The main health benefit stream in the CBA is derived from stunting and reduced stunting is assumed from lower rates of under 5 diarrhea. However, the levels of diarrhea were not very high to begin with and actually slightly increased (not statistically significant) at midline in both Dar es Salaam and Morogoro. The causal links that trace the project to reduced stunting is tenuous at best.
Lesson Learned