| General Information |
Project/Program |
Project |
| Project Name |
End-of-Project Evaluation of the Sustainable Action Against HIV and AIDS in the Community Project (SAHACOM) |
| Duration |
A five year project from October 2009-September 2014 |
| Donor |
USAID |
| Implementiong Organization |
Khmer HIV/AIDS NGO Alliance (KHANA); Supported by 17 NGO Implementing partners |
| Sector and/or Subsector Classification |
Health Service |
| Region |
Phnom Penh and eight high burden HIV provinces: Banteay Meanchey, Battambang, Kampong Cham, Kampong Chhanang, Pailin, Pursat, Siem Reap, and Takeo. |
| Financing |
$13.4 million |
| Analytical Information |
Stakeholders |
USAID, Khmer HIV/AIDS NGO Alliance (KHANA); SAHACOM’s NGO implementing partners; CBOs; Local and international NGOs;Global Fund; Government agencies including the National AIDS Authority (NAA), NCHADS, MoSVY, the Ministry of the Interior’s Department of AIDS; the National Authority to Combat Drugs (NACD).People living with HIV (PLHIV); Orphans and vulnerable children (OVC) ; Community Support Volunteers (CSVs); Self-help groups (SHGs) |
| Cross-cutting Issue |
Environment |
No environment related materials are mentioned in completion report. |
| Gender |
|
| Impact Analysis |
1. Improved coverage, quality & sustainability of comprehensive and integrated services for people live with HIV (including key populations) and
orphans and vulnerable children, which have successfully linked communities with public health and non-health services 2.Improved uptake of innovative and targeted HIV prevention interventions and services to key populations, with a particular focus on under-served and neglected groups 3. Strengthened capacity and leadership of NGOs/CBOs and communities (especially those representing key populations & people living with HIV) leads to their meaningful participation in delivering quality and sustainable community-based HIV prevention and care
services within the national response |
| Effectiveness |
Ownership/Partnership |
Evaluation |
The evaluation report considered strong ownership of SAHACOM project. There are three key principles designed:1) community leadership and participation: to promote relevance and local ownership. 2) Sustainable and cost effective models: to reduce PLHIV reliance on external support by increasing individual social capital and community resposibility. 3) Parternership and collaboration: to promote synergies and maximize use of resources and linkage with heath and non-health services. However, the absence of partnerships with private sector means the opportunity to leverage additional market-based economic strengthening and livelihood opportunities for PLHIV(People Living with HIV), OVC(Orphans and vulnerable children), and KPs(Key populations), was not realized. |
| Rating |
4/5 |
| Policy Coherence/Harmonization |
Evaluation |
Associations and alliances with both government agencies and donors have enabled SAHACOM to influence national policy and programs focused on HIV prevention and expand non-HIV community based support for PLHIV(People Living with HIV), OVC(Orphans and vulnerable children), and KPs(Key populations). |
| Rating |
3/5 |
| Evaluation Framework |
Evaluation |
This end of project performance evaluation of the Sustainable Action Against HIV and AIDS in the Community (SAHACOM) project was commissioned by USAID/Cambodia’s Office of Public Health and Education. 1) to assess the project’s performance and the extent to which it was able to meet its intended objectives at all result levels; and 2) to document lessons learned and best practices as well as make recommendations to inform and improve future program directions and effectiveness. The evaluation used a performance based methodology. |
| Rating |
4/5 |
| Alignment/Composition of Finance |
Evaluation |
Financial resources for community-based care for PLHIV and OVC are quite vulnerable in the context of reduced donor funding. NCHADS, KHANA, USAID and other stakeholders need to develop a more affordable, streamlined model that is targeted to priority needs. The most expensive components of the SAHACOM model are the IP operational costs, stipends for CSVs, CSOs, and PFs, livelihood programming and referral/transport fees for beneficiaries. |
| Rating |
3/5 |
| Other Remarks |
USAID/Cambodia’s Office of Public Health and Education has limited staff. As a result, staff are over committed with multiple roles and responsibilities. |
