NIP Update, Integration of POPs into National Planning and Promoting Sound Healthcare Waste Management in Kazakhstan

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Evaluation Plan:
2016-2020, Kazakhstan
Evaluation Type:
Final Project
Planned End Date:
08/2017
Completion Date:
11/2017
Status:
Completed
Management Response:
Yes
Evaluation Budget(US $):
35,000

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Title NIP Update, Integration of POPs into National Planning and Promoting Sound Healthcare Waste Management in Kazakhstan
Atlas Project Number: 00071893
Evaluation Plan: 2016-2020, Kazakhstan
Evaluation Type: Final Project
Status: Completed
Completion Date: 11/2017
Planned End Date: 08/2017
Management Response: Yes
Focus Area:
  • 1. Environment & Sustainable Development
  • 2. 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
Evaluation Budget(US $): 35,000
Source of Funding: Project
Evaluation Expenditure(US $): 35,000
Joint Programme: No
Joint Evaluation: No
Evaluation Team members:
Name Title Email Nationality
Zharas Takenov
GEF Evaluation: Yes
GEF Project Title:
Evaluation Type:
Focal Area: Persistent Organic Pollutants
Project Type: FSP
GEF Phase: GEF-5
GEF Project ID: 4442
PIMS Number: 4612
Key Stakeholders:
Countries: KAZAKHSTAN
Lessons
Findings
1.

4.1 PROJECT DESIGN AND SCOPE

The Project’s Executing Agency/Implementing Partner role was initially assumed by the Ministry of Environmental Protection (MEP), which later became the Ministry of Environment and Water Recourses(MEWR)and finally became the Ministry of Energy (MoE).


Tag: Local Governance Partnership Programme/Project Design Civil Societies and NGOs

2.

Direct Objective: To reduce the releases of unintentionally produced POPs and other globally harmful pollutants into the environment by promoting sound healthcare waste management in Kazakhstan, and to assist the country in implementing its relevant obligations under the Stockholm convention.

It includes the following four (4) indicators:

  1. Update of the National Implementation Plan (NIP) on Stockholm Convention is prepared and coordination on chemical MEAs is enhanced.
  2. Mercury inventory and Reduction plan prepared.
  3. POPs emissions from healthcare waste incineration are reduced through a demonstration component, and wider replication of results.
  4. Mercury waste generated by the health sector is managed soundly and future waste is minimized

Tag: Waste management Rule of law Policies & Procedures Programme/Project Design Project and Programme management

3.

Outcome 2 Overall mercury situation assessed and initial mercury reduction and containment plan formulated.

The outcome was covering the following 4 areas:

  1. Capacity building program (trainings) for involved stakeholders developed and implemented on mercury risks, inventories, sources, data tracking;
  2. Mercury situation in Kazakhstan assessed in coordinated manner jointly with UNEP;
  3. Outline of National mercury reduction plan developed;
  4. Public awareness raising campaigns on mercury risks conducted.

Tag: Programme/Project Design Awareness raising Capacity Building Private Sector

4.

Outcome 3 Minimization of unintentional POPs and mercury releases in selected hospitals through demonstration of sound Health-care Waste Management approaches

The following 6 (six) areas were considered under this Outcome:1.Review of national policies and update of HCWM regulatory framework and road map;2.Development of Regional HCWM Management Plan in selected provinces;3.Pilot HCWM projects in selected hospitals, including phase-out of mercury-containing thermometers;4.Establishment of HCW treatment centers in selected sites;5.Development and dissemination of BAT/BEP technical guidelines and general awareness-raising;6.Development of national training programs on uPOPs/mercury risks and sound HCWM, partnership with stakeholders and national replication of BAT/BEP demonstration


Tag: Waste management Challenges Rule of law Communication Partnership Policies & Procedures Private Sector

5.

Outcome 4.Monitoring, learning, adaptive feedback, outreach, and evaluation.

Two assumptions have been designed for this component: (1) Availability of reference material and progress reports and (2) Cooperation of stakeholder agencies and other organizations.The relevance for these two assumptions was confirmed during the interviews and in the third-party reports.

4.2 INSTITUTIONAL SET-UP AND MANAGEMENT ARRANGEMENTS

The Ministry of Environmental Protection (MEP), which was listed in the PIF as one of the original national implementing partners, ceased to exist in 2010, upon government restructuring. Responsibilities regarding chemical management were transferred to the new Ministry of Environment and Water Recourses (MEWP). Then, further reorganization of the Government of Kazakhstan led to the dissolution of MEWP, with most of its key functions, including those related to POP management, transferred to the MoE. The MoE thus became the national implementing partner of the project.


Tag: Oversight Partnership Project and Programme management

6.

The Project implementation strategy was developed considering international experience (e.g. that of the GEF and UNEP) and was based on experience from similar UNDP-supported, GEF-funded projects POP projects implemented and under implementation in Russia and Central Asia. The design of the project benefited heavily also from several UNDP-supported, GEF-funded projects implemented in Kazakhstan. For example, the partnership with the UNDP/GEF project on Energy Efficient Lighting was important for exchange experience for the mercury reduction programme.


Tag: Implementation Modality Knowledge management Oversight Project and Programme management

7.

4.3 PROJECT IMPLEMENTATION, ROLE OF UNDP AND FINANCIAL MANAGEMENT

The support role of UNDP, as the Implementing Agency through its Country Office and RTA, has been sustained and effective throughout current project implementation, undoubtedly contributing significantly to the achievements. Its support has been particularly beneficial on a number of occasions, including the initial selection of PMU staff (jointly with MoE) through an open application process, regular monthly meetings with the Project Manager to formally review project achievements and project implementation strategy, and the RTA challenging the project’s pace related to establishment of pilot project monitoring and evaluation framework, collection and analysis of baseline data, selection of pilot projects for demonstration and replication.


