- Evaluation Plan:
- 2016-2022, Zambia
- Evaluation Type:
- Final Project
- Planned End Date:
- 10/2020
- Completion Date:
- 12/2020
- Status:
- Completed
- Management Response:
- Yes
- Evaluation Budget(US $):
- 50,000
Final Evaluation of Reducing UPOPs and Mercury Releases from the Health Sector in Africa project (Medical Waste Management)
| Document | Type | Language | Size | Status | Downloads |
|---|---|---|---|---|---|
 Final Updated ToR TE consultant for GEF MedWaste Africa sa.docx |
tor | English | 33.34 KB | Posted | 979 |
 Final TE Report Dec2020 GEF MedWaste Africa.pdf |
report | English | 2609.81 KB | Posted | 986 |
| Title | Final Evaluation of Reducing UPOPs and Mercury Releases from the Health Sector in Africa project (Medical Waste Management) | ||||||||||||||
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| Atlas Project Number: | 87064 | ||||||||||||||
| Evaluation Plan: | 2016-2022, Zambia | ||||||||||||||
| Evaluation Type: | Final Project | ||||||||||||||
| Status: | Completed | ||||||||||||||
| Completion Date: | 12/2020 | ||||||||||||||
| Planned End Date: | 10/2020 | ||||||||||||||
| Management Response: | Yes | ||||||||||||||
| Focus Area: |
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| Corporate Outcome and Output (UNDP Strategic Plan 2018-2021) |
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| SDG Goal |
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| SDG Target |
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| Evaluation Budget(US $): | 50,000 | ||||||||||||||
| Source of Funding: | Project Budget, Donor | ||||||||||||||
| Evaluation Expenditure(US $): | 50,000 | ||||||||||||||
| Joint Programme: | No | ||||||||||||||
| Joint Evaluation: | No | ||||||||||||||
| Evaluation Team members: |
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| GEF Evaluation: | Yes
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| Key Stakeholders: | Ministry of Mines, Energy and Water Development (MMEWD), Ministry of Chiefs and Traditional Affairs (MOCTA), Ministry of Agriculture and Livestock (MAL), Zambia Meteorological Department (ZMD), Serenje District Council, District Council of Chiefs, and Zambia Climate Change Network (ZCCN) | ||||||||||||||
| Countries: | ZAMBIA |
| Lessons | |
|---|---|
| Findings |
| Recommendations | |
|---|---|
| 1 | Before the completion of the project, the four project teams should engage in intensive consultations with relevant local authorities (such as district/regional environmental authorities, public health offices and district/local councils). In particular, they should arrange visits of the autoclave treatment facilities by the local authorities and share with them reports and other information on testing of performance of the HCW sterilization |
| 2 | Before the completion of the project, the UNDP COs in the four countries in cooperation with the national PIUs should establish institutional mechanisms for a post-project monitoring of performance of the autoclaves and periodic collection of information about amounts of HCW treated. The monitoring, led by the national health authorities, should start immediately upon closure of the project with monthly periodicity |
| 3 | As part of the post-project monitoring, the four countries should evaluate merits of the post-treatment on final disposal of autoclaved HCW and gather experience from operation and maintenance of the shredding and compacting devices. The lessons learned should be disseminated through relevant UNDP outreach channels |
| 4 | Relevant health authorities in the project countries should collect and disseminate experience from working cluster HCW treatment systems including formulas for calculation of tariffs for transportation of HCW and treatment at the autoclave cluster treatment centres |
| 5 | In order to ensure continued after-warranty repair service of the installed autoclaves, the national health authorities and the project model HCFs in the four countries should establish national autoclave maintenance teams and/or contracting local external repair service companies. UNDP COs should be of assistance for identification of reliable local |
| 6 | Relevant health authorities in the four countries should establish procedures for sound post-project management of the central storage of mercury HCW and cooperate with holders of mercury waste in other sectors in order to identify final disposal option in line with provisions of the Minamata Convention |
| 7 | Relevant health authorities in the four countries should assist national health training institutions to secure financing for continuation of training and re-training courses with HCWM modules for health workers |
Management Response Documents
1. Recommendation:
Before the completion of the project, the four project teams should engage in intensive consultations with relevant local authorities (such as district/regional environmental authorities, public health offices and district/local councils). In particular, they should arrange visits of the autoclave treatment facilities by the local authorities and share with them reports and other information on testing of performance of the HCW sterilization
Management Response: [Added: 2020/12/30] [Last Updated: 2020/12/30]
Fully accept agrees entirely with all the recommendation and will seek actions to achieve the recommendation.
