Management and Technical Assistant Facility (MTAF) to Strengthen the Implementation of Global Fund Grants in Indonesia

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Evaluation Plan:
2011-2015, Indonesia
Evaluation Type:
Final Project
Planned End Date:
01/2014
Completion Date:
04/2014
Status:
Completed
Management Response:
Yes
Evaluation Budget(US $):
15,000

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Title Management and Technical Assistant Facility (MTAF) to Strengthen the Implementation of Global Fund Grants in Indonesia
Atlas Project Number:
Evaluation Plan: 2011-2015, Indonesia
Evaluation Type: Final Project
Status: Completed
Completion Date: 04/2014
Planned End Date: 01/2014
Management Response: Yes
Focus Area:
  • 1. Others
Corporate Outcome and Output (UNDP Strategic Plan 2018-2021)
  • 1. Output 3.3. National institutions, systems, laws and policies strengthened for equitable, accountable and effective delivery of HIV and related services
Evaluation Budget(US $): 15,000
Source of Funding: MTAF project
Joint Programme: No
Joint Evaluation: No
Evaluation Team members:
Name Title Nationality
Nidhi Sharma Consultant INDIA
Farsidah Lubis Consultant
GEF Evaluation: No
Key Stakeholders: MOF-GoI
Countries: INDONESIA
Comments: None
Lessons
Findings
Recommendations
1 Recommendation 1: The project set out to achieve the following outcome: ?PRs and CCM will be strengthened to enable them to successfully manage the implementation of GF grants in Indonesia and accelerate the achievement of health-related MDGs.? While it has achieved a fair degree of success, MTAF?s work is not complete. The ?transition phase? has merely set the stage and helped create a niche for a unique nation-led entity providing quality assistance towards grant effectiveness. The end of the transition phase presents an excellent opportunity to look back, reflect and restructure to correct past shortcomings and form a robust framework for the future. The evaluation team recommends continued funding support to the MTAF until the Ministerial decree has been passed and it becomes financially independent. However, the next phase of funding should be contingent upon a sharpened strategy to define its role, services, and structure.
2 Recommendation 2: In order to resolve the conflict of interest issue, the management arrangement should be revised to create a more independent functioning mechanism for the MTAF, as compared to the CCM. This recommendation is made in full cognizance of the fact that the original set-up was created and supported by the highest echelons of the Ministry of Health, and the agreement and vision of the Secretary General should be given due regard in any future change.
3 Recommendation 3: UNDP needs to play a stronger role in the future MTAF by way of capacity building and technical support. Consultations with UNDP indicated strong interest and broader opportunities for UNDP and AusAID to collaborate in programmes for strengthening health governance systems in Indonesia. If this comes to fruition, MTAF can be placed under the umbrella of a much larger project while serving the purpose of strengthening CCM. Such a project can address major needs such as a training and accreditation centre, capacity building, and in future, the fight against other diseases.
4 Recommendation 4: For medium-term sustainability and competitive advantage, the online database can be expanded with quality assurance certification, trainings and workshops. In the long term, the online database can be modeled after Ikatan Nasional Konsultan Indonesia (INKINDO), with a paid membership base.
5 Recommendation 5: The project should formulate a gender strategy, translating and trickling down to PR and SR?s grant implementation levels. The evaluation recommends the appointment of a gender specialist to be part of the future team.
6 Recommendation 6: MTAF exhibits strong potential for collaborating with ?South South and Triangular Cooperation?. One possible entry point would be to look into Technical Support Facility (Malaysia) and CCMs of other Asian countries to determine complementary concerns. The evaluation also recommends stronger ties and communication with the Global Fund office in Geneva.
1. Recommendation: Recommendation 1: The project set out to achieve the following outcome: ?PRs and CCM will be strengthened to enable them to successfully manage the implementation of GF grants in Indonesia and accelerate the achievement of health-related MDGs.? While it has achieved a fair degree of success, MTAF?s work is not complete. The ?transition phase? has merely set the stage and helped create a niche for a unique nation-led entity providing quality assistance towards grant effectiveness. The end of the transition phase presents an excellent opportunity to look back, reflect and restructure to correct past shortcomings and form a robust framework for the future. The evaluation team recommends continued funding support to the MTAF until the Ministerial decree has been passed and it becomes financially independent. However, the next phase of funding should be contingent upon a sharpened strategy to define its role, services, and structure.
Management Response: [Added: 2014/03/25] [Last Updated: 2014/10/07]

UNDP has been discussing with the CCM and DFAT on the further needs of Management and Technical Assistance for the implementation of GFATM grants in Indonesia. Part of the main issues is transition to the National Health Consultant Committee (KPKK).

