- Develop a M&E plan for your project.
Below is a Monitoring and Evaluation Framework layout for Ukweli Test Strips.
|Goal||Reduction in the maternal mortality rate in Sierra Leone.||The number of maternal deaths reported by the government of Sierra Leone at some point in time during our venture subtracted by the maternal mortality rate .||1,360 maternal deaths per 100,000 live births.||A number hopefully much lower than 1,360 in the long run||Utilize medical data from hospitals/other PHUs and records from Sierra Leone’s Government.||Every other year might be a good frequency but more frequent may work.||World Hope International, our partner on the ground will most likely be measuring and collecting the proper data for this goal.||This statistic will be reported to the Sierra Leone government and other global health programs most likely.|
|Outcomes||Number of women who are screened and screen positive for UTIs and/or Preeclampsia.||Records kept by community health workers and other clinics regarding how many women were screened and their outcomes compared to the number of screenings prior to this venture (If that information is available).||A current value of amount of women screened for UTIs / Preeclampsia is not available.||The target would be to get as many women at risk for UTI / Preeclampsia in the operating regions screened.||Utilize records made up by Ukweli of how many women are screened.||This data could be collected pretty frequently, probably multiple times a year.||This data would be kept by the health workers administering the tests to pregnant women.||This outcome would be reported to World Hope International, as well as the Ukweli team in the United States. Might be beneficial to be reported to the government.|
|Output||The mindset of seeking help and being open to communicate when experiencing symptoms, rather than doing nothing (current problem)||Track how many times women got screened or were referred somewhere else to get screened. Shows initiative to actually do something.||No data available for this.||A noticeable increase in women who come to doctors to get screened / talk about their health in regards to UTI / Pree||Utilize records made up by Ukweli of how many women are screened.||This could be monitored pretty frequently to get an idea of the change in attitude||The health workers who are administering the strips/talking to patients about their symptoms/referring||This output would be reported to World Hope, the Ukweli Team, and possibly different government organizations.|
Some of the assumptions used to create this framework included:
- Messaging, communication, and advertising measures are effective and reach enough of the intended audience. If this assumption is carried out, then the goal, output, and outcome will be reached.
- The tests will be accurate in its screening. If they are not accurate, then women who have UTIs/Preeclampsia may not screen positive, which is detrimental to helping women with these problems. If these women are not helped, the maternal mortality would not be lowered as much as it could, and not as many women would seek out this screening.
- The strip is priced appropriately. If the strip is too expensive in the eyes of the women, then the goal and outcome cannot be reached
The logic model that would be in place would look something like this:
-Partnerships with OEMs, World Hope International
-Team of college students/professors
|-Delivery of test strips to health clinics/workers in Sierra Leone
-Training of health workers on UTIs/Preeclampsia, how to use the strips, how to advertise it to women
|-Number of women screened
-Number of women that screen positive
-Number of women referred to other health clinics to get
|-Better health for mother and baby
-lowering of the maternal mortality rate and infant mortality rate
|-If all falls into place the way Ukweli is intending it to, then the outcomes of the operations would align very well with the goal.|
2) Estimate the Social Return on Investment for your project.
For this social return on investment, to see how much money is generated per $1 spent, I am deciding to look at it in terms of $1 spent solely on test strips due to the fact that the strip costs are most traceable and factoring the overhead spent and other costs associated would make this very complicated. Therefore, assuming we produce each test strip for two cents (the current rate), we would multiply the social return for one strip by 50 in order to get it in terms of $1 spent. We would also have to assume the price that a health worker buys a 100 strip box for from World Hope and how much they sell each strip for in order to figure out the profit per strip they would make. We would also have to assume how much a women in Sierra Leone would have to pay for a strip that is currently on the market in order to see how much money they would save purchasing an Ukweli test strip. Assuming a health worker purchases a 100 strip box for $5 ($0.05 per strip) and sells each strip for 2,000 Sierra Leonean Leones ($0.23), they would be making a profit of $0.18 per strip, or $9 if they sold $1 worth of strips (50 strips). According to our crowdfunding video, a single UTI screening test at a clinic costs roughly $2, so assuming that is the actual price, women will save $1.77 buying an Ukweli Test Strip for $0.23 from a community health worker. Therefore, when only considering the money associated with buying and selling test strips, for one test strip Ukweli generates $1.95 of social impact between the health worker administering the strip and the women getting tested. This equates to $97.50 generated for $1 spent solely on test strips. However, since this only focused on the cost to produce strips and not the money spent on overhead, etc, the number calculated for generated money may be higher than it actually is.