Halt the spread of HIV/AIDS and TB epidemics and eliminate Malaria by 2015 in line with MDGs.

Report Cover Image
Evaluation Plan:
2010-2015, Tajikistan
Evaluation Type:
Outcome
Planned End Date:
01/2014
Completion Date:
01/2014
Status:
Completed
Management Response:
Yes
Evaluation Budget(US $):
17,890

Share

Document Type Language Size Status Downloads
Download document Final report Outcome 2 evaluation.pdf report English 685.83 KB Posted 1851
Download document TOR for HTM oucome evaluation final version 140813.pdf tor English 318.13 KB Posted 597
Title Halt the spread of HIV/AIDS and TB epidemics and eliminate Malaria by 2015 in line with MDGs.
Atlas Project Number: 00085258
Evaluation Plan: 2010-2015, Tajikistan
Evaluation Type: Outcome
Status: Completed
Completion Date: 01/2014
Planned End Date: 01/2014
Management Response: Yes
Focus Area:
  • 1. Others
Corporate Outcome and Output (UNDP Strategic Plan 2014-2017)
  • 1. Output 3.2. Functions, financing and capacity of sub-national level institutions enabled to deliver improved basic services and respond to priorities voiced by the public
SDG Goal
  • Goal 3. Ensure healthy lives and promote well-being for all at all ages
SDG Target
  • 3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases
Evaluation Budget(US $): 17,890
Source of Funding: Country Programme budget
Evaluation Expenditure(US $): 17,890
Joint Programme: No
Joint Evaluation: Yes
  • Joint with Ministry of Health,
Evaluation Team members:
Name Title Email Nationality
Stefan Talevski External evaluator talevski_s@yahoo.com
Farkhod Saydullaev Local evaluator farkhod.saydullaev@gmail.com
GEF Evaluation: No
Key Stakeholders: NPC/line ministries/ state departments/district administration/CBOs/private sector
Countries: TAJIKISTAN
Lessons
Findings
Recommendations
1 Lead the way towards empowering national institutions in fundraising and bringing on board non-traditional donors and private sector
2 Support national efforts for sustainable financing and budgeting national programs with a focus on prioritization of interventions and estimation of the cost effectiveness of programs in the global crisis context.
3 Continue support in integrating donor-funded activities into the national public health system to accelerate the process of program integration into PHC and addressing the social determinants of health
4 Continue capacity building of the national and local staff involved in TB, HIV and malaria project and introduction of trainings into the undergraduate and postgraduate medical studies
5 Support national programs to develop operations research (OR) plan for 3D to provide evidence for problems solving and decision making
6 Support national partners with revising TB, HIV/AIDS and malaria strategies to address recommendation of mid-terms program reviews, revise certain program indicators and to include new initiatives in future concepts notes
7 Continue providing technical assistance (TA) in the country and in coordination with other UN agencies develop long-term technical assistance plan in key areas
8 Support capacity building of institutions at local level to prepare them to take over the ownership for donor-funded programs
9 Strengthen procurement and supply management strategies and practices of UNDP and implementing partners in order to ensure timely procurement of goods and services, improved transparency in bidding procedures and decisions on selection of companies, close monitoring of works and delivered goods, and minimized delays in delivery
10 Reinforce conditions for transfer of funds to SRs stipulated in partnership agreements with national partners and ensure that contracts with partners contain required details on dynamics of funds transfer.
11 Strengthen HR management practices of UNDP for selection qualified staff for certain positions at the project level, motivation of staff, secure that all benefits to employees are applied and develop long-term plan for their capacity building.
12 Strengthen inter-sectoral programs, explore and implement pilot programs to address poverty, livelihoods and disease control issues
13 Strengthen formal and informal communication and coordination channels between UNDP, UN organizations and MoH high level decision makers.
1. Recommendation: Lead the way towards empowering national institutions in fundraising and bringing on board non-traditional donors and private sector
Management Response: [Added: 2014/07/10]

