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Impact Assessment Study Sample
HANDS Intervention Area was Included in this Study
Provinces (Sindh, Punjab and Baluchistan) 03
13Districts 13
81 Villages 81
404 Households (5 HH in each village) 404
Population 91365
Average Population per Village 1128
HANDS MISALI InterventionsS# District1 Jacobabad
2 Jaffarabad
3 Jamshoro
4 Karachi Rural
5 Karachi Urban
6 Matiari
7 Muzaffargarh
8 Sanghar
9 Shaheed Benazir Abad
10 Tando Allahyar
11 Thatta
12 Tando Muhammad Khan
13 Umerkot
Thematic Areas of the SurveyHealth• Maternal Health• Child vaccination• Growth Monitoring• Nutrition
Livelihood• PSC• Assets
IDEAS• Shelter• Infrastructure • Energy
WASH• Water• Sanitation• Hygiene Education• ECE• Primary & Secondary• Adult Literacy
Impact Assessment Study Sample
Impact Assessment Study Sample
39%
35%
26%
% of Population Comparison in Villages
Male
Female
Children
n=91365
Impact Assessment Study Sample
76
3931
0
10
20
30
40
50
60
70
80
CBO Formed CBO Registration CBO Account
Detail about CBOsYes
n=81
Impact Assessment Study Sample
29.6
34.635.8
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
Metaled Gravel Earth (Bricked) Earthen Link Road
% of Types of Road Accessn=81
Impact Assessment Study Sample
33.3
14.8
58.0
24.7
19.8
51.9
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
Boys Primary Girls Primary Mix Primary BoysSecondary
GirlsSecondary
ECE
% of Schools within 5 Kilometers in Villagesn=81
Impact Assessment Study Sample
11%
9%
38%
16%
10%
16%
% of Enrolled Students in Schools of the Villages (3 to 18 Years)
Boys Primary
Girls Primary
Mix Primary
Boys Secondary
Girls Secondary
ECE
n=81
Impact Assessment Study Sample
17%
9%
68%
1%5%
0%
% of Drop out Students
Boys Primary
Girls Primary
Mix Primary
Boys Secondary
Girls Secondary
ECE
n=81
Impact Assessment Study Sample
14.8
19.8
14.8
18.5
45.7
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
50.0
DHQ/ THQ Rural HealthCentre
Basic Health UnitGovt. Dispensary Private Clinic
% of Health Facility available in the village
Impact Assessment Study Sample
96.3
19.8
0.0
21.013.6
2.50.0
20.0
40.0
60.0
80.0
100.0
120.0
MARVIworker
LHW CMW TBA LHV Doctor
% of Health worker in a village
Impact Assessment Findings
Impact Assessment Findings
71.6
48.8
0
10
20
30
40
50
60
70
80
HANDS Survey 2017 HANDS Survey 2018
Lime applied on Shelter
Impact Assessment Findings
Availability of Electricity
2017 2018
82% 89%
Average Expenses on Alternate source
2017 2018
774 1233
Average Load Shedding per Day
11.9 hours
Impact Assessment Findings
19.5
5.310.2
61.5
2 1.5
13.5
3.6 3.1
74.1
1.04.7
15
3.4 2.9
74.5
1 3.2
0
10
20
30
40
50
60
70
80
Home WaterSupply
Community TapStand/Pipe
Tube Well Hand Pump Dug Well Water Tanker
Main Source of Water(%)
PDHS 2012-13 HANDS Survey 2017 HANDS Survey 2018
n=404
Impact Assessment Findings
1.2 0.1 1.4 0.1 0.5
96.6
0.1
13.32.9
31.1
3.48.4
36.6
4.4
50.2
2.2
13.43.2 0
26
5
0.0
20.0
40.0
60.0
80.0
100.0
120.0
Boiling Add bleach/Cholorine/
Alum
Stain througha cloth
Use waterfilter
Other No treatment Solar
Water Treatment Methods (%)
PDHS 2012-13 HANDS Survey 2017 HANDS Survey 2018
n=404
Impact Assessment Findings
73.7
26.3
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Biological Contamination No Biological Contamination
Results of Water Testn=76
Impact Assessment Findings
28
36 3639.7
36.4
23.9
43.8
34.4
21.8
0
5
10
15
20
25
30
35
40
45
50
Flush to Sewerage Pit Latrine Open Defecation
Status of Sanitation Facilities
PDHS 2012-13 HANDS Survey 2017 HANDS Survey 2018
n=404
Impact Assessment Findings
6067 6871
57
76.4
58.7
77.571.5
0
10
20
30
40
50
60
70
80
90
Before Cooking Before Preparing Food/Child rearing
After using Toilet
Hand Washing Practices (%)
USAID PSDW-HPP 2011 HANDS Survey 2017 HANDS Survey 2018
n=404
Impact Assessment Findings
53.1
11.1
34.6
1.20
10
20
30
40
50
60
Open Dumping Land filling Burning Other specify
Solid Waste Management
HANDS Survey 2018
Impact Assessment Findings
75.2
9.3
24.0
80.8
