Sahsp mte-final report-27-feb-2007
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Transcript of Sahsp mte-final report-27-feb-2007
Final Draft – 27th Feb 2007
Delegation of the European Commission in Kenya,
Somalia Operations
Contract No: 514-NGO-L12-04
Somali Animal Health Services Project
Mid-Term Project Evaluation Report
By
Professor Mark M. [email protected]
January 2007
1
LIST OF CONTENTS
List of Tables:
Table 1: Rinderpest (RP) Vaccination and Observed Antibody Prevalence in Gedo,
Middle Juba and Lower Juba regions of Southern Somalia
Table 2: Result 3 – Surveillance Gap Analysis
Table 3: SAHPS Summary of Expenditure to 30 Nov 2006
Table4: Veterinary Council of Tanzania
Table 5: Available Statistics about Veterinary Human Resource in the SAHSP Project
Area
List of Figures:
Fig 1: SAHSP Role in Public-Private Partnership Development
Fig 2: Principles of Risk Management of Transboundary Animal Diseases
Fig 3: A Vision for a future Public-Private Synergy for Somali Veterinary Services
Fig 4: A Proposed Programme Structure for a possible Follow-up Project
ACRONYMS
EXECUTIVE SUMMARY
MAIN REPORT
SECTION A: PROJECT DESIGN
A1: Introduction and Background
A2: Genesis of SAHSP
2
A3: Project Objectives and Design
A4: Project Design
A5: The Logical Framework.
A5.1: Indicators
A5.2: Assumptions and Risks
A6: Project Start-Up
A7: Method Used in the Evaluation
SECTION B: KEY FINDINGS
B1: Overall Assessment
B2: Summary of Key Findings by Expected Results (See Annex 1 for details)
B2.1: Expected Result 1: Capacity of Somali insti tutions to effectively deliver
and regulate animal health services strengthened
B2.2: Expected Result 2: Measures for the eradication of Rinderpest from the
Somali ecosystem implemented in collaboration with AU/IBAR/PACE
and neighbouring countries.
B2.2.1: Chronology of rinderpest events:
B2.2.2: Rinderpest surveillance results from the Kenyan side of the
Somali-ecosystem
B2.2.3: Interpretation of results from the 2006 rinderpest survey in
Somalia
B2.3 Expected Result 3: Mechanisms for reducing vulnerability of nomadic
Somali l ivestock to threats of major epizootics strengthened through the
establishment of a surveillance system
SECTION C: PROJECT MANAGEMENT
3
C1: Project Management Structure
C2: Project Expenditure Pattern
C3: Project Coordination
C4: Project Linkages
C5: Monitoring and Evaluation
C6: Linkages between Ethiopia, Kenya and Somalia – an epidemiological
cluster
C7: Interaction with AU-IBAR
C8: Interaction with FAO
C9: Interaction with OIE
SECTION D: PROJECT IMPACT AND EFFECTIVENESS
D1: Project Impact – Perception of Stakeholders
SECTION E: RECOMMENDATIONS FOR THE WORK PLAN TO END OF
CURRENT PROJECT
SECTION F: PROJECT SUSTAINABILITY AND LONG-TERM VISION FOR
SOMALI ANIMAL HEALTH SERVICE
F1: Context
F2: Basic Concepts for Risk Management of Trade Limit ing Diseases
F3: Public and Private Sector Synergy
F4: Animal Disease Surveillance and Laboratory Services
F5: Veterinary Legislation
F6: Who Pays and how to Ensure Long-term Sustainabil ity
4
Section G: RECOMMENDATIONS FOR A POSSIBLE FOLLOW-UP PROJECT
SECTION H: ANNEXES:
Annex 1: Project Effectiveness by the Log-frame
Annex 2: Idle training facil it ies at Buran, Sanaag Region in Puntland
Annex 3: Gaps Analysis for the SAHSP Animal Disease Surveillance Network
Annex 4: SAHSP Project Expenditure to 30 th November 2006
Annex 5: Terms of Reference
Annex 6: List of Persons Met
Annex 7: Projected End-of-Project Management Arrangements
5
ACRONYMS
AU/IBAR African Union / Inter-African Bureau of Animal ResourcesARIS Animal Resources Information System BENALPA Benadir Livestock Professionals’ Association
CAHC Community-Base Animal Health Care
CAHW Community-based Animal Health Worker
CBPP Contagious Bovine Pleuropneumonia
CCPP Contagious Caprine Pleuropneumonia
CERELPA Central Regions Livestock Professionals’ Association
CSU Common Service Unit AU/IBAR PACE Project
CVL Central Veterinary Laboratory
CVO Chief veterinary Officer (=Director of Veterinary Services)
DG Director General DfID Department for International Development, UK Government
DVO District Veterinary OfficerDVS Director of Veterinary Services (=Chief Veterinary Officer)EC European Commission ECHO European Commission Humanitarian Office
ECSALI Enhancement of Capacity of Somali Agricultural and Livestock Institutions
ProjectECSU European Commission – Somalia Unit EDMU Epidemiology and Data Management UnitEMPRES Emergency Prevention System for Transboundary Animal and Plant
Pests and Diseases - a priority global programme of FAO
EXCELEX Export and Certification of Livestock for Export Project
EW Early Warning
FAO Food and Agriculture Organisation of the United Nations
FVM Faculty of Veterinary Medicine
GDP Gross Domestic Product - a measure of total economic activity of a nation
GLEWS Global Early Warning System for TADs and Zoonoses - at FAO HQ on behalf
of FAO, OIE and WHO
GPS Geographical Positioning System
GREP Global Rinderpest Eradication Programme – coordinated by FAO
ILRI International Livestock Research Institute
INGO International Non-Governmental Organisation
ITP Itinerant Training Programme
KARI Kenya Agricultural Research Institute
KWS Kenya Wildlife Services
LICUS Low Income Countries Under Stress
MoL Ministry of Livestock, Somaliland
MoLAE Ministry of Livestock, Agriculture and Environment, Puntland
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MoU Memorandum of Understanding
NAHA Nomadic Animal Health Assistant
NGO Non-Governmental Organisation
OIE Office International des Epizooties (World Organisation for Animal Health)
PACE Pan African Control of Epizootics
PDS Participatory Disease Search
PMU Project Management Unit
PPR Peste des Petits Ruminants
PULPA Puntland Livestock Professionals’ Association
RP Rinderpest
RPT Reporting
RVC Regional Veterinary coordinator
RVF Rift Valley Fever
RVO Regional Veterinary Officer
SAHSP Somali Animal Health Services Project
SCIU Somali Co-ordination and Implementation Unit
SEDMU Somali Epidemiology and Data Management Unit
SERECU Somali Ecosystem Rinderpest Eradication Coordination Unit
SHA Swiss Humanitarian Aid
SOWELPA South Western Livestock Professionals’ Association
SoLNAVA Somaliland National Veterinary Association
SLPF Somali Livestock Professionals’ Forum
SSS Somalia Support Secretariat
STVS Sheikh Technical Veterinary School - located in Somaliland
SVP Somali Veterinary Professional
TA Technical Advisor
TAD Transboundary animal disease
TADInfo Transboundary Animal Diseases Information System
TAWIRI Tanzania Wildlife Research Institute
TFG Transitional Federal Government of Somalia
ToR Terms of Reference
ULPA United Livestock Professionals’ Association
UN United Nations
UNDP United Nations Development Programme
VIC Veterinary Investigation Centre
VSF Veterinaires sans Frontiere
WAHD World Animal Health Information Database - of the OIE
WHO World Health Organisation of the United Nations
WTO World Trade Organisation
7
Project basic data
Project Tit le: Somali Animal Health Services Project (SAHSP)
Contract No: 514 – NGO – L12-04
Starting date of contract: 1stApril 2005
Ending date of contract: 30thSeptember 2007.
Recipient Organization: Terra Nuova
Partners: UNA and COOPI
Location: County-wide with field offices in Somaliland (Hargeisa), Puntland
(Garowe), Central Somalia (Jowhar/Belet-Weyne) and Southern Somalia
(Dinsor/Afmadow).
Total contracted amount: Euro 3,157,718
• EC Contribution: Euro 2,999,832
• Other Contributions: Euro 157,886
8
MID-TERM EVALUATION OF THE SOMALI ANIMAL HEALTH SERVICES
PROJECT (SAHSP)
EXECUTIVE SUMMARY
The Somali Animal Health Services Project (SAHSP) was established as a contract between
the European Commission, represented by its Delegation in Kenya, and the Terra Nuova, on
behalf of a consortium of 3 NGOs (Terra Nuova, UNA and COOPI) with over 10 years
experience in the livestock sector of Somalia during the prolonged period of unsettled civil
security. The project became operational on 1st April 2005 and is due to end on 30th
September 2007.
The specific objective (i.e. purpose) of SAHSP has been defined by the contracting parties as:
“To improve delivery and regulation of animal health services in order to enhance livestock
production, domestic and export trade in livestock and livestock products”. Project Outputs
are supposed to be delivered through 3 main Expected Results, namely:
• Capacity of Somali institutions to effectively deliver and regulate animal health
services strengthened.
• Measures for the eradication of Rinderpest from the Somali ecosystem implemented
in collaboration with AU/IBAR/PACE and neighbouring countries.
• Mechanisms for reducing the vulnerability of nomadic Somali livestock to threats of
major epizootics strengthened through the establishment of a surveillance system.
The contracting parties agreed to commission an independent mid-term evaluation (MTE) in
order to assess the progress in implementation of the project, the relevance of SAHSP
objectives and activities to the identified needs and to make recommendations for the
remaining period as well as for any possible follow up similar initiative. The evaluation was
undertaken from 3rd to 22nd January, 2007. It included field visits to Puntland and Somaliland
from 6th to 15th January. Because of the prevailing security concerns it was not possible to visit
Central and Southern Somalia. Instead, the SAHSP Zonal Coordinators, SAHSP Field
Officers and representatives of the two professional associations, SOWELPA and CERELPA,
came to Hargeisa, by road, to meet the consultant. The consultant undertook a literature
review of documents and reports generated by the project and conducted interviews with
several stakeholders both in Nairobi and in the field in Somalia as well as a gap analysis with
specific reference to the capacity for surveillance. The preliminary findings were presented to
a stakeholder debriefing session at the AU-IBAR HQ in Nairobi on 22nd January 2007 and an
Aide Memoire was submitted through project management to the donor and the
implementation partners.
9
Key Findings:
The design of SAHSP built on the achievement of the Somali PACE project and the
experience of the implementing partners of having been involved in the Somali livestock
sector for some 10 years. Three of the Technical Advisors had also been involved in the
implementation of the Somali PACE project. Accordingly, both the design and the
implementation of SAHSP have focused on consolidating issues that had been identified
during PACE, such as the surveillance that would determine the rinderpest status of the
Somali eco-system, promoting service delivery through the private veterinary sector by
strengthening and collaborating with the veterinary professional associations as well as the
nascent public sector where possible. The project has also either consolidated or set up some
strategic interventions that would have a long term impact, such as initiating a system for
disease surveillance, disease information and disease emergency preparedness, developing
livestock policy documents, Master Plans and Veterinary Codes. Therefore, both the design
and implementation of SAHSP have focused on priority areas for the livestock sector bearing
in the national and regional perspectives. SAHSP has also been driven by a long-term vision
and thereby focused in setting in motion features of a future national veterinary service
system rather than by simply concentrating on delivery of immediate animal health
operations.
The continuing security uncertainty has meant that the Project Management Unit for SAHSP
had to be maintained in Nairobi. Nevertheless, the 4 Thematic Technical Advisors were
located within Somalia. So the coordination and management of the project depended
considerably on the availability of ECHO flights between Nairobi and the different project
zones.
From the scientific perspective, overall, the project delivery was found to be satisfactory and
the quality of the outputs to be of a technically high standard. Project delivery was on
schedule despite such extraneous factors as continued uncertainties about security,
disruptions in ECHO flights and a weaker than expected capacity of the public sector
counterpart in Puntland and Somaliland plus an under-funding of two of the Results, which
has been rectified during the course of project implementation.
The project achievements can be summarised as follows:
• High calibre staff - both Somali and Technical Advisors
• Good morale among staff
• Scientific Output of high standard
• Surveillance is better developed in Central and Southern Somalia than in Puntland
and Somaliland Project Zones
10
• Expenditure is on target in relation to budget
• Impact of SAHSP is rated as high by stakeholders; the project is valued and
respected
• Consensus among stakeholders that SAHSP is vital to the Somali livestock sector
• Collaboration in SERECU is regarded as highly valuable by SAHSP as well as by the
veterinary services of Kenya and Ethiopia
• Current evidence does not rule out the possibility of low grade rinderpest virus activity
in Southern Somalia.
At project-end it can be expected that a framework for disease surveillance and animal
disease information will be in place, the rinderpest status of Southern and Central Somalia will
have been determined and that this will have enabled the Somali authorities to make an
appropriate declaration to the OIE and thereby embark on the OIE Pathway for rinderpest
eradication, the livestock policy, master plan and veterinary codes would have been
introduced into Puntland and Somaliland and the use of private veterinary service providers
would have been consolidated. Short-term training of both public and private sector veterinary
personnel as well as some rehabilitation of basic veterinary infrastructure will also have been
undertaken. To achieve these targets it will be essential to adjust the project work plan as
recommended below.
The activities of SAHSP are standard approaches for rehabilitating a national veterinary
service. SAHSP has started a process that will need to be consolidated and be placed on a
sustainable basis in a follow-up project as recommended below.
Recommendations for the Remaining Project Period
Two recommendations have been highlighted as the most crucial for the remaining part of the
current project cycle. These are (a) the installation of a working framework for disease
surveillance and animal disease information in each of the project Zones as well as at the
PMU HQ; (b) the undertaking of a SERECU coordinated rinderpest survey in collaboration
with Kenya and Ethiopia in such a way that the outcome would be an agreed definition of the
status of rinderpest viral activity in Southern Somalia and a clear advice to the countries, AU-
IBAR and the donor on an action plan that should emanate from such an analysis. Several
proposals have been made in order to facilitate the focus on the two activities. These include
financial incentive payment in Puntland and Somaliland to the public servants involved in the
setting up of the Epidemiology and Data Management Units (EDMUs) there and the training
of the National Epidemiologist to enable him take an active role in setting up the disease
database.
11
With respect to the rinderpest status, it is recommended that important for SAHSP to develop
and rehearse a contingency operational plan with appropriate costing (which hopefully
might not be activated) for a focused rinderpest vaccination in parts of Southern Somalia (i.e.
preparedness for a worst case scenario), should the SERECU coordinated analysis of the
planned rinderpest survey conclude (with the collaboration of AU-IBAR and FAO) that the risk
for rinderpest virus circulation in the previously suspected areas of Southern Somalia still
exists and that such a focus needs to be eliminated by blitz or immuno-sterilisation
vaccination as previously happened in northern Tanzania in 1997/98 and in north-eastern
Kenya in 2003. It should be emphasised that whatever conclusion the SERECU analysis
reaches, it will still be necessary to maintain an active rinderpest surveillance in Southern
Somalia until at least 2010/2011 to be able to satisfy the current stipulations of the OIE
Terrestrial Animal Health Code for freedom from rinderpest infection.
Other recommendations are:
i. Having a common template between SAHSP and ESCALI for developing an effective
public-private sector synergy in animal health delivery and in developing associated
policies and regulations.
ii. Adjusting the job description of the National Coordinator to enable him to actively
participate in the development of the emergency preparedness project portfolio.
iii. Deferring the recruitment of the replacement Epidemiology Advisor until a follow-on
phase has eventually been approved.
iv. Modifying the design of the website that is in progress to reflect wider aspects of Somali
Animal Health than just projecting SAHSP activities.
v. Instituting and convening a Steering Committee
vi. If there are savings, seeking a No-Cost-Extension in order to allow for effective
completion of the two priority activities cited above and for wide stakeholder
consultations as well as negotiations with FAO about modalities for future FAO
backstopping by the normative Technical Divisions, particularly the EMPRES
Programme.
Recommendations for a Possible Follow-up Project
SAHSP has laid a solid foundation for a long-term institutional capacity building project with a
view to long-term sustainability. It is now important to start a dialogue among the various
stakeholders on the vision of a future veterinary service system in Somalia which will also
determine the shape of projects in the animal health fields. Such a dialogue would need to be
at policy level and is probably best co-initiated by the EU and FAO, building on the 2004
report of the Joint FAO-EU-World Bank study on a future livestock development strategy for
Somalia.
12
At the project level, the MTE recommends that there be a follow up SAHSP-2 project with the
following considerations:
1. Assured 2-cycle funding (i.e. 60 -72 months) with funding from one phase to the next
being contingent on performance evaluation of the on-going phase.
2. A negotiated formal arrangement that will facilitate the technical support and back-
stopping by FAO normative system (especially EMPRES) to the SAHSP-2.
3. Should there be an extension to SAHSP, as suggested above, the end of the present
phases for both SAHSP and ESCALI will be close. In such an event consideration
could be given to integrating the livestock policy elements of ESCALI into the new
SAHSP-2 project so as to have a coherent approach by design rather than by
coincidence as in the current phase, which works well because Terra Nova is
involved in the implementation of both SAHSP and ESCALI. If the implementation of
ESCALI had been awarded to a different agency, the close collaboration that now
exists between SAHSP and ESCALI would have been fortuitous. The activities of the
new SAHSP-2 can therefore be re-arranged along 4 technical themes, while retaining
the current administrative structure (H&R, Finance and Procurement) to underpin the
technical inputs. The technical themes would be:
• Surveillance and Early Warning to cover:
o Lab & Epidemiology capacity;
o Rinderpest surveys;
o Animal disease information system;
o disease reporting;
o early warning;
o Somali surveil lance network
• Preparedness and Response systems to cover
o Preparedness and Contingency Plans
o Outbreak investigations
o Somali disease intervention network
• Livestock/Veterinary Policy to cover:
o Public-Private-Partnerships;
o Regulations;
o Norms, Standards and international conventions;
o Boards;
o Associations;
o Cross-cutting issues e.g. socio-economics, gender,
HIV/AIDS
13
• Knowledge Transfer and Management to cover:
o Training for all levels,
o Communication & Stakeholder awareness
4. Strengthening the newly formed Veterinary Boards to enable them to become
effective custodians of ethics and standards, registration of private practices and
promotion of public-private partnerships.
5. Setting up a training scheme for veterinary assistants (i.e. 2 year animal health
course after Secondary School). There is a dire shortage of trained primary animal
health care and service delivery personnel in Somalia, namely veterinary/animal
health assistants. Two approaches are suggested:
a. The first, which would address a short term approach, could be achieved by
making some adjustment to the curriculum of the Sheikh Technical Veterinary
School (STVS) to allow it to issue both Certificate and Diploma qualifications.
By this approach the SVTS would be allowed a large intake of Secondary
School leavers primarily into a 2 year programme a leading to a Certificate in
Animal Health. Some of the Certificate graduates and some serving animal
health assistants could be offered a 1 year specialist course leading to a
diploma in animal health or in commodity sanitary inspections as already
planned for the SVTS.
b. The second, and more medium term approach, would be to utilise the
dormant facilities at Buran in Sanaag Region to run a dedicated
veterinary/animal health assistant training programme, along the lines of
similar institutions in Kenya and Tanzania. It will not duplicate what is planned
for the Sheikh Technical Veterinary School as it caters for a different
objective.
By instituting both Certificate and Diploma programmes it will be possible to start
addressing the dire need for middle cadre technical personnel, a core issue for
sustainable animal health service delivery. Another advantage is that the scheme will
start bringing Somalia into line with practices in East Africa and the definitions of the
OIE Terrestrial Animal Health Code for veterinarians (i.e. professionals) and para-
veterinarians /para-professionals.
6. In the short–term the shortage of fully qualified veterinarians (as defined by the OIE
Code) in Somalia could be addressed through the provision of scholarships,
preferably, tenable at veterinary faculties in universities in the rest of Africa.
14
MAIN REPORT
SECTION A: PROJECT DESIGN
A1: Introduction and Background
Livestock is the main stay of the Somali economy. It contributes about 60% to the incomes or
subsistence of the Somali population. Livestock exports are estimated to account for about
40% of the national GDP and 80% of foreign currency earnings. About 60% of the Somali
population are nomadic pastoralists. Somali pastoralism differs from other forms of pastoral
production in that it is a market-integrated commercial system despite being subsistence-
oriented in many areas. Exporting livestock is a long standing tradition. Until 1975, Somalia
was the world’s largest exporter of live animals and in 1985 ranked third after Australia and
Turkey in the number of exported sheep and goats. Over 90% of livestock exports are
destined for the Arabian Peninsular and the Gulf Countries1. In recent years a growing
diversification has been the construction of large abattoirs and export of meat.
