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Project Completion Report
1) This document is the new template (Apr 08) for the Project Completion Report (incl PRBS, SWAps). It is divided into 6
parts.
2) Each part should be completed. The information in the 'PRISM-ARIES Summary' tab should then be copied into
PRISM/ARIES.
3) See some notes on completion on the Guidance tab.
4) Once you have completed your review, if you want to print out all the tabs click the "PRINT ALL" button below. If you
want to only print the summary then click the "PRINT SUMMARY" button.




                    PRINT ALL                                PRINT SUMMARY
Guidance

Notes for Completion
A) Where ratings are required please consider the following:
         1. = Likely to be completely achieved. The outputs/ purpose are well on the away to completion (or completed).
         2. = Likely to be largely achieved. There is good progress towards purpose completion and most outputs are likely to
         be achieved, particularly the most important ones.
         3. = Likely to be partly achieved. Only partial achievement of the purpose is likely and/or achievement of some outputs.
         4. = Only likely to be achieved to a very limited extent. Purpose unlikely to be achieved but a few outputs likely to be
         5. = Unlikely to be achieved. No progress on outputs or purpose.
         X. = It is impossible to say whether there has been any progress towards the final achievement of outputs or purpose.
         This score should not be used unless they meet at least one of the following criteria:
                         a) Project is postponed because of conflict.
                         b) External constraints.
                         c) Recruitment delays.
Note for subsequent annual reviews you should not be using X unless you can justify using this rating, it is unusual for project
running for 3 years or more to be scored X.
B) Once the review is complete a small subset of data should be entered into PRISM or ARIES for analysis purposes. This
information is contained in the 'PRISM-ARIES Summary' tab.
C) Dates should be entered in the format dd/mm/yyyy.

D) For Information:    Value for Money (VfM) calculation 2008-11
                       For each Purpose Score below, the table shows the percentage of the project approved
                       commitment/revised budget which will be taken as Value for Money.
             Score             %
               1              100
               2               75
               3               50
               4               25
               5                0
               X                0




12/13/2010                                                                    Guidance                                              Page 2
Part A - Project Data
This section allows you to provide basic information about the project
Most of the information can be found on the Projects Search Results screen in PRISM, or in ARIES
Notation: / is used to show PRISM/ARIES terminology

Project Title/ Description

Benefiting Country                                                                      Indonesia
MIS Code/ARIES ID                                                                      150 555 009
Current Project Officer Name                                                          Mey Lan Wong
Approved Commitment/ Revised Budget (figs only-auto formats) £                                       2,000,000
Actual Start Date (dd/mm/yyyy)                                                          20/12/2005
Planned End Date (dd/mm/yyyy)                                                           31/03/2009
Spend To Date (figs only - auto formats)                      £                                      2,000,000
Date of Review (dd/mm/yyyy) (final day of the review mission)                           06/11/2008

Joint Funding Organisations (if relevant):




12/13/2010                                                           PCR    A. Project Data                      Page 3
Sources of Information and Partners Involved

Use "X" to mark any Sources of Information used in the review.             Use "X" to mark any Partners Involved in the review.
Quantitative data from national systems                          X         National Government partner                          X
Quantitative data from project/programme study                   X         National non-Government partner
Government assessment                                            X         Independent consultant
Joint donor review                                               X         Donor partners
Independent consultant review                                              DFID staff                                           X
DFID staff review

If you have any additional comements on Method of Scoring        This review was carried out as a desk exercise by WHO following
please enter them in box.                                        discussion with the DFID Project Officer and Lead Adviser. It was
                                                                 based on information collected by WHO in the course of
                                                                 implementation that has been presented in various progress
                                                                 reports submitted by the implementing partners. The scoring was
                                                                 proposed by WHO and endorsed by the DFID Lead Adviser taking
                                                                 into account the information and data presented in the detailed
                                                                 project annual report prepared for the period November 2007 to
                                                                 October 2008.