16.8
26.75
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
CNIC B-Form/Birth Certificate Nikkah Nama
Social Protection (%)
HANDS Survey 2017 HANDS Survey 2018
Impact Assessment Findings
13.5
2.3
84.2
19.0
5.0
76.0
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
Cultivated Non Cultivated No Agriculture Land
Agriculture Land Status
HANDS Survey 2017 HANDS Survey 2018
n=404
Impact Assessment Findings
68.1
29.9
1.0 1.0
65.6
27.7
6.7
00.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Owner Landlord Government Rented
Household Land Ownership (%)
HANDS Survey 2017 HANDS Survey 2018
n=404
Impact Assessment Findings
14.5
4.9 6.2 7.0
30.6
56.1
16.4
27.0
9.2
30
2.5
90.6
1.25.7
15.6
87.4
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
Refrigerator,Freezer orWashingMachine
Air Conditioner,Air Cooler,
Water Geyser orHeater
At least onecar/tractor and
at least onemotor
cycle/scooter
At least onecar/tractor but
NO motorcycle/ scooter
NO car/tractorbut at least one
motorcycle/scooter
Neithercar/tractor Nor
motor cycle/scooter
One Stove,Cooking Range,
MicrowaveOven
Own TV
% Household Assets
HANDS survey 2017 HANDS survey 2018
n=404
Impact Assessment Findings
6.2 7.0
30.6
56.1
27.0
68.1
.24.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
At least One Buffalo/Bullock and at least one
cow/goat/sheep
At least One Buffalo/Bullock but NO
cow/goat/sheep
NO Buffalo/ Bullock butat least one
cow/goat/sheep
Neither Buffalo/Bullock nor
cow/goat/sheep
Comparison of Live Stock
HANDS Survey 2017 HANDS Survey 2018
n=404
Impact Assessment Findings
0.0 3.612.7
83.6
0.5 0.5 1
98
0.0
20.0
40.0
60.0
80.0
100.0
120.0
0-11 12-18 19-23 24-100
Ultra Poor Vulnerable Poor Above Poverty Line
Comparison of Poverty Ranking (%)
HANDS Survey 2017 HANDS Survey 2018
n=404
Impact Assessment Study Sample
1%
17%
9%
73%
% of Type of Cooking Fuel
Coal
Cow dunk
Gas
Wooden Stick
Impact Assessment Study Sample
1%
6%
5%
88%
% of Type of Stoves used
None
Gas Stove
Smokeless stove
Traditional Stove
Impact Assessment Study Sample
Impact Assessment Study Sample
5050
% of awareness about DRR Committee Formed village
Aware
Unaware
Impact Assessment Study Sample
44.141.3
37.1
54.0
0.0
10.0
20.0
30.0
40.0
50.0
60.0
Safer Places Emergency contactdetails of Police, DC,DHO, Fire Brigade,
Darul Aman etc
Blood donor list vehicle /taxi drivernumber availability
% Awareness about of DRR in villages in case of any Disaster
Impact Assessment Study Sample
4.7
58.7
24.0
12.6
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
at Inaccessible Place In Safe Locker Plastic Coding Other Places
% of awareness that how to keep safe important documents CNIC, Nikah Nama, Property Documents etc. during disaster
Impact Assessment Findings
42
62
74
20.3
28
45
0
10
20
30
40
50
60
70
80
NMR IMR Child Mortality
Early Childhood Mortality Comparison per 1000 Live Births
PDHS 2017-18 HANDS Survey 2018
Impact Assessment Findings
75.3
46.251.5
6054
50.5
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
BCG PCV 3 Measles
PDHS 2017-18 HANDS Survey 2018
Percentage of children (12-23 months) who received BCG, PCV3 and Measles vaccine (%)
Impact Assessment Findings
11
14
3.75
1.2
0
2
4
6
8
10
12
14
16
Diarrhoea Prevlance Care seeking for children with ARIsymptoms
Percentage of children under age 5 Care seeking with ARI symptoms and Diarrhea treated with ORT in the last 2 weeks
PDHS 2017-18 HANDS Survey 2018
Impact Assessment Findings
Nutritional status of children 6-59 months through MUAC
State of Nutrition HANDS Survey 2018 MICS 2014
Normal (>12.5 cm) 82 58
Moderately Acute Malnutrition (MAM) (11.5-
12.5 cm)12.2 25
Severely Acutely Malnutrition (SAM) (<11.5
cm)5.8 17
Total 100 100
Impact Assessment Findings
4147
64
7971.875
84.2
52.560.0
86.6
0
10
20
30
40
50
60
70
80
90
100
Four or moreANC Visits
2 or more TTshots
Institutionaldeliveries
SBA attendedlast delivery
PNC availed lastdelivery
Maternal Health Care (%)
MICS Sindh 2014 HANDS Survey 2018
n=433
Impact Assessment Findings
