Key achievements of the UNICEF Country Programme (2006-2010)
2010 marked the final year in the implementation of the 2006-2010 Country Programme. Through working with national, sub-national partners and in collaboration with various stakeholders, the country programme achieved the following results:
Increased coverage of service delivery PMTCT coverage increased from 65% to 75.6% while number of facilities taking dry blood spots for DNA PCR increased from 90 to 118. Eightynine per cent (89%) of children 6 59 months old received one dose of Vitamin A supplements through child health days. To address malnutrition among children, there was a scale up of Community-based Growth Monitoring and Promotion (CBGMP) from 19 constituencies in 2009 to 27 by end of 2010. Following the roll out of Free Primary Education at the beginning of 2010, UNICEF supported Ministry of Education and Training to implement the first phase of complete abolition of schools fees for grade 1 and 2 in all primary schools in the country. Teaching and learning materials were provided to targeted schools in poor communities.
Quality improvement- Quality Improvement (QI) activities for PMTCT and Paediatric Care were implemented in 25 facilities. Quality indicators focused mainly on PMTCT, Adult and Paediatric ART and TB were developed. To enhance the quality of HIV prevention interventions, age specific HIV prevention modules focusing, among others, on delaying sexual debut, male circumcision and health seeking behaviours and condom use were developed. Integrated services (health, psychosocial support, Early Childhood Care and Development) for vulnerable children were provided through Neighbourhood Care Points.
Policy and Strategy formulation- building on the solid foundation of 2009 technical support was provided for finalisation of the following policies: Education Policy, Social Development Strategic Plan 2011-2015 and Swaziland's Food and Nutrition Strategy. Advocacy for speedy ratification of international conventions was prioritised.
Knowledge Management and documentation of good practices- Several studies and surveys were undertaken in 2010. These included the Round 4 Multiple Indicator Cluster Survey (MICS), Quality of Impact Mitigation Services (QIMS), Free Primary Education Survey, Maternal and Neonatal Care Assessment, Knowledge Attitude and Practice studies on Neonatal Male Circumcision (NMC) and National Plan of Action for Children 2011-2015.
To improve knowledge on violence and abuse, a National Surveillance System on Abuse was established in partnership with various stakeholders. In addition, a documentation exercise of Swaziland's response to violence and abuse was carried out.
Shortfalls during 2010 in the achievement of the results planned in AWPs
The economic downturn, staff turn-over in Government and NGOs coupled with general weak capacity led to a number of shortfalls in the achievement of planned results for 2010.
Absorptive capacity of Ministries and NGOs was adve r s e ly a ff e c t ed r e sul t ing in s low implementation of planned activities. Funding shortfalls for water and sanitation, nutrition, communication for development, social policy and emergency preparedness and response posed challenges during the year. Consequently some activities were differed.
Partnerships and alliances
2010 saw the consolidation of existing partnerships building on the achievements of previous years. Partnership between UNICEF and Faith Based Organisations was strengthened with greater focus on role of FBOs in addressing violence and abuse against children. Other significant partnerships sustained in 2010 included Health Research Institution (HIVQUAL), National Coordinating Unit responsible for the Schools as Centers of Care and Support (SCCS) initiative, National Children's Coordination Unit, Super Buddies and Department of Social Welfare. In the area of HIV and AIDS, UNICEF strengthened collaboration with the National Emergency Response Council on HIV and AIDS (NERCHA), Joint UN Team on HIV and AIDS and PEPFAR.