UNFPA RWANDA 6th Country Programme End of Line Evaluation ................................................ Final Report January 2012 i | P a g e End Line Evaluation: UNFPA 6th CP Report End Line Evaluation UNFPA Rwanda 6th Country Programme Centre for Sustainable International Development, University of Aberdeen, UK and Institute of Policy Analysis and Research, Rwanda International consultants: Centre for Sustainable International Development, University of Aberdeen, United Kingdom: Pamela Abbott and Hilary Homans Local consultants: Institute for Policy and Research, Rwanda: Dixon Malunda, Liliane Mutesi, Godfrey Ngoboka, Lonzen Rugira and John Rwirahira ii | P a g e End Line Evaluation: UNFPA 6th CP Report Source: NISR1 1 http://statistics.gov.rw/index.php?option=com_content&task=view&id=189&Itemid=243 last accessed 20/11/2011 iii | P a g e End Line Evaluation: UNFPA 6th CP Report Key Facts: Rwanda Land Geographical location Great Lakes Region of Central Africa. Land area 26, 383sq.km Terrain Mostly grassy uplands and hills. Population density 407 per kilometre People Population 10,718,379 Urban /Rural 19% urban/81% rural Population Growth Rate 2.9% p.a. Government Government Republic: Constitution adopted 2003 Key political events 1994 Genocide against the Tutsi 2003 Adoption of Constitution 2008 Membership of East African Community 2009 Membership British Commonwealth 2010 Paul Kagame elected as President for 2nd term % Seats held by Women in National Parliament 56% in House of Representatives Economy GDP per capita US$540 in 2010 GP Growth Rate 7.1% fiscal year 2010/22 Main industries Coffee, tea, mining, tourism Social indicators Human Development Index Rank 152 % of Population below National Poverty Line 57% 2005/6 Life expectancy at birth 55 years Infant Mortality Rate (per 1000 live births) 50 per 1000 live births 2010 DHS Under 5Mortality Rate (per 1000 live births 76 per 1000 live births 2010 DHS Maternal Mortality Rate (per 100,000 live births) 750 DHS 2005 (estimated 383 in 2008) Health Expenditure (% Government Budget) 9.2 % Births Attended by Skilled Health Personnel 69% 2010 DHS Adolescent Fertility Rate (births per 1000 women 41 2010 DHS aged 15-19) People Living With HIV/AIDS 3% 2005 DHS Adult Literacy Rate – Male/Female/Total M 75% F 67% T 71% Net Primary School Enrolment- Boys/Girls/Total B 91.6% G 94.1% T 92.9% Gross Primary School Completion Rates 74.5% % Employed in Non-farm work M 28% / W 12% (2006) MDGs Goal 1: Eradicate Extreme Poverty and Hunger Off track2 Goal 2: Achieve Universal Primary Education Very likely to be achieved Goal 3: Promote Gender Equality and Empower Women Very likely to be achieved Goal 4: Reduce Child Mortality Potential to achieve Goal 5: Improve Maternal Health Potential to achieve Goal 6: Combat HIV/AIDS, Malaria and Other Diseases Very likely to be achieved Goal 7: Ensure Environmental Sustainability Potential to achieve Water and Sanitation Goal 8 Develop a Global Partnership for Development Potential to be achieved in part 2 Green = On Track, Amber = Potential to Achieve with Accelerated Progress, Red = Off Track iv | P a g e End Line Evaluation: UNFPA 6th CP Report UNFPA Alignment to National Priorities at a Glance EDPRS UNDAF UNDAF UNFPA UNFPA Results Contribution Operational Area Components Decentralisation, Citizen Evidenced Based Population and Participation and Policy Making Development Accountability Governance Governance Justice, Gender Equality Gender Reconciliation, Law and Order Private Sector HIV Prevention of /AIDS and Health, HIV, Health, HIV Nutrition Population and Population Sexual and Nutrition and Nutrition Effective Health Reproductive System Health and Rights Health Health Practices Population Education Education Education Education Population and Achievement Development Gender Sexual and Reproductive Health Social Protection Social Production and Sexual and Protection Income Reproductive and Health Agriculture, Sustainable Sustainable Animal Growth and Development Effective National Gender Resources and Social Disaster Employment Protection Management Population and Promotion Development Social Protection (Data in Emergency Situations) v | P a g e End Line Evaluation: UNFPA 6th CP Report Acknowledgements First and foremost we would like to thank all the people who provided us with information and answered our questions. Without their cooperation it would not have been possible to carry out this evaluation. We cannot thank them enough for the time they have given to help us. We would like to acknowledge the support and help we have received from staff of the UNFPA Rwanda Country Office throughout the evaluation. We would especially like to thank Robert Banamwana who provided us with documentation and facilitated our access to key informants and beneficiaries. We are very grateful to the staff at the University of Aberdeen who provided logistical support, especially Shelagh Barr of Ipact. Finally, we are grateful to the research assistants on the project: Emmanuel Munyemana, Marklin Rucogoza, Anne Marie Uwimana and Lisa Pacific Vuningoma. Disclaimer This work was coordination by Ipact, see: http://www.Ipact-int.com and undertaken by the Centre for Sustainable International Development at the University of Aberdeen, UK and the Institute of Policy and Analysis and Research, Rwanda. The views expressed in this paper are solely those of the authors. About Ipact Ipact specializes in providing technical assistance in the monitoring and evaluation of maternal and neonatal health programmes in developing countries. We prioritize consultative and participatory approaches and endeavour to work alongside locally-based institutes, enabling sharing of experiences and skills, and building capacity for measurement. Ipact operates within a strong research environment at the University of Aberdeen in Scotland and is closely linked to the work of Immpact, an international research initiative for maternal mortality reduction. Centre for Sustainable International Development The Centre for Sustainable International Development was established at the University of Aberdeen in September 2010 to facilitate and generate work on sustainable international development across the University. It espouses an inter-disciplinary, multi-sectoral approach and aims to make a significant contribution to the achievement of the Millennium Development Goals and other international development targets. Institute of Policy Analysis and Research The Institute of Policy Analysis and Research (IPAR) is the only independent local think tank in Rwanda. It undertakes public policy evaluation and research in Rwanda and the East African Region. IPAR aims to provide evidence informed policy recommendations to the government, development partners and other stakeholders. It has a strong commitment to improving the lives of ordinary Rwandans. vi | P a g e End Line Evaluation: UNFPA 6th CP Report Table of Contents Key Facts: Rwanda ........................................................................................................................... iv UNFPA Alignment to National Priorities at a Glance ....................................................................... v Acknowledgements ........................................................................................................................... vi Acronyms .......................................................................................................................................... ix Executive Summary ......................................................................................................................... 1 Recommendations to UNFPA ........................................................................................................... 8 Recommendations to the Government, Implementation Partners and the United Nations ................ 9 1. Introduction and methodology .............................................................................................. 10 1.1. Background .............................................................................................................................. 10 1.2 Purpose ..................................................................................................................................... 10 1.3 Expected Outcomes .................................................................................................................. 10 1.4 Methodology ........................................................................................................................... 11 2. Country Context and Policy Framework ............................................................................. 15 2.1 Country Context ....................................................................................................................... 15 2.2 Rwanda‟s Development Goals ................................................................................................ 15 2.3 Democratic Governance........................................................................................................... 16 2.4 Role of External Assistance and Aid Policy ............................................................................ 17 2.5 Health Policy and Service Delivery ......................................................................................... 19 2.6 Gender equity ........................................................................................................................... 30 2.7 Progress towards the Millennium Development