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Aid Activity Name 06B191 AidWorks Initiative Number ING918 EVALUATION REPORT

Alison Heywood Health Systems Strengthening Specialist UniQuest Pty Limited July 2009

Evaluation, CHAI PNG Draft Report July 2009 ii

Aid Activity Summary

Aid Activity Name Clinton Foundation HIV/AIDS Initiative

AidWorks initiative number Health Program Response to HIV/AIDS ING918 Commencement date 1 August 2006 Completion date 31 December 2009 Total Australian $ $11,080,000.00 Total other $ Delivery organisation(s) Clinton Foundation Implementing Partner(s) Government of PNG through the National Department of Health Country/Region Papua New Guinea Primary Sector Health

Acknowledgments

The ET would like to thank all those with whom we have consulted. They have given us the opportunity to experience their enthusiasm for the CHAI, and observe their commitment to this project. In particular we are grateful to the CHAI team for the time they have spent with us, and their efforts to provide us with extensive documentation to support our evaluation. The ET would like to thank the Port Moresby AusAID office for the logistical support it has provided, for original sourcing of key documents for review, and facilitating a smooth evaluation exercise. We do not underestimate the demands of this task. Please note that the views expressed in this report are those of the author and do not necessarily represent the views of AusAID or the Government of Papua New Guinea

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Author’s Details

Alison Heywood, Ph.D., is Director of Heywood Public Health Group, an international consulting company established in 2002 providing services ranging from in-country situation analyses/needs assessments, health systems analysis, program/project designs, study designs, to reviews and evaluations. These assignments have been undertaken in Fiji, Tonga, Samoa, Solomon Islands, Kiribati, Vanuatu, Papua New Guinea, East Timor, Philippines, China, Laos, Maldives, Thailand, Cambodia and Indonesia. Technical areas of focus have included health promotion and public health, health systems strengthening, HIV and AIDS, immunisation, other non communicable diseases including mental health, and disabilities. Alison has undertaken consultancies for AusAID, the Commonwealth Department of Health and Ageing, NZAID, WHO and the World Bank, as well as for Australian universities, private companies and NGOs. Alison comes with a behavioural science and research background, and lived in Papua New Guinea for 11 years, and eight of those were spent working in research at the PNG IMR in Madang. She currently serves on the TRP of the Global Fund, and the IRC of the GAVI Alliance.

Evaluation, CHAI PNG Draft Report July 2009 iii

Contents

ACKNOWLEDGMENTS

...................................................................................................................II

ACRONYMS

.................................................................................................................................IV

EXECUTIVE SUMMARY

.................................................................................................................VI

1.

INTRODUCTION

.....................................................................................................................1

1.1

A

CTIVITY

B

ACKGROUND

...................................................................................................................1

1.2

E

VALUATION

O

BJECTIVES AND

Q

UESTIONS

..........................................................................................2

1.3

E

VALUATION

S

COPE AND

M

ETHODS

...................................................................................................2

1.4

E

VALUATION

T

EAM

..........................................................................................................................3

2.

THE CHAI PROJECT

...............................................................................................................4

3.

EVALUATION FINDINGS AGAINST AUSAID’S EIGHT EVALUATION CRITERIA

................................5

3.1

R

ELEVANCE

...................................................................................................................................5

3.2

E

FFECTIVENESS

.............................................................................................................................7

3.3

E

FFICIENCY

.................................................................................................................................17

3.4

I

MPACT

.......................................................................................................................................18

3.5

S

USTAINABILITY

............................................................................................................................18

3.6

G

ENDER

E

QUALITY

.......................................................................................................................19

3.7

M

ONITORING AND

E

VALUATION

(M&E)

..............................................................................................20

3.8

A

NALYSIS AND

L

EARNING

...............................................................................................................21

3.9

E

VALUATION

C

RITERIA

R

ATINGS

......................................................................................................23

4.

CONCLUSION AND RECOMMENDATIONS

...............................................................................23

4.1

L

ESSONS

L

EARNED

.......................................................................................................................25

4.2

R

ECOMMENDATIONS

......................................................................................................................25

ANNEX 1: TERMS OF REFERENCE

................................................................................................28

ANNEX 2: COMPONENTS OF THE PROJECT

...................................................................................33

ANNEX 3: DOCUMENTS CONSULTED

............................................................................................34

ANNEX 4: PEOPLE MET

................................................................................................................36

ANNEX 5: IN-COUNTRY MEETING SCHEDULE

.................................................................................39

ANNEX 6: CHAI PROGRAM LOGIC

.................................................................................................41

ANNEX 7: CURRENT AND EXPECTED LABORATORY CAPABILITY

....................................................42

ANNEX 8: DETAILED RURAL INITIATIVE ACHIEVEMENTS

................................................................43

ANNEX 9: HR SUMMARY

..............................................................................................................45

ANNEX 10: ALLOCATION OF FUNDS (2007-2008)

............................................................................47