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2 Economic and Social Connections: A MultiInput Area Development Financing Facility for Tajikistan (ESCoMIAD) Quarterly Report #5 Reporting Period: October 1, 2015 – December 31, 2015 USAID Grant Number: AID176A1400009 Agreement Signatory: Aga Khan Foundation U.S.A. Total Alliance Duration: October 1, 2014 September 30, 2019 Submitted on: January 31, 2016 By: Amin Virani, Program Coordinator Aga Khan Foundation Tajikistan 137 Rudaki Street Dushanbe, Tajikistan [email protected]

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Economic  and  Social  Connections:  A  Multi-­‐Input  Area  Development  Financing  Facility  for  Tajikistan  

(ESCoMIAD)    

Quarterly  Report  #5  Reporting  Period:  October  1,  2015  –  December  31,  2015  

USAID  Grant  Number:  AID-­‐176-­‐A-­‐14-­‐00009  

Agreement  Signatory:  Aga  Khan  Foundation  U.S.A.  

Total  Alliance  Duration:  October  1,  2014  -­‐  September  30,  2019  

 

 

 Submitted  on:  January  31,  2016  

By:  Amin  Virani,  Program  Coordinator  Aga  Khan  Foundation  Tajikistan  

137  Rudaki  Street  Dushanbe,  Tajikistan  [email protected]    

 

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Table  of  Contents  

I. Acronyms   3  II. Executive  Summary   5  III. Goals  and  Objectives  during  the  Reporting  Period  (October  1,  2015  –     6  

December  31,  2015)    

Objective  1  -­‐  Improve  socioeconomic  conditions  for  residents  of  the  target  areas   6    

Objective  2  -­‐  Create  flexible,  sustainable  financing  facility  to  fund  private     20  investment  and  social  development  activities  for  decades  to  come      

 

IV. Challenges  Encountered  and  Lessons  Learned    V. Monitoring  and  Evaluation    VI. Looking  ahead:  Plans  for  the  next  three  months    VII. Environment  VIII. Budget    

                                           

 

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I. Acronyms  AKDN   Aga  Khan  Development  Network        AKF   Aga  Khan  Foundation        AKF  Tjk   Aga  Khan  Foundation  Tajikistan        AKF  USA   Aga  Khan  Foundation  U.S.A.        AKFED   Aga  Khan  Fund  for  Economic  Development        AKHS   Aga  Khan  Health  Services        AKHS  Afg   Aga  Khan  Health  Services,  Afghanistan        AMEP   Activity  Monitoring  and  Evaluation  Plan        AMFOT   Association  of  Microfinance  Organizations  in  Tajikistan  AOR   Agreement  Officer's  Representative  BSC   Business  Service  Center  CBHP   Cross  Border  Health  Programme        CBSG   Community-­‐Based  Savings  Group        CHC   Comprehensive  Health  Clinic        CIG   Common  Interest  Group        CYST   Committee  of  Youth  Affairs,  Sport  and  Tourism        DED   District  Education  Department        DFO   District  Field  Officer        DoH   Department  of  Health        ECoP   Education  Community  of  Practice        EMMP   Environmental  Mitigation  and  Monitoring  Plan        ENT   Ear,  Nose  and  Threat        ERC   Environmental  Review  Checklist        ESCoMIAD     Economic   and   Social   Connections:   A   Multi-­‐Input   Area   Development  

Financing  Facility  for  Tajikistan        

FMFB-­‐T   The  First  MicroFinance  Bank,  Tajikistan        GBAO   Gorno-­‐Badakhshan  Autonomous  Oblast        HPP   Hydro  Power  Plant        IPD   Institute  for  Professional  Development        IR   Intermediate  Result        ITB   Internationale  Tourismus-­‐Börse        KOGH   Khorog  Oblast  General  Hospital        M&E   Monitoring  and  Evaluation        MC   Mahalla  Committee        MDO   Micro  Deposit  Organization        MERL   Monitoring,  Evaluation,  Research  and  Learning        MFS   Mobile  Financial  Services        MIS   Management  Information  System        MLO   Micro  Loan  Organization        MSDSP   Mountain  Societies  Development  Support  Programme        MSME   Micro,  Small  and  Medium  Enterprise        

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MTD   Methodological  Training  Day        NBT   National  Bank  of  Tajikistan        P2P   Peer-­‐to-­‐peer        PE&L   Pamir  Express  and  Logistics        PECTA   Pamirs  Eco-­‐Cultural  Tourism  Association        PSIB   Public  Self-­‐Initiative  Bodies        PWC   Pamir  Welcome  Centre        RP   Relevancy  Pedagogy        SDH   Shuroobod  District  Hospital        SMBM   Small  and  Medium  Business  Management        SPCE   School  for  Professional  and  Continuing  Education        SUDVO   Social  Union  for  Development  of  Village  Organizations        TNP   Tajikistan  National  Park        ToT   Training  of  Trainers        ToR   Terms  of  Reference        UBL   United  Bank  Limited        UCA   University  of  Central  Asia        VDF   Village  Development  Fund        VO   Village  Organization        VDP   Village  Development  Plan        VDPP   Village  Development  Planning  Process                                                          

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II. Executive  Summary  During  the  reporting  period,  the  Alliance  Steering  Committee  (ASC)  met  for  its  final  meeting  of  the   first   project   year.   Members   assessed   project   performance   against   agreed   key   outputs  representative   of   the   year   one   work   plan,   reviewed   challenges   and   lessons   learned,   and  expressed   satisfaction  with   achievements   to-­‐date,   including   progress   on   the   first   investment.  The  year  two  work  plan  and  new  key  outputs  to  track  year  two  performance  were  put  to  ASC  members  for  discussion.  Members  approved  the  work  plan  and  the  plan  to  initiate  the  research  and  learning  component  of  the  Monitoring,  Evaluation,  Research  and  Learning  (MERL)  agenda.      AKF   and   its   Alliance   Partners   began   implementing   the   year   two   work   plan   in   October   2015.  Partners   built   on   the  momentum   of   foundational   activities   in   Khatlon   and   GBAO   to   advance  strategic  project  objectives  in  governance,  access  to  finance,  non-­‐financial  services,  micro-­‐,  small  and  medium  enterprise  support,  energy  production,  education  and  health.      In   governance,   capacity   needs   of   the   90   newly   registered   Mahalla   Committees   (MC)   were  identified   for   development;   and,   in   addition   to   establishing   16   new   community-­‐based   savings  groups   (CBSG),   the   64   CBSGs   set   up   in   year   one   functioned  more   effectively   as   evidence   by  sophisticated   lending   and  more   shares   purchased   by   members.   In   financial   services,   the   five  micro-­‐loan   organizations   neared   consolidation   to   avoid   non-­‐compliance  with   revised  National  Bank  of  Tajikistan  capital  requirements  and  to  safeguard  rural  clients  from  the  negative  effects  while   enhancing   preparedness   for   the   eventual   transition   to   a  micro   deposit   organization.   In  non-­‐financial   services,   aspiring   and   existing   entrepreneurs   demonstrated   greater   interest   in  expanding  knowledge  and  skills  around  managing  small  and  medium-­‐sized  businesses.  In  micro-­‐,  small  and  medium  enterprise  support,  procurement  was  initiated  for  equipment  and  supplies  to  support  growth  in  the  income-­‐generating  activities  of  economic  associations,  the  Pamir  Express  &  Logistics  business  plan  draft  was  discuss  internally  to  progress  thinking  on  the  potential   lead  firm   concept,   and   due   diligence   activities   on   the   two   finalist   lead   firms   in   GBAO   approached  their  end  point.  Furthermore,  in  tourism,  participation  in  international  events  and  the  expansion  of   stakeholder   networks   yielded   collateral   to   assist   marketing   to   a   broader   base.   In   energy  production,   a   first   draft   of   the   feasibility   study   was   submitted   and   reviewed   in   detail.   In  education,  primary  and   secondary   teachers  and   school  management  deepened  understanding  on  the  application  of  relevance  pedagogy  strategies.  In  health,  access  to  Tajik  professionals  and  facilities   continued   for   Afghan   patients   in   Afghanistan   and   Tajikistan   with   concurrent  improvements  to  the  health  infrastructure  –  equipment  and  specialized  trainings  –  in  Tajikistan.  

