Evaluation of the Global Fund Phase II Project

Report Cover Image
Evaluation Plan:
2011-2015, Maldives
Evaluation Type:
Final Project
Planned End Date:
08/2012
Completion Date:
08/2012
Status:
Completed
Management Response:
Yes
Evaluation Budget(US $):
17,000

Share

Document Type Language Size Status Downloads
Download document Maldives HIV Program Evaluation - UNDP.pdf report English 1306.39 KB Posted 1215
Download document End of Prject Evaluation - TOR .docx tor English 21.54 KB Posted 688
Title Evaluation of the Global Fund Phase II Project
Atlas Project Number: 00057945
Evaluation Plan: 2011-2015, Maldives
Evaluation Type: Final Project
Status: Completed
Completion Date: 08/2012
Planned End Date: 08/2012
Management Response: Yes
Focus Area:
  • 1. Poverty and MDG
Corporate Outcome and Output (UNDP Strategic Plan 2014-2017)
  • 1. Strengthened capacities to mainstream action into national policies, plans and strategies on the socio-economic causes and consequences of HIV and the linkage to the health MDG
  • 2. Strengthened national capacity for inclusive governance and coordination of national HIV responses, and for the protection of human rights of people affected by HIV, including women and other vulnerable groups
  • 3. Strengthened national capacities for implementation of HIV funds and programmes, including those financed through multilateral initiatives like the Global Fund to fight AIDS, Tuberculosis, and Malaria
Evaluation Budget(US $): 17,000
Source of Funding: TRAC
Joint Programme: No
Joint Evaluation: No
Evaluation Team members:
Name Title Email Nationality
Harinder Janjua Evaluator GFATM Round 6 Grant harinder.janjua@yahoo.com
GEF Evaluation: No
Key Stakeholders: Government; Beneficiary Islands; CSOs
Countries: MALDIVES
Lessons
Findings
Recommendations
1 Recommendations for all Implementing Partners - Evaluate Round 6 Program activities - Conduct evaluations on activities implemented and use the findings to inform the design and delivery of future initiatives
2 Recommendations for all Implementing Partners - Design capacity building initiatives in a structured manner - Programs should include a dedicated budget line for capacity building and initiatives should be systematic, appropriately targeted, and subject to monitoring and evaluation
3 Recommendations for all Implementing Partners - Institutionalize a knowledge sharing mechanism - Given the high rate of staff turnover and the finite amount of funding for capacity building initiatives, it is imperative that any new knowledge is dispersed across an organization to the extent possible. Organizations should develop a mechanism through which individuals benefiting from capacity building initiatives such as trainings, workshops and exposure visits are able and required to share the skills and knowledge gained with their colleagues.
4 Recommendations for all Implementing Partners -Design targeted interventions for youth, women, FSW and MSM - Youth and women are key populations for targeting HIV prevention initiatives, yet these groups did not benefit from Global Fund-financed HIV programming to the extent that other groups did. HIV prevention activities funded under the Round 6 program do not begin to adequately address the needs of FSW and MSM. The BBS underscores the importance of targeting interventions to these groups.
5 Recommendations for all Implementing Partners - Document best practices - There are several best practices that arose within the Global Fund Program that should be documented for knowledge management and knowledge sharing purposes. The Maldivian experience with peer education for migrant workers has already been documented as a best practice and is being replicated in Nepal and Bangladesh.
6 Ministry of Health / National AIDS Programme (MoH/NAP)- Conduct a gender audit of the NSP 2012-2016 - A gender audit of the NSP will ensure that the gendered dimensions of HIV prevention, treatment and care are considered and appropriately reflected. UNDP, with its expertise in gender, could be approached for support with this exercise.
7 Ministry of Health / National AIDS Programme (MoH/NAP) - Develop a roster of facilitators - The Global Fund Program involved the training of a large number of individuals on various aspects of HIV prevention. A roster should be developed to take stock of trained individuals so that their skills and knowledge can be leveraged as facilitators, consultants, Trainer of Trainers, peer educators etc. within the implementation of the NSP 2012-2016.
8 Ministry of Health / National AIDS Programme (MoH/NAP) - Address wait lists in drug detoxification and rehabilitation services - Due to the success of peer outreach initiatives, such as the program implemented by Journey, demand for such services has increased. Any constraints to accessing such services by potential clients jeopardize the integrity of outreach programs and result in missed harm reduction opportunities.
9 Ministry of Health / National AIDS Programme (MoH/NAP) - Design a minimum package of services to be offered at DICs. A DIC should be tailored to the population it serves, however the services that one can expect to access at a DIC in the Maldives are highly variable. A minimum package of services would set expectations for the public and well as operating standards for the DIC.
10 Ministry of Health / National AIDS Programme (MoH/NAP) - Review the current Life Skills Education curricula - Prior to the implementation of the Global Fund grant, life skills education was available in both primary and secondary school, however it did not include any education on sexual health. Given that youth constitute the largest proportion of the Maldivian population, it merits review as to whether the current format of life skills education can be adapted to support HIV prevention. The establishment of Youth Friendly Services could be considered as a complementary intervention.
11 UNDP and other agencies - Support the NAP - Given the magnitude of the work to be done just to maintain the current level of momentum on the national response to HIV and the paucity of resources with which to do it, it is essential that UN Agencies lend as much support as possible to the NAP.
12 UNDP and other agencies - Provide support to CSOs working in the area of HIV prevention, care and treatment - Several CSOs, including SHE, Journey and Open Hand, expect to or already receive financial support from the MOH. This dependency has the potential of constraining their autonomy and ability to effectively advocate for change on HIV related policy issues at the Governmental level.
13 UNDP and other agencies - Mobilize resources. The NAP will likely be facing a critical resource shortage. UN Agencies should seek to leverage relationships with the donor community and the private sector to mobilize resources to support the national response to HIV, particularly given the acute need to extend interventions beyond Male.
14 UNDP HQ - Consider managing certain functions centrally for Global Fund Programs managed in small countries. In the case of the Maldives, with a Global Fund Program of less that USD 5 million and limited local capacity, it may have been more effective to have at least the financial management of the grant managed centrally.
1. Recommendation: Recommendations for all Implementing Partners - Evaluate Round 6 Program activities - Conduct evaluations on activities implemented and use the findings to inform the design and delivery of future initiatives
Management Response: [Added: 2013/01/31]

