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Niger - Second HIV/AIDS Support Project (Inglês)

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.

Detalhes

  • Data do documento

    2017/08/31

  • TIpo de documento

    Conclusão da Implementação e Relatórios sobre Resultados

  • No. do relatório

    ICR4035

  • Nº do volume

    1

  • Total Volume(s)

    1

  • País

    Níger,

  • Região

    África,

  • Data de divulgação

    2017/08/14

  • Disclosure Status

    Disclosed

  • Nome do documento

    Niger - Second HIV/AIDS Support Project

  • Palavras-chave

    men who have sex with men;Gross National Income Per Capita;high-risk group;pregnant woman;medical waste management plan;Demographic and Health Survey;access to health care;high population growth rate;Risks and Mitigation Measures;donor of last resort;Population and Health;supply chain management;real gross domestic product;Training of Medical Staff;risks of hiv infection;demand for family planning;Acquired Immune Deficiency Syndrome;mother to child transmission;data collection and analysis;united nations population fund;economic and financial analysis;children with hiv;intermediate outcome;reproductive health service;provision of equipment;Health Service Delivery;number of adults;mode of transmission;reallocation of fund;health facility;Compulsory Health Finance;exchange rate;mother and child;Health System Strengthening;high risk group;quality of care;quality and quantity;Exchange Rates;distribution of condoms;outputs by components;assessment of risk;assessment of outcome;resources and capacity;design of policy;chain of transmission;availability of drug;primary school enrolment;high risk population;sentinel surveillance data;waste management program;procurement of drugs;standard operating procedure;Human Immunodeficiency Virus;cost recovery policy;independent third party;Sexually Transmitted Disease;availability of service;high risk behaviors;reallocation of proceeds;high illiteracy rate;prevention activities;general population;security forces;procurement process;prophylaxis treatment;peer education;national authority;surveillance system;Health Workers;laboratory equipment;epidemiological trends;unallocated fund;peer educator;sexual encounter;urban zone;antiretroviral therapy;young population;cultural norm;intermediate indicator;waiting time;Antiretroviral therapies;verification system;transition phase;national capacity;local ngo;situation analysis;internal management;patient care;indirect beneficiary;central management;supply side;direct beneficiaries;equipment purchase;truck driver;drug procurement;lessons learnt;high fertility;national aids;Social Protection;vulnerable child;vertical transmission;desert land;national strategy;strategic information;baseline data;medical treatment;procurement function;health needs;nutritional care;military base;existing capacity;skilled staff;capacity constraint;preventive intervention;social requirement;financial mean;uranium mine;fiduciary risk;health budget;pilot program;reproductive age;awareness campaign;decentralized level;infected people;financial barrier;civil registration;birth certificate;supply management;large families;Country Systems;inadequate capacity;care service;community participation;institutional mechanism;Antenatal Care;high-risk behavior;disbursement profile;landlocked country;primary author;main road;agricultural opportunity;stakeholder meetings;females age;rural zones;Natural Resources;sexual intercourse;casual partners;sectoral approach;drug injection;vulnerable group;social impact;prevalence rate;external migration;consultative process;seasonal migration;transmitted infection;working day;project indicator;referral service;limited capacity;management autonomy;rural population;procurement responsibility;sectoral ministries;health outcome;prevention services;health districts;prevention measures;beneficiary survey;stakeholder workshop;external partner;quality service;program financing;migrant worker;achievement indicator;composite indicator;non-governmental organization;cross-country experience;

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