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III. Goals  and  Objectives:  Accomplishments  during  the  Reporting  Period    

Overall   project   performance   has   maintained   its   positive   trajectory   through   the   diligence   of  partners   in   implementing   activities   where   prior   knowledge   and   experience(s)   exist   and  navigating  new  approaches  and  activities  where  concurrent  capacity  development  is  required.      The   initiative   to   increase   familiarity   with   USAID   environmental   assessment   tools   and   new  methodologies,   such   as   the   lead   firm   methodology,   has   improved   the   accuracy   of   timelines  despite   the   challenges   associated  with   implementing   innovation.   Budget   performance  will   be  within  USAID  standards  following  the  drawdown  of  investment  funds  early  in  the  next  quarter.      AKF   reviewed  and  approved  a   four-­‐step  plan   to   identify  key   topics  and   research  questions   for  the  research  and  learning  component  of  the  MERL  agenda  to  be  presented  at  the  next  Alliance  Steering  Committee  meeting.  The  USAID  AOR  and  AKF  Program  Coordinator  conducted  two  site-­‐visits,   one   to  Mahalla  Committees   and  CBSGs   in  Kumsangir,   and   the  other,   to  Rasht  Valley   to  become   better   acquainted   with   MCs,   CBSGs,   common   interest   groups   (or   economic  associations)  and  the  hfunctioning  for  upwards  of  five  years.    

Objective  1:  Improve  socioeconomic  conditions  for  residents  of  the  target  areas    IR  1:  Local  governance  practices  improved  through  better  relations  between  communities  and  local  government  

The overarching goal of ESCoMIAD is to improve quality of life for people living on the Tajik-Afghan border, through two Strategic Objectives.

The first Strategic Objective of ESCoMIAD is to improve socioeconomic conditions for residents of the target areas. This will be achieved through three social sector development intermediate results (IR):

o IR 1: Local governance practices improved through better relations between communities and local government

o IR 2: Utilization of economic opportunities improved for individuals and micro, small and medium enterprises

o IR 3: Access to quality social services sustained The Aga Khan Fund for Economic Development (AKFED) will work with AKF and the First MicroFinance Bank (FMFB-T) to carry out the second Strategic Objective for ESCoMIAD: Create a flexible, sustainable financing facility to fund private investment and social development activities for decades to come. This goal will be reached via the following IRs:

o IR 4: Strategic investments made in businesses that generate profit o IR 5: A trust fund-like mechanism established social development activities in the target

areas

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Outcome  1.1  Level  of  community  engagement  with  local  government  increased    

Output  1.1.1:  Creation/strengthening  of  VOs/MCs    During   the   reporting   period,   MSDSP   assisted   each   of   the   90   newly   registered   Mahalla  Committees   (MC)   with   obtaining   an   official   seal   and   stamp   as   one   of   the   final   requirements  under  the  Public  Self-­‐Initiative  Bodies  (PSIB)  law.  This  step  concludes  formal  recognition  of  MCs  to   not   only   build   more   constructive   partnerships   with   local   governments,   non-­‐governmental  organizations  and  public  organizations,  but  also  to  drive  the  development  of  priorities  identified  in  Village  Development  Plans  (VDP).  All  90  MCs  in  Kumsangir  (spelling  corrected  from  previous  reports),   Panj,   Farkhor   and   Hamadoni   installed   information   boards   in   available   offices   to  promote   greater   communication   and   information   sharing   amongst   constituents.   MCs   lacking  office  space  are  keeping  information  boards  in  the  homes  of  MC  heads.  Each  information  board  contains  basic   information,   including:  project  name  (i.e.,  ESCoMIAD),  donor  names  (i.e.,  USAID  and   AKF),   information   on   trainings   available   in   2016,   MC   governance   structure,   and   VDP  information.   This   transparency   helps   raise   awareness   about   the   project   and   encourage  members  to  participate  more  actively  in  development  processes  of  their  respective  villages.      

 Picture  1:  MC  Kumsangir  describes  increased  participation  resulting  from  the  VDP  process.    MSDSP  distributed  to  MCs  different  booklets  (e.g.,  main,   ledger,   inventory,  and  warehouse)  to  track   demographic   data,   socio-­‐economic   changes,   and   village   assets   amongst   other   essential  information.   Monitoring   visits   confirmed   most   MCs   are   using   main   books   to   record   meeting  minutes,   with   work   under   way   to   document   initial   information   relevant   to   other   books.  Activities  planned  for  the  next  quarter  will  augment  MCs’  capacity  through  trainings  on  general  and   financial   management.   Specifically,   MCs   will   develop   capabilities   around   managing  recordkeeping,  Village  Development  Funds,  and  \strengthened  governance.    

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A  monitoring  visit  by  MSDSP,  AKF  Tjk  and  USAID  representatives  to  MCs  and  CBSGs  in  Kumsangir  increased  visibility  of  USAID’s  role  as  a  partner,  and  provided  opportunities  to   interact  directly  with   MC   structures   and   increase   familiarity   with   this   first   phase   of   MSDSP’s   community  mobilization  approach.  Dialogue  with  MC  management  committees  about  experiences  thus  far  highlighted   successes   and   challenges   and   provided   openings   to   offer   and   request   technical  support  on  effective  management  and  documentation.    Output  1.1.2:  Effective  participatory  planning  with  focus  on  economic  development    MSDSP’s   Village   Development   Planning   Process   (VDPP)   conducted   for   each   MC   expanded  thinking   around   collective   prioritization   of   development   and   opportunities   benefitting  communities   while   empowering   MCs   for   greater   sustainability   in   the   long-­‐term.   MCs   have  begun  playing  a   lead  role   in  mobilizing   local   resources,  and  where  projects  are   larger   in  scale,  will  receive  support  in  the  articulation  of  needs  for  proposals  and  fundraising  opportunities.  All  90   VDPs   have   been   recorded   electronically   and   shared   with   district   offices   following   MSDSP  management  review  and  approval.  Hard  copies  of  VDPs  were  also  shared  with  sub-­‐district  and  district   government   offices,   and   MSDSP   district   and   regional   offices   to   ensure   awareness   of  ongoing  local  development  initiatives,  priorities,  and  resource  needs.  Initial  selection  criteria  to  evaluate  micro-­‐development  project  proposals  were  drafted,  and  a  meeting   to   finalize  criteria  and   establish   an   equitable   process   for  MCs   to   compete   is   set   for   early   in   quarter   two.   Once  complete,  MSDSP  plans  to  formulate  and  disseminate  a  request  for  proposals,  and  support  MCs  wishing   to   submit   proposals   for   funding   available   for   12  micro-­‐development   projects   in   year  two.  The  objective  is  to  select  projects  seeking  to  enhance  livelihood  opportunities.      IR  2:    Increased  use  of  sustainable  and  appropriate  non-­‐financial  services  for  MSMEs  in  Tajikistan    

Outcome  2.1:  Access  to  finance  improved  in  the  target  area    

Output  2.1.1:  CBSGs  developed  in  Khatlon  province    

During  the  reporting  period,  field  facilitators  (FF)  established  an  additional  16  community-­‐based  saving   groups   (CBSG)   bringing   the   total   to   80   CBSGs   throughout   Kumsangir,   Panj,   Farkhor,  Hamadoni.  CBSG  members  received  trainings  on  accumulating  savings,  disbursing  and  collecting  loans,  and  managing   transactions  and  operations.  Trainings  delivered  by  FFs   in  year   two  were  more   effective   as   a   result   of   experiences   in   year   one   and   ongoing   monitoring   and   refresher  training  of  trainer  modules.      During   the   reporting   period,   data   collected   in   the   SAVIX   MIS   to   track   CBSGs’   progress   and  performance  revealed:  (i)  CBSG  membership  soared  to  1,448  members  (1,247  or  86%  females);  (ii)   total   assets   equaled   TJS   160,371   from  which   TJS   154,738   was   available   for   loans   and   TJS  5,633  for  a  social  fund  (i.e.,  safety  net);  and,  (iii)  demand  has  been  increasing  steadily  with  the  growing   impact   of   the   Russian   economic   crisis.   CBSG   loans   enabled   members   to   meet   basic  needs,   such  as  purchasing   food,  electricity  bill  payment,  medical   treatments  and  other  urgent  expenses.  At  the  end  of  the  reporting  period,  there  were  135  outstanding  loans  representing  9%  of  members  and  a  total  of  TJS  117,768  or  76%  of  funds  available  for  loans.  The  average  loan  size  per   member   increased   to   TJS   872   or   by   67%   in   comparison   to   the   previous   quarter  demonstrating  a  greater  level  of  comfort  in  using  CBSGs.        

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In  order  to  continue  the  evolution  of  the  CBSG  model’s  utility  for  members,  the  Regional  CBSG  Officer  and  heads  of  four  CBSGs  from  target  districts  in  Khatlon  participated  in  an  MSDSP  CBSG  Regional   Conference   in   Gorno-­‐Badakhshan   Autonomous   Oblast   (GBAO)   to   share   experiences  and  learn  from  advanced  groups  that  have  been  operational  for  five  to  seven  years.  Additionally,  site-­‐visits   to   CBSGs   and   common   interest   groups   (CIG)   were   organized   to   enhance   practical  knowledge   through   discussions  with  members,   existing   and   former   heads   of   CBSGs   and   CIGs,  and  Social  Unions   for   the  Development  of  Village  Organizations,  on  the   interplay  between  the  second  and  third  phases  of  MSDSP’s  community  mobilization  approach.      