We note the recommendation. Discussions were held with the National AIDS Program (NAP), who takes the lead in implementing the national HIV response in the country. Recently the NAP has developed and finalized the National Strategic Plan on HIV and AIDS for 2012-2016 (NSP). This can be taken into consideration once the plan is operational

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Endorsement of the NSP
[Added: 2013/01/31]
NAP 2013/01 Overdue-Not Initiated
Development of Operational Plan for NSP and its costing
[Added: 2013/01/31]
NAP 2013/03 Overdue-Not Initiated
2. Recommendation: Recommendations for all Implementing Partners - Design capacity building initiatives in a structured manner - Programs should include a dedicated budget line for capacity building and initiatives should be systematic, appropriately targeted, and subject to monitoring and evaluation
Management Response: [Added: 2013/01/31]

Recommendation noted. The M&E Plan that has been developed for the implementation of the National Strategy Plan Capacity gaps at different levels were noted throughout the grant implementation and some were addressed. These identified gaps have been taken into consideration when the National Strategic Plan on HIV and AIDS for 2012-2016 (NSP) was developed. As such, under each strategic direction of the NSP, initiative for capacity building will be costed

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Development of Operational Plan for NSP and its costing
[Added: 2013/01/31]
NAP 2013/03 Overdue-Not Initiated
Develop, implement and monitor Capacity strengthening plan
[Added: 2013/01/31]
NAP with assistance from JUNTA 2011/01 Overdue-Not Initiated
3. Recommendation: Recommendations for all Implementing Partners - Institutionalize a knowledge sharing mechanism - Given the high rate of staff turnover and the finite amount of funding for capacity building initiatives, it is imperative that any new knowledge is dispersed across an organization to the extent possible. Organizations should develop a mechanism through which individuals benefiting from capacity building initiatives such as trainings, workshops and exposure visits are able and required to share the skills and knowledge gained with their colleagues.
Management Response: [Added: 2013/01/31]

Recommendation noted. NAP will work closely with the JUNTA to establish a mechanism to systematically plan and monitor capacity building initiatives. Furthermore, NAP will take steps to ensure the capacity development efforts and knowledge transfer both at individual and organizational level

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Develop and maintain a database of capacity building initiatives in each area
[Added: 2013/01/31]
NAP 2011/01 Overdue-Not Initiated
Develop and maintain a roaster of trainees/persons who has benefitted from capacity building initiatives
[Added: 2013/01/31]
NAP 2011/01 Overdue-Not Initiated
4. Recommendation: Recommendations for all Implementing Partners -Design targeted interventions for youth, women, FSW and MSM - Youth and women are key populations for targeting HIV prevention initiatives, yet these groups did not benefit from Global Fund-financed HIV programming to the extent that other groups did. HIV prevention activities funded under the Round 6 program do not begin to adequately address the needs of FSW and MSM. The BBS underscores the importance of targeting interventions to these groups.
Management Response: [Added: 2013/01/31]