Tag: Change Management Project and Programme management

8.

As a general observation, UNDP CO has made use of the available tools for monitoring. The effectiveness of annual work plans and budgets, as a tool for monitoring and planning, was maintained throughout the lifespan of The Project. The monitoring and evaluation (M&E) plan of The Project is overall adequate for following up the outcomes and progress assessment in the achievement of project objectives. To clarify, this statement applies to the revised M&E plan of The Project contained in the Inception Report, which had addressed some of the issues present in the Project Document. The M&E plan includes:

  • midterm and end-of-project targets, (mostly) SMART indicators and potential data sources;
  • provisions for updating National plan of Implementation of Stockholm Convention on persistent organic pollutants particularly concerning new POPs, including:-Assessment of POPs monitoring international system;-Preliminary analysis of new POPs use and import;-Identification of industrial sources of uPOPs;-Identification of sectors using new POPs (sectors processing waste that contains new POPs);-Assessment of POPs monitoring system;-Development of new POPs inventory plan;-Recommendations on new POPs use and import;-Preparation of preliminary text of new NIP chapters dealing with new POPs (budgeted).
  • requirements for MTE and final evaluation (budgeted).

 


Tag: Human and Financial resources Implementation Modality Monitoring and Evaluation Project and Programme management

9.

Development assistance is an integral part of the Kazakhstan’s foreign policy that contributes to the achievement of its objectives and supports its national security through effective partnership, enabling poor and undeveloped nations to realize their development goals. Recent Kazakhstani initiatives, such as the establishment of the national system of Official Development Assistance (ODA), indicates an intention to deliver solid expertise and aid to recipient countries, and bring up the developmental agenda from sporadic bilateral interactions to a new level of systematic and well-structured aid programs/projects. To promote peace and security, to date Kazakhstan has provided an estimated more than $100 million worth of humanitarian and development aid to other countries. To strengthen its role as an emerging donor, Kazakhstan intends to systematize and professionalize its efforts and align ODA with its foreign policy. The country is working to create the Kazakhstan Agency for International Development with the purpose to expand the geographical and thematic dimensions, types and formats of technical assistance to the countries in need. In December 2014, Kazakhstan adopted a law on ODA. Through joint projects with UNDP and other organizations in the major aid recipient countries -Afghanistan, Tajikistan and Kyrgyzstan, the Kazakhstan’s ODA has outlined a course aimed at obtaining the know-how in development assistance and improving the skills of the administration. Subsequently, UNDP and the MFA have launched a project to support establishment of the ODA system. Assisting an expert support, the project provides an analysis of the best international experience and situation on ODA of new donors, shows the common threats and problems, although searches the effective decisions.


Tag: Humanitarian development nexus Technical Support Donor relations

10.

Financial management

The total budget in the Project Document was US$ 38,412,758, of which US$ 3,400,000 (8.9%) was grant-aided by GEF and US$ 34,837,758 co-financed by city governments and healthcare entities and NGOs (90%). Total project budget and work plan (Section III of the approved Project Document) includes US$ 38,412,758, of which GEF resources accounts for 3,400,000 US$ and 75,000 US$ of UNDP TRAC. The original planned budget is shown in Table 4 below.


Tag: Efficiency Human and Financial resources

11.

4.4 PROJECT RESULTS

GEF Tracking Tool (TT)

As the GEF tracking tool used during development of the ProDoc has been updated in June 2015 the current GEF-VI Waste and Chemical Tracking Tool is used. In the Tables below the Project results are presented and summarized, which are relevant for the indicators set in this GEF Tracking Tool. The evaluator reviewed 3 PIRs for 2015, 2016 and 2017 (draft) and found that they provide concise information on project progress, management, and achievements and prove success in reaching multiple stakeholders and beneficiaries over the project implementation. Two PIRs for 2015 and 2016 were rated as satisfactory with risk rating changed down from “high” in 2015 to “low” in 2016 mainly due to efficient risk monitoring and adaptive actions of the project team. Draft of the last PIR for 2017 was under consideration by GEF at the time of TE.


Tag: Environment Policy Rule of law

12.

Outcome 2

The ProDoc stipulated that the Component 2 to be jointly carried by UNDP and UNEP. The UNEP’s part was expected to be financed by GEF as well. However, due to adoption of the Minamata Convention on 19 January 2013, GEF’s eligibility criteria have changed and allowed to finance mercury-focused projects in countries that are signatories of the Convention only. Therefore, UNEP’s regional project on mercury, including Kazakhstan, Belarus and Russia, had been put on hold. Although it was no longer expected that the organization will be able to implement it within time frame of this Project lifespan.


Tag: Waste management Challenges Human and Financial resources Country Government UN Agencies

13.

Outcome 3

There was a large variety of the activities related to public awareness-raising and training on the management of POPs, medical waste and state procurement for different audiences including scientists, NGOs and professionals.


Tag: Waste management Operational Efficiency Awareness raising Civil Societies and NGOs

14.

Outcome 4

The Project fully complies with reporting cycle and tools as required by UNDP-GEF guidance and reflected in the ProDoc. Apart from progress reporting to National Project Director (NPD) and GEF, the Project used the mandate of the Steering Committee to communicate its results within key governmental institutions and other stakeholders and to adapt to unexpected change in selected pilot hospitals and centers over the project course.

The evaluator reviewed 3 PIRs for 2015, 2016 and 2017 (draft) and found that they provide concise information on project progress, management, and achievements and prove success in reaching multiple stakeholders and beneficiaries over the project implementation. Two PIRs for 2015 and 2016 were rated as satisfactory with risk rating changed downfrom “high” in 2015 to “low” in 2016 mainly due to efficient risk monitoring and adaptive actions of the project team. Draft of the last PIR for 2017 was under consideration by GEF at the time of TE


Tag: Oversight Project and Programme management

15.

