Multi-sector Alliances Program Final Report December 29, 2014 This publication was produced for review by the United States Agency for International Development. It was prepared by RTI International. Multi-sector Alliances Program Final Report Cooperative Agreement 520-A-00-10-00031-00 Prepared for Julie Boccanera, Agreement Officer’s Representative United States Agency for International Development/Guatemala Prepared by RTI International 3040 Cornwallis Road Post Office Box 12194 Research Triangle Park, NC 27709-2194 RTI International is one of the world’s leading research institutes, dedicated to improving the human condition by turning knowledge into practice. 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Table of Contents Page I.  Introduction and Overview .....................................................................1   A.  Program Objectives .........................................................................1   B.  Contract Organization and Staffing ..................................................3   C.  Implementation Strategies ...............................................................4   D.  Monitoring and Evaluation ...............................................................6   II.  Overall Program Results .......................................................................9   A.  DO 2: A More Equitable Society with Improved Levels of Economic Growth and Social Development in the Western Highlands ............. 9  B.  IR 2: Access to and Use of Sustainable Quality Health Care and Nutrition Services Expanded ..........................................................1 7  C.  IR 3: Education Quality and Access Improved ............................... 23  D.  Small Grants Component ...............................................................2 8  E.  Reconstruction Component ...........................................................2 9  III.  Challenges ..........................................................................................3 0  IV.  Lessons Learned and Recommendations ........................................... 34  V.  Annexes ..............................................................................................3 7  Annex A:  Alianzas Partners List .........................................................................3 8  Annex B: PMP Summary Table of Indicators and Results .................................. 45  Annex C: Project Fact Sheets ............................................................................. 50  Multi-Sector Alliances Program—Final Report iii List of Exhibits Exhibit 1:  Comparison between original and revised program objectives .................. 2  Exhibit 2:  Thematic Clusters .................................................................................... 12  Exhibit 3:  Criteria for Acceptance of Concept Papers and Proposals ...................... 13  List of Tables Table 1:  Summary of Leveraging Performance (USD) ............................................ 4  Table 2:  Alliances vs. Management Leverage Performance (USD) ......................... 5  Table 3:  Tools Used for Monitoring and Evaluation in Alianzas ............................... 7  Table 4:   Evaluation Priority Levels for Alianzas Projects ......................................... 9  Table 5:  Work Plan for Strengthening a CSR Organization ................................... 16  Multi-Sector Alliances Program—Final Report iv List of Abbreviations ACEBAR Asociación Centro Maya para la Educación, Bienestar y la Asistencia Rural (Mayan Center Association for Education, Wellbeing, and Rural Assistance) ADS Automated Directives System AIEPI-AINM-C Atención Integrada a las Enfermedades Prevalentes de la Infancia/ Atención Integrada a la Niñez y la Mujer en la Comunidad (Integrated Management of Childhood Illness and the Integrated Care of Children and Maternal Health Care) AGEXPORT Asociación Guatemalteca de Exportaciones (Guatemalan Export Association) ANACAFE Asociación Nacional del Café (National Coffee Association) AOR Agreement Officer Representative APIB Asociación de Productores Independientes de Banano (Independent Banana Producer’s Association) APROFAM Asociación Pro-Bienestar de la Familia (Pro-Family Wellness Association) ASAZGUA Asociación de Azucareros de Guatemala (Association of Sugar Producers of Guatemala) ASOCUCH Asociación de Organizaciones de los Cuchumatanes (Association of Organizations of Los Cuchumatanes) ASODEP Asociación de Desarrollo Sostenible Permacultural (Association of Sustainable Permaculture Development) BANASA Bananera Nacional (National Banana Producer) BANRURAL Banco de Desarrollo Rural (Bank of Rural Development) BANTRAB Banco de los Trabajadores (Workers’ Bank) CACIF Comité Coordinador de Asociaciones Agrícolas, Comerciales, Industriales y Financieras (Coordinating