VACANCIES FILLED IN WITHIN Republic of Zambia Ministry of Finance and National Planning SIXTH COUNTRY PROGRAMME JOINT GOVERNMENT OF THE REPUBLIC OF ZAMBIA AND THE UNITED NATIONS POPULATION FUND 2007 – 2010 EVALUATION REPORT December 2010 TABLE OF CONTENTS LIST OF TABLES ............................................................................................................................... iii ACRONYMS ...................................................................................................................................... ix FOREWORD ...................................................................................................................................... v ACKNOWLEDGEMENTS .................................................................................................................... vi EXECUTIVE SUMMARY .................................................................................................................... vii 1. Introduction ..................................................................................................................................... 1 1.1 Country Context ............................................................................................................................. 1 1.2 Sixth Country Progamme ................................................................................................................ 1 2. Methodology .................................................................................................................................... 2 2.1 Methods ......................................................................................... Error! Bookmark not defined. 2.2 Sample Size ................................................................................................................................. 3 2.3 Data analysis ............................................................................................................................... 3 2.4 Limitations .................................................................................................................................. 3 3. Findings ......................................................................................................................................... 3 3.1 Appropriateness, relevance of the design, outputs and strategies of the 6th Country Programme ....................................................................................................................................... 4 3.2 Relevance and effectiveness of component projects towards meeting the Country Programme goal ............................................................................................................................. 15 3.3 Extent to which the Country Programme contributed to the achievement of the outcomes of the UNDAF, National Population Policy and the Fifth National Development Plan . 16 3.4 Extent of integration of gender, culture and human rights concerns during the implementation of the Country Programme.................................................................................. 18 3.5 Achievement of substantive and financial results, successful ........................................... 18 interventions (success stories), difficulties and constraints and lessons ....................................... 18 learnt .............................................................................................................................................. 18 3.5.1 Substantive Results ............................................................................................................... 18 3.5.2 Financial results ..................................................................................................................... 21 3.5.3 Successful interventions ........................................................................................................ 25 3.5.4 Best practices, constraints and lessons learned .................................................................... 28 3.5.4.1 Best practices ..................................................................................................................... 28 3.5.4.2 Constraints ......................................................................................................................... 28 3.5.4.3 Lessons learnt ..................................................................................................................... 29 3.6 Management and coordination issues including implementation .......................................... 30 modalities, national ownership, monitoring and evaluation ......................................................... 30 3.6.1 Management and coordination issues .................................................................................. 30 3.6.2 Implementation modalities ................................................................................................... 33 3.6.3 National ownership of the country programme ................................................................... 33 3.6.4 Monitoring and evaluation .................................................................................................... 34 3.7 Sustainability of the various components of the programme ................................................. 35 3.8 Emerging issues ........................................................................................................................ 35 4. Conclusions ............................................................................................................................. 36 5. Recommendations .................................................................................................................. 38 5.1 Capacity building ...................................................................................................................... 38 5.2 Reproductive health ................................................................................................................. 39 5.3 Population and development ................................................................................................... 40 5.3 Gender ...................................................................................................................................... 41 APPENDIX 1: Terms of Reference for the Evaluation ..................................................................... 42 APPENDIX 2: FOCUS GROUP DISCUSSION QUESTIONS .................................................................. 48 APPENDIX 3: SEMI-STRUCTURED INTERVIEW SCHEDULE .............................................. 49 APPENDIX 4: OF DOCUMENTS REVIEWED...................................................................................... 52 APPENDIX 5: LIST OF PERSONS/INSTITUTIONS CONTACTED ......................................................... 53 ii LIST OF TABLES Table 1: CPAP Reproductive Health Results: Country Programme Outcomes, Country Programme Outputs, ..... 6 Table 2: CPAP Reproductive Health Results: Country Programme Outcomes, Country Programme Outputs, Output indicators, Implementing Partners and Achievements in 2010 (cont’d) ..................................................... 10 Table 3: CPAP Population and Development Results: Country Programme Outcomes, Country, Programme Outputs, Output indicators, Implementing Partners and Achievements in 2010 ................................................... 10 Table 4: CPAP Gender Results: Country Programme Outcomes, Country Programme Outputs, Output indicators, Implementing Partners and Achievements in 2010 ............................................................................. 13 Table 5: Types of in-service training, targets and numbers trained in Luapula and North-Western provinces ..... 19 Table 5: Types of training and numbers of people trained in both Luapula and North-Western Provinces disaggregated by gender ...................................................................................................................................... 20 Table 7: Country Programme Outputs, Implementing Partners, Actual Annual Budgets, Annual Expenditures and Percent Utilisation .......................................................................................................................................... 22 Table 8: Additional resources to support provision of integrated reproductive health ........................................... 23 Table 9: Number of fistula repairs done by province from 2008 to 2009 ............................................................... 24 iii ACRONYMS AIDS Acquired Immune-Deficiency Syndrome ANC Antenatal Care ART Antiretroviral Therapy ASRH Adolescent Sexual and Reproductive Health BCC Behaviour Change Communication CBD Community Based Distributor CEDAW Convention on Elimination of All Forms of Discrimination against Women CP Country Programme CPAP Country Programme Action Plan CSO Central Statistical Office CT Counselling and Testing DC District Commissioner DFID Department for International Development DHMT District Health Management Team DMO District Medical Officer/Office EmONC Emergency Obstetric Care FGDs Focus Group Discussions FNDP Fifth National Development Plan FP Family Planning GBV Gender Based Violence GIDD Gender in Development GRZ Government of the Republic of Zambia HIV Human Immunodeficiency Virus HMIS Health Management Information System IPs Implementing Partners ITCP Inter-Agency Committee on Population KAPB Knowledge Attitudes and Practice Baseline