Midterm performance evaluation of control and prevention of three diseases (CAP-3D) in Burma, Laos, & Thailand and final performance evaluation of CAP-3D in China

The overarching strategy for this project is to increase the coverage, quality, and sustainability of a comprehensive package of for HIV prevention, care, and treatment services. A major area of emphasis is reducing dependence on external donor resources by strengthening local institutions and securing local government buy-in and diverse funding sources. To achieve this, PSI and its partners focus on the following objectives: (1) the scale up of the CPP model, shifting increasingly toward provision of technical assistance to local agencies for CPP implementation (IR1); (2) valuation and documentation of CPP models and use of strategic information (SI) to advocate for replication and leveraged funding (IR2); and (3) enabling local organizations to scale-up the CPP through provision of technical assistance and capacity building (IR3). The evaluation focused on answering five key questions: (1) to what extent have the approaches used for prevention, care and treatment for the most vulnerable populations achieved results to date; (2) what progress has been made toward ensuring sustainability of CAP-3D"s approaches; (3) to what extent does the way that the CAP-3D project is organized, operates, and maintains relationships and communication with key stakeholders, establish an effective and sustainable approach; (4) looking at the HIV programs from a regional perspective, to what extent will CAP-3D be able to achieve critical results, at scale, in HIV prevention, treatment and care by the end of the project; and (5) to what extent are the strategic information activities serving to inform the planning, implementation and monitoring of the project. The evaluation concluded that overall CAP-3D represents an appropriate regional focus on prevention and HIV testing to ensure continuity and linkages throughout the comprehensive model of prevention, care and treatment. The project is appropriately focused among men-who-have-sex-with-men, transgendered women, and female sex workers. The added activities for people who inject drugs in China were also appropriate and in accordance to the local epidemiology. (Excerpts, modified)