Committee of Agricultural, Commercial, Industrial, and Financial Associations) CADISOGUA Coordinadora de Asociaciones de Desarrollo Integral del Suroccidente de Guatemala (Coordinator of Integrated Development Association of Southwest Guatemala) CA cooperative agreement CAM Central America and Mexico CBA curriculum-based assessment CBO community-based organization CSO civil society organization CDCS Country Development Cooperation Strategy CEFI Consejo de Empresas, Fundaciones e Instituciones Privadas de Guatemala (Guatemalan Council for Businesses, Foundations, and Private Institutions) CentraRSE Centro para la Acción de la Responsabilidad Social Empresarial en Guatemala (Guatemalan Center for Corporate Social Responsibility) CETT Centers of Excellence for Teacher Training CGN Compañía Guatemalteca de Níquel (Guatemalan Company for Níquel) COED Cooperación para la Educación (Cooperation for Education) CONRED Coordinadora Nacional para la Reducción de Desastres (National Coordinator for Disaster Reduction) COP Chief of Party CORP Culture of Reading Program DCOP Deputy Chief of Party DO Development Objective DQA data quality assessment Multi-Sector Alliances Program—Final Report v EOI expression of interest FAM Fundación Asturias Maldonado (Asturias Maldonado Foundation) FGPH Fundación Guatemalteca de Promoción Humana (Guatemalan Foundation for Human Promotion) FP family planning FJBG Fundación Juan Bautista Gutiérrez (Juan Bautista Gutiérrez Foundation) FUG Fondo Unido de Guatemala (United Way Guatemala) FUNCAFÉ Fundación del Café (Coffee Foundation) FUNDAP Fundación para el Desarrollo Integral de Programas Socioeconómicos (Foundation for the Integrated Development of Socioeconomic Programs) FUNDAZUCAR Fundación del Azúcar (Sugar Foundation) FUNDESA Fundación Para El Desarrollo de Guatemala (Foundation for Guatemalan Development) FUNSEPA Fundación Sergio Paiz Andrade (Sergio Paiz Andrade Foundation) FY fiscal year GOG government of Guatemala HCI Health Care Improvement Project HEPP Health and Education Policy Project HIV/AIDS Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome IEC information, education, communication IP implementing partner IR intermediate result ISIS Instituto de Salud Incluyente (Institute for Inclusive Health) M&E monitoring and evaluation MCH maternal and child health MIS Modelo Incluyente de Salud (inclusive health model) MOH ministry of health MOE ministry of education NGO nongovernmental organization OMB Office of Management and Budget OSAR Observatorio de Salud Reproductiva (Observatory for Reproductive Health) PASCA Program for Strengthening the Central American Response to HIV/AIDS PASMO Pan-American Social Marketing Organization PEC Programa de Extensión de Cobertura (extension of coverage program) PMP Performance Monitoring Plan PSAG Private Sector Advisory Group PQP Puerto Quetzal Power RCN Radio Corporación Nacional RH reproductive health RTI RTI International SBCC social and behavior change communication SO strategic objective SRH sexual and reproductive health SSI Sistemas y Servicios de Ingeniería (Engineering Systems and Services) STI sexually transmitted infections TRC Technical Review Committee UNFPA United Nations Population Fund URC University Research Corporation URL Universidad Rafael Landívar USAID U.S. Agency for International Development USD U.S. dollars Multi-Sector Alliances Program—Final Report vi USG U.S. Government UVG Universidad Del Valle de Guatemala WHIP Western Highlands Integrated Program WINGS Women’s International Network for Guatemalan Solutions Multi-Sector Alliances Program—Final Report vii Executive Summary This final report describes the activities and accomplishments of the Multi-sector Alliances Program (Alianzas), awarded by the U.S. Agency for International Development (USAID) under Cooperative Agreement (CA) No. 520-A-00-10-00031-00 to RTI International (RTI) to support development objectives of USAID Missions in the Central America and Mexico (CAM) region. This CA, awarded in January 2010 and covering a period of performance through September 2014, outlined a second-generation, alliance-building program that followed the Strategic Alliances for Social Investment Project (CA No. 520-A-00-04-0204-00) implemented by RTI from 2005 to 2010 in Guatemala, El Salvador, and Nicaragua. The new program encompassed the original Guatemala award, a buy-in from Nicaragua, and additional components in Guatemala for Post-Disaster Reconstruction and Small Grants. The overall purpose of the Alianzas program in Guatemala was to extend coverage and improve the quality of existing services and incorporate state-of-the-art and proven approaches for increased social sector investments. RTI built alliances that 1) maximized impact of health and education programs; 2) were aligned with USAID and Government of Guatemala priorities; 