Key Actions:

Key Action Responsible DueDate Status Comments Documents
- Series of dialogues with DFAT, CCM and development partners such as UNAIDS and USAID. - Finalized the software of KPKK: roadmap, sop, database, organizations structure and decree. - Handover MTAF asset to CCM Secretariat
[Added: 2014/10/07]
DGPRU 2014/06 Completed The proposal on Joint Technical and Management Support for GFATM implementation in Indonesia was approved by DFAT. The new fund can be utilized from July 2014- December 2015.
2. Recommendation: Recommendation 2: In order to resolve the conflict of interest issue, the management arrangement should be revised to create a more independent functioning mechanism for the MTAF, as compared to the CCM. This recommendation is made in full cognizance of the fact that the original set-up was created and supported by the highest echelons of the Ministry of Health, and the agreement and vision of the Secretary General should be given due regard in any future change.
Management Response: [Added: 2014/03/25] [Last Updated: 2014/10/07]

Due to the closing of the project, we are not going to change the project board structure. But in terms of staffing and their position against the CCM and TWG ? we have changed the project management modality. The implementation is managed fully by UNDP Programme Manager. As for technical and management assistance during the extension period will be delivered by Individual Consultants.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
- Jan-Mar 2014 completion of technical staff contracts. - Apr-Jun 2014 hire ICs for delivering technical and management assistance as per request.
[Added: 2014/10/07]
DGPRU 2014/06 Completed
3. Recommendation: Recommendation 3: UNDP needs to play a stronger role in the future MTAF by way of capacity building and technical support. Consultations with UNDP indicated strong interest and broader opportunities for UNDP and AusAID to collaborate in programmes for strengthening health governance systems in Indonesia. If this comes to fruition, MTAF can be placed under the umbrella of a much larger project while serving the purpose of strengthening CCM. Such a project can address major needs such as a training and accreditation centre, capacity building, and in future, the fight against other diseases.
Management Response: [Added: 2014/03/25] [Last Updated: 2014/10/07]

We are exploring the needs for UNDP to be back in the CCM. As HSS, one of the PR with poor performance is the HSS PR. UNDP will assist the TWG HSS to unresolved the management and technical bottlenecks in grant implementation.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
- Participation in CCM meetings as observers - Provide MTA to HSS PR
[Added: 2014/10/07]
DGPRU 2014/06 Completed Await the next round of CCM members uptake to determine UNDP?s role in the next CCM.
4. Recommendation: Recommendation 4: For medium-term sustainability and competitive advantage, the online database can be expanded with quality assurance certification, trainings and workshops. In the long term, the online database can be modeled after Ikatan Nasional Konsultan Indonesia (INKINDO), with a paid membership base.
Management Response: [Added: 2014/03/25] [Last Updated: 2014/10/07]

The consultant database will be transferred to KPKK, while waiting the establishment of KPKK ? the database will be handed over to the PPSDM-MOH. UNDP has assist by updating the database system, transferred the system from Singapore?s server to PPSDM-MOH.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
- Transfer the server to Indonesia - Update the database system - Update the manual for the database system - Handover to PPSDM and CCM
[Added: 2014/10/07]
DGPRU 2014/06 Completed Await the operationalization of KPKK for the database to be fully functional.
5. Recommendation: Recommendation 5: The project should formulate a gender strategy, translating and trickling down to PR and SR?s grant implementation levels. The evaluation recommends the appointment of a gender specialist to be part of the future team.
Management Response: [Added: 2014/03/25] [Last Updated: 2014/10/07]

Due to project closing and the nature of the assistance, a gender specialist is not yet a priority. At present the CCM has asked a local NGO to provide guidance on gender mainstreaming.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
UNDP, UNAIDS and UN Women conducted gender perspective workshop for program supported by Global Fund in 2015 , and will follow up with gender mainstreaming assessment on ATM Program through discussion with UN Women.
[Added: 2014/10/07] [Last Updated: 2019/06/23]
DGPRU 2019/05 Completed The workshop has been conducted and followed up with gender mainstreaming actions History
6. Recommendation: Recommendation 6: MTAF exhibits strong potential for collaborating with ?South South and Triangular Cooperation?. One possible entry point would be to look into Technical Support Facility (Malaysia) and CCMs of other Asian countries to determine complementary concerns. The evaluation also recommends stronger ties and communication with the Global Fund office in Geneva.
Management Response: [Added: 2014/03/25] [Last Updated: 2014/10/07]

By actively involved in the CCM meeting, UNDP has been more engaged in the management of GFATM in Indonesia. By closely coordinating the implementation with UNAIDS and WHO, UNDP will be able to tap into TSF Malaysia and global TSF.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
- Participate in CCM meeting - Coordinate progress with other development partners, especially UNAIDS and WHO
[Added: 2014/10/07] [Last Updated: 2018/12/07]
DGPRU 2018/12 Completed This is a continuous process. But showcasing MTAF is not an option now since it has been disbanded. UNDP will continue to provide support to KPKK, once it is settled we can start thinking about South South. History

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