United Nations Development Programme
United Nations Development Programme
Country: Zimbabwe
Project Document
Project Title: Towards universal access: Improving accessibility to high quality DOTs in Zimbabwe
UNDAF Outcome(s): Outcome 1: Reduction of the spread of infection, improvement in the quality of life of those
infected and mitigation of the impact of HIV and AIDS
Expected CP Outcome(s): Strengthened management and coordination of national TB Control Programme
Expected Output(s): To further strengthen and expand the activities of the National Tuberculosis Program, by building
on activities funded under the Round 5 TB grant to Zimbabwe and addressing some of the remaining identified
weaknesses.
Executing Entity: UNDP Zimbabwe
Implementing Partners: Ministry of Health and Child Welfare (National Tuberculosis Program), Health Services Board,
and National Pharmaceutical Company of Zimbabwe (NatPharm); PSI; Southern Africa HIV and AIDS Dissemination
Service (Safaids); City of Harare, City of Bulawayo, RAPT
Responsible Parties: Ministry of Health and Child Welfare (National Tuberculosis Program), Health Services Board, and
National Pharmaceutical Company of Zimbabwe (NatPharm)
Brief Description
This project document is prepared to reflect the details of the new grant agreement with the Global Fund to implement the
Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) – TB Grant Round 8. UNDP Zimbabwe has been
requested to become the Principal Recipient of the Round 8 Global Fund grants and will manage the TB grant
The overall goal of the TB component further strengthen and expand the activities of the National Tuberculosis Program, by
building on activities funded under the Round 5 TB grant to Zimbabwe and addressing some of the remaining identified
weaknesses. The proposed interventions are designed to support and strengthen the existing National TB Programme (NTP)
efforts. The project will support i) the strengthening and expanding of the provision of high quality dots by 2013; ii) the
enhancement of TB/HIV collaboration and the scale up of the control and management of TB/HIV and MDR-TB; iii) the
engagement of all care providers; and iv) the empowerment of people with TB and supporting communities.
The project under UNDP Zimbabwe will aim to strengthen the national capacity to effectively and efficiently manage the TB
programme in Zimbabwe. As Principal Recipient of the Global Fund grant, UNDP Zimbabwe will be legally responsible for the
grant implementation; and responsible for the financial and programmatic management of the grant financed activities.
Programme Period: 1 November 2009- 31 October 2011
Total AWP budget:
28,236,113USD
Key Result Area (Strategic Plan):
Total resources required
Total allocated resources:
Regular
Other:
o Global Fund
o Government
Unfunded budget:
In-kind Contributions
28,236,113USD
28,236,113USD
28,236,113USD
______________
Atlas Award ID:
Proposal ID: 00058659
Project ID: 00072971
Start date:
End Date
1 November 2009
31 October 2011
PAC Meeting Date
Management Arrangements
14 Dec 2009
DIM
Agreed by Implementing Partner __________________
Agreed by UNDP
___________________
28,236,113USD
_________
_________
Hon. Dr. Henry Madzorera
Minister of Health & Child Welfare
Lare Sisay
Deputy Resident Representative
Situation Analysis
Tuberculosis (TB) is a major public health problem in Zimbabwe, which ranks 20th on the list of 22 highburden TB countries in the world. According to the World Health Organization’s Global Tuberculosis
Control Report 2008, Zimbabwe had an estimated number of 73,714 new TB cases in 2006, with an
estimated incidence rate of 557 cases per 100,000 people.
The growing HIV/AIDS epidemic led to increasing incidence of TB, which is now the leading cause of death
for people living with HIV/AIDS. Currently, the case detection rate is low but treatment outcomes for those
detected are improving but still below the global benchmark standard of 85%, a direct consequential effect
of the HIV/AIDs co-infection and the adverse socio-political situation in the country. The Zimbabwe
National Tuberculosis Program (NTP) which was initiated in late 1960s also faces serious shortcomings in
terms of human resources capacity, program management as well as limitations in access to and
availability of TB diagnosis, comprehensive care and treatment, procurement and supply chain
management constraints. Consequently the performance of the TB programme has been poor with a
decline in case-detection and treatment success rates. The NTP, which sits within the Ministry of Health
and Child Welfare (MoHCW), formally adopted the Directly Observed Treatment Short course (DOTS
strategy) in 1997.
Furthermore, a decade of high inflation, severe economic decline, and rising poverty has culminated in an
acute, ongoing humanitarian crisis in Zimbabwe. Despite many efforts by the Government, the Global Fund
and other partners, universal access to basic health services has been seriously compromised due to
deteriorating infrastructure and lack of material, human and financial resources. These challenges
significantly reduced the capacity of the previous Principal Recipients of the Global Fund (Zimbabwe
Association of Church- Related Hospitals; and the Ministry of Health and Child Welfare (MoHCW)) to
effectively and efficiently implement, manage and deliver on the Global Fund grants in the country.
The goal of the TB component under the Global Fund Round 8 grant is to further strengthen and expand
the activities of the National Tuberculosis Program, by building on activities funded under the Round 5
grant to Zimbabwe and addressing some of the remaining identified gaps and weaknesses.
The project aims to address these and other shortcomings identified in the review of the NTP. The activities
will seek to strengthen and expand provision of DOTS by improving diagnostic services. Recruitment and
retention of critical staff through salary support and provision of incentives will underpins these efforts.
Two peripheral microscopy centres per district will be established and equipped to make diagnostic
services more accessible to the rural population. District coordinators and managers will receive salary
incentives to encourage them to remain in post and vehicles will be provided to facilitate their duties.
Supervision will be further facilitated by providing Environmental Health Technicians (EHTs) at district level
motorcycles for use in supervision, disease prevention and control activities and to transport sputum
specimens from clinics to hospital for DSM. The paper TB register will be replaced with an electronic TB
Register (ETR) to improve tracking treatment and improve programme management.
TB/HIV will be addressed through recruitment of a national focal person, providing relevant training to all
NTP staff, to facilitate diagnosis of Sputum Smear Microscopy (SSM) negative cases. TB screening will be
provided for HIV infected persona and HIV care and treatment made available to all TB patients.