UNDP will continue support to national partners with greater emphasis on resource mobilization for health projects with a focus not only on major international donors, but also on non-traditional donors and private sector, local business associations.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Support Partnership Forum and Country Dialogues meetings aimed at mobilization of new resources of GFATM/NFM
[Added: 2014/07/10] [Last Updated: 2017/12/25]
PIU 2015/07 Completed Partnership Forum conducted in June 2014, a number of country dialogue meetings History
Communication of country resource gaps during national and international events, conferences and meetings
[Added: 2014/07/10] [Last Updated: 2017/12/25]
PIU 2015/07 Completed History
Proactive participation in DCC groups and initiatives , bringing on board health agenda
[Added: 2014/07/10] [Last Updated: 2017/12/25]
UNDP 2015/07 Completed History
2. Recommendation: Support national efforts for sustainable financing and budgeting national programs with a focus on prioritization of interventions and estimation of the cost effectiveness of programs in the global crisis context.
Management Response: [Added: 2014/07/10]

UNDP will continue to be active in coordinating international assistance in the mobilization of resources, through the National Coordination Committee, the Thematic working Groups, and other bodies.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Make sure that UNDP contribution in strengthening health system is reflected in the Donor Coordination Council initiatives
[Added: 2014/07/10] [Last Updated: 2015/09/01]
UNDP 2015/06 Completed Presenting updates on UNDP activities during monthly DCC meetings
UNDP presents its results in implementation of GFATM and capacity building projects on each CCM meeting
[Added: 2014/07/10] [Last Updated: 2014/12/29]
PIU, UNDP CO 2014/12 Completed UNDP is presenting its progress results during CCM meetings in each CCM meeting taking place in 2014
PIU and UNDP CO staff are actively attending Thematic working groups and coordination meetings arranged by partner
[Added: 2014/07/10] [Last Updated: 2014/12/29]
PIU, UNDP CO 2014/12 Completed
3. Recommendation: Continue support in integrating donor-funded activities into the national public health system to accelerate the process of program integration into PHC and addressing the social determinants of health
Management Response: [Added: 2014/07/10]

UNDP will follow up with national partners on integration of essential services in line with National Health Reform strategy and other thematic strategies and policies adopted by the Government. As advised by evaluation mission UNDP in its further work in health sector will pursue an emphasis on ?soft assistance? and complementarities especially with advocacy and policy dialogue at the highest level programs.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Follow up with national experts and thematic working groups during development of new national strategic plans and NFM proposal to GFATM
[Added: 2014/07/10] [Last Updated: 2017/12/25]
PIU 2020/12 Initiated Piloting of integration of HIV to PHC was included to the FM (2018-2020) project History
Raise integration and complementarities issues on the agenda of thematic working groups on other health issues and coordination meetings
[Added: 2014/07/10] [Last Updated: 2017/12/25]
PIU 2020/12 Initiated History
4. Recommendation: Continue capacity building of the national and local staff involved in TB, HIV and malaria project and introduction of trainings into the undergraduate and postgraduate medical studies
Management Response: [Added: 2014/07/10]

UNDP will continue provision of support to strengthen technical capacities of national service providers using combination of donor and its own resources as well as through facilitation of coordinated approach with other donors and development partners

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Follow up with timely implementation of Training plan for national SRs of GFATM program
[Added: 2014/07/10] [Last Updated: 2017/12/25]
PIU 2017/07 Completed It is done on yearly basis. In 2017 a national consultant for training component was hired by PIU to speed up the process of implementation of the training plan. History
Fill the gap in technical capacities of local TB and HIV providers through provision trainings on M&E, cohort analysis, operational research, etc
[Added: 2014/07/10] [Last Updated: 2017/12/25]
PIU 2014/07 Completed History
Support to attendance of international learning events, study tours, south-south cooperation
[Added: 2014/07/10] [Last Updated: 2014/12/29]
UNDP, PIU 2014/12 Completed
Facilitate the process of inclusion of technical education on three diseases into curricular of higher and middle level health education institutions and universities
[Added: 2014/07/10] [Last Updated: 2017/11/28]
PIU 2017/12 Completed The Curriculum on How to work with PLHIV was developed in 2016. In 2017 it was approved by the Tajik National University and incorporated to the University Curriculum. It is already being taught in the Social work department of the university and 25 first students graduated are currently in internship at the NGO Spin plus. History
5. Recommendation: Support national programs to develop operations research (OR) plan for 3D to provide evidence for problems solving and decision making
Management Response: [Added: 2014/07/10]