 Picture  2:  Meeting  of  CBSG  ‘Fayoz’  in  Panj  district.    Output  2.1.2:  MLOs  transformed  into  MDOs    MSDSP  made  progress  against  the  regulatory  requirements  (e.g.,  Anti-­‐Monopoly  Committee)  of  consolidating   micro   loan   organizations   (MLO)   Avrangzeb,   Rushdi   Darvoz,   Rushdi   Ishkoshim,  Rushdi  Pomir  and  Shuroobod  (spelling  corrected  from  previous  reports)  into  a  single  entity.  This  effort   started   towards   the  end  of  year  one   in   response   to  changes   in  capital   requirements   for  different  types  of  financial  institutions  announced  by  the  National  Bank  of  Tajikistan  (NBT).    As   part   of   MSDSP’s   ongoing   dialogue   with   the   Association   of   Microfinance   Organizations   in  Tajikistan   (AMFOT)   and   Center   for   Training   and   Development   of  Microfinance   in   Tajikistan,   a  two-­‐day  Housing  Microfinance  training  delivered  by  Habitat  for  Humanity  was  organized  for  11  senior   management   and   credit   staff   from   all   MLOs.   The   focus   was   on   effective   lending   for  habitat   improvement,   understanding   energy   efficiency,   and   thermal   insulation   initiatives.  Participants  found  the  training  to  be  timely  given  the  growth  anticipated  in  this  area.      Output  2.1.3:  Mobile  payments  system  rolled  out  in  GBAO    Leading  up  to  the  reporting  period,  Tcell  resources  for  launching  ‘Tcell  Money’  were  put  on  hold  indefinitely   following   the   announcement  of   TeliaSonera’s   exit   from   the   Eurasia   region.  During  

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this   reporting   period,   MSDSP   continued   exploring   alternative   mobile   money   product   options  relevant   to   rural   areas   with   FMFB-­‐T.   To   further   this   work,   MSDSP   clearly   articulated   the  perspectives  of  Social  Union   for   the  Development  of  Village  Organizations   (SUDVO),  or  mobile  money   agent   and   network   manager   perspectives   for   FMFB-­‐T.   FMFB-­‐T   engaged   Megaphone,  Beeline  and  QIWI   in  strategic  discussions  to  gauge   interest   in  partnering  on  such  a  product.   In  terms  of  the  regulatory  environment,  NBT  advised  FMFB-­‐T  that  legislation  is  delayed  to  February  based  on   feedback   from  an  executive-­‐level  government  office,  which   likely  means  policies  will  be  available  by  mid-­‐Spring  at  latest.  In  parallel,  MSDSP  identified  United  Bank  Limited  (UBL)  and  Omni   in   Pakistan   as   a   relevant   example   from  which   to   draw   experiences   in   launching  mobile  financial  services  and  other  banking  innovations  targeting  rural  and  vulnerable  populations.  The  expert  responsible  for  designing  and  rolling  out  UBL’s  peer-­‐to-­‐peer  (P2P)  transfer  and  branchless  banking  services  will  help  translate  the  Pakistan  experience  to  the  Tajikistan  context  given  NBT’s  preference  for  a  bank-­‐led  approach  (as  opposed  to  mobile-­‐led).  A  revised  plan  for  this  activity  is  expected  to  near  completion  by  the  end  of  quarter  two.      Output  2.1.4:  Payments  terminals  installed  across  Tajikistan    

Of   the   15   payment   terminals   purchased,   11   payment   terminals   were   installed   and   made  operational   in   December   2015   with   the   full   suite   of   payment   services   and   deposit/loan  repayment   functions   to   FMFB-­‐T   clients.  From   the   remaining   four   payment   terminals,   which  were   allocated   for   Dushanbe,   one   terminal  was   installed   close   to   the   Banking   Service   Center  (BSC)   in  B.  Gafurov  district  close   to   large  markets   in  Khujand   instead.  This  decision  responded  directly   to   clients   from   as   far   off   as   Khatlon   who   travel   regularly   to   Khujand   to   replenish  inventories  of  sellable  goods.  This  added  benefit  for  clients  means  travelers  to  B.  Gafurov  district  can  also  repay  loans  through  the  terminal  at  all  hours  of  the  day.      The  remaining  three  payment  terminals  are  scheduled  for   installation  in  Dushanbe  in  February  2016.   Delays   in   installation   were   caused   by   difficulties   in   identifying   suitable   and   secure  locations  with  reliable  landlords  open  to  long-­‐term  cooperation.        Outcome  2.2:  Use  of  non-­‐financial  services  increased    

Output  2.2.1  SMBM  program  initiated    

During   the   reporting   period,   the  UCA   School   of   Professional   and   Continuing   Education   (SPCE)  commenced   a   17-­‐day   promotional   campaign,   including   admission   tests,   for   the   Small   and  Medium  Business  Management  (SMBM)  program  on  December  24,  2015.    Staff  covered  GBAO  district  centers,  Alichur  and  Vrang  villages  in  Murghab  and  Ishkashim  districts,  respectively,  and  Khorog.   SPCE   continued   canvassing   local   and   regional   authorities   for   support   in  disseminating  information   and   leveraged   MSDSP’s   network   of   community-­‐based   organizations   to   attract  potential   applicants.   The   result   was   close   to   250   attendees   in   information   sessions,   and   190  applications  and  admissions  tests  completed,  including  76  from  Khorog.        SPCE  finished  administering  make-­‐up  exams  for  the  first  two  Business  Planning  course  intakes.  A  total  of  15  out  of  48   learners  successfully  graduated  and  received  certificates  at  SPCE’s  annual  graduation  ceremony  in  Khorog  on  November  14,  2015.        

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 Table  1:  Information  on  new  intakes  of  the  Business  Planning  course  

 Apps   Admitted   Drop  Out   Pass   Fail   In    

Progress  Number  of  learners   224   48   9   15   24   -­‐  

Percentages  (%)     21%   18%   31%   50%   0    The  fail  rate  can  be  attributed  to  a  number  of  factors,  including,  but  not  limited  to:  (i)  intensity  and   demanding   nature   of   curriculum;   2)   learning   materials   and   examinations   in   the   Russian  language  challenged  some  learners  from  Vanj  and  Darvaz  districts;  and,  3)  course  delivery  was  also  a  learning  experience  for  first-­‐time  instructors.      SPCE  is  taking  several  corrective  measures  to  improve  future  outcomes.  Plans  are  underway  to  provide   instructor   consultations   for   learners   who   find   the   course   curriculum   especially  challenging  and  possibly  even  additional  IT  courses  to  ensure  learners  have  adequate  Microsoft  Word  and  Excel  knowledge  to  develop  business  plans.  Similar  to  the  option  of  make-­‐up  exams,  SPCE   is   considering   introducing   a  make-­‐up   business   plan   defense   for   learners   unsuccessful   in  defending   their  business  plans   the   first-­‐time  around.  Moreover,   learning  materials  and  course  exams   have   been   translated   into   Tajik   with   learning   materials   designed   and   printing   near  complete.  UCA  also  provided  refresher  trainings  to  instuctors  in  Tajikistan.        As   a   result   of   the   earlier   promotional   campaign   and   admission   tests   conducted   in   September  2015,  48  new  learners  (16  women)  were  admitted  out  of  108  applicants.  A  group  of  25  learners  started  the  Business  Planning  course  on  October  13,  2015,  and  a  second  group  of  23  started  on  October   30,   2015.   Two   learners   have   since   withdrawn   due   to   conflicts   with   work   and   study  schedules.  Of  the  48  newly  admitted  learners,  three  are  fee-­‐paying  from  Khorog  and  the  rest  are  scholarship  recipients  from  GBAO  districts.  Several  applicants  from  Khorog  were  unable  to  join  the  intensive  course  targeted  at  learners  from  GBAO  districts  due  to  conflicting  schedules,  and  numbers  were  insufficient  to  form  a  separate  part-­‐time  group.      The   ten   SMBM   instructors   received   their   Master’s   degree   in   Management   from   the   Kyrgyz-­‐Russian   Slavic  University   at   SPCE’s   annual   graduation   ceremonies   on  November   14,   2015   and  December   5,   2015   in   Khorog   and  Dushanbe,   respectively.   This  marked   the   culmination  of   the  professional   development   activity   initiated   under   the   Small   and   Medium   Enterprise   Growth  project   funded   by   USAID,  which   entailed   successful   completion   of   courses,   examinations   and  defense  of  theses.  However,  professional  development  is  a  continuing  endeavor  as  noted  above  with  senior  UCA  instructors  delivering  refresher  trainings  to  SMBM  instructors  with  the  aim  of  improving  the  quality  of  instruction  and  consultations  for  learners.      Additional  IT  equipment  (e.g.,  three-­‐in-­‐one  printer,  projectors,  UPS  batteries)  was  purchased  per  the  procurement  plan  covering  supplies  necessary  for  the  effective  program  implementation.      Outcome  2.3  MSMEs  strengthened  through  locally-­‐driven  capacity  building    

