Terminal Review of the Single Stream Funding Malaria Project

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Evaluation Plan:
2017-2021, Iran
Evaluation Type:
Final Project
Planned End Date:
02/2018
Completion Date:
03/2018
Status:
Completed
Management Response:
Yes
Evaluation Budget(US $):
40,000

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Title Terminal Review of the Single Stream Funding Malaria Project
Atlas Project Number: 40048
Evaluation Plan: 2017-2021, Iran
Evaluation Type: Final Project
Status: Completed
Completion Date: 03/2018
Planned End Date: 02/2018
Management Response: Yes
Focus Area:
  • 1. Others
Corporate Outcome and Output (UNDP Strategic Plan 2014-2017)
  • 1. Output 1.3. Solutions developed at national and sub-national levels for sustainable management of natural resources, ecosystem services, chemicals and waste
  • 2. Output 3.3. National institutions, systems, laws and policies strengthened for equitable, accountable and effective delivery of HIV and related services
Evaluation Budget(US $): 40,000
Source of Funding:
Evaluation Expenditure(US $): 40,000
Joint Programme: No
Mandatory Evaluation: No
Joint Evaluation: No
Evaluation Team members:
Name Title Email Nationality
Zanjan Social Determinants of Health Research Center Zanjan Social Determinants of Health Research Center
GEF Evaluation: No
Key Stakeholders:
Countries: IRAN (ISLAMIC REPUBLIC OF)
Lessons
Findings
Recommendations
1

Focus on more advocacy rising at country and local levels.

2

Invest in community participation and facilitating NGOs involvement in field of malaria.

3

Strengthen the inter-sectoral cooperation with special attention on border areas.

4

Keep going on the border surveillance.

5

Focus on migrants and population movement.

6

Find local solutions on illegal migrants screening for malaria.

7

Enhance the maintenance system to prolong performance and efficiency of provided equipment in the project.

8

Build a knowledge transfer mechanism to share the project best practices and lessons learned.

9

Integrate current malaria database with Samane Seeb software.

10

Benefit the opportunity of recent initiatives in health system including Health Transformation Plan and Family Physician Scheme and use Moraghebin-e Salamat as new malaria workers.

11

Procure and distribute RDTs widely throughout the country.

12

Review and retry on RDT passive posts set up with participation of Volunteers.

1. Recommendation:

Focus on more advocacy rising at country and local levels.

Management Response: [Added: 2018/05/16]

Consolidation of National Malaria Elimination Programme activities/services into the other sectors policies and programmes as well as support of decision-makers, implementers, and beneficiaries at national, provincial and district levels will be advocated.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
The recommendation to be implemented through integration of required actions in the workplans of Universities of Medical Sciences under supervision of CDC.
[Added: 2018/09/10] [Last Updated: 2018/12/12]
Center for diseases Control (CDC) 2018/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
As the project terminated, UNDP is no longer engaged in the process but CDC is following up the matter in the framework of the National Strategic Plan for elimination of malaria. History
2. Recommendation:

Invest in community participation and facilitating NGOs involvement in field of malaria.

Management Response: [Added: 2018/05/16]

Community groups will be formed to support vector control measures with participation of local communities, their leaders and local service providers.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Community groups to be established at the field level by Universities of Medical Sciences in follow up to this recommendation.
[Added: 2018/09/11] [Last Updated: 2018/12/12]
CDC 2018/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
UNDP is no longer engaged in the project, however, UNDP has the capacity to promote and facilitate the approach if request comes from the Government. History
3. Recommendation:

Strengthen the inter-sectoral cooperation with special attention on border areas.

Management Response: [Added: 2018/05/16]

Inter- and intra-sectoral working groups will be formed at national, provincial and district levels in the endemic foci in order to ensure effective cooperation.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Working groups are under formation stage and CDC through Universities of Medical Sciences is doing follow up.
[Added: 2018/09/11] [Last Updated: 2018/12/12]
CDC 2018/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
The action is on-going by the Government. History
4. Recommendation:

Keep going on the border surveillance.

Management Response: [Added: 2018/05/16]

Population movement information will be collected, updated and mapped.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Surveillance is taking place on borders.
[Added: 2018/09/11]
CDC and Universities of Medical Sciences in coordination with BAFIA 2018/12 Completed The process is on-going. History
5. Recommendation:

Focus on migrants and population movement.

