Ratings for the Second HIV/AIDS Project for Jamaica were as follows: outcomes were moderately satisfactory, the risk to development outcome was substantial, the Bank performance was moderately satisfactory, and the Borrower performance was also moderately satisfactory.
... See More + Some lessons learned included: behavior change takes time, particularly in countries like Jamaica with complex socio-cultural environments. Consequently, it is important that the anticipated outcomes recognize and take into account: (a) the time lag between activities and results; (b) the potential challenges in setting and achieving Project targets; (c) the inputs and strategies needed to effect change; and (d) importantly, emerging options such as the use of treatment as prevention. During project preparation, the overall environment for procurement should be assessed, and the design of procurement arrangements should balance transparency and accountability with effective implementation. For instance, higher thresholds for requiring competitive bidding should be considered, along with some relaxation or flexibility of the need to obtain three quotations under the shopping method should be considered. This is particularly critical in small island states like Jamaica with limited numbers of local vendors, and small quantities, which make bidding unattractive to external vendors. In addition, the weak capacity, particularly in procurement could have been addressed through more hand holding and training to prevent some delays.
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Implementation Completion and Results Report ICR2783 SEP 30, 2013
The Second HIV/AIDS Prevention and Control Project for Jamaica development objectives are to assist in the implementation of the Governmentapos;s National HIV/AIDS Program by supporting the: (i) deepening of prevention interventions targeted at high risk groups and the general population; (ii) increasing of access to treatment, care and support services for infected and affected individuals; and (iii) strengthening of program management and analysis to identify priorities for building the capacity of the health sector to respond to the HIV/AIDS epidemic and other priority health problems.
... See More + The changes are to: (a) reallocate funds among project disbursement categories; (b) extend the project closing date for four months from November 30, 2012 to March 31, 2013; and (c) provide a four months grace period for the project. The changes will allow the project to complete the activities that started late due to delayed budget allocation because of the negative impact of the global economic down-turn on the Governmentapos;s budget. The reallocation will take into account the actual costs and future needs of project implementation and the four month grace period will allow the project to complete payments after the project closing.
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The Second HIV/AIDS Prevention and Control Project for Jamaica development objectives are to assist in the implementation of the Governmentapos;s National HIV/AIDS Program by supporting the: (i) deepening of prevention interventions targeted at high risk groups and the general population; (ii) increasing of access to treatment, care and support services for infected and affected individuals; and (iii) strengthening of program management and analysis to identify priorities for building the capacity of the health sector to respond to the HIV/AIDS epidemic and other priority health problems.
... See More + The changes are to: (a) reallocate funds among project disbursement categories; (b) extend the project closing date for four months from November 30, 2012 to March 31, 2013; and (c) provide a four months grace period for the project. The changes will allow the project to complete the activities that started late due to delayed budget allocation because of the negative impact of the global economic down-turn on the Governmentapos;s budget. The reallocation will take into account the actual costs and future needs of project implementation and the four month grace period will allow the project to complete payments after the project closing.
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This project paper concerns to introduce changes in the project documents for the Jamaica Second HIV/AIDS Control and Prevention Project. The changes are all related to the results framework: (a) replacing four project development objective (PDO) indicators with three indicators that are more appropriate for measuring the projectapos;s achievements; and (b) revising component output and results indicators by adding four new indicators, removing six indicators, and refining indicators and targets based on data availability and the appropriateness of the indicators in tracking project progress.
... See More + The revised PDO indicators are better linked to the priority areas of the project: promoting condom use among the youth, prevention of mother-to-child transmission (PMTCT), and reducing stigma and discrimination. The changes will not affect the original PDOs or the project design. The revised indicators will allow for more accurate measurement of the projectapos;s progress and impact.
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The Second HIV/AIDS Project for Jamaica development objectives are to assist in the implementation of the Governmentapos;s National HIV/AIDS Program by supporting the: (i) deepening of prevention interventions targeted at high risk groups and the general population; (ii) increasing of access to treatment, care and support services for infected and affected individuals; and (iii) strengthening of program management and analysis to identify priorities for building the capacity of the health sector to respond to the HIV/AIDS epidemic and other priority health problems.
... See More + The project components are following: (i) prevention will support scaling up of HIV/AIDS prevention interventions to halt and reverse the spread of HIV/AIDS; (ii) treatment, care and support will provide financing to strengthen the diagnostic capacity, enhance services (HIV/AIDS, sexually transmitted infections, tuberculosis and prevention of mother-to-child transmission of HIV) and support for those infected and affected by HIV/AIDS; (iii) strengthening institutional capacity will support policy formulation for an enabling legal and regulatory environment, program management and monitoring and evaluation; and (iv) health sector development support will support: (a) strengthening of biomedical waste management and (b) capacity assessment for the health sector.
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The Second HIV/AIDS Project supportapos;s the implementation of the southeast regional medical waste treatment facility in Jamaica. It will improve the overall management of medical waste in all health regions.
... See More + The establishment of Regional Medical Waste Treatment Facilities will be implemented in two phases; phase 1 in the Southeast Health Region and phase 2 in other health regions. The project will: improve the storage, collection and treatment of medical waste in the region; improve the efficiency in the management of medical waste; and reduce accidental exposure to blood and blood products. The project mitigating measures is follows: (i) hours and days of operation at the facility and the number of truck delivering medical waste that are expected daily; (ii) treatment efficacy monitoring procedures; and (iii) manufactures operational and maintenance manuals for both routine and preventative maintenance of all equipment. The projectapos;s environmental first impact is air pollution generated from the construction equipment and transportation. The second is from fugitive dust arising from the site road, cleared areas, and raw materials stored on site. Fugitive dust has the potential to affect the health of construction workers, and the resident population and the vegetation. The transportation and use of heavy equipment and trucks is required during construction. Trucks will transport raw materials and heavy equipment. This has the potential to directly impact traffic.
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