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1 1 Date: 15 April 2006 MID-TERM EVALUATION REPORT Project Number: TDMAR03G56 Project Title: Demand Reduction Programme for Maur

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1 1 Date: 15 April 2006 MID-TERM EVALUATION REPORT Project Number: TDMAR03G56 Project Title: Demand Reduction Programme for Maur 1 Date: 15 April 2006 MID-TERM EVALUATION REPORT Project Number: TDMAR03G56 Project title: Demand Reduction Programme for Mauritius Thematic area: Prevention and Reduction of Drug Abuse Country: Mauritius Report of the Evaluation team Dr. Reychad Abdool, Drug Abuse and HIV/AIDS Adviser, Africa, UNODC Regional Office for Eastern Africa, Nairobi, Kenya, Dr. Fayzal T. Sulliman, National Programme Manager, Mauritius. 1 2 CONTENTS Page TABLE OF CONTENTS 2 LIST OF ACRONYMS 4 EXECUTIVE SUMMARY 5 1. INTRODUCTION 9 1.1. Background and Context. 9 1.2. Purpose and Objective of the Evaluation 10 1.3. Executing Modality 10 1.4. Scope of the Evaluation 11 1.5. Evaluation Methodology 11 1.6.EvaluationTeam Composition 12 1.7. Limitations 12 2. MAJOR FINDINGS 12 2.1. Overall performance assessment (Appropriateness, Relevance, 12 Effectiveness, Efficiency) 2.2. Attainment of Objectives 13 2.3. Achievement of Programme/Project Results and outputs 14 2.4. Implementation (Operational Plan, Monitoring and Backstopping) 15 2.5. Institutional and Management Arrangements 15 3. OUTCOMES, IMPACTS and SUSTAINABILITY 15 3.1. Outcomes 15 3.2. Impacts 16 3.3. Sustainability 16 4. MAJOR LESSONS LEARNED ANDBESTPRACTICES 17 2 3 5. RECOMMENDATIONS 17 5.1. Issues resolved during evaluation. 18 5.2. Actions/decisions recommended. 18 6. OVERALL CONCLUSIONS 20 . Annexes 1. Terms of Reference. 2. Organizations and places visited and persons met. 3 4 LIST OF ACRONYMS ( In alphabetical order) AU African Union C ATR Centre d’Accueil de Terre Rouge CYC Correctional Youth Centre DIGC Dr. Idrice Goomany Centre DU Drug User EADIS Eastern Africa Drug Information System FGD Focus Group Discussion GAP Global Assessment Programme GA Government Auditor HIV/AIDS Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome IEC Information, Education and Communication IDU Injecting Drug User KII Key Informant Interview LEN Local Expert Network in Demand Reduction MENDU Mauritius Epidemiology Network on Drug Use MoH Ministry of Health and Quality of Life MoSS Ministry of Social Security, National Solidarity, Reform Institutions and Senior Citizens’Welfare NATReSA National Agency for the Treatment and Rehabilitation of Substance Abusers NDCMP National Drug Control Master Plan NPM National Programme Manager NEX National Execution NGO Non Government Organization NTC National Treatment Centre PS Permanent Secretary PSC Project Supervisory Committee ROEA UNODC Regional Office for Eastern Africa RSA Rapid Situation Assessment RYC Rehabilitation Youth Centre SSS Sangram Sewa Sadam SW Sex Worker TPR Tri-Partite Review UNAIDS Joint United Nations Programme on HIV/AIDS UNCT United Nations Country Team UNDP United Nations Development Programme UNGASS United Nations General Assembly Special Session UNODC United Nations Office on Drugs and Crime UNTG United Nations Task Group VCT Voluntary Counselling and Testing WHO World Health Organization 4 5 Executive Summary Relevance and Appropriateness of Programme Concept and Design. 1. This is a national drug demand reduction and HIV/AIDS prevention project aimed at conducting a Rapid Situation Assessment of drug abuse and related HIV/AIDS, develop a national drug control master plan, establish a national rehabilitation centre, and enhance the capacity of government and NGOs to provide better treatment and rehabilitation services and improve their capacity to deliver better prevention programmes in communities, schools and the workplace, namely: 1. To prepare a full report on the nature, extent, trends and patterns of drug abuse in the country prepared, disseminated and used as the basis for the formulation of a national drug control master plan. 2. To develop and present a national drug control master plan document to Government. 3. To enhance the capacity of the government and NGOs to address primary prevention of drug abuse/ management of drug abusers, with a component on HIV/AIDS, by training 120 government officials, 15 police officers and 30 NGO operators. 4. To implement a sustained prevention programme in schools and communities (including Rodrigues) by NGOs and in the workplace by NATReSA over 18 months, supported by information/educational materials developed for the specific populations targeted, namely 280 school lectures, 288 lectures in the community, 72 lectures in the workplace, the award of 6 grants to undertake specific prevention activities, and the design and distribution of prevention materials. 5. To improve the understanding and reporting of drug related issues by 20 media practitioners and an Award granted to a journalist having written at least a set of six articles over an 24-month period, dealing the most comprehensively with drug demand reduction. 