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AFRICAN DEVELOPMENT FUND MULTINATIONAL A SUB-REGIONAL HIV/AIDS PROGRAMME FOR THE REFUGEES, INTERNALLY DISPLACED POPULATION AND THEIR HOST COMMUNITIES IN THE MANO RIVER UNION BASIN COUNTRIES AND CÔTE D’IVOIRE APPRAISAL REPORT SOCIAL DEVELOPMENT DEPARTMENT OCSD CENTRAL AND WEST REGIONS JULY 2004 TABLE OF CONTENTS PROJECT INFORMATION SHEET, CURRENCY AND MEASURES, LISTS OF TABLES, LIST OF ANNEXES, LIST OF ABREVIATIONS, BASIC DATA SHEET, PROJECT LOGICAL FRAMEWORK AND EXECUTIVE SUMMARY i-ix 1. PROJECT ORIGIN AND BACKGROUND....................................................................1 1.1 Origin and History of the Project……………………………………………………1 2. THE MANO RIVER UNION ..........................................................................................2 2.1 An overview...............………………………………………………………………2 2.2 The Status of the HIV/AIDS Epidemic in the Sub-Region ........................................3 2.3 MRU Governments’ Sector Policies and Strategies ..................................................5 2.4 Institutional Framework of STI/HIV/AIDS Control..................................................5 2.5 Health Systems in the Mano River Basin Countries..................................................6 2.6 Interventions of Development Partners in STI/HIV/AIDS control ...........................7 2.7 Challenges and Constraints........................................................................................8 3. THE PROGRAMME......................................................................................................10 4. THE PROJECT...............................................................................................................11 4.1 Project Concept and Rationale................................................................................11 4.2 Project Area and Beneficiaries.................................................................................13 4.3 Strategic Context......................................................................................................14 4.4 Project Objective......................................................................................................15 4.5 Project Description...................................................................................................15 4.6 Environmental Impact..............................................................................................18 4.7 Project Costs............................................................................................................18 4.8 Sources of Finance and Expenditure Schedule........................................................19 5. PROJECT EXECUTION................................................................................................21 5.1 Executing Agency....................................................................................................21 5.2 Institutional Arrangements.......................................................................................21 5.3 Implementation Schedule.........................................................................................24 5.4 Procurement Arrangements .....................................................................................24 5.5 Disbursements arrangements ...................................................................................27 5.6 Monitoring and Evaluation......................................................................................27 5.7 Financial and Audit Reports ....................................................................................28 5.8 Aid Co-ordination....................................................................................................28 6. PROJECT SUSTAINABILITY AND RISKS................................................................29 6.1 Recurrent Expenses..................................................................................................29 6.2 Project Sustainability ...............................................................................................29 6.3 Key Risks and Mitigation Measures........................................................................30 7. PROJECT BENEFITS....................................................................................................30 7.1 Economic Impact.....................................................................................................30 7.2 Impact on Gender.....................................................................................................30 7.3 Impact on Poverty Reduction...................................................................................31 TABLE OF CONTENTS (cont’d) 8. CONCLUSION AND RECOMMENDATIONS...........................................................31 