Recommendation noted. It is to be noted that this was also noted during the Joint mid-term review of the NSP including GFATM Round 6 program. Therefore, during the development of the NSP, it was ensured that these groups were consulted and hence their needs were reflected. However, considerations should be given to the sensitivity of targeting programs especially for FSW and MSM. This has to be noted and during the operationalization of the NSP and, steps would be taken to address this by designing targeted interventions for them more creatively. Furthermore, it is also a challenge for any organization to come openly and work primarily for/with both these target populations.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Continuous advocacy efforts for inclusion of targeted interventions for the key affected groups, namely MSM and FSW
[Added: 2013/01/31]
NGOs & CBOs 2011/01 Overdue-Not Initiated
Design and implement creative, targeted programs for MSM and FSW
[Added: 2013/01/31]
No Agency identified yet 2011/01 Overdue-Not Initiated
5. Recommendation: Recommendations for all Implementing Partners - Document best practices - There are several best practices that arose within the Global Fund Program that should be documented for knowledge management and knowledge sharing purposes. The Maldivian experience with peer education for migrant workers has already been documented as a best practice and is being replicated in Nepal and Bangladesh.
Management Response: [Added: 2013/01/31]

Recommendation Noted. Best practices from the initiatives started by the Global Fund Program are taken into consideration when the NSP was developed. On the closure of the grant measures were also taken to continue some of the essential activities started under the grant.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Replicate essential activities carried out under the Global Fund program, in key areas based on the findings of the Mapping of the MARPs
[Added: 2013/01/31]
Any organization working in this field 2011/01 Overdue-Not Initiated
Scale-up existing interventions for key groups such as, migrant workers, drug users and injecting drug users
[Added: 2013/01/31]
NDA 2011/01 Overdue-Not Initiated These are subjected to fund available in the country
6. Recommendation: Ministry of Health / National AIDS Programme (MoH/NAP)- Conduct a gender audit of the NSP 2012-2016 - A gender audit of the NSP will ensure that the gendered dimensions of HIV prevention, treatment and care are considered and appropriately reflected. UNDP, with its expertise in gender, could be approached for support with this exercise.
Management Response: [Added: 2013/01/31]

Recommendation note. This will have to be discussed with the respective UN agencies for technical assistance and funds.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
To be conducted with the assistance of the UNDP, UN Women
[Added: 2013/01/31]
NAP 2011/01 Overdue-Not Initiated
7. Recommendation: Ministry of Health / National AIDS Programme (MoH/NAP) - Develop a roster of facilitators - The Global Fund Program involved the training of a large number of individuals on various aspects of HIV prevention. A roster should be developed to take stock of trained individuals so that their skills and knowledge can be leveraged as facilitators, consultants, Trainer of Trainers, peer educators etc. within the implementation of the NSP 2012-2016.
Management Response: [Added: 2013/01/31]

Recommendation Noted. Global fund program has trained many people on different relevant areas, and they have been mobilized by various NGOs, UN agencies and government counterpart.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Develop and maintain a roaster of trainees/persons who has benefitted from capacity building initiatives
[Added: 2013/01/31]
NAP 2013/12 Overdue-Not Initiated
8. Recommendation: Ministry of Health / National AIDS Programme (MoH/NAP) - Address wait lists in drug detoxification and rehabilitation services - Due to the success of peer outreach initiatives, such as the program implemented by Journey, demand for such services has increased. Any constraints to accessing such services by potential clients jeopardize the integrity of outreach programs and result in missed harm reduction opportunities.
Management Response: [Added: 2013/01/31]

Recommendation Noted. There have been several discussions held with the NGOs working on the forefront providing outreach to drug users and injecting drug users. It as also been a challenge for these NGOs given that this issue has been recurring for many months now. In order to address the issue, this has been brought to the notice of the NDA ? the lead agency for providing and coordinating these services. Additionally, now there is also a growing demand for this, as many are being put in the jail program and UNODC has plans with NDA to address this.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Negotiations with the NDA to get the increase the availability of the services to meet the demand (through the drug Council)
[Added: 2013/01/31]
NDA (through the Drug Council) 2011/01 Overdue-Not Initiated This can be done only if funds available
9. Recommendation: Ministry of Health / National AIDS Programme (MoH/NAP) - Design a minimum package of services to be offered at DICs. A DIC should be tailored to the population it serves, however the services that one can expect to access at a DIC in the Maldives are highly variable. A minimum package of services would set expectations for the public and well as operating standards for the DIC.
Management Response: [Added: 2013/01/31]

Recommendation Noted. A minimum package of services already exists for the DIC; however this now needs to be revised with the emerging demands from these target groups. Additionally, some discussions were also held with the NDA and MoH on standardizing the operating standards for the DICs in the country. As part of this an assessment of all the reporting formats of the DIC have been reviewed, in 2010, with the assistance of a consultant supported by WHO