With such a high dependence on livestock export, it is not surprising that whenever Saudi
Arabia and other Middle Eastern Countries have imposed import bans for fear of disease
introduction, such bans have had serious consequences on the economic performance of
Somalia.
Despite the civil strife that has characterised Somalia during the last 16 years, the livestock
sector has continued to enjoy the most support from the international community and relief
agencies, including NGOs. A major factor for this continued involvement has been the
realisation that livestock plays a central role in the livelihoods of the Somali people.
The Somali Animal Health Services Project (SAHSP) is one such project which aims at
restoring a credible veterinary service that is underpinned by disease surveillance. The
project time frame is 1st April 2005 to 30th September 2007. This mid-term evaluation (MTE) of
SAHSP was launched in order to provide the donor and the project implementation team with
an assessment of the progress in implementation of the project. Emphasis was placed on the
relevance of SAHSP objectives and activities to the identified needs, the efficiency of its
implementation and its effectiveness to date. The potential and requirements for
institutionalisation and sustainability of SAHSP outputs by the beneficiaries was also
assessed.
1 The information in this paragraph is primarily derived from the PhD Dissertation of Dr S. Tempia (2006). The Dynamics of Rinderpest in Nomadic Pastoral Systems: The Somali Surveillance Example. In partial fulfilment of the requirements for the Degree of Doctor of Philosophy Colorado State University Fort Collins, Colorado
15
A2: Genesis of SAHSP
The SAHSP started on 1st April 2005 and is a follow up to the Somali PACE project which ran
from 1st October 2001 to 31st March 2005. This in turn was preceded by a series of EC-funded
projects implemented by Terra Nuova and its partners since 1994. The current SAHSP builds
on a sustained experience of Terra Nuova and its partners in the field of animal health and
livestock services delivery in Somalia which extends over 10 years. The genesis of SAHSP
can be summarised as follows:
• 1994 – 1996: Private Sector Support Programme. Development of therapeutic skills;
• 1997 – 1998: Itinerant Training Programme (ITP-phase 1) – focus on private service
delivery to livestock producers; Export Related Veterinary Services Project in
Puntland and Somaliland
• 1999-2001 (ITP-2): Initiate disease surveillance; some support to the public sector in
Somaliland – Master Plan & Vet Code;
• 2002-2005 (ITP-3): Extend ITP to Central and South Somalia;
• 1998 – 2000: Somali Pan African Rinderpest Campaign (PARC) project within the
context of the Pan-African Campaign for Rinderpest Control which focused on both
rinderpest control and establishing enabling veterinary systems like reducing the role
of the State in animal health services delivery.
• 2001 – 2005: Somali PACE Project – rinderpest surveillance linked to Regional PACE
programme under IBAR; Consolidation of support to public institutions and Livestock
Professionals’ Associations.
• 2005 to-date: SAHSP.
Thus the SAHSP project is a successor project to initiatives that started some 10 years
earlier. It builds directly on the experience of both PARC and PACE. While members of the
current consortium of Terra Nova, UNA and COOPI have collaborated in the past, SAHSP is
the first initiative that binds all three together in managing a common project.
In designing SAHSP the implementation partners would also have taken into account the
contents of the FAO-EU-WB study for a Somali livestock sector2, which was completed in
2 FAO-European Union-World Bank (29 April 2004). SOMALIA: TOWARDS A LIVESTOCK SECTOR STRATEGY. FINAL REPORT. Report No.: 04/001 IC–SOM
16
April 2004, as well as the recommendations of the Somali PACE Evaluation which took place
in January-February 2004.
A3: Project Objective, Purpose and Strategy
The overall objective of the project has been defined as:
To contribute to the improvement of livelihoods by enhancing food security and
income generation through the control and eradication of major epizootic diseases of
livestock.
The specific objective (or purpose) of SAHSP has been defined as:
To improve delivery and regulation of animal health services in order to enhance
livestock production, domestic and export trade in livestock and livestock products.
From the above it can be deduced that the strategy of SAHSP would be to facilitate the re-
establishment of a public goods veterinary services system in Somalia through addressing
trade limiting transboundary animal diseases3 (TADs), developing codes of veterinary
governance and regulatory systems that are compatible with the OIE Terrestrial Animal
Health Code, engagement of the livestock dependent communities in the understanding and
risk management of TADs and contracting of licensed private veterinary practitioners/service
providers in undertaking public good activities such as sampling of animals for
epidemiological surveillance, disease notification/reporting and inspections under the
supervision of either official veterinary personnel or SAHSP staff in the 4 Project Zones (i.e.
Puntland, Somaliland, Central Somalia and Southern Somalia).
This strategy is in line with modern thinking for the risk management of transboundary animal
diseases (TADs), which are trade limiting.
A4: Project Design
The design focuses on laying the ground or strengthening the existing elements of the public
sector as well as continuing the development and strengthening of the role of the private
sector in the delivery of public goods veterinary services. The project, therefore, lays the
practical foundation for a future veterinary administration that will recognise the pivotal role of
the private veterinary sector.3 Transboundary animal diseases are defined as: those infectious diseases of animals that are of significant economic, trade and/or food security importance for a considerable number of countries; which can easily spread to other countries and reach epidemic proportions; and where control/management, including exclusion, requires cooperation between several countries.
17
The project has been designed using an Outcomes based Logical Framework in line with the
guidelines of the European Commission for development projects.
Accordingly, the project has set out 3 Main Outputs as Expected Results. These are:
1. Capacity of Somali institutions to effectively deliver and regulate animal health
services strengthened
2. Measures for the eradication of Rinderpest from the Somali ecosystem implemented
in collaboration with AU/IBAR/PACE and neighbouring countries.
3. Mechanisms for reducing the vulnerability of nomadic Somali livestock to threats of
major epizootics strengthened through the establishment of a surveillance system.
A5: The Logical Framework.
There are several aspects of the design of the logical framework where the verifiable
indicators have been set at an ambitious level. These were revised downwards quite early in
the project cycle. Nevertheless several extraneous factors are likely to compromise delivery.
The following account summarises an assessment of the Indicators, Assumptions and Risks
given in the revised logical framework.
A5.1: Indicators
Purpose (or specific objective):
The purpose of improving the delivery of animal health services is quite pertinent.
The indicator of a 50% increase by March 2007 of the number of pastoralist
communities and livestock traders accessing professionally supervised animal health
services could not readily be verified quantitatively as the project reports do not
readily report on such statistics and the sources of verification indicated in the logical
framework were not readily available to the MTE. In any case it would have been
difficult to assess a 50% increase as the baseline data were not given in the logical
framework. Also project reports do not show explicitly the statistics regarding
household incomes, disease prevalence reductions and number of pastoralists
accessing professionally supervised animal health services. So only a qualitative
assessment was possible. This could only be deduced from stakeholder perceptions,
which were all positive as discussed under Section D1.
Result 1:
18
The indicators are reasonable. However the timeframe is optimistic in several cases.
For example, the target for a 50% (originally 80%) implementation of
recommendations of the Master Plan within 20 months ignores the financial
implications of the recommendations and the fact that the document that was
prepared by the Somali PACE Project for Puntland was only advisory, the public
sector had to adopt the concepts, transform the recommendations into a government
document and submit to parliament before implementation can commence. It is also
ambitious to forecast the completion of laboratory rehabilitation, training of staff,
purchase and installation of equipment and have the laboratories operational within
14 months. Most of the indicators should have been targeted for effective operation
during the last 6 months of the project.
The reference of the Epidemiology and Data Management Units (EDMUs) seems to
be misplaced. This should be under Result 3.
Result 2:
The indicators are reasonable. However they emphasise technical activities rather
than links to specific rinderpest eradication targets in relation to the OIE Pathway and
the FAO-GREP Blueprint towards global rinderpest eradication by 2010. The caution
was probably dictated by the security uncertainties.
Result 3:
The surveillance targets, including the operational capacity of the EDMUs were set at
an ambitious level considering that this activity was being introduced into the 4 project
zones for the first time. A more realistic target would have been to ensure that the
framework (i.e. basic elements) for the EDMU system is in place in all the 4 zones by
project end, rather than being fully operational. Countries in the rest of Tropical Africa,
with stable and functioning public sectors, have taken longer than 26 months to have
a functional system.
A5.2: Assumptions and Risks
The SAHSP project is primarily an institutional capacity building project. It is unrealistic that
the purpose of the project, which basically is improved veterinary services to a sustainable
level can be fully realised in 30 months. A major assumption should be continued donor
support and Somali stakeholder collaboration. Neither of these two assumptions is listed in
the logical framework.
The project was designed and is being implemented by highly dedicated personnel, who
expect to achieve results notwithstanding some obvious risks and assumptions that are
19
extraneous to the project operations. For example, although inter-clan rivalry is cited by many
outside observers as a risk factor in project implementation, the SAHSP logical framework
makes no reference to such a risk. This probably reflects the expertise that has evolved over
a 10-year engagement by members of the SAHSP consortium in the Somali livestock system
that has created a level of trust and confidence in the operations of SAHSP, which are taken
to be purely technical without impinging on political or inter-clan rivalry. Project staff has
evolved this relationship with the Somali stakeholders that they no longer seem to regard it as
a major risk mitigation achievement.
The assumptions and risks listed in the logical framework are quite valid. However, there is no
mention of risk mitigation factors. For example, many of the activities under Results 2 and 3
require an effective outreach system despite unsettled security. Both the Somali PACE and
SAHSP projects have developed mitigation systems which rely on engagement of Somali
resident professionals and community animal health workers (CAHWs) for the outreach
system, which functions well. Yet this is taken for granted and is not reflected in the
assumptions, risks and risk mitigation measures.
There are also extraneous factors which depend on the counterpart capacity of the public
sector which were not adequately reflected in the assumptions. Three factors stand out as the
most prominent: the non-effectiveness of the Transitional Federal Government which was
formed five months before SAHSP (i.e. in October 2004) and to-date is not yet fully
operational in the livestock sector; a much weaker than expected counterpart public sector in
both Puntland and Somaliland, and thirdly, an under-funding of some Outputs. This last factor
has been partly addressed either by supplementary funding of Result 3 (Preparedness) or by
the funding of the Project for Enhancement of Capacity of Somali Agricultural and Livestock
Institutions (ECSALI) which complements Result 1 of SAHSP.
The targets for disease emergency preparedness plans make no reference to access to a
contingency fund for preventing initial disease spread. As SAHSP is not primarily a disease
intervention project, effective disease emergency control would depend on interaction and
collaboration with other partners whose primary activity is the control of disease emergencies.
Such an assumption and measures for verification need to be reflected in the logical
framework.
Apparently, the Rift Valley fever risk prediction model was intended to be developed jointly
with FAO, and therefore was contingent upon an agreement with FAO. This is not indicated in
the assumptions.
20
A6: Project Start-Up
The Grant Contract No. 514-NGO-L12-04 was signed in December 2004 between the
European Community, represented by the EC Delegation in Kenya and Terra Nuova for a
total of €3,157,718 as part of the EDF 5th Rehabilitation Programme for Somalia. The
expected start date for implementation of the Action covered by the contract was 1 st April
2005. Indeed the Project Management Unit (PMU) was set up on 1st April 2005 with the Chief
Technical Advisor, the Project Epidemiology Advisor, the Project Administrative and Human
Resources Advisor and the National Administrator. By the end of August 2005 all project staff
at the PMU and in the Zonal Offices were in place. The project was able to produce a detailed
inception report for the initial 4 months in August 2005.
While the start up was uneventful, expatriate and PMU-based project staff have had to be
either evacuated or relocated temporarily on six occasions between August 2005 and January
2007, totalling about 85 equivalent work days. Nevertheless as the TAs are expected to
spend 70% of their time away from their duty stations, it was possible to reschedule their
programme of work appropriately.
A7: Method Used in the Evaluation
This evaluation was undertaken from 3rd to 22nd January, 2007. It included field visits to
Puntland and Somaliland from 6th to 15th January. Because of the prevailing security concerns
it was not possible to visit Central and Southern Somalia. Instead, the SAHSP Zonal
Coordinators, SAHSP Field Officers and representatives of the two professional associations,
SOWELPA and CERELPA came to Hargeisa, by road, to meet the consultant.
From the Terms of Reference (Annex 5), it could be synthesised that the evaluation would
focus on 4 main thrusts:
• The design and relevance of the project
• The processes including implementation schedule of activities and project delivery in
accordance with the logical framework and the Grant Contract
• The pathway towards an institutionalised and sustainable system for public sector
animal health management through the oversight of the risk management of trade
limiting TADs, including the competencies for veterinary operations and institutional
capacity building
• Linkages that SAHSP is developing with Somali institutions, other internationally
funded animal health related projects in Somalia, with veterinary services in the TADs
21
epidemiologically linked areas of Ethiopia and Kenya under the umbrella of AU-IBAR
as well as linkages with the normative guidance of AU-IBAR, OIE and FAO-Animal
Health (especially EMPRES).
The consultant undertook a literature study of the project documents and reports, undertook
interviews with various stakeholders (See Annex 6: List of Persons met) and undertook a
gaps analysis workshop directly with project personnel from Somaliland, Central Somalia and
Southern Somalia plus representatives of livestock professional associations from these
zones. This was joined by the CTA, the National Coordinator, the TA for Surveillance and the
TA for Policy & Communication. The TA from Puntland took part remotely.
22
SECTION B: KEY FINDINGS
B1: Overall Assessment
Overall, the project delivery is satisfactory and the quality of the outputs is acknowledged as
being of a technically high standard. The extraneous factors cited above and the unavailability
of one TA has slowed down some aspects of project delivery.
The project achievements can be summarised as follows:
• High calibre staff - both Somali and Technical Advisors
• Good morale among staff
• Scientific Output of high standard
• Surveillance is better developed in Central and Southern Somalia than in Puntland
and Somaliland Project Zones
• Expenditure is on target in relation to budget
• Impact of SAHSP is rated as high by stakeholders; the project is valued and
respected
• Consensus among stakeholders that SAHSP is vital to Somali livestock sector
• Collaboration in SERECU is regarded as highly valuable by SAHSP as well as the
veterinary services of Kenya and Ethiopia
• Current evidence does not rule out the possibility of low grade rinderpest virus activity
in Southern Somalia.
The detailed consolidated project achievements on activity-by-activity basis according to the
logical framework are given in Annex 1.
The account below provides a narrative of the key findings for each of the three major results.
B2: Summary of Key Findings by Expected Results (See Annex 1 for details)
B2.1: Expected Result 1: Capacity of Somali insti tutions to effectively deliver
and regulate animal health services strengthened
a) Capacity building: The stakeholder and other training workshops have been held
on schedule. These have included the training of representatives of Veterinary
Professional Associations in elements of business management and project proposal
preparations. The Hargeisa laboratory has been refurbished and equipped for basic
activities; some training has also taken place. However, the refurbishing and
equipping of the laboratory in Puntland has been delayed. Nevertheless four
23
laboratory technicians from Puntland have undertaken the basic training in Hargeisa
alongside the personnel from Somaliland.
From May 2006, SAHSP started focusing also on additional aspects of the
institutional capacity building: human resources and financial management. These
two aspects were considered essential tools in enhancing ministerial management
and transparency, which are important preconditions to improve service delivery,
public trust and to help the government to re-build a sustainable modern
efficient/effective public administration.
Puntland has the worst capacity for qualified veterinary personnel of all the 4 project
Zones: There are only 5 qualified veterinarians, the youngest of whom is 50 years.
PULPA whose membership is by veterinarians, veterinary assistants and animal
production scientists started at 64 and now stands at 53 without any resignations.
There is a most URGENT need to train veterinary assistants (a course of 2 years
after secondary school) especially for Puntland, as the baseline of the veterinary
cadre for primary animal health care. Two approaches have been recommended
(Section G) which on the one hand could involve some adjustment of the curriculum
of the Sheikh Technical Veterinary School to allow it to offer both Certificate and
Diploma courses and on the other would involve the use of the idle facilities at Buran
in Sanaag Region (Annex 2) with buildings that appear to be structurally sound,
running water and electricity in order to run a dedicated animal health certificate
programme for veterinary/animal health assistants.
b) Regarding the policy and regulatory framework, a livestock policy document for
Somaliland was prepared by a Task Force comprising representatives of the public
and private sectors under the guidance of the TA responsible for Policy and
Communication. This was submitted to the Minister of Livestock in December 2006.
In Puntland the Veterinary Code has been enacted and the Veterinary Board has
been partially constituted. The Master Plan advisory document prepared by the
Somali PACE Project for Puntland has been converted into a government document
entitled: Institutional Procedures and Regulations of the Ministry of Livestock,
Agriculture and Environment. However, so far, it has not been debated and approved
by Parliament. The Minister has asked for a cost-benefit analysis of the implication of
implementing the Master Plan. The SAHSP has commissioned a consultancy for the
study which is expected to be completed by April 2007. In Somaliland the enactment
of the Veterinary Code has been delayed by a series of amendments in parliament
and revisions in the Ministry. It is hoped that the process will be completed during the
next 3 months.
24
This Result will be supplemented by the newly launched ECSALI project which will focus
on the Enhancement of Somali Agriculture and Livestock Institutions which will include
policy and regulatory frameworks as well as promoting public-private sector partnerships
in the delivery of veterinary services (€1,111,111 for 24 months). This project will work
closely with SAHSP and by design will follow the SAHSP Zonal structure.
B2.2: Expected Result 2: Measures for the eradication of Rinderpest from the
Somali ecosystem implemented in collaboration with AU/IBAR/PACE
and neighbouring countries.
B2.2.1: Chronology of key rinderpest events
From the scientific perspective this Output has had a remarkable achievement. The work of
the Project Epidemiology Advisor (Dr Stefano Tempia) under both Somali PACE and SAHSP
has resulted in the award of the degree of Doctor of Philosophy (PhD)4 by the Colorado State
University, at Fort Collins, Colorado, USA.
From this thesis, the published literature and the Technical Reports of both the Somali PACE
Project and SAHSP the following chronology of suspected or confirmed rinderpest in the
Somali eco-system of Somalia and Kenya can be deduced:
i. 1980-1983: a moderately severe epidemic of suspected RP entered Mandera and
spread to extensive areas of Southern Somalia (no laboratory confirmation).
ii. 1985-1988: a second wave of suspected RP affected the Middle and Lower Juba
Regions of Somalia (no laboratory confirmation).
iii. 1991-1993: coincident with the onset of drought in 1991, two waves of suspected RP
spread out from Wajir District, Kenya and eventually spread to Lower Juba causing
moderate to severe mortality (30 to 70%) at Tabta, Bilis Qooqaani, Afmadow, and
Badhade in Somalia (no laboratory confirmation).
iv. 1994-1996: Suspected RP in Mandera District persisted and assumed a mild form.
From Mandera the disease spread to no-mans-land between El Wak, Kenya and El
Wak, Somalia where it was sighted by Somali veterinary personnel in mid-1994 (no
laboratory confirmation). Subsequently this wave seems to have spread up to Gedo in
Southern Somalia.
4 Tempia, S (2006). The Dynamics of Rinderpest in Nomadic Pastoral Systems: The Somali Surveillance Example. In partial fulfilment of the requirements for the Degree of Doctor of Philosophy Colorado State University Fort Collins, Colorado
25
v. 1996, low to moderately severe outbreaks occurred in border regions on both sides of
the Kenya-Somalia border until the onset of the rains in early 1996. Ocular and nasal
swabs from affected cattle at Fino and Hashino were posit ive for the presence of
RP antigen in AGID tests conducted by the KARI NVRC Muguga laboratory,
Kenya. NB: The 1994 – 1996 wave in the Somali eco-system may well have been the
origin of rinderpest Lineage-2 (virus isolat ion and genetic characterisation ) in
wildlife (buffalo and eland) in the Tsavo National Park (1994-5) south-eastern Kenya
and the Nairobi National Park (1996).
vi. In 1998 – 1999 clinically mild cases of RP were detected in several locations of
Afmadow District. In Lower Juba, Middle Juba and Gedo Regions of southern
Somalia 1,693 serum samples were tested using the RP cELISA H test and 152
were detected antibody positive (8.9%).
vii. In April 1998, a boat from Somalia carrying infected cattle was turned away from the
port of Dubai and is believed to have unloaded the animals at Kismayu in southern
Somalia. In early 1999, there were reports of an outbreak among cattle in southern
Somalia and high mortality among warthogs. In the Lower Juba Region, clinical signs
were observed in cattle, which were suggestive of mild rinderpest; no deaths were
observed.
viii. In 1999, vaccination ceased in Gedo and Lower Juba; vaccination in Middle Juba had
ceased in 1993.
ix. In 1999-2001 serological investigations5 carried out on unvaccinated young stock
showed positive results (using the RP cELISA H) in various locations of Hiran, and
Galgadud Regions of Central Somalia.
x. In October – November 2001 an outbreak of mild RP was detected and confirmed
(genetic characterizat ion) in buffalo in the Meru National Park.
xi. During 2002 - 2003 a cross-sectional sero-survey based on a 2-stage cluster
sampling design showed a RP sero-prevalence especially in Gedo (18%), Middle
Juba (16%) and Lower Juba (17%).
xii. In February 2003 a participatory disease search (PDS) was carried out in Middle
Juba. Some cases with signs resembling mild rinderpest were rinderpest positive in
the pen-side test of the WRL Pirbright. However these results were not confirmed
by PCR testing at KARI, Muguga, Kenya.
