To revise and update the Community Based Health Care Policy (CBHC) and guidelines with clearly defined quality assurance mechanisms at community levels.  To conduct desk reviews of existing relevant national and international CBHC programme documents including the global WHO 2018 guidelines, Standard Operating Procedures, Health Extension Program 2014, CHW Programme Evaluation Report 2017 and training manuals.

The goal of the SIA was to identify, and asses socio-economic impacts derived from the proposed upgrading the road to bitumen, and to prepare mitigatory measures towards potential negative impacts.  The objectives of the SIA were to:

• Describe the project area, geographical attributes and the proposed activity.

• Describe the general social and economic environment. 

• Analyse potential positive and/or negative social and economic impacts.

• Describe the need and desirability of the proposed road upgrade from a socio-economic perspective.

• Identify potential alternatives to the proposed road upgrade from a socio-economic perspective.

• Describe positive and/or negative social and economic impacts as a result of the road upgrade, using the following criteria as per the EIA Regulations:

  • Severity/magnitude

  • Reversibility

  • Duration

  • Spatial extent

  • Probability

• Provide an opinion as to whether the proposed road upgrade should or should not be authorised.

• Identify and propose adequate impact mitigation measures for management of the Project in a socially acceptable manner.

  • Identify appropriate activities for monitoring social change arising from project implementation. 

  • Identifying adequate technical and institutional requirements for managing the identified social impacts of the project.  For example, if an influx of people is expected after construction, then one should look at expanding health, education and housing infrastructure, amongst others.

Make an objective judgment and decisions on the implementation of the project.

• Ensure the active involvement and participation of I&APs

The goal of the survey was to gain an in-depth understanding of stakeholder and customer satisfaction in relation to CRAN’s fairness, transparency, effectiveness in implementing mandates, certainty, good governance, effective resource utilisation and professional support, and to use such an enhanced understanding to recommend remedial action for an improved stakeholder and customer satisfaction.  In order to achieve the survey goal, the objectives of the survey are to:

• Assess satisfaction with brand awareness in relation to stakeholder and customers’ awareness of CRAN, CRAN’s mandates, operational values, strategic objectives, and responsibilities.

• Assess satisfaction with brand attributes and associations in relation to political, economic, social, technological, environmental and legal attributes.

• Assess satisfaction with the quality and effectiveness of CRAN’s adherence to its mandates, vision, mission and the implementation of strategic objects and responsibilities.

• Assess satisfaction with brand loyalty of internal stakeholders and the relevance of the brand.

• Assess satisfaction with corporate reputation.

• Assess satisfaction with effective leadership.

• Assess satisfaction with financial performance.

• Assessment satisfaction with CRAN’s corporate governance.

• Assess employee satisfaction and engagement.

• Develop recommendations to strengthen stakeholder and customer satisfaction based on the results of the survey.

Jhpiego, in collaboration with the Namibia Ministry of Health and Social Services (MoHSS), with funding from United States Agency for International Development (USAID)/ Presidents Emergency Plan for AIDS Relief (PEPFAR) was tasked with conducting a research activity focusing on PrEP continuation in Namibia.  This research activity was conducted as part of the Reaching Impact, Saturation, and Epidemic Control (RISE) project.  RISE is a five-year global project that works with countries to achieve a shared vision of attaining and maintaining epidemic control, with stronger local partners capable of managing and achieving results through sustainable, self-reliant, and resilient health systems by 2024.  RISE’s contributions to this work will lead to fewer new HIV infections, decreased HIV-related morbidity and mortality, and increased quality of life for people living with HIV.

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The overall aim of the research activity was to provide MoHSS with insights into the motivating factors that contribute to the decision of a person to initiate and/or remain on PrEP among the early adopters.  The research primarily focused on PrEP uptake and continuation among key populations, such as adolescent girls and young women (AGYW), female sex workers (FSWs) and men having sex with men (MSM).  SusDAf role was to manage and ensure quality control over the data collection process.

• The specific objective of the MVA Fund Integrated Stakeholder Research Project was to provide information about service delivery, trust and confidence measures to enable the Fund’s management to improve service delivery and proactively develop strategies to enhance the trust and confidence of defined stakeholder groups of the Fund. 

• Key stakeholders included medical service providers, health facilities, government institutions, tertiary institutions, non-governmental institutions, clients, internal personnel and the general public. 

• Seven different surveys constitute the Integrated Stakeholder Research Project

• The overall goal of the NAC Customer Satisfaction and Stakeholder Engagement Survey was to gain an enhanced understanding of customer satisfaction towards NAC service delivery and key stakeholder engagement in order to use such an understanding to inform the improvement of service delivery and stakeholder engagement. 

