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Niger - Second HIV/AIDS Support Project (English)

Ratings for the Second HIV/AIDS Support Project for Nepal were as follows: outcomes were satisfactory, the risk to development outcome was substantial, the Bank performance was satisfactory, and the Borrower performance was also satisfactory. Some lessons learned included: community involvement in communication activities for behavioral change, referral of key populations (CSWs, prison population) to health services for HIV and STI screening and treatment is a major strategy for Synergy of actions between the public and the community. The recruitment of NGOs in charge of carrying out activities at Community level must take place during project preparation, thus avoiding the delay in the implementation of Community interventions. During Project preparation, the overall environment for procurement should be assessed and the design of procurements should balance accountability and transparency. For example, the handling of procurement by MOH during MAP 1 and this project was not effective and ended up with a transfer of all procurement activities to the CISLS as was the case with this project. In addition, the weak capacity, could have been addressed through intensive and hands on training to prevent delays. In light of the delay experienced by the project when recruiting NGOs, it will have been useful in retrospect to have begun the bidding process during preparation. This will have ensured that NGOs who had the comparative advantage to implement activities will have been properly contracted and ready to begin implementation soon after project effectiveness. Results Based Financing pilot performance in the Boboye Health District has demonstrated that this strategy improves the quality of services, health indicators, staff motivation, collaboration between providers and communities in the management services.


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    Implementation Completion and Results Report

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    Niger - Second HIV/AIDS Support Project

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Official version of document (may contain signatures, etc)


Niger - Second HIV/AIDS Support Project (English). Washington, D.C. : World Bank Group.