5 All results of sero-surveys quoted relate to young cattle between the ages of 1 and 3 years, unless otherwise stated.
26
xiii. In September 2003 participatory disease searches in north-east Kenya detected
clinical signs suggestive of mild rinderpest in Garissa District of north-east Kenya.
Samples collected from affected cattle tested positive in the PCR at KARI Muguga but
sequence data at the World Ref. Lab at Pirbright indicated a relationship with the
RBOK vaccine strain rather than Lineage-2, the expected cause. The Kenyan
authorities carried out ring vaccination (150,000 doses) and Somali-PACE vaccinated
the contiguous part of Lower Juba (50,000 doses).
xiv. In 2005 another cross sectional sero-survey also demonstrated sero-positive results
in the same cluster of Gedo (5%), Middle Juba (2%) and Lower Juba (4%). The sero-
prevalence percentages were lower than those detected in the 2002-2003 survey.
xv. January 2006 participatory disease search and purposive sero-survey was
undertaken in Central and Southern Somalia (but not Gedo). Animals with suspicious
clinical signs of mild rinderpest were sampled for virus testing. All samples were
negative for rinderpest. With respect to serology all the sera (1,035) from Hiran,
Middle and Lower Shebele in Central Somalia were negative for RP antibody, as
were those from Bay (298) in Southern Somalia. Sero-positive sera were detected in
Middle Juba (2.3%) and Lower Juba (0.4%).
xvi. July – August 2006 a cross-sectional random survey was carried out in Southern
Somalia concurrently with similar surveys in the Kenyan and Ethiopia parts of the
Somali eco-system. The activities in Kenya and Ethiopia were funded by the PACE
programme and the survey in the entire eco-system was coordinated by SERECU to
ensure harmonised procedures. While Kenya and Ethiopia reported a zero sero-
prevalence, the results from Somalia showed some sero-prevalence especially in
Gedo (2.6%), Middle Juba (2.9%) and Lower Juba (1.2%).
27
Table 1: Rinderpest (RP) Vaccination and Observed Antibody Prevalence in
Gedo, Middle Juba and Lower Juba regions of Southern Somalia
Region Rinderpest Vaccination RP Observed Prevalence and 95% Confidence interval (%)
Last
Vaccination
Coverage Sero-
conversio
n (%)
2002 - 2003 2005 Feb
2006
July 2006
Gedo Jan 1999
(Terra Nuova)
87,356/
612,900
(14.2%)
69 17.8
(15.3–20.7%)
5.2
(2.5–7.8)
Not
done
2.6
(1.6 – 3.6)
Middle
Juba
1993
(International
Red Cross/
Crescent)
?? ?? 16.0
(13.8–18.4)
3.7
(1.7–5.7)
2.3 2.9
(1.0 – 4.8)
Lower
Juba
March 1999
(Terra Nuova,
Somali PACE)
103,703 /
999,450
(10.3%)
78 16.9
(14.6–19.6)
1.7
(1.0–2.3)
0.4 1.2
(0.3 – 2.0)
(NB: surveys in 2003, 2005 and July 2006 were randomised cross-sectional; survey in
February 2006 was non-randomised sampling; it was purposive; this was accompanied by
participatory disease search)
B2.2.2: Rinderpest surveillance results from the Kenyan side of the
Somali-ecosystem
The Kenyan veterinary authorities kindly allowed the consultant access to the results of the
PDS and sero-survey results on the Kenyan side of the Somali eco-system since 2004.
Although the SERECU coordinated survey of July 2006 was the first time that Kenya
undertook a cross-sectional random survey, records do show an increasingly intense
surveillance activity on the Kenyan side of the Somali eco-system especially since 2003. Prior
to the random survey of 2006, purposive surveys in Kenya had indicated some rinderpest
sero-positive prevalence. For example in 2004 moderate RP antibody prevalence in cattle in
Mandera (2.81%) and Tana River (2.65%), in 2005 low prevalence in Tana River (0.37%) and
Ijara Districts (1.11%). As already remarked in 2006 the results from the Kenya side of the
28
Somali eco-system were RP sero-negative. Investigations by Kenyan veterinary teams had
attributed such results to either mis-aging of cattle (i.e. inclusion of animals that had been
vaccinated in 2003) or to laboratory false positives. Also there had been some low rinderpest
sero-positive prevalence in the Rinderpest Disease Free Zone of Kenya. Investigations
related such results to bleeding >3 year old animals that would have been vaccinated before
the Declaration of Disease Freedom. There was no evidence of clustering of sero-positive
results repeated during successive surveys. The Kenyan results are not dissimilar to those
previously obtained in Tanzania within 2 years of cessation of vaccination when some low-
grade RP sero-prevalence could be detected for similar reasons as advanced by Kenya.
Thereafter, in Tanzania, results of sero-surveys in cattle have consistently been RP negative6.
In the time available the consultant was unable to ascertain to what extent the SAHSP and
Kenyan survey teams worked in tandem in the border regions so as to ensure uniform
coverage of the homogeneous cattle population that transcends the Kenya-Somali border. So
the sharp distinction between a zero RP sero-prevalence on the Kenyan side and a positive
sero-prevalence on the Somali side remains an enigma that should be addressed
dispassionately by the SERECU team, hopefully with the support of the FAO-GREP
expertise. One area to start with may be to segregate the serological results from Southern
Somalia between those from the area that was vaccinated in 2003 with the rest and compare
such results with those of the truly contiguous part of Kenya. Incidentally, it should be noted
in passing that all the PDS surveys in the eco-system since 2004 on both sides of the Kenya-
Somali border have consistently failed to demonstrate clinical signs of rinderpest that resulted
in laboratory confirmation, following the 2003 vaccinations. Therefore, there has been no
evidence of either vaccination or clinical rinderpest in the eco-system for more than 3 years.
This has been the basis for both Kenya and Somalia to resolve to declare Provisional
Rinderpest Freedom.
The consultant did not visit Ethiopia and thereby had no direct access to Ethiopian rinderpest
surveillance data.
B2.2.3: Interpretation of results from the 2006 rinderpest survey in
Southern Somalia
There was no consensus on the interpretation of the obtained results by the three countries.
Both Kenya and Ethiopia, which recorded negative sero-prevalence, concluded that
rinderpest was absent from their side of the Somali eco-system. However the Somali results
show a prevalence (albeit low compared with results obtained previously in 2002 and 2005) of
sero-positive results in Gedo, Middle and Lower Juba, areas that are contiguous to Kenya
and Ethiopia. The tendency in SERECU seems to be that the declining prevalence indicates a
progressive disappearance of rinderpest virus from the eco-system.6 The consultant is grateful to the Director of Veterinary Services of Tanzania for permission to access Tanzania’s rinderpest surveillance data.
29
It is possible that the 2003 vaccinations in north-east Kenya and in the neighbouring part of
Southern Somalia, i.e. Lower Juba, may well have eliminated the primary endemic focus for
the Somali eco-system and hence the declining sero-prevalence and absence of sero-positive
results in Kenya in 2006. As rinderpest transmission depends on close contact and mild
rinderpest of Lineage-2 is supposed to spread slowly (i.e. low basic reproduction number), the
expectation would be that the infection will die out on its own accord. However, it is difficult to
comprehend how there could be such a sharp distinction between contiguous herds in Kenya
and Somalia that mix regularly. Furthermore, there was no vaccination in either Gedo or
Middle Juba in 2003; the last vaccination there was respectively in 1999 and 1993. For the
2005 and 2006 surveys, there is a remote possibility for mis-aging in lower Juba where
vaccination was carried out in 2003. However, it is difficult to envisage that such mis-aging
could account for the regular clustering in Gedo, Middle and Lower Juba, especially that it is
not always the same individuals that carry out sampling in these areas. In any case, for Gedo
any animals between 1 and 6 years of age and for Middle Juba animals aged between 1 and
13 years old should be expected to be rinderpest sero-negative. SAHSP staff discounted the
possibility of clandestine vaccination in Gedo and Middle Juba as it would be very difficult to
hide such information consistently over the 5 years of repeated surveys and participatory rural
appraisal inquiries. During the MTE, it was brought to the notice of the consultant that one
Middle Eastern livestock importing country insists on having sheep and goats vaccinated
against Rift Valley fever in the Bosasso port. This is carried out by veterinary inspectors from
the importing country and any residual vaccine is destroyed in the port. There was no
indication that rinderpest vaccination was taking place even in the port. The practice of
vaccination at port is not confined to the Bosasso Port. In Somaliland, the MTE consultant
was informed that an importing country from the Arabian Peninsular insists on cattle being
vaccinated against FMD in the port of Berbera before boarding. This was openly undertaken
by Somaliland veterinary authorities and the consultant was shown a stock of the vaccine in a
cold store in Hargeisa. Once again there was no indication of rinderpest vaccination in the
port.
In contrast with cattle, wildlife surveys in Kenya and Southern Somalia during 2006 were
rinderpest sero-negative, which was consistent with repeated sero-negative results that
Kenya had obtained in 2004 and 2005. It should be noted that with respect to wildlife
surveillance, systematic studies in the entire Somali ecosystem have only been carried out in
Kenya over the last 11 years, principally by the Kenya Wildlife Services (KWS) and AU-IBAR
PACE programme. Therefore, these form the point of reference for the ecosystem for wildlife
surveillance.
After extensive discussions with various stakeholders and examining data from Somali PACE,
SAHSP and the thesis by Dr Tempia, this Evaluation has concluded that the available
evidence does NOT exclude the possibility of low-grade rinderpest viral activity in cattle in
30
Southern Somalia during an inter-epidemic period. Mariner and his colleagues estimated in
2005 that such an inter-epidemic period for the Lineage-2 mild rinderpest in the Somali eco-
system would be about 5 years7.
Members of SERECU have agreed to undertake a repeat survey in June-July 2007. The
design by Dr Tempia is scientifically sound and should once again be the basis of the survey.
But it is important for SAHSP to persuade SERECU and the other two countries that the
design be followed meticulously and that each country undertakes the verification of the
process as is detailed in the October 2006 SAHSP Technical Report. If the security conditions
permit, the survey should allow for teams from the three countries to work in tandem in the
border areas in order to ensure uniform coverage of the homogeneously mixing cattle
population. It would be advisable to include an agreed common guideline for aging cattle in
this eco-system. It should be noted in any case that it will be 4.5 years after the last rinderpest
vaccination in the Kenya-Somali ecosystem. All animals between the ages of 1 and 3 years
would be expected to be sero-negative. Sero-positive results in this age category would
indicate rinderpest viral activity in the field. Therefore, SAHSP should persuade SERECU
management and the partner countries to agree on a contingent line of action in advance
should rinderpest sero-positivity continue to be detected in Southern Somalia, as has been
the case during the last 5 years. It would be advisable to seek GREP expert advice also in
advance.
B2.3 Expected Result 3: Mechanisms for reducing vulnerability of nomadic
Somali l ivestock to threats of major epizootics strengthened through the
establishment of a surveillance system
a) Surveil lance: The field disease reporting system and Zonal Epidemiology and Data
Management Units have been set up in Central Somalia and Southern Somalia. A
gap analysis workshop (Annex 3) with staff from these Zones, which was facilitated
by the consultant, demonstrated that the activity was on schedule in these Zones.
However it was behind schedule in Somaliland, although the initial progress was
satisfactory and practically it had not taken off in Puntland on account of the Ministry
7 Mariner, J.C., McDermott ,J., Heesterbeek , J.A.P., Catley, A. and Roeder, P. (2005). A model of lineage-1 and lineage-2 rinderpest virus transmission in pastoral areas of East Africa. Preventive Veterinary Medicine 69: 245–263
31
there having not appointed and placed key persons both in the field and in the
designated EDMU. Nevertheless, SAHSP has started to submit Somali consolidated
animal disease reports from the four project zones to AU-IBAR derived from all the
Zonal reports. SAHSP has also undertaken retrospective surveys for PPR and CBPP
on stored sera. Overall the workshop rated the activities in Puntland as very low, in
Somaliland as low and those in Central and Southern Somalia as respectively
moderate and good, as show in Table 2 below.
Table 2:Result 3:Surveillance Gap analysis
Good931003232Southern
Moderate69782127Central
Low12291242Somaliland
Very lowTotal rpt = 8 from 4 districts
12.5432Puntland
Overall rating
Av. Reports per month
% Reporting
Districts submitting reports
No. Districts
Project Zone
The underlying reasons seem to relate to an over-estimate of the capacity of the
public sectors in Puntland and Somaliland. The staffing levels of the EDMUs in both
areas are inadequate and practically non-existent in Puntland.
There have also been problems encountered with the use of the ARIS software,
which seem to be intrinsic in the software configuration itself. Some of these could not
be readily resolved by the AU-IBAR PACE group. Should the software problems
persist SAHSP would be well advised also to experiment with the FAO TADInfo
system, at least as a back-up system. Fortunately the TA Surveillance is familiar with
both the ARIS and TADInfo systems. It should therefore be possible to install the
TADInfo as a back-up system.
The 4-stage animal disease information system that has been selected by SAHSP for
Somalia is valid and is in line with other countries, such as Tanzania, that have a
zonal approach to disease surveillance.
32
b) Preparedness: This Result is behind schedule on account of the absence of a TA.
Nevertheless, several key achievements have been attained. Examples include the
preparation of the rinderpest contingency plan, which has been submitted to AU/IBAR
for scrutiny, a document has been developed as a guide to the SAHSP preparedness
strategy. Several investigations of suspected disease outbreaks have been
undertaken promptly upon receipt of reports of suspicion (e.g. avian influenza, Camel
disease, PPR and RVF).
33
SECTION C: PROJECT MANAGEMENT
C1: Project Management Structure
Project staff is recruited by the 3 consortium partners (Terra Nuova, UNA and COOPI). In
theory this could have led to problems of multiple allegiances. In order to create a coherent
chain of project management and to avoid such potential conflicts, the Consortium signed a
specific Memorandum of Understanding to govern the administrative and financial
relationships in the operations of the project. The day-to-day management of the project has
been entrusted to a Project Management Unit which is headed by a Chief Technical Advisor
(CTA). Thus all project staff is accountable to the CTA for all aspects of the project
implementation.
Project Staff at the PMU HQ in Nairobi
Chief Technical Advisor National Coordinator
Epidemiology Advisor National Epidemiologist
Human Resources and Financial Advisor National Administrator
Plus 4 Kenyan support staff comprising a secretary, an accountant, a driver and a
receptionist
The structure for staff based in the 4 project Zones is as follows:
Zone Staff Category
Southern Somalia
• TA Surveillance and disease
reporting
• Zonal Veterinary Coordinator
• Field Veterinary Officer
• Zonal Administrator
• Secretary/data entry clerk
Central Somalia
• TA Policy and Communications
• Zonal Veterinary Coordinator
• Field Veterinary Officer
• Zonal Administrator
• Secretary/data entry clerk
34
Puntland
• TA Institutional Capacity Building and
Training
• Zonal Veterinary Coordinator
• Zonal Administrator
• Secretary
• Driver
Somaliland
• TA Emergency Preparedness and
response
• Zonal Veterinary Coordinator
• Zonal Administrator
• Secretary
• Driver
During the period of review the full complement of staff of Somali and Technical Advisors was
in place except for:
• The Zonal Coordinator for Puntland, who sadly passed away on 31st December 2006.
• The TA for Disease Emergency Preparedness, who had resigned on 1st July 2006
and had not been replaced, although the recruitment process for the replacement was
in train. A candidate had been identified and is expected to start in March 2007. The
recruitment process appears to have been unduly long. However this is mitigated by
the fact that the project made an attempt to recruit somebody with Somali experience
and an understanding of Somali culture.
It was also learnt that the Epidemiology Advisor would be leaving the project on the 19 th of
January 2007.
The consultant was impressed by the level of competence and morale of the project team as
well as positive interaction within the team. On several occasions the TAs who are ordinarily
resident in Somalia had to be either evacuated or relocated on account of security but none
appeared to be unduly distressed.
All professional staff have more than the requisite qualifications and experience. The team is
both highly qualified and competent and compares favourably with peers in the region. In this
regard, the project is likely to feel the loss of the current Epidemiology Advisor who will soon
be joining the CDC outfit in Rwanda. It would be advisable for SAHSP to seek to secure his
services as a consultant to support the new team and to ensure continuity, particularly as he
will be within the East African Region.
35
There are, however, 3 underlying discrepancies which project management and the donor
need to address regarding the technical sustainability of the project outputs:
• For both Puntland and Somaliland there has been an assumption that the public
sector would provide staff. This has resulted in the difference in the functions of the
Zonal Coordinators in these two zones from their counterparts in Southern Somalia
and Central Somalia. The Zonal Coordinators in the latter 2 zones carry the primary
responsibility for the EDMUs in their zones of responsibility. Furthermore, they are
assisted each by a fully qualified veterinarian as a field officer, who also has
responsibility for the EDMU and the secretary doubles up as a data entry clerk. In
contrast, the project does not take primary responsibility for the EDMUs in Puntland
and Somaliland beyond training of government assigned staff. Consequently the
EDMUs in Puntland and Somaliland are under-staffed.
• Surveillance and Preparedness are key functions for a future public sector veterinary
service in Somalia. Yet there are no Somali counterparts for these two key functions.
• The National Coordinator and National Epidemiologist at the PMU do not seem to
have specific primary areas of technical responsibility. Even in a 5-year project
period, it is difficult to envisage how the two individuals could shift from under-study to
full technical responsibility of the respective portfolios. At best they can only be
expected to assume general administrative and coordination roles. Accordingly, the
MTE has recommended that the two individuals also work as counterpart personnel
to the TAs for Preparedness and Surveillance respectfully so that they can start
assuming some skills in these two key areas of the project.
The Zonal Coordinators and the National Administrator at the PMU are expected to take over
primary administrative and coordination roles in their areas of responsibility. The process is
proceeding well. Unfortunately the process in Puntland has been put back by the recent death
of the Zonal Coordinator. Therefore, except for the special conditions of Puntland, the MTE is
satisfied that the administrative and coordination targets at the Zonal level will be attained by
the end of the current project phase.
C2: Project Expenditure Pattern
The expenditure analysis was possible only up to November 2006, the time of the request of
the 3rd financial instalment from the EC. This represents 67% of the total period and therefore
at that point there was still some 33% of the contracted period remaining. Expenditure up to
that moment was some 57% and a forecast of 43% for the remaining period. Therefore as of
November the project had a 10% saving. While it was not intended that this MTE would be an
accounts audit exercise, the consultant was satisfied that the level of expenditure was in line
36
with budget (See Table 3 below and Annex 4). As already remarked two Results have
benefited from additional budget allocations either in the form of supplement (€160,000 for
emergency disease preparedness) or the new complementary project ESCALI (€1,111,111)
for Result 1. The overall expenditure reflects the weight of activity with 45% of the expenditure
being for the most costly activity, namely rinderpest (Result 2) and 40% for Results 1 which
encompasses 3 outputs, namely: capacity building, policy and regulatory framework. The
relatively low (15%) expenditure for Result 3 reflects both the 4 months without the cost of the
TA for this Result and an under-budget that has now been rectified by the supplement
referred to above.