Output  2.3.1  Emerging  micro-­‐to-­‐small  enterprise  supported    

MSDSP   completed   environmental   assessments   for   the   seven   CIGs   focusing   on   fruit   and  vegetable  processing,  milk  and  dairy,  and  cement  block  and  clothing  manufacturing  selected  to  

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receive   financial   and   technical   support.     Six   of   the   seven   assessments  were   submitted   to   and  approved  by  the  Mission  Environmental  Officer  with  the  seventh  slated  for  submission  early  in  quarter   two.  MSDSP  Administration   announced   through   local  media   (e.g.,   Asia   Plus)   a   call   for  quotes   on   equipment,   supplies   and   accessories   and   are   compiling   information   on   interested  vendors  in  preparation  for  decisions.      In   Farkhor   and   Hamadoni,   preliminary   meetings   were   conducted   with   CBSG   members   to  introduce  the  CIG  approach  and  delve  deeper   into  the  type  and  breadth  of   income-­‐generating  activities  in  order  to  determine  focus  value  chains.  This  information  will  eventually  provide  the  foundation  necessary  to  facilitate  the  establishment  of  CIGs.    Output  2.3.2  Inclusive  SME  growth  in  priority  sectors  taking  a  “lead  firm”  approach    

During   the  reporting  period,  MSDSP  gathered  additional   information  and  documentation   from  the  two  prospective  GBAO  lead  firms  –  Pamir  Travel  and  Shiri  Kuhiston  –  through  interviews  and  other   tools   for   the   performance   assessment   portion   of   the   due   diligence.   A   final   decision   on  which  lead  firm  receives  support  is  expected  early  in  quarter  two.      A  draft  business  case  for  the  Pamir  Welcome  Center/Rest-­‐Stop  in  Darvaz  connected  to  the  Pamir  Express  and  Logistics  lead  firm  concept  was  completed  and  presented  internally.  A  second  draft  is   under   development   to   address   comments   focused   on   increasing   overall   feasibility.   Designs  were   reviewed   for   environmental   considerations   and   plans   are   underway   to   submit   an  environmental  assessment  next  quarter.      During  the  reporting  period,  MSDSP  presented  Community-­‐Based  Tourism  as  an  Economic  Driver  for   Sustainable   Local   Rural   Development   at   the   ACTED-­‐hosted   Community-­‐Based   Tourism  Conference   in   Dushanbe   attended   by   over   60   donors,   and   tourism   and   government  stakeholders,  including  the  national  Committee  of  Youth,  Sport  and  Tourism  (CYST).  Participants  hailing   from   Afghanistan,   Kyrgyzstan   and   Iran   were   well-­‐represented   during   discussions   on  cross-­‐border   tourism   collaboration.   The   Pamirs   Eco-­‐Cultural   Tourism   Association   (PECTA)  presented   its   best   practices   and   thinking   around   cross-­‐border   tourism   products   involving  Afghanistan   and   Kyrgyzstan.   MSDSP   also   provided   support   to   CYST   on   a   Bus   and   Coach  Transport  on  the  Silk  Road  Routes:  Time  to  Drive  roundtable  on  November  24,  2015.        At  the   international   level,  MSDSP’s  Tourism  Advisor  promoted  tourism  in  Tajikistan  to  German  audiences   to   enhance   marketing   to   European   tourism   stakeholders   and   tourists.   The   first  engagement   presented   the   Pamir   Mountains   at   Globetrotter   Akademie,   while   the   second  focused  on  Tourism  Opportunities  in  Tajikistan  at  University  of  Applied  Harz  Wernigerode  Harz.          

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                     Picture  3.  MSDSP  Tourism  Advisor  presenting  Pamir  Mountains  at  Globetrotter  Akademie.      Activities   extend  beyond  advocacy,   conferences   and  presentations   to  developing  diverse   local  and  international  partnerships  and  networks  to  enhance  promotions.  Following  on  the  German  TV  team  visit  to  Tajikistan  towards  the  end  of  year  one,  a  documentary  was  filmed  and  aired  in  November  to  showcase  the  Pamirs  thereby  increasing  awareness  amongst  the  German  public.  1  MSDSP’s  relationship  DIAMIR  has  enabled  greater  print  and  web-­‐promotion:  (i)  second  edition  of  a  Tajikistan  brochure  (http://www.diamir-­‐katalog.de/tadschikistan/index.html);   (iv)  products  online   (https://www.diamir.de/start/land/tadschikistan.htmlr.de/start/land/tadschikistan.html)  and   in   the   main   DIAMIR   catalogue;   (iv)   Pamir   Tourism   presented   at   “Globetrotter   Days”   in  Dresden  (http://www.globetrottertage.de/aussteller/).    A  collaborative  effort  with  GIZ  brought  a  renowned  international  German  blogger  and  journalist  to  Tajikistan  to   increase  familiarity  with  tourism  opportunities  and  related  services.  During  the  trip,  the  blogger  met  with  PECTA  staff,  local  tour  operators,  homestay  owners  and  students,  and  exchanged   information   on   tourism   prospects   in   GBAO.   PECTA   facilitated   visits   to   Hisor   to  showcase  historical  sightseeing,  as  well  as  provided  accompaniment  from  Dushanbe  to  Khorog,  and  organized  excursions  to  Alichur  in  the  Wakhan  Corridor.  The  blogger  also  arranged  two  How  to  Promote  Opportunities  through  Different  Social  Media  workshops  at  Khorog  State  University.  This  resulted  in  shooting  a  movie  short  entitled  “Tajikistan’s  Pamir  Highway,”  which  was  posted  to   Facebook2,   Youtube3  and  Vimeo.  Over  76,000  users  watched   the   short  on  Facebook,  which  received   1,260   ‘likes’   and   1,119   ‘shares’.   The   trip   also   included   a   one   day   in   Shugnan,  Afghanistan  to  understand  some  of  the  tourism  potential  in  cross-­‐border  areas.  A  full  account  of  the  trip  is  available  online  (http://www.justtravelous.com/2015/12/spuerst-­‐du-­‐es-­‐auch/).      Finally,   MSDSP   through   PECTA   contributed   to   a   short-­‐term   GIZ-­‐funded   expert   mission   on  improving   roadside   service   along   the   M41   transport   corridor   to   collect   information   on   gas  

                                                                                                                         1  http://www.mdr.de/mediathek/suche/mediatheksuche102.html?q=Biwak+im+ganz+wilden+osten&x=0&y=0      http://www.3sat.de/mediathek/index.php?mode=play&obj=56103    2  https://www.facebook.com/justtravelous/videos/935924126479300/?theater    3  https://www.youtube.com/watch?v=Ko2lGNRqw5o      

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stations,  tourism  facilities,  health  services,  car  repair,  as  well  as  sanitation  and  hygiene  of  cafés.  A  PECTA  volunteer  assisted  with  navigation  and  information  collection  along  the  Pamir  Highway.    Outcome  2.4  Access  to  energy  improved    

Output  2.4.1  Feasibility  study  conducted  for  Sebzor  hydropower  plant  (HPP)    During   the   reporting   period,   Pamir   Energy   finalized   the   environmental   assessment   for   the  Sebzor   Feasibility   Study’s   geological   exploration   and   received   USAID   approval.   A   geological  specialist   from  SWECO  visited  Pamir  Energy   in  mid-­‐November   to   inspect   the  work  of   the   local  contractor,   LLC   Kashf,   specifically   to   ensure   drillings   and   test   pits   were   in   line   with   technical  requirements   and  minimized   environmental   impacts.   Additional   SWECO   staff   –   geologist   and  geophysicist  –   joined  the   inspection  to  examine  other  aspects  of  the  work,   including  surveying  the   Dushanbe   Geological   Laboratory   to   ensure   it   is   adequately   equipped   to   process   drilling  samples.  LLC  Kashf  completed  the  geological  exploration  as  scheduled  in  December  2015  with  a  final   report   expected   in   early  quarter   two.   SWECO   shared  with  Pamir   Energy  a   first   feasibility  study  report  draft  for  comment  prior  to  in-­‐person  discussions  set  for  early  quarter  two.      IR  3:  Access  to  quality  social  services  improved    Outcome  3.1  Children's  learning  outcomes  improved    Output  3.1.1  Teachers  trained  in  the  Relevance  Pedagogy  (RP)  and  Education  Community  of  Practice  (ECOP)  in  targeted  schools  followed  by  in-­‐depth  support      