Mainstreaming UNDP priorities:

One of the main objectives of the project is to create a national system for regulating POPs and mercury management, as well as sound management of healthcare waste. Nursing staff is mostly responsible for handling waste in healthcare organization. These are mostly women. Component 3 of the project is aimed at improving professional work standards for all employees of hospitals, in this case, most them are women. The project is also aimed at building capacity and awareness on managing persistent organic pollutants and mercury. Since women have the potential to deliver accumulated in their body chemicals to children these issues were given special attention during training sessions and seminars. Recommendations were provided on reducing risk of chemicals impacting women health during the seminars.


Tag: Waste management Women's Empowerment Health Sector Awareness raising Capacity Building

16.

Cost effectiveness

A summary of total disbursements vs. the budgeted costs is provided in Table 9 below. The project is cost-effective and procured best available services and goods by balancing the quality of submitted offers/proposals and financial offers. The project is also considered to be cost-effective because of the allocated budget seems too small for such type of projects with the suggested outcomes considering the size and differences between all 16 (sixteen) regions (oblasts) of the country.

The major part of the funds 59.8% were provided for Contractual services. Other important project costs include workshops (1.6%), individual contractual services (9.3%) and travel (6.2%). The Evaluator observed no discrepancies.


Tag: Efficiency Human and Financial resources

17.

4.5 RATING OF THE RESULT INDICATORS

This Section is organized in a line with the 4 Components: for each one the extent of achievement of the planned targets and delivering outputs is described based on a quantitative and qualitive assessment of the planned end-of-project targets by end of September 2017.

Component 1: Stockholm Convention NIP update and improved institutional coordination on chemical MEAs:

Outcome 1.1: POPs inventories improved for informed decision making and priority setting.

Indicator 1.1.1: Capacity building programme (trainings) for involved stakeholders developed and implemented on POPs risks, inventories, POPs tracking, monitoring of data reported by responsible parties.


Tag: Effectiveness Capacity Building

18.

Indicator 1.1.2:National information system (inventory) on POPs expanded (updated information on uPOPs and new POPs).

The POPs inventory has been completed, reported and distributed among stakeholders. Data on new POPs have been captured in the NIP update document which was submitted to the Stockholm Convention Secretariat. The inventory of PCB has been updated.


Tag: Effectiveness Data and Statistics

19.

Outcome 1.2: National capacities on POPs monitoring, analytical capabilities are assessed.

Indicator 1.2.1: Studies on existing POPs analytical and monitoring capabilities for the whole range of POPs (with focus on new POPs) carried out.

Extent of achievement of planned targets:


Tag: Health Sector Monitoring and Evaluation

20.

Outcome 1.3: Policy, institutional frameworks and enabling regulatory environment are in place to ensure better control on POPs accumulation and emissions.

Indicator 1.3.1. Institutional coordination and compliance with international agreements improved through firmer institutionalization of POPs issues into national structures.

Extent of achievement of planned targets:


Tag: Rule of law Human and Financial resources Oversight Coordination

21.

Indicator 1.3.2: National legal framework, by aligning institutional roles, reviewed and improved to include the issue of insofar unaddressed POPs, uPOPs and new POPs.

Extent of achievement of planned targets:

  1. The end-of-project target, namely' Final report on the improvement of current regulatory system for including the issues of insofar unaddressed POPs, uPOPs and new POPs” is met partialy. Project provided report with proposals on improvement current regulatory system. The order of the Minister of Energy on the "Rules for handling persistent organic pollutants” will be amended based on the report. Apart from updating the sections, the new two sections on the inventory of unintentionally formed POPs has been introduced. It is included step-by-step instructions and reporting form for enterprises to conduct a uPOP inventory.
  2. The end-of-project target, namely'Amended regulation drafted and submitted” is met partialy. Now, the Rules are going through the procedure established by the legislation for coordination with stakeholders. After the completion of this procedure, the Rules for handling POPs and the waste containing them will take effect.

Tag: Rule of law

22.

Indicator 1.3.3:Sectoral technical guidelines updated to include the issue of priority POPs, including sampling and analysis methods

Extent of achievement of planned targets:

  1. The end-of-project target, namely “Technical guidelines and action plans on POPs are submitted for approval by relevant state bodies” is met . The technical documents are developed and approved by the Order of the Committee for Technical Regulation and Metrology of the Ministry of Investment and Development of the Republic of Kazakhstan dated 26.11.2016 No. 270. Methods for determination of PCBD/F in environment objects (soil, water, air) are approved in the form of following National Standards of the Republic of Kazakhstan:
  • ST RK 2813-2016 "Drinking, surface natural and sewage water. Determination of mass concentrations of polychlorinated dibenzodioxins and dibenzofurans ",
  • ST RK 2814-2016" Atmospheric air. Determination of mass concentrations of polychlorinated dibenzodioxins and dibenzofurans ",
  • ST RK 2815-2016" Soils and solid industrial wastes. Determination of mass concentrations of polychlorinated dibenzodioxins and dibenzofurans ".

Tag: Environment Policy Waste management Rule of law

23.

