Institutional Capacity Assessment of the aids control Program Uganda


Structure roles and responsibilities



Download 191.49 Kb.
Page5/9
Date19.01.2017
Size191.49 Kb.
#8707
1   2   3   4   5   6   7   8   9

3.3 Structure roles and responsibilities


This assessment was interested in ascertaining the clarity of roles and responsibilities among different staff members within ACP and how this may affect the capacity of ACP to achieve its mandate. Participants responded individually and discussed in the group ACP performance using the 12 guide questions in this domain. The scores and discussions are summarized in the table below.
Individual score range: 52% – 88%

Group consensus score: 70%



Table 6: Structure: Roles and Responsibilities

Reasons for consensus ranking

Strengths

Summary Indicators of needed improvement

Recommendation

* Some qualified personnel exist in ACP and they understand their roles and responsibilities.


* Existence of written job descriptions was mentioned for some technical positions

* Assignment of responsibilities is by technical areas




* For most staff members, there are no written job descriptions.

* There is overlap in some roles & responsibilities among staff members often resulting in confusion

* Control of subordinates is lopsided at the top. For example, almost everyone reports to the ACP manager who as a result is virtually overworked.

* Internal reporting lines not clear for most positions



* develop and implement an HR plan with clear JD for each position (as in HR domain)

* Clarify and implement internal reporting/communication lines among staff members

* Also conduct staff orientation on role of ACP in relation to other key actors in the health sector response eg UAC



Despite a myriad of weaknesses which participants highlighted in this domain, a consensus score of 70% was still reached which suggests that ACP is systematically achieving in terms of appropriateness, clarity and balance of roles and responsibilities. Current strengths include the fact that job responsibilities are largely assigned by technical area to the appropriate teams and key technical officers in these teams have written job descriptions. However there still remain weaknesses as a significant proportion of staff do not have written job descriptions. Even for staff members with JD, there is no evidence that this is regularly being reviewed or updated. In addition, the organizational structure and internal reporting lines are not well understood. For instance most staff members tend to see the ACP manager as their direct reporting line even though they have unit heads as supervisors. There was no evidence of the use of any clear guideline for the delegation of authority. Additionally, two different organogram reviewed in this assessment (the CDC-supported staff and Government supported staff), were obscure on linkage and flow of authority. Some existing staff positions are not captured on the organogram and some vital mandate areas such as response coordination etc, are neither captured nor assigned.

3.4 Strategic and operational planning


Strategic and operational planning are very critical functions in any HIV/AIDS response. Comprehensive and multi-stakeholder planning process ensures that priorities are accurately identified and resourced, minimizes duplication and wastage and makes for more effective alignment of interventions across multiple stakeholders. This study assessed ACP planning capacity in terms of the planning process, alignment of strategic and operational plans at different levels of the response and comprehensiveness of plans. The scores and reasons for scoring are presented in the table below;
Individual % score range: 56 - 89

Group consensus score: 60%



Table 7: Strategic and operational planning

Reasons for consensus ranking

Strengths

Summary Indicators of needed improvement

Recommendation

* There is a health sector strategic plan for HIV/AIDS with goals, objectives, etc

* A planning team exist but it’s not clear if a technically sound process was followed in developing the plan

* District level plans exist in many cases but not linked to the national level plan

* inadequate community involvement in national level planning

* Planning occasionally driven by RFAs

* Operational plans not aligned to the NSP

* Existence of operational plans with goals, objectives and budgets

* Area teams exist which support district level planning.


* Existence of NSP, HSSP as key programming guides and reference documents

* The Health sector HIV/AIDS strategic plan not costed. Not clear if this is aligned with the NSP

* Silo plans exist for different projects in ACP (mainly RFA driven) but there is no comprehensive/integrated annual plan and no conscious reference to the strategic plan

* District level planning is independent and not linked to the national plan.

* There are indications of poor tracking of plans. Similarly processes for developing new plans often do not evaluate existing plans or targets.

* A programming vacuum currently exist as the health sector strategic plan, and the health sector HIV/AIDS strategic plan have both ended.


* ACP should ensure that the HSHASP is costed and aligned to the HSSPIII and the NSP.

* ACP should develop and use a comprehensive/integrated annual plan which is derived from the HSHASP and which address national level targets and ACP specific institutional targets

* Technical assistance is recommended for ACP to address planning capacity. Attention should be paid to technical skills, planning process, coordination, and alignment of plans in ACP and across different levels of the HIV response

* ACP should establish a platform or forum for integrating and monitoring plans of different stakeholders in order to ensure linkage to national level documents


Even though there were varied opinions about ACP’s planning capacity amongst participants, a consensus score of 60% was reached indicating that ACP is perceived to be systematically achieving in this domain. The reasons given include the fact that national level plans exist which spells out clear targets and goals. A planning team also exists in ACP which is believed to be active. ACP makes input in the development of priorities for RFAs. On the down side though, participants noted the non alignment of plans across different stakeholders and different levels of the health sector response as an area of key weakness. It is surprising that the participants scored ACP as systematically achieving in its planning function even in the face of the issues raised during the discussions. For example, absence of an integrated annual plan within ACP and a dominant culture of RFA driven planning with little reference to national level documents is a significant weakness given ACPs role in driving the health sector response. This position was constantly stated by the ACP Manager who insisted that the 60% rating was unrealistic and overstating where ACP should be in this domain. Technical assistance is recommended to build ACP institutional capacity in this critical function.




Download 191.49 Kb.

Share with your friends:
1   2   3   4   5   6   7   8   9




The database is protected by copyright ©ininet.org 2024
send message

    Main page