Table 3: SAHPS Summary of Expenditure to 30 Nov 2006
EDF Component - Contract No. 514-NGO-L12-04
GENERAL SUMMARY From 01/04/05 to 30/11/06
INSTALMENTS
RECEIVED Received
Requested Received
Consortium
contribution
s
EDF
InstalmentsTOTAL €
25/05/2005 0 999,500 999,500
11/01/2006 41,575 0 41,575
11/04/2006 0 999,849 999,849
03/01/2007 700,500 700,500
0 0 0
TOTAL € 41,575 2,699,8492,741,42
4€ 2,741,424
EXPENSES SUBMITTED Spent
Report No. up to Consortium EDF TOTAL €
1st 30/09/2005 16,926.18 321,597.34 338,524
2nd 31/12/2005 17,013.84 323,263.00 340,277
3rd - a 31/01/2006 2,926.49 55,603.22 58,530
3rd - b 31/03/2006 13,524.98 256,974.68 270,500
4th 30/06/2006 14,268.80 271,107.22 285,376
5th 30/09/2006 18,647.51 354,302.74 372,950
6th - a 30/11/2006 6,331.92 120,306.52 126,638
6th - b 31/12/2006 0.00 0.00
7th 0.00 0.00 0
Total € 89,639.721,703,154.7
1
1,792,79
4€ 1,792,794
37
BALANCES Balance
Consortium EDF TOTAL €
Total € -48,065 996,694 948,630 € 948,630
% 215.6 63.1 65.4 % 65.4
Period reviewed (20 month) as % of total 67Expenditure as % total budget (i.e. €1.792,794/3,157,832) 57
C3: Project Coordination
So far, the Steering Committee for SAHSP has not been constituted and convened. Also the
consultant has not been made aware of in-country coordination mechanisms among the
different livestock related projects in 3 of the 4 project Zones (i.e. Somaliland, Central and
Southern Somalia). In Puntland, the Ministry of Livestock, Agriculture and Environment
(MoLAE) convenes regular coordination meetings involving public and private sector
institutions, international NGOs and international agencies involved in the livestock sector. In
Somaliland, the Minister for Livestock confirmed the absence of such a mechanism. This is an
aspect that SAHSP will need to work out in collaboration with other partners. Ideally such
coordination should be through the Ministries responsible for Livestock or suitable alternative
Somali institutions where such Ministries are not yet functional.
C4: Project Linkages
The project has developed close collaboration with several organisations and institutions in
the region through either formal MoUs or simply interpersonal relationships. In this regard the
role of the veterinary laboratory institutions in Kenya (Central Veterinary Laboratory at Kabete
and the Kenya Agricultural Research Institute Veterinary Research Centre and the
Biotechnology Centre Laboratories) have been crucial in enabling SAHSP to realise several
of the Expected Results, particularly Results 2 and 3, through the testing of all samples
collected from the field in Somalia.
SAHSP has collaborated with and been part of the Somali Ecosystem Rinderpest Eradication
Coordination Unit (SERECU) in AU/IBAR as well as PACE Coordination also at AU/IBAR.
The SAHSP Epidemiology Advisor has taken the leading role in designing the cross-sectional
random survey that has been undertaken concurrently by the SERECU participating
countries, namely Kenya, Ethiopia and Somalia.
38
Although there has been no specific MoU between SAHSP and projects implemented by
FAO-Somalia, there has been a close collaboration between the two, for example in sharing
the cost of rehabilitation and equipping the Hargeisa veterinary laboratory. Terra
Nuova/SAHSP has also been sub-contracted by FAO-Somalia to provide a laboratory training
consultant in 2006 and to undertake field surveillance for Rift Valley fever (RVF). NB: This
latter contract was being processed during the course of this Evaluation. SAHSP and FAO-
Animal Health Service in Rome tried to develop a collaborative arrangement particularly with
the GREP Secretariat within the Infectious Diseases-EMPRES Group. However, up to the
time of the MTE (nearly two years later) the 3 administrative systems (FAO, EC-Somalia and
Terra Nuova), had not been able to settle a mutually agreeable financial arrangement.
SAHSP has close collaboration with two other EDF funded and Terra Nuova implemented
projects, namely the Improvement and Diversification of Somali Livestock Trade and
Marketing project and the ECSALI project. The latter has particular complementarity with
Result 1 of SAHSP.
At the Nairobi level, SAHSP is a member of the Livestock Working Group of the Somalia
Support Secretariat (SSS).
C5: Monitoring and Evaluation
Although the project does not include an internal M&E, there is close monitoring of activities.
The Technical Advisor responsible for Livestock and Environment within the EC Somalia
Operations in the EC Delegation in Nairobi has a close interaction with the PMU and is
regularly up-dated both formally and informally. The project has quarterly work plans; it
produces quarterly summary technical reports and six-monthly interim technical and financial
reports. There are specific technical reports for specific tasks such as surveys, trainings and
workshops which, incidentally, are written in the format of a scientific paper. For each major
activity the project develops written strategies, which again are written in the form of a
research proposal and therefore is subject to peer scrutiny before undertaking the work. Both
of these features are unique to SAHSP in the region. The project produces a quarterly Bulletin
which is widely circulated to stakeholders and partners and is currently developing a website.
Also in its effort to engage the livestock dependent communities in the understanding and risk
management of TADs, the project has carried out regular awareness creation campaigns
through the British Broadcasting Corporation (BBC) Somali radio programme and other local
Somali radios.
39
C6: Linkages between Ethiopia, Kenya and Somalia – an epidemiological
cluster
As an off-shoot of the Global PACE project under AU-IBAR, a special project was set up in
2005 to coordinate the rinderpest eradication process in the Somali eco-system that includes
the whole of Somalia (but with an emphasis on Southern Somalia) plus Zone V of South-east
Ethiopia and North-eastern Kenya. The project is known by the acronym of SERECU (Somali
Ecosystem Rinderpest Eradication coordination Unit). The SAHSP rinderpest activities are
totally linked to complementary work in Kenya and Ethiopia through SERECU.
This is the first epidemiological cluster based project for dealing with a transboundary animal
disease in Africa. Whilst this MTE is not evaluating SERECU, it must be stated that it
would be a tremendous development if the countries that participate in SERECU, as well as
the AU-IBAR, were to consider ways of institutionalising and extending the objectives of
SERECU beyond rinderpest. The eco-system that is being addressed for rinderpest is
epidemiologically important for a wider spectrum of transboundary animal diseases (TADs)
including RVF, FMD, PPR, CBPP and CCPP. It would be important for the sub-region to rank such TADs according to a commonly agreed TADs risk management strategy. A common practice is to rank such a list of diseases into 3 categories:
• The first would be Strategic Diseases: This would be a set of one or two diseases for which there would be a commonly agreed long-term programme for coordinated progressive control. At the moment rinderpest would fall into this category.
• A second category would be referred to as Tactical Diseases. This would include a set of TADs identified as requiring a surveillance strategy to establish a baseline of acceptable risk plus a preparedness programme emphasising regional capacity for early detection/ early warning and for rapid reaction in case of an outbreak. Rift Valley fever, PPR, CCPP and the camel disease (which so far is of undetermined aetiology) would seem to fall readily into such a category.
• The third category would be referred to as Exotic or Emerging Diseases of high risk to the sub-region. The required action for such a set of TADs would be diseases that demand a high alert, preparedness and early warning. This category would also prompt access to a specialised laboratory(ies), preferably in the sub-region with a practical capacity for early detection and identification of such diseases (i.e. detection of the unexpected disease). Avian influenza readily falls into this category and hopefully in the next few years rinderpest can find its place into this category.
A precedent for such an approach already exists in the SADC region8.
C7: Interaction with AU-IBAR
8 Musisi, F.L. (2003). FAO Regional Workshop of National Chief Veterinary Officers on FMD and Other Transboundary Animal Diseases in Southern Africa, Pretoria 21 -22 July 2003- organized by FAO through project TCP/RAF/2809. pp 129.
40
Apart from project coordination and involvement, AU-IBAR serves a very important regional
role in animal health strategic issues for Africa. SAHSP as a project that helps to restore a
public sector veterinary service in Somalia must always keep a close contact and
collaboration with the normative side of IBAR both directly and through any future public
veterinary sector that emerges in Somalia. One such important side is disease reporting and
collaboration in regional disease intervention systems.
C8: Interaction with FAO
As already remarked SAHSP has a close collaboration with the FAO emergency and
rehabilitation programme through the activities of projects implemented by FAO-Somalia.
Over and above that, SAHSP is trying to introduce into the 4 project zones concepts of TADs
risk management based on the prime elements of the FAO-EMPRES programme which
include the coordination of the Global Rinderpest Eradication Programme (GREP). It is
important, therefore, that SAHSP finds a mechanism for formal linkage with the normative
activities of FAO, especially through the EMPRES Programme. This is particularly important
especially as there is no other institutional back-stopping mechanism for SAHSP.
C9: Interaction with OIE
All national veterinary services in the world do have a reporting obligation to the OIE and have
to operate within the guidelines of this World Organisation for Animal Health, especially the
OIE Terrestrial Animal Health Code.
This is well recognised by the various stakeholders of SAHSP. It is gratifying to note that the
EC Somalia Operations has agreed to facilitate the back-payment of financial dues to the
OIE. This will enable Somalia to participate legitimately in the OIE, including disease reporting
and to participate in the OIE Pathway towards verified rinderpest eradication.
41
SECTION D: PROJECT IMPACT AND EFFECTIVENESS
D1: Project Impact – Perception of Stakeholders
Although no quantitative analysis has been carried out, the results of interviews with various
stakeholders show that SAHSP has a high visibility and is highly regarded by all. One
indication is that the CTA of SAHSP is the Co-chair of the Livestock Working Group of the
SSS in Nairobi. In the field, SAHSP is rated as higher than the average NGO project. Several
stakeholders are already seeing value adding by SAHSP activities to their own objectives. All
were categorical that a cessation of SAHSP at this stage would have gross negative
consequences on the Somali livestock sector. The following examples are an indication:
i. The MoLAE Minister in Puntland regards SAHSP TAs as his best technical
advisors;
ii. The MoL Minister in Somaliland explicitly stated that SAHSP and the FAO
projects in Somaliland were the most important projects for his Ministry;
iii. A private veterinarian who is a member of SOWELPA found that the disease
reporting and surveillance that SAHSP undertakes helped members of the
Association to plan their purchase of medicines for the treatment of endemic
diseases;
iv. An NGO told the MTE consultant that the disease surveillance and survey results
including prevalence or risk maps that SAHSP circulates provide the NGOs a
science based evidence for planning their disease control interventions. NGOs no
longer simply rely on community assessment schemes to define their intervention
strategy.
v. FAO-Somalia regards the work of SAHSP as an absolutely necessary
complement. FAO-Somalia is trying to install inspections and certifications along
the trade chain. They realise however that health assurance must start at the
farm level. The surveillance that SAHSP is putting into place fulfils that role.
vi. A Livestock export trader in Bosasso responded that all projects, including
SAHSP are 80% useless. When the same question was repeated listing the
activities of SAHSP without disclosing their source, he rated every one of them as
very useful to the Puntland livestock sector. When it was disclosed to him that the
activities he had rated highly were all what SAHSP had been doing, he retorted
by saying that that was what constituted the 20% usefulness of projects. So even
such a critic regards highly the work of SAHSP.
vii. The Director of Veterinary Services in Kenya regards the work of SAHSP and
SERECU as providing a useful interlocutor with Somalia in matters of animal
health.
42
Some areas of enhancing the impact and visibility could include the following:
• The surveillance gaps analysis by SAHSP staff from Somaliland, Central and South
Somalia identified the need for posters and pamphlets in the Somali language plus a
Somali edition of the SAHSP Bulletin to improve the disease recognition knowledge of
the pastoralists and livestock traders.
• It would also be useful to have a wider cross-section of FAO Manuals that have been
produced by FAO-EMPRES since 1996.
• A useful addition would be to subscribe to the internet version of the AVIS Multimedia
system for the major animal diseases, including access to the FAO-EMPRES
program on Good Emergency Management Practices in Animal Health - see
www.aviscollege.com .
• Consideration could be given to launching a SOMALI ANIMAL HEALTH website
instead of just the project site. This will encourage all stakeholders to participate.
43
SECTION E: RECOMMENDATIONS FOR THE WORK PLAN TO END OF
CURRENT PROJECT
During the remaining part of the current project cycle, it is strongly recommended that project
management adjust the work-plan in order to ensure the realisation of two crucial activities (a)
the installation of a working framework for disease surveillance and an animal disease
information system in each of the four project zones as well as at the PMU HQ; (b) the
undertaking of a SERECU coordinated rinderpest survey in collaboration with Kenya and
Ethiopia in such a way that the outcome would be an agreed definition of the status of
rinderpest viral activity in Southern Somalia and a clear advice to the countries, AU-IBAR and
the donor on an action plan that should emanate from such an analysis. In this regard, it is
important for SAHSP to develop and rehearse a contingency operational plan with
appropriate costing (which hopefully might not be activated) for a focused rinderpest
vaccination in parts of Southern Somalia (i.e. preparedness for a worst case scenario), should
the SERECU coordinated analysis of the planned rinderpest survey conclude (with the
collaboration of AU-IBAR and FAO) that the risk for rinderpest virus circulation in the
previously suspected areas of Southern Somalia still exists and that such a focus needs to be
eliminated by blitz or immuno-sterilisation vaccination as previously happened in northern
Tanzania9 in 1997/98 and in north-eastern Kenya in 2003. It should be emphasised that
whatever conclusion the SERECU analysis reaches, it will still be necessary to maintain an
active rinderpest surveillance in Southern Somalia until at least 2010/2011 to be able to
satisfy the current stipulations of the OIE Terrestrial Animal Health Code for freedom from
rinderpest infection.
The specific recommendations are as follows:
i. As surveillance is a highly valued activity of SAHSP, it is recommended to concentrate
effort during the remaining part of the current phase of SAHSP on having the skeleton
EDMUs set up in Puntland and Somaliland to at least the current level in Central
Somalia and Southern Somalia. Also set up the basics of the consolidated Somali
EDMU at the SAHSP HQ. The following measures are recommended in order to
accelerate the process:
a. Proceed with the recruitment of the TA Emergency Preparedness. However,
for the rest of the project period he should also work closely with the
surveillance and disease reporting TA to set up a working EDMU in Hargeisa.
9 Taylor W.P., Roeder, P.L., Rweyemamu, M.M., Melewas, J.N., Majuva, P., Kimario, Mollel, J.N., Mtei, B.J., Wambura, P., Anderson, J., Rossiter, P.B., Koch, R., Mlengeya, T. and Van den Ende R. (2002). The control of rinderpest in Tanzania between 1997 and 1998. Trop. Anim. Hlth Prod 34:471-487
44
b. Agree with the Ministry of Livestock, Agriculture and environment in Puntland
that the new SAHSP Zonal Coordinator will have as his/her primary
responsibility the supervision of the Puntland EDMU for the rest of the current
project period.
c. Consider employing SAHSP Field Officers for Puntland and Somaliland as in
Central and Southern Somalia. These Field Officers should also be posted in
the EDMU and additionally should work with the respective Ministries on
systems for disease data flow from the field.
d. Consider a performance related bonus for the two public sector veterinarians
posted to the EDMU in both Hargeisa and Garowe. It should be noted that
other NGOs already operate a similar scheme for the use of public sector
staff.
e. The TA surveillance and disease reporting and the Somali National
Epidemiologist at the PMU to collaborate in setting up the Somali EDMU at
HQ. It will be necessary for the National Epidemiologist to undergo some
training not only in the operation of the ARIS software but also to have some
basic training in data management and Geographical Information Systems
(GIS) as well as disease mapping.
ii. Prepare for and undertake the next cross-sectional rinderpest survey as outlined under
Result 2 above.
iii. Use both the rinderpest surveillance and the RVF investigations to stimulate disease
data collection from the field.
iv. The job description of the National Coordinator should be adjusted to allow him to work
closely with the TA Emergency Preparedness in terms of both developing expertise and
facilitating the understanding and adoption of the disease emergency preparedness
concept by both the Somali stakeholders and those implementing partners, including
NGOs, that have a disease emergency relief portfolio.
v. SAHSP and ECSALI to collaborate closely in setting up a common template for public-
private partnerships in all the 4 SAHSP project zones. SAHSP’s role in developing
public-private sector synergies has been underrated by stakeholders. The perception is
that it is not readily apparent that SAHSP has actually either been strengthening
nascent public sectors or putting into place structures and practices that can readily be
incorporated into a future public sector veterinary services. This is the unsung song of
the activities of SAHSP in developing public-private partnerships. The model that has
been developed by SAHSP seems to be appropriate. This can be summarised by the
chart below (Fig 1):
Fig 1: SAHSP Role in Public-Private Partnership Development
45
SAHSP Unsung Song inSAHSP Unsung Song inPublicPublic--PrivatePrivate--PartnershipsPartnerships
Ministry/SAHSP Zonal
RVC/SAHSP Field OfficerRVO/RVC RVO/RVC
Private Vet Professionals through SVP Associations
{Vet + Vet Assistants + NAHAs/CAHWs}
Design, Contracts, Regulate, Supervise, QC, Feedback
The new approach by SAHSP and ESCALI should start taking into account issues of
long-term sustainability as discussed in Section F below.
vi. Defer the recruitment of the replacement Epidemiology Advisor until a follow-up phase
has eventually been approved. The savings could be used for short term consultancies
to provide analytical capacity and/or support the setting up of the emergency
preparedness portfolio.
vii. As it seems likely that the project might have some savings at the end of the current
phase, request the EC for a no-cost extension. Apart from the technical work indicated,
this period could be used for stakeholder consultations about the content and priorities
to be taken into account in the new project. Also this period could be used for a tripartite
negotiation between The EC, Terra Nuova Consortium and FAO about modalities for
FAO’s normative support and back-stopping of the new SAHSP-2 project in order to
avoid the frustrations of the current phase. Finally, the extension will bring the project
end for SAHSP close to that of ESCALI, which would facilitate a future integration of the
livestock policy and regulatory activities of ESCALI and SAHSP in the next project
cycle, should there be a follow up project implemented by the same consortium.
viii. Consider launching an umbrella Somali Animal Health website instead of simply a
project website. This is important in terms of project credibility and disease information
transparency from the 4 SAHSP project zones. It will also help in persuading other
partners to provide data to the disease database that is being set up by SAHSP as well
as to participate in the disease response and intervention network.
46
ix. A steering committee should be formed and convened to advise not only on the
direction of current activities but also on strategies for the follow-up project.
47
SECTION F: PROJECT SUSTAINABILITY AND LONG-TERM VISION FOR
SOMALI ANIMAL HEALTH SERVICE
F1: Context
The intrinsic weaknesses in the Somali institutions that were pointed out by the Somali PACE
Evaluation Report10 some 3 years ago are largely still valid. SAHSP has been addressing the
identified weaknesses remarkably well considering the security uncertainties that have
prevailed up to now and the intrinsic weaknesses of the nascent public sector already
discussed above. Much has been done to strengthen the operational and ethical capacity of
the Livestock Professional Associations.
It is important for SAHSP to be perceived as primarily supporting a future public sector which
recognises the pivotal role of the private sector in veterinary services delivery at the field
level. So SAHSP should be perceived as either modernising the public sector or setting in
place best practices that promote public-private sector synergies and developing a capacity
that will be taken over readily by a future veterinary administration.
Accordingly, this section focuses more on the issues for long-term sustainability rather than
repeating issues that were recently covered by the Somali PACE Evaluation Report and are
being attended by SAHSP. The issues of long-term sustainability were not adequately
covered by the Somali PACE Project Review.
F2: Basic Concepts for Risk Management of Trade Limit ing Diseases
A recent Foresight paper on future control strategies for animal diseases11 has listed 3 factors
as the most areas of impact by transboundary animal diseases. It sates as follows:
“Epidemic or transboundary animal diseases (TADs) are generally accepted as a
primary impediment to the economic development of livestock, mainly from three
perspectives: (i) they affect livestock viability as major animal killers; (ii) they are an
impediment to sustained market access; and (iii) some of them can cause disease or
even death in humans. As the realisation grows that livestock constitute a major
10 Somali Pan-African Programme for the Control of Epizootics (PACE). Evaluation
Mission draft final report February 2004. Prepared by: agrisystems limited – agriconsortium lead member framework letter of contract n° Quince/17/2003/KE/TER
11 Rweyemamu, M.M., Musiime, J., Thomson G. Pfeiffer D and Peeler E (2006). Future control strategies for infectious animal diseases. Case study of the UK and sub-Saharan Africa. In: Foresight Infectious Diseases: preparing for the future. Office of Science and Innovation, London.http://www.foresight.gov.uk/Previous_Projects/Detection_and_Identification_of_Infectious_Diseases/Reports_and_Publications/Final_Reports/D/d3_2.pdf
48
pathway out of poverty and food insecurity, the control of TADs and other diseases
will increasingly be seen as a necessary risk management tool for the livestock-
dependent goals of rural poverty reduction and food security in sub-Saharan Africa.”