Indicator 1.3.4: Capacity building programme (trainings) and consultations for involved stakeholders developed and implemented on POPs related risks, POPs monitoring, institutional roles and responsibilities, POPs control legislation benchmarks and enforcement

Extent of achievement of planned targets:

  1. The end-of-project target, namely“At least, two (2) complementary workshops held” is met as the Center for Sustainable Development conducted additional 9 workshops on the handling of POPs and this has surpassed the target set for end of project
  2. The end-of-project target, namely“Sixty (60) stakeholders participated in workshops” is met. As more than 150 stakeholders took part in these workshops this has surpassed the target set for end of project.
  3. The end-of-project target, namely“Results of stakeholder consultations” is met. The result of consultations was the raising of awareness, as well as the possibility of taking decisions on POPs and other chemicals. New project Proposal on 2nd stage of Mercury Inventory (Minamata Convention) was approved bt GEF.
  4. The end-of-project target,namely“NIP update formulated” is met.The NIP was updated with respect to new POPs, uPOPs, pesticides containing new POPs. In 30 December 2014, the updated NIP of the new POPs was agreed with all stakeholders and approved by Ministry of Energy and submitted to the Secretariat of Convention.

Tag: Knowledge management Capacity Building

24.

Indicator 1.3.5:National Implementation Plan (NIP) on Stockholm Convention obligations with inclusion of new POPs reviewed and updated, with elaboration of specific action plans on new POPs.

Extent of achievement of planned targets:

  1. The end-of-project target, namely“Final draft of the NIP completed and circulated for review within the main stakeholders: is met. From 2015 to 2017 the project was working on uPOP and updated NIP was presented to Ministry of Energy and it is currently on the Government site for discussion and feedback by stakeholders. In accordance with the current legislation, the draft is posted on the portal of state services of the Ministry of Energy of the Republic of Kazakhstan on https://legalacts.egov.kz/list?governmentId=9402.The end-of-project target, namely“Updated NIP submitted for approval to the Government, approved and submitted to the Secretariat” is met. In 30 December 2014, the updated NIP of the new POPs was agreed with all stakeholders and approved by Ministry of Energy and submitted to the Secretariat of Convention in April 2015. NIP with uPOPs under Government consideration. Due to the long process of the Government approval the updated NIP with uPOPs will be completed by September 2017. It is planned before the end of the project activity.

Tag: Implementation Modality Operational Efficiency

25.

Outcome 1.4: Improved institutional coordination on chemical MEAsIndicator

1.4.1: Review and better alignment of ministerial functionson implementation of Conventions’ obligations.

Extent of achievement of planned targets:

  1. The end-of-project target, namely“Roadmap in place for joint coordination of MEAs” is met. The Action Roadmap for the implementation of the Stockholm, Rotterdam and Basel Conventions was prepared and submitted to the Ministry of Energy of the Republic of Kazakhstan in July 2017
  2. The end-of-project target, namely “Draft regulation to enforce selected recommendations is in place” is met. The Law of the Republic of Kazakhstan dated 28.04.2016 No. 506-V LRK "On Amendments and Additions to Some Legislative Acts on the Issues of Green Economy" amended the Environmental Code, establishing requirements on the need to destroy POPs in an environmentally sound manner. In addition, the norm of the maintenance of dioxins and furans in waste gases in concentration not higher than 0.1 ng/m 3 is established. The project team was part of the working group on introducing changes.

Tag: Rule of law Coordination

26.

Indicator 1.4.2:Establishment of coordination mechanisms to support synergistic implementation of Stockholm, Rotterdam and Basel Conventions and established framework (system) for monitoring, accountancy and reporting on the implementation of the Stockholm, Basel and Rotterdam conventions in Kazakhstan.

Extent of achievement of planned targets:

  1. The end-of-project target, namely “Draft legislation supporting establishment of the coordinating mechanism submitted for review and approval” is met. Together with JSC Zhasyl Damu, work is underway to establish the National Coordination Center of the Republic of Kazakhstan on persistent organic pollutants (hereinafter -POPs NCC). The Draft Resolution of the Government of the Republic of Kazakhstan on the establishment of the POPs NCC is under the approval stage.
  2. The end-of-project target, namely “Temporary (with GEF/UNDP project’s help) and fixed (Government) budgets for operation of the MEA mechanism defined and proposal for financing submitted to MoF” is met. Financing of the coordination mechanism can be carried out at the expense of the republican budget programs. Budget programs for financing the coordination mechanism are developed and approved in accordance with the Budget Code of the Republic of Kazakhstan and the Rules for the development and approval (reaffirmation) of budget programs (subprograms) and the requirements for their content approved by the Order of the Minister of National Economy of the Republic of Kazakhstan of December 30, 2014, No.195.
  3. The end-of-project target, namely “Monitoring system forms part of the prepared draft legislation on the MEA coordinating mechanism” is met. The issues of monitoring the implementation of MEA obligations are included in the proposals on the institutional structure of state bodies and organizations responsible for the implementation of the three conventions prepared by the draft and submitted to the Ministry of Energy of the Republic of Kazakhstan in July 2017.
  4. The end-of-project target, namely “Draft strategic concept and action plan are in place” is met. The Action Roadmap for the implementation of the Stockholm, Rotterdam and Basel Conventions was prepared and submitted to the Ministry of Energy of the Republic of Kazakhstan in July 2017. The regulations on the National Coordination Center have been developed.

Tag: Rule of law Human and Financial resources Monitoring and Evaluation Coordination

27.

Indicator 1.4.3:Capacity of government authorities on implementation of chemical conventions improved. Improved data collection and chemical review processes for decision making and control improvements on the import and use of new dangerous chemical substances.

Extent of achievement of planned targets:

  1. The end-of-project target, namely “Draft legislation supporting establishment of the coordinating mechanism submitted for review and approval”is met. The draft resolution on the establishment of the Coordination center (focal point) was agreed with all stakeholders and submitted to the Government for a final decision.
  2. The end-of-project target, namely “Received capacity is applied in decision-making forums” is met. During the project implementation period, 5 workshops were held, focusing on the synergies of MEAs on chemicals. The project assisted in creating the institutional structure of state bodies and organizations responsible for the implementation of the three conventions through the preparation of proposals for its creation and submission to the Ministry of Energy of the Republic of Kazakhstan in July 2017. Long-term plans for the provision of national reports and proposals for changing statistical and industrial reporting systems, as well as requirements for model national reports, were prepared and submitted to the Ministry of Energy of the Republic of Kazakhstan in July 2017. Proposals on the organization of the information and education system of the population and cooperation with NGOs on the implementation of the three conventions were prepared and submitted to the Ministry of Energy of the Republic of Kazakhstan in July 2017.