12/13/2010                                                             PCR    A. Project Data                                        Page 4
Part B. Project Scoring Assessment
This section lets you score the success of the project.
Goal, purpose etc can be found in the Logical Framework. Outputs are also on the PHS.
For PRBS,SWAps- interpret wording appropriately and fill in all relevant sections.
Goal

Goal Statement.                            Progress towards the 6th MDG (target 8): to halt and begin to reverse the incidence of Tuberculosis
Not reqd for PRBS,SWAps


Objectively Verifiable Indicators (OVIs)
Not reqd for PRBS,SWAps                    Progress.                                          Comments.
1     Decrease in TB Prevalence              Analysis of data from 3 (of 5) tuberculin        Comparison of the 2004 national prevalence with the result 1979 - 82 surveys shows an average annual decline
                                           surveys shows an Annual Risk of Tuberculosis       of approximately 4.3%. The decline in the ARTI of approximately 5% per year triangulates well with the decline
                                           Infection (ARTI) of 1-1.4% indicating a decline    of smear positive prevalence seen in the prevalence study, adding to the evidence of a real decline of TB
                                           of 5% per year when compared to earlier ARTI       prevalence in the populations. With conduct of these series tuberculin surveys, Indonesia is well place to do a
                                           results from surveys conducted last in the         repeat National Prevalence survey not sooner than 2009-10 to assess whether decline is continuing and to
                                           1980's.     A national TB Prevalence survey        monitor progress towards achieving the MDGs.
                                           was conducted in 2004 by NIHRD in
                                           collaboration with the NTP covering all 33
                                           provinces and sampling 22000 households in
                                           1200 census blocks. The prevalence survey
                                           measured a prevalence of smear positive
                                           cases for 2004 of 104 per 100,000 population
                                           (95% CI is 66-142). The survey also provided
                                           strong indications that marked regional
                                           differences exist between the 3 major
                                           geographical areas with the prevalence ranging
                                           from 59/100,000 in Java Bali, 160/100,000 in
                                           Sumatera and 189/100,000 in Eastern
                                           Indonesia (KTI).


2     Decrease in TB related deaths        The Global TB Report 2008 has reported a TB        By establishing pilot sentinel sites for collection of mortality data in 4 provinces in the three epidemiological
                                           estimated mortality of 38/100,000 population in    blocks, the NTP will be in a better position to monitor the decline of TB deaths over time against MDG targets.
                                           2006 which translates into 88,000 deaths           In addtion through these sentinel sites, mortality data is being collected on all causes of deaths which will enable
                                           attributable to TB and 1,000 deaths due to TB      national estimation of vital rates, cause specific mortality as well as development of life tables etc.
                                           HIV (HIV prevalence in TB cases 0.6%). This
                                           is a decline in the estimated mortality as
                                           compared to 59/100,000 population in 2001.
                                           The case fatality rate reported by the NTP is
                                           approxmiately 4% per year. Using these
                                           figures it has been estimated that the provision
                                           of DOTS by the NTP over the years 2000 -
                                           2006 has averted a total of about 448,000
                                           deaths




12/13/2010                                                                                         Part B. Project Scoring Assess                                                                                    Page 5
3    70% of people with infectious TB    Indonesia NTP achieved a Case Detection             Indonesia met the Stop TB global targets of > 70% case detection and > 85% treatment success in 2006. The
     will be diagnosed and 85%           Rate (CDR) of 73% and a Treatment Success           case detection rate slipped to 69% in 2007 but this was likely the result of the temporary cessation of Global
     successfully treated country wide   Rate (TSR) of 91% in 2006. However, in 2007         Fund support during the period March to August 2007, which had a negative impact on some of the operational
                                         the CDR decreased to 69% while the TSR was          fucntions of TB Programme. A rapid assessment on the impact of this temporary cessation was carried out by
                                         maintained at 89%. The second Five Years            GMU in last quarter of 2007. The findings of the study assisted the NTP in re assessing and prioritising
                                         Strategic Plan for TB Control (2006-2010)           activities for scaling up in 2008.
                                         remains as the framework for all TB activities to
                                         be implemented.




12/13/2010                                                                                        Part B. Project Scoring Assess                                                                              Page 6
Purpose

Purpose Statement.                         1. To provide effective diagnosis and treatment for all patients with TB within the existing health care systems in Indonesia. 2. To measure progress towards
                                           achievement of the MDG targets.