This statement is nowhere more relevant than for Somalia where pastoralism is deeply
involved in trade. The impact of sanitary related trade bans by countries of the Arabian
Peninsular and the Gulf region on Somali livestock commodity imports is felt by a wide cross-
section of communities in Somalia, including pastoralists, livestock traders, transporters,
abattoir owners and commerce at large.
For Somalia, therefore, the most crucial elements in planning the risk management of trade
related TADs need to encompass the following:
• A disease surveillance (passive and active) that is transparent and that reports
regularly to the OIE, other regional and international organisations as well as to the
trading partners. Such a surveillance system should be underpinned by access to a
laboratory service (in-country or outside the country). It is important for Somalia to
establish sanitary credibility with its trading partners and the international animal
health community.
• This will lead to an agreed level of risk that will be acceptable to the trading partners
and which will take account of international norms as defined in the OIE Terrestrial
Animal Health Code.
• It is important that Somalia has a credible system for disease control not only of
endemic diseases but also one that can intervene promptly to investigate new
disease outbreaks, which threaten the acceptable level of disease risk, and that can
mount a response intervention in accordance with pre-determined disease
emergency preparedness criteria. A disease emergency preparedness plan should be
underpinned by specific disease contingency plans and contingency funding.
• A sanitary certifying system in the marketing chain from pasture to market and
slaughter.
Now that the prospects for a lasting peace are beginning to look hopeful, it will be important to
start developing a dialogue among the various stakeholders, including the nascent public
sector, on the vision of a future veterinary system that is based on public-private sector
synergies within the OIE norms of veterinary governance as well as on its long-term
sustainability. Such a dialogue should start from a realisation of the conditions that prevail in
Somalia, learning from recent experience and not simply unqualified translocation of
experience from elsewhere, even in Africa. The approach needs to be both innovative and
rooted in the realisation of the importance of the private sector to the effectiveness of a future
veterinary service.
49
The FAO-EU-World Bank study of 2004 highlighted 3 main areas of technical intervention,
namely animal health, marketing/trade and animal production. The first two are interlinked,
since the most pressing issue is sanitary assurance to facilitate market access and trade.
A secured market will have a consequential demand for quality animal production. While the
FAO-EU-WB study provides a starting point, it is not sufficiently detailed to deal with the
critical issues of risk management of TADs so as to provide a sanitary assurance to sustained
livestock and livestock commodity trade from Somalia. Nevertheless, the FAO-EU-WB
document has provided the basic guideline to the various agencies that are involved in
livestock development activities in Somalia. In order to facilitate the emergence of sustainable
animal health delivery systems, the MTE believes that it is now important to start a dialogue
among the various stakeholders on the vision of a future veterinary system in Somalia which
will also determine the shape of projects in the animal health fields. Such a dialogue would
need to be at veterinary technical policy level and is probably best co-init iated
by the EU and FAO, building on the 2004 report of the Joint FAO-EU-World Bank study
on a future livestock development strategy for Somalia.
The basic principles for a risk management strategy for transboundary animal diseases
(TADs) can be summarised in the diagram below.
Fig 2: Principles of Risk Management of Transboundary Animal Diseases
Risk management of TADs
EarlyWarning
Early Reaction
Clinical observation
Presumptive diagnosis
(CAHWs/Vet Assist/Veterinarian)
Lab diagnosis & identification
Investigation/ Surveys/data
Epidemio-analysES
Define acceptable risk
Dis. Monitoring
Contingency plan
Stakeholders
Simulation
Contingency resources
Outbreak investigation & surveillance
Emergency interventions
Parameters for emergency end
Cost-effective
Science based
TADs Risk management
(Disease control)
SURVEILLANCE PREPAREDNESS
50
Figure 2 above emphasises on-farm risk management, which will need to be complemented
by sanitary assurance measures in the market chain.
It will be important that the proposed stakeholder dialogue not only focuses on the technical
interventions but also covers the development of a common concept for the enabling
structures. The underlying considerations include the following:
• 16 years of unsettled security have resulted in weak or practically absent public
veterinary Services
• Much valuable expertise has left the Public Sector
• The professional human resource has declined
• Contact with pastoral communities has become much reduced
• But a robust private veterinary sector has evolved
• Yet, Public Veterinary Services are required as a national certifying authority for
animal health assurance and human health protection.
F3: Public and Private Sector Synergy
Before 1991, the veterinary service in Somalia was highly centralised and the State provided
for all livestock services free of charge. It is unlikely that there will be much desire to revert to
such a system. The growth of the Somali Livestock Professional Associations and a strong
private sector for animal health delivery should be seen as a major development on which to
build.
There is also beginning to be a realisation of the boundaries of responsibilities between the
public and private sectors. However, these are still couched in quite generic terms. One
should not under-estimate the inertia on the one hand for a private sector that has remained
largely unregulated for 16 years and on the other a nascent public sector administration that
might feel comfortable with the familiar systems of the old days which emphasised the
supremacy of the State in every operation. It is not clear, even from Puntland and Somaliland,
that there is a determined effort for building a lean but efficient and well qualified public
veterinary sector. So it must be questioned whether at this stage it is realistic to plan for
placement of a veterinary officer (i.e. qualified veterinarian in the public service) in every
district. And what is the most appropriate way to provide effective outreach systems for
animal health service delivery and disease surveillance at the local level which incorporates
community animal health workers (CAHWs) into the chain of delivery by the private veterinary
sector?
One vision that the stakeholder consultation might wish to consider would be to deliberately
limit the physical presence of a public sector veterinary officer (i.e. qualified veterinarian) to
the Regional Veterinary Office (RVO) or Coordination (RVC) and to encourage, through a
51
variety of incentives, the development of district based veterinary practices with a registered
private veterinarian at the apex of such a practice which will include veterinary assistants and
CAHWs in the outreach. The district private veterinary practice would earn its income from
both private goods veterinary activities such as pharmacies, clinical treatment for endemic
diseases as well as from assured public sector contracts to include vaccinations and other
mass treatments, sample collection for public sector determined surveys and for disease
reporting from the District to the RVO/RVC. Such district based veterinary practices would
need to be registered by the Veterinary Board and be regularly inspected for their ethical
dispositions as well as maintenance of professional standards and competence. Their public
goods work, which would be contracted from the public sector, would be supervised and
controlled by the RVO/RVC, operating on behalf of the Director of Veterinary Services/Chief
Veterinary Officer/Minister.
Fig 3: A Vision for a future Public-Private Synergy for Somali Veterinary
Services
A vision for PublicA vision for Public--Private Sector Private Sector Synergy for Somali Veterinary ServicesSynergy for Somali Veterinary Services
DVS/CVO(Ministry Livestock)
RVO/RVC RVO RVO
Minister
District Private Vet. Practice
{Veterinarian + Vet Assistants + NAHAs/CAHWs}
Design, Contracts, Regulate, Supervise, QC, Feedback
Such a system should be able to function irrespective of the political system that is eventually
agreed upon. It cannot be over-emphasised that the risk management of the trade limiting
TADs has to be approached as a purely veterinary technical issue, in accordance with the
basic definition of transboundary animal diseases12, which stipulates collaboration between
countries.
12 Transboundary animal diseases are defined as: those infectious diseases of animals that are of significant economic, trade and/or food security importance for a considerable number of countries; which can easily spread to other countries and reach epidemic proportions; and where control/management, including exclusion, requires cooperation between several countries.
52
F4: Animal Disease Surveillance and Laboratory Services
These are public goods activities under the overall leadership of the public sector.
The animal disease information system that is being installed by SAHSP recognises 4 levels
of operation: the field, the district or region, the Zone and the Somali-wide nodes. As already
remarked, this is a valid structure. In the public-private sector synergy described above, it is
envisaged that the private district veterinary practice will be responsible for primary data
collection under contract and supervision by the public sector. It is also important to develop
mechanisms that will ensure that all disease data, including those collected by NGOs and
other projects (irrespective of source of funding) be channelled to a common disease
database at the Zonal EDMUs and Somali EDMU in order that the disease database would
be comprehensive.
Animal disease surveillance and inspections need to be underpinned by a laboratory service.
It is reasonable to target having a basic laboratory in each of the SAHSP project Zones. But it
is also important to ensure that the Somali animal disease surveillance network has access to
a competent reference laboratory to provide credible specialist diagnostic service, on
contract. From the perspective of effective disease surveillance, it is more important to have a
network of zonal laboratories that are capable to undertake primary diagnosis of the most
common diseases, than to have one major national laboratory without such an outreach. In
the short-term the specialised laboratory service could continue to be outsourced through the
mechanisms that have been set up by Somali PACE and SAHSP. However support to
primary diagnosis and inspection cannot readily be outsourced.
F5: Veterinary Legislation
The first stage of re-establishing a regulatory system in Puntland and Somaliland has rightly
focused on drawing from experience that is familiar to the veterinary personnel in the areas.
However, in the wider sector consultation that is advocated in this report, there may be need
to extend the catchments for exemplars. For example, the current Veterinary Code is a bit too
comprehensive covering issues that would normally be included in 2 or three Acts (separating
Animal Diseases from Regulation of the Veterinary Profession and from Food and Drugs
Regulation) and incorporates issues that would normally be relegated to enabling regulations.
The independence of the Veterinary Board is vague. It will be important to envisage a
stronger Veterinary Board that will be able to exercise effective regulatory supervision over
both the private and the public sectors. An example of the functions of a recently reconstituted
Veterinary Board in the region is that for the Veterinary Council of Tanzania (Table 4)
Table4: Veterinary Council of Tanzania
53
http://www.mifugo.go.tz/council/index.php
The Veterinary Council of Tanzania has been established under the Veterinary Act No 16 of 2003.
According to this Act the Veterinary Council is responsible for regulation of the performance of veterinary professionals (i.e. veterinarian), paraprofessionals (para-veterinarian) and paraprofessional assistants, and for regulation of veterinary practice facilities. The Council has a secretariat which is headed by the Registrar responsible for facilitation of the following activities for the Council:
• To effect registration, enrolment and enlistment of veterinary professionals, paraprofessionals and paraprofessional assistants,
• To monitor the performance of veterinary professionals, paraprofessionals and paraprofessional assistants,
• To register and regulate the veterinary practice facilities • Coordinate formulation updating and dissemination of guidelines
and standards for these practices • To advise and make recommendations to the Minister on any
matters related to veterinary practice • To recognize qualifications training facilities training institutions
and colleges • To collaborate with other relevant institutions or bodies in
accrediting courses of training curriculum, which provide qualifications for registration, enrolment and enlistment of veterinary professional and paraprofessional and paraprofessional assistants
• Exercise effective disciplinary control over the professional ethics and conduct of veterinary practice
• Arrange and conduct qualifying examinations to establish competence in the veterinary education and practice
• To promote and encourage educational advancement with regard to practice of the veterinary profession
So the new veterinary legislation in Puntland and Somaliland covers well the current situation.
However, there may be need to examine its future adequacy in the light of the visionary
consultation that is advocated in this MTE. The experiences of Namibia, Botswana, Tanzania,
Kenya and Ethiopia might offer additional insights from within Africa.
F6: Who Pays and how to Ensure Long-term Sustainabil ity
In Somalia, rehabilitation is still paramount. However, as the FAO-EU-WB study showed, it is
important to start planning for a stable Somalia and to embed some basic guiding principles
into such planning. Sustainability evolves around technical and financial capacity and a will to
pursue a public-private sector engagement in a synergistic way. The developments that have
taken place in the private sector means that the major considerations would not be so much
54
of finding service providers as putting into place a regulatory and quality assurance system by
the public sector.
There seem to be few reliable data on the economic value of the Somali livestock industry.
However, an indirect measure can be gleaned from the impact of import bans resulting from
perception of disease outbreaks. For example, the import ban that was imposed by Saudi
Arabia in 1997, because of Rift Valley fever, was reported by various agencies as having
resulted in an export drop from nearly three million head in 1997 to just over one million in
1998, equivalent to around US$100 million of lost exports from the port of Berbera alone.
Since then the volume of export from both Berbera and Bosasso has increased to about 3
million head a year and there has been a major development in exporting slaughtered
carcasses. Livestock export also impinges on other areas of commerce as it is also used to
acquire goods from the Arabian Peninsular and the Gulf. It is therefore possible that the
economic value of the livestock commodity export from Somalia may be in the region of $157
million annually13.
With such wealth it should be possible to evolve a mechanism that allows the private sector
(especially the livestock trading sector) to make a contribution to the long-term financing of a
competent veterinary public sector service either through a levy system or by direct
disbursement. Such funding should not be simply for the running of a large bureaucracy; it
should go a long way towards funding such public goods activities as disease surveillance
and promoting the type of public-private sector synergy that is described above whereby a lot
of field operations would actually be undertaken by the private veterinary sector on contact by
the public sector. The contribution by the private sector (especially the livestock trading
sector) can also be in the form of direct payment for such services as inspections, laboratory
testing and certification. It is important that the revenue from such service charges be
ploughed back into the operation and improvement of the veterinary service system rather
than be assimilated into the general revenue of the Treasury. In any case, it is imperative to
start engaging the private sector in the discussions of long-term funding of the public goods
aspects of the animal health service at an early stage in the process. The private sector is
likely to cooperate if it is engaged at the planning stage and if it can be assured that its
contribution will facilitate the development of a credible and sustainable animal health
assurance system for the benefit of sustained access to the international livestock commodity
markets, especially of the Middle East. The Livestock Boards that have recently emerged as
well as the Somali Livestock Professionals Forum provide a mechanism for such
consultations, although it needs to be pointed out that the future viability of the SLPF was in
question at the time of the MTE. In passing, it should be noted that the veterinary services of
countries like Botswana and Namibia are funded through livestock export levies on livestock
13 Deduced from CIA World FactBook Somalia https://www.cia.gov/cia/publications/factbook/geos/so.html#Econ
55
commodities. For example, in Namibia the annual value of the livestock commodities exports
was estimated at about $100 million in 2003. Maintaining this kind of market access means
that Namibia has to maintain a veterinary service public sector costing the country some US$
6-7 million per annum. The Namibian livestock industry recognises that the money invested in
Veterinary Services is yielding a dividend far out of proportion to the size of the investment 14.
Accordingly, there has been a positive dialogue between government and the Namibian Meat
Board on the level of levy that is necessary to sustain a credible veterinary service. Both
Botswana and Namibia have had a shortfall in the number of qualified indigenous
veterinarians. They have used their livestock wealth to be able to attract competent foreign
veterinarians to buttress the national veterinary service.
Intrinsically, in a peaceful Somalia, it can be envisaged that for the livestock sector, there will
be a greater need for technical assistance than for financial assistance per se, if a proper
analysis can be made of the value of the livestock industry and the long-term cost of
sustaining an effective and credible public sector veterinary service. In the short-term, of
course, Somalia will continue to require both financial and technical assistance. But it is
important that discussion on a long-term vision of a future veterinary service be initiated fairly
soon so that Somali institutions can be prepared adequately for a time when external donor
funding will eventually phase out as more and more Somali funding phases in without creating
either shocks or gaps in technical competence.
This MTE did not set out to analyse the human resource capacity in the animal health
services sector. However, it would be inadequate to discuss sustainability without reference to
the potential for post project human resource capacity. An important consideration is that for
16 years there have been no new veterinary graduates and no new veterinary assistants. So
the professional and technical category is an ageing group. For example, in Puntland the
MTE was informed that there were only 5 qualified veterinarians and the youngest was 50
years old. The most recently available statistics from the Somali Veterinary Associations
indicate that the whole of Somalia has a total of 91 veterinarians (Table 5). This is to be
compared with over 500 and nearly 1000 respectively for Tanzania and Kenya. In both Kenya
and Tanzania it can be expected that the ratio of veterinarian to veterinary technicians
(diploma and certificate) would be 1 :> 5. The corresponding ratio for Somalia is about 1:2.
This indicates that in Somalia there is already a gross deficit in the technical capacity for
primary animal health care and delivery. There is an urgent need, therefore, for launching at
least 1 training programme for a 2-year post secondary school training in basic animal health
for the cadre of veterinary/animal health assistant in order to avoid future
professional/technical breakdown in animal health service provision by a trained cadre.
14 Paskin, R. (2003). Economic and Social Welfare Importance of Transboundary Animal Diseases. In: Musisi, F.L. (2003). FAO Regional Workshop of National Chief Veterinary Officers on FMD and Other Transboundary Animal Diseases in Southern Africa, Pretoria 21 -22 July 2003- organized by FAO through project TCP/RAF/2809. pp 129.
56
Table 5: Available Statistics about Veterinary Human Resource in the SAHSP
Project Area (Derived from the SVP databases and records available within SAHSP).
Project
Zone
Veterinarian
s
Vet
Diploma
(3 yr vet
course
after Sec
Educatn
Vet/Anim
Assistants
(2yr vet
training
after Sec
Educatn
Anim. Productn
Scientists in
vet activit ies
Veterinar
y
Auxiliarie
s
(CAHWs
etc)
Southern
Somalia 16 - 51 5 415
Central
Somalia 21 - 53 3 113
Puntland 5 2 16 - 4
Somaliland 36 - 48 4 206
Mogadishu 13 - 27 6 1
Somali
TOTAL 91 2 195 18 739
TANZANI
A
(Courtesy
of the
Registrar
Veterinary
Council of
Tanzania)
557 2,000 Ca. 4,000
Not l isted as
these are an
extension and
not a
veterinary
cadre
Many; but
not l isted
Through the activities of various NGOs as well as projects that have been implemented in
Somalia by members of the SAHSP consortium, there has been a tremendous effort to train
community based animal health workers (CAHWs). While the CAHWs are a very valuable
asset to the outreach system, they cannot constitute a credible stand alone service. They
need to be supervised by the better qualified cadre. In Africa, the core of primary animal
health care is the Veterinary (or Animal Health) Assistant cadre. The veterinary diplomates
57
and veterinarians (or veterinary doctors) are the specialists who provide guidance, a specialist
secondary service and manage the animal health delivery system. The CAHWs are the
grassroots task-specific auxiliaries. It is the Veterinary/Animal Health Assistant cadre that is at
the core of primary animal health care and service delivery.
The training plans that have been available to the MTE consultant do not seem to include the
generation of new Veterinary/Animal Health Assistants. The Sheikh Technical Veterinary
School (STVS) in Somaliland, which is a regional training centre for Somalia, Ethiopia,
Djibouti and Kenya under the auspices of AU-IBAR, is intended to produce diplomates in
Animal Health Inspection and Livestock Commodity (meat, milk, eggs, hides and skins)
Inspection for the entire region. It is intended that the STVS will also run short refresher
courses for serving veterinarians, veterinary assistants and laboratory technicians. It can also
be envisaged that ultimately this School, which is linked to the Veterinary Faculty of the
Bologna University in Italy, could end up producing veterinary graduates (veterinary doctors).
In the short-term the shortfall of new veterinary graduates could readily be covered by a
system of scholarships to veterinary faculties of the universities in the Eastern African region.
All such most pertinent and welcome initiatives still leave a serious gap at the veterinary
assistant level, the core for primary animal health service delivery. In Puntland, the MTE
became aware of a vacant facility under the Ministry of Livestock, Agriculture and
Environment located at Buran in Sanaag Region. This facility could readily be refurbished into
a training centre for veterinary/animal health assistants. Whether this or another facility is
considered, the important issue is that the long-term sustainability of a credible public and
private veterinary service provision will crucially depend on the training and production of a
cadre of animal health/veterinary assistants, i.e. a 2-year course after secondary school. This
issue needs to be addressed in the proposed stakeholder consultation and it could be a
candidate for piloting public-private funding (See Recommendations #6 and 7 of Section G).
58
Section G: RECOMMENDATIONS FOR A POSSIBLE FOLLOW-UP PROJECT
Section F above provides a strategic framework for future project engagement that will take
into account the need for the sustainability of the project interventions. It is clear that another
project phase will be necessary. Therefore, the MTE recommends that there be a follow
up SAHSP-2 project with the following considerations.
1. The SAHSP project is primarily an institutional capacity building aiming at the
development of a new veterinary service. This is likely to take longer than the
traditional 30-36 month EDF project cycle. There is therefore a strong case for an
assured 2-cycle funding (i.e. 60 -72 months) with funding from one phase to the next
being contingent on performance evaluation of the on-going phase.