During   the   reporting   period,   three   nine-­‐day   Relevance   Pedagogy   (RP)   training   courses   were  conducted   for   teachers,   key   teachers   and   heads   of   methodological   cabinets   from   24   newly  selected   schools   -­‐   four   schools   from   Shuroobod,   and   20   schools   from   Darvaz,   Vanj,   Rushan,  Shugnan   Roshtqala   and   Ishkashim   –   on   October   15-­‐23,   2015.   Each   training   consisted   of   54  sessions  –  18  theoretical  and  36  practical.  All  13  invitees  from  Shuroobod  schools  and  62  out  of  63  invitees  from  GBAO  districts’  schools  took  part  in  the  training  courses.      Table  2:  Number  of  training  course  participants    

District   Number  of  Participants   Number  of  Female  participants  Shuroobod   13   4  Darvaz   10   0  Vanj   10   3  

Rushan   6   3  Shugnan   7   4  Roshtqala   9   1  Ishkashim   12   4  Khorog   8   2  

 The  main  course  objectives  were  to  introduce:  (i)  RP  and  its  strategies;  (ii)  use  of  RP  strategies;  (iii)   developing   students’   personal   competencies   through   field   trips,   extracurricular   activities,  experts   in   the  classroom  and   subject   integration;   (iv)   the   importance  of   reflection   to   teaching  and   learning;   and,   (v)   information   communication   technology   (ICT)   in   teaching   and   learning.  Delivery   through   modern   interactive   methodologies,   including   visual   and   participant-­‐led  presentations,  brainstorming,  discussions,  question  and  answer,  and  practical  activities  ensured  

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participants  were  engaged  and   left  with  a  strong   foundational  understanding  of  RP  strategies,  usage  in  the  classroom  and  in  designing  lesson  plans.    The   first   session   devoted   to   RP   and   RP   strategies   started   out  with   grouping   participants   into  teams   to   discuss   and   present   their   definitions   of   ‘pedagogy’   and   ‘relevance’   prior   to   trainer  explanations.  A  facilitated  question  and  answer  period  revealed  a  very  limited  understanding  of  RP   amongst   participants   before   a   formal   introduction   to   RP   and   its   strategies.   In   covering  extracurricular   activities,   trainers   explained   different   ways   to   develop   primary   level   reading  skills,  such  as  the  use  of  ‘Best  Reader’,   ‘Story  Telling’  and  other  events  that  enhance  children’s  engagement  in  reading.  Participants  brainstormed  other  examples,  including  but  not  limited  to:  poetry   recitation,   singing,  performances  and   skits   commemorating  national  days   and   religious  holidays.   It  was  understood   that   through  planning,   researching  and  conducting  extracurricular  activities  children  develop  comprehension  and  personal  competencies.  In-­‐depth  knowledge  was  also  acquired  on  RP  approaches  to  develop  basic  reading  skills.      The   teamwork   approach   was   also   applied   to   lesson   plan   development   and   micro-­‐lesson  demonstrations.  This  helped   teachers  get   involved   in  discussions  and   learn   from  one  another.  One   example   is   a   teacher   from   School   #1   in   Shuroobod  who   developed   a   subject   integration  lesson  plan  and  delivered  a  micro-­‐lesson  covering  history  and  Tajik   literature.  The  topic  of   the  Somonid   state   covered   state   establishment   and   transitioned   to   literature   and   science   during  statehood.  A  second  example  is  a  teacher  from  School  #8  in  Ishkashim  who  developed  an  expert  speaker  lesson  plan  and  delivered  a  micro-­‐lesson  on  the  law  with  assistance  from  a  lawyer.  This  led  to  a  vibrant  discussion  amongst  participants,  which  enabled  a  deeper  understanding  around  lesson  planning  and  the  use  of  strategies.  Trainers  summarized  key  points   from  the  discussion  and  suggested  involving  the  visiting  expert(s)  in  lesson  planning  for  effective  delivery.      Participants  found  the  training  to  be  enjoyable  and  useful  because  of  the  added  clarity  around  RP  strategies’  effect  on  a  student’s  ability   to  explore  knowledge  and  build   skills  useful   in   their  everyday   lives.   Participants   found  useful   the   time  allocated   for   reflection  during  each   training  course  to  solidify  learning  from  sessions  and  previous  materials  in  instilling  analysis  and  learning.        During  the  reporting  period,  mentoring  visits  took  place  in  newly  selected  schools  in  December  2015   to   provide   hands-­‐on   support   to   all   primary   and   secondary   teachers,   and   heads   of  methodological  cabinets.      Mentoring  visit  objectives   included:  (i)  observing  lesson  delivery  and  providing  in-­‐class  support  on  effective  use  of  RP  strategies;  (ii)  upgrading  teacher  knowledge  and  effective  implementation  of  RP  strategies  through  half-­‐day  seminars  in  each  school;  (iii)  distributing  and  providing  support  on  using  self-­‐assessment  tools  to  all  teachers;  and,  (iv)  identifying  teachers  to  act  as  focal  points  for  self-­‐assessment  tools  to  help  key  teachers  apply  RP  strategies  in  schools.                  

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Table  3:  Beneficiaries  of  mentoring  visits  

District  

Scho

ols      

(lesson

s  ob

served

)   Teachers  

Key  Te

ache

rs  

Dire

ctors  

Dep

uty  

Dire

ctors  

Head  of  

Metho

dological  

cabine

ts  

Primary   Secondary  

Shuroobod*   3  (20)   16   40   20   4   4   0  Rushan   5  (20)   26   108   32   5   5   5  Shugnan   5  (15)   70   24   24   5   9   5  Roshtqala   5  (16)   45   20   5   4   9   5  Ishkashim   2  (9)   8   25   2   2   2   2  Khorog   3  (6)   12   45   13   3   3   3  Total   23  (86)   177   262   96   23   32   20  

*  Mentoring  support  not  provided  to  School  #4  in  Shuroobod  due  to  road  blockages  from  snowfall.    Mentoring   visits   consisted   of  methodologists   observing   classes,   conversing  with   key   teachers,  deputy   directors   and   directors,   and   conducting   a   half-­‐day   seminar   for   all   teachers,   deputy  directors  and  directors  in  each  school.      Class   observations   confirmed   teachers   are   applying   knowledge   and   methodologies   from   RP  trainings.  For  example,  a  teacher  from  School  #15  in  Rushan  conducted  research  with  her  Grade  Four  classes  focused  on  plants  with  healing  properties.  Students  were  required  to  identify  which  types  of  plants  exist   in  their  villages  through  the   following  process  of:   (i)  planning,   (ii)  dividing  responsibilities  –  who,  where  and  when;  and,  (iii)  conducting  research.  In  a  subsequent  class  it  was   revealed   that   students   in   small   groups   consulted   parents,   doctors   and   elders   to   identify  which   plants   exist   and   their   exact   healing   properties.   Through   the   teacher’s   questioning,  students   indicated   that   elders   and   parents   provided   initial   information,   which   was   used   to   –  with   the   assistance   of   older   students   –   identify   books   and   newspapers   containing   relevant  information.   Students   presented   verbally   and   in   writing   findings   related   to   the   availability   of  plants,  including  mint  and  sunflowers,  and  their  properties.  In  addition  to  recounting  this  lesson,  methodologists   reviewed   written   assignments   and   provided   feedback   to   understand   what  changes   could   be   made   to   further   improve   RP   application.   The   same   process   was   used   in  observing   teaching  methodologies   in   classes   using   expert   visits,   subject   integration,   and   field  trips.  Overall,   observation   showed   children   to   be   enjoying   learning   through   field   trips,   expert  visits   and   research.   Furthermore,   interviews  with   children   revealed   practical   learning   is  more  engaging  and  enjoyable  than  sitting  in  class  and  reading  textbooks.      Most  teachers  who  have  gone  through  training  courses  are  actively  relating  classes  to  the  real  lives  of  students.  For  example,  a  teacher  from  School  #1  in  Shuroobod  integrated  a  Grade  Two  math   lesson   with   science   by   talking   about   different   types   of   trees   and   asking   students   to  describe  the  trees  in  their  gardens,  and  tell  the  class  about  the  number  of  apples,  apricots  and  cherries   available.   Children  were   given   five  minutes   to   think   through   their   response   and   then  report   to   the   class   the   number   and   types   of   trees   and   fruits.   In   comparison   to   previous  mentoring  visits,  there  was  a  marked  change  in  children’s  confidence  and  level  of  engagement  with   books,   other   resources   and   amongst   peers   as   involvement   in   extracurricular   activities,  research,  field  trips  and  other  activities  grow.  This  validates  the  effectiveness  of  RP  strategies  as  an  approach  to  enhance  children’s  learning.  

