The Evaluation of UNFPA Thailand's 9 Country Programme (CP9)
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The Evaluation of UNFPA Thailand’s 9th Country Programme (CP9) By: Supattra Srivanichakorn, MD, MPH Kerry Richter, PhD Bang-on Theptein, PhD For: The United Nations Population Fund (UNFPA) March, 2011 TABLE OF CONTENTS Page ACRONYMS .......................................................................................................................... iii Executive summary ............................................................................................................. vi Part 1: Introduction ............................................................................................................... 1 I. Background ............................................................................................................. 1 II. Evaluation Purpose and Methodology .................................................................. 2 Part 2: Findings ..................................................................................................................... 9 I. Reproductive Health (RH) Programme ....................................................................... 9 1.1. UNFPA’s achievements and the level of effectiveness, efficiency and relevance of strategies, key actions of RH programme ...................................................................... 10 1.2 UNFPA’s efforts to develop managerial capacity to improve the quality of RH services .......................................................................................................................... 24 1.3 UNFPA RH programme linkages with national policies and priorities ..................... 26 1.4 Factors contributing to the RH programme’s achievements and shortcomings ...... 27 1.5 Cross-cutting Issue of Gender and Rights in RH programme ................................. 28 II. Population and Development (PD) Programme ...................................................... 30 2.1. South to South Cooperation in Reproductive Health and Population Development 30 2.2 Monitoring and Strengthening Statistical Capacity (NSO) ...................................... 32 2.3. Evidence-based Responsiveness to the Emerging Challenges of Population Ageing in Thailand (OP) ............................................................................................................. 39 Part 3: Conclusions and Recommendations .................................................................... 47 I. Key Findings & Recommendations for the RH Programme ................................... 47 II. Recommendations for the Population and Development Programme ................. 50 III. Programme Management ......................................................................................... 53 Annex ................................................................................................................................... 56 Annex 1: Outcome and Output Indicators for UNFPA 9th Country Programme ....... 57 Annex 2: Budget, Expenditures and Implementation Rate of Projects under CP9 .. 64 Annex 3: List of Documents Reviewed ........................................................................ 66 Annex 4: List of Key Informants ................................................................................... 72 Annex 5: Methodologies to Answer the Evaluation Questions ................................. 76 Annex 6: Evaluation Criteria and Related Questions ................................................. 89 Annex 7: Interview Guides ............................................................................................ 90 Annex 8: Terms of Reference ........................................................................................ 96 i | Page UNFPA Thailand’s CP9 Evaluation Report as of May 30, 2011 LIST of TABLES Page Table 1: Summary of South to South Project Activities 2007-2010…………………… 32 Table 2: Proportion of NSO Project Funds Budgeted and Spent by Major Strategy and Output, 2007-2010...................................................................... 35 LIST of FIGURES Page Figure 1: Overall Programme Evaluation Framework....................................................... 4 Figure 2: Key Achievements of the NSO Project 2007-2011........................................... 37 Figure 3: Key achievements of the OP project................................................................ 42 Figure 4: Budget and Expenditures by Year and Implementing Agency, OP project 2007-2010......................................................................................... 45 Figure 5: Percent Expenditure by Type of Activity, OP Project 2007-2010................... 