LOGICAL FRAMEWORK FOR THE PROJECT
Intervention Objectively verifiable
logic
Overall The global objective of this programme is to improve Positive change in state/division human development
Objective nutritional status of children and pregnant and indicators especially reduced prevalence % of wasting,
lactating women in Pakistan stunting and underweight in children aged < 5 years
Specific The specific objective of this programme is to
Objective strengthen capacity to address high rates of
malnutrition in Sindh Province, Pakistan.
Expected Result 1a: Delivery of adequate nutritional treatment 28,632 of SAM children under 5 years receive treatment
Results of Severe Acute Malnourished (SAM) children
through the government health system
Result 1b: Delivery of effective Infant and Young
Child Nutrition (IYCN) intervention through the
government health system
Result 2 : Improved access to food (quantity)
through sustainable increase in home production of
nutritious food and inclusion in social safety nets for
vulnerable households with a focus on women
Sources and means of Assumptions
indicators of achievement verification
National Nutrition Surveys Sufficient access to areas of interventions (deterioration of security,
floods)
Natural hazards including floods, droughts and earthquake do not
severely impact the area
Access to project site and beneficiaries remains possible during the
programme duration
Political situation remains sufficiently stable at national and provincial
level
At least 75% of targeted health facilities are self sustaining End of project external Major disease outbreaks contained
in CMAM and IYCN at project endline evaluation; NIS report
At least 75% of targeted health facilities have a self End of project external Minimal people's displacement occurs during the project time frame.
sustaining CMAM and IYCF community network of LHWs evaluation; NIS report
and CNVs at project endline
Prevalence of food insecurity among targeted households is HFIAS at baseline and endline; Food prices for essential items remain stable over the programme
reduced by 30% at project endline End of project evaluation duration
ACF technical monthly report;
NIS; SQUEAC and SMART Preconditions
Survey
75% of district health facilities with functional CMAM/IYCF ACF technical monthly report; Nutrition products pipeline ensured over the programme duration
activities at project endline NIS; External evaluations
75% of the healthcare providers and community volunteers ACF technical monthly report; Communities and district/UCs authorities are willing to engage in
in the target area are trained in severe acute malnutrition NIS; External evaluations; programme interventions
management at project endline training reports
Existence of sufficient stock supplies (e.g. therapeutic foods ACF technical monthly report; No major loss of key staff or recruitment challenges
and medicines) and efficient management system at district External evaluations
and health facility levels
>50% coverage in targeted areas at project endline SQUEAC survey Targeted households are willing and able to participate in nutrition
and care training activities. Targeted households are able to change
practices linked with strong-established cultural norms
Proportion of 0-6 months exclusively breastfed children KAP Survey; External Local and national authorities support the promotion and
increases by 10 % by end of program Evaluations dissemination of programmes outcomes and lessons learnt (in
particular film making).
Proportion of mothers practicing early initiation of The Memorandum of Understanding (MoUs) with relevant line
breastfeeding increases by 10% by end of program Ministries are extended to cover the period of the action.
Proportion of caregivers in targeted households adopting at Political willingness to engage / line ministries and provincial/local
least four optimal care and feeding practices increases by authorities
10% by end of program
60% of pregnant and lactating women in targeted No external factor affects the motivation and participation of
households improve their knowledge related to nutrition beneficiaries in the activities.
during pregnancy and lactation by end of program
60% of key stakeholders (community health workers, Local authorities do not hamper the implementation of the planned
nutrition volunteers, nurses, etc) improve their knowledge in activities.
nutrition and care by end of program
60% of targeted households achieve a minimum dietary Meal frequency, HDDS, Timely delivery of funding and inputs
diversity by end of program MAHFP, CSI reported in
80% % of targeted beneficiaries report an increase in the monthly progress reports
number of months of adequate household food provisioning Post Distribution Monitoring
by the end of program reports
Baseline, mid-term and endline
70% of the community health animal groups are still existing survey reports
and functioning at project end Pre and post standardised
60% of healthy micro garden groups have pooled resources written/oral tests and training
to purchase inputs and market their produce at project scores of participants
endline Household questionnaires and
Focus group discussions

