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Final evaluation of the GFATM support to the projects AIDS, Tuberculosis and Malaria
Commissioning Unit: Sao Tome and Principe
Evaluation Plan: 2017-2022
Evaluation Type: Project
Completion Date: 09/2021
Unit Responsible for providing Management Response: Sao Tome and Principe
Documents Related to overall Management Response:
 
1. Recommendation:

There is a need for communication and accessibility between the PR and the SRs, and other key stakeholders such as the CCM. This dialogue helps implementation and reduces problems or issues as everyone can work together to resolve them or find solutions.

Management Response: [Added: 2021/12/15]

Fully agree. The new PR, (the MoH) is conducting weekly meetings with the SRs to update programmatic, financial and procurement issues. UNDP, as technical advisor, has been following this.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Promote meetings between the new PR and the SRs
[Added: 2021/12/15] [Last Updated: 2022/01/11]
UNDP/SOCIAL AND HEALTH UNIT 2021/12 Completed The meetings took place during the expected period History
2. Recommendation:

When a there is a transition from one PR to another, as was the case in this project, there needs to be transfer of knowledge to ensure sustainability, and the entire transition needs to be well documented. The exiting PR needs to play a bridging role so that all Grant procedures, including financial systems are in place and well understood, and they must play a supportive role for the new PR.

Management Response: [Added: 2021/12/15]

UNDP has been promoting sustainability as part of the transition process. As a part of this action, UNDP has designed ToR to recruit an international consultant to propose a sustainability strategy for the MoH. Universal Health Coverage strategy is being developed now with the support of OMS and this will be a solid basis to improve for the MOH in this aspect

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Design of ToR for sustainability of the MoH
[Added: 2021/12/15]
UNDP (SOCIAL AND HEALTH)/Ministry of Health 2021/06 Completed Advocacy for this issue is a constant in meetings with minister and technicians
3. Recommendation:

 Strengthening partnerships among the CCM, PR and SRs, so that all work together in the same direction to achieve the required project results. This will ensure that all partners are held accountable for the role in the project, including implementation and reporting. Organizing regular meetings among key stakeholders and partners is crucial to identify areas that are working well and those that are not. It also provides an opportunity to re-evaluate what has been done and what still needs to be done in the Grant reporting period. Participative partnerships mean that all partners are involved and contribute equally to the project.

Management Response: [Added: 2021/12/15]

Fully agree. Not being the PR, UNDP plays an advisory role for the MoH. As thus, UNDP participates in CCM meetings and convokes meetings to discuss key issues, as the warehouse construction and the progress of the financial agreement between the GF and MoH. During these meetings, key programmatic issues are discussed, and key reinforcement areas are permanently identified.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Meetings with MoH and other stakeholders to identify key development areas for the GF program
[Added: 2021/12/15] [Last Updated: 2022/01/11]
UNDP (SOCIAL AND HEALTH UNIT)/Ministry of Health 2021/12 Completed Meeting took place during preparation of the new grants History
4. Recommendation:

Strategies to continue capacity building among the PR and SRs are necessary in light of the transition taking place between UNDP and MOH as the new PR, this will ensure continuity and sustainability of what has been achieved.

Management Response: [Added: 2021/12/15]

FULLY AGREE. UNDP has signed a Financial Agreement with the MoH to continue supporting and providing technical advice and capacity building for the new Program Management Unit (PMU).

Key Actions:

Key Action Responsible DueDate Status Comments Documents
UNDP has signed a Financial Agreement with the MoH to continue supporting and providing technical advice and capacity building for the new Program Management Unit (PMU).
[Added: 2021/12/15]
UNDP (SOCIALAND HEALTH UNIT) 2023/12 Initiated Technical assistance for the new PMU is in country since March 2021, and PSM assistance since August 2021.
5. Recommendation:

Changing the strategy or way things have been done in the project. Since activities are for the community, there is now more than ever a need to involve the community in programs so that different results can be achieved. Community participation means listening to what the community has to say, and involving them in program implementation.