Appropriate referral systems will be put in place through strengthened coordination and referral
mechanisms; amongst other things Provincial and District TB/HIV committees will be established to mirror
the National committee. Engagement with the private sector will be strengthened and expanded by
appointment of a focal person in the NTP, through the process of developing a national policy and
guidelines by training NTP and private sector staff.
People with TB and communities will be empowered by the development of a national policy, by
conducting information and training meetings for community leaders and journalists, by mass media
information campaigns, while community TB care will be strengthened by provision of training at national
and local level and by provision of incentives for care providers in the community. In addition, social
mobilization activities will be undertaken in collaboration with the HIV programme.
Due to the complex country context, in November 2008 the Global Fund Board invoked the Additional
Safeguard Policy (ASP) for all current and future grants in Zimbabwe. Under this policy the Global Fund
Secretariat has as a risk mitigation strategy requested that UNDP Zimbabwe assumes Principal Recipient
(PR) responsibilities of the Round 8 and the remaining Round 5 grants for the three diseases.
Strategy
In line with the ZUNDAF outcomes, CPAP and national priority concerns, this project primarily serves to
strengthen the national capacity within the country for improved health service delivery.
UNDP efforts under the CPAP focuses interventions on strengthening the capacity of national institutions
to deliver on the Millennium Development Goals (MDGs) and provide basic social services to the most
vulnerable groups, particularly those affected by the HIV and AIDS pandemic and the humanitarian
challenges. The CPAP takes into account the strong linkages between poverty, HIV and AIDS and gender
and supports the Government of Zimbabwe in prioritising three of the MDGs (Goals 1, 3 and 6) whose
achievement will underpin the realization of all the other goals. The Global Fund project finances
programmes to address the HIV/AIDS, TB and malaria epidemics therefore will directly support priority
MDG 6 (Combat HIV and AIDS, Malaria and Other Diseases) in line with the CPAP (Outcome 5 – Effective
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Management and coordination of the HIV and AIDS national response in the context of the three ones,
including advocacy and resource mobilization) and national concerns.
Directly linked to the ZUNDAF outcome 1, this project seeks to reduce the spread of infection, improve the
quality of life of those infected, and mitigate the impact of HIV and AIDS. Secondly this project will
contribute to ZUNDAF outcome 5 in supporting the improved access to and utilization of preventive and
curative health services in improving and sustaining the availability of essential drugs and commodities in
health facilities.
UNDP Zimbabwe as the PR of the TB grant will seek to reduce the overall risk for the oversight of grant
funds, improve the flow of funds into the country and strengthen the national capacity within the country
for improved health services and the effective management of the national TB response. This arrangement
is time-bound and as PR, UNDP Zimbabwe will provide the necessary capacity building support to one or
more local entities with the view that they will eventually be re-phased in as PR(s).
The UNDP Country Office will be responsible for grant implementation; financial accountability; M&E and
all procurement and distribution of health and non-health products. Under these PR obligations, UNDP
Zimbabwe will seek to reduce the overall risk for the oversight of Global Fund grants, improvement of the
flow of funds into the country and strengthening capacity of national implementing partners for improved
health services.
Under the Additional Safeguard Policy, the Country Coordinating Mechanism (CCM) will continue to
perform its oversight role. UNDP will coordinate with the CCM to assure that the purposes of the project
are achieved. Under this oversight leadership role the CCM will continuously monitor the implementation
of activities financed by the Global Fund grant including approving major changes in implementation plans
as necessary.
The CCM completed the selection of 20 new CCM members in April 2009 and the selection of the new
office bearers was carried out in June 2009 and the new vice chair and chair were elected. UNDP will work
closely with the CCM to ensure efficient programme implementation and timely adherence to Global Fund
policies. UNDP will continue to provide regular updates to the CCM at the CCM meetings and CCM subcommittee meetings.
Management Arrangements
The project will be executed by UNDP in line with UNDP’s DIM (Direct Implementation Modality)
procedures and guidelines.
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Global Fund Project Management Unit (PMU)
To coordinate the implementation of the project and for the overall management, the UNDP Country
Office will establish the Project Management Unit (PMU) that besides coordinating the implementation of
the Grant will provide general guidance on Global Fund policies and procedures to all SRs participating in
the implementation of the Grant. An interim team in the UNDP will manage the project during the PMU
recruitment process.
The PMU presented below will comprise both international and national personnel that will assist the
Global Fund Project Coordinator with the delivery of the project activities. The Project Coordinator will
oversee the implementation of all Global Fund grants in addition to providing support to the
implementation of the capacity development plan. Furthermore, the Project Coordinator will ensure
facilitation of knowledge building and sharing within the UNDP Global Fund unit. Finally, the position will
also focus on partnership strengthening and coordination. S/he will report to the Deputy Resident
Representative.
The Senior Global Fund Project Advisor – a national post - will work fully in collaboration with the Project
Coordinator. This Senior Project Advisor provides support on the oversight of the Global Fund projects, and
provides strategic direction for the development and provision of support services in the implementation
of projects. The Senior Project Adviser will also provide technical leadership to the implementation of the
grants, in collaboration with all partners, to ensure that the implemented projects will contribute to the
broader national strategy.
Reporting to the Global Fund Project Coordinator will be the following five international posts:
 The Capacity Development Specialist ensures design and implementation of capacity development
activities by providing policy and strategic guidance and leadership, in addition to project planning,
implementation and monitoring and reporting on programs.
This position will be supported by a Capacity Development Advisor, a national post.

The Monitoring and Evaluation Specialist ensures the implementation and effective management of
monitoring and evaluation policies and strategies, in addition to the sound facilitation of knowledge
building and sharing in the area of monitoring and evaluation.
This position will be supported by 3 M&E officers for each disease component; all 3 are national
posts.

The Operations Manager ensures the provision of policy support of, and adherence to, the UNDP
Global Fund Unit on UNDP Rules, Regulations and policies. The Position provides financial resources
management and supervises the PMU Finance Team, as well ensuring efficient Procurement and
Supply Management operation and will supervise the PSM Team. In addition, the UNDP Country
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Office Human Resource unit will ensure strategic human resource management and supervision of
the PMU unit.
The position will also have direct reports from 6 national posts- HR Associate, Administrative
Assistant and 4 Transport Assistants.

