health Economics Unit
The Health Economics Unit (HEU) of the Ministry of Health and Family Welfare (MoHFW), has been taking various efforts for improvement in the areas of health financing/health economics and equity especially designed to assist the poor and achieve the target of Millennium Development Goal. Under the leadership of HEU/MoHFW discussions have been conducted with key stakeholders and policy makers for the identification, design and implementation of one such health financing pilot in selected areas. The pilot has been conceptualized as a social health protection scheme termed SHASTHYO SHUROKHSHA KARMASUCHI (SSK). The SSK project aimed to i) Improve access of the poor to hospital inpatient care by reducing financial barriers, ii) Decentralize hospital activities for functional improvement in the health sector in phases as a part of Local Level Planning (LLP) and development, and iii) Introduce modern Information and Communication Technologies for increased efficiency and transparency in the health sector (e. g. claims processing, accounting, controlling and electronic patient records). The prime goal of the proposed study was to assess the existing state of Health Management Committees, identify their strengths and weaknesses, and place recommendations for strengthening their role, functionality and participation in the implementation of SSK pilots. The study was purely a qualitative one following a cross-sectional design and drawing information from both primary and secondary sources. The study design aimed to collect data through in-depth review of past and present health care management committees and also to explore a proposed model for such committees for future implementation. The study tried to find out a model for community participation through the local health care management committee in respect of planning, budgeting and monitoring elements of social health insurance and health financing.
Analysis of health policies including reference to public spending in eye health compared to other health programme (October 2010 – January 2011)
Client: Sightsavers Bangladesh
RTM International conducted a study which aimed to review and analyze the existing policies related to eye health and assess the level of public spending for the same compared to the spending in other health programmes. The scope of work under this assignmment included: i) review all relevant policy documents related to eye health care, promotion and prevention; ii) assess the allocation of public resources for eye health if possible separately for prevention and treatment; iii) calculate the actual proportion of spending on eye health compared to the spending in other heath programme; iv)gather stakeholder views and opinions for improvement in eye health promotion; and v) make recommendations for necessary policy and strategy changes for eye health promotion. Literature review and key informant interviews were conducted. The report was submitted on time and has been accepted by sponsor.
Management System for Human Resource for Health (HRH) Information, Projection of HRH for Medical Technologist and Nursing Development Planning (March to June, 2010)
Client: JICA
RTM International was commissioned by JICA and the MOHFW to conduct the following three studies for proposing an HRD plan in nursing up to 2021 based upon the existing projection models of demand and supply of nurses: i) Human Resource for Health (HRH) Information; ii) Projection of Human Resource in Health (HRH) for Medical Technologist; iii) Plan of Nursing Development. RTM International adopted qualitative method of data collection through secondary data review, key informant interview, the in-depth interview and FDGs. The evaluation team covered both the nursing and other professional related with nursing and curriculum and teaching materials. For understanding the communication and monitoring system, the officials at the central level were also interviewed. The recommendations made in the final report included suggestion of improvements required for level, revision of curriculum and teaching materials and projection of required nurses.
Reconstruction, Economic Development and Livelihoods (REAL Project) Baseline Survey (June - July 2009)
Client: Helen Keller International, Bangladesh
The purpose of the survey was to establish baseline data that would help in tracking progress and changes in the future resulting from HKI’s development interventions in the impact areas. The baseline survey for REAL project was conducted with the specific objectives: to assess the household assets, income, expenditures and income-generating activities; to find out the existing status of the household food security; women empowerment; and to determine the nutritional status through dietary recall and anthropomorphic measurements. The survey covered all unions included in the program within the 4 upazilas of the two districts. Data were gathered through the successful completion of 180 interviews within the sample households of experimental group and 180 interviews within the sample households of control group with respondents. In each sample household, only one woman was identified as eligible for an interview. A household questionnaire was administered for the household interview with the eligible respondent.
Perceived quality of nutrition services and satisfaction of community people regarding nutrition services and their utilization status (April - June 2013)
Client: Institute of Public Health Nutrition
RTM international conducted a study on the perceived quality and satisfaction on nutrition services and their utilization among the community people. The study was based on both the quantitative and qualitative techniques for data collection. In order to make the study findings representative and valid all seven divisions were selected. The main focus of the study was to explore the knowledge on the users’ satisfaction with nutrition care provided to children aged 0-5 years in Bangladesh. Thus the respondents’ group of the study comprised the parents/care givers of children under 5. Detailed knowledge and practice of the parents/caregivers on nutrition indicators were assessed. Further, the study included the currently pregnant women, lactating mothers, adolescent girls and caregivers of under 5 children for data collection on the selected nutrition activities. Data were collected from 2100 pregnant women, lactating mothers, adolescent girls and caregivers of under 5 children.
Assessment of Current Situation of Quality of Care in Reproductive Health and Family Planning Services (June 2006)
Client: NIPORT
In this study were identified and considered a number of indicators to assess the QoC in RH-FP services in Bangladesh. The broader category of the indicators were (a) preparedness of services providers and provisions, (b) Providers behaviour and practice, (c) follow up and referral of clients, (d) access, (e) monitoring and supervision, and (f) clients’ satisfaction. However, the study was mainly based on primary data. It also utilized the relevant information from the available secondary sources. The study followed a cross sectional statistical design to obtain information from the primary, secondary and tertiary sources. In order to achieve the objectives of the study, samples from different segments of the population such as service providers, service recipients and program managers were obtained. Information were gathered from MCWC, Upazilla FP clinic and UHFWC selected randomly from 21 districts based on their service performance. Information from MCHTI – a tertiary level facility was also collected for possible comparison. In addition, a number of key informants were interviewed at the DFP offices for better understanding of the existing situation of QoC in RH-FP services.
Formulation of Bangladesh HNPSP monitoring and Evaluation Plan (May - August 2005)
Client: GTZ Bangladesh / MOHFW
RTM International worked as a resource organization for the Ministry of Health and Family Welfare and development partners in designing a ’Monitoring and Evaluation Plan’ of the Bangladesh health sector (HNPSP). The project team reviewed the existing data sources and identified the gaps with regard to data requirement and proposed rapid assessment procedures for timely generation of valid data or key measurable HNP outcome indicators, and developed a detailed impact evaluation for operationalizing the evaluation design. The support through this consultancy formed the basis of government M&E Plan for the health sector.
Study on the Injecting Drug Users (September 2004 - March 2005)
Client: Family Health International, Bangladesh Office
RTM International undertook a study entitled "Assessment of Injecting Drug Users ’(IDUs) Sexual Network and Risk Behavior in Indonesia and Bangladesh’. This study probed into the sexual behavior of IDUs in Bangladesh who are considered to be the most vulnerable among the at risk populations to contact HIV/AIDS.
Pre (baseline) and Post Evaluation of Selected Target groups of trainees in two border districts of Bangladesh on Knowledge of Avian Influenza (Aug 2009 - Dec 2009)
Client: Academy for Educational Development (AED), US office
These studies were conducted for assessing the knowledge level of selected target groups belonging to 6 border districts of the country, where trainings were provided on Avian Influenza by AED. RTM International conducted a baseline survey and a post evaluation survey of the target groups in the districts of Jessore and Comilla, out of the six border districts, selected on a random basis. The study followed a cross-selectional design adopting the qualitative approaches of in-depth interview.
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Current Information
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Activities Pictures
RTM International are implementing Health Support and research activities in the different Districts of Bangladesh which are funded by different Donors.
RTMI-UNFPA Project
Courtyard meeting organized by RTMI-UNFPA