Pcr:Reg 1293
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Completion Report Project Number: 38599 Grant Number: 0021 December 2011 HIV/AIDS Prevention and Capacity Development in the Pacific ABBREVIATIONS ADB – Asian Development Bank BCC – behavior change communication CSM – condom social marketing DMC – developing member country FSM – Federated States of Micronesia GFATM – Global Fund to Fight AIDS, Tuberculosis, and Malaria IEC – information, education, and communication M&E – monitoring and evaluation MDG – Millennium Development Goal MOH – Ministry of Health MSIA – Marie Stopes International Australia MSIP – Marie Stopes International Pacific MSM – males who have sex with males MTR – midterm review NGO – nongovernment organization PPMES – project performance monitoring and evaluation system PRSIP – Pacific Regional Strategic Implementation Plan RMI – Republic of the Marshall Islands SGS – second-generation surveillance SPC – Secretariat of the Pacific Community STI – sexually transmitted infection TA – technical assistance UNAIDS – Joint United Nations Program on HIV/AIDS UNGASS – United Nations General Assembly Special Session on HIV WHO – World Health Organization NOTE In this report, "$" refers to US dollars. Vice-President S. Groff, Operations 2 Director General R. Wihtol, Pacific Department (PARD) Director R. Guild, Transport, Energy, and Natural Resources Division, PARD Team leader A. Witheford, Public Management Specialist, PARD Team member M. Abao, Associate Project Analyst, PARD In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area. CONTENTS Page BASIC DATA i I. PROJECT DESCRIPTION 1 II. EVALUATION OF DESIGN AND IMPLEMENTATION 1 A. Relevance of Design and Formulation 1 B. Project Outputs 2 C. Project Costs 6 D. Disbursements 7 E. Project Schedule 7 F. Implementation Arrangements 7 G. Conditions and Covenants 8 H. Consultant Recruitment and Procurement 8 I. Performance of Consultants, Contractors, and Suppliers 8 J. Performance of the Borrower and the Executing Agency 9 K. Performance of the Asian Development Bank 9 III. EVALUATION OF PERFORMANCE 9 A. Relevance 9 B. Effectiveness in Achieving Outcome 10 C. Efficiency in Achieving Outcome and Outputs 11 D. Preliminary Assessment of Sustainability 11 E. Impact 12 IV. OVERALL ASSESSMENT AND RECOMMENDATIONS 12 A. Overall Assessment 12 B. Lessons 12 C. Recommendations 13 APPENDIXES 1. Performance Summary against the Design and Monitoring Framework 14 2. Actual against Projected Costs 18 3. Annual Disbursements 19 4. Project Implementation Schedule 20 5. Status of Compliance with Project Covenants 22 6. Consulting Services 26 7. List of Equipment 27 8. Selected Data on HIV/AIDS Prevention and Capacity Development in the Pacific 29 9. Overall Assessment Summary 36 SUPPLEMENTARY APPENDIXES A. Assessment and Current Response to HIV and Other STIs in the Pacific B. Selected United Nations General Assembly Special Session on HIV Indicators in Reporting Participating DMCs, 2008–2010 BASIC DATA A. Grant Identification 1. Country Regional 2. Grant Number 0021 3. Project Title HIV/AIDS Prevention and Capacity Development in the Pacific 4. Grantee Secretariat of the Pacific Community 5. Executing Agency Secretariat of the Pacific Community 6. Amount of Grant $8.0 million 7. Project Completion Report Number PCR:REG 1293 B. Project Data 1. Appraisal Waived during management review meeting 2. Grant Negotiations – Date Started 27 September 2005 – Date Completed 29 September 2005 3. Date of Board Approval 8 November 2005 4. Date of Grant Agreement 18 November 2005 5. Date of Grant Effectiveness – In Grant Agreement 15 February 2006 – Actual 18 April 2006 – Number of Extensions None 6. Closing Date – In Grant Agreement 30 September 2010 – Actual 30 June 2011 – Number of Extensions 1 7. Disbursements a. Dates Initial Disbursement Final Disbursement Time Interval 31 August 2006 11 July 2011 58 Effective Date Original Closing Date Time Interval 15 February 2006 30 September 2010 55 b. Amount ($ million) Original Last Revised Partial Amount Undisbursed Category Allocation Allocation Cancellations Disbursed Balance Research & studies 0.49 0.08 0.41 0.07 0.02 Equipment 0.24 0.33 0.00 0.29 0.03 Materials & supplies 2.05 2.03 0.19 1.83 0.20 Training & workshops 0.66 0.78 (0.04) 0.63 0.16 Consulting services 2.36 2.27 0.09 2.14 0.13 Project management 1.67 2.32 (0.65) 2.09 0.23 Unallocated 0.53 0.19 0.32 0.00 0.19 Total 8.00 8.00 7.04 0.96 ii C. Project Data 1. Project Cost ($ million) Cost Original Estimate Actual Foreign Exchange Cost 8.00 7.04 Total 2. Financing Plan ($ million) Cost Original Estimate Actual Implementation Costs ADB Financed 8.00 7.04 Total ADB = Asian Development Bank, 3. Cost Breakdown by Project Component ($ million) Last Component Original Estimate