This report present the external evaluation of Umeed-e-Nau project - Health and WASH Support project for drought affect people of Umerkot, Sindh. The project was implemented by CARE International in Pakistan (CIP) through its partner CWSA under UNOCHA’s PHPF-III from February – December 2019.

The evaluation of the CIP’s Umeed-e-Nau project has been carried out as per the DAC criteria such as Relevance/appropriateness, Effectiveness, Efficiency, Impact and Sustainability. However, CIP has included an additional criteria i.e. Project Management.

Findings of the final evaluation indicate that CIP rightly identified the needs in holistic manner, as the people in the target area were struggling for water and vulnerable to different health related hazards. The community appreciated all the project activities particularly the MMCs due to quality services, equipment and medicines. Innovations introduced by CIP and donor’s flexibility to understand and approve required changes was also an important factor for paving a smooth path towards achieving successful results of the project. The capacity building and awareness raising activities like health & hygiene training, nutrition awareness has inbuilt sustainability. In both WASH and Health interventions, the impact on behaviors and practice can be observed with passage of time. The trend of use of latrines, water filtrations, consultation with qualified health practitioners, realization of importance of health care especially maternal health and last but not the least hygiene awareness are likely to impact positively on beneficiaries’ individual and communal lives for many years.