Rural Primary Health Services Delivery Project

Specificity of intended outcome is essential to enable programming, innovation, and cycles of project improvement. The project’s outcomes were broadly defined and lacked clear pathways detailing how the outputs would interact with each other and achieve the outcomes. The vagueness is likely part of the reason that the design had significant gaps and flawed assumptions on how the activities would lead to the intended outcomes. Assumptions on land tenure and the availability of medical supplies were unrealistic, costs of building community health posts at the project sites were underestimated, and the establishment of provincial partnership boards was not possible under the law.