Result 3 : Improved food intake (quality) and
enhanced hygiene and child care practices of
nutrition vulnerable households with a focus on
PLWs and children aged 6-24 months
Result 4: Evidence-based learning and good
practices are shared with relevant stakeholders
Activities Activities
Result 1
Stakeholders and socio cultural analysis
Baseline and endline Knowledge, Attitudes and
Practices (KAP) survey on Infant and Young Children
Nutrition (IYCN)
Staff recruitment and training on Community
Management of Acute Malnutrition (CMAM) and
Infant and Young Child Feeding (IYCF) protocols
On-the-job coaching of health staff for the
implementation of CMAM/IYCF activities in an
integrated manner (within existing health system)
Referral tools / mechanism are designed and used Technical survey, Publications, launching event, workshops and accountancy checks,
by Lady Health Workers (LHWs), Community
Volunteers, and health staff. IYCF is integrated to
CMAM and its community component
District health office and health facility staff are
continuously supported in the overall management,
monitoring, reporting and implementation of nutrition
activities, as well as in the management of supply
chain and stocks
Rehabilitation of health facilities with a focus on
water and sanitation facilities
reports
Baseline, mid-term and endline
survey reports
Pre and post standardised
written/oral tests and training
scores of participants
Household questionnaires and
Focus group discussions
60% of beneficiaries of social safety nets are integrated to
government lead schemes by the end of the program
Proportion of targeted children aged 6-23 months achieving Individual Dietary Diversity
a minimum dietary diversity score increases by 50% by end Score (IDDS) reported in
of program baseline/endline survey reports
Annual and monthly progress
Proportion of targeted PLW achieving a minimum dietary
reports
diversity score increase by 50% by end of program
KAP survey at baseline, mid-
term and endline
Proportion of targeted mothers introducing complementary
foods (solid, semi-solid or soft foods) at 6 to 12 months of
age increases by 15% by end of program
60% of targeted households apply at least three key
messages of the Behaviour Change Strategy at project
endline
60% of the beneficiaries dry areas have access to an
improved water source
70% of community built water infrastructure is maintained
by the community served through water committees
Nutritional objectives in sector policies and contingency/ External Evaluations
emergency preparedness
Two evaluations conductedplans at district level External Evaluations
6 Case Studies produced and shared Document of the Case Studies
6 Human Interest Stories produced and shared Document of the Human
Stories
Good Practices guide produced and shared Document of the Good
Practices
One training video documentary produced File of the video documentary
Means: What are the sources of
information about action
Equipment, supplies & office costs progress?
Human Resource: International, national and consultants; Programme: Monthly/annual
Vehicles: 4x4 and sedan; computers, scanner, printers, progress reports/records,
telephones; furniture; Office, guesthouse, warehouse rental, baseline and surveys
generator; Office supplies methodologies and reports,
Technical Surveys, Behaviour
Change Strategy, IEC
Inputs for activities materials, attendance training
lists, monitoring reports,
agreement with production
IGAs kit, community and households garden kits, materials company, evaluation reports,
for promotion, education and nutrition activities, IEC/BCS publications, workshops
materials, CMAM supplies agenda and attendance lists,
film production.
Studies & Publications
Financial: financial reports,
monthly budget
follow-up/forecasts, Invoices
and film production. contracts.
Costs
What are the action costs?
Joint supervisions (NGO-district health office How are they classified?
representative) take place on a regular basis in order
to monitor and evaluate CMAM program, identify
gaps, and result in efficient planning of CMAM
activities accordingly
Nutrition programme coverage surveys (based on (breakdown in the Budget)
SQUEAC methodology) are conducted to evaluate
coverage as well as barriers to treatment access.

Nutrition surveys (based on SMART methodology)

are conducted to monitor the nutritional status of
population
Result 2
Baseline Household Economic Approach
Baseline Individual Household Economic Approach

Community sensitization and establishment of

community groups
Community based small animals health management

Community based works for improvement of WASH

infrastructure and creation of labor opportunities

Increased home-based production of nutritious food

Creation of pools of healthy vegetable growers

Social Safety Nets
Handover to government of beneficiaries of Social
Safety Nets
Endline survey
Result 3
Cost of the diet survey
Knowledge Attitudes and Practices (KAP) baseline

Sensitization and awareness raising for behavioural

change
Strengthening of behavioural change and increase of
the nutrition security of U2 through complementary
feeding vouchers
KAP endline survey
Result 4
Mid-term and Final Evaluations
Case studies
Human interest stories
Good practice documents
Workshops on lessons learnt
Production of a video documentary