Management Response: [Added: 2021/12/15]

FULLY AGREE. Establish and embed monitoring methodologies in project implementation with adequate data collection tools for reporting community involvement

Key Actions:

Key Action Responsible DueDate Status Comments Documents
During all stages of project cycle and involving target groups, improve processing systems for projects, and adopting suitable practical methodologies and document lessons learned.
[Added: 2021/12/15]
UNDP(SOCIALAND HELTH UNIT)/MoH 2023/12 Initiated Ongoing
6. Recommendation:

It is important to document all the evidence emanating from this project, including all research, reports, meetings and programatic implementation, this includes all lessons learned and best practices as they occur during the lifespan of the project or during the Grant period. These can then be easily replicated or shared among other GF grant recipients.

Management Response: [Added: 2021/12/15]

FULLY AGREE. UNDP systematically records all research, reports and other programmatic documents, which are kept in files after five years of project conclusion.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
Reports and other documentation are kept in files following UNDP┬┤s guidelines
[Added: 2021/12/15]
UNDP (SOCIAL AND HELTH UNIT) 2025/12 Initiated ONGOING
7. Recommendation:

Moving into the next grant period, more attention is needed by the MOH to endorse the National Health Development Plan to ensure that there is a framework to ensure that the GF projects are aligned to the National Health Development Plan, and adequately addressing the health needs of the population

Management Response: [Added: 2021/12/15]

FULLY AGREE. UNDP, as part of the Financial Agreement signed with the MoH, has developed ToR for the implementation of the new National Health Development Plan (NHDP). In this way, the MoH will have a clear opportunity to align its GF programs within the new plans of the health system.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
ToR for the new NHDP concluded and shared with WHO, GF and the MoH
[Added: 2021/12/15]
UNDP (SOCIAL AND HELTH UNIT) 2023/12 Initiated Ongoing national recruitment conducted by the new PMU
8. Recommendation:

To ensure sustainability of the progress made in the country and to improve the financing of the national health system, a financial sustainability plan should be developed and implemented, that focuses on how funding should be generating domestically or with the private sector, and therefore creating less dependency on external funding sources.

Management Response: [Added: 2021/12/15]

UNDP understands that without a clear financial foundation, no sustainability plan can be implemented. Under the new FA, UNDP has developed the ToR for the recruitment of a national consultant to evaluate the financial situation of the MoH and propose clear development lines for improving the sustainability possibilities for the MoH.

Key Actions:

Key Action Responsible DueDate Status Comments Documents
ToR for the financial consultant for MoH sustainability concluded.
[Added: 2021/12/15]
UNDP(SOCIAL AND HELTH UNIT/MoH 2023/12 Initiated Ongoing
9. Recommendation:

There is a need to focus on a wider group of key populations (transgender people, people who use drugs and people in prisons), and more importantly to conduct research to find out where they are, what are the needs and experiences and what interventions could assist them. Once this is known, it is crucial to develop and implement activities to address their needs.   

Management Response: [Added: 2021/12/15]

FULLY AGREE. despite not being the PR for GF project, UNDP understands the need to keep on protecting vulnerable populations. As a part of the FA, UNDP has developed ToR for International Consultancies to conduct the IBBS and to evaluate the access of vulnerable groups to the protection services packages. These consultancies will contribute to develop frameworks and concrete programs to protect these communities

Key Actions:

Key Action Responsible DueDate Status Comments Documents
ToR for the IC for IBBS and to evaluate accessibility to the package of services for vulnerable groups concluded and shared with donors and the MoH.
[Added: 2021/12/15]
UNDO(SOCIAL AND HEALTH UNIT)/MoH 2023/12 Initiated International recruitment process through GRU ongoing. Short list candidates identified ongoing
10. Recommendation:

There is a need to invest in behaviour communication change interventions. For example, there a need to have an interactive process with communities and have tailored messages are approaches to help them develop positive behaviours, especially as they relate to the three diseases. This will assist in getting a long-term impact on the work being done among the population, and funds for these types of interventions should be available in the next GF Grant period.

Management Response: [Added: 2021/12/15] [Last Updated: 2021/12/15]

FULLY AGREE. Behaviour change interventions are part of the GF grant, which is being implemented by the new PMU. UNDP will accompany and support its implementation, looking to reinforce impact with other small grants (as SDG).

Key Actions:

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