Allocation Actual A. Base Cost 1. Surveillance and surveys 1.82 1.35 1.34 2. Community response 2.92 3.72 3.24 3. Targeted interventions 1.09 0.42 0.37 4. Project management 1.64 2.32 2.09 Subtotal (A) 7.47 7.81 7.04 B. Duties and taxes 0.00 0.00 0.00 Subtotal (B) 0.00 0.00 0.00 C. Contingencies Subtotal (C) 0.53 0.19 0.00 Total 8.00 8.00 7.04 4. Project Schedule Item Original Estimate Actual Date of contract with consultant Apr 2006 Apr 2006 First procurement Jun 2006 May 2006 Last procurement Jun 2007 Jul 2009 Establish committee Sep 2006 Jul 2008 Establish and implement reporting systems Aug 2006 Jul 2008 Extension of grant closing date Jul 2008 Closing of grant accounts Jul 2011 iii 5. Project Performance Report Ratings Ratings Implementation Period Development Objectives Implementation Progress From 30 Nov 2006 to 30 Nov 2007 S S From 1 Dec 2007 to 30 Nov 2007 S S From 1 Dec 2007 to 30 Nov 2008 S S From 1 Dec 2008 to 30 Nov 2009 S S From 1 Dec 2009 to 30 Nov 2010 S S From 1 Dec 2010 to 30 Jun 2011 S S S = satisfactory. D. Data on Asian Development Bank Missions No. of No. of Specialization Name of Mission Date Persons Person-Days of Members Inception 1–16 Jun 2006 2 16 a, b Review 1 30 Jul–4 Aug 2007 2 12 a, c Review 2 17–27 Nov 2007 2 22 a, d Midterm Review 25 Jun–1 Jul 2008 1 7 a Review 3 18–19 Sep 2008 1 2 a, c Review 4a 23–30 Aug 2009 8 16 a, e, f, g, h, i, j, k Review 5 22 Feb 2010 1 1 a Project completion review Aug 2011 2 c , h a = project implementation specialist, b = operations assistant, c = consultant, d = young professional, e = procurement specialist, f = counsel, g = financial control specialist, h = project analyst, i = director, j = disbursement analyst, k = Project Administration Unit head. a Review was held at the Asian Development Bank headquarters, where Secretariat of the Pacific Community representatives met with staff from the Central Operations Services Office, Loan Administration Division, Office of the General Counsel, and Pacific Department. I. PROJECT DESCRIPTION 1. The HIV/AIDS Prevention and Capacity Development in the Pacific Project was formulated as the Asian Development Bank’s (ADB) first HIV/AIDS1 project for the Pacific and the first grant to a regional organization, the Secretariat of the Pacific Community (SPC). The project was financed through an Asian Development Fund grant of $8 million. It was approved by ADB on 8 November 2005 and became effective on 15 February 2006. 2. The project complemented the Pacific region’s own efforts on HIV/AIDS prevention. It formed part of the Pacific Regional Strategic Implementation Plan2 (PRSIP) which supports implementation of the Pacific Regional Strategy on HIV/AIDS.3 The PRSIP is funded by multiple development partners, implemented by Pacific developing member countries (DMCs) with assistance from multiple technical agencies, and coordinated and monitored by SPC. II. EVALUATION OF DESIGN AND IMPLEMENTATION 3. The goal of the project was to reduce the spread and impact of HIV/AIDS in the Pacific. The purpose was to contribute to improving the management and delivery of HIV/AIDS prevention in the Pacific by targeting vulnerable populations in 10 countries.4 The project had four components aligned to project outputs: (i) strengthening surveillance, (ii) supporting prevention activities in communities, (iii) targeting vulnerable groups, and (iv) project management. The executing agency was the SPC. The HIV/STI section of SPC coordinated project implementation under the guidance of a public health director. The design and monitoring framework is in Appendix 1. A. Relevance of Design and Formulation 4. The design of the project was relevant and aligned with ADB and regional strategies. Project objectives were in line with the ADB Pacific Strategy for the New Millennium, 2000–2004; Pacific Strategy, 2005–2009; and ADB’s Poverty Reduction Strategy in the Pacific. 5 It was aligned with the Pacific Regional Strategy on HIV/AIDS, which was developed through consultation with key stakeholders to ensure that it reflected the unique situation in the Pacific region. The design took advantage of consultative mechanisms used to develop the submission for assistance from the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM). GFATM stakeholders had links with representatives from vulnerable and high-risk groups and 6 represented their interests through regional GFATM activities and mechanisms. 1 The term HIV/AIDS used in project references is sometimes referred to as HIV/STI (for sexually transmitted infections) in the context of Pacific developing member country operational planning. 2 The PRSIP is the Pacific Islands Forum framework for guiding the implementation of activities concerned with HIV and other sexually transmitted infections in the Pacific.