Since 2014, when Iraq experienced a sudden escalation in hostilities, the primary health care sector has sustained widespread destruction, looting of health facilities, reduced or inadequate health staff, and lack of supplies, especially in areas that had been severely impacted by the conflict, such as Anbar & Mosul. Sexual, reproductive and maternal health (SRMH), was severely affected, amongst other things, by poor delivery methods, lack of maternity wards, inadequate pre- and postnatal care, and a high prevalence of anaemia amongst pregnant women.

Against the backdrop of this situation, and following increasing returns of internally displaced persons (IDPs) to their places of habitual residence in retaken areas, CARE, with funding from German Federal Foreign Office (GFFO) has been implementing the project in Duhok, Anbar & Mosul to improve maternal and child health in return areas. The project implementation period was January 01, 2019 to December 31, 2019.

Purpose of the Evaluation
The purpose of this evaluation was to assess post intervention situation of the targeted area against indicators mentioned in the project document. The findings will help CARE to measure the impact of project. The findings will be used to compare the baseline situation with the end-line situation to assess the changes in knowledge, attitudes and practices, of the targeted population and impact of the interventions.

The evaluation identified, and documented lessons learnt and made recommendations for CARE-Iraq and project partners to improve future project implementation as well as strengthen the design of future related projects.

Objectives of the Evaluation
The evaluation was expected to:
1. Assess the relevance, efficiency, effectiveness, impact and sustainability of the project;
2. Generate lessons that will inform SRMH programming in Iraq and in the broader context of GFFO.