2. There is a need to have a formal arrangement that will facilitate the interaction of
SAHSP with the FAO system. There are two reasons that are pertinent:
a. The SAHSP project and projects that are implemented by FAO-Somalia
target complementary aspects of the Somali public sector with FAO-Somalia
focusing on quality assurance and certification of livestock and meat trade
while SAHSP focuses on veterinary surveillance and service delivery at the
field level. There will be areas of overlap in policy, the regulatory framework
and laboratory support to both systems. There is already a good collaboration
between SAHSP and the FAO-Somalia projects. It is important, however, to
have this collaboration placed on a formal footing, especially as the same
donor (EC) is funding large measures of both aspects.
b. Several activities of SAHSP would benefit from the back-stopping and
collaboration with the FAO normative Technical Divisions. Some of the areas
of collaboration were already identified in the current project. These
concerned the back up by EMPRES in rinderpest surveys, development of
emergency preparedness competencies in Somalia, disease early warning
systems and disease modelling (especially with respect to prediction of Rift
Valley fever) and on such cross-cutting issues as livestock and the
environment (an important consideration in Puntland), gender and HIV/AIDS
as well as in facilitating the training and formation of Somali technical
personnel in a wider network beyond Kenya. A mechanism would need to be
established at the time of the preparation of the next project cycle. A
mechanism for engaging the expert services of FAO and access to wider
expertise through the FAO system would have to be pre-agreed with FAO at
the time of formulating the next project cycle rather than try to negotiate such
an arrangement after a new project has been agreed and signed between the
donor and an executing consortium.
59
3. The current project structure is in some ways activity driven and Results 1 and 3 each
address more than one theme. It is, therefore, recommended to re-arrange the
activities along the following 4 overlapping technical themes, while retaining the
current administrative structure (H&R, Finance and Procurement) to underpin the
technical inputs:
• Surveillance and Early Warning to cover:
o Lab & Epidemiology capacity;
o Rinderpest surveys;
o Animal disease information system;
o disease reporting;
o early warning;
o Somali surveil lance network
• Preparedness and Response systems to cover
o Preparedness and Contingency Plans
o Outbreak investigations
o Somali disease intervention network
• Livestock/Veterinary Policy to cover:
o Public-Private-Partnerships;
o Regulations;
o Norms, Standards and international conventions;
o Boards;
o Associations;
o Cross-cutting issues e.g. socio-economics, gender,
HIV/AIDS
• Knowledge Transfer and Management to cover:
o Training for all levels,
o Communication & Stakeholder awareness
Fig 4: A Proposed Programme Structure for a possible Follow-up Project
60
SAHSP-2 Programme (Terra Nuova and Partners)
Surveillance
Knowledge Transfer and Management
Preparedness and Response
Policy
Should there be an extension to SAHSP, as suggested in Section E above, the end of
the present phases for both SAHSP and ESCALI will be close. In such an event
consideration could be given to integrating the livestock policy elements of ESCALI
into the new SAHSP-2 project so as to have a coherent approach by design rather
than by coincidence as in the current phase, which works well because Terra Nova is
involved in the implementation of both SAHSP and ESCALI. If the implementation of
ESCALI had been awarded to a different agency, the close collaboration that now
exists between SAHSP and ESCALI would have been fortuitous. It is therefore
preferable that in the next phase the livestock policy theme in SAHSP-2 would
combine the current activities of ESCALI and SAHSP with respect to the livestock
policy and regulatory framework.
4. The current project has employed and developed a cadre of competent Zonal
Coordinators who are progressively assuming increasing areas of responsibility both
on the technical and administrative/financial aspects of the project. Hopefully this
process will have matured sufficiently by the end of the current project so that the
next project phase will be designed with the SAHSP Zonal Coordinators assuming all
the administrative and financial aspects of field operations in their respective zones
right from the start of the project (annex 7). This would mean that the thematic TAs
would concentrate on developing the technical capacity in each of their respective
domains. These aspects in time will be progressively handed over to their Somali
counterparts.
5. In the new Somali animal health service provision conglomerate, the newly formed
Veterinary Boards are the weakest link, yet they are supposed to be the custodian of
ethics and standards, registration of private practices and promotion of public-private
partnerships. Therefore, the next SAHSP project should seriously consider
61
proactively supporting the nascent Veterinary Boards in order for them to become
operational and authoritative.
6. As already remarked there is a serious shortage of veterinary personnel, especially in
Puntland. It is recommended that a high priority be given to the refurbishing of the
facilities at Buran in Sanaag Region and provision of technical assistance in order to
open a school for training veterinary assistants, the core of primary animal health care
by trained personnel. This could be complemented by a short-term intervention that
would introduce an animal health certificate course into the curriculum of the Sheikh
Technical Veterinary School. Therefore, the following two approaches are suggested:
c. The first, which would address the short term approach, could be achieved by
making some adjustment to the curriculum of the Sheikh Technical Veterinary
School (STVS) to allow it to issue both Certificate and Diploma qualifications.
By this approach the SVTS would be allowed a large intake of Secondary
School leavers primarily into a 2 year programme a leading to a Certificate in
Animal Health. Some of the Certificate graduates and some serving animal
health assistants could be offered a 1 year specialist course leading to a
Diploma in Animal health or Commodity sanitary inspections as already
planned for the SVTS.
d. The second, and more medium term approach, would be to utilise the
dormant facilities at Buran in Sanaag Region to run a dedicated
veterinary/animal health assistant training programme, along the lines of
similar institutions in Kenya and Tanzania. It will not duplicate what is planned
for the Sheikh Technical Veterinary School as it caters for a different
objective.
By instituting both Certificate and Diploma programmes it will be possible to start
addressing the dire need for middle cadre technical personnel, a core issue for
sustainable animal health service delivery. Another advantage is that the scheme will
start bringing Somalia into line with practices in East Africa and the definitions of the
OIE Terrestrial Animal Health Code for veterinarians (i.e. professionals) and para-
veterinarians /para-professionals.
7. In the short–term the shortage of fully qualified veterinarians (as defined by the OIE
Code) in Somalia could be addressed through the provision of scholarships,
preferably, tenable at veterinary faculties in universities in the rest of Africa.
62
SECTION H: ANNEXES
Annex 1: Project Effectiveness by the Log-frame
Achievements towards Result 1
Expected Result Targets Achievements against targets Comments
Result 1: Capacity of
Somali institutions to
effectively deliver and
90% of SVPs resident in Somalia
are members of the Zonal
associations and the umbrella
body- SLPF by end of the action
All Zonal Associations operate under
the umbrella of SLPF. On average 81%
of SVPs are registered with Zonal
Associations.
Overall, an estimated at 90%
achievement has been met
90% are member of CERELPA , 60% SOWELPA,
80% in Somaliland and 100% in Puntland.
The SLPF was not fully functional at the time of
the MTE. The SAHSP needs to project itself more
as fulfilling a public sector role than simply
working with SVPs. The work with the SVPs,
including the SLPF, should be seen as facilitating
the development of responsible private veterinary
sector rather than a counterpart entity.
Two public sector administrations
prepare annual work plans, budgets
& reports from mid 2006
This is behind schedule as the training
to enable this is currently on-going.
Achievement towards this activity is
estimated at 50%
Both Somaliland and Puntland administrations
have some annual plans and rudimentary budgets
for their ministries. However, these budgets are
not rationally derived hence the ongoing training in
63
regulate animal health
services enhanced
budgeting. The major constraint in Puntland is
human capacity..
Two veterinary laboratories
providing basic diagnostic services
operational by August 2006.
Behind schedule. One laboratory at
Hargeisa rehabilitated and equipped
and staff training is on-going. This
laboratory will not be fully functional for
the limited objective before mid 2007.
Tenders for construction of a laboratory
in Galkayo and rehabilitation at
Bossaso awarded in December 2006
Estimated at 40% achievement
Personnel from this laboratory and from Bosasso
are undergoing training. Construction of a
laboratory in Galkayo was delayed resulting is
reduced momentum towards this activity.
.
Veterinary codes enacted and
enforced in two zones by
December 2005
Veterinary codes are drafted in both
Puntland and Somaliland. In Puntland,
the code has been serialized and
enacted into law.
This activity has achieved an estimated
50% success.
In Somaliland, the Veterinary law codes are under
discussion by Council of Elders before
serialization.
Enforcement of the law codes in Puntland is a
challenge because of low capacity in the region.
Veterinary Boards inaugurated in
two zones by June 2006.
Veterinary Board was inaugurated in
Puntland in June 2006.
Ownership of the Board by the Puntland
authorities is awaited by completing appointments
64
40% achievement to the Board by MoLAE and receiving a
Presidential ascent. Again, like most other sector
areas in Puntland, capacity to attract competent
personnel to appointments by MoLAE to the
Board may prove a challenge.
The Veterinary Board in Puntland will need to be
facilitated by the SAHSP before it can be
effective. At present it is nominally in place.
By end of 2006, SVPs operating
clinics and pharmacies Increase
outreach through CAHWs by 10%.
Assessments not yet completed to
provide data to measure achievements.
A trainer of trainers (ToT) course was carried out
for 12 out of a total of 100 (excluding Benadir
region) selected SVPs operating clinics to enable
them outreach to CAHWs. The number of SVPS
operating clinics in Central Somalia are 36, South-
western is 26, Puntland 12 and Somaliland 26.
The trainees were derived from all regions except
Somaliland which did not wish to promote the
CAHWs concept.
Feedback from the persons trained is awaited.
Two public administrations develop Estimated at 40% In Puntland, the veterinary board has already
65
animal health strategies in
consultation with stakeholders by
March 2007.
been formed and inaugurated. However, in
Somaliland, formation of the veterinary boards still
awaits enactment of the veterinary code by the
Somaliland Government.
The process for developing the livestock policies
in both Puntland and Somaliland has been slower
than anticipated. It is unlikely that a coherent
animal health strategy will have been developed
by either administration by March 2007 as
envisaged. The target should be towards the end
of the current project phase. Even then the
strategy will still be rudimentary.
Cost-benefit analysis of improved
animal health services in Puntland.
70% completed This is the subject of a consultancy study currently
being undertaken to be completed by Mid –
February 2007
EDMUs operational in 4 zones by
March 2007.
60% completed EDMU operational in Somaliland, Central and
Southern Somalia. However, the reporting levels
are very low in Somaliland and improvements are
needed in all Zones.
The installation in Southern Somalia and Central
Somalia so far has covered 2 of the 5 modules of
the standard software. This is normal progress
66
even for countries with fully functional public
service.
The progress in Somaliland is low and that in
Puntland has been assessed to be very low
Achievements towards result 2
Expected Result Targets Achievements against
targets
Comments
Result 2: Measures for
the eradication of
rinderpest from the
Rinderpest zoning based on available data
completed and notified to OIE by April 2006.
Zonations completed but
a notification awaited
appointment of the CVO
for Somalia.
Following the CVO appointment, a decision was
made to prepare a provisional declaration of
freedom for disease on a country-wide basis.
The zonation will serve surveillance and
rinderpest risk management. It would have been
inappropriate for OIE recognitions
Status of active RP virus circulation confirmed
through two rounds of PDS in Central and
Southern Somalia by April 2006.
PDS activities completed
did not detect active virus
circulation. 100%
achievement.
Serological results from PDS detected clusters of
RP sero-positivity in Middle and Lower Juba
Regions.
6 SVPs trained in wildlife sampling techniques
by August 2006.
More than 100%
achieved
8 SVPs trained in Feb. 2006 in collaboration with
AU/IBAR/PACE/SERECU
Wildlife surveys completed in 2 zones by 50% achieved Surveys conducted only in Southern Somalia’
67
Somali Ecosystem
implemented in
collaboration with
AU/IBAR/PACE
August 2006 and results contribute to
delineation of areas for the final eradication of
rinderpest by October 2006.
Rinderpest emergency preparedness plan
endorsed by AU/IBAR/PACE by March 2006.
Delayed. AU/IBAR/PACE/SERECU comments received in
January 2007 will be incorporated in final
document
At least 8000 sera tested from 2 cross-sectional
surveys in infected and surveillance zones by
September 2006.
100% achieved Results analysed and discussed with partners
under SERECU. But no consensus has been
reached among the parties on the interpretation of
data.
It is important that a consensus be reached within
SERECU, preferably with the technical support of
FAO-GREP/EMPRES, on the significance of
rinderpest sero-positive cattle detected in
Southern Somalia, if these continue to be
detected in the next round, which has been
agreed for June/July 2007.
Strategy for the final eradication of rinderpest
from the Somali ecosystem endorsed by
SERECU, Ethiopia, Somalia and Kenya by
December 2006.
80% achieved SERECU follow on project agreed by December
2006 but final strategy dependent on results of
forthcoming surveys.
68
2 exchange visits to field sites in Kenya and
Ethiopia to see delivery systems undertaken by
end of 2005.
100% completed Activity implemented by SERECU consultants
69
Achievements towards Result 3
Expected Result Targets Achievements against
targets
Remarks
SAHSP emergency preparedness intervention
strategy endorsed by stakeholders in all Zones by
April 2006.
100% achieved Lack of an emergency preparedness Technical
Advisor has hampered operationalisation of the
strategy
EDMUs operational in all Zones by May 2006 60% achieved EDMU operational in Somaliland, Central and
Southern Somalia. However, the reporting levels
are very low in Somaliland and improvements are
needed in all Zones.
The installation in Southern Somalia and Central
Somalia so far has covered 2 of the 5 modules of
the standard software. This is normal progress
even for countries with fully functional public
service.
The progress in Somaliland is low and that in
Puntland has been assessed to be very low.
60% of Regions in Somaliland & Puntland and 29% in Somaliland, Greater efficiency of reporting achieved in regions
70
50% of the Regions in Central/Southern Somalia
provide monthly disease reports by September
2006.
12.5% in Puntland, 69%
in Central and 93% in
Southern Somalia
with reporting through private Associations than
those through the public sector.
At least 50% of outbreaks reported to EDMUs
investigated and followed up within 10 days.
90% achieved. All outbreaks reported to EDMU/SAHSP were
investigated within 2 – 3 weeks.
Performance indicators for Zonal disease
surveillance systems operational by October
2006.
100% achieved Progress made in Somaliland, Central and
Southern Somalia.
Risk analysis model developed to predict Rift
Valley fever outbreaks in 2 zones by March 2007.
Not done Awaits contractual arrangements with FAO-
EMPRES
Baseline prevalence data for RVF, CBPP and
PPR in 4 zones established using stored sera and
follow-up surveys designed by July 2006.
50% completed RVF and PPR baseline data available for
Somaliland and Puntland. CBPP data partially
available for Southern Somalia and RVF and PPR
surveys planned for Jan/Feb 2007
There is a need for publishing the results of such
surveys in the interest of transparency. SAHSP
should establish an agreed position with the
stakeholders including the public sector.
Emergency plans and responses formulated in
consultation with stakeholders in 4 zones by
March 2007.
Not done Lack of an emergency preparedness Technical
Advisor has hampered progress.
71
Achievements towards cross-cutting issues
Expected Result Targets Achievements against
targets
Remarks
Environment Integration of awareness on environmental
issues into SAHSP activities.
50% Environmental issues were included in all the
activities of SAHSP. This was especially the case
during stakeholder’s workshops and in livestock
sector policies that were formulated in Somaliland.
This activity was undertaken through mutual
agreements rather than contractual obligation
HIV/AIDS Awareness creation 70% HIV/AIDS has always been included in awareness
creation activities, especially in major centres
where the risk of spread is high. In Central
Somalia, the project staff has been actively
involved in distribution of HIV/AIDS awareness
creation materials prepared by health-sector
NGOs
This activity was undertaken through mutual
agreements rather than contractual obligation
Gender: Participation
of female stakeholders
Inclusion of vulnerable members of
communities in SAHSP activities.
80% In all the zones, the project made a deliberate
attempt to have Women and youth represented in
72
in SAHSP activities all the SAHSP activities.
This activity was undertaken through mutual
agreements rather than contractual obligation
73
Annex 2: Idle training facil it ies at Buran, Sanaag Region in Puntland
Idle training facil it ies at Burang, Sanaag Region in Puntland , which could be
readily refurbished as a Training Institute for Animal Health/Veterinary Assistants - i.e. 2
years basic animal health training after secondary education. NB: Veterinary/ Animal health
Assistants are the core of primary animal health care and service delivery in Sub-Saharan
Africa.
Idle Facilities in Buran, Sanaag Region, Puntland Structures for Classrooms, Kitchen, dining , washing, toilets are in reasonable condition
Separate Girls’ and Boys’ dormitory buildings Working solar electricity and running water
74
Annex 3: Gaps Analysis for the SAHSP Animal Disease Surveillance Network
GAP ANALYSIS FOR THE PROPOSED ANIMAL DISEASE INFORMATION
SYSTEM
By
SAHSP Coordinators from Somaliland, Central Somalia and Southern Somalia
and Representatives of SOWELPA and CERELPA, plus the SAHSP CTA and
TAs for Disease Surveil lance and Policy/Communication
At
SAHSP Zonal Offices, Hargeisa 11 to 15 January 2007.
The following scheme was accepted as being in line with the aspirations of setting up a
Somali surveillance network for TADs
National level
EDMU
Puntland
EDMU
Somaliland
SOMALI ANIMAL DISEASE INFORMATION FLOW
SEDMU
Field level District/
Region
Zonal level
Regional and International reporting
Research (Livestock & Wildlife)
Management/Planning
•Action
•Strategy & Policy
EDMU
Central Somalia
EDMU
South SomaliaDRFPs
Livestock owners
Private vets
Vet Assistants
NAHAs/CAHWs
Livestock owners
Public /Private Veterinarians
Vet Assistants
D/RVO
NAHAs/CAHWs
Surveys
Vet. lab
Surveillance
Data storage
Data analysis
Action
75
This scheme was compared with that in Tanzania, which also operates on a zonal basis. The
SAHSP design of the Somali system is comparable to that in Tanzania, except that in the
SAHP project area does not yet capture data from other projects.
National Epidemiology UnitData inputData storageData Analysis
••Abattoir/
S/slab
ResearchCVL & Ref Labs
FVMTAWIRI
Management/Planning•Action
•Strategy & Policy
RegionalInternational
reporting
Livestock Farmers
Field staff
DVO
Surveys
Wildlife
Animal Disease Information Flow in Tanzania
7 Zonal VICs
Zonal laboratory
Surveillance / ER
Private vet RPT
EW
Livestock projects
(Courtesy DVS, Tanzania)
1. Gaps and Weaknesses at Field Level
• Lack of public/private veterinarians or veterinary assistants in remote pastoral areas;
Weak veterinary outreach in the pastoral areas;
• Disease reporting is voluntary. Hence it is difficult to assure regular reporting from the
field.
• Need to improve the awareness among stakeholders, especially pastoralists and
traders, for recognition and importance of major animal diseases in the project area -
The impact of stakeholder workshops could be augmented by posters and pamphlets
in Somali plus a Somali edition of the SAHSP Bulletin.
• Livestock farmers getting a serum collection fatigue; repeated surveys without either
a clear feed back to them or a disease management intervention do not excite the
collaboration. So livestock farmers not associating surveys with their own interests.
Some remedial measures identified included:
o Awareness campaigns to emphasise the practical value of surveys to
livestock farmers (e.g. producing evidence for combating the bans by
livestock importers) ;
76
o Institute a feed back mechanism for informing livestock farmers of what is
done with the data arising from the surveys and reporting (e.g. planning
timely disease prevention interventions);
o Visible evidence that survey results and the entire surveillance system is
helping to define disease response interventions by a wide range of service
providers (Veterinary Associations, Private veterinary clinics, NGOs).
o SAHSP (or related project) to include a modest element for outbreak
investigations and initial response;
o Surveillance data to be analysed into guidelines for Professional Associations
to help their members to plan drug purchases, vaccinations and treatments
for endemic diseases.
2. Gaps and Weaknesses at Distr ict/Regional Level
Reporting:
Project
Zone
Number
of
District
s
Number of
Distr icts
submitt ing
Reports
Per cent
report in
g
Average
number
of
reports
in a
month
Who
reports
Who
coordinate
s reporting
from field
Overall
rating
by mtg.
Puntland 32 4 * 12.5% 8 reports
in total
from 4
districts**
Public
Sector
DVO/RVO
Public
Very low
Somalilan
d
42 12 29 12 Public
Sector
DVO/RVC
Public Low
Central
Somalia
27 21 78 69 Private
vets/ vet
assistant
members
of Vet
Associatio
n
Private and
SAHSP
Moderat
e
77
South
Somalia
32 32 100 93 Private
vets/ vet
assistant
members
of Vet
Associatio
n
Private and
SAHSP
Good
Overall collection of field disease reports is better in Central and Southern Somaliland than in
Puntland and Somaliland. Some of the contributing factors include the use of motivated and
organised private veterinary associations. The two Project Zones also have more experience
at field disease surveys, disease searches since they have been involved in such work also
during the Somali PACE project.