Objectively Verifiable Indicators (OVIs)
                                           Progress.                                           Comments.
1.1   National TB Programme                Indonesia NTP achieved a Case Detection             The NTP has reached Global TB targets for detecting and successfully treating TB patients, as an indictor or the
      strengthened                         Rate (CDR) of 73% and a Treatment Success           strength of the programme. The temporary cessation of Global Fund support during the period March to August
                                           Rate (TSR) of 91% in 2006. However, in 2007         2007 had a negative impact on some of the operational functions of TB Programme. A rapid assessment on the
                                           the CDR decreased to 69% while the TSR was          impact of this temporary cessation was carried out by GMU in last quarter of 2007. The findings of the study
                                           maintained at 89%. The second Five Years            assisted the NTP for re assessing and prioritising activities for scaling up in 2008. The DOTS strategy is widely
                                           Strategic Plan for TB Control (2006-2010)           accepted at provincial and district level. Efforts of the NTP in 2008 was to maintain the basic DOTS services
                                           remains as the framework for all TB activities to   while addressing the other five elements of the Stop TB strategy to become fully integrated in the health system.
                                           be implemented. The management capacity at          However, training and supervision need to be continued to ensure service delivery quality is improved especially
                                           central level has been strengthened by              in the hospitals sector.
                                           placement of additional staff as well as
                                           establishment of working groups to assist the
                                           NTP in addressing all elements of the
                                           expanded Stop TB Strategy. Provincial DOTS
                                           teams continue to be functional in order to
                                           strengthen management capacity at provincial
                                           and district level. Further strengthening of
                                           management capacity has been done in large
                                           provinces by appointment of M & E Officers
                                           and additional TB Supervisors.




12/13/2010                                                                                          Part B. Project Scoring Assess                                                                                 Page 7
1.2   Training strategy to improve HR development strategy has drawn from the            A comprehensive HR strategy has been implemented at national, provincial and district level based on
      Human Resources (HR) capacity global Stop TB strategy and supports the             international recommendations and local needs. Substantial funds have been programmed under GFATM and
      and management                National Five Year Strategic Plan. Thus              USAID funded TB CAP project to support hospital DOTS linkages and training of hospital staff at provincial and
                                    training needs, curriculum and training modules      district level. Therefore, budget lines for this have been reprogrammed to support the continuation of mortality
                                    on laboratory strengthening, TB HIV, DOTS in         and hospital assessement studies as well as to support specialized training in pediatric TB and radiology as well
                                    hospitals, DOTS in workplace and prisons have        as roll out of the ISTC to professional societies and organizations.
                                    been developed and implemented. HR focal
                                    point at central level coordinates with the
                                    provincial      training     coordinators      for
                                    implementation and roll out of HR activities at
                                    provincial and district level. Priority has been
                                    given for training on hospital DOTS linkage,
                                    improvement of supervisory skills, TB HIV
                                    collaboration and strengthening of laboratory
                                    capacity. Specialistic training for pediatric TB
                                    and radiology as well as roll out of International
                                    Standard for TB Care (ISTC) has been
                                    supported under this project. Capacity building
                                    for core staff has also been facilitated by
                                    supporting participation in training programmes
                                    at collaborating centres.

1.3   Widespread use of DOTS strategy The Global TB report 2008 report notes that the    The current weakness in the implementation of the DOTS strategy is in hospitals. An hospital assessment study
      and expansion to other health   increase in the case detection rate is likely to   has already been completed in 5 provinces of Java covering about 117 hospitals and clinics. Information has
      sectors                         be due to the collaboration with private health    been collected on case load, prescription practices, and quality of DOTS implementation through questionnaires
                                      care providers and community based TB care.        assessment, on site visit and clinical audit methodology. The findings of the survey were presented to the
                                      The delivery of DOTS is mainly implemented         concerned hospitals, NTP, professional societies and directorate of medical services for improving hospital
                                      through the network of health centres. All         DOTS linkages, roll out of ISTC and collaboration of TB HIV and the management of MDR TB. A similar
                                      provinces except Maluku, NTT, South East           assessment study has been initiated in second half of 2008 for Sumatera and KTI (Eastern Indonesia Region)
                                      Sulawesi and Papua have over 80% of health         covering 5 provinces. These two surveys will give a national picture of hospital DOTS assessment in the
                                      centres implementing DOTS. DOTS has been           different epidemiological regions in the country.
                                      expanded to other government sectors such as
                                      military, police, prison sector and a few




