Evaluation of the regional training service agency/Asia contract with the University of Hawaii School of Public Health
Sign inAMERICAN PUBLIC HEALTH ASSOCIATION. INTERNATIONAL HEALTH PROGRAMS
Evaluates project to provide technical and financial support to training programs for paramedical, auxiliary, and community (PAC) family planning workers in Asia.
Saunders, Lyle|Fischman, Susan|Knauff, Lynn · 1983

Abstract
Special evaluation covers the period 10/79-4/82 and is based on document review, site visits, and interviews with personnel of host governments, A.I.D., and the Regional Training Service Agency for Asia (RTSA/A), an office of the University of Hawaii. RTSA/A is for the most part meeting its contractual requirements and will in fact exceed numeric targets for training PAC workers. Although start-up was slow, activity has quickened over the past 8 months as a result of improved administrative procedures; increased acceptance by, and stronger working relationships with, A.I.D. Missions; and a clearer understanding of RTSA/A's role by both RTSA/A itself and host countries. Some 5,000 PAC workers have received in-country, regional, or U.S. training (vs. the 4,000-5,000 specified in RTSA/A's contract). In addition, 885 days of TA have been provided, as a result of which 118 subactivities have been proposed and 58 completed. RTSA/A's planning and evaluation functions are not strong, perhaps because RTSA/A believes that A.I.D.'s priorities do not take into account RTSA/A's field experience. Also, field visits by RTSA/A staff and the amount of in-country TA provided vary greatly from country to country and among staff members, apparently a result of conflicting teaching duties or a too-restrictive travel approval process. Most A.I.D. Missions look positively on RTSA/A. The countries which have learned to use and value the contract - India, Nepal, the Philippines, and Thailand - view RTSA/A as an unduplicated resource, while those which have used RTSA/A services in only a limited way - Bangladesh and Indonesia - see little advantage in continuing the contract. Although considerable other training opportunities exist in Asia, none focus as thoroughly on in-country PAC training and none ensure that capacity building within host country training institutions and units will be linked to PAC workers' needs for pre-service, inservice, and refresher training. It is recommended that the project be extended 2 years, possibly with a different contractor, and with some changes in the scope of work.
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