Performance Evaluation of PIHI-COM in the 10 Health Zones Covered by USAID Funding

At the request of USAID/Benin, the Global Heath Program Cycle Improvement Project (GH Pro) and the Population Research and Training Center (Centre de Formation et de Recherche en matière de Population or CEFORP) conducted a large-scale household health survey in 10 health zones across Benin over the period from August 7 to August 19, 2018, as part of the implementation process for the Package of High-Impact Interventions in Communities/Paquet d’Intervention à Haut Impact Communautaire (PIHI-Com). The purpose of the survey was to evaluate the coverage of major health, family planning (FP), and malaria control services and changes in household behavior compared with the findings from the baseline survey conducted in 2016.

USAID has been providing funding to local nongovernmental organizations (NGOs) for the implementation of PIHI-Com in six municipalities (“communes”) in northern Benin since October of 2014. These interventions have been extended and are currently scheduled to end in January of 2020. The initiative was expanded to 13 additional municipalities across 6 health zones in central and southern Benin in January of 2017 to cover all 19 municipalities in 10 health zones in 8 of the country’s 12 departments. In 2017, USAID introduced indoor residual sprying (IRS)in the Kandi Gogounou Segbana (KGS) and Djougou, Copargo, Ouaké (DCO) health zones in northern Benin, with annual spraying campaigns running from the end of April to the beginning of June.

According to the study findings, 79.8% of households had a supply of potable water in 2018, up from 77.7% in 2016. In addition, 64.6% of all households interviewed were aware that drinking water could be home-treated prior to its use, compared with 60.3% in 2016, though only 10.0% were effectively treating their water. As of 2018, 80.0% of households disposed of their household waste by burying it in the ground, compared with 59.2% in 2016, while 10.9% burned their household waste, compared with 59.2% in 2016. Most respondents (90.7% in 2018 and 88.5% in 2016) did not have a specific place in their homes for washing their hands. Fewer households engaged in open-air defecation in 2018 (51.4%) than in 2016 (60.5%). Lastly, as of 2018, 82.9% of mothers of children under 5 years of age washed their hands with soap and water before feeding their children, compared with 77.1% in 2016. IDS services were offered to practically all households in both project health zones (DCO and Kandi). Of the 93.6% of households accepting IDS services, 94.7% expressed their satisfaction with these services.

Resource type: 
Operating Unit: 
Dr. Pierre-Marie Metangmo, Dr. Alphonse Mingnimon Affo, Guedegbe M. Géry Ghyslain, Acotcheou Pacôme Evènakpon, Justin Dansou
Publication date: 
March, 2019
Technical Area: 
Contract mechanism: 
GH Pro