12/13/2010                                                                                    Part B. Project Scoring Assess                                                                                 Page 8
2    Prevalence, incidence and         Prevalence rate has declined from 438/100,000    The project has demonstrated the capacity and feasibility of conducting tuberculin surveys under field conditions
     mortality rates                   in 1990 to 253/100,000 in 2006. Incidence has    based on successful completion and documentation of tuberculin surveys conducted in West Sumatera, Central
                                       declined from 343/100,000 in 1990 to             Java and East Nusa Tenggara. In 2008, the last two tuberculin surveys are being conducted in South
                                       234/100,000 in 2006. TB mortality has declined   Kalimantan and North Sulawesi. Thus on completion of this, 5 tuberculin surveys would have been completed
                                       from 90/100,000 in 1990 to 38/100,000 in 2006.   covering the 3 epidemiological blocks of Sumatera, Java-Bali and KTI. The mortality study is being continued in
                                                                                        2008 to collect meaningful data from the pilot sites. Funds have been reprogrammed for this continuation. The
                                                                                        project has demonstrated the capacity and feasibility of conducting mortality studies as part of strengthening the
                                                                                        vital registration system in the pilot areas. Advocacy and sensitization activities for sustainability and ownership
                                                                                        of the IMRSSP projects will be continued in the last quarter of 2008 at provincial level at the pilot sites.




Purpose to goal:- how far assumptons   Achievement of Project Purpose can be expected to contribute to the project goal, but over a longer period than the life of the project – sustained successful
were met and acheivement of purpose    case detection and treatment, wide spread use of Rifampicin containing anti TB regimens and the improvement of socioeconomic and housing conditions have
contributed to Goal                    resulted in a decline of prevalence and mortality. Assessment of prevalence and mortality as compared to 1990 level shows that Indonesia is on track to meeting
Not reqd for PRBS,SWAps                the MDG's.

Project Purpose Score.                 1
Justification.                         Indonesia met the Stop TB global targets of > 70% case detection and > 85% treatment success in 2006. The case detection rate slipped to 69% in 2007 but
                                       this was likely the result of the temporary cessation of Global Fund support Mar to Aug 2007. This sustained success in case detection and treatment of TB will
                                       ensure the decline in TB prevalence and prevent the emergence of multi-drug resistant TB. The scaling up of the DOTS programme has continued despite the
                                       Global Fund temporary restriction in 2007. The treatment success rate, however has been maintained above 85% for the past five years. Prevalence and
                                       tuberculin studies were carried out in Indonesia in the 70's and 80's. The repeat prevalence study conducted in 2004 and series of tuberculin surveys conducted
                                       in 2006, 2007 and 2008 makes it possible to measure the decline in prevalence and infection rate. The result of 2004 prevalence study suggested a 42%
                                       decline compared to 1990's level. Similarly the tuberculin surveys shows a decline of 5% infection rates per year compared to 1985 figures.




12/13/2010                                                                                   Part B. Project Scoring Assess                                                                                    Page 9
             Funding under this project used to update prevalence and mortality figures places Indonesia as one of the few countries globally positioned to measure progress
             towards achievement of MDG's targets of halving prevalence and mortality by 2015 as well as strengthening the vital registration system and building national
             capacity to undertake scientifically sound studies and surveys.




12/13/2010                                                        Part B. Project Scoring Assess                                                                               Page 10
Project Purpose Risk Category.        Low
Has the Project Purpose Risk Category
changed since the last review? If yes
explain why.                          No
Key risks identified.


How successful was the action taken to
manage these risks?



For PRBS,SWAps only
How was Fidcuiary Risk being
managed?