The Finance Specialist will provide effective, accurate financial resources management and oversight
and will ensure the successful implementation of operations strategies and procedures. In addition,
the position manages the Project budget and will organize an optimal cost-recovery system and will
ensure proper control of Project accounts and Project cash management. Finally, the Finance
Specialist will be closely monitoring the financial activity of the sub-recipients and other
implementing partners.
This position will be supported by 6 national posts – Finance Analyst, Finance Associate and 4
Finance Assistants.

The PSM Specialist ensures the provision of effective and efficient PSM activities under the Global
Fund grants and ensures full compliance of procurement activities with UN/UNDP rules, regulations,
policies and strategies. Furthermore, the PSM Specialist will take the lead on developing a strategy
for appropriate integration of UNDP / Global Fund procurement activities with those of other
agencies (including WHO, UNICEF, etc.), and towards strengthening Governmental /Ministry of
Health capacity.
This position will be supported by 5 national posts – Procurement Manager, Pharmacist, Contracts
Manager and 2 Procurement Associates.
Finally, the Programme Officer for each disease component (3 national positions in total) will be
responsible for the management of the Global Fund project under that component within the PMU, and
the supervision and coordination of the programme support staff in the implementation of programme
strategies.
The Programme Officers within the PMU will work closely with the existing focal person/programme
manager within the SR to enhance grant performance and management through strengthened
coordination in the programme. In addition, the Programme Officers will collaborate with the PMU
operations team, UNDP Country Office Staff, programme officers in UN Agencies, Government officials,
technical advisors and experts, multi-lateral and bi-lateral donors and civil society ensuring successful
UNDP programme implementation. Finally, the Programme Officer will ensure top quality policy advisory
services on HIV/AIDS to the Government and National Institutions and facilitation of knowledge building
and management. The Programme Officers will report directly to the Project Coordinator and will each be
supported by disease-specific Programme Assistant (3 national posts).
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Project Management Structure
Project Board
Policy management will be vested with the Project Board. The Project Board will be chaired by the
Permanent Secretary for the Ministry of Health and Child Welfare with the UNDP Deputy Resident
Representative as the co-chair. The main role of the Project Board will be to reinforce the CCM’s role in the
oversight of and accountability for the project. The board will be responsible for making all policy decisions
for the project and shall meet quarterly to review the overall progress and outcomes of the project with
the aim of proposing changes to the methodology or providing solutions to problems were necessary.
These decisions will relate to the scope, extension, expansion, reduction, or continuation of the
Programme.
As a minimum, the Project Board is composed of the following roles:
 Executive: representing the project ownership and acting as the chair. This function will be
assumed by UNDP Deputy Resident Representative.
 Senior Supplier: providing guidance regarding the technical feasibility of the project. This function
will be performed by the Permanent Secretary Ministry of Health and Child Welfare.
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 Senior Beneficiary: ensuring the realization of project benefits from the perspective of
beneficiaries. This role will be assumed by the Sub Recipient organization.
Project Board
•Executive (Chair)
•Senior Supplier
•Senior Beneficiary
Project
Assurance
Project Manager
Project
Support
The Project Board will be composed of a representative from the CCM (government entities or civil
societies), a representative of the UNDP PMU and a representative of the Implementing partners under the
project. The potential members of the Project Board are to be reviewed and recommended for approval by
the Local Appraisal Committee.
Project Assurance and Support
In keeping with results based management structure, a project manager and support at the national
structure will coordinate and manage the day to day programme implementation. A Monitoring and
Evaluation specialist and 3 M&E Officers will form part of the project management team. UNDP will
exercise a quality assurance functions as required under the results based management structure.
Financial arrangements and funding structure
In order to maintain an even level of financial performance, different payment modalities will be used:
Direct Cash Transfer from UNDP to SRs as Advance Payment, Direct Cash Transfer from UNDP to SSRs as
grants on behalf of SRs and at the request of SR’s and SSR’s UNDP makes Direct Payments to their
suppliers.
In order to mitigate financial risk and speed up processes of liquidation/validation of expenses incurred by
SRs and SSRs, SRs and SSRs will submit financial reports monthly in addition to quarterly and annual
reports.
8
To ensure full compliance, UNDP will provide reporting procedures and guidelines to SRs and SSRs and also
facilitate On the Job Training and support on financial management as part of the Capacity Development
process in this project.
Procurement of goods and services
Under the project’s Direct Implementation Modality arrangement (DIM), the strategy for the procurement
of pharmaceuticals, diagnostic equipment and relevant supplies will be conducted by UNDP with Key
Implementing Partners:

Procurement of pharmaceuticals will be carried out by UNDP via its partnership agreement with
UNICEF Supply Division. UNICEF procures through their Long Term Agreements (LTA), which are based
on a competitive process mostly directly with manufacturers, in which adherence to stringent quality
assurance was the main criterion.

Procurement of health equipment and supplies will be carried out by UNDP/PSO/Global Procurement
Unit (GPU) through their LTA which are based on a competitive process, in which adherence to strict
technical specifications coupled with after-sales services as the main criterion.
The Procurement and Supply Management (PSM) activities will be conducted by UNDP with the support of
the Ministry of Health and Child Welfare (MOHCW) as the national agency responsible for the selection of
drugs, technical specifications, quantification and forecasting, Logistics Management Information System
(LMIS), and rational drug use. The Medicines Control Authority of Zimbabwe (MCAZ) for the arrangement
of quality testing procedures, certification and control of pharmaceuticals. The storage and distribution of
health products shall be the responsibility of National Pharmaceutical Company of Zimbabwe (NatPharm),
a government-owned enterprise (quasi-governmental organization/parastatal).
Audits
The audit of the project will be conducted as per Article 7 of the UNDP-Global Fund Grant Agreement for
the project in consultation with the Office of Audit and Investigation (OAI) UNDP headquarters. UNDP
Country Office will arrange for an audit of UNDP’s support provided to its SRs.
Implementation and Institutional Arrangements
In the implementation of the project, UNDP Country Office will coordinate closely with Government, bilateral development partners, civil society and private sector to harmonise and coordinate the response in
supporting the implementation of Global Fund grants and in the establishment of a strong communication
policy and ways of sharing lessons of implementing in this dynamic environment. Moreover the UNDP
Country Office will work with these stakeholders to strengthen national capacity in the implementation of
the project activities. Bi-lateral partners include DfID, EU, USAID (CDC, PEPFAR) and UN agencies (UNAIDS,
UNFPA, UNICEF and WHO).
