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FINAL Report – 3 November 2011 FINAL Report – 3 November 2011 Evaluation of UNFPA’s Sixth Country Programme in Nepal (2008-2012) Report prepared for UNFPA Nepal David Wilkinson Sunil Acharya Bhimsen Devkota Pinky Singh Rana Ajay Uprety November 2011 Contents Acknowledgements .................................................................................................................................. i Abbreviations and acronyms .................................................................................................................. ii Executive summary ................................................................................................................................. v Overview ............................................................................................................................................. v Findings and Conclusions .................................................................................................................. vii Prioritized recommendations ............................................................................................................ ix 1. Introduction ........................................................................................................................................ 1 1.1 Nepal situation analysis ................................................................................................................ 1 1.2 UNFPA’s Sixth country programme in Nepal ................................................................................ 5 1.3 Need, purpose, objectives and scope of the evaluation ............................................................... 9 1.4 Ethical considerations, stakeholder involvement, quality control, and youth and gender mainstreaming .................................................................................................................................. 10 1.5 Structure of the evaluation report .............................................................................................. 12 2. Evaluation methodology .................................................................................................................. 13 2.1 Boundaries and limitations of the evaluation ............................................................................. 17 3. Evaluation findings ............................................................................................................................ 19 3.1 Introduction ................................................................................................................................ 19 3.2 Relevance .................................................................................................................................... 19 3.3 Effectiveness ............................................................................................................................... 22 3.4 Impact ......................................................................................................................................... 41 3.5 Sustainability ............................................................................................................................... 45 3.6 Efficiency ..................................................................................................................................... 48 3.7 Management ............................................................................................................................... 54 4. Conclusions and lessons learned ...................................................................................................... 61 4.1 Conclusions ................................................................................................................................. 61 4.2 Lessons learned ........................................................................................................................... 62 5. Recommendations ............................................................................................................................ 64 5.1 Recommendations for the remainder of CP6 ............................................................................. 64 5.2 Recommendations for the development of CP7 ........................................................................ 65 Annex I Evaluation methodology framework ....................................................................................... 67 Annex ll References and documents consulted ................................................................................... 71 Annex III List of people consulted ........................................................................................................ 73 Annex IV Generic interview guide ........................................................................................................ 77 Annex V Statement of informed consent ............................................................................................ 81 Annex VI Evaluation TORs ..................................................................................................................... 82 Annex VII CPAP Planning and Tracking Tool ......................................................................................... 90 Annex VIII DOS EQA template ............................................................................................................... 99 Acknowledgements The evaluation team would like to thank the UNFPA Nepal country office and the Evaluation Management Committee for providing strategic guidance and oversight throughout the evaluation. We are grateful to the UNFPA country office and the regional support offices in Dadeldhura and Dang for providing logistics support during our in-country visit and field visits. We wish to thank representatives from relevant GoN line ministries, departments, divisions and centres, district and VDC staff, external development partners including other UN agencies, and other key informants and stakeholders for participating in interviews and discussions, and for providing invaluable information and ideas that shaped the evaluation process, findings and recommendations. We are grateful to the UNFPA Country Office and the Asia-Pacific Regional Office for their constructive feedback and comments on the draft report. i Abbreviations and acronyms AIDS Acquired Immunodeficiency Syndrome ANC Antenatal Care APRO Asia Pacific Regional Office AR Assistant Representative ASRH Adolescent Sexual and Reproductive Health AWP Annual Workplan AWPMT Annual Work Plan Monitoring Tool BBCWST BBC World Service Trust BCC Behaviour Change Communication CA Constituent Assembly CBO Community Based Organization CBS Central Bureau of Statistics CEDAW Committee on the Elimination of Discrimination Against Women CO Country Office COAR Country Office Annual Report CP5 Fifth Country Programme CP6 Sixth Country Programme CP7 Seventh Country Programme CPA Comprehensive Peace Agreement CPD Country Programme Document CPE Country Programme Evaluation CPN Communist Party of Nepal CPR Contraceptive Prevalence Rate CVICT Centre for Victims of Torture CYF Choose Your Future DAG Disadvantaged Group DDC District Development Committees DDF District Development Fund DEO District Education Office DHO District Health Office DHR Department of Human Resources DHS Demographic and Health Survey DO District Officer DoHS Department of Health Services DOS Division of Oversight Services DPMAS District Poverty Monitoring Analysis System DRR Deputy Representative EDP External Development Partner EVAW Eliminating Violence Against Women FCHV Female Community Health Volunteer FHD Family Health Division FP Family Planning FWLD Forum for Women, Law and Development FY Fiscal Year GBV Gender Based Violence GESI Gender And Social Inclusion GoN Government of Nepal GSIO Gender and Social Inclusion Officer ii HFOMC Health Facility Operation Management Committee HHESS Himalayan Health and Environmental Services Solukhumbu HIV Human Immunodeficiency Virus HMIS Health Management Information System HR Human Resource HSISS Health Sector Information System Strategy HSSO Health Systems Strengthening Officer ICPD International Conference on Population and Development ICPD/WPAY International Conference on Population and Development/World Program of Action for Youth IDP Internally Displaced Persons IEC Information Education Communication IG Implementation Guide IMR Infant Mortality Rate IP Implementation Plan JFA Joint Funding Agreement JSI John Snow Inc. LGCDP Local governance and community development programme LLPMP Local Level Population Management Programme LSGA Local Self-Governance Act M&E Monitoring & Evaluation MCH Maternal and Child Health MDG Millennium Development Goal MINES Minorities, indigenous nationalities and excluded groups MISP Minimum Initial Service Package MMR Maternal Mortality Ratio MoF Ministry of Finance MoHP Ministry of Health and Population MoLD Ministry of Local Development MoWC Ministry of Women and Children MoYS Ministry of Youth and Sports MToT Master Training of Trainers NAP National Action Plan NAYS National Adolescent and Youth Survey NCASC National Centre for AIDS and STD Control NER Net Enrolment Rate NGO Non Government Organization NHEICC National Health Education Information and Communication Centre NHSP-IP National Health Sector Programme – Implementation Plan NPC National Planning Commission NYP National Youth Programme OECD/DAC Organization for Economic Cooperation and Development/Development Assistance Committee OMP
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