Objective 5: Policies and guidelines. CHAI is generally more efficient than larger development partners in supporting government to develop policies and guidelines. CHAI has secured close engagement with GoV partners built on mutual cooperation, and long-term working relationships. MoH views CHAI as a trusted partner in policy-related work as well as clinical matters. Activities in this area are relatively low cost (accounting for less than 10% of the project budget) and directly strengthen national systems. Monitoring The current M&E framework is sufficient for An activity completion report 5 and performance reporting including providing the and QAI-Final should be Evaluation required information for QAI criteria. conducted in 2015. CHAI and VAAC conduct six-monthly review Adjust M&E indicators meetings to jointly review progress and adjust relating to Objective 1 (to work External independent evaluations have monitor and report service been conducted for each Phase. There is also linkages, referral systems regular engagement of CHAI management with etc), the Objective 2 target the DFAT activity manager. (1,300-1,500 new children by Dec. 2015), and Objective 5 (to report planning activities The framework inherited the previous phases as well as policy). M&E work, with substantial improvement in integrating the indicators to the national M&E system. The current M&E framework is therefore highly regarded by VAAC and the MoH. The M&E framework is robust and captures a range of data required for project assessment and for policy making purposes such as survival rate, rate of retention on treatment, per cent of HIV-positve infants born to HIV-positive mothers, number of children on ART, average turnaround time for CD4 laboratory to return test results. These M&E arrangements ensure accountability, enhance decision-making and promote learning. M&E indicators require adjustment relating to Objective 1 (to monitor and report service linkages, referral systems etc), the Objective 2 target (1,300-1,500 new children by Dec. 2015), and Objective 5 (to report planning activities as well as policy). Sustainability Delayed commencement of provincial activities, DFAT to work with CHAI in 4 & domestic financial and resource confirming a Sustainability constraints impede sustainability. CHAI has Plan and Exit Strategy for the worked towards building sustainability by A final year. Sustainability providing training and mentoring to health care Plan is required for the final workers to assume leadership roles, and initiating 12 to 18 months that addresses:
Objective 5: Policies and guidelines. CHAI is generally more efficient than larger development partners in supporting government to develop policies and guidelines. CHAI has secured close engagement with GoV partners built on mutual cooperation, and long-term working relationships. MoH views CHAI as a trusted partner in policy-related work as well as clinical matters. Activities in this area are relatively low cost (accounting for less than 10% of the project budget) and directly strengthen national systems. Monitoring and Evaluation The current M&E framework is sufficient for performance reporting including providing the required information for QAI criteria. CHAI and VAAC conduct six-monthly review meetings to jointly review progress and adjust work External independent evaluations have been conducted for each Phase. There is also regular engagement of CHAI management with the DFAT activity manager. The framework inherited the previous phases M&E work, with substantial improvement in integrating the indicators to the national M&E system. The current M&E framework is therefore highly regarded by VAAC and the MoH. The M&E framework is robust and captures a range of data required for project assessment and for policy making purposes such as survival rate, rate of retention on treatment, per cent of HIV-positve infants born to HIV-positive mothers, number of children on ART, average turnaround time for CD4 laboratory to return test results. These M&E arrangements ensure accountability, enhance decision-making and promote learning. M&E indicators require adjustment relating to Objective 1 (to monitor and report service linkages, referral systems etc), the Objective 2 target (1,300-1,500 new children by Dec. 2015), and Objective 5 (to report planning activities as well as policy). 5 An activity completion report and QAI-Final should be conducted in 2015. Adjust M&E indicators relating to Objective 1 (to monitor and report service linkages, referral systems etc), the Objective 2 target (1,300-1,500 new children by Dec. 2015), and Objective 5 (to report planning activities as well as policy). Sustainability Delayed commencement of provincial activities, & domestic financial and resource constraints impede sustainability. CHAI has worked towards building sustainability by providing training and mentoring to health care workers to assume leadership roles, and initiating 4 DFAT to work with CHAI in confirming a Sustainability Plan and Exit Strategy for the final year. A Sustainability Plan is required for the final 12 to 18 months that addresses:
vietnam-chai-phase-3-mtr-report.docx