6. To procure equipment for setting-up the National Treatment Centre for drug abusers. Programme Implementation and Achievements 2. This project is implemented by UNODC ROEA and is nationally executed by the Government of Mauritius, namely the Ministry of Social Security, National Solidarity , Reform Institutions and Senior Citizens’ Welfare, in close collaboration with the Ministry of Health, the National Agency for the Treatment and Rehabilitation of Substance Abuse (NATReSA), and five NGOs, namely the Centre d’ Accueil de Terre Rouge (CATR), the Dr. Idrice Goomany Centre (DIGC) , the Help De-Addiction Centre (HELP), the Sangam Sewa Sadan (SSS) and CRAC in Rodrigues. The project was expected to be completed by December 2005, but a Tri-Partite Review (TPR) held in September 2005 recommended that it be extended to December 2006. 5 6 3. The major findings of this evaluation are as follows: The project design is sound and is based on the country specific realities, drug trends and patterns highlighted by the Mauritius Epidemiology Network on Drug Use (MENDU) surveillance , and was formulated as a result of consultations with government officials and NGOs active in the field of drug control. 4. The first two outputs have been completely achieved. Under the first, a Rapid Situation Assessment (RSA) of drug abuse and related HIV/AIDS in the country was conducted with the assistance of an international consultant and a national research team. This RSA revealed the close correlation between injecting drug use and HIV/AIDS in the country, and brought out the nature of a concentrated HIV epidemic among injecting drug users (IDUs), sex workers (SW) and prison inmates. Under the second, the country developed its first-ever comprehensive and multi-sectoral National Drug Control Master Plan. This was done on the basis of the findings of the RSA and through an intense collaborative and participatory process with all the key stakeholders involved in drug control and HIV prevention and care in the country. The Master Plan was validated during a national workshop, and the document was adopted by the Cabinet. 5. The capacity of government and NGOs to address drug abuse and HIV/AIDS prevention and treatment has been enhanced. Training workshops were organized on outreach work with drug users (DUs), IDUs and other vulnerable population and 30 of outreach workers were trained on risk minimization and on counselling. Five NGOs, including CRAC in Rodrigues, were provided with grants to conduct drug abuse and HIV/AIDS prevention in high-risk communities, while NATReSA has conducted similar activities in the workplace. This has translated in a large number of demand reduction activities in schools, communities and the workplace. 6. 18 media practitioners were trained to improve their understanding on drug-related matters and to engage in public advocacy. 7. The building to house the National Treatment Centre has been upgraded, and MoSS and MoH have reached an agreement on the modus operandi of the Centre. MoH will provide the medical and para-medical staff, while MoSS will be responsible for the management of the Centre and provide the support staff. Some medical equipment has been procured for the Centre. The government has also passed new legislation to introduce the use of methadone in the management of opiate abusers. Information, Education and Communication (IEC) materials have been developed and distributed as part of government contribution. A project document has been elaborated to scale up the prevention of HIV among DUs, IDUs, sex workers and prison inmates. 8. The NPM who is seconded for duty from MOH to MoSS was recalled to MoH in February 2006. Negotiations were held with both ministries and an agreement reached that the NPM secondment be extended to 31 December 2006 to allow for the completion of project activities. Lessons learned and best practices 9. Several lessons and best practices were drawn from project implementation so far and the present evaluation. The RSA methodology, when well utilized, has again lived up to its reputation to act as an “early warning system”, and to facilitate appropriate 6 7 interventions. It allowed to identify a worrisome trend regarding the emergence of concentrated HIV epidemics among IDU, sex workers and prison inmates, and on the need to put in place outreach programmes to reach out-of-treatment, hard-to-reach groups of IDUs and sex workers. Focused interventions were thus designed and implemented on the basis of the RSA and the NDCMP to respond to the identified needs. Advocacy works best when supported by scientific evidence, and the media need to be encouraged to assume its “corporate responsibility” to engage in both public education and political advocacy. Training activities were tailored to respond to specific identified national training
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