12/13/2010                                  Part B. Project Scoring Assess   Page 11
Outputs
                                          Weight Output Objectively Verifiable
Output                                     (%)    Risk Indicators (OVIs)                 Progress                                  Comments                                                       Score
 1 Strengthening epidemiological           60%    Low Availability of accurate           Prevalence and incidence estimates        Repeat prevalence and tuberculin studies will need to be           1
     surveillance and estimates for TB.                 estimates of prevalence,         derived from the 2004 TB prevalence       carried out after an interval of 8 to 10 years from the last
                                                        incidence and mortality rates.   study facilitated updating and            studies. This will enable the programme to measure the
                                                                                         revision of the estimates to be used      trends overtime. Mortality studies in the pilot areas need to
                                                                                         in the Annual WHO Global TB               continue in order to collect meaningful data.These pilot areas
                                                                                         Reports. A standardized protocol          are intended to strengthen the vital registration system and
                                                                                         has been developed and adapted to         create ownership for sustainability and expansion by local
                                                                                         the country situation for conduct of      governments. Capacity building efforts in GIS application and
                                                                                         tuberculin surveys. A core team of        TB surveillance is being expanded to 5 provinces in the last
                                                                                         national have been created for            quarter of 2008. Further expansion to other provinces will
                                                                                         conduct of the surveys after being        have to be supported by GFATM funding after the ending of
                                                                                         trained by international trainers.        the project.
                                                                                         Three tuberculin surveys completed
                                                                                         and documented in West Sumatera,
                                                                                         Central Java and NTT. The findings
                                                                                         of    the    surveys    have     been
                                                                                         desiminated      through     scientific
                                                                                         meetings and publications. 1% ARTI
                                                                                         found in West Sumatera, Central
                                                                                         Java and NTT indicates that TB
                                                                                         remains a public health problem and
                                                                                         TB Control efforts need to be
                                                                                         sustained and continued over
                                                                                         sometime.




12/13/2010                                                                                    Part B. Project Scoring Assess                                                                              Page 12
             The last two tuberculin surveys being
             conducted in South Kalimantan and
             North Sulawesi are expected to be
             completed by February 2009. The
             successful        collaboration      and
             partnerships created between NTP,
             University     of     Indonesia,     NTI
             Bangalore       and       WHO        has
             demonstrated the feasibility and
             capacity to conduct tuberculin
             surveys in the different provinces. It
             has also demonstrated the utility of
             using miror image and mixture model
             methodology for analysis of data
             from the tuberculin surveys. The TB
             mortality study has established pilot
             sites in 4 provinces based on the
             lessons learnt in the initial conduct of
             IMRSSP study in Central Java and
             DKI Jakarta. Tools and guidelines
             on verbal autopsy methodology and
             collection of cause of death data are
             in place.
             Capacity building for survey staff has
             been conducted through training and
             on site supervision. Data on cause
             of death, IMR, CDR, etc are being
             collected at the pilot sites. The excel
             based computerized recording and
             reporting system use has been
             expanded at provincial and district
             level by conduct of training for central
             and provincial staff and provision of
             equipment and GIS software.
             Provincial profiles for all 33 provinces
             are being updated and are posted on
             the       NTP           website        at
             www.tbcindonesia.or.id.




12/13/2010        Part B. Project Scoring Assess         Page 13
  2   Expansion of current efforts on     18%   Low   Number of hospitals adopting    Number of hospitals implementing           Technical support is been provided through TBCAP project            1
      involvement of hospitals, private               DOTS (the baseline estimate     DOTS by September 2008 is 43%.             implemented through KNCV for placement of National
      providers and non-governmental                  was 20% by December 2004)       However, there is wide variation in        Coordinators in clusters of hospital for improvement in quality
      organisations in DOTS                                                           the quality of DOTS implementation         of services. Operational targets for involvement of hospitals
      implementation.                                                                 as per the information gathered in         in DOTS implementation are being used by the NTP in the
                                                                                      the 117 hospitals/clinics surveyed in      framework of the 5YSP. The operational targets for 2010 has
                                                                                      Java in 2007. Details of this have         been set at 60% with a 10% increment every year. Thus the
                                                                                      already been reported in the previous      improvement from the base line of 20% in December 2005 to
                                                                                      annual report. A similar survey is         43% in September 2008 can be considered to be on track with
                                                                                      being conducted in Sumatera and            the operational targets.
                                                                                      KTI covering 5 provinces. Surveys
                                                                                      work has started and is expected to
                                                                                      be completed by end of 2008. The
                                                                                      results of both surveys will provide
                                                                                      information to NTP and Director of
                                                                                      Medical Services for strategising and
                                                                                      improving      quality   of     DOTS
                                                                                      implementation in hospital sectors.