46 ii | Page UNFPA Thailand’s CP9 Evaluation Report as of May 30, 2011 ACRONYMS AIHD ASEAN Institute for Health Development, Mahidol University ARH Adolescent Reproductive Health AWP Annual Work Plan BATS Bureau of AIDS TB and STIs CCM Country Coordinating Mechanism CCP Comprehensive Condom Program CM Chiang Mai CMU Chiang Mai University CP9 UNFPA Thailand’s 9th Country Programme CPAP Country Programme Action Plan CPS College of Population Studies, Chulalongkorn University DDC Department of Disease Control DHC District Health Office DOH Department of Health DOM Department of Medical Services EMOC Emergency of Obstetric Care EU European Union FAO Food and Agriculture Organization of the United Nations FC Female Condom FON/CMU Faculty of Nursing, Chiang Mai University FOPDEV Foundation of Older Persons’ Development FSW Female Sex Worker GFATM round RCC Global Fund on AIDS, TB and Malaria round Rolling Continuation Channel GIS Geographic Information System GO Government Organization HAI Help Age International HRD Human Resource Development ICPD International Conference on Population and Development IPC International Programs Centre IPSR Institute for Population and Social Research, Mahidol University LAO Local Administration Organization LP Lampang M&E Monitoring and Evaluation MCD Management Capacity Development MDGs Millennium Development Goals MFA Ministry of Foreign Affairs MHS Mae Hong Son MICS Middle Income Country Study iii | Page UNFPA Thailand’s CP9 Evaluation Report as of May 30, 2011 MMS Making Motherhood Safer MOI Ministry of Interior MOL Ministry of Labour MOPH Ministry of Public Health MOU Memorandum of Understanding MPM Men as Partner in Maternal Health MSDHS Ministry of Social Development and Human Security MVHV Maternal Village Health Volunteers NGO Non-Governmental Organization NHSO National Health Security Office NRT Narathiwat NSO National Statistical Office OP Older Persons OPTA Office of Population Technical Assistance Team OPW Older Persons Watch PATH The Program for Appropriate Technology in Health PBRI Praboromrajanok Institute for Health Workforce Development PD(S) Population and Development PHC Population and Housing Census PHO Provincial Health Office PLA Participatory Learning Action PLWA People Living With AIDS or Persons Living With AIDS PLHIV People Living With HIV/AIDS RBM Results-based Management RH Reproductive Health RTG Royal Thai Government SCCT Senior Citizen of Council of Thailand SK Songkhla S-S South to South Cooperation SSRH Strengthening Sexual and Reproductive Health STI Sexual Transmission Infection STRONG Strengthening SRH/HIV services for vulnerable groups in decentralization context SW Sex Worker SWING Service Workers In Group Foundation SWOT Strengths, Weaknesses, Opportunities, and Threats TAO Tambon Administration Organization TBAs Traditional Birth Attendants ThaiHealth (THPF) Thai Health Promotion Foundation TICA Thailand International Development Cooperation Agency TOT Training of Trainers UN United Nations UNAIDS United Nations Programme on HIV/AIDS UNDP United Nations Development Programme iv | Page UNFPA Thailand’s CP9 Evaluation Report as of May 30, 2011 UNFPA United Nations Population Fund UNICEF United Nations Children’s Fund UNPAF United Nations Partnership Framework USAID United States Agency for International Development VHV Village Health Volunteer VHW Village Health Worker WCC Well Child Clinic WPPHC World Programme on Population and Housing Censuses YAP Youth Advisory Panel YSRH Youth Sexual and Reproductive Health v | Page UNFPA Thailand’s CP9 Evaluation Report as of May 30, 2011 Executive summary The ASEAN Institute for Health Development (AIHD) and the Institute for Population and Social Research (IPSR), Mahidol University was appointed to conduct an evaluation of UNFPA’s 9th Country Programme in Thailand (CP9). There are two main programme components with gender as a cross-cutting issue including : (1) Reproductive Health (RH) comprising of five projects i.e. Reproductive Rights (RR), Men as Partners in Maternal Health (MPM), Making Motherhood Safer (MMS), Youth Sexual Reproductive Health (YSRH), and Strengthening Sexually Reproductive Health/AIDs for Vulnerable Groups (STRONG); and (2) Population and Development, comprised of three projects i.e. South to South Cooperation (S-S), Monitoring and Strengthening Statistical Capacity, and Evidence- based Responsiveness to the Emerging Challenges of the Population Ageing in Thailand (OP). Overall the CP9 programme was designed in line with Millennium Development Goals (MDG) 5&6 and International Conference on Population and Development (ICPD) guidelines, as well as with national priorities within the local context of Thailand. The programme was planned with key stakeholder involvement and based on evidence drawn from situation analyses, the 10th National Economic and Social Development, and other relevant exercises. Reproductive Health: RH programmes were