Some members of the veterinary associations in Central and Southern Somalia are beginning
to identify disease reporting data as useful for their planning of the purchase of inputs (drugs
and vaccines) as well as planning for the control of endemic (private goods) diseases.
Furthermore there is an understanding that all being equal the Veterinary Associations would
tend to favour the selection of those members who also have a good record for disease report
returns.
3. Gaps and Weaknesses at EDMU Level
Staffing of Zonal EDMUs
Project Zone Who runs Number and grade of staff Equipment
78
EDMU Status
Puntland Ministry
One Veterinarian,
designated but not yet in
post;
One data entry clerk yet to
be appointed
One
computer;
ARIS
software
Practically non-
functional; training of
field staff undertaken;
equipment installed; but
training of EDMU staff
has not started
Somaliland Ministry One veterinarian;
One data entry clerk
One
computer;
ARIS
software
Beginning to function in
one module; had
software problems
resulting in data loss;
Now data entry and
production of summary
table of results
Central
Somalia
SAHP
(Zonal
Coordinator)
Two veterinarians;
One data entry clerk
One
computer;
ARIS
software
Functional at data
entry, report generation
and initial experience in
generation of maps
South
Somalia
SAHSP
(Zonal
Coordinator)
Two veterinarians;
One data entry clerk
Two
computers;
ARIS
software
Functional at data
entry, report generation
and initial experience in
generation of maps
Comment:
• The experience from Central and Southern Somalia indicates that the minimum
staffing level required is 3 persons, one of whom should be a fully qualified
veterinarian, preferably with some epidemiology background.
• The staffing levels (actual or planned) in Somaliland and Puntland are inadequate
even for the current phase of relatively low throughput of reports.
• The authorities in Puntland and Somaliland lack resources to employment and offer
competitive remunerations to EDMU staff (NB: sentiment also repeated by the
Minister of Livestock in Somaliland).
• All EDMUs, except Central Somalia, have only one computer. There is also no
system for data back-up. Note Somaliland has already lost all data on the hard disk
79
when the ARIS software jammed and could not be rectified by IBAR without loss of
data.
4. Gaps and Weaknesses at Somali-EDMU (SEDMU) Level
This has not been set up yet and the staffing level has not been determined formally. Its
requirement is not explicitly stated in the project document/contract although there is an
expectation within the PMU for the SEDMU to be set up at the SAHSP HQ
The immediate target for the whole animal disease information system at both the zonal
and HQ levels appears to be improvement of disease reporting.
It is uncertain whether an early warning and use of data for designing disease control
interventions will be achieved before the end of the current project phase
5. Wildlife Surveys
These have been confined to South and Central Somalia where there is a substantial
number of rinderpest susceptible wildlife.
6. Natural Counterpart of SAHSP
There was general consensus that the natural counterpart for SAHSP is the public sector
Ministries responsible for Livestock Development.
The current arrangements in Central and Southern Somalia should be viewed as
transient. However it should be noted that SAHSP has laid down good practices for a
public-private partnership system for managing and delivery of veterinary services.
Therefore the current functions of SAHSP need to be seen as building the elements of a
modern veterinary service that facilitates, contracts, supervises and regulates the private
sector as currently represented by the Professional Associations.
The meeting recommended that the development and management of EDMUs in
Southern and Central Somalia should remain under SAHSP until when the functions and
units can be transferred to the public sector.
80
The EDMUs in Puntland and Somaliland, which are already within the public sector, need
to be strengthened urgently through new arrangements between the Ministries of
Livestock and SAHSP.
7. Long-term role of SAHSP Zonal Coordinators
The consensus was that the current SAHSP Zonal Coordination should be seen as
destined for eventual assimilation into the public sector. The Zonal Coordinators will have
gained experience not only in project management but also in understanding and
operating public-private partnerships in veterinary service delivery and they will have
developed high competence in managing disease reporting, disease data analysis and
the coordination of animal disease surveillance all of which are public sector
responsibilities.
8. Software – ARIS database
The ARIS modules (Passive surveillance, Active surveillance, Veterinary services etc) are
appropriate for the Somali epidemiological data management. However, the following
problems have been encountered which seem to be intrinsic to the software itself:
• Instability: Failure of ARIS to start and run, possibly due to conflict
between Oracle and other programs. The Data Management Unit in
AU/IBAR has not been able to explain this.
• When ARIS fails to run, it is difficult to reconfigure – Reconfiguration can
not be done by EDMU personnel. Recently the EDMU in Somaliland lost
passive disease data entered between April and July 2006 because we
had to format the computer and reinstall ARIS.
• Data entered in the database cannot be accessed again for editing or
update (i.e. it is not possible to recall and edit data when there is a need
to do so).
• With the current design of ARIS, automatic data upload from EDMUs (or
receiving data from zones) at Federal/National level is not possible.
Hence, consolidation of data from EDMUs has to be done manually
81
82
83
Annex 4: SAHSP Project Expenditure to 30 th November 2006
CODE DESCRIPTION Spent in Euro RESULT 1 RESULT 2 RESULT 3Total result
1+2+3
1 CAPACITY BUILDING 362,497
HUMAN RESOURCES PMU 129,703 103,763 19,455 6,485 129,703
HUMAN RESOURCES FIELD 143,735 114,988 21,560 7,187 143,735
10 WORKSHOPS 204 204 204
100 ZONAL LIVESTOCK POLICY DEVELOPMENT 0
11 TRAINING 38,054 38,054 38,054
113 SVPs TRAINING IN BUSINESS MANAGEMENT 0
114 INSTITUTIONAL CAPACITY BUILDING TRAINING 0
115 ToT TRAINING IN CENTRAL SOMALIA SEP06 0
116 CAHWS ASSESSMENT TRAINING 0
12 STUDY TOURS 393 393 393
121 KVA ANNUAL MEETING APR06 0
13 INFRASTRUCTURES 14,088 14,088 14,088
130 REHABILITATION WORK (PUNTLAND LAB) 0
131 REHABILITATION MOL HARGEYSA - SOMALILAND 0
14 AWARENESS CREATION 18,722 18,722 18,722
140 1st AWARENESS CREATION WORKSHOP - DEC05 0
15
AWARENESS (MATERIAL, BULLETIN AND
PUBLICATIONS) 6,184 6,184 6,184
84
CODE DESCRIPTION Spent in Euro RESULT 1 RESULT 2 RESULT 3Total result
1+2+3
150 QUARTERLY SAHSP BULLETIN 0
151 SERIALIZATION OF THE VET. CODE IN PUNTLAND 0
152 PRODUCTION OF AWARENESS MATERIAL 0
17 TASK FORCES 4,917 4,917 4,917
170 SUPPORT LOBBY FOR VET. CODE ENACTMENT (SL) 0
171 FORMATION OF VET. BOARDS (SL/PL) 0
172 POLICY DEVELOPMENT 0
18 SUPPORT SLPF AND ZONAL ASSOCIATIONS 6,496 6,496 6,496
180 NATIONAL VET ASSOCIATION OF S/LAND 0
181 SLPF REVITALISATION MEETING 0
182 STRENGTHENING SLPF S/LAND 0
3 DISEASE SURVEILLANCE (GENERAL) 555,265 0
HUMAN RESOURCES PMU 192,035 134,425 57,611 192,035
HUMAN RESOURCES FIELD 209,671 146,769 62,901 209,671
30 TRAINING 7,105 7,105 7,105
300 TRAINING PASSIVE DISEASE REPORTING 0
301 TRAINING DISEASE REPORTING FOCAL POINT 0
31 CROSS SECTION RINDERPEST SURVEYS 90,151 90,151 90,151
310 1st RP SURVEY - C/SOMALIA AUG05 0
DESIGN OF CROSS-SECTION SURVEY FOR
RINDERPEST, AWARENESS CREATION ON RP
0
85
CODE DESCRIPTION Spent in Euro RESULT 1 RESULT 2 RESULT 3Total result
1+2+3
SURVEY, PREPARATION FOR THE CROSS SECTION
SURVEY, TRAINING ON RP SURVEY (CENTRAL &
SOUTHERN), SURVEY FOR RINDERPEST,
PREPARATION OF DATABASE FOR RP, SAMPLE
SUBMISSION AND LAB TESTING
311
2nd RP SURVEY - C/ AND S/SOMALIA JAN06
(POSTPONED IN JUN-JUL06) 0
DESIGN OF CROSS-SECTION SURVEY FOR
RINDERPEST, AWARENESS CREATION ON RP
SURVEY, PREPARATION FOR THE CROSS SECTION
SURVEY, TRAINING ON RP SURVEY (CENTRAL &
SOUTHERN), SURVEY FOR RINDERPEST,
PREPARATION OF DATABASE FOR RP, SAMPLE
SUBMISSION AND LAB TESTING 0
34 SCREENING OF AVAILABLE SAMPLES 36,515 22,615 13,900 36,515
340 TESTING OF SAMPLES 0
35 WILDLIFE SURVEILLANCE 13,217 13,217 13,217
350 WILDLIFE SURVEY 0
351 WILDLIFE TRAINING 0
37 DATA COLLECTION AND DISTRIBUTION 6,572 6,572 6,572
370 EDMU SOMALILAND 0
4 DISEASE SURVEILLANCE (PDS) 20,835 20,835 20,835
401 1st PDS RP C/ & S/ SOMALIA FEB06 0
86
CODE DESCRIPTION Spent in Euro RESULT 1 RESULT 2 RESULT 3Total result
1+2+3
402 2nd PDS RP C/ & S/ SOMALIA MAR06 0
5
DISEASE SURVEILLANCE (OUTBREAK
INVESTIGATIONS) 8,667 8,667 8,667
501 OUTBREAK INVESTIGATION IN MEREREI APR05 0
502 OUTBREAK INVESTIGATION IN BOROMA SEP05 0
503 WILDLIFE INVESTIGATION IN BARDERE - DEC05 0
504 OUTBREAK INVESTIGATION IN M/SHABELI OCT05 0
505
PPR OUTBREAK INVESTIGATION IN SOMALILAND
FEB06 0
506 OUTBREAK INVESTIGATION IN PUNTLAND FEB06 0
507 AVIAN FLU INVESTIGATION IN C/SOMALIA MAR06 0
508 AVIAN FLU INVESTIGATION IN P/LAND APR06 0
509 AVIAN FLU INVESTIGATION IN S/LAND JUL06 0
510 AVIAN FLU INVESTIGATION IN S/SOMALIA JUL06 0
511
RVF INVESTIGATION IN SOUTHERN AND CENTRAL
SOMALIA JAN07 0
9 CO-ORDINATION/ Shared cost 845,530 0
HUMAN RESOURCES CO-ORD AND ADM PMU 253,451 126,726 101,380 25,345 253,451
HUMAN RESOURCES CO-ORD AND ADMIN
FIELD 173,896 86,948 69,559 17,390 173,896
90 OFFICES RUNNING COSTS 389,571 194,785 155,828 38,957 389,571
900 RUNNING SOMALIA BASES 263,455 0
87
CODE DESCRIPTION Spent in Euro RESULT 1 RESULT 2 RESULT 3Total result
1+2+3
901 RUNNING PMU NAIROBI 126,115 0
92 INTERNATIONAL WORKSHOPS 13,519 0
920
PACE ANNUAL COORD MEETING DAKAR - JUL05 -
Result 2 and 3 634 317 317 634
921
ANIMAL EXPORT RISK ANALYSIS LILONGWE - JUL05
- Result 3 5,761 5,761 5,761
922 ISVEE XI CAIRNS (AUSTRALIA) - AUG06 - Result 2 82 82 82
923
PACE COORDINATION MEETING - ADDIS ABABA -
MAY - Result 2 and 3 1,416 708 708 1,416
924
PACE COORDINATION MEETING - BAMAKO - JUN06
- Result 2 and 3 1,848 924 924 1,848
925
PACE COORDINATION MEETING - DUALA - JUL06 -
Result 2 and 3 1,526 763 763 1,526
926 OIE GIS CONFERENCE - ITALY - SEP06 - Result 3 2,252 2,252 2,252
93 MEETINGS 7,093 2,364 2,364 2,364 7,092
930 SAHSP GENERAL PLANNING MEETING 0
931 SAHSP ADM GENERAL MEETING 0
933
7TH CONFERENCE OF MINISTERS, RWANDA -
NOV05 0
95 AUDITS AND REVIEWS 8,000 2,667 2,667 2,667 8,001
950 MID-TERM REVIEW 0
951 ADM CONTRACTUAL AUDIT 0
TOTAL EXPENDITURES 1,792,794 721,299 803,620 267,875 1,792,794
88
CODE DESCRIPTION Spent in Euro RESULT 1 RESULT 2 RESULT 3Total result
1+2+3
Per cent of Total 100 40 45 15 100
89
Annex 5: Terms of Reference
TERMS OF REFERENCE FOR THE MID-TERM EVALUATION OF THE SOMALI
ANIMAL HEALTH SERVICES PROJECT
A. Introduction
Project Tit le: Somali Animal Health Services Project (SAHSP)
Contract No: 514 – NGO – L12-04
Starting date of contract: 1stApril 2005
Ending date of contract: 30thSeptember 2007.
Recipient Organization: Terra Nuova
Partners: UNA and COOPI
Location: County-wide with field offices in Somaliland (Hargeisa), Puntland (Garowe),
Central Somalia (Jowhar/Belet-Weyne) and Southern Somalia (Dinsor).
Total contracted amount: Euro 3,157,000
• EC Contribution: Euro 2,995,000
• Other Contributions: Euro 162,000
B. Objectives of the evaluation
The mid-term evaluation (MTE) of SAHSP will assess the progress in implementation of the
project. Emphasis will be placed on the relevance of SAHSP objectives and activities to the
identified needs, the efficiency of its implementation and its effectiveness to date. The
potential and requirements for institutionalisation and sustainability of SAHSP outputs by the
beneficiaries will also be assessed.
The MTE is intended to provide the European Commission Somalia Operations (ECSO), the
SAHSP implementing NGO consortium (Terra Nuova, UNA and COOPI), the SAHSP
management team, FAO/GREP and AU/IBAR/PACE/SERECU with an independent
evaluation of progress in the implementation of SAHSP. It will assess project progress and
the accountability of the project, identify lessons learnt for forthcoming activities, and advise
on possible need for re-orientation to assure the achievement of its objectives in the
remaining time-frame of implementation. Other key partners including the Minister of
Livestock of the Transitional Federal Government of Somalia, the Ministries of Livestock in
Somaliland, the Ministry of Livestock, Agriculture and Environment in Puntland and the
Somali Livestock Professionals’ Associations will benefit from the findings of this evaluation.
90
C. Background
Context and evolution of SAHSP
Since 1994 several relief, rehabilitation and development projects have been undertaken to
enhance the professional competence of Somali Veterinary Professionals (SVPs), provide
support for the establishment and operation of Veterinary Professionals’ Associations and
public sector animal health institutions in Somaliland and Puntland. Between 1stOctober 2001
and 31st March 2005, the EC funded the implementation of the Somali PACE Project that
supported capacity building for public and private sector animal health workers, the
strengthening of public sector institutions through development of master plans and support
for enactment of veterinary law codes, the strengthening of five livestock professional
Associations and a national umbrella organization. The Somali PACE project also conducted
training of Somali veterinary professionals for subsequent engagement in large-scale
epidemiological surveys for major transboundary diseases of livestock. However, by the end
of the Somali PACE Project, the veterinary sector master plan was yet to be implemented in
Puntland and was only partially implemented in Somaliland. The veterinary codes were not
yet enacted in both Somaliland and Puntland. Epidemiological surveillance for livestock
diseases and emergency preparedness planning were not institutionalized within the nascent
public sector institutions and the fear of negative economic consequences resulting from
trade bans prevented the transparent dissemination of some disease survey results. To date,
suspicions persist that Southern Somalia represents the last focus of endemic Rinderpest that
prevents the global eradication of the disease. The Livestock Professionals’ Associations had
revised constitutions and developed strategy papers to guide their future development but still
lacked the ability to independently mobilize their members as animal health service providers.
The Somali Animal Health services project (SAHSP) was designed to consolidate the
achievements of the Somali PACE Project. It aims to enhance access by Somali livestock
sector stakeholders to improved animal health services that comply with internationally
acceptable standards for participation in safe domestic and export trade in livestock and
livestock products. The overall objective is to contribute to the improvement of livelihoods at
household level by enhancing food security and income generation through the control and
eradication of major epizootic diseases of livestock. The specific objective is to improve
delivery and regulation of animal health services to enhance livestock production, domestic
and export trade in livestock and livestock products.
The Project has three expected results as follows:
• Result 1: Capacity of Somali institutions to effectively deliver and regulate animal health
services enhanced
91
• Result 2: Measures for the eradication of Rinderpest from the Somali Ecosystem
implemented in collaboration with AU/IBAR/PACE
• Result 3: Mechanisms for reducing the vulnerability of Somali livestock to the threats of
major epizootics strengthened through the establishment of a disease surveillance
system.
SAHSP has operated country-wide through four zonal offices in Hargeisa (Somaliland),
Garowe (Puntland), Jowhar (Central Somalia) and Dinsor (Southern Somalia). This Zonal
approach to implementation takes into account the socio-political differences between the
zones and allowed continuation of project activities even when the security situation
deteriorated in one or two zones. The Project Management Unit (PMU) was established and
maintained in Nairobi as a central coordination unit to provide technical, administrative and
logistical support to the Zonal Offices. To facilitate the smooth implementation of activities, the
Project signed memoranda of understanding (MoUs) with the Ministry of Livestock in
Somaliland and the Ministry of Livestock, Agriculture and Environment in Puntland. Contact
was also established with the Minister of Livestock, Forestry and Range of the Transitional
Federal Government of Somalia and dialogue initiated on the needs for capacity building to
revitalize public sector institutions under the TFG Ministry of Livestock, Forestry and Range.
Activities towards the eradication of rinderpest entailed regional cooperation, and
harmonisation of approaches with Kenya and Ethiopia under the overall coordination of the
AU/IBAR/PACE/Somali Ecosystem Rinderpest Eradication Coordination Unit (SERECU). A
memorandum of understanding was signed between SAHSP and AU/IBAR to facilitate this
cooperation.
Due to the absence of laboratory testing facilities in Somalia, a memorandum of
understanding was developed with the Kenya Agricultural Research Institute (KARI) to
facilitate testing of samples collected in Somalia for Rinderpest, Pest des petits ruminants
(PPR), Rift Valley Fever (RVF), Contagious bovine pleuropneumonia (CBPP) and contagious
caprine pleuropneumonia (CCPP).
Current state of implementation
In all the Zones, the project convened stakeholders’ workshops to obtain inputs in
strengthening of animal health delivery systems. Support for building the capacity of public
sector institutions is still limited to Somaliland and Puntland as the development of public
sector institutions in Central and Southern Somalia is yet to be undertaken. In Somaliland, the
project supervised the completion of rehabilitation works on buildings of the Ministry of
Livestock and the construction of new buildings to house a laboratory, offices and library at
the Ministry of Livestock Headquarters in Hargeisa. The project also purchased office
furniture for the new premises and computer equipment installed with the AU/IBAR/PACE
92
ARIS programme for the Epidemiology and Data Management Unit (EDMU). In Puntland, the
planned rehabilitation of laboratories and a Regional Veterinary Office in Galkaiyo was
delayed due to difficulties in securing the targeted public buildings from unauthorized
occupants coupled with a cabinet reshuffle that interrupted the continuity of the activity as
there was no effective handover between the out-going and in-coming MoLAE Ministers. The
process of rehabilitation of public premises to house a veterinary laboratory and Regional
Veterinary office in Galkaiyo, Puntland is currently underway.
In Central and Southern Somalia, SAHSP consulted the TFG Minister of Livestock, Forestry
and Range on modalities for enabling livestock sector stakeholders in the two zones to
contribute to discussions on needs for institutional development for the sector. The Minister
convened an initial briefing meeting with NGOs and international agencies operating in the
livestock sector in Nairobi on 14th June 2006.
Training of MoL personnel to operate the EDMU was initiated in Hargeisa and plans are
underway to conduct training for EDMU personnel in Puntland, Central and Southern
Somalia.
The establishment of financial and human resources management systems to enhance
efficiency and transparency in MoL and MoLAE was initiated and will be extended to the
Livestock Professional Associations if successful in the public sector.