3) added value; 4) ensured sustainability; and 5) promoted innovation. RTI played a key role as a broker between entities interested in financing social sector interventions and local implementers or service delivery organizations, negotiating geographic location and interventions to maximize the health and education benefits to the poor and other beneficiaries at the community level. DO 2: A More Equitable Society with Improved Levels of Economic Growth and Social Development in the Western Highlands RTI served as the managing partner and prime grantee for Alianzas and had overall responsibility for building alliances that linked private sector funding partners with implementing organizations working in education and health. The program’s technical activities were accomplished through grants to local implementing partners. Each alliance partner was committed to achieving the overall development objectives of the program and shared responsibility for project results. Alianzas incorporated partners of all types: universities, nongovernmental organizations (NGOs), religious organizations, corporations and private foundations, professional organizations, and units of the Guatemalan government. Partners contributed cash and in-kind resources for implementation of health, education, and reconstruction projects throughout Guatemala. Total life-of-program leverage equaled more than US$35.2 million. IR 2: Access to and Use of Sustainable Quality Health Care and Nutrition Services Expanded Alianzas supported improved, integrated maternal and child health (MCH), nutrition, and family planning (FP)/sexual reproductive health (SRH) activities that aimed to reduce maternal and child morbidity and mortality. Resources were directed to support the Multi-Sector Alliances Program—Final Report viii public sector, NGOs/private voluntary organizations, and local groups providing FP, MCH, and nutrition services that were not covered by existing programs or where services required strengthening. Selected program results include the following:  2.48 million women and men saw or heard a specific U.S. Government-supported FP/SRH message  202,008 women and children obtained increased access to maternal and child health services  92,153 individuals were counseled on child health practices  172,494 women and children obtained increased access to projects that addressed growth monitoring and promotion of improved feeding and health and hygiene practices  18,228 high-risk individuals reached individual and/or small group-level preventive interventions for HIV  2,238 community health workers were trained to provide integrated management of childhood illnesses. IR 3: Education Quality and Access Improved Alianzas pursued public-private alliances to increase investment in the education sector, supporting organizations and programs that addressed quality, access, equity, and efficiency of basic education. Alianzas favored projects that worked on increasing reading performance and completion of primary education in priority municipalities and among excluded populations, especially in rural populations, among indigenous groups, and those performing below standard. Selected program results include the following:  332,379 children and youths obtained access to improved learning opportunities  1,585 girls completed sixth grade with assistance from scholarships  168,551 books or other learning materials were provided  10,711 teachers received training  4,340 boys and girls received lower secondary school and upper secondary school scholarships  2,198 education students received post-secondary and university scholarships  48 classrooms or technology rooms were equipped with computers. Lessons Learned and Recommendations The Alianzas program in Guatemala demonstrated that private sector alliances could be successfully built and could leverage significant funding for education and health. Now is an opportune time for USAID to evaluate the role of public-private partnerships in improving access to and quality of health and education services for the Guatemalan Multi-Sector Alliances Program—Final Report ix people, and to identify best practices and new opportunities for the future. The following key recommendations, stemming from lessons learned under Alianzas, can be applied to future alliance-building programs, whatever the country or context.  Integrate technical programs and implement comprehensive approaches to achieve greater impact.  Ensure adequate staffing for managing and implementing partners.  Implement high-quality monitoring and evaluation approaches and evaluation methods to improve strategic planning and project implementation.  Provide clear expectations for scopes of work and evaluation criteria.  Plan for long-term implementation with realistic results. Multi-Sector Alliances Program—Final Report x