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Zambia |
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Where We Work / Zambia
In collaboration with the Office of the US Global AIDS Coordinator and the UK Department for International Development (DFID), the Capacity Project completed country assessments of human resources for health in Ethiopia, Kenya, Mozambique and Zambia. |
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Trinidad |
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Where We Work / Trinidad
In the spring of 2006, the Capacity Project was asked to become part of an initiative led
by the Office of the Global AIDS Coordinator (OGAC) to provide technical assistance to
selected countries with faltering performance on their grants from the Global Fund to
Fight AIDS, Tuberculosis and Malaria (GFATM). These grants are performance-based,
which means that funds are released when agreed-upon interim performance targets
have been achieved. When targets are not met, additional funding is withheld and the
services being provided by the grant are suspended. Through funding from the OGAC
initiative, the USAID/Latin America and Caribbean (LAC) Bureau and field missions, the Capacity Project provided
technical assistance to strengthen grant performance in Belize, Central African Republic,
Ecuador, Guyana, Indonesia, Lesotho, Kenya, Nepal, Malawi, Pakistan, Romania, Swaziland,
Senegal, Sudan, Tanzania and Togo as well as regional grants in the Caribbean.
The Project completed situation analyses to determine the critical barriers hampering
grant performance and made recommendations to both Principal Recipients (PRs) and
Country Coordinating Mechanisms (CCMs) for actions needed to strengthen grant
performance. The Project worked with CCMs to ensure that they were operating in
compliance with GFATM regulations, and if they were not, made recommendations
on actions that were required for compliance.
CCM members received training to ensure they understood how performance-based
grants work, and had clarity on the role and responsibilities of the CCM for providing
grant oversight and the skills, knowledge and responsibilities required of members.
The Project helped clarify the different roles of the CCMs and the Principal Recipient,
developed guidelines for how the two worked together for successful grant implementation
and assisted CCMs to develop their Operations Manual for CCM Grant Oversight.
Additionally, the Project helped Principal Recipients to identify grant management problems
that were causing serious project implementation delays, and provided the technical
assistance to strengthen financial management systems, monitoring and evaluation reporting systems and procurement and supply management systems.
Results were measured in both output and outcome indicators. In all countries, the Project
achieved 100% of its output indicators. Outcome indicators were more dependent on the
country’s ability to use the technical assistance to substantially improve performance. The
Project achieved expected outcome indicators in all but three countries, which all had grant
performance issues that were more serious than technical assistance could address. In the
remaining countries, the Project contributed to significant progress such that recipients were
again eligible for GFATM funding. In reference to the Project’s work in Pakistan, the GFATM
portfolio manager indicated that the “PR is much stronger” thanks to the Project’s assistance.
As a result of this pilot, OGAC concluded that US Government-funded technical
assistance support could have a significant impact on GFATM grant performance.
OGAC issued a new procurement and fully funded a five-year contract, Grant
Management Systems, to provide ongoing technical assistance to troubled grants.
Related resources:
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Suriname |
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Where We Work / Suriname
Beginning in 2006, the Capacity Project worked to improve the capacity of the health workforce by introducing the HRH Action Framework (HAF), and helped to bring the HAF to several countries, including Peru, Ecuador, Colombia, Chile, Bolivia and Belize. The Project worked with the Caribbean HIV/AIDS Regional Training Network (CHART) to develop and implement a rapid training needs assessment (RNA) for use in the regional training centers located throughout the Caribbean. The Project’s work also included technical assistance for Caribbean countries to help effectively manage their Global Fund to Fight AIDS, Tuberculosis and Malaria (GFTAM) grants. These GFATM grants are performance-based grants and require management systems that many Caribbean organizations have not yet developed.
Selected activities included:
- Creating and implementing a Health Economics course, focusing on the HRH economics for the top 36 leaders and managers in the Peru Ministry of Health
- Providing technical assistance to the Caribbean Regional Network of People Living with HIV/AIDS to manage its regional GFTAM grant
- Strengthening the monitoring and evaluation (M&E) capacities of nine ministries and civil society organizations to enable them to report into the national M&E system more effectively
- Providing technical assistance to the CHART Regional Coordinating Unit to enable its staff to conduct RNAs.
Related Resources
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St. Vincent and the Grenadines |
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Where We Work / St. Vincent and the Grenadines
St. Vincent was part of the Capacity Project's work with the Caribbean HIV/AIDS Regional Training Network (CHART).
Partnering Initiatives through the USAID/Latin America and Caribbean (LAC) Bureau
Beginning in 2006, the Capacity Project worked to improve the capacity of the health workforce by introducing the HRH Action Framework (HAF) to several countries in the LAC region, including Peru, Ecuador, Colombia, Chile, Bolivia and Belize. The Project assisted the Caribbean HIV/AIDS Regional Training Network (CHART) to develop and implement a rapid training needs assessment tool for use in regional training centers located throughout the Caribbean. The Project also provided technical assistance for Caribbean countries to help effectively manage their Global Fund to Fight AIDS, Tuberculosis and Malaria (GFTAM) grants. These are performance-based grants and require management systems that many Caribbean organizations are still developing.
Selected activities from these initiatives included:
- Creating and implementing a health economics course, focusing on human resources for health, for the top 36 leaders and managers in the Peru Ministry of Health
- Providing technical assistance to the Caribbean Regional Network of People Living with HIV/AIDS to manage its regional GFTAM grant
- Strengthening the monitoring and evaluation (M&E) capacities of ministries and civil society organizations to enable them to report into their national M&E system more effectively
- Providing technical assistance to the CHART Regional Coordinating Unit to enable its staff to conduct rapid training needs assessments.
St. Vincent was also involved in another aspect of the Capacity Project's work: see Technical Assistance to GFATM Grants.
Related resources:
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St. Lucia |
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Where We Work / St. Lucia
St. Lucia was part of the Capacity Project's work with the Caribbean HIV/AIDS Regional Training Network (CHART).
Partnering Initiatives through the USAID/Latin America and Caribbean (LAC) Bureau
Beginning in 2006, the Capacity Project worked to improve the capacity of the health workforce by introducing the HRH Action Framework (HAF) to several countries in the LAC region, including Peru, Ecuador, Colombia, Chile, Bolivia and Belize. The Project assisted the Caribbean HIV/AIDS Regional Training Network (CHART) to develop and implement a rapid training needs assessment tool for use in regional training centers located throughout the Caribbean. The Project also provided technical assistance for Caribbean countries to help effectively manage their Global Fund to Fight AIDS, Tuberculosis and Malaria (GFTAM) grants. These are performance-based grants and require management systems that many Caribbean organizations are still developing.
Selected activities from these initiatives included:
- Creating and implementing a health economics course, focusing on human resources for health, for the top 36 leaders and managers in the Peru Ministry of Health
- Providing technical assistance to the Caribbean Regional Network of People Living with HIV/AIDS to manage its regional GFTAM grant
- Strengthening the monitoring and evaluation (M&E) capacities of ministries and civil society organizations to enable them to report into their national M&E system more effectively
- Providing technical assistance to the CHART Regional Coordinating Unit to enable its staff to conduct rapid training needs assessments.
St. Lucia was also involved in another aspect of the Capacity Project's work: see Technical Assistance to GFATM Grants.
Related resources:
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