The mid-term performance evaluation of GHSC-PSM/Nepal report : final

The Mid-term Performance Evaluation of the USAID Global Health Supply Chain ? Procurement and Supply Management/Nepal (GHSC-PSM/Nepal) activity employed a mixed-methods approach to better understand whether GHSC-PSM/Nepal is on track to meeting its stated objectives and results, and the activity?s capacity to provide quality technical assistance to Nepal?s Ministry of Health and Population in achieving its national supply chain objectives. The evaluation team held interviews with 64 key informants at the central (Kathmandu) level and five local-level sites, as well as completed two observational checklists. Based on the evidence collected, the evaluation team concludes that while some of the technical interventions implemented by GHSC-PSM/Nepal have provided selected benefits to local stakeholders, they have not fundamentally transformed the supply chain or moved the Nepalese supply chain far forward in its journey to self-reliance. Additionally, many of the interventions are unlikely to be sustained after the GHSC-PSM/Nepal activity ends in April 2021.

The evaluation team, therefore, recommends during the remaining life of the activity that GHSC-PSM/Nepal prioritizes three managerial and technical issues, namely 1) adopting a more strategic approach to address the underlying systemic issues within the Nepal supply chain; 2) ensuring that GHSC-PSM/Nepal has sufficient buy-in from its government counterparts for any additional technical interventions; and 3) building the evidence base for the interventions, primarily the Logistics Management Information System (eLMIS), which it has already piloted in two provinces. GHSC-PSM/Nepal also needs to collaborate and work more closely with other development and implementing partners to ensure that the current and impending challenges that have resulted from federalism are adequately mitigated and to use that restructuring to address new opportunities as well.