Final Evaluation of Reducing UPOPs and Mercury Releases from the Health Sector in Africa project (Medical Waste Management)

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Evaluation Plan:
2016-2021, Zambia
Evaluation Type:
Final Project
Planned End Date:
10/2020
Completion Date:
12/2020
Status:
Completed
Management Response:
No
Evaluation Budget(US $):
50,000

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Title Final Evaluation of Reducing UPOPs and Mercury Releases from the Health Sector in Africa project (Medical Waste Management)
Atlas Project Number: 87064
Evaluation Plan: 2016-2021, Zambia
Evaluation Type: Final Project
Status: Completed
Completion Date: 12/2020
Planned End Date: 10/2020
Management Response: Yes
UNDP Signature Solution:
  • 1. Poverty
Corporate Outcome and Output (UNDP Strategic Plan 2018-2021)
  • 1. Output 2.1.1 Low emission and climate resilient objectives addressed in national, sub-national and sectoral development plans and policies to promote economic diversification and green growth
SDG Goal
  • Goal 13. Take urgent action to combat climate change and its impacts
SDG Target
  • 13.2 Integrate climate change measures into national policies, strategies and planning
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:
Name Title Email Nationality
Dalibor Kysela
GEF Evaluation: Yes
GEF Project Title: Reducing UPOPs and Mercury Releases from the Health Sector in Africa project (Medical Waste Management)
Evaluation Type: Terminal Evaluation
Focal Area: Climate Change
Project Type: EA
GEF Phase: GEF-1
GEF Project ID:
PIMS Number: 4865
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

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