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Revise and define a minimum package of service for DIC according to Maldivian context
[Added: 2013/01/31]
NDA 2011/01 Overdue-Not Initiated
Develop and formalize minimum operating standards for DICs
[Added: 2013/01/31]
- 2011/01 Overdue-Not Initiated
10. Recommendation: Ministry of Health / National AIDS Programme (MoH/NAP) - Review the current Life Skills Education curricula - Prior to the implementation of the Global Fund grant, life skills education was available in both primary and secondary school, however it did not include any education on sexual health. Given that youth constitute the largest proportion of the Maldivian population, it merits review as to whether the current format of life skills education can be adapted to support HIV prevention. The establishment of Youth Friendly Services could be considered as a complementary intervention.
Management Response: [Added: 2013/01/31]

Recommendation noted. On this area, some work has already been conducted by UNFPA. Efforts are on-going to formalize a holistic approach on education and to integrate life skills into the existing National academic curriculum.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Technical Expertise to Integrate Life Skills into National Curriculum
[Added: 2013/01/31]
UNODC 2013/03 Overdue-Not Initiated
11. Recommendation: UNDP and other agencies - Support the NAP - Given the magnitude of the work to be done just to maintain the current level of momentum on the national response to HIV and the paucity of resources with which to do it, it is essential that UN Agencies lend as much support as possible to the NAP.
Management Response: [Added: 2013/01/31]

Recommendation Noted. The UN theme group of AIDS had several meeting and it has been discussed at length. Currently UNODC and UNFPA are supporting the continuation on of key GF activities that were carried out by SHE, Journey and Open hand.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Provide support to NGOs
[Added: 2013/01/31]
UNODC & UNFPA 2011/01 Overdue-Initiated ongoing
JUNTA to identify key areas for support once the Operational Plan for the NSP 2012-2016 is endorsed. (as done during the previous cycle of the NSP i.e. 2007 ? 2011)
[Added: 2013/01/31]
JUNTA 2011/01 Overdue-Not Initiated
12. Recommendation: UNDP and other agencies - Provide support to CSOs working in the area of HIV prevention, care and treatment - Several CSOs, including SHE, Journey and Open Hand, expect to or already receive financial support from the MOH. This dependency has the potential of constraining their autonomy and ability to effectively advocate for change on HIV related policy issues at the Governmental level.
Management Response: [Added: 2013/01/31]

Recommendation Noted. UNDP CO will be liaising with other project to include these organizations in the existing programme.

Key Actions:

13. Recommendation: UNDP and other agencies - Mobilize resources. The NAP will likely be facing a critical resource shortage. UN Agencies should seek to leverage relationships with the donor community and the private sector to mobilize resources to support the national response to HIV, particularly given the acute need to extend interventions beyond Male.
Management Response: [Added: 2013/01/31]

Recommendation Noted. During the discussions between the MoH and the UN agencies to discuss the way forward following the GF grant closure, it has been agreed that the UN agencies through JUNTA will assist the operationalization of the NSP 2012-2016. It was also noted, further support will be provided for the resource mobilization for the NSP once the plan is operationalized and costed.

Key Actions:

14. Recommendation: UNDP HQ - Consider managing certain functions centrally for Global Fund Programs managed in small countries. In the case of the Maldives, with a Global Fund Program of less that USD 5 million and limited local capacity, it may have been more effective to have at least the financial management of the grant managed centrally.
Management Response: [Added: 2013/01/31]

The Country Office signs the Grant Agreement with the Global Fund, and therefore is the responsible party for meeting the financial and reporting requirements to the Global Fund. In addition, the Country Offices also manage the day-to-day programme activities and therefore, manage the financial flows of the programme. In conclusion, it is not feasible for the financial management to be managed centrally. However, recognizing that smaller GF-financed programmes may face more severe human resource constraints, UNDP Headquarters, as the BDP GF Partnership team, do provide significant support to these Country Offices. This was especially apparent with the support provided to UNDP Maldives in the last year of the programme, as it transitioned to exit by the BDP GF Partnership team Finance Officer. In addition, the BDP GF Partnership team coordinated two detail assignments to UNDP Maldives in 2012 to provide in-country financial support. The primary support for UNDP Maldives was finance-focused, but can extend to support, for example, to submitting reports to the Global Fund and responding to Global Fund communications.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
The UNDP Global Fund Partnership team to review its support provided to smaller programmes that are facing human resources constraint in country to determine if a more systematic approach is required.
[Added: 2013/01/31]
UNDP Global Fund Partnership Team 2013/07 Overdue-Not Initiated

Latest Evaluations

Contact us

1 UN Plaza
DC1-20th Floor
New York, NY 10017
Tel. +1 646 781 4200
Fax. +1 646 781 4213
erc.support@undp.org