Common use of CONSTRAINTS AND CHALLENGES Clause in Contracts

CONSTRAINTS AND CHALLENGES. Challenges and constraints that were beyond the control of the ACCESS/MCHIP Project to remedy were well documented in the Mid-Term Evaluation and these pretty much continued through the LOP. Rapid turn-over of SMOH and facility staff, as well as insufficient numbers of skilled birth attendants continued to plague the project. The FMOH’s MSS scheme and continued single-year posting of newly graduated medical doctors (NYSC) provided some additional staff, but placement and deployment of staff remained outside the influence of the project. Continual turn-over required continuous skills and SBM-R training. Insufficient basic infrastructure (facilities, electricity and water), constant shortages of equipment and stock-outs of commodities, drugs and contraceptives, particularly the IUD and Jadelle, continued to constrain achievement of project objectives. Several challenges and constraints were partially addressed through the project with some success. The project was able to make impressive inroads in creating awareness, acceptance and demand for FP and EmONC services in the very conservative Northern area of the country. Faced with poor record keeping and non-existent data management systems in most of the project-supported areas, the ACCESS/MCHIP Project was also able to put into place procedures and tools for improved record keeping and data management at the state level in all three project states.