 


Tag: Challenges Rule of law Programme Synergy Capacity Building

28.

Component 2: Overall mercury situation assessed and initial mercury reduction and containment plan formulated.

Outcome 2.1: Mercury assessment implemented, national consultations held to identify priorities for actions and capacity building on mercury risks carried out.

Indicator 2.1.1:Capacity building programme (trainings) for involved stakeholders developed and implemented on mercury risks, inventories, sources, data tracking.

Extent of achievement of planned targets:

1.The end-of-project target, namely “Capacity building program (trainings) for involved stakeholders completed” is met. An on-line course on the handling of mercury is posted on the website of Zhasyl Damu JSC, on the Project page (http://www.zhasyldamu.kz/ru/proekt-proon/programa-po-problemam-rtuti.html) in March 2017.


Tag: Communication Capacity Building

29.

Indicator 2.1.3:Outline of National mercury reduction plan developed

  1. The end-of-project target, namely “Extent of achievement of planned targets” is met. Seminars have been held with stakeholders on mercury and its inventory. During the project implementation period, the issues of handling mercury, mercury, the provisions of the Minamata Convention and the results of the inventory of mercury in Kazakhstan were discussed and discussed at 35 seminars and trainings.
  2. The end-of-project target, namely “Required data collected and analysed, and discussed in stakeholder forums” is met. The national capacity for handling collected mercury has been assessed; recommendations made for improvement. The corresponding Report has been sent to the Ministry of Energy for application in work.
  3. The end-of-project target, namely “Priorities identified and agreed with stakeholders” is met. The Minamata Mercury Convention is included in the Perspective Plan for Concluding International Agreements of the Republic of Kazakhstan for 2017-2019. It is coordinated with 7 interested state bodies. There are remarks by the Ministry of Justice of the Republic of Kazakhstan, which will be developed in the framework of the UNDP-GEF project "MinamataInitia lAssessment for Kazakhstan".
  4. The end-of-project target, namely “Draft National Mercury Reduction plan is formally reviewed and cleared by relevant line Ministries and submitted for final approval” is met. The draft National Plan for Reducing the Use and Collection of Mercury was developed and sent to the Ministry of Energy of the Republic of Kazakhstan in February 2017. According to the Letter of the MoE from 03.04.2017 No. 20-05 / 4086 the activities of the Plan will be integrated into the program and strategic documents of the interested state bodies after ratification of Minamata Convention by Republic of Kazakhstan (http://www.zhasyldamu.kz/ru/proekt-proon/novosti.html?limitstart=0)

Tag: Waste management Rule of law Results-Based Management

30.

Indicator 2.1.4: Public awareness-raising campaigns on mercury risks conducted

Extent of achievement of planned targets:

The end-of-project target, namely “Remaining 50% of activities designed in the awareness campaign accomplished” is met. Workshops held on capacity building in mercury hazard for the environment and public health (9 during the reporting period, awareness of 310 people increased, since the beginning of the project, the capacity of about 1500 people has been increased). In polyclinic organizations of the pilot territories (60 polyclinics) posters about the dangers of mercury and mercury-free alternatives are placed. Brochures on the dangers of mercury have been published and distributed A campaign was held to raise public awareness about the possible negative consequences of using mercury clinical thermometers and ways of solving them, and to minimize their use in 14 pre-school and school education organizations in Astana by replacing them with alternative ones (electronic thermometers).


Tag: Waste management Communication Awareness raising Capacity Building

31.

Component 3: Minimization of unintentional POPs and mercury releases in selected hospitals through demonstration of sound Health-care Waste Management approaches.

Outcome 3.1:Sound health-care waste management through uPOPs and mercury reduction approaches are demonstrated in 2-3 regions of the country.

Indicator 3.1.1:Review of national policies and update of HCWM regulatory framework and road map.

Extent of achievement of planned targets:

  1. The end-of-project target, namely “Legislative improvements (through amendments in the EcoCode) are submitted for final approval by the Government” is met. The Environmental Codeof the RK does not regulate the management of medical waste. Corresponding changes have been made to the sectoral normative legal acts. Amendments introduced to the sanitary-epidemiological rules approved by the order of the acting Minister of National Economy of the RK of May 24, 2015, No 127, in the part of the use of non-incineration methods for disinfecting medical waste.

Tag: Environment Policy Waste management Rule of law Health Sector Sanitation Communication Awareness raising

32.

Indicator 3.1.2: Development of Regional HCWM Management Plan in selected provinces.

Extent of achievement of planned targets:

The end-of-project target, namely“The Management Plan is adopted, and further actions and investments scheduled” is met. The end-of-project target, namely“Roadmap to support its implementation is approved by participating stakeholder”s is met.

Regional Health Management Plans in the all three pilot regions are adopted. The provisions of the draft Regional Health Management Plans are included in the following program documents of the pilot territories:

-in Astana: in the draft "Regional program on waste management until 2020", which includes a separate section on the management of medical waste in the capital city. This document includes an analysis of the current situation on the management of all types of waste, the development of optimal mechanisms for safe collection and transport of waste, and the introduction of advanced technologies for waste management;

-in Kostanay Oblast: in the Development Programof the Kostanai Region Territory for 2016-2020 includes an analysis of the situation on the management of medical waste in the region, target indicators have been defined;

-in East Kazakhstan Oblast: Deputy Akim of the Oblast approved a regional plan of measures for the safe handling of medical waste in the EKO, including a brief analysis of the situation on the management of medical waste and measures for safe handling.