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UNDP will engage as Sub Recipients the Ministry of Health and Child Welfare (National TB Programme
(NTP) and Health Services Board and the National Pharmaceutical Company of Zimbabwe (NatPharm).
The National Tuberculosis Programme within the Ministry of Health and Child Welfare will be responsible
for the implementation of the programmatic activities and NatPharm will be the implementing agency for
storage and distribution without having to replicate or have parallel structure to support UNDP’s role as PR
in Zimbabwe.
NatPharm is the implementing agency for storage and distribution for major donors and UN Agencies such
as UNICEF, UNFPA and WHO. NatPharm was the result of the promulgation of the Government Medical
Stores (Commercialisation) Act, 2000. It was established as an autonomous not-for-profit organisation
registered in terms of Section 26 of the Companies Act (Chapter 24:03) with an independent Board
appointed by the Minister of Health and Child Welfare. NatPharm has six warehouses nationwide whose
storage capacity of approximately 12, 812 square metres. The regional store in Harare which will serve as
the major international receiving store has a capacity of 6,621 square metres.
The Health Services Board (HSB) is directly responsible for all staffing and service matters in the health
sector with the aim for an overall improvement of the sector in order to attract and retain professional
staff. HSB manages the Retention Scheme and works closely with donor partners, including the Global
Fund, to ensure effective implantation of the Scheme. HSB is the result of the Health Services Bill, which
passed through parliament in 2004, effectively removed all health service personnel from the employ of
the Public Service Commission (PSC) and placed them under the Health Services Board.
The CCM will continue to perform its oversight role and will approve all major changes in implementation
plans as necessary.
Monitoring Framework and Evaluation
Project monitoring and evaluation will be conducted in accordance with established UNDP and Global Fund
policies and procedures. The indicators set in the performance framework of the grant agreement will form
the basis on which the project’s Monitoring and Evaluation system will be built.
Quarterly
-
On a quarterly basis Joint Review Meetings with all implementing partners will be held to discuss
progress in the implementation of the project, challenges, constraints and lessons learnt. Progress
towards the completion of key results, will be updated in Atlas.
-
The Local Fund Agent (LFA) will undertake reviews of program implementation on a quarterly
basis, on the basis of the Disbursements Requests and Progress Updates submitted by the UNDP
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Country Office. The objectives of these reviews are mainly for the verification of the information
from which the quarterly report is compiled.
Annual Audit
- As an Additional Safeguard country, UNDP’s Office of Audit and Investigation are required to
complete an annual audit of the Global Fund programs in compliance with the grant agreement
signed with the Global Fund.
End of Project Review
-
An end of project review meeting will be done during the last quarter of implementation with all
the actors in the implementation of the Grant. The purpose of the review is to assess and evaluate
if the project has achieved its goal, objectives and targets.
Quality Management for Project Activity Results
OUTPUT 1:
Activity Result 1
Improving TB Diagnosis
(1.1.1)
Start Date:1 Nov2009
End Date: 31 Oct 2011
Purpose
Overall strengthening of TB supportive environment to strengthen and expand provision of
high quality DOTS
Description
-
Renovate/Equip 92 clinics to perform smear microscopy at clinic level
-
Procure 65 microscopes for smear microscopy at clinic level including prisons, army and
police clinics
-
Establish and maintain courier service contract for culture specimens for 200 health
facilities
Quality Criteria
Quality Method
Date of Assessment
Number of
microscopic centres
created
Quarterly reports by MOHCW
Every Quarter
Activity Result 2
Standardized treatment, patient support and patient charter
Start Date:1 Nov2009
(1.2.1)
End Date: 31 Oct 2011
Purpose
Overall strengthening of TB supportive environment to strengthen and expand provision of
high quality DOTS
Description
-
Procure anti-TB drugs
-
Test first line anti-TB drugs for quality assurance
Quality Criteria
Quality Method
Date of Assessment
Percent of all TB
patients
treated
under
DOTS
in
health facilities
Quarterly reports by MOHCW
Every Quarter
Activity Result 3
M&E
Start Date:1 Nov2009
(1.2.2)
End Date: 31 Oct 2011
Purpose
Overall strengthening of TB supportive environment to strengthen and expand provision of
high quality DOTS
Description
Conduct TB disease prevalence survey
Quality Criteria
Quality Method
Date of Assessment
Disease prevalence
Quarterly reports by MOHCW
Every Quarter
11
survey conducted
Activity Result 4
M&E
(1.3.1)
Start Date:1 Nov2009
End Date: 31 Oct 2011
Purpose
Overall strengthening of TB supportive environment to strengthen and expand provision of
high quality DOTS
Description
Purchase of ETR software for data management
Quality Criteria
Quality Method
Date of Assessment
Cost of software
Quarterly reports by MOHCW
Every Quarter
Activity Result 5
Program management and administration
Start Date:1 Nov2009
(1.3.2)
End Date: 31 Oct 2011
Purpose
Overall strengthening of TB supportive environment to strengthen and expand provision of
high quality DOTS
Description
-
Hold quarterly TB/HIV review meetings for the national committee (20 people).