UNDP will consider possibilities to support national efforts for operational ether through allocation of core funds, cost-sharing of OR activities with other partners or providing technical assistance. Priority areas for OR include: low percentage of TB confirmed cases, low TB treatment success rate, initial results of harm reduction programs, efficient ways of reaching vulnerable populations, etc.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Allocation of core funds to support most needed operational research in TB program
[Added: 2014/07/10] [Last Updated: 2015/09/01]
UNDP, PIU 2015/09 Completed Core fund are allocated for TB study on ways of improving detection
Within the framework of joint project on HIV provide technical and advocacy support for operational research for the harm reduction programs
[Added: 2014/07/10] [Last Updated: 2015/12/17]
UNDP. UNJAP 2015/12 Completed Conducted Mid Term Evaluation of HIV project. A clinical research on ART program to be held in Oct 2015
Promotion among the national partners the idea of having Operational Researches agenda with priority study (depending of available finds) .
[Added: 2014/07/10] [Last Updated: 2017/12/25]
UNDP 2015/10 No Longer Applicable [Justification: The action of the Evaluation conducted for the Health Program in 2013 is no more possible to implement during this year due to the lack of budget against UNDP core funding. The related researches will be further discussed and agreed with the National partners based on the epidemic situation and project proposal frameworks for the period of 2016-17]
The action of the Evaluation conducted for the Health Program in 2013 is no more possible to implement during this year due to the lack of budget against UNDP core funding. The related researches will be further discussed and agreed with the National partners based on the epidemic situation and project proposal frameworks for the period of 2016-17. History
6. Recommendation: Support national partners with revising TB, HIV/AIDS and malaria strategies to address recommendation of mid-terms program reviews, revise certain program indicators and to include new initiatives in future concepts notes
Management Response: [Added: 2014/07/10]

UNDP will provide core funds and technical assistance to support NCC to organize TWGs meetings and discussion on the need of revision of the existing documents, to facilitate meetings with HIV/AIDS, TB and malaria national managers and roundtables discussion (national dialogue). Particular attention will be devoted to development of concept note to New Funding Mechanism of GFATM

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Support to technical working groups meeting to discuss national strategies and NFM planning
[Added: 2014/07/10] [Last Updated: 2017/12/25]
UNDP 2015/07 Completed History
Recruitment of international consultant to assist HIV/AIDS TWG to develop new national strategy and NFM proposal
[Added: 2014/07/10]
UNDP 2014/06 Completed
Facilitation of series of round tables/ country dialogue meetings
[Added: 2014/07/10] [Last Updated: 2017/12/25]
UNDP 2014/07 Completed History
7. Recommendation: Continue providing technical assistance (TA) in the country and in coordination with other UN agencies develop long-term technical assistance plan in key areas
Management Response: [Added: 2014/07/10]

To the extent possible and in line with its mandate UNDP will consider funding opportunities to engage international experts in development of standards strategies, policies and guidelines and support in adaptation of the international best practices at country level.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Discussion with National key managers, NCC discussion through TWGs. Round table discussion.
[Added: 2014/07/10] [Last Updated: 2017/12/25]
UNDP, PIU 2015/07 Completed This is usually done on the platform of DCC History
Make sure with the national partners that TA plan in included into the national programs for the 3D
[Added: 2014/07/10]
UNDP 2014/06 Completed
Consider opportunities for fundraising from other donors and cost-sharing with partners
[Added: 2014/07/10] [Last Updated: 2017/12/25]
UNDP, PIU 2016/12 Completed Done in the example of PSI where cost-sharing of PWID component is done History
8. Recommendation: Support capacity building of institutions at local level to prepare them to take over the ownership for donor-funded programs
Management Response: [Added: 2014/07/10]

UNDP will continue support MoH with fundraising and implementing Capacity Building and Transition Plan and achievement of milestones