                                                      Number of specialists trained   In the last quarter of 2007, 160           Total number of pediatricians in the public sector is 917. The
                                                      in roll out of ISTC plus        pediatricians has been trained.            number of pediatricians trained in TB is 240 till now and
                                                      pediatric TB and radiology in   Another 80 pediatricians trained in 2      another 80 are expected to be trained by December 2008
                                                      TB diagnosis.                   workshops        organized    by     the   giving a coverage of approximately 35%. Further training for
                                                                                      Pediatric Indonesian Association up        the pediatricians group will be supported by GFATM in 2009 -
                                                                                      to first half of 2008. For the last half   2010 to cover approximately 70% by 2010. In the other
                                                                                      of 2008 there will be another 80           specialist trainings 800 clinicians have been trained in roll out
                                                                                      pediatricians trained. For the last        of ISTC and use of radiology in TB diagnosis. Breakdown of
                                                                                      quarter of 2007 there were 300             this is 300 pulmonologist, 350 internal medicine, 50
                                                                                      specialists been trained on ISTC roll      pediatricians and 100 general practitioners. Total number of
                                                                                      out and use of radiology in TB             pulmonologist are estimated to be 629 who are the priority
                                                                                      diagnosis         by     Pulmonologist     group. Thus the project has covered 48% of pulmonologist till
                                                                                      Association in collaboration with NTP      now. The NTP and MoH plan to cover 75% pulmonologist by
                                                                                      and Director of Medical Services. In       2010 to be covered by GFATM project.
                                                                                      the second quarter of 2008, there
                                                                                      were 500 specialists trained. And for
                                                                                      the last quarter in 2008 there will be
                                                                                      approximately        300     specialists
                                                                                      additionally trained.




12/13/2010                                                                                 Part B. Project Scoring Assess                                                                                Page 14
  3     Provision of intensified technical   22%    Low   Human resources for technical Technical assistance (international         The continued and sustained technical assistance provided at       1
        assistance in selected regional                   and administrative assistance and national) for development of the        central and provincial level to the different studies and
        areas and for programme                           in place.                     tuberculin     study protocol        and    activities of the project has facilitated timely implementation
        administration.                                                                 subsequent          data        analysis,   and oversight of planned activities.
                                                                                        interpretation and dissemination
                                                                                        including training of the teams has
                                                                                        facilitated, conduct of 5 tuberculin
                                                                                        studies in different provinces.
                                                                                        Collaboration between NIHRD and
                                                                                        the University of Queensland
                                                                                        Australia      has    facilitated     the
                                                                                        standardisation of methodology for
                                                                                        establishment of IMRSSP pilot sites
                                                                                        for strengthening vital registration
                                                                                        systems in those areas. Technical
                                                                                        assistance has been provided at
                                                                                        central level for Leprosy and Yaws in
                                                                                        order to support the MoH efforts for
                                                                                        these two neglected diseases.
                                                                                        Sustained technical support has
                                                                                        been provided on TB at central level
                                                                                        as well as certain provinces. WHO
                                                                                        has         recruited       experienced
                                                                                        administration officers on a short
                                                                                        term basis to optimize WHO support
                                                                                        for all MoH communicable diseases
                                                                                        programmes.
Total                                        100%                                                                                   Impact Risk                                                        Low
                                                                                                                                    Impact Score                                                      100%




12/13/2010                                                                                      Part B. Project Scoring Assess                                                                               Page 15
Purpose Attribution

Purpose Attribution:- how far           The project outputs are aimed for supporting the NTP for measurement of indicators of prevalence and mortality to measure progress towards
achievement of purpose can be           achieving the MDGs. The hospital assessments conducted in the different regions has contributed to the body of information on DOTS practices and
attributed to delivery of outputs       hospitals for the purposes of accreditation and improvement in quality of services. It will also contribute to the information on TB HIV collaborative
                                        activities and the use and misuse of first and second line TB drugs in relation to the situation and management of MDR TB and potential for
                                        emergence of XDR TB in future. The expansion of training efforts to this specialist sector is facilitating the roll out of ISTC as well as addresssing the
                                        issue of management of pediatric TB and the role of radiology in TB diagnosis. These efforts will hopefully contribute to improving quality of
                                        implementation of DOTS in hospital sector. Strengthening of the recording and reporting system by use of the electronic software and use of GIS
                                        will improve the use and analysis of data at provincial and district level. These outputs will make a significant contribution to achievement of project
                                        purpose.