-
Conduct supervision visit to 10 provinces twice annually
Quality Criteria
Quality Method
Date of Assessment
# of people
attending the
meeting
Quarterly reports by MOHCW
Every Quarter
Activity Result 6
HSS (beyond TB)
Start Date:1 Nov2009
(1.4.1)
End Date: 31 Oct 2011
Purpose
To strengthen the Health Systems Strengthening (HSS) to strengthen and expand provision of
high quality DOTS
Description
-
Salary support for Monitoring and Evaluation officer x 1
-
Recruit and maintain salary support for National PPM/ISTC coordinator
-
Develop national TB infection control policy and guidelines
Quality Criteria
Quality Method
Date of Assessment
Monthly salary cost
per National
PPM/ISTC
Quarterly reports by MOHCW
Every Quarter
Activity Result 7
TB/HIV Address
Start Date:1 Nov2009
(2.1.1)
End Date: 31 Oct 2011
Purpose
To collaborate TB/HIV Activities
Description
-
Train health care workers in TB/HIV including intensified TB case finding and infection
control
-
Peer Educators cascade TB prevention, care and support activities in communities to
support groups
Quality Criteria
Quality Method
Date of Assessment
# of health care
workers trained
Quarterly reports by MOHCW
Every Quarter
Activity Result 8
MDR-TB
Start Date:1 Nov2009
(2.2.1)
End Date: 31 Oct 2011
Purpose
To address TB/HIV, MDR-TB and other challenges to develop a strengthened a TB supportive
environment
Description
Conduct training for staff from 2 MDR hospitals on MDR-TB case management
Quality Criteria
Quality Method
Date of Assessment
# of staff trained
Quarterly reports by MOHCW
Every Quarter
Activity Result 9
All care providers (PPM / ISTC - Public-Public, Public-Private Mix
Start Date:1 Nov2009
12
(2.2.2)
(PPM) approaches and International standards for TB care)
End Date: 31 Oct 2011
Purpose
To address TB/HIV, MDR-TB and other challenges to develop a strengthened a TB supportive
environment
Description
-
Printing guidelines, IEC material, training material, forms and registers
-
Conduct training for Private facility staff
Quality Criteria
Quality Method
Date of Assessment
# of materials
printed
Quarterly reports by MOHCW
Every Quarter
Activity Result 10
Community TB care
Start Date:1 Nov2009
(2.2.3)
End Date: 31 Oct 2011
Purpose
To address TB/HIV, MDR-TB and other challenges to develop a strengthened a TB supportive
environment
Description
Conduct training for district trainers on CTBC for 170 x 5 days
Quality Criteria
Quality Method
Date of Assessment
# people trained
/district
Quarterly reports by MOHCW
Every Quarter
Activity Result 11
ACSM (Advocacy, communication and social mobilization)
Start Date:1 Nov2009
(2.2.4)
End Date: 31 Oct 2011
Purpose
To address TB/HIV, MDR-TB and other challenges to develop a strengthened a TB supportive
environment
Description
Conduct training workshop for journalists and civil group representatives in TB/HIV issues
(print, electronic media)
Quality Criteria
Quality Method
Date of Assessment
# journalists trained
Quarterly reports by MOHCW
Every Quarter
Activity Result 12
HSS (beyond TB)
Start Date:1 Nov2009
(2.3.1)
End Date: 31 Oct 2011
Purpose
To strengthen Health Systems Strengthening (HSS)
Description
Enrol 3 medical personnel/year for MDR training in Latvia
Quality Criteria
Quality Method
Date of Assessment
# of persons
trained/year
Quarterly reports by MOHCW
Every Quarter
Activity Result 13
TB/HIV
Start Date:1 Nov2009
(2.1.1)
End Date: 31 Oct 2011
Purpose
To collaborate TB/HIV Activities
Description
Initiate ART to eligible TB patients Conduct HIV prevalence survey among TB patients
Quality Criteria
Quality Method
Date of Assessment
# of TB patients with
HIV initiated on
Cotrimoxazole
prophylaxis ( budget
included under
procurement of
Cotrimoxazole)
Quarterly reports by MOHCW
Every Quarter
Activity Result 14
MDR-TB
Start Date:1 Nov2009
(2.4.1)
End Date: 31 Oct 2011
Purpose
To strengthen TB treatment
Description
Procure second line anti-TB drugs (SLD) to treat 25 MDR-TB patients in year 1 and 40 in year 2
13
Quality Criteria
Quality Method
Date of Assessment
# of patients on 2nd
line anti-TB drugs
Quarterly reports by MOHCW
Every Quarter
Activity Result 15
MDR-TB
Start Date:1 Nov2009
(2.3.2)
End Date: 31 Oct 2011
Purpose
To strengthen Health Systems Strengthening (HSS)
Description
Renovate 2 wards at Thorngrove hospital for MDR-TB management
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
High-risk groups
Start Date:1 Nov2009
# of wards
renovated
Activity Result 16
(2.2.5)
Every quarter
End Date: 31 Oct 2011
Purpose
To develop further the TB supportive environment
Description
Renovate prison clinics at Masvingo, Hwa-Hwa, Bindura, Chinhoyi, Kadoma, Hwange, Mutare
and Chipinge to provide smear microscopy (clinics included for renovation under Improving
diagnosis)
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
M&E
Start Date:1 Nov2009
# of prison clinics
renovated
Activity Result 17
(2.2.6)
Every quarter
End Date: 31 Oct 2011
Purpose
To develop further the TB supportive environment
Description
Conduct HIV prevalence survey among TB patients
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Infection Control
Start Date:1 Nov2009
Cost of supplies,
stationery, research
assistants at USD
30000
Activity Result 18
(2.2.7)
Every quarter
End Date: 31 Oct 2011
Purpose
To develop further the TB supportive environment
Description
Improve room air ventilation in waiting areas and patients wards of hospitals
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Improving Diagnosis
Start Date:1 Nov2009
# of ceiling
ventilators procured
for improved
ventilation in
waiting areas and
inpatients wards.
