| General Information |
Project/Program |
Project |
| Project Name |
Social Marketing and Behavior Change Interventions for HIV/AIDs, Reproductive and Sexual Health and Child Survival in Cambodia (SMBCI) Project |
| Duration |
2008-2012 |
| Donor |
USAID |
| Implementiong Organization |
Population Services International (PSI)/Cambodia |
| Sector and/or Subsector Classification |
Health |
| Region |
Kampong Chhang, Pursat, Battambang and Phnom Penh and surrounding areas. |
| Financing |
N.A |
| Analytical Information |
Stakeholders |
Population Services International (PSI)/Cambodia, USAID, NGOs, community based organizations, the private sector, donors, and government agencies |
| Cross-cutting Issue |
Environment |
|
| Gender |
|
| Impact Analysis |
Achievements were seen in a number of aspects. The project succeeded in making significant contributions to the widespread availability of very low-priced commodities, including condoms, short-term contraceptive methods and safe water tablets. It also increased Cambodian National Capacity by providing technical assistance in institutional capacity building among its NGO partners. |
| Effectiveness |
Ownership/Partnership |
Evaluation |
There is no specific information about the ownership issue in the evaluation report. In terms of partnership, the biggest problem is that the implementing agency, PSI/Cambodia played multiple roles at the same time. PSI/Cambodia took on multiple roles as a distributor of socially marketed condoms, a behavior change communication (BCC) and HIV/AIDS prevention partner, and a source of strategic and policy advice to the Royal Government of Cambodia. In some cases, these roles were conflicting. For example, PSI’s role as a social marketing organization in the condom market, providing 80 percent of the products may conflict with its role as an advisor to the RGC or USAID on total market approaches. TMAs often require trade-offs between long-term market impacts and short-to-medium term health impacts. |
| Rating |
2/5 |
| Policy Coherence/Harmonization |
Evaluation |
The SMBCI Project aligns with both of the policy of USAID and the RGC. The RGC is committed to improving the health of its citizens and efforts to improve services and health-related behaviors are country-led. For example, the Cambodia Health Strategic Plan 2008-2015 sets forth an ambitious set of priorities and activities that address current deficiencies in the health care system. From the perspective of USAID, USAID/Cambodia’s health strategy is reflected in the recent Country Development Cooperation Strategy Results Framework. Developed in coordination with the RGC and other development partners, the framework outlines the key necessary results of USAID to achieve to health development objectives. |
| Rating |
4/5 |
| Evaluation Framework |
Evaluation |
The evaluation was conducted during an in-country work period of 20 days. The evaluation team utilized a number of resources including personal interview and document review. Personal interviews were conducted by using a set of questionnaire developed as discussing guides for each category of stakeholder or potential stakeholder. Interviews included representatives of national and provincial level public sector health offices and technical staff of international donors working in HIV/AIDS prevention. Also documents included USAID health strategy documents, program authorization documents, and recent health and HIV/AID program evaluations. However, there are no data available that allow the team to reliably estimate a denominator for the population at high risk of HIV/AIDS. |
| Rating |
4/5 |
| Alignment/Composition of Finance |
Evaluation |
According to the evaluation report, unless a sustainable market on the basis of providing products and services to the rural poor is developed, the sustainability of the project is questionable. Also, the financial sustainability of the project will depend in large part on its ability to continue to attract significant donor funding from a variety of sources. In terms of budget, the project’s diversified donor base includes USAID, DFID, KFW, MOH, private foundation support, UNFPA, and the GFATM. |
| Rating |
2/5 |
| Other Remarks |
|
