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UNFPA Country Programme Evaluation Report Period Covered by the Evaluation: (2012-2018)

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UNFPA Country Programme Evaluation Report Period Covered by the Evaluation: (2012-2018) Volume- 4 UNFPA Country Programme Evaluation Report Period covered by the evaluation: (2012-2018) The Republic of NORTH MACEDONIA The report is prepared under the UNFPA CLUSTER PROGRAMME EVALUATION of country programmes in Bosnia and Herzegovina, North Macedonia, Serbia and Kosovo (UNSCR 1244) August 2019 Evaluation team: Mr. Sam Clark, International Evaluator: Team Leader Ms. Rajna Cemerska, National Evaluator Ms. Sara Osmani, National Research Assistant UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) Evaluation Reference Group Members: 1. Ms. Biljana Taneska, Advisor, Cabinet of the Minister of Health, Ministry of Health - was replaced by 2. Ms. Gordana Majnova, State Advisor (UNFPA Focal Point) at the Ministry of Health. 3. Mr. Burim Bilali, Multilateral Affairs Department, Ministry of Foreign Affairs 4. Ms. Jasmina Gjorgieva, Public Relations Officer, State Statistical Office 5. Ms. Silva Pesic, Human Rights Advisor, UN RCO 6. Mr. Borche Bozhinov, Executive Director, "Start Star" NGO, Implementing Partner 7. Mr. Andrej Senih, Executive Director, "Stronger Together" NGO, PLWHIV 8. Ms. Vesna Turmakovska, Project Manager, "HERA" NGO, Implementing Partner 9. Ms. Biljana Dukovska, President, Macedonian Anti-Poverty Platform, Implementing Partner 10. Mr. Kristijan Angeleski, President, YPEER North Macedonia 11. Ms. Afrodita Shalja-Plavjanska, UNFPA Assistant Representative and Evaluation Manager Disclaimer: This is a product of the independent evaluation team and the content, analysis and recommendations of this report do not necessarily reflect the views of the United Nations Population Fund (UNFPA), its Executive Committee or Member States. 2 UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) Country map 3 UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) Contents EXECUTIVE SUMMARY ........................................................................................................... 8 CHAPTER 1: Introduction ......................................................................................................... 16 1.1. Purpose and objectives or the Four Country Programme Evaluation ................. 16 1.2. Scope of the evaluation ....................................................................................... 16 1.3. Methodology and process .................................................................................... 17 1.3.1. Evaluation criteria and evaluation questions.................................................. 17 1.3.2. Selection of the sample ...................................................................................... 21 1.3.3. Availability assessment, limitations and risks................................................. 21 CHAPTER 2: Country context ................................................................................................... 23 2.1 Development challenges and national strategies ................................................. 23 CHAPTER 3: UN / UNFPA response and programme strategies for all four countries ............. 31 3.1 UN and UNFPA response ................................................................................... 31 3.2 UNFPA response through the country programme ............................................. 33 CHAPTER 4: Findings: answers to the evaluation questions by program focus area ............... 40 4.1 Sexual and Reproductive Health ......................................................................... 40 4.2 Youth ................................................................................................................... 52 4.3 Population and Development .............................................................................. 60 4.4 UNCT Cooperation and Value added ................................................................. 67 4.5 Assessment of UNFPA CP plans: 1. Resource Mobilization, 2. Partnership, and 3. Communications/advocacy ................................................................................................. 69 4.5.1. Resource Mobilization ................................................................................................ 69 CHAPTER 5: Conclusions ......................................................................................................... 72 CHAPTER 6: Recommendations ............................................................................................... 77 REFERENCES ............................................................................................................................ 80 Annexes ....................................................................................................................................... 84 4 UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) List of Tables and Figures Table 1. Country Programme Evaluation Components and Evaluation Criteria Table 2. Sample of stakeholder interviews by Program Area and gender Table 3. Sample of trainees interviews by Program Area and gender Table 4. Sample of Client/Beneficiary interviews by Program Area and gender Table 5. Sample of trainees interviews by Program Area and gender Table 6. Evaluation Questions for Components 1 and 2 for the Four UNFPA CPEs Table 7. Selected data for the former Republic of North Macedonia. Table 8. Republic of North Macedonia Population Structure by Age Table 9. Overview of the natural change of population in Republic of North Macedonia Table 10. Indicators of maternal and infant health in Republic of North Macedonia (2006-2013) Table 11. Total Official Development Assistance Disbursements to Four Programmes 2008 to 2016 Table 12.Total UNFPA contributions to four programmes from 2008 through 2017 (excludes funds from other sources for UNFPA activities) Table 13. Planned budget SP 2016-2020 Table 14. Comparison among planned budget and expended for the period 2016-2020 Table 15. Planned/expended budget according to the budget resource Figure 1: Total Republic of North Macedonia population by broad age group Figure 2. Republic of North Macedonia Population Division according to the age/gender in 2017 and projected for 2050 Figure 3. Republic of North Macedonia Mortality under Age 5 Figure 4. UNFPA Republic of North Macedonia Re-Aligned Country Program linkages with National Strategy and Global Strategic Plans Figure 5. Simplified Logic Model for Republic of North Macedonia 2018 Aligned CP Framework Figure 6. Expended budget according to the program are (2016-2018) Figure 7. Budget by funding source by year from 2012 through 2015 Figure 8. Summary of program expenses from 2012 till 2018 (all budget and Core regular budget FPA90/UNFPA budget) Figure 9. Percentage of total expenditure by program area for 2012-2018 ANNEXES Annex 1 Terms of Reference Annex 2 The evaluation matrix Annex 3. Schedule of Field Work Annex 4. Type of trainings Annex 5. Logical Framework Annex 6. Description of activities -Mode of engagement Annex 7. Partnership plan Annex 8. List of Beneficiaries-partners 5 UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) List of abbreviations A&Y Adolescent and Youth AoR Area of Responsibility AR Assistant Representative AWP Annual Work Plans BTN Beyond the Numbers CDP Common Development Plan CEDAW Committee on the Elimination of Discrimination against Women CO Country Office COAR Country Office Annual Report CP Country Program CPD Country Program Document CPE Country Program Evaluation CPHS Crisis Preparedness Planning for the Health System CSE Comprehensive Sexuality Education EC European Commission EPC Effective Perinatal Care ERG Evaluation Reference Group Est. Estimated EU European Union FGDs Focus Group Discussions FSI Fragile States Index GBV Gender-Based Violence GDP Gross Domestic Product GE Gender Equality GEWE Gender Equality and Women’s Empowerment GNI Gross National Income GPI Gender Parity Index HBSC Health Behavior in School-aged Children HDI Human Development Index HERA NGO, IP partner of UNFPA (Health Education and Research Association) HIV/AIDS Human Immunodeficiency Virus/ Acquired Immuno-Deficiency Syndrome ICPD International Conference on Population and Development IOM International Organization for Migrations IP Implementing Partner M&E Monitoring and Evaluation MDGs Millennium Development Goals MICS Multiple Indicator Cluster Survey MISP Minimum Initial Service Package MLSP Ministry of Labor and Social Policy MNCRH Maternal, Neonatal, Child and Reproductive Health MoES Ministry of Education and Science MoH Ministry of Health MP Member of Parliament NATO North Atlantic Treaty Organization NCD Non-Communicable Diseases NE National Evaluator 6 UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) UNFPA Country Programme Evaluation Report: The Republic of North Macedonia (period covered 2012-2018) NGO Nongovernmental
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