Tag: Waste management Health Sector

33.

Indicator 3.1.3:Pilot HCWM projects in selected hospitals, including phase-out of mercury-containing thermometers.

Extent of achievement of planned targets:

  1. The end-of-project target, namely“BAT/BEP (uPOPs and mercury reduction) policies are implemented and targets recorded” is met.Within the scope of the Project activity, the Law of the Republic of Kazakhstan of 25.04.2016 No. 505-V ZRK "On Amendments and Additions to Certain Legislative Acts of the Republic of Kazakhstan on Ecology and Subsoil Use" in paragraph 2 of Article 79 of the Environmental Code of the Republic of Kazakhstan introduced amendments to the admissibility of the use of BAT, Included in the directories of the European Bureau for Integrated Control and Prevention of Environmental Pollution.

Tag: Waste management Health Sector

34.

Indicator 3.1.4: Establishment of HCW treatment centres in selected sites

Extent of achievement of planned targets:

  1. The end-of-project target, namely“HCW treatment centres successfully operate at preliminary planned capacity (950 tpa)” is met.Seven (7) Centers for disinfecting medical waste with the use of non-combustion technologies, including 3, which were instaled in the places of previously operating combustion technologies. The autoclave's power is about 90 kg / h (with an average waste density of 120 kg / m3) (autoclave with a 750 l chamber) and about 30 kg / h (autoclave with a 250 l chamber). With an 8-hour working day, the total capacity will be: (6 autoclaves * 90kg * 8 hours * 270 days per year) + (3 * 30 * 8 * 270) = 1,360,000 kg / year or 1,360 tons / year

a.About 13,5 thousand beds were covered. The work of these centers will allow to neutralize and reuse about 1.2 tons of infected medical waste.


Tag: Waste management Technology

35.

Outcome 3.2: Linkages between sound HCWM practices and minimization of uPOPs and mercury demonstrated through training and awareness-raising programmes.

Indicator 3.2.1: Development and dissemination of BAT/BEP technical guidelines and general awareness-raising

Extent of achievement of planned targets:

  1. The end-of-project target, namely “Technical guidelines approved and printed (legislative support to back guidelines proposed” is met. The Environmental Code of the RK was amended based on the Law of the Republic of Kazakhstan dated 25.04.2016 No. 505-V "On Amendments and Additions to Certain Legislative Acts of the Republic of Kazakhstan on Ecology and Subsoil Use" and now contains additions regarding the admissibility of the application of the best available technologies from the directories of the European Bureau for Integrated Control and Prevention Pollution of the environment. This will make it possible at the legislative level to use the available and recommended BAT/BEP in the field of medical waste management.

Tag: Waste management Communication Knowledge management Capacity Building

36.

Indicator 3.2.2: Development of national training programs on uPOPs/mercury risks and sound HCWM, partnership with stakeholders and national replication of BAT/BEP demonstration.

Extent of achievement of planned targets:

  1. The end-of-project target, namely “Training carried in two demonstration regions for major health facilities, regional administration, and waste management service providers” is met. For the purpose of raising awareness on the issues of handling medical waste, organizing and conducting public procurement for medical waste management services, training sessions were held in three pilot regions with the participation of representatives of medical institutions of all district hospitals (the total number of participants was 150).
  2. The end-of-project target, namely “Training carried in 12 regions for major health facilities, and regional administration and integrated into national training system” is met. For the purposes of dissemination of information on the project activities, as well as on the work of the established pilot centers for the management of medical waste, training workshops were held for representatives of local government bodies from all non-pilot regions (13 /regionsoblasts) on the management of POPs, medical waste and state Procurement.
  3. The end-of-project target, namely “Training program adopted and replicated by health institutions” is met. Training materials are used by medical organizations when training employees of an organization. In August 2017, the Department of Public Health Protection in East Kazakhstan and in September 2017 in the Health Department of the Kostanay region conducted seminars for representatives of medical institutions of the region on waste management (including the use of destructors and segregation of waste treatment facility).
  4. The end-of-project target, namely “Media follows the initiative” is met. Information on media coverage is provided below.

Tag: Waste management Health Sector Communication Awareness raising Capacity Building Civil Societies and NGOs

37.

Component 4: Monitoring, learning, adaptive feedback, outreach, and evaluation.

Indicator 4.1: M&E and adaptive management applied to project in response to needs, mid-term evaluation findings with lessons learned extracted.

The project actual start date was delayed from September 2013 to April 2014, when the project staff was hired. The main reason for the delay was time-consuming procedures for endorsement and signing of the Project Document by the National Executing Agency. The project prepared Annual Work Plans based on the Project Document strategy description, log frame targets and indicators. Although during the Inception Workshop no major changes were reported, the project transferred the significant part of the pilot activities from the second (as planned in the ProDoc) to the third year of the project implementation due to need for extra time for additional data collection, selection of the pilot sites, and coordination of the preliminary agreements between the participants of the pilot activities together with associated budget for equipment. This change was not formally approved by the Steering Committee during the 2015 planning process.


Tag: Human and Financial resources Monitoring and Evaluation Policies & Procedures

38.

Project implementation and adaptive management.

Project implementation and adaptive management of The Project is rated as S (Satisfactory) on the basis that Implementing and Executing agencies have worked well together, serviced by a very competent PIU that has established effective working relations with key partners and more widely at 3 Oblasts and selected small cities’ levels. The Project team has been persistent in working with the Government, hospitals, private sector and NGOs that resulted in a high percentage of disbursed the GEF grant as well as planned co-financing by the end in the Project implementation, despite the challenges. Although the Evaluator has observed the need for improvement of M&E and English language skills of the Project Manager.In the following the implementation and adoptive management of the project is evaluated. The reviewed objectives“management, work planning, financing and project monitoring and evaluation” are analysed and rated.