• The overall objective of the NAC Customer Satisfaction and Stakeholder Engagement Survey was to identify the opinion, perception, feedback and expectations of NAC’s primary customers and stakeholders.  The survey:

• Identified and evaluated/assessed customer satisfaction level[s] based on the opinion[s] and experiences of NAC customers at participating airports (Hosea Kutako International, Walvis Bay, Eros, Ondangwa, Lüderitz, Keetmanshoop, Rundu and Katima Mulilo airports).

• Generated feedback from key stakeholders of NAC.

• Enabled NAC to measure its performance in delivering its services to its customers/stakeholders on a satisfaction metrics based on the following:

• efficiency and effectiveness of our services

• quality of services offered

• levels of transparency/communication/feedback

• accessibility of our services

• Developed an action plan with recommendations based on the results of the survey/analysis.

Located: Southern African Development Community (SADC)

• SACREEE was established to contribute towards increased access to modern energy services and improved energy security across the SADC Region through the promotion of market-based uptake of renewable energy (RE) and energy efficient (EE) technologies and services.  The objectives of the evaluation was to:

• Evaluate SACREEE in terms of its relevance, effectiveness, efficiency, sustainability and ability to generate impact

• Identify challenges in operationalizing SACREEE, taking into account its organisation structure, positioning and relevance

• Provide recommendations for the SACREEE operations and the provided support of UNIDO and donors.

The goal of the MHHM Assessment was to assess the prevalence of MHHM knowledge, attitudes and practices among adolescent schoolgirls in Namibia, and identify factors associated with poor MHM and school absenteeism due to menstruation.  The objectives of the MHHM Assessment were:

• to investigate the current knowledge, attitude and practices of girls, boys, parents and teachers towards menstrual health and hygiene;

• to identify menstrual health and hygiene related challenges at school and at home and determinant causes of these challenges; and

• to determine the effects of menstrual health and hygiene on school attendance and academic performance.  

Make recommendations to strengthen MHHM in Namibia.

The goal of the SIA was to identify and asses socio-economic impacts derived from the proposed upgrading the road to bitumen, and to prepare mitigatory measures towards potential negative impacts.  The objectives of the SIA were to:

• Describe the project area, geographical attributes and the proposed activity.

• Describe the general social and economic environment. 

• Analyse potential positive and/or negative social and economic impacts.

• Describe the need and desirability of the proposed road upgrade from a socio-economic perspective.

• Identify potential alternatives to the proposed road upgrade from a socio-economic perspective.

• Describe positive and/or negative social and economic impacts as a result of the road upgrade, using the following criteria as per the EIA Regulations:

  • Severity/magnitude

  • Reversibility

  • Duration

  • Spatial extent

  • Probability

  • Provide an opinion as to whether the proposed road upgrade should or should not be authorised.

  • Identify and propose adequate impact mitigation measures for management of the Project in a socially acceptable manner.

  • Identify appropriate activities for monitoring social change arising from project implementation. 

  • Identifying adequate technical and institutional requirements for managing the identified social impacts of the project.  For example, if an influx of people is expected after construction, then one should look at expanding health, education and housing infrastructure, amongst others.

• Make an objective judgment and decisions on the implementation of the project.

• Ensure the active involvement and participation of I&APs

The aim of the Life Skills Evaluation was to evaluate the delivery of the Life Skills-based HIV and Sexuality Education Programme in schools with the special focus on institutional mechanisms; school level implementation, school-based monitoring and support, preparedness of the teachers and/or teacher training (in-service and pre-service).  The objectives of the evaluation were to:

• assess the institutional mechanisms in place and/or required to effectively implement the Life Skills-based HIV and Sexuality Education Programmes;

• review the curriculum, teaching and learning materials;

• review the delivery of life skills-based HIV and sexuality education at school level; and

• review the teacher training and teachers’ delivery of life skills-based HIV and sexuality education at classroom level.

MCC has contracted the Technology & Social Change group (TASCHA) at the University of Washington to design and implement a performance evaluation of the Namibia RSRC activity. This evaluation has been designed to serve the needs of two major stakeholders, MCC and the Namibia Library and Archives Service (NLAS). For MCC, the evaluation provides a summative assessment of the effectiveness, efficiency, and sustainability of its investment in the RSRCs from the planning phase through the first two years of their operation. The findings of the evaluation were to inform MCC’s ongoing strategies for education-sector investments. For NLAS, which is a directorate within the Ministry of Education, this evaluation provided a formative assessment to help guide program improvements within the three RSRCs studied, as well as other RSRCs and libraries across Namibia, a summative assessment of the achievements of the first years of the RSRCs, and a foundation for ongoing assessments of the initial and future RSRCs.  Overall, the evaluation assessed the effectiveness of the RSRC Activity in achieving outputs and outcomes related to education, economic development and community development. 