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The  half-­‐day  seminar  conducted  for  all  teachers  on  RP  strategies  and  use  in  classrooms  involved  teachers  participating   in   each  other’s   lessons   and  providing   feedback  on  how   to  better   relate  lessons  to  students’  lives.      In  spite  of  these  achievements,  teachers  still  find  it  challenging  to  use  low-­‐  or  no-­‐cost  materials  and  to  use  time  effectively.   In  most  observed   lessons,  time  was  not  properly  managed   leaving  very   little   time   to   mark   or   provide   feedback   on   performance.   Recommendations   focused   on  techniques  to  plan  activities  that  make  better  use  of  resources  and  time  available.      Self-­‐assessment   tools,   developed   by   the   Institute   for   Professional   Development’s   (IPD)  Monitoring   and   Evaluation   (M&E)   department,   were   disseminated   and   discussed   with   all  teachers   during  mentoring   visits.   Through   class   observation   and   analyses   of  mentoring   visits,  methodologists   identified   two   potential   key   teacher   candidates   to   assume   responsibility   for  tools,   as  well   as   four   teachers   from  each   school   responsible   for   overall   application   of   RP   and  ECoP  strategies.      Output  3.1.2  Key  teachers  introduced  with  RP  and  ECOP  via  biannual  key  teachers  forum      

No  activities  were  undertaken  during  this  reporting  period  as  District  Education  Departments  were  delayed  in  setting  dates  for  the  biannual  key  teachers  forum.      Output  3.1.3  IPD  Kulyab  staff  trained  in  RP  and  ECOP    During  the  reporting  period,  a  six-­‐day  Planning,  implementing  and  controlling  the  application  of  RP  strategies  in  schools  seminar  was  designed  for  IPD  Kulob  staff  and  delivered  in  Shuroobod  on  December   7-­‐12,   2015.   In   total,   eight   directors,   four   DED   staff   and   three   IPD   methodologists  participated.      The  course  objectives  were  to:   (i)   introduce  children’s  competencies;   (ii)   refresh  knowledge  of  rules  and  regulations  of  the  education  system;  (iii)  introduce  RP  and  its  strategies;  (iv)  enhance  skills  and  knowledge  of  RP  strategies  to  control  application  in  schools;  (v)  develop  and  manage  implementation  of  school   improvement  plans;  (vi)  enhance  skills   in  lesson  observation  and  the  provision  of  constructive  feedback;  and,  (vii)  upgrade  the  knowledge  of  participants  on  learning  and   expanding   best   pedagogical   practice.   Delivery   through   the   aforementioned   modern  interactive  methodologies  ensured  participants  were  engaged.    Sessions  started  with  a  review  of  the  legal  normative  acts  on  education,  such  as  the  Strategy  of  the  Education  Development  to  2020  and  Tajik  Republic  Law  on  Education,  and  thereafter  moved  into   introductions  to  RP  strategies.  Course  participants  gained  a  comprehensive  understanding  about   each   of   the   five   strategies,   and   developing   children’s   personal   competencies.   Although  these  topics  were  new,  participants  actively  engaged  in  discussions  and  exchanging  views.        The   other   major   session   focused   on   reading   and   comprehension   skills   by   introducing  participants   to   methodologies   of   developing   skills   around   vocabulary   enrichment,   reading  practice,   questioning,   developing   short   stories   and   other   relevant   areas.   Fruitful   discussions  among   participants   on   effectiveness   in   developing   reading   comprehending   skills   resulted   in   a  brainstorm  of  related  activities:  (i)  organize  reading  days;  (ii)  secondary  students  reading  books  

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to   primary   students;   (iii)   organizing   ‘Best   reader’   competitions;   and,   (iv)   advocating   and  promoting  within  communities  reading  amongst  students  and  with  their  children.      Course   participants   were   also   given   techniques   to   approach   methodological   cabinets   and  methodological  training  day  (MTD)  activities  to  incorporate  RP  strategies  into  daily  activities  and  promote   RP   application   throughout   schools.   Participants   found   the   various   sessions   of   the  seminar   to   be   extremely   enjoyable   as   they   could   envision   the   utility   of   RP.   Specifically,  encouraging  students   to  explore  knowledge  and  skills   that  draw  from  their  context  –   location,  history,  culture  –  and  provide  practical  learning  for  everyday  life.  This  was  further  evidenced  by  participants   freely   expressing   opinions,   sharing   experiences   and   knowledge,   and   active  involvement  in  discussions.  The  sessions  were  rated  as  highly  effective  stressing  the  relevance  of  the  content  to  the  realities  of  schools.    Output  3.1.4  IPD  GBAO  endowment  fund  established  with  7%  annual  revenue      

Activity  completed  in  year  one,  quarter  three.    Outcome  3.2  Access  to  health  services  for  border  populations  sustained      

Output  3.2.1  Enabling  environment  created  for  implementation  of  the  cross-­‐border  health  program    During  the  reporting  period,  AKHS  Tajikistan  (AKHS  Tjk)  discussed  with  the  head  of  the  GBAO  Military  the  impact  of  unofficial  closures  of  the  Tem  Bridge  border  crossing  from  November  to  December  2015.  The  political  and  security  situation  in  Shugnan,  Afghanistan  were  cited  as  the  main   reason.   Although   unresolved,   ongoing   negotiations   between   the   Cross   Border   Health  Program   (CBHP),   AKHS   Afghanistan   (AKHS   Afg),   Department   of   Health   (DoH)-­‐GBAO,   Afghan  Consulate,  and  Afghan  and  Tajik  Border  Agencies  aim  to  legitimize  activities.          The  CBHP  Internal  Working  Group  conducted  its  regular  meeting  to:  (i)  identify  common  health  problems  in  bordering  areas  of  Badakhshan,  Afghanistan;  (ii)  analyze  and  prioritize  needs;  and,  (iii)   address  needs  using   resources   available   to   improve   access   to   specialized  health   care   for  Afghans  in  and  out  of  Comprehensive  Health  Clinics  (CHC).  An  additional  regular  meeting  was  conducted  with   Tajik   health  professionals   involved   in   CHC   visits   to   understand   challenges   to  cross-­‐border  cooperation,   including  official  crossing  bridges,   logistics,   living  conditions,  health  professionals’   perceptions   towards   health   care   in   Afghanistan.   Health   professionals   on   both  sides   are   doing   their   best   to   address   systemic   challenges.   The   Afghan   Consulate   in   Khorog  continues  to  be  supportive  of  CBHP  through  timely  visa  issuance.      During  the  reporting  period,  CHCs  articulated  their  needs  for  Tajik  health  professionals  to  AKHS  Tjk   for   onward   transmission   to   DoH-­‐GBAO   and   the   Afghan   Consulate.   Requests   included:  general   surgery,   orthopedist,   neurologist,   ear,   nose   and   throat   (ENT),   ophthalmologist,  endocrinologist  and  anesthesiologist.    Output  3.2.2  Improving  access  to  specialized  health  care    

Tajik  health  professionals  remained  keen  to  respond  to  CHC  emergency  calls   involving  patients  in   critical   condition   and   contribute   to   deficiencies   of   the   Afghan   health   system.   During   the  reporting   period,   26   Tajik   health   professionals   crossed   into   Afghanistan   for   emergency   and  