SAHSP provided support and guidance for the establishment of a Veterinary Board in
Puntland following enactment of the Veterinary Code by Parliament. This included facilitation
of a visit by the Chairman of the Kenya Veterinary Board to attend a stakeholders’ meeting in
Puntland where he outlined the purpose and operations of a National Veterinary Board as a
regulatory body. The Project also provided funds and technical support for the serialisation of
the Veterinary Code in the Puntland newspapers, radio stations and various Somali web-sites
to enhance understanding of the requirements for its enforcement among stakeholders. In
both Somaliland and Puntland, SAHSP encouraged the implementation of the Master Plans
for MoL and MoLAE respectively. However, inadequate budgetary allocations prevented the
full implementation of the recommendations of the Master plans. In Somaliland, the budgetary
allocation for MoL operations in 2006 was increased two-fold as a result of intense lobbying of
the Ministries of Planning and Finance by the Minster of Livestock.
The project conducted training in business management and contract preparations for 31
selected private SVPs operating pharmacies and clinics.
In both Central and Southern Somalia, the project implemented participatory disease search
(PDS) activities as part of the Rinderpest surveillance activities agreed jointly with
93
AU/IBAR/PACE/SERECU, PACE Kenya and PACE Ethiopia. A total of 292 samples were
collected from suspected clinical cases tested negative for rinderpest while 2,111 sera were
tested for rinderpest antibodies. A major random serological survey for rinderpest that was
initially scheduled for implementation in January-February 2006 was postponed to June-July
2006 due to severe drought conditions with resultant concentration of livestock in areas with
pasture and water. A total of 5,760 to 6,528 sera were targeted for collection during this
survey. Using the results so far obtained from earlier surveys for rinderpest, SAHSP
requested AU/IBAR to make a declaration to the OIE of provisional freedom from rinderpest
on a zonal basis for Somalia. A draft emergency preparedness plan for rinderpest for
Somalia was submitted to AU/IBAR for review and approval.
To facilitate planned rinderpest surveillance activities in wildlife, eight Somali Veterinary
Professionals were trained in wildlife capture and sampling techniques in February-March
2006. Selection of the SVPs was done by SAHSP in consultation with SOWELPA while the
training was arranged by the AU/IBAR/PACE/SERECU in collaboration with the Kenya
Wildlife Service. The training was carried out during wildlife surveillance field activities in
Kenya. In Somaliland, the Project supervised and supported epidemiological assessments of
a PPR outbreak in preparation for a vaccination intervention. However, the vaccination was
not carried out due to disagreements between the Ministry of Livestock and ULPA on
modalities for its implementation. In Puntland, SAHSP provided logistical and financial
support for field interventions led by VSF-Suisse following outbreaks of pneumonia in camels,
sheep and goats. SAHSP also supported field investigations of three disease events
suspected to be CCPP and avian flu in Central Somalia and Rinderpest in Southern Somalia.
The testing of stored sera to obtain baseline data on key diseases affecting livestock trade
was initiated with the testing of 8,522 sheep, goats and camel sera collected in Somaliland
and Puntland during earlier Rift Valley Fever surveys for PPR virus antibodies. The testing of
all stored sera collected from cattle in Central and Southern Somalia for CBPP sero-
prevalence was initiated.
Constraints
Implementation of SAHSP activities was constrained by the following:
• Delayed recruitment of the some expatriate and Zonal Technical staff and the later
resignation of one Technical Advisor delayed project start-up and implementation.
• A cabinet reshuffle with resultant loss of institutional memory at MoLAE that slowed the
pace of activities in Puntland.
• Recurrent incidents of insecurity that necessitated the temporary evacuation of Technical
Advisors and relocation of a Zonal office.
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• Dormancy of the Somali Livestock Professionals’ Forum denied the project an effective
local partner and presented challenges for the mobilisation of the five Zonal Associations
towards the establishment of a national umbrella organisation.
• Conflict between MoL and the ULPA Executive Committee prevented joint field
interventions.
• The temporary suspension of ECHO flights to some locations in Southern Somalia
prevented access of SAHSP staff to some field locations.
• Severe drought conditions caused the postponement of a large-scale random cross-
sectional serological survey for rinderpest scheduled for January 2006.
• Expectations by stakeholders that SAHSP should produce rapid results with tangible
short-term impacts indicated lack of understanding for long-term institutional capacity
building approaches.
• The lack of financial allocations for the Ministries responsible for Livestock development
in Somaliland and Puntland to enable the timely employment and deployment of staff
recommended in the respective master plans.
• The lack of structured livestock institutions under the TFG presented challenges to
SAHSP approaches in Central and Southern Somalia.
D. Issues to be studied
The MTE should examine the achievements and constraints experienced during the
implementation of SAHSP since its inception on 1st April 2005. The relevance of SAHSP
objectives and activities to the identified needs, the efficiency of its implementation and the
effectiveness of its approaches should be assessed. The MTE should also provide guidance
on the potential for institutionalisation and sustainability of SAHSP outputs by the
beneficiaries. The lessons learnt should enable recommendations on any changes required to
assure the attainment of SAHSP results and specific objective.
E. Methodology
The consultant will be expected to be familiar with the following documents: Project financing
agreement (including the SAHSP Project document), the SAHSP inception report, all the
project summary and interim technical reports, the Somali PACE Final Project report, and the
Somali PACE Mid-term review report, SERECU Project documents and reports. The Somalia
livestock sector strategy document (April 2004) commissioned by World Bank, FAO and the
European Commission will make valuable reading for the consultant. It is anticipated that the
consultant will interact with SAHSP personnel and beneficiaries and collect data and
information for the evaluation through various methods including key informant interviews,
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focus group discussions with selected beneficiaries, questionnaire interviews, and personal
observation of project activities or outputs of their implementation. The consultant will be
expected to consult other key stakeholders from regional and international organizations with
an interest in the outcomes of SAHSP implementation. These will include AU/IBAR,
SERECU, FAO-GREP and the veterinary authorities in Kenya and Ethiopia. The consultant
should provide every possible opportunity for SAHSP stakeholders and beneficiaries to
participate in and contribute to the MTE. The consultant should review the project logical
framework and make suggestions for its revision to realistically focus project outputs towards
achievement of the purpose in the remaining time-frame of its implementation.
Evaluation criteria
The evaluation should assess the SAHSP Project for its relevance, the efficiency of its
implementation and its effectiveness and the sustainabil ity of its outputs. The
following key issues should be examined:
Relevance of SAHSP
The MTE should assess the appropriateness of SAHSP and its approaches in the context of
Somalia
• Are SAHSP objectives consistent with the needs of the beneficiaries, regional and global
priorities and donor’s policies?
• What is the internal coherence of the SAHSP logical framework (relationships between
overall objective, purpose and the results defined in the log-frame)? Particular attention
should be given to the log-frame in the project proposal and the working log-frames
followed during implementation.
• Was the project purpose realistic and relevant to the overall objective?
• What are the institutional linkages between SAHSP and other Projects carrying out
related activities in the Somali livestock sector? How did these affect the relevance of
SAHSP?
Efficiency and effectiveness of SAHSP
The efficiency of SAHSP implementation will be assessed against its specific objective.
The MTE should assess how project resources/inputs (funds, expertise, equipment, time etc)
have been converted into results and to what extent have SAHSP objectives been achieved
or are likely to be achieved on a priority basis.
The MTE should pay particular attention to the following:
• Evaluate SAHSP implementation at all levels (PMU and Zonal Offices and the field
levels).
• Assess SAHSP financial and logistics management aspects at PMU level, Nairobi.
• Evaluate the coherence of SAHSP activities in order to achieve the expected results.
96
• Evaluate the relationships between the activities and the results so far achieved by
SAHSP taking into account the resources mobilized.
• Evaluate the need for any eventual extension to assure attainment of the planned results
given the remaining time-frame for SAHSP implementation. Priority areas of work should
be clearly identified, the cost effectiveness of any additional support demonstrated and
the time-frame defined.
Key issues pertaining to SAHSP co-ordination and cross-cutting issues will also be addressed
including:
• Analysis of how SAHSP approaches and strategies have contributed to attainment of the
objectives and how they have translated to project activities and work-plans.
• Assess the internal monitoring and evaluation mechanisms and the timeliness and
adequacy of project reporting.
• Assess the contribution of the Project implementing NGO consortium (Terra Nuova, UNA
and COOPI) to the attainment of SAHSP expected results and purpose to date.
• Assess the performance of the technical assistance provided by the various Technical
Advisors and consultants assigned to specific aspects of the project.
The MTE should also assess the appropriateness, efficiency and effectiveness of the
organization, management and reporting systems established under SAHSP.
Potential for sustainability of SAHSP outputs
The MTE will assess the potential for sustainability of the results of SAHSP and suggest
mechanisms that need to be put in place to assure this. Key issue to address will include:
• The absorption capacity of local (counterpart) institutions and their ability to sustain
outputs from the project. Do the local counterpart institutions have sufficient human and
financial resources to carry out the roles expected of them after the end of SAHSP? What
needs to be done to enhance the ability of counterpart institutions to effectively perform
their roles in the prevailing socio-political circumstances?
• Has sufficient attention been given to the development of the public and private sector
institutions and the establishment of mutually beneficial and productive linkages between
them?
• Is the mixture of expatriate and Somali staff effective in addressing the needs of the
project and its beneficiaries and are there adequate arrangements in place to ensure
hand-over of responsibilities from expatriate to Somali personnel?
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F. Report ing and feedback
The consultant will be expected to present an inception report for approval by the EC Somalia
Operations (ECSO). This report will outline the methods proposed for carrying out the
evaluation and the timing of field visits and presentation of feedback and reports to the ECSO.
The consultant will then conduct the evaluation of SAHSP both at the PMU level in Nairobi
and in the field offices in Dinsor, Beled-Weyne, Garowe and Hargeisa.
Following completion of the field evaluations, the consultant will debrief TN and ECSO
through presentation of an Aide-Memoire (this should be a de-briefing presentation at EC
office) of their provisional findings and likely recommendations. The consultant will then
prepare a draft final report of the key findings and recommendations for submission to TN and
ECSO not later then 14 days after completion of the field evaluation. The draft final report will
be circulated by TN for comments by stakeholders as appropriate.
The consultant will then finalize the report and resubmit the final report to TN (who will copy it
to EC for approval) not later then 7 days after receipt of consolidated comments from TN.
iii) Planned outputs
Inception report (five hard copies and one electronic version in Word format), 3 days after
arrival of mission in Nairobi
Aide-Memoire (five copies hard copies), following completion of field activities and before
leaving Kenya (if applicable)
Draft final report (five hard copies and one electronic version in Word format), latest 10 days
after completion of field evaluation
Final report (five hard copies and one e-copy on CD-ROM in Word and PDF format), latest 7
days after receipt of comments from TN
G. Expertise required
The consultant should be a veterinarian with a post-graduate degree in epidemiology or an
animal health related discipline. He/she should have at least 10 years experience and
knowledge in establishment of livestock disease surveillance and emergency response
systems. The consultant should also have at least 5 years experience in animal health
institutional capacity building in developing countries. Additional experience and knowledge in
development of livestock sector legislation and policy as well as project management will be
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desirable. The consultant should be familiar with the Project Monitoring Cycle (PMC)
approach and the European Commission (EC) rules, procedures and formats that relate to
project evaluations. The consultant must be fluent in English.
H. Work Plan and Time schedule
The evaluation should be carried out for a total of 30 calendar days commencing not later
than 3rd January 2007. This process will entail the following:
International travel (if required) 2 days
Review of the literature (3 days)
Field work (17days including travel to and from Somalia and meetings in Nairobi)
Report writing and presentations (8 days).
The consultant will be expected to undertake visits as follows:
• EC Somalia Operations (ECSO) in Nairobi.
• SAHSP PMU office in Nairobi for meetings with the project management team and
the Representatives of the SAHSP implementing NGO consortium (Terra Nuova,
UNA and COOPI). Further meetings will be arranged separately with each of the
partners as required.
• African Union Inter-African Bureau for Animal Resources (AU/IBAR) including the
Somali Ecosystem Rinderpest Coordination Unit (SERECU)
• Field visits to Somaliland, Puntland, Central and Southern Somalia to visit SAHSP
Zonal Offices and to contact various SAHSP stakeholders and beneficiaries in the
zones.
• Visits to the KARI laboratories and the Central Veterinary Laboratory, Kabete
The consultant should provide a detailed and time bound work schedule to cover all these
aspects in his/her offer.
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Annex 6: List of Persons Met
NB: The consultant wishes to thank all the persons listed below for their kind collaboration
and assistance during the course of this MTE.
SAHSP Project Management Unit (PMU), Nairobi
Dr Henry Wamwayi, Chief Technical Advisor, (NB: Dr Wamwayi accompanied the
MTE Consultant to all meetings listed below)
Dr Mohamad Farah Dirie, SAHSP National Coordinator
Dr Stefano Tempia, Epidemiology Advisor
Dr Mohamud Hagi Hassan Ali, National Epidemiologist
Mr Dario Zecchini, Project Administrative and Human Resources Advisor
Mr Mohamed Haibe, National Administrator
EC Delegation to Kenya, Somalia Operations
Dr Friedrich Mahler, Technical Advisor in charge of Livestock and Environment
Terra Nuova Eastern safrica
Mr. Federico Veronesi, Ag Regional Representative
Mr. Riccardo Costagli, Project Manager Livestock Trade, Marketing and
Diversification Project
Dr Olare Isaya Ouma, Project Manager, ESCALI Project - Livestock
Mr. Phares Ragwa, TA ESCALI - Agriculture
Ms Lucy Wood, Educationist Sheikh Technical Veterinary School,
Mr. Sam Ogola, Educationist, Sheikh Technical Veterinary School
COOPI: Cooperazione Internationale
Ms Paola Grivel, Regional Representative
Ms Emmanuella Olesambu, Programme Manager, Pastoral Emergency Interventions
UNA Consort ium
Mr. Raffaele Del Cima, Regional Representative
Department of Veterinary Services, Kenya
Dr Joseph Musaa, Director of Veterinary Services (DVS)
Dr Simon N. Kimani, Chief Veterinary Field Officer
Dr Harry Oyas, PACE Kenya, National Coordinator
Kenya Agricultural Research Institute (KARI), National Veterinary Research
centre, Muguga
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Dr John Mugambi, Centre Director
Dr Eunice Ndungu, Serologist
Dr Peter Mirangi, Head of Virology Division
AU-IBAR, Nairobi
Dr Modibo Traore, Director
Dr Kebkiba Bidjeh, PACE Epidemiologist
Dr Joseph Litamoi, FAO Advisor Avian Influenza Epidemiology
AU-IBAR/PACE/Somali Eco-System Rinderpest Eradication Coordination Unit
(SERECU) at AU-IBAR
Dr Dickens Chibeu, SERECU Coordinator,
Dr Elizabeth Wambwa, Wildlife Expert
Dr Annie Lewa, Specialist in Animal Health Delivery Systems
Dr Ahmed Mohamed Hashi, Liaison Officer for Somalia (and Ag. Somali delegate to
the OIE)
Dr Bernard Mugenyo, Liaison Officer for Kenya
Dr Nesru Hussein, Liaison Officer for Ethiopia
FAO Somalia
Mr. Graham Farmer, FAO Representative to Somalia
Dr Massimo Castiello, Livestock Expert
Dr Jotham Musiime, Livestock Consultant
Puntland, Bosasso
H.E. Mr. Said Jama Ali “Qorshal”, Minister for Livestock, Agriculture and Environment
Dr Samuel Wakhusama Wanyangu, SAHSP Technical Advisor, Institutional Capacity
Building and Training (Based in Puntland)
Dr Francis Sudi, SAHSP Technical Advisor, Disease Surveillance and Reporting
(Normally based in Southern Somalia)
Dr Ernest Njoroge, SAHSP Technical Advisor, Policy and Communication (normally
based in Central Somalia)
Mr. Mohamed Jama, SAHSP Zonal Administrator, Puntland
Dr Abdusalaam Mohamed Warsame, Former Port veterinary Officer, who had just
been designated to head the Puntland EDMU and Laboratory Services
Dr Abdulrazak Jama, Chairman Puntland Veterinary Board
Mr. Nur Farah, Private Sector Representative on the Puntland Veterinary Board
Dr Abdulrashid Hashi, Public Sector Representative on the Puntland Veterinary Board
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Dr Liban Chairman of PULPA
Dr Faduma Hussein Vice-Chair PULPA
Mr. Mahad, Chairman Puntland Livestock Board
Mr. Noor Ali Mohamed, Manager Mandeeq Milk Factory Qhardo
Plus 2 traders at Bosaso Livestock market and various individuals at Port loading
livestock.
Plus representatives of the Buran Community in Sanaag Region
Somaliland, Hargeisa
H.E. Dr Idris Ibrahim Abdi, Minister of Livestock
Dr Abdullahi Director of Animal Health
Dr Mohamoud Ismail Ali (Shire), Head of Hargeisa Laboratory
Dr Abdillahi Adan Jama, Head EDMU, Hargeisa
Dr Ahmed Haji Abdullahi, Chairman of the Board of Management of ULPA
Mr. Ismael Wasame, Chair ULPA
Mr. Ali Mohamed Ali, Secretary, ULPA
Mr. Daudi Isaac Nuru, Treasurer, ULPA
Dr Elmi Ibrahim Wais, Chair SOLNAVA
Dr Ibrahim Omar Osman, Livestock Trade, Marketing and Diversification Project
(Terra Nuova)
Dr Ibrahim Said Ismael, Chairman of the Chamber of Commerce
Dr Mohamed Muse Yusuf (Afrika), SAHSP Zonal Coordinator, Somaliland
Mr. Jibri Ahmed, SAHSP Zonal Administrator, Somaliland
Dr Mohamed Ali Hamud, Ag. SAHSP Zonal Coordinator and Field Officer, Central
Somalia
Dr Abdul Kadir Abdi Mohamed, Member Executive Committee of CERELPA
Dr Omar Dirie Mumir, Member of CERELPA
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Dr Ahmed Abdi Gedi, SAHSP Zonal Coordinator, Southern Somalia
Dr Ali Roble Mohamed, SAHSP Veterinary Field Officer, Southern Somalia
Dr Abdirashid Sheikh Ahmed, Chairman SOWELPA
Dr Ali Sheikh Mohamed, Administrative Officer and Executive Committee Member of
SOWELPA
Dr Mohamad Farah Dirie, SAHSP National Coordinator at the PMU
Dr Francis Sudi, SAHSP Technical Advisor, Disease Surveillance and Reporting
(Normally based in Southern Somalia)
Dr Ernest Njoroge, SAHP Technical Advisor, Policy and Communication (normally
based in Central Somalia)
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Annex 7: Projected End-of-Project Management Arrangements
104
PUNTLANDZONAL VET CO-
ORDINATOR
C/ SOMALI AZONAL VET CO-
ORDINATOR
S/ SOMALI AZONAL VET CO-
ORDINATOR
SOMALI LANDZONAL VET CO-
ORDINATOR
SOMALI NATI ONAL ADMI NI STRATOR& I . S. ASSI STANT
SOMALINATI ONAL
EPI DEMI OLOGI ST
ALL 4ZONAL VETCO-ORDs
SAHSP ORGANOGRAMM – 3rd STAGE
SAHSP CONSORTI UM
CHI EF TECHNI CAL ADVI SOR
SOMALI NATI ONAL CO-ORDI N.
SAHSPPMU NAI ROBI
SUPPORT STAFF
SECRETARYLOGIST./DRIVER
RECEPT./CLEANER
ZONAL OFFI CE
SUPPORT STAFF
SECRETARYDRIVER
SECURITY
ZONAL OFFI CE
SUPPORT STAFF
SECRETARY(DRIVER)SECURITY
ZONAL OFFI CE
SUPPORT STAFF
SECRETARY(DRIVER)SECURITY
ZONAL OFFI CE
SUPPORT STAFF
SECRETARY(DRIVER)SECURITY
FI ELD SUB OFFI CE
SUPPORT STAFF
SECURITY
LEGENDA:CHAINE OF COMMANDSUPERVISION RESPONSIBILITYTECHNICAL INPUT
H.R. & FINANCIAL ADVISOR
PROJECTEPIDEMIOLOGIST
ADVISOR
SECTORAL TECHNICAL ADVISORS
INSTITUTIONAL SUPPORT ADVISOR & INTERNATIONAL CONSULTANTS / FACILITATORS
PMUACCOUNTANT
ZONAL ADMIN.
ZONAL ADMIN.
ZONAL ADMIN.
ZONAL ADMIN.
FIELD OFFICER
FIELD OFFICER
ALL 4 ZONAL ADMI N.
SOMALI CONSULTANTS
AND FACILITATORS
SOMALI CONSULTANTS
AND FACILITATORS
105