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Allocation of TRAC resources to fill the funding gap for the most essential CD activities in the CD and Transition Plan of MoH
[Added: 2014/07/14]
UNDP 2014/12 Completed
Ensure TA and funding support to strengthen financial management of SRs
[Added: 2014/07/14] [Last Updated: 2014/12/29]
UNDP, PIU 2014/12 Completed
Ensure TA and funding support to strengthen PSM management of SRs
[Added: 2014/07/14] [Last Updated: 2015/09/01]
UNDP, PIU 2015/08 Completed A series of training is conducted to SRs on PSM reporting. Project experts developed PSM manual
9. Recommendation: Strengthen procurement and supply management strategies and practices of UNDP and implementing partners in order to ensure timely procurement of goods and services, improved transparency in bidding procedures and decisions on selection of companies, close monitoring of works and delivered goods, and minimized delays in delivery
Management Response: [Added: 2014/07/10]

UNDP will make further efforts to strengthen internal as well as national partners? capacities for timely and transparent procurement

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Engage designated by national programs procurement specialists participate in the process.
[Added: 2014/07/14] [Last Updated: 2017/12/25]
UNDP, PIU 2017/12 Completed Regularly History
UNDP Intra-organizational discussions on PSM;
[Added: 2014/07/14] [Last Updated: 2017/12/25]
UNDP 2017/12 Completed History
Discussion with UNDP CO and PIU staff.
[Added: 2014/07/14]
UNDP, PIU 2014/06 Completed
Meetings with domestic partners (MoH, NCC, national partners and SRs)
[Added: 2014/07/14] [Last Updated: 2017/12/25]
UNDP, PIU 2017/12 Completed regularly History
10. Recommendation: Reinforce conditions for transfer of funds to SRs stipulated in partnership agreements with national partners and ensure that contracts with partners contain required details on dynamics of funds transfer.
Management Response: [Added: 2014/07/10]

UNDP will Review contract / agreement and articulate conditions during the contact with the partner

Key Actions:

Key Action Responsible DueDate Status Comments Documents
UNDP will Review contract / agreement and articulate conditions during the contact with the partner
[Added: 2014/07/14]
UNDP, PIU 2014/06 Completed
11. Recommendation: Strengthen HR management practices of UNDP for selection qualified staff for certain positions at the project level, motivation of staff, secure that all benefits to employees are applied and develop long-term plan for their capacity building.
Management Response: [Added: 2014/07/10]

UNDP will continue applying highest standards of HR management towards its staff in PIU. Internal capacities for strengthening HR management will be mobilized.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Review SOPs for HR management and suggest amendments if necessary
[Added: 2014/07/14] [Last Updated: 2014/12/29]
UNDP, PIU 2014/12 Completed
Increase awareness of PIU staff on good HR management practices
[Added: 2014/07/14] [Last Updated: 2014/12/29]
UNDP, PIU 2014/12 Completed
Discuss HR conditions in PIU with SM of the Country office
[Added: 2014/07/14] [Last Updated: 2014/12/29]
UNDP, PIU 2014/12 Completed
12. Recommendation: Strengthen inter-sectoral programs, explore and implement pilot programs to address poverty, livelihoods and disease control issues
Management Response: [Added: 2014/07/10]

UNDP will consider opportunities to include health aspects in other sectors and thematic areas

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Mainstreaming of socio-economic aspects of health in new concepts and proposals to donors
[Added: 2014/07/14] [Last Updated: 2014/12/29]
UNDP 2014/12 Completed
13. Recommendation: Strengthen formal and informal communication and coordination channels between UNDP, UN organizations and MoH high level decision makers.
Management Response: [Added: 2014/07/10]

UNDP will schedule regular meetings with NCC and MoH leadership

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Schedule regular meetings with NCC and MoH leadership
[Added: 2014/07/14] [Last Updated: 2017/12/25]
UNDP 2017/12 Completed Regular meetings with CCM secretary and directors of national organizations are conducted (Directorate) History

Latest Evaluations

Contact us

220 East 42nd Street
20th Floor
New York, NY 10017
Tel. +1 646 781 4200
Fax. +1 646 781 4213
erc.support@undp.org