Impact Assessment Findings
Nutritional status of Pregnant and Lactating Women through MUAC in (%)
HANDS 2018 NNS 2011
Well Nourished (MUAC >21 cm) 79.8 81
Malnourished (MUAC <21 cm)
20.2 19
Total 100 100
Impact Assessment Findings
Status of Family Planning
FP Methods HANDS 2018 HANDS 2017 PDHS 2017-18
Current CPR 47.80% 43.60% 25%
Unmet need 28% 10% 17%
Impact Assessment Findings
13.0
2.2
17.6
0.7
9.2
2.4
Modern Method Percentage Distribution of Current Users (%)
Condom
Implant
Injection
IUCD
Pills
TL
Impact Assessment Findings
64.9
9.7 9.718.1
2.7 5.2
23.3
4.5 1.7
20.0
17.3 18.1
20.0
2.5
9.9
25.7
6.2
2.5
4.5
35.6 32.4
30.7
9.7
19.1
10.4
10.9
0.0
1.0
14.6
10.4
9.7
19.8
11.4
7.4
17.8
9.7
1.0
2.7
2.7
2.5
12.1
7.9
2.2
9.4
0.0
0.2
1.0
2.7
0.0
14.1
11.6
2.5
8.2
0.0
0.0
0.7
0.5
0.5
11.110.4
6.2
18.8
0.0
8.4
18.323.5
18.6
28.024.5 22.3 24.3
86.1
0.0
20.0
40.0
60.0
80.0
100.0
120.0
Bread Rice Pulses Vegetable Meat Poultry/Egg Milk/Yogurt Fruits Others
% Dietary Pattern of Children
Daily > once Daily once Weekly > once Weekly Once
Monthly >once Monthly once Occasionally Never
Impact Assessment Findings
52.8
47.2
3 to 5 Years Children=417
Male Female
Impact Assessment Findings
Education Level (3 to 4 years)
Sex of Children
ECE/ Primary Never Been to schoolSchool Going
Children
# % # %
2017
Male 95 60.9 61 39.1
59.7
Female 77 58.3 55 41.7
2018
Male 200 90.9 20 9.1
90.1
Female 176 89.3 21 10.7
Impact Assessment Findings
41.5
36.7 35.533.6 34.5
32.6
28.325.2
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
Male Female Male Female Male Female Male Female
Home Made Toys Toys from Shop House Hold Objects Out side objects/ Marbels
% of Playing Activities (3-4 years)
HANDS Survey 2018
Impact Assessment Findings
15.6
12.210.6
8.9
16.8
13.2
23.0
19.4
0.0
5.0
10.0
15.0
20.0
25.0
Male Female Male Female Male Female Male Female
Reading Books or Looked atthe Pictures
Told Stories Sung Song with Took out side the HomeCompound
In Last 3 Days any Family Member Engaged Children (3 -4 year) in Following Activities
HANDS Survey 2018
Impact Assessment Findings
13.211.3
17.5
11.39.8
8.6
15.1
11.8
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
20.0
Male Female Male Female Male Female Male Female
Named, Counted and drewThings
Identify 10 letters ofAlphabet
Raed atleast four PopularWords
Child Recognize 1 to 1-10Numbers
% of Children Who can Read and Count (3- 4 years)
HANDS Survey 2018
Impact Assessment Findings
26.6
23.0
25.925.4
21.0
22.0
23.0
24.0
25.0
26.0
27.0
Male Female Male Female
Kick, Bite or Hit other childrens Child get along with other childrens
Child Behaviour Ask from Parents (3-4 years
HANDS Survey 2018
Impact Assessment Findings
54.7
45.3
5 to 12 Years Children= 541
Male Female
Education Level (5-12 Years)
Sex of Children
Primary Middle / MetricNever Been to
school
SchoolGoing
Children
# % # % # %
2017Male 235 84.8 22 7.9 20 7.3
89.3Female 182 79.5 13 5.7 34 14.8
2018Male 277 93 8 3.3 11 3.7
95.3Female 228 93.1 3 1.2 14 5.7
Impact Assessment Findings
Impact Assessment Findings
36.5
46.5
17.9 16.3
25.0
16.7
9.8 10.2 10.8 10.2
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
50.0
Male Female Male Female Male Female Male Female Male Female
Beginer/Nothing Letters Words Sentence Story Telling
Basic Learning Skills (5 to 12 years)
HANDS Survey 2018
Impact Assessment Findings
52.6
47.4
13 to 18 Years Children=194
Male Female
Impact Assessment Findings
Education Level (13-18 Years)
Sex of Children
Primary Middle / Metric IntermediateNever Been to
school
SchoolGoing
Children
# % # % # % # %
2017
Male 24 55.8 12 27.9 1 2.3 5 11.6
82.2
Female 29 60.4 7 14.6 1 2.1 11 22.9
2018
Male 95 92.2 3 2.9 1 1 4 3.9
94.8
Female 83 89.2 3 3.2 1 1.1 6 6.5
Impact Assessment Findings
36.3
63.7
Total Literacy Status
Litrate people
Never been to school
n=952Age group = 15 to 45 Years
Impact Assessment Findings
38%
62%
Total Male Literacy Status
Male Litrate
Male Illiterate
n=495
35%
65%
Total Female literacy status
Female Litrate
Female Illiterate
n=457
