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GOVERNMENT of BOTSWANA/UNFPA 5Th COUNTRY PROGRAMME 2010-2016

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GOVERNMENT of BOTSWANA/UNFPA 5Th COUNTRY PROGRAMME 2010-2016 25 September 2015 GOVERNMENT OF BOTSWANA/UNFPA 5th COUNTRY PROGRAMME 2010-2016 End of Programme Evaluation i Map of Botswana Consultant Team Position and Team Role Name Team Leader, plus Gender Component Helen Jackson Reproductive Health and Rights Component Thabo Phologolo Population and Development Component Enock Ngome ii Acknowledgements The evaluation team would like to thank UNFPA for the opportunity to undertake the GoB/UNFPA 5th Country Programme Evaluation. We would also like to express our great appreciation to all staff who gave generously of their time, both for interview and in providing documents, and in particular the evaluation manager. We greatly appreciate their support and guidance throughout and would also like to acknowledge the very helpful logistics support by administrative staff including the drivers. We also wish to express our gratitude to the members of the Evaluation Reference Group and to the many stakeholders in government, the UN and civil society for their flexibility and willingness to contribute their views, provide further documents, and generally assist the evaluation. The regional office, ESARO is acknowledged for financial and technical support for the evaluation. Last but not least, we appreciate the beneficiaries that we were able to meet who provided valuable insights into the programmes and how they had impacted on their lives. iii TABLE OF CONTENTS ACKNOWLEDGEMENTS ................................................................................................................................... III TABLE OF CONTENTS....................................................................................................................................... IV ABBREVIATIONS AND ACRONYMS ................................................................................................................ V LIST OF TABLES ................................................................................................................................................. IX KEY FACTS TABLE ............................................................................................................................................. X CHAPTER 1: INTRODUCTION .......................................................................................................................... 2 1.1 PURPOSE AND OBJECTIVES OF THE COUNTRY PROGRAMME EVALUATION ..................................................... 2 1.2 SCOPE OF THE EVALUATION ............................................................................................................................ 2 1.3 METHODOLOGY AND PROCESS ........................................................................................................................ 3 CHAPTER 2: COUNTRY CONTEXT .................................................................................................................. 7 2.1 DEVELOPMENT CHALLENGES AND NATIONAL STRATEGIES ............................................................................ 7 2.2 THE ROLE OF EXTERNAL ASSISTANCE .......................................................................................................... 12 CHAPTER 3: UNFPA RESPONSE AND PROGRAMME STRATEGIES ......................................................... 14 3.1 UN AND UNFPA STRATEGIC RESPONSE ....................................................................................................... 14 3.2 UNFPA RESPONSE THROUGH THE COUNTRY PROGRAMME .......................................................................... 15 3.2.1 The 4th Country Programme Strategy, Goals and Achievements ............................................................. 15 3.2.2 Current UNFPA Country Programme 2010-2016 ................................................................................... 15 3.2.3 The Country Programme Financial Structure ......................................................................................... 17 CHAPTER 4: FINDINGS ..................................................................................................................................... 19 1.1 EVALUATION QUESTION 1: STRATEGIC ALIGNMENT, RELEVANCE AND RESPONSIVENESS....................... 19 1.2 EVALUATION QUESTION 2: EFFECTIVENESS .............................................................................................. 24 4.3 EVALUATION QUESTION 3: EFFICIENCY ........................................................................................................ 37 4.4 EVALUATION QUESTION 4: SUSTAINABILITY .............................................................................................. 43 4.5 EVALUATION QUESTION 5: CROSS-CUTTING ISSUES .................................................................................. 47 CHAPTER 5: CONCLUSIONS ............................................................................................................................ 50 5.1 STRATEGIC LEVEL ........................................................................................................................................ 50 5.2 PROGRAMME LEVEL: ADDITIONAL CONCLUSIONS BY PROGRAMME COMPONENT ........................................ 53 CHAPTER 6: RECOMMENDATIONS ............................................................................................................... 56 1.1 INTRODUCTION ............................................................................................................................................. 56 1.2 STRATEGIC LEVEL ........................................................................................................................................ 56 1.3 PROGRAMME LEVEL ..................................................................................................................................... 58 ANNEXES ............................................................................................................................................................. 60 ANNEX 1: TERMS OF REFERENCE ............................................................................................................................... 60 ANNEX 2: LIST OF PERSONS/INSTITUTIONS MET ........................................................................................................... I ANNEX 3: LIST OF DOCUMENTS CONSULTED/REVIEWED ............................................................................................ IV ANNEX 4: THE EVALUATION MATRIX ........................................................................................................................... I ANNEX 5: TOOLS ........................................................................................................................................................... I ANNEX 6: RESULTS AND RESOURCES FRAMEWORK FOR CP EXTENSIONS ................................................................... IV iv Abbreviations and Acronyms AIDS Acquired Immune Deficiency Syndrome ART Antiretroviral Therapy ASRH Adolescent Sexual and Reproductive Health AWP Annual Work Plan BCC Botswana Council of Churches BOFWA Botswana Family Welfare Association BONELA Botswana Network on Ethics Law and HIV/AIDS CATCH Community Act Together to Control HIV and AIDS CEDAW Convention on the Elimination of all forms of Discrimination Against Women CCA Common Country Assessment CCM Country Coordinating Mechanism CCP Comprehensive Condom Programming/Programme CEO Chief Executive Officer CMS Central Medical Stores CNR Civil and National Registration Department CO Country Office COAR Country Office Annual Report CP Country Programme CPD Country Programme Document CPE Country Programme Evaluation CPR Contraceptive Prevalence Rate CTA Chief Technical Advisor DAC Development Assistance Committee DaO Delivering as One (UN) DCS Department of Clinical Services DPH Department of Public Health DHAPC Department of HIV/AIDS Prevention and Care DMU Drug Management Unit DSS Department of Social Services EM Evaluation Manager eMTCT Elimination of Mother to Child HIV Transmission ERG Evaluation Reference Group v ESARO Eastern and Southern Africa Regional Office ET Evaluation Team EU European Union FGD Focus Group Discussion FP Family Planning FSW Female Sex Worker(s) GBV Gender Based Violence GDP Gross Domestic Product GeAD Gender Affairs Department GF Global Fund for HIV/AIDS, Tuberculosis and Malaria GL Gender Links GoB Government of Botswana GoB/UNPOP GoB/United Nations Programme Operational Plan HIMS Health Information Management System HIV Human Immunodeficiency Virus ICPD International Conference on Population and Development IEC Information, Education and Communication IMR Infant Mortality Rate IP Implementing Partner JPA Junior Programme Assistant JRMPS Joint Resource Mobilisation and Partnership Strategy KI Key Informant KSWS Kagisano Society Women’s Shelter LMIS Logistics Management Information Sysem M&E Monitoring and Evaluation MDGs Millennium Development Goals MBGE Men and Boys for Gender Equality MIC Middle Income Country MoFDP Ministry of Finance and Development Planning MoH Ministry of Health MoLHA Ministry of Labour and Home Affairs MoYSC Ministry of Youth, Sports and Culture MMR Maternal Mortality Rate vi MNH Maternal and Neonatal Health MTCT Mother to Child HIV Transmission MTP Medium Term Plan MTR Mid Term Review NACA National AIDS Coordinating Agency NCC National Census Coordinator NPO National Programme officer NDP 10 National Development Plan 10 NDP 11 National Development Plan 11 NPPP National Professional Programme Person NGO Non-Governmental Organisation
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