8.1 Conclusion ...............................................................................................................31 8.2 Recommendations and Conditions ..........................................................................32 This report is based on the findings of a Joint ADB/UNAIDS/Mano River Union Secretariat mission that visited the Mano River Union Countries and Cote D’Ivoire from 21 March to 01 April 2004. The ADB mission comprised Pap J. Williams, Principal Health Specialist and Team Leader (OCSD.1), Ms. A. Amine, Principal Social Sector Specialist (HIV/AIDS Focal Person) POPR.1 and a Consultant Costing Specialist. Inquiries should be addressed to Mr. M. YOUSSOUF, Manager, OCSD.1, Ext. 2110 or Ms. Z. El Bakri, Director, OCSD, Ext. 2045. i AFRICAN DEVELOPMENT FUND HEADQUARTERS TEMPORARY RELOCATION AGENCY 01 BP 1387, ABIDJAN 01 BP 3236 - 1002 TUNIS Belvedere Côte d’Ivoire Tunisia Tel.: (225) 20 20 44 44 Tel: (216) 71 333 511 Fax: (225) 20 21 77 53 Fax: (216) 71 351 933 PROJECT INFORMATION Date: April 2004 The information given hereunder is intended to provide some guidance to prospective suppliers, contractors, consultants and all persons interested in the procurement of goods and services for projects approved by the Boards of Directors of the Bank Group. More detailed information may be obtained from the Executing Agency of the Recipient. 1. COUNTRIES: Republic of Sierra Leone Republic of Guinea Republic of Liberia Republic of Côte D’Ivoire 2. NAME OF PROJECT: ADF financed Project in support of A Sub Regional HIV/AIDS Programme For the Refugees, Internally Displaced Population And Their Host Communities in the Mano River Basin Countries And Côte D’Ivoire 3. GEOGRAPHICAL LOCATION: Danane (Côte D’Ivoire), Nimba (Liberia), Gueckedou (Guinea) and Kenema (Sierra Leone). 4. BENEFICIARIES: Refugees, Internally Displaced Populations and their host communities in Mano River Basin Countries and Western Côte D’Ivoire 5. EXECUTING AGENCY: Executive Secretariat of the Mano River Delco House, 12 Ligthfoot Boston Street, PM Box: 133; Freetown, Sierra Leone. Tel: 232-226-883 Fax : 223-226-883 Email:[email protected] 6. PROJECT DESCRIPTION The project will support three components: (i) Strengthening of HIV/AIDS/STI prevention, control and treatment; (ii) Promotion of Multi-Sectoral and Sub-Regional Co-ordination of HIV/AIDS/STI activities; and (iii) Project Management. ii 7. TOTAL PROGRAMME COST : UA 22.82 million i) Foreign Exchange : UA 15.06 million ii) Local Currency : UA 7.76 million 8. BANK GROUP’S SUPPORT ADF Grant : UA 5.00 million 9. OTHER SOURCES OF FINANCE: Global Fund : UA 17.56 million Governments : UA 0.26 million 10. APPROVAL DATE : 2nd quarter 2004 11. ESTIMATED START-UP DATE January 2005 AND DURATION : 3 years 12. PROCUREMENT OF GOODS, WORKS AND SERVICES: Goods: Direct procurement of quality controlled and timely delivery of basic equipment, medical and pharmaceutical consumables at the lowest available prices from UNIPAC. Works: National competitive bidding: for the rehabilitation and/or construction of Voluntary Counselling Centres (VTCs). Services: Direct negotiations: with United Nations Population Fund (UNFPA) for technical assistance in the administrative, technical and financial management of the project and also with UNIPAC for the procurement of medical equipment and supplies. Shortlist: for the recruitment for the auditing firm for auditing project accounts and reputable local NGOs and CBOs for local training in HIV/AIDS prevention, control and treatment; (ii) the harmonisation of the training modules; and (iii) the preparation of IEC/BCC materials and messages; and iv) coordination and consolidation of information on the implementation of country level activities. National competitive bidding: contracting for the rehabilitation/construction of Voluntary Counselling and Testing (VCTs) centres. iii CURRENCY EQUIVALENTS (March 2004) UA 1 = US$ 1.4807 WEIGHTS AND MEASURES Metric System FISCAL YEAR From 1 January to 31 December LIST OF TABLES Page 2.1 A summary of Major Development Partners in STIs/HIV/AIDS Control In the MRU Countries and Côte d’Ivoire (2004) 8 3.1 MRU HIV/AIDS Programme Costs by Source of Finance and Currency Type 11 4.1 Summary of ABF Project Costs by Component 18 4.2 Project Costs by Category of Expenditure 19 4.3 ADF Project Costs by Source of Finance 19 4.4 Project Costs by Source of Finance and by Category of Expenditure 20 4.5 Expenditure Schedule by Category of Expenditure 20 4.6 Expenditure Schedule by Source of Financing 20 5.1 Project Implementation Schedule 24 5.2 Provisions for the Procurement of Goods and Services 25 LIST OF ANNEXES NNo.o. ooff ppagesages Annex 1 Map of Project Sites 1 Annex II Detailed Project Costs by Component 5 Annex III Provisional