Activity Result 19
(2.5.1)
Every quarter
End Date: 31 Oct 2011
Purpose
To improve TB detection
Description
Procure laboratory supplies and glassware for TB culture
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Infection control
Start Date:1 Nov2009
# of supplied
procured
Activity Result 20
(2.5.2)
Every quarter
End Date: 31 Oct 2011
14
Purpose
To improve TB detection
Description
Procure personal protective devices (PPD)/respirators (N95 masks) for staff in MDR wards
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Start Date:1 Nov2009
(3.1.1)
All care providers (PPM / ISTC - Public-Public, Public-Private Mix
(PPM) approaches and International standards for TB care)
Purpose
To further engage all care providers to strengthen the TB supportive environment
Description
-
Develop national policy and operational guidelines for PPM/ISTC
-
Develop IEC materials
# of protective
devices procured
Activity Result 21
Quality Criteria
# of IEC materials
developed
Activity Result 22
Every quarter
End Date: 31 Oct 2011
Quality Method
Quarterly reports by MOHCW
Date of Assessment
ACSM (Advocacy, communication and social mobilization)
Start Date:1 Nov2009
(4.1.1)
Every quarter
End Date: 31 Oct 2011
Purpose
To further engage all care providers to strengthen the TB supportive environment
Description
Conduct consensus meetings in year 1 and year 3 to prioritize mass media communication
requirements based on review of recent research findings on service uptake and needs
Tracking of print media coverage, reach of radio/TV programmes, qualitative research on
impact, monitoring of effect of exposure to specific media content on behaviours
Quality Criteria
number of people
attending consensus
meeting
Activity Result 23
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Community TB care
Start Date:1 Nov2009
(4.1.2)
Every quarter
End Date: 31 Oct 2011
Purpose
To further engage all care providers to strengthen the TB supportive environment
Description
Conduct one supervisory visit per district biannually x 85 district x 3 day x 2 people
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Start Date:1 Nov2009
(4.1.3)
Supportive environment: Program management and
administration
Purpose
To further engage all care providers to strengthen the TB supportive environment
Description
Administrative and other support costs for SR consortium PSI/Safaids, RAPT, Harare City,
Bulawayo city, MOHCW, BRTI
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
High-risk groups
Start Date:1 Nov2009
# of people per visit
Activity Result 24
AOS fee of direct
cost
Activity Result 25
(4.1.4)
Every quarter
End Date: 31 Oct 2011
Every quarter
End Date: 31 Oct 2011
Purpose
To further engage all care providers to strengthen the TB supportive environment
Description
Renovate 1 ward at Chikurubi prison hospital
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Procurement and supply management
Start Date:1 Nov2009
# of wards
renovated
Activity Result 26
Every quarter
15
(4.1.5)
End Date: 31 Oct 2011
Purpose
To further engage all care providers to strengthen the TB supportive environment
Description
PSM cost
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
HSS (beyond TB)
Start Date:1 Nov2009
Transportation and
Insurance (8% of
cost of goods)
Activity Result 27
(5.1.1)
Every quarter
End Date: 31 Oct 2011
Purpose
Support the National Health Systems strengthening
Description
Contribution to HR retentions scheme
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Start Date:1 Nov2009
(6.1.1)
Supportive environment: Program management and
administration
Purpose
Support the National Health Systems strengthening
Description
Capacity development for selected SRs
Quality Criteria
Quality Method
Quarterly reports by MOHCW
Date of Assessment
Supportive environment: Program management and
administration
Start Date:1 Nov2009
(7.1.1)
Purpose
To create a supportive environment for the PMU’s management and administration
Description
Contribution to Staff and operating Costs of UNDP/ PMU
Quality Criteria
Quality Method
Date of Assessment
Start Date:1 Nov2009
GMS
Supportive environment: Program management and
administration
Purpose
To create a supportive environment for the PMU’s management and administration
Description
General Management Fees
Quality Criteria
Quality Method
Retention HR staff
Activity Result 28
training,
consultancies and
miscellaneous
Activity Result 29
Every quarter
End Date: 31 Oct 2011
Every quarter
End Date: 31 Oct 2011
staff and operating
costs
Activity Result 30
End Date: 31 Oct 2011
Date of Assessment
Management fees
Legal Context
This project document shall be the instrument referred to as such in Article 1 of the Standard
Basic Agreement between the Government of Zimbabwe and the United Nations Development
Programme signed by the parties on 27 May, 1980. The host country-implementing agency shall
for the purpose of the Standard Basic Assistance Agreement refer to the Government cooperation agency described in that Agreement.
16
The following types of revisions may be made to this project document with the signature of the
UNDP Resident Representative only, provided he/she is assured that the other signatories of the
project document have no objections to the proposed changes.
(a)