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routine   care.   19   Tajik   health   professionals   responded   to   emergencies   at   CHCs   and   ended   up  examining   122  patients   –   32   from  Darvaz,   90   from  Shugnan  of  which  65  were   female   and  57  were   male   –   resulting   in   26   patients   undergoing   surgical   operations.   Seven   Tajik   health  professionals  conducted  three-­‐  to  five-­‐day  routine  visits  and  ended  up  examining  401  patients  –  184   from  Darvaz,   117   from  Shugnan,   100   from   Ishkashim  of  which   175  were   female   and   266  were  male  –  resulting  in  59  patients  undergoing  surgical  operations.  Three  Afghan  patients  –  2  from  Ishkashim,  1  from  Shugnan  of  which  1  was  female  and  2  were  male  –  received  specialized  health  care  in  Khorog  Dental  Centre.    The   lack   of   technical   and   human   capacity   at   CHCs   does   not   permit   complicated   surgical  operations   or   treatments   to   be   conducted   in   Afghanistan.   Therefore,   access   to   quality   health  care  and  facilities  in  Tajikistan  remains  an  area  of  great  need  for  Afghans.  Cooperation  between  the  Tajik  and  Afghan  governments  enabled  emergency  Afghan  cases  to  cross  into  Tajikistan  and  receive  specialized  health  care.  During  the  reporting  period  23  Afghan  patients  –  2  from  Darvaz,  8   from   Shugnan,   13   from   Ishkashim   of  which   7  were   female   and   16  were  male.   High   quality  diagnostic   services  were  provided   for  Afghan  patients   through   the  Khorog  Regional  Diagnostic  Unit   (KRDU).   During   the   reporting   period,   365   samples   from   139   patients  were   crossed   from  CHCs   to   KRDU   for   a   total   of   338   pathology   tests   –   48   hematology,   68   biochemistry,   23  immunology,  and  199  microbiology.  Patients  also  received  27  radiology  and  ultrasound  services  –  12  X-­‐rays,  1  CT  Scan,  14  ultrasounds.      The  following  additional  activities  related  to  the  year  two  work  plan  were  undertaken:  (i)  AKHS  Tjk  and  CBHP  staff  met  with   the  Shuroobod  District  Hospital   (SDH)  chief  doctor  and  staff,  and  DoH-­‐Khatlon  representative  to  handover  surgical  equipment  and  discuss  training  needs;    (ii)  medical   instruments   and   equipment   handover   to   Khorog  Oblast   General   Hospital   (KOGH);  (iv)  ophthalmological  equipment  shifted  from  CHC  Nusai  to  CHC  Ishkashim  per  annual  practice;  (v)  biomedical  engineer   sent   to  CHC  Bashor   for   installation  of  new  X-­‐ray  machine  provided  by  AKHS   Afg;   (vi)   announced   tender,   conducted   bid   analysis,   selected   supplier   and   commenced  environmental  assessment   for  ambulance;   (vii)  KOGH  anesthesiologist  participated   in  a  10-­‐day  training   at   the   Republican   Institute   of   Gastroenterology   in   Dushanbe;   (viii)   10   KOGH   health  professionals   commenced   a   four-­‐month   English   course   at  UCA   SPCE   in   Khorog;   (ix)   SDH  X-­‐ray  and   ultrasound   doctors   commenced   a   four-­‐month   training   course   at   Post-­‐Graduate   Medical  Institute;   (x)   supported  MoH  with   six   doctors   from  Khorog  Ophthalmology  Centre   sent   to   the  first  International  Forum  of  Ophthalmologists  in  Dushanbe;  (xi)  KRDU  X-­‐ray  technician  provided  two-­‐day   training   for   use   of   a   newly   installed   X-­‐ray   maching   at   CHC   Bashor;   (xii)   CBHP   staff  member  participated  in  a  five-­‐day  strategic  management  training  in  Moscow.    

Objective  2:  Create  flexible,  sustainable  financing  facility  to  fund  private  investment  and  social  development  activities  for  decades  to  come        Intermediate  Result  4:  Funds  invested  in  viable  economic  drivers    Following  on  year  one  approval  of  a  $2M  investment  in  FMFB-­‐T  and  recognition  of  KfW’s  $1.2M  investment   as   part   of   the   AKFED   Financial   Services   commitment,   NBT   approval   was   secured,  loan   agreements   were   executed   by   AKF   USA   and   FMFB-­‐T,   and   arrangements   were   made   to  initiate  drawdown  early  in  quarter  two.    

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 Intermediate  Result  5:  Trust  mechanism  established  During  the  reporting  period,  structures  for  the  investment  vehicle  –  capable  of  sustaining  itself  independent   of   AKDN   –   into   which   ESCoMIAD   funds   and   investments   will   eventually   be  transferred  were  examined.  Potential  structures  include,  but  are  not  limited  to:  independent  US,  Swiss,  UK,  or  Tajik  nonprofit  organizations  and  endowment  funds.    

IV. Challenges  Encountered  and  Lessons  Learned  Challenges:  

 

• SMBM  program  applicants  from  Vanj  and  Darvaz  remained  low  despite  commitments  from  both   district   heads   to   support   attracting   more   learners.   The   probable   cause   is   cultural  differences  associated  with  Tajik-­‐speaking  GBAO  districts,  which  often  consider  educational  opportunities   in  Dushanbe   first.   To   increase   applicants   from   these   two  districts,   SPCE  will  target  peripheral  villages  and  district  centers  during  the  next  promotional  campaign.      

• The   launch  of   the   second   stage  of   the   SMBM  program  –   a   certificate   course   in   Small   and  Medium   Business   Management   using   Low-­‐Cost   Technologies   –   has   been   slightly   delayed  due  to  unavailability  of  an  appropriate  loan  product  for  SMBM  alumni  to  access  for  startups.  UCA   has   approached   several   donor   agencies   inviting   them   to   join   UCA   and   MSDSP-­‐supported  MLOs  in  establishing  a  revolving  fund  with  low-­‐interest  loans  for  entrepreneurs  in  GBAO.  Although   some   leads   have   emerged,   concrete   results   have   not   yet   been   achieved.  SPCE  has  decided  internally  to  allow  learners  who  already  run  businesses  to  advance  to  the  second  stage  given  their  access  to  existing  loan  products.  Once  the  revolving  fund  is  set-­‐up,  remaining  learners  successful  in  the  first  stage  will  be  invited  to  start  the  second  stage.      

• Afghanistan’s   security   situation   has   led   to   unpredictable   border   closures   on   both   sides  negatively   impacting   CBHP’s   ability   to   facilitate   timely   access   to   quality   health   care   for  Afghan  patients  through  Tajik  health  professionals  and  Tajik  health  facilities.  The  Tem  Bridge  border  crossing  was  closed  unofficially   for  60  days  meaning  no  formal  communication  and  patients  being  brought  to  the  border  and  unable  to  cross.  So  far,  Afghan  patients  have  only  been  able  to  cross  in  emergency  situations,  while  Tajik  health  professionals  have  been  able  to  cross  to  provide  emergency  and  routine  care  at  CHCs.    

• AKHS  Afg  medicine   shortages  not   covered   in   facility-­‐specific  Ministry  of  Public  Health   lists  challenges  Tajik  health  professionals’  ability  to  serve  patients  during  visits  to  CHCs.  

     

• Obtaining  visas  for  Afghan  health  professionals  to  be  trained  at  KOGH  and  KRDU.    • More  resources  needed  to  accommodate  Afghan  patients  in  order  to  receive  proper  dental  

services  at  Khorog  Dental  Clinic.        

V. Monitoring  and  Evaluation    UCA  

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The  participants  of  the  Business  Planning  course  were  asked  to  evaluate  each  module  following  completion.  In  their  evaluations,  learners  made  the  following  recommendations  by  module:      (i)  Financial  Literacy  • Learners   feel   it   would   be   useful   to   have   tests   at   the   end   of   each   theme   to   sufficiently  

prepare  for  the  final  exam;  and,  • As  part  of  homework,   learners  are  asked   to   study  practical  examples   related   to   lessons.  

Since  many   learners,  especially  women,  have  household  responsibilities,   it   is  challenging  to  complete  homework  and  so  exploring  practical  examples  in  class  would  be  preferred.  

(ii)  Marketing  • Learners  wish  to  do  more  practical  exercises;  and,  • They  say  that  it  would  be  helpful  to  have  a  separate  course  book  on  this  subject.    

(iii)  Legal  Aspect  of  Business    • Learners   would   like   the   instructor   to   simplify   the   teaching  method   in   order   help   them  

understand  this  challenging  module  more  easily.    (iv)  IT  for  Business  • Learners  wish  to  do  more  practical  exercises.    

(v)  Business  Communication  • Learners  wish  to  do  more  practical  exercises.    

 IPD  A   monitoring   study   of   the   24   schools   of   GBAO   and   Shuroobod   selected   in   year   one   was  conducted   in  November   2015.   The   study   included  data   collection   through  questionnaires   and  interviews  to  see  whether  RP  strategies  and  ECoP  are  being  applied.      During  monitoring  visits,  45  primary  teachers  were  interviewed  and  had  their  classes  observed.  13%   of   teachers   were   using   group   work   and   applying   methodologies,   such   as   games   and  questioning,  in  classes.  7%  of  teachers  are  using  RP  strategies  to  deliver  lessons.  46%  of  teachers  interviewed  and  observed  were  limiting  use  of  RP  to  reading  and  comprehension,  and  only  4%  of   teachers   organized   out-­‐of-­‐school   reading   activities.   Overall,   this   indicates   interactive  methodologies  are  not  used  properly  or  regularly.    98%   of   primary   teachers   confirmed  Methodological   Training   Days   (MTD)   are   being   held,   and  44%  mentioned  the  application  of  RP  strategies  are  being  discussed  in  sessions.  Only  4%  out  of  44%  specifically  referenced  subject  integration  and  expert  visits  as  points  of  discussions,  and  2%  out  of  44%  mentioned  extracurricular  activities  were  discussed  in  MTD  sessions.  52%  of  teachers  mentioned  that  they  learned  new  methodologies  through  MTD  sessions.      During   monitoring   visits,   64   secondary   teachers   were   interviewed   and   had   their   classes  observed.  23%  of  teachers  were  using  RP  strategies  and  relating  lessons  to  students’  lives.  39%  of   teachers   are   effectively   using   group   work   in   classes   and   applying   critical   thinking  methodology.  However,  15%  of  teachers  are  still  using  traditional  teaching  methods  and  remain  unaware  of  RP  strategies.  31%  of  teachers  mentioned  they  are  using  RP  strategies  to  enhance  reading  and  comprehension  skills.  Overall,  this  indicates  teachers  are  using  interactive    methodologies  in  classes  and  students  are  enjoying  the  approaches.    Most  secondary  teachers  confirmed  MTDs  are  being  held.  Only  7%  of   teachers  said  they  were  participating   in  MTDs  every  month.  The  remaining  teachers  are  participating   in  MTDs  at  every  