For PRBS,SWAps only

How did the financing of other donors
contribute to achievement of the
SWAp or BS

What has been the impact on relevant
indicators?


What improvements have there been
to central/sector financial planning
and management?                 Give
evidence of DFID's contribution

What has been the improvement to
government procurement systems?
Give evidence of DFID's contribution


What priority reforms remain to be
completed?




12/13/2010                                                                                     Part B. Project Scoring Assess                                                                        Page 16
Part C. Conditionality

This section collects information on any suspension of aid.

Were conditions attached to the project No
during its lifetime?

Was disbursement suspended during        No
project lifetime because of the
conditions?
"No" also means no conditions

If yes:
What was the date of suspension
(dd/mm/yyyy)


Explain the cause.

What were the consequences of
suspension?




12/13/2010                                                    Part C. Conditionality   Page 17
Part D. Sustainability

in this section you must comment on the issues of sustainability and the project.

Comment on the                  In 2007 GF ATM ceased temporarily and as a result Case Detection Rate decreased slightly
sustainability aspects of the   (73% to 69%), this indicated that sustainability of the project is still a challenge when
project.                        activities depends on external resources for funding. Repeat prevalence and tuberculin
                                studies will need to be carried out after an interval of 7 to 10 years from the last studies by
                                the NTP (MOH) supported under the approved GF ATM grants. This will enable the
                                programme to measure the trends overtime. The national capacity that has been
                                developed for conducting these types of studies and surveys will be used for repeat studies.
                                Mortality studies in the pilot areas need to continue in order to collect meaningful data.
                                These pilot areas are intended to strengthen the vital registration system and create
                                ownership for sustainability and expansion by local DOTS implementation are being used by
                                Operational targets for involvement of hospitals in governments using their own local
                                the NTP in the framework of the 5YSP and improvement of hospital DOTS linkages and
                                quality of services is a priority area covered under the GFATM Round 5 and 8 approved
                                proposals.




12/13/2010                                                                 Part D. Sustainability                                 Page 18
Part E. Knowledge Sharing

This section allows you to share any knowledge you have gained over the period fo the project.

Knowledge Sharing

Lessons learned and suggested dissemination. (You must complete at least one of these sections).
1. Working with partners.  Effective partnerships between universities, NIHRD, NTP, and provincial and district authorities have ensured sound &
                           scientific protocols adapted to the local situation. This relied on external technical assistance at the Planning &
                           Development stage of the studies. This also ensured standardization of methodology & comparability of results. It was
                           also important to obtain select national partners on the basis of comparative advantage, particularly previous experience
                           & networking capacity at provincial & district level.


2. Best Practice/ Innovation Regional technical assistance and best practice from other South East Asian countries led to robust survey protocols
                             which are now being used widely for roll out of Tuberculin studies. In-country training done by international trainers from
                             NTI-Bangalore and KNCV drew upon best practice elsewhere adapted to the local situation. The lesson learnt from the
                             interpretation of the Tuberculin survey data especially amongst BCG vaccinated and non vaccinated children has been
                             written up as a scientific publication and will be published in a peer reviewed journal. Mortality studies have been done by
                             very few countries and hence the IMRSSP project and verbal autopsy tools being used and tested will be useful for other
                             countries to adopt in future. Data that is being collected captures mortality from all causes and also enables determination
                             of vital indicators such as IMR, U5MR, Life expectancy table, etc.