Tag: Project and Programme management

39.

Rating for Sustainability Criteria.

Four (4) factors of sustainability (Institutional Framework and Governance; Financial; Environmental and Socio-Political Sustainability) are analyzed as well as rated46. Sustainability factors seem”moderately likely” to be in place before the project will be completed and requiring a need for more focus on a strategy on reducing risks of project dependence on UNDP GEF technical support. This work can be continuied within the time of implementation of the new UNDP suported and GEF finnaced project "Minamata Initial Assessment for Kazakhstan", which was signed in July 2017.

More details on the rating system of different factors of the Sustainability Criteria are the following:


Tag: Rule of law Sustainability

40.

Financial risks and sustainability.

The main financial risks of sustainability (“moderately likely”) are related to financial capacities of regional and local authorities (Akimats), also to lack of finance resources of healthcare government entities. This creates a risk for continuation pace of some activities currently supported within the GEF financing trend (for example, related to purchasing non-burn technologies and special transportation for collecting medical wastes). At the same time, the adoption of relevant amendments in the government procurement procedures and promoting PPP mechanisms in management of HCW create an opportunity to eliminate barriers that prevent from financing by Akimats of HCWM and as a result reduction of emissions of POPs. A clear exit strategy needs to be developed before the project will be completed so that the mechanisms and structures are discussed with key stakeholders and created during the project implementation to guarantee the end of funding sustainability


Tag: Sustainability Human and Financial resources Procurement

41.

Environmental risks and sustainability.

The environmental risk to sustainability regarding the activities of this Project can be considered as “moderately likely”. Up to now the environmental risk has been lowered by raising awareness and phasing out of mercury-containing thermometers. Nevertheless, until today the mercury-containing waste is stored at the private treatment facility in Almaty -a final solution need to be identified. The mercury phasing out activities of the project resulted in a reduction of 36 kg/year of potential Hg releases. To eliminate the use of mercury thermometers in healthcare facilities in the pilot regions and to ensure safe collection and treatment of mercury thermometers, MoUs have been signed with Ministry of Energy of RK and akimats (local executive bodies) of pilot regions, involving denial of further purchase and use of mercury thermometers. So, the project provided good start for compliance with its requirements. Awareness and capacity on POPs, healthcare waste management and mercury management has been increased, aware of the environmental issues, and people have been involved in awareness and training activities. This all will benefit the environmentally sound management of POPs containing products, healthcare waste management and mercury waste management. Nevertheless, the work on assessing results of all pilots should be monitored and evaluated after one year at least as well as replication of non-burn technologies should be spread around the country. Regardless installation of new non-burn technologies there is observed fact that the old combustion technologies are still in operation in the pilot regions (example,in Kostanay Region, see Annex: Photolog, Picture 1 and 2).


Tag: Environment Policy Waste management Health Sector Technology Awareness raising Capacity Building

42.

To summarize, while the fact that the big share of project activities is at the policy and capacity building level is a supportive factor for the sustainability prospects, but there is a room for the substantial improvement of the environmental sustainability48of various activities started by the Project. The sustainability of the project activities and results of this aspect is “moderately likely” to be achieved.

Considering that this aspect does not appear to be a sensitive issue in the areas of POPs and mercury management, Socio-Political changes are unlikely to have a significant impact on this sector. Nevertheless, government changes appear to happen frequently in Kazakhstan, and can also results in changing national priorities and legislation which indirectly might impact priorities and legislation governing PCB and POPs issues.


Tag: Waste management Rule of law Technology

43.

4.6 PROJECT IMPACT AND BENEFITS

The Project updated the National Implementation Plan (NIP) for the commitments under Stockholm Convention in the part of new and unintentional persistent organic pollutants, increased the Kazakhstani Government’s POPs monitoring capability, and improved institutional coordination of Intergovernmental Negotiation Committee (INC) on chemicals. The Project did directly affect the preparation of POP inventory through research and stakeholder outreach during the implementation period of the Project. Furthermore, the Project played a big role in advocacy through its work on regulations and standards, support for laboratories certification and accreditation, and promotion among public.

Assessment of mercury situation was conducted and recommendations on accession to Minamata Convention and draft preliminary Plan on Reduction of Mercury Use were submitted to the Government. The Plan describes the activities, aimed at taking measures to minimize emissions of uPOPs when decontaminating healthcare waste is in place.


Tag: Waste management Impact Private Sector Financing Implementation Modality Technology Advocacy

Recommendations
1

UNDP CO  has to monitor exploitation and usage of the equipment upon completion of the Project in all pilot regions during the 1-2 years after the end of a Project

2

Recommended to consider the opportunity of joining efforts with central and local authorities, private companies and business associations, UN agencies, international sponsors  and NGO for the contribution of changes to legislation/  regulatory act in the country, in order to provide more effective promotion of business involvement to new technologies implementation without burning through the program/ mechanism of public and private partnership (PPP).

3

Recommended to accelerate the work on support of existing National Association on waste management (KazWaste) for  providing  sustainability in progressing new best environmental performance/ best available technologies with the purpose to decrease and recycling medical wastes of Kazakhstan.