The overall goal of the Suicide Survey was to better understand the prevalence and key precipitating attributes and prohibiting factors towards suicide with the aim to reduce the incidence of actual and attempted suicides in Namibia.  The objectives of the consultancy were to assess the prevalence, cause[s] and precipitating factors of suicide, and to make recommendations for effective preventative programmes to reduce the incidence of suicide in Namibia.  More specific objectives were to:

• determine the prevalence of fatal suicides disaggregated by age, sex, region, geographic area, education and occupation to the extent that existing documentation and databases allow;

• determine the prevalence of nonfatal suicidal attempts disaggregated by age, sex, region, geographic area, education and occupation to the extent that existing documentation and databases allow;

• determine the prevalence of suicidal ideation disaggregated by age, sex, region, geographic area, education and occupation to the extent that existing documentation and databases allow;

• determine knowledge of someone who has committed or attempted to commit suicide;

• determine knowledge of suicide prevention and treatment efforts in Namibia;

• determine attitudes toward suicide;

• determine causes/precipitating factors of suicide;

• determine the history, types and effectiveness of suicide prevention efforts in Namibia;

• determine the history, types and effectiveness of suicide treatment efforts in Namibia;

• determine individual, family and community connectedness as a key prevention strategy; and

• make recommendations for effective preventative programmes.

The objectives of the consultancy were to determine the socio-economic status of Bethanie, with the aim to develop proposals toward a socio-economic development plan.

JICA conducts an ex-post evaluation on ODA loan projects after two-years of project completion. In order to review the current situation, operation, maintenance, and management of the completed projects neutrally and impartially, JICA appointed and dispatched third party evaluators. The main objectives of JICA’s ex-post evaluation were:

• To assess the results of projects to achieve accountability to the general public of Japan;

• To draw lessons learned and recommendations that can be reflected in future projects and enhance the operations of JICA and partner countries.

Mr Mouton served at the national consulting supporting the JICA international consultant

• Assess progress made towards the achievement of MDG’s with a particular focus on the successes, challenges, bottlenecks and interventions at a national and sub-national level.

• Document key milestones with regard to the adoption/adaptation of the MDGs in the country and provide a critical assessment of the value added of the MDGs for national/sub-national development.

• Provide an analysis of emerging developmental challenges affecting MDG progress.

• Extract lessons from the implementation of the MDG agenda to inform the post 2015 development agenda, including establishing baselines and recording documented policy priorities for key emerging issues such as resilience, food security, changing health profiles, inequality and others

• Update the 2009 Social Impact Assessment Report for the Ohangwena Region, focusing on the relevant affected constituencies

• Assess levels of perceptions, concerns, risks, benefits, etc. of people in respect to the upgrading of the road

• Access constraints to social services

• General population attitudes about roads impacts (positive and negative)

• Small businesses’ attitude towards upgrading of roads impacts

• HIV and AIDS impacts

• Impact on employment

• Other social pathologies, such as crime, prostitutions, etc.

• Recommendations:

• Access to social services during construction

• Access to business and villages during construction

• Employment – taking gender into consideration

• HIV and AIDS in line with the National Framework for HIV and AIDS

• Movement of people into and out of the area during construction

• Safety of community members, travelers and road construction workers during construction

• Agricultural production as main source of livelihood

• Clear indicators in line with Environmental Management Plan will be developed

• Use quantitative and qualitative research methods to:

• o   better understand consumer decision-making processes for low-cost health services;

• o   better understand consumer likelihood of adopting low-cost health services, in various consumer contexts; and

• determine demand estimates for low-cost health care health clinics in Namibia

• To contribute to the reduction of HIV and TB incidence and impact of AIDS and TB among migrant and mobile workers, their families and sedentary communities with which they interact in selected port communities in Southern Africa – Walvis Bay

• Provide detailed empirical knowledge/data and in-depth understanding of health vulnerabilities, specifically HIV and AIDS and TB (prevention, treatment, care and support, management) amongst sea-going personnel, truck drivers, sex workers and other sedentary populations around ports.

• Determine nature of sexual networking including concurrent sexual partnerships between/among sea-going personnel, truck drivers, sex workers and other sedentary populations around ports.

• Identify current response strategies to health vulnerabilities amongst sea-going personnel, truck drivers, sex workers and other sedentary populations around ports.

• Outside research project –

• Use main findings of survey to inform development of policies and programmes that address health vulnerabilities of mobile populations and affected communities

• Strengthen information-sharing, networks and partnerships in order to better coordinate the health and HIV response in port settings.