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Final Project Evaluation “Working bottom up-building a local model for deinstitutionalization”
Commissioning Unit: North Macedonia
Evaluation Plan: 2021-2025
Evaluation Type: Project
Completion Date: 01/2021
Unit Responsible for providing Management Response: North Macedonia
Documents Related to overall Management Response:  
1. Recommendation:

Evaluation recommendation 1. Further continuation of the already started deinstitutionalization process.

Management Response: [Added: 2021/10/07]

The recommendation is accepted.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
1.1 Based on the priorities identified by the MLSP, continue supporting the national institutions in the DI process.
[Added: 2021/10/07] [Last Updated: 2022/01/26]
UNDP Inclusive Prosperity Unit 2021/12 Completed Provided support in development of the first Public Respite center in Demir Kapija as part of the DI process and transformation of the social service delivery. History
1.2 Continue to support establishing mechanisms to guarantee the sustainability of the deinstitutionalization
[Added: 2021/10/07]
UNICEF CO 2022/12 Not Initiated Pending revision of the Social Protection Law
2. Recommendation:

Evaluation recommendation 2. Further development of a range of community-based services and development of network of service providers.

Management Response: [Added: 2021/10/07]

The recommendation is accepted.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
2.1 Support design and implementation of adjusted and accessible services on a local level.
[Added: 2021/10/07] [Last Updated: 2022/01/26]
UNFPA CO 2023/12 Initiated Continuation of development of adjusted and accessible SRH and GBV related services as collaboration with the Center for Family Medicine, the Ministry of Labour and Social Policy and UNFPA, as part of the new funding round of the UNPRPD joint project. History
2.1 Support design and implementation of adjusted and accessible services on a local level.
[Added: 2021/10/07] [Last Updated: 2022/01/26]
UN Women 2023/12 Initiated UN Women is putting the women and girls with disabilities high on the agenda, including for all meetings with high government officials, concerning various portfolios and projects from the Office. Targeted actions envisaged with future interventions. History
2.2 Support development of community-based care/services for children and families experiencing adversity
[Added: 2021/10/07]
UNICEF CO 2022/12 Initiated
2.1 Support design and implementation of adjusted and accessible services on a local level.
[Added: 2021/10/07] [Last Updated: 2022/01/26]
UNDP Inclusive Prosperity Unit 2021/12 Completed New care services are introduced in the Operational Employment plan under Care economy chapter throughout support in establishment of social service providers lead by NGO’s for in home care and respite service delivery to persons with disabilities, chronic illnesses, Alzheimer disease and Multiplex sclerosis. History
3. Recommendation:

Evaluation recommendation 3. Further capacity building of the duty bearers from the public and private education, health, employment and social sector.

Management Response: [Added: 2021/10/07]

The recommendation is accepted.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
3.1 Piloting work-oriented support services for employment of persons with disabilities in Strumica and Skopje.
[Added: 2021/10/07]
UNDP Inclusive Prosperity Unit 2022/12 Initiated Ongoing, part of interventions of another project funded by SDC, as of 2019.
3.2 Strengthening the capacities and further awareness raising work with specialized health care professionals
[Added: 2021/10/07]
UNFPA CO 2022/12 Initiated Continuation of the sensitization and education of the service providers on local level for SRH and GBV related services as joint collaboration with the Center for Family medicine
3.3 Support capacity development of the social service workforce to strengthen the childcare system to effectively address family separation, adversity and exclusion
[Added: 2021/10/07]
UNICEF CO 2022/12 Initiated
3.4 Support the transformation of special schools into resource centers
[Added: 2021/10/07]
UNICEF CO 2023/12 Initiated Ongoing capacity strengthening of staff to provide support to inclusive education process in mainstream schools.
3.5 Mainstream ICF-based assessment for additional educational, health and social support to children and youth
[Added: 2021/10/07]
UNICEF CO 2023/12 Initiated Ongoing establishment of three new regional assessment bodies - covering Pelagonia, South-East and Polog regions
3.6 Capacity development of frontline health professional (family doctors, and home visiting nurses in early detection and intervention for children with developmental difficulties.
[Added: 2021/10/07]
UNICEF CO 2022/12 Not Initiated Subject to availability of funds. Modules developed, master trainers available.
4. Recommendation:

Evaluation recommendation 4. Further awareness raising and capacity building of persons with disabilities and their duty bearers.

Management Response: [Added: 2021/10/07]

The recommendation is accepted.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
4.1 Development of speech synthesis for blind people
[Added: 2021/10/07]
UNDP Inclusive Prosperity Unit 2022/12 Initiated Ongoing, part of UNDP core funded interventions
4.2 Development of technical solution for Comprehensive Sexuality Education for persons with intellectual disability and persons within the Autism Spectrum Disorder
[Added: 2021/10/07] [Last Updated: 2022/01/26]
UNFPA CO 2022/12 Initiated Ongoing (postponed to 2022) as, part of UNFPA- funded activities History
4.3 Piloting the Comprehensive Sexuality Education in the regular schools
[Added: 2021/10/07] [Last Updated: 2022/01/26]
UNFPA CO 2025/12 Initiated Ongoing, part of a 5-year MoU signed between UNFPA and the Bureau for Development of Education, outlining the specific areas for cooperation and support from UNFPA, from the piloting, to full roll-out of CSE by 2025 (UNFPA-funded activities). History
4.4. Deploying of the Alternative and Augmentative Communication (AAC) solution – C-Board
[Added: 2021/10/07] [Last Updated: 2022/01/26]
UNICEF 2022/12 Initiated The AAC app CBoard, has been patched in Macedonian, integrating the RH-Voice (Kiko) developed by UNDP. A set of training modules for professionals on the use of AAC have been localized into Macedonian, and more than 120 professionals from the Resource Centres, schools and preschools, daycare centres and ICF bodies etc are currently participating in the training. History
4.5 Continue public advocacy on the rights of people with disabilities outlined in CRPD
[Added: 2021/10/07]
UNICEF CO 2022/12 Initiated Ongoing as part of country programme goals to address exclusion
5. Recommendation:

Evaluation recommendation 5. Awareness raising and continuous education about UN CRPD-obligation related to the convention and in particular the Concept for Independent living.

Management Response: [Added: 2021/10/07]

The recommendation is accepted.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
5.1 Introductory Trainings about UNCRPD with national stakeholders, Work -oriented centers in Skopje and Strumica and Youth Resource Center in Gostivar
[Added: 2021/10/07] [Last Updated: 2022/01/26]
UNDP Inclusive Prosperity Unit 2021/12 Completed Mainstreaming Disability Inclusion interventions were introduced throughout UNCRPD trainings delivered to the professionals engaged in the centers for support of employment of voulnerable groups in Skopje,Strumica,Tetovo. History

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