Key Actions:
| Key Action | Responsible | DueDate | Status | Comments | Documents |
|---|---|---|---|---|---|
| Arrange visits to UTH and Chilenje autoclave treatment facilities and share information on testing of performance of the HCW sterilization
[Added: 2022/05/17] |
MOH | 2021/12 | Completed | Visits to autoclave treatment facilities were conducted by MOH |
2. Recommendation:
Before the completion of the project, the UNDP COs in the four countries in cooperation with the national PIUs should establish institutional mechanisms for a post-project monitoring of performance of the autoclaves and periodic collection of information about amounts of HCW treated. The monitoring, led by the national health authorities, should start immediately upon closure of the project with monthly periodicity
Management Response: [Added: 2020/12/30]
Key Actions:
| Key Action | Responsible | DueDate | Status | Comments | Documents |
|---|---|---|---|---|---|
| Establish institutional mechanisms for a post-project monitoring of performance of the autoclaves and periodic collection of information about amounts of HCW treated
[Added: 2022/05/17] |
MOH | 2021/12 | Completed | ||
| Commence national health authority led Monitoring immediately upon closure of the project with monthly periodicity
[Added: 2022/05/29] |
Ministry of health | 2021/03 | Completed | This is part of routine mentoring at all levels |
3. Recommendation:
As part of the post-project monitoring, the four countries should evaluate merits of the post-treatment on final disposal of autoclaved HCW and gather experience from operation and maintenance of the shredding and compacting devices. The lessons learned should be disseminated through relevant UNDP outreach channels
Management Response: [Added: 2020/12/30]
Key Actions:
| Key Action | Responsible | DueDate | Status | Comments | Documents |
|---|---|---|---|---|---|
| Conduct learned learned on final disposal of autoclaved HCW
[Added: 2022/05/17] |
MOH | 2021/12 | Completed | ||
| Evaluate merits of post treatment of final disposal of autoclaved HCW and gather experience from operations and maintenance of shredding and compacting devices
[Added: 2022/05/29] |
MOH | 2021/12 | Completed | This action has been completed. |
4. Recommendation:
Relevant health authorities in the project countries should collect and disseminate experience from working cluster HCW treatment systems including formulas for calculation of tariffs for transportation of HCW and treatment at the autoclave cluster treatment centres
Management Response: [Added: 2020/12/30]
Key Actions:
| Key Action | Responsible | DueDate | Status | Comments | Documents |
|---|---|---|---|---|---|
| Collect and disseminate experience from working cluster HWC treatment system including for calculating tariffs for transportation of HWC and treatment at the autoclave cluster treatment centers.
[Added: 2022/05/29] |
MOH | 2021/12 | Completed | Documentary was developed. |
5. Recommendation:
In order to ensure continued after-warranty repair service of the installed autoclaves, the national health authorities and the project model HCFs in the four countries should establish national autoclave maintenance teams and/or contracting local external repair service companies. UNDP COs should be of assistance for identification of reliable local
Management Response: [Added: 2020/12/30]
Key Actions:
| Key Action | Responsible | DueDate | Status | Comments | Documents |
|---|---|---|---|---|---|
| Establish Autoclave maintenance team
[Added: 2022/05/29] |
MOH | 2021/12 | Completed | Taken on by medical maintenance team. History |
6. Recommendation:
Relevant health authorities in the four countries should establish procedures for sound post-project management of the central storage of mercury HCW and cooperate with holders of mercury waste in other sectors in order to identify final disposal option in line with provisions of the Minamata Convention
Management Response: [Added: 2020/12/30]
Key Actions:
| Key Action | Responsible | DueDate | Status | Comments | Documents |
|---|---|---|---|---|---|
| Establish procedures for sound post project management of central storage of mercury HWC and cooperate with holders of mercury waste in other sector in order to identify final disposal option in line with provision of the minimata convention
[Added: 2022/05/29] |
MOH | 2022/12 | Initiated | Zema to give guidance on the final disposal |
7. Recommendation:
Relevant health authorities in the four countries should assist national health training institutions to secure financing for continuation of training and re-training courses with HCWM modules for health workers
Management Response: [Added: 2020/12/30]
Key Actions:
| Key Action | Responsible | DueDate | Status | Comments | Documents |
|---|---|---|---|---|---|
| Secure financing for continuation of training and retraining courses with HWC modules for health workers
[Added: 2022/05/29] |
MOH | 2021/12 | Completed | Modules have been included in the Environmental health curriculum at the University of Zambia and levy Mwanawasa University |