People’s Republic of China Ex-Post Evaluation of Technical Cooperation Project “Project for Surveillance and Control of Vaccine-Preventable Diseases” External Evaluator:

External Evaluator: Toshihiro Nishino, International Development Center of Japan Inc. 0. Summary The Project aimed at improving the immunization rate through improvement of the infectious disease control service, thereby contributing to the reduction of the incidence of infectious diseases and improving the health of children in five provinces/autonomous regions in the central and western parts of China. The improvement of infectious disease control through the strict enforcement of immunization conforms to the importance and needs of the relevant policies of China as well as Japan’s ODA policy, indicating the high level of relevance of the Project. There is no doubt that infectious disease control has generally improved in every target province/autonomous region as illustrated by increased immunization rate. However, there are some unachieved issues in some provinces and the incidence of measles has not yet reached the target. Moreover, details of the situation of hepatitis B and Japanese encephalitis are unavailable for some provinces. It is apparent that the activities in the first half of the project period made a certain contribution towards the realization of the project purpose. Meanwhile, checking of immunization records and supplemental immunization conducted in the second half of the project period made a major contribution in Jiangxi and Gansu Provinces but their contribution in the remaining Sichuan Province and Xinjiang and Ningxia Autonomous Regions could not be clearly determined. Accordingly, the general effectiveness/impacts of the Project are judged to be fair. The project period was within the planned period but the project cost exceeded the planned cost, making the efficiency of the Project fair. The sustainability of the project effects is high as there appear to be no problems regarding sustainability in relation to the policy, organization, and technical and financial requirements. In light of the above, the Project is evaluated as satisfactory.