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Pakistan - HIV/AIDS Prevention Project (Inglês)

Ratings for the HIV/AIDS Prevention Project for Pakistan were as follows: outcomes were moderately satisfactory, the risk to development outcome was substantial, the Bank performance was moderately unsatisfactory, and the Borrower performance was also moderately unsatisfactory. Some lessons learned included: the firm selected to provide procurement and management support not only lacked the qualifications for the job, it also lacked incentives to manage effectively. In future projects, Terms of Reference (TOR) should be upgraded to take into account and contracts for such firms should specify that payments be at least partly linked to performance such as disbursements, contract signing, and timely payments to non-governmental organizations (NGOs). Most of the success in Punjab could be attributed to strong ownership of the provincial government that enabled managerial autonomy with continuity of staff, and flexibility in increasing allocations for priority interventions for Internal Documents Unit (IDU). The manager, financial management (FM) and procurement staff continued to be the same individuals throughout the life of the project. Hence, staff continuity with proper administrative authority could be considered as preconditions for the relevant provinces for any future operation. In the meantime, NGO competencies and strong NGO/CBO (community based organization) leadership was another important factor for successes in Punjab. A project which is first of its kind, both in subject and in implementation modalities, must be designed in a flexible manner taking its pilot character into consideration. There should be prior agreement with the Government to make sure there is sufficient flexibility in the Government's planning process in terms of responding to a dynamic epidemic. The project suffered from lack of proper understanding of Government of Pakistan (GOP) officials regarding the importance of confidentiality of the high risk population groups and their HIV status. This requires special advocacy and orientation activities which should have been addressed in the project preparation phase.


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    Pakistan - HIV/AIDS Prevention Project

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    vulnerable population;men who have sex with men;Integrated Biological and Behavioral Surveys;blood products;aids control programmes;procurement of service;public-private partnership;millennium development goal;transmission of hiv;prevalence hiv;prevention and care program;economic and financial analysis;general population;mass media;behavior change communication;HIV and AIDS;Sexually Transmitted Infection;pakistani rupee;blood bank;hiv prevalence;empowerment of woman;public sector financing;Human Immunodeficiency Virus;reproductive health service;outputs by components;primary health care;quality at entry;net present value;spread of hiv;quality of care;quality of supervision;assessment of risk;assessment of outcome;aids policy;public private partnership;access to care;provision of service;hiv treatment centers;Exchange Rates;annual budget preparation;aid control;ministries of education;safe blood transfusion;acquired immunodeficiency syndrome;high risk group;adult population;surveillance system;strategic framework;hepatitis b;prevention effort;medical consultation;federal level;Epidemic;prevalence rate;female partner;vital service;procurement system;smaller towns;Health ministries;real time;limited flexibility;civil society;political influence;Population Policy;capacity limitation;contract management;population group;limited coverage;surveillance datum;international convention;procurement procedure;budget category;absorptive capacity;high concentration;infected individuals;high-risk group;evaluation study;operational research;financial resource;transmission pattern;case detection;institutional framework;opinion leaders;government sector;improved training;condom promotion;regular meetings;consultative process;hiv transmission;religious affairs;migrant worker;behavioural research;strategic location;stakeholder workshop;external partner;unsatisfactory performance;primary author;awareness raising;advocacy effort;beneficiary survey;universal precautions;non-governmental organization;results framework;treatment failure;legislative framework;syndromic management;equitable access;research study;human rights;programme planning;laboratory diagnosis;reproductive tract;hiv epidemic;lessons learnt;contract payment;targeted population;payment delays;government procedure;



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