Management Assessment of the Health Systems Vitalization Project Usaid/El Salvador
MANAGEMENT ASSESSMENT OF THE HEALTH SYSTEMS VITALIZATION PROJECT USAID/EL SALVADOR MAY 1986 MANAGEMENT ASSESSMENT OF THE HEALTH SYSTEMS VITALIZATION PROJECT USAID/EL SALVADOR A Report Prepared By: JIM KELLY, (PRITECH) LARS KLASSEN THOMAS TOTINO DAVID ADAMS GEORGE VECCHIFTTI During The Period: MAY, 1986 TECHNOLOGIES FOR PRIMARY HEALTH CARE (PRITECH) PROJECT Supported By The: U.S. Agency For International Development AID/DPE-5927-C-00-3083-00 AUTHORIZATION: AID/S&T/HEA: 9/15/86 ASSGN. NO: SS 130 TABLE OF CONTENTS PAGE I. Executive Summary ................................. 1 II. Introduction ...................................... 3 III. Background ................. ,,,, ... ,,.,.,,. 4 A. Working Environment in El Salvador .,.,,,,,,,, 4 B. VISISA Project Description ......... ,,,..,, 5 C. Project Chronicle .............,,,,,,,,,,,,,,,, 6 IV, Analysis and Conclusions ,,,,,,,, ,,........... 10 A. General Finding of Assessment Team .. ..... 10 B. Project Design Issues ....................... 11 1. Commodity Drop or Institutional Development ,. .... .. ,. .... ... 11 2. Hurried PP Design ......................... 12 3. Discussions with Congress ................. 13 4. Seeds of Future Controversy ............... 14 5. Conclusions on Design Issues ........ ,..... 15 C. Project Implementation Issues ................. 15 1. Critical Project Event ............. 15 2. Project Monitoring Systems Breakdown ...... 16 3. Siege Mentality .......................... 17 4. Commodity Procurement Strategy .......... 19 5. Contracting for Technical Advice .....
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