Revision in or addition of any of the Annexes to this project document.
(b)
Mandatory annual revisions which re-phase the delivery of agreed, project input or
increased expert or other costs due to inflation or take into account agency expenditure
flexibility.
17
Annual Work Plan
ACTIVITY ID
ACT1.1.1
EXPECTED OUTPUTS
Number of microscopic
centers created
ACT1.1.1
ACT1.1.1
PLANNED
ACTIVITIES
Improving
diagnosis
TIMEFRAME
Q1
Q2
Q3
Q4
RESPONSIBLE
PARTY
X
X
X
X
MOHCW
X
Target Year 1 = 30; Year 2
= 92
X
X
X
X
X
X
X
UNDP
UNDP
Funding
Source
GFATM
GFATM
GFATM
Budget
Description
Contractual
ServicesCompanies
Contractual
ServicesCompanies
Equipment &
Furniture
PLANNED BUDGET
Amount
Amount
2009
2010
-
145,000
145,000
-
720,000
700,000
130,000
3,065,867
37,867
75,000
1,407,948
304,948
-
9,000
-
-
23,375
35,063
Rental & Maint of
Other Equip
-
16,500
-
Audio Visual&Print
Prod Costs
-
2,500
-
150
150
-
-
44,421
32,718
205,150
5,434,761
1,255,595
ACT1.1.1
X
X
X
X
UNDP
GFATM
Materials & Goods
ACT1.1.1
X
X
X
X
UNDP
GFATM
Information
Technology
Equipmt
Rental & Maint of
Other Equip
ACT1.1.1
ACT1.1.1
ACT1.1.1
ACT1.1.1
ACT1.1.1
Total Activity 1.1.1
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
MOHCW
UNDP
MOHCW
MOHCW
MOHCW
GFATM
GFATM
GFATM
GFATM
GFATM
Amount
2011
Miscellaneous
Expenses
Training,
Workshops and
Confer
ACTIVITY ID
ACT1.2.1
Total Activity 1.2.1
ACT1.2.2
Total Activity 1.2.2
ACT1.3.1
Total Activity 1.3.1
ACT1.3.2
ACT1.3.2
ACT1.3.2
ACT1.3.2
ACT1.3.2
EXPECTED OUTPUTS
PLANNED
ACTIVITIES
TIMEFRAME
Q1
Q2
Q3
Q4
X
X
X
RESPONSIBLE
PARTY
Funding
Source
Number of TB Patients
Category I treated. Target
Year 1 = 40,000; Year 2 =
40,000
Standardized
treatment
X
N/A
Monitoring and
Evaluation
X
ETR software
for data
management
X
Program
management
and
administration
X
X
X
X
MOHCW
GFATM
Travel
X
X
X
X
UNDP
GFATM
X
X
X
X
UNDP
GFATM
Equipment &
Furniture
Information
Technology
Equipmt
Rental & Maint of
Other Equip
Audio Visual&Print
Prod Costs
N/A
N/A
X
X
X
X
X
X
X
X
X
X
X
X
X
X
UNDP
GFATM
Materials & Goods
MOHCW
GFATM
International
Consultants
UNDP
MOHCW
UNDP
GFATM
GFATM
GFATM
ACT1.3.2
X
X
X
X
MOHCW
GFATM
ACT1.3.2
X
X
X
X
UNDP
GFATM
Total Activity 1.3.2
PLANNED BUDGET
Budget
Amount
Amount
Description
2009
2010
Information
Technology
Equipmt
Miscellaneous
Expenses
Miscellaneous
Expenses
Amount
2011
1,955,579
1,917,234
38,345
1,955,579
1,917,234
38,345
10,075
-
-
10,075
-
-
-
5,000
-
-
5,000
-
30,000
120,000
90,000
-
2,171,500
-
-
242,100
-
3,900
15,600
11,700
-
1,000
-
990
199,271
226,369
-
261,000
-
34,890
3,010,471
328,069
19
ACTIVITY ID
ACT1.4.1
ACT1.4.1
EXPECTED OUTPUTS
Number of community
health workers trained
MOHCW
Funding
Source
GFATM
PLANNED BUDGET
Budget
Amount
Amount
Description
2009
2010
International
10,075
76,600
Consultants
X
MOHCW
GFATM
Local Consultants
X
MOHCW
GFATM
Contractual
Services - Individ
Q1
Q2
Q3
Q4
RESPONSIBLE
PARTY
HSS beyond TB
X
X
X
X
X
X
X
X
X
X
Target Year 1 = 510; Year
2 = 1020
ACT1.4.1
ACT1.4.1
ACT1.4.1
X
X
ACT1.4.1
Total Activity 1.4.1
ACT2.1.1
TIMEFRAME
PLANNED
ACTIVITIES
X
X
X
X
X
X
X
X
X
X
MOHCW
MOHCW
MOHCW
GFATM
GFATM
GFATM
Grants
Audio Visual&Print
Prod Costs
Training,
Workshops and
Confer
X
X
X
X
MOHCW
GFATM
Local Consultants
X
X
X
X
X
X
X
X
MOHCW
MOHCW
GFATM
GFATM
Travel
Grants
ACT2.1.1
X
X
X
X
MOHCW
GFATM
ACT2.1.1
X
X
X
X
MOHCW
GFATM
Miscellaneous
Expenses
Training,
Workshops and
Confer
ACT2.1.1
ACT2.1.1
Total Activity 2.1.1
ACT2.2.1
ACT2.2.1
Total Activity 2.1.2
TB/HIV
Target Year 1 = 180 Year 2
= 180
48,000
36,000
147,180
890,220
1,052,640
6,800
6,800
-
13,500
7,500
-
47,839
608,463
211,438
MDR-TB
X
X
X
X
X
X
X
X
MOHCW
MOHCW
GFATM
GFATM
Audio Visual&Print
Prod Costs
Training,
Workshops and
Confer
1,637,583
1,310,153
-
10,200
-
6,000
24,000
18,000
34,444
43,722
34,278
3,713
7,425
3,713
13,632
54,529
40,897
57,789
N/A
10,075
12,000
237,394
Number of health workers
trained in TB/HIV
Amount
2011
139,877
96,888
-
1,000
1,500
-
5,618
20,765
6,618
22,265
20
ACTIVITY ID
EXPECTED OUTPUTS
ACT2.2.2
Number of public service
staff trained
ACT2.2.2
Target Year 200 = 25 Year
2 = 200
Total Activity 2.2.2
ACT2.2.4
Total Activity 2.2.4
ACT2.2.5
ACT2.2.5
Total Activity 2.2.5
PLANNED
ACTIVITIES
PPM / ISTC
approaches
and
International
standards for
TB care
TIMEFRAME
Q1
Q2
Q3
Q4
RESPONSIBLE
PARTY
X
X
X
X
MOHCW
GFATM
X
X
X
X
MOHCW
GFATM
Funding
Source
PLANNED BUDGET
Budget
Amount
Amount
Description
2009
2010
Audio Visual&Print
1,500
Prod Costs
-
Training,
Workshops and
Confer
ACSM
(Advocacy,
communication
and social
mobilization)
X
N/A
High-risk
groups
X
X
X
X
MOHCW
GFATM
-
63,892
90,882
65,392
42,131
90,882
14,044
42,131
-
14,044
-
9,150
-
9,150
-
-
Percentage of population
with correct knowledge
about TB (mode of
transmission,
symptoms,treatment and
curability Target Year 1 =
50% Year 2 = N/A
Amount
2011
Grants
-
-
X
X
X
X
X
X
X
UNDP
MOHCW
GFATM
GFATM
Contractual
ServicesCompanies
Audio Visual&Print
Prod Costs
-
-
21
ACTIVITY ID
ACT2.2.6
Total Activity 2.2.6
ACT2.3.1
Total Activity 2.3.1
ACT2.3.2
EXPECTED OUTPUTS
N/A
PLANNED
ACTIVITIES
HIV
prevalence
survey among
TB patients
N/A
Training NTP
staff
Total Activity 2.5.1
ACT2.5.2
Total Activity 2.5.2
Q2
Q3
Q4
X
X
X
X
MOHCW
Funding
Source
GFATM
PLANNED BUDGET
Budget
Amount
Amount
Description
2009
2010
Grants
30,000
-
X
X
X
X
MOHCW
GFATM
Training,