4

Recommended to continue support the Government in accelerating work on determination of national requirements and demand of ratification of Minamata convention, as well as strengthening of national potential, creation of structure and practice for the implementation of future work on realization of Minamata convention in coordination with existing work under performance of Stockholm, Basel and Rotterdam convention within the framework of new Project, supported by UNDP and financed by GEF, “Minamata Initial Assessment for Kazakhstan”

5

Recommended in future projects, to pay more attention for consideration of gender aspects in development of events, as well as involvement of women, considering their role as interested sides in aspects of utilization of hazardous wastes in the country. Professional preparation and work with the public should be developed with special attention to gender equality and reaction on gender problem. Also, it is important to underline the normative Annex about analysis of gender problematic and action plan for the future GEF Projects.

6

UNDP could recommend MFA of RK to consider results of the Project in assistance of  receiving countries official development assistance (ODA) of Kazakhstan in Afghanistan, Tajikistan and Kyrgyzstan and involve to the appropriate Regional Bureau on Europe countries and NIC/ Asia-Pacific regions of GEF, as well as Country offices of UNDP for the supporting  smoothly and successful duplication, which will help to reach the global benefits in the sphere.

7

Recommended to consider abovementioned recommendations within realization of new Project, supported by UNDP and financed by GEF “Minamata Initial Assessment of Kazakhstan”, planned for the 2017-2019 yy. in Kazakhstan.  

1. Recommendation:

UNDP CO  has to monitor exploitation and usage of the equipment upon completion of the Project in all pilot regions during the 1-2 years after the end of a Project

Management Response: [Added: 2017/11/29] [Last Updated: 2021/02/17]

The Agreements were concluded between UNDP and created Centers on handling medical wastes, which envisages rights and liabilities of the sides. The agreement foresees the articles, according to which the Centers has to use equipment for its intended purpose. UNDP CO provides monitoring of exploitation of equipment during 3 years.  

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Monitoring of Center’s work
[Added: 2017/11/29]
UNDP country office 2017/12 Completed History
2. Recommendation:

Recommended to consider the opportunity of joining efforts with central and local authorities, private companies and business associations, UN agencies, international sponsors  and NGO for the contribution of changes to legislation/  regulatory act in the country, in order to provide more effective promotion of business involvement to new technologies implementation without burning through the program/ mechanism of public and private partnership (PPP).

Management Response: [Added: 2017/11/29] [Last Updated: 2021/02/17]

Today, according to established changes to the existing legislation in Ecological Codex of the Republic of Kazakhstan was included

 new concept “hierarchy of wastes”. Given concept stipulates information to the minimum use of burning approaches of waste destruction. Government will continue the work on development and adoption of legislative regulation, providing introduction of new technologies. Also, introduction of programs and events, directed for the support and business development.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Development and adoption of normative legal acts
[Added: 2017/11/29]
UNDP country office 2017/12 Completed
3. Recommendation:

Recommended to accelerate the work on support of existing National Association on waste management (KazWaste) for  providing  sustainability in progressing new best environmental performance/ best available technologies with the purpose to decrease and recycling medical wastes of Kazakhstan.

Management Response: [Added: 2017/11/29] [Last Updated: 2021/02/17]

The Ministry of Energy has started the work on preparation of standards of handling medical wastes which envisages the issues of decreasing the volume of waste formation. 

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Registration of standards
[Added: 2017/11/29]
Ministry of Energy; KazWaste 2017/12 Completed
4. Recommendation:

Recommended to continue support the Government in accelerating work on determination of national requirements and demand of ratification of Minamata convention, as well as strengthening of national potential, creation of structure and practice for the implementation of future work on realization of Minamata convention in coordination with existing work under performance of Stockholm, Basel and Rotterdam convention within the framework of new Project, supported by UNDP and financed by GEF, “Minamata Initial Assessment for Kazakhstan”

Management Response: [Added: 2017/11/29] [Last Updated: 2021/02/17]

The realization of Government of RK/GEF/UNDP Project “Minamata Initial Assessment” has already started

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Project was approved by GEF and started by CO
[Added: 2017/11/29]
programme and project staff 2017/12 Completed
5. Recommendation:

Recommended in future projects, to pay more attention for consideration of gender aspects in development of events, as well as involvement of women, considering their role as interested sides in aspects of utilization of hazardous wastes in the country. Professional preparation and work with the public should be developed with special attention to gender equality and reaction on gender problem. Also, it is important to underline the normative Annex about analysis of gender problematic and action plan for the future GEF Projects.

Management Response: [Added: 2017/11/29] [Last Updated: 2021/02/17]

Country office regularly work in the direction of gender issues and will make all necessary efforts for realization of mentioned recommendation.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Country office enhanced gender cross programme focus. The projects need to incorporate gender activities to the project plans
[Added: 2017/11/29]
UNDP country office 2017/12 Completed
6. Recommendation:

UNDP could recommend MFA of RK to consider results of the Project in assistance of  receiving countries official development assistance (ODA) of Kazakhstan in Afghanistan, Tajikistan and Kyrgyzstan and involve to the appropriate Regional Bureau on Europe countries and NIC/ Asia-Pacific regions of GEF, as well as Country offices of UNDP for the supporting  smoothly and successful duplication, which will help to reach the global benefits in the sphere.

Management Response: [Added: 2017/11/29] [Last Updated: 2021/02/17]

UNDP Country office will make all necessary efforts and opportunities for the realization of mentioned recommendation.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Final project reports will be distributed in all level of RK
[Added: 2017/11/29]
project staff 2017/12 Completed
7. Recommendation:

Recommended to consider abovementioned recommendations within realization of new Project, supported by UNDP and financed by GEF “Minamata Initial Assessment of Kazakhstan”, planned for the 2017-2019 yy. in Kazakhstan.  

Management Response: [Added: 2017/11/29] [Last Updated: 2021/02/17]

UNDP Country office will make all necessary efforts and opportunities for the realization of mentioned recommendation.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
During the planning of project plan, given final recommendations will be considered
[Added: 2017/11/29]
programme and project staff 2017/12 Completed

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