SayPro Populations Impact Assessment Template

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1. Assessment Overview

• Assessment Title:
• Program/Project Name:
• Population Group(s) Targeted:
• Assessment Period:
• Assessment Date:
• Assessor Name(s) & Role(s):
• Partner Organizations Involved:

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2. Program Description

• Brief Description of Program/Intervention:
  (Purpose, scope, activities, location)
• Strategic Objectives:
  (List the key objectives relevant to population development and empowerment)

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3. Target Population Profile

• Demographics:
  • Age Range:
  • Gender Breakdown:
  • Location(s):
  • Socioeconomic Status:
  • Other Relevant Characteristics:

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4. Impact Indicators

Indicator	Baseline Value	Target Value	Current Value	Data Source	Comments
Number of beneficiaries reached
Improvement in income levels
Access to education services
Health outcomes (e.g., reduced illness rates)
Employment rate changes
Access to social protection
Gender-based violence incidents reported
Community participation levels

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5. Qualitative Impact

• Success Stories / Case Studies:
  (Include 1-3 short narratives showcasing positive change)
• Challenges Faced:
  (Describe key obstacles encountered during implementation)
• Lessons Learned:
  (Insights for future programming and partnership)

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6. Stakeholder Feedback

• Beneficiary Feedback Summary:
  (Summarize feedback collected from community members or target populations)
• Partner Organization Feedback:
  (Include reflections or recommendations from collaborating partners)

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7. Recommendations & Next Steps

• Program Improvement Suggestions:
• Potential for Scale or Replication:
• Additional Resource Needs:
• Advocacy or Policy Implications:

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8. Supporting Documents and Evidence

• Attach relevant photos, reports, data sheets, testimonials, or M&E findings.

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Prepared by: ____________________________
Date: ____________________________
Approved by: ____________________________
Date: ____________________________