Workshops and
Confer
N/A
MDR-TB
Management
X
X
X
X
X
X
X
X
X
X
X
X
MOHCW
UNDP
MOHCW
GFATM
GFATM
GFATM
International
Consultants
Contractual
ServicesCompanies
Audio Visual&Print
Prod Costs
MDR-TB
Treatment
X
X
X
X
UNDP
GFATM
TB Culture
Infection
Control
56,000
56,000
100,000
56,000
-
40,000
-
-
5,000
140,000
182,970
5,000
3,607
182,970
68,000
3,607
68,000
68000
-
68000
10,000
-
10,000
-
Materials & Goods
131,778
X
X
X
X
UNDP
GFATM
Materials & Goods
0
N/A
30,000
56,000
-
131,778
N/A
-
-
Number of laboratoryconfirmed MDR-TB
patients enrolled in
second line anti-TB
treatment Target Year 1 =
25 Year 2 = 40
Amount
2011
-
ACT2.3.2
Total Activity 2.4.1
ACT2.5.1
Q1
RESPONSIBLE
PARTY
-
ACT2.3.2
Total Activity 2.3.2
ACT2.4.1
TIMEFRAME
X
X
X
X
UNDP
GFATM
Materials & Goods
-
22
ACTIVITY ID
ACT3.1.1
EXPECTED OUTPUTS
N/A
PLANNED
ACTIVITIES
All care
providers (PPM
/ ISTC - PublicPublic, PublicPrivate Mix
(PPM)
ACT3.1.1
ACT3.1.1
TIMEFRAME
Q1
Q2
Q3
Q4
RESPONSIBLE
PARTY
X
X
X
X
MOHCW
GFATM
X
X
X
X
MOHCW
GFATM
X
X
X
X
MOHCW
Funding
Source
GFATM
PLANNED BUDGET
Budget
Amount
Amount
Description
2009
2010
International
Consultants
-
Audio Visual&Print
Prod Costs
-
Miscellaneous
Expenses
-
Total Activity 3.1.1
Amount
2011
-
21,000
-
500
375
21,500
375
ACT4.1.1
N/A
ACSM
(Advocacy,
communication
and social
mobilization)
X
X
X
X
ACT4.1.1
MOHCW
ACT4.1.1
Total Activity 4.1.1
ACT4.1.2
Total Activity 4.1.2
ACT4.1.3
ACT4.1.3
Total Activity 4.1.3
MOHCW
X
X
X
X
MOHCW
GFATM
GFATM
GFATM
Grants
27,375
652,484
189,087
Rental & Maint of
Other Equip
6,500
6,500
-
Audio Visual&Print
Prod Costs
13,050
49,050
36,000
46,925
N/A
N/A
Community TB
care
X
X
X
X
MOHCW
GFATM
Grants
Supportive
environment
X
X
X
X
MOHCW
GFATM
Grants
X
X
X
X
MOHCW
GFATM
Miscellaneous
Expenses
17,300
17,300
708,034
69,220
225,087
33,744
69,220
88,513
33,744
68,257
91,279
68,459
179,792
136,716
20,920
22,820
43,740
23
ACTIVITY ID
ACT4.1.5
EXPECTED OUTPUTS
N/A
PLANNED
ACTIVITIES
Procurement
and supply
management
ACT4.1.5
Total Activity 4.1.5
ACT5.1.1
Total Activity 5.1.1
ACT6.1.1
TIMEFRAME
Nathparm
Funding
Source
GFATM
PLANNED BUDGET
Budget
Amount
Amount
Description
2009
2010
Materials & Goods
403,157
114,137
UNDP
GFATM
Materials & Goods
Q1
Q2
Q3
Q4
RESPONSIBLE
PARTY
X
X
X
X
X
X
X
X
174,169
288,305
% of nurses and doctors in
post against authorised
staff establishment for
nurses
Retention
Scheme
Capacity building
strategies and plans for
the SRs developed (year 1)
and implemented (year 2)
Capacity
development
for selected
SRs
X
X
X
X
MOHCW/HSB
GFATM
Contractual
Services - Individ
X
X
UNDP
GFATM
583,253
182,243
986,411
-
364,486
-
519,494
389,620
519,494
389,620
280,000
210,000
280,000
1,085,675
210,000
326,121
16,595,312
4,984,996
3,003,787
3,003,787
X
Amount
2011
182,243
Training,
Workshops and
Confer
-
Total Activity 6.1.1
ACT7.1.1
Total Activity 7.1.1
GMS
Grand Total
N/A
Staff and
operating Costs
of UNDP/ PMU
X
X
X
X
UNDP
GFATM
Grant
Management
187,667
187,667
N/A
General
Management
Fees
X
X
X
X
UNDP
GFATM
Facilities &
Administration
435,426
6,655,805
24
Risk Analysis
#
Description
1
2
3
4
5
Date
Identified
Development
partners
have a general concern
about Global Fund Grants
in Zimbabwe
May 2009
Harmonization of salaries
for staff of public sector
and possible loss of staff
(‘health workers retention
scheme’)
May 2009
SRs are not reporting their
expenditures according to
UNDP/GFATM Rules and
regulations
May 2009
SRs and SSRs are not using
management tools that
ensure
robust
accountability framework
May 2009
Existing Structure of UNDP
CO not prepared to
support GF grants volume
of activity
May 2009
Type
Strategic
Impact &
Probability
P=1
I= 4
Regulatory
P=3
I= 5
Financial
P=2
I= 5
Financial
P=2
I= 3
Organization
al
P=4
I=4
Status
Countermeasures / Mngt
response
Owner
Submitted
Regular meetings to be held
with Development partners,
including UN agencies
UNDP senior
managemen
t
Project
formulation
Improve coordination within
UN HIV/AIDS Theme group
(WHO,
UNICEF,
UNFPA,
UNAIDS and UNDP)
PMU
Decisions lie with the CCM and
the MoHCW; however UNDP
should participate in debates.
(Head of PMU defines financial
implications)
CCM
and
MoHCW.
UNDP senior
managemen
t to offer
advice
Project
formulation
July 2009
Reducing
Contracts
shared
and
thereafter signed with SRs
should clearly spell out the
timeframe
of
financial
reporting,
the
expected
documents, the process of
approval of financial reports
and the measures to be taken
in case of non- compliance
PMU
Project
formulation
July 2009
No change
SRs and SSRs to provided with
management tools
PMU
Project
formulation
July 2009
No Change
Proposed structure for PMU
includes additional staff for
finance and procurement.
However, meetings should be
UNDP
Operations
& PMU
Project
formulation
July 2009
No change
Last Update
July 2009
Reducing
No change
25
#
Description
Date
Identified
Type
Impact &
Probability
Countermeasures / Mngt
response
Status
Owner
Submitted
UNDP CO
Project
formulation
Last Update
held with Operations Unit to
clarify workflow with PMU and
expected process lead times
6
Weak Disease Technical
Capacity within UNDP
July 2009
Organization
al
P=2
I=4
Recruit
Public
Health
Specialists within PMU to equip
team with adequate capacity
to manage the technical
aspects of programmes
July 2009
Reducing
26