                             This project will not only collect data on TB Mortality but will also give data on all causes of death and will help to
                             strengthen the vital registration system in the long run. The surveys and studies being carried out in Indonesia under this
                             project will contribute significantly to the body of knowledge and evidence for other countries to adopt while addressing the
                             issue of measuring progress towards the MDGs as well as expansion of DOTS to hospital sector (including TB/HIV
                             collaboration and adddressing MDR TB) and using surveillance information for action and wide dissemination in the form
                             of provincial profiles being available on NTP website as well as implementation of electronic software to improve recording
                             and reporting. WHO will be responsible for dissemination.
3. Project Management        Different implementing agencies have been selected to implement studies in the field, based on their comparative
                             strengths, previous experience, and track record. A partnership approach has been used throughout to build local
                             capacity and ownership.



Key Issues/ Points of Information




If appropriate, please comment on the effectiveness of the institutional relationships involved with the project, eg comment on processes and how




12/13/2010                                                                               Part E. Knowledge Share                                             Page 19
Please list any key documentary evidence that is available to support the conclusions of this report. List any supporting documents annexed to this
report. Give Quest numbers where applicable.
A detailed and comprehensive annual progress report has been compiled by WHO from the various projects/study reports which was used for the
preparation of this report and is attached.




12/13/2010                                                                              Part E. Knowledge Share                                       Page 20
Part F. Additional Comments

If you have any additional comments or would like to go into any issues in more detail please use the spaces below.




12/13/2010                                                          Part F. Additional Comments                       Page 21
      PRISM/ARIES Summary
      DO NOT TYPE INTO THIS SHEET
      This information comes from the other sheets which you have filled in
      The information highlighted in yellow below should be entered into PRISM/ARIES.
      Note there is a character limit on some of the fields
      Review Type                  Project Completion Report
      Review Date                  06/11/2008

      Project Scoring Assessment

      Purpose Statement          1. To provide effective diagnosis and treatment for all patients with TB within the
                                 existing health care systems in Indonesia. 2. To measure progress towards
                                 achievement of the MDG targets.



                                 1.1 National TB Programme strengthened; 1.2 Training strategy to improve
                                 Human Resources (HR) capacity and management; 1.3 Widespread use of
      Purpose Objectively        DOTS strategy and expansion to other health sectors
      Verifiable Indicators
      (OVIs)
      Project Purpose Score      1
      Project Purpose Risk       Low
                                 Indonesia met the Stop TB global targets of > 70% case detection and > 85%
                                 treatment success in 2006. The case detection rate slipped to 69% in 2007 but
                                 this was likely the result of the temporary cessation of Global Fund support Mar to
      Purpose Justification      Aug 2007. Thi

                                                                                             Impact Output
                                 Output                                                      Weights Risk     Score
                                                                                                 60%
                               1 Strengthening epidemiological surveillance and estimates for TB. Low               1
                                                                                                 18% Low            1
                               2 Expansion of current efforts on involvement of hospitals, private providers and non-governmental organi
                                                                                                 22% Low            1
                               3 Provision of intensified technical assistance in selected regional areas and for programme administration
                               4
                               5
      Impact Weighted
                               6
      Output Scoring
                               7
                               8
                               9
                              10


                                 Quantitative data from national systems
                                 Quantitative data from project/programme study
      Scoring - Sources of       Government assessment
      Information                Joint donor review


                                 Non Government Partner
                                 DFID Staff
      Scoring - Partners
      Involved




12/13/2010                                      PRISM-ARIES Summary                                                    Page 22
      Lessons Learned

      Working with partners       Effective partnerships between universities, NIHRD, NTP, and provincial and
                                  district authorities have ensured sound & scientific protocols adapted to the local
                                  situation. This relied on external technical assistance at the Planning &
                                  Development st
      Best Practive/ Innovation   Regional technical assistance and best practice from other South East Asian
                                  countries led to robust survey protocols which are now being used widely for roll
                                  out of Tuberculin studies. In-country training done by international trainers from
                                  NTI-B
      Project Management          Different implementing agencies have been selected to implement studies in the
                                  field, based on their comparative strengths, previous experience, and track
                                  record. A partnership approach has been used throughout to build local capacity
                                  and ownership.

      Conditionality
      There may be only 1 box in PRISM to fill
      Conditions applied in
      the Project Lifetime?     No
      Disbursment
      Suspended?                No




      Cause?                      0
      Date Suspended?             0




      Consequences?               0




12/13/2010                                       PRISM-ARIES Summary                                                Page 23

				
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