Country Programme (2007-2011/2012) evaluation - UNFPA Moldova

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quality health care Outcome4 Pro-poorpolicies addressingdevelop ment andpopulationare formulated, implementedand monitoredina transparentand participatorymanne r Outcome5 Improvedreadiness to preventandmitigate naturalandmanmade disasters comprehensive reproductive health service delivery, and for reproductive health commodity security Output 4.1 Institutionalcapacitydev elopedto establishasystemtocolle ctand analysedisaggregated demographicandpopulat iondata, andtoformulatenationalp olicies andmonitortheirimpleme ntation andimpact Output 5.1 Agespecificneeds,reproducti ve health andgenderintegratedinto a comprehensiveandcoher ent contingencyplanfora humanitarianresponseto emergencies Baseline: · 60% · No POPULATION AND DEVELOPMENT Outputindicators: Nationalpopulationcouncil establishednumberandqualit yof populationpoliciesinitiated Baseline: NPCnon-existent Noholisticpopulation policies. Outputindicators: Numberofactionswithinplan addressingage-specific, gender,andRHneedsand rightsofclaimholders Baseline: N/A security system is covering currently only post-cases of post-abortion under compulsory medical insurance NPC existent Strategy for Demographic Security developed and about to be approved Foundation of Demographic Centre approved N/A 100% N/A Outcome6 Vulnerablegroupse njoy improvedaccessto qualitysocialprotec tion services,including systemstopreventan d protectwomenfrom violence,abuse, exploitationanddisc rimination Output 6.1 Institutionalcapacitystre ngthened inselectedregionstoensur e effectiveprevention,mon itoring, protectionandsupportsys tems addressinggenderbasedviolence GENDER Outputindicators:Managem ent informationsystemto monitorgender-based violencecasesinplace inselectedregions Baseline: MISnon-existent A referral system for gender based violence is in place in selected regions, which not only manages case information but also the process of legal assistance and if necessary shelter for the victims. Source: CPAP for columns A, B and C. Columns D and E were elaborated by the evaluators 100% In Chapter 6.1, Status of the Outcome, the progress made regarding outputs has been described as well as how these outputs are expected helping moving forward towards the envisaged outcomes. A chain of cause and effect has been shown. According to findings and assessment of this evaluation, all causal UNFPA Moldova Extended Country Programme (2007-2011/12) Outcome Evaluation 38
elations have proved to work out as expected, when it comes to the link between outputs and outcomes. In some cases the progress towards the outcomes is lower then in others as will be discussed below. In these cases generally the expected output has not fully be achieved. Hence a lower level of output leads to a lower level of progress towards the outcome. It is important to mention that in no case a lower level of outcome was consequence of a misunderstood or badly established link between causes end effects, between the nature of outputs and their link with expected outcomes. Reproductive Health RH training At a primary level, a number of reproductive health (RH) services, including family planning (FP), are provided by a network of 47 RH/FP cabinets, mostly located in rayon centres, which should in principle take a holistic and comprehensive approach to sexual and reproductive health services and information. Underthe current situation, the purpose of the RH/FP network has to expand to embrace. UNFPA has been actively supporting Family Planning and Reproductive Health (FP/RH) in the Republic of Moldova, including the Training of Trainers (TOT), for over fifteen years - the very first TOT for FP/RH district coordinators in Moldova was held in January 1995. Thereafter, with the support of the UNFPA CO, the team of national trainers in FP/RH have trained around 1400 family medicaldoctors (of an official total number of 2200 in the country) and 1600 nurses (of a total of 5000 in the country) in this field. 36 By the end of the current CPAP, it is planned for UNFPA to have facilitated the training in FP/RH of all family doctors in Moldova. It is anticipated that a probable priority of the next CPAP cycle will be completing the FP/RH training of all nurses in Moldova. It is necessary to complete FP training for all primary care doctors and nurses, especially since the “fear” of dealing with hormonal contraceptionremains. The Ministry of Health has requested assistance to update the training curriculum for medical practitioners, including an additional module on domestic violence. The national team of trainers are expected to undertake a revision and update of the training curriculum as mentioned above. Commodity security Commodity security remains a serious issue in Moldova. UNFPA Moldova has been able to establish andimplement a nationwide LMIS system for commodity security monitoring, but in spite of intensive advocacy efforts it has still not been possible to achieve commodity security through a firm commitment of national authorities to provide them free of charge to all vulnerable groups. Nevertheless, the achieved commitment to provide them at least for one (a first) vulnerable group (post-abortion) can be considered as a step in the right direction and a positive sign for the future. 36 Source for all data - UNFPA UNFPA Moldova Extended Country Programme (2007-2011/12) Outcome Evaluation 39
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Page 3 and 4: UNFPA Moldova Extended Country Prog
Page 5 and 6: List of Boxes Box 1: Examples of UN
Page 7 and 8: ofcircumstances entirely beyond the
Page 9 and 10: definition of the relationship and
Page 11 and 12: The field visit for data collection
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Page 15 and 16: nt of a LMS system Output 3.1 Mecha
Page 17 and 18: 3. Development Context Since the ap
Page 19 and 20: In 2008, for the first time in the
Page 21 and 22: legal framework provisions with Eur
Page 23 and 24: • Group interviews or focus group
Page 25 and 26: out, addressing 70 different benefi
Page 27 and 28: Impact/Degree of Change The assessm
Page 29 and 30: modern approach) in school curricul
Page 31 and 32: Labour, Social Protection and Famil
Page 33 and 34: The NDS 2008-2011 defines the MDGs
Page 35 and 36: “Rethink Moldova” is the title
Page 37: 2shows at a glance the achieved pro
Page 41 and 42: state that peer education has so fa
Page 43 and 44: However, more specific activities t
Page 45 and 46: Stakeholders highly appreciated the
Page 47 and 48: and speeding up or scaling-up chang
Page 49 and 50: Leadership,ManagementandInstitution
Page 51 and 52: health indicators related to progra
Page 53 and 54: then to 17.2 in 2009 and the share
Page 55 and 56: At present, the Republic of Moldova
Page 57 and 58: According to the 1997 Reproductive
Page 59 and 60: equire follow-up activities for the
Page 61 and 62: • Developapositionandclearstrateg
Page 63 and 64: • However, continue as well with
Page 65 and 66: • Continuing to provide support f
Page 67 and 68: Annex A.1 Meeting list UNFPA Moldov
Page 69 and 70: 12:00 - 13:00 14:00 - 15:00 15:30 -
Page 71 and 72: A.2 Stakeholder consultation and pa
Page 73 and 74: UN Agencies and Donors 1. Dimovska
Page 75 and 76: A.4 Revised documents GoM, Governme
Page 77 and 78: A.5 Terms of Reference (approved by
Page 79 and 80: EXPECTED TASKS AND DELIVERABLES The
Page 81: • Experience and understanding of

Country Programme (2007-2011/2012) evaluation - UNFPA Moldova

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