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third   session   or   once   in   three   months.   MTDs   for   secondary   teachers   are   still   focused   on  traditional   teaching  methods.  Only  10%  of  teachers  said  problem  solving  methodologies,  open  discussion  and  group  work  are  used  in  MTD  delivery.        During  monitoring  visits,  19  school  directors  mentioned  they  are  supporting  the  application  of  RP  strategies  in  schools.  Directors  indicated  that  major  problems  or  barriers  to  the  effective  application  of  RP  strategies  are:  (i)  inadequate  learning  materials  and  financial  constraints;  (ii)  insufficient  time  for  planning  and  implementing  RP  strategies;  and,  (iii)  teachers  lack  motivation  to  participate  in  MTDs  and  each  other’s  classes.  Directors  mentioned  parent-­‐teacher  association  meetings  are  held  twice  a  month,  and  issues  related  to  student  attendance,  school  repairs,  student  conduct  outside  of  schools  and  similar  matters  dominate  the  agenda.  All  directors  said  they  are  participating  and  observing  classes  of  teachers  who  have  received  RP  training  and  those  who  are  aware  of  RP  strategies  through  MTDs  or  short  seminars  held  in  schools.  

 

VI. Looking  ahead:  Plans  for  the  next  three  months  Outcome  1.1  Level  of  community  engagement  with  local  government  increased  • Conduct  capacity  building  trainings  for  MCs  on  financial  management,  overall  management  

and  project  design.  • Raise  awareness  of  local  governments  and  MCs  on  preparations  for  submitting  proposals  for  

micro-­‐development  projects  to  be  conducted  in  year  two.  • Monitor  ongoing  MCs  activities,  including  regular  meetings,  record-­‐keeping,  etc.  • Establish  24  new  CBSGs  in  target  districts  and  provide  technical  assistance,  mentoring  and  

coaching.    • Conduct  district-­‐level  CBSG  refresher  workshops  in  Kumsangir,  Panj,  Farkhor  and  Hamadoni,  

and  monitor  existing  groups.      

Outcome  2.1:  Access  to  finance  improved  in  the  target  area  • Continue  work  with  FMFB-­‐T  on  potential  plans  for  rolling  out  mobile  financial  services  

through  SUDVOs  in  GBAO  • Contract  and  support  an  international  consultant  well-­‐versed  in  the  Pakistani  experience  

with  mobile  financial  services  and  branchless  banking  to  examine  in  detail  opportunities  and  approaches  for  Tajikistan.    

• Identify  training  needs  and  providers  for  ongoing  capacity  development  of  MLOs’  staff  and  negotiate  training  delivery.  

• Develop  blanket  environmental  assessment  for  MLOs  Banking  Services  Centers  (BSC).  • Complete  installation  of  remaining  banking  terminals,  and  provide  training  on  payment  

terminals  for  relevant  customer  service  officers  and  accountants.  • Conduct  marketing  activities  related  to  the  services  provided  by  payment  terminals  

 Outcome  2.2:  Use  of  non-­‐financial  services  increased  • Finalize  the  design  and  publication  of  all  11  Tajik-­‐language  learning  materials.    • Enroll  three  new  groups  –  two  intensive  (full-­‐time),  one  regular  (part-­‐time)  –  in  the  Business  

Planning  course.    • Launch  the  second  stage  of  the  SMBM  program.      

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Outcome  2.3  MSMEs  strengthened  through  locally-­‐driven  capacity  building  • Meeting  with  CBSG  members  through  MCs  in  order  to  gather  information  and  inform  roll-­‐

out  of  the  CIG  model  in  Kumsangir,  Panj,  Farkhor  and  Hamadoni,  starting  with  identification  and  training  potential  members  on  CIG  methodology.  

• Identify  four  potential  CIGs  within  selected  value  chains  to  assess  needs,  conduct  trainings  for  new  CIGs  and  identified  types  of  financial  and  technical  support  required.    

• Prepare  one  business  plan  for  a  CIG  in  Hamadoni  district,  commence  environmental  assessment  for  intervention  and  conduct  tendering  process  for  equipment  and  supplies.  

• Monitor  implementation  of  CIG  roll-­‐out  in  Khatlon    • Identify  existing,  high-­‐potential  CIGs  for  intervention  in  target  areas  and  commence  

environmental  assessments.  • Review  information  gathered  through  due  diligence  of  two  potential  lead  firms  in  GBAO,  

select  the  most  promising  lead  firm,  begin  to  finalize  intervention  plans  and  environmental  considerations.    

• Prepare  overall  Pamir  Express  &  Logistics  business  plan,  including  finalization  of  the  Pamir  Welcome  Center/Darvaz  Rest-­‐Stop  plan  and  environmental  assessment.    

• Support  the  annual  PECTA  board  meeting.  • Conduct  two  workshops:  (i)  Planning  activities  for  2016  for  PECTA  members  and  other  

tourism  stakeholders;  and,  (ii)  Improving  quality  of  services  for  Tajikistan  National  Park  (TNP)  staff  and  tourism  stakeholders.                

• Organize  meeting  between  tour  operators  and  TNP  staff  focused  on  the  development  of  new  tour  products.  

• Prepare  to  support  PECTA  and  the  Committee  for  Youth  Affairs,  Sport  and  Tourism  with  presenting  Tajikistan  at  the  Internationale  Tourismus-­‐Börse  Berlin  2016  travel  fair.  

 Outcome  2.4  Access  to  energy  improved  • Meet  with  SWECO  to  review  the  first  draft  feasibility  report  and  identify  next  steps.  • Review   final   geological   report,   including   laboratory  analyses  and  annexes,   from  LLC  Kashf.  

Ensure  SWECO  feedback  has  been  incorporated  within  the  final  version.  • Meet  with  SWECO   to   review   the   second  draft   feasibility   report  prior   to   submission  of   the  

finalized  feasibility  report  due  next  quarter.    Outcome  3.1  Children's  learning  outcomes  improved  • Conduct   two  six-­‐day  RP  and  ECoP  –  Phase  Two  seminars   for  20  schools   in  GBAO,  and  two  

six-­‐day  RP  and  ECoP  –  Phase  Two  seminars  for  four  schools  in  Shuroobod.    • Participate  in  biannual  primary  and  secondary  key  teachers  forum  in    GBAO  and  Shuroobod.  • Provide   mentoring   support   to   primary   level   teachers   and   key   teachers,   and   heads   of  

methodological  cabinets  for  all  schools  –  40  in  GBAO  and  eight  in  Shuroobod.    

Outcome  3.2  Access  to  health  services  for  border  populations  sustained    • Conducte  meeting  with  DoH  to  request  Tajik  health  professionals  in  line  with  CHCs’  needs.    • Apply  and  obtain  visas  from  the  Afghan  Consulate  for  Tajik  health  professionals,  and  

facilitate  crossing  for  emergency  and  routine  health  care  visits.  • Facilitate  crossing  of  Afghan  patients  to  Tajik  health  facilities,  Afghan  patient  samples  to  

KRDU,  and  revert  with  test  results.      • Arrange  trainings  for  Afghan  health  professionals.  

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• Monitoring  visit  at  CHC  Nusai.  • Negotiate  price  and  finalize  ambulance  procurement.  Prepare  documents  for  receiving  of  

ambulance  (e.g.,  custom  clearance,  good  received  form,  number  plate  and  all  documentation  according  to  procurement  and  environmental  policies).    

   

VII. Environment    During   the   reporting   period,   an   environmental   screening   of   the   year   two   work   plan   was  conducted  by   implementing  partners   and  approved  by  USAID.  UCA,  MSDSP  and  Pamir   Energy  collectively  submitted  and  received  approval  from  USAID  for  eight  environmental  assessments  –  Environmental   Review   Checklists   (ERC)   and   Environmental   Mitigation   and   Monitoring   Plans  (EMMP,   where   applicable)   on   activities   largely   related   to   procurement.   A   further   three  environmental  assessments  were  conducted  AKF  USA-­‐funded  AKHS  and  FMFB-­‐T  activities  using  the  ERC  and  EMMP  format  and  submitted  for  review  and  approval.        

VIII. Budget  Please  refer  to  the  Q4,  2015  Quarterly  Financial  Reporting  completed  template  attached.