Management Response: [Added: 2018/05/16]

Population movement information will be collected, updated and mapped.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Population movement is controlled and recorded
[Added: 2018/09/11]
CDC and Universities of Medical Sciences. 2018/12 Completed Control is done on borders.
6. Recommendation:

Find local solutions on illegal migrants screening for malaria.

Management Response: [Added: 2018/05/16]

Population movement information will be collected, updated and mapped, and the required supplies will be procured for centers for prevention and containment of epidemics and for Rapid Response Teams.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Local solution to be designed after formation of community groups. Local community training going on by the government.
[Added: 2018/09/11] [Last Updated: 2018/12/12]
CDC 2019/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
Although the joint project is terminated but UNDP is partially involved through extended procurement supports for purchasing some of the required materials including insecticides ensuring continuity of control activities. History
7. Recommendation:

Enhance the maintenance system to prolong performance and efficiency of provided equipment in the project.

Management Response: [Added: 2018/05/16]

A strengthening project for intelligent system will be developed and implemented for assessment and distribution of supplies and equipment at national, provincial and district levels.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
The project to be developed by the Government.
[Added: 2018/09/11] [Last Updated: 2018/12/12]
CDC 2018/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
CDC to follow up. UNDP is ready to assist. History
8. Recommendation:

Build a knowledge transfer mechanism to share the project best practices and lessons learned.

Management Response: [Added: 2018/05/16]

To sensitize medical personnel for malaria diagnosis, the required knowledge will regularly be shared, and books, training materials, and national guidelines’ as relevant will be developed and published.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Knowledge sharing mechanism to be established, however, there are none-systematic ways of communicating results and best practices within the Government. In the meanwhile in the last year of the project a few knowledge management tools, lessons learned were published.
[Added: 2018/09/11]
CDC and Universities of Medical Sciences. 2017/12 Completed Although the status is marked as completed but this is an evolving process and will need to be continued by the government. History
9. Recommendation:

Integrate current malaria database with Samane Seeb software.

Management Response: [Added: 2018/05/16]

The comprehensive system of malaria case reporting, epidemiological data of malaria cases and foci, the pertinent database and web-based system in accordance with malaria elimination requirements will be updated and maintained, and eventually will be incorporated into the software.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
The integration is planned and will be done by CDC Universities of Medical Sciences.
[Added: 2018/09/11] [Last Updated: 2018/12/12]
CDC and Universities of Medical Sciences. 2018/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
Required follow ups and actions are in place. History
10. Recommendation:

Benefit the opportunity of recent initiatives in health system including Health Transformation Plan and Family Physician Scheme and use Moraghebin-e Salamat as new malaria workers.

Management Response: [Added: 2018/05/16]

Malaria elimination services will be incorporated into Health Reform Plan.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Required action to incorporate malaria elimination services into Health Reform were suggested. However, the reform is not advancing as planned.
[Added: 2018/09/11] [Last Updated: 2018/12/12]
CDC 2018/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
The reform is to make better progress. History
11. Recommendation:

Procure and distribute RDTs widely throughout the country.

Management Response: [Added: 2018/05/16]

Rapid-Diagnostic Test kits will be procured and distributed to the target universities of medical sciences.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
CDC to allocate required budget for procurement of RDTs.
[Added: 2018/09/11] [Last Updated: 2018/12/12]
CDC and Universities of Medical Sciences. 2019/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
Country budget constraints to be acknowledged in implementation of this recommendation however given the background engagement and existing capacity, UNDP is willing to offer support if government deems necessary. History
12. Recommendation:

Review and retry on RDT passive posts set up with participation of Volunteers.

Management Response: [Added: 2018/05/16]

Local volunteers will be recruited in high risk areas in line with implementation of malaria elimination programme focusing on malaria case finding among at-risk groups and provision of incentive measures.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
A mechanism to be established for deployment of volunteers by Universities of Medical Sciences.
[Added: 2018/09/11] [Last Updated: 2018/12/12]
Universities of Medical Sciences 2018/12 No Longer Applicable [Justification: The project ended and UNDP is no longer engaged in the process. ]
History

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