CDC - ANNEX 3 QUESTIONNAIRE ON THE NATURE AND SCOPE OF CAPACITY DEVELOPMENT PRACTICES OF CAMBODIA

ANNEX 3
QUESTIONNAIRE ON THE NATURE AND SCOPE OF CAPACITY DEVELOPMENT PRACTICES OF
CAMBODIA’S DEVELOPMENT PARTNERS FOR THE YEAR 2002
(A study commissioned by the Government-Donor Partnership Working Group)

Name of NGO:………………………………………………………………………………........................………………………..............
Is it an International or National NGO? ¨ International ¨ National
The Title of the Project or Program for which the Following Data is reported: ……………………………..………………......
…………………………………………………………………………………………………………………….……......................................

Collaborating/ implementing/beneficiary Institution
Geographic location(s) of Program/Project Activities	¨ Nationwide ¨ Central ¨ Provincial ¨ District ¨ Other
Terms of Assistance in 2002	¨ Grant Amount: US$………..…..; ¨ Loan Amount: US$…………………
Total Program/Project Expenditure in 2002 in US$:………………………………………………………………………

In the context of this Program/Project, what capacity development problems/issues/gaps are you
attempting to address and/or experiencing.
........................................................................................................................................................................
........................................................................................................................................................................
........................................................................................................................................................................
........................................................................................................................................................................

What specific actions were taken to ensure that you had the capacity required to deliver the Program/Project activities and to ensure that its stated objectives/goals are achieved:

1. ¨ Provided in-country and/or overseas training to Program/Project Staff and others assigned by collaborating institutions in the implementation of the Program/Project

2. ¨ Provided other non-monetary and/or monetary incentives to staff assigned by collaborating institutions in the implementation of the Program/Project

3. ¨ Employed national staff to undertake the Program/Project

4. ¨ Employed international staff to fill key capacity gaps to ensure the achievement of the Program/Project objectives/goals

5. ¨ Other, please specify ………………………………………………………………………………….....................

1. TRAINING
Total expenditure in 2002:..............................................................
Program/Project’s total expenditure on in-country training in 2002: .....................................................................
· Of which, expenditure on in-country formal degree program: .........................................................................
Program/Project’s total expenditure on overseas training in 2002: .....................................................................
· Of which, expenditure on overseas formal degree program: ..........................................................................

Type of training activities supported:…………………………………………………………………………………….......................
………………………………………………………………………………………………………………………………...............................
………………………………………………………………………………………………………………………………...............................
………………………………………………………………………………………………………………………………...............................

2. OTHER NON-MONETARY AND/OR MONETARY INCENTIVES

¨ Provided operational support and equipment to collaborating institutions.

¨ Provided monetary incentives to attract and motivate staff assigned by collaborating institutions in the
implementation of the Program/Project

¨ Other, please specify ………………………………………………………………………………….................................
…………………………………………………………………………………………………………….....................................
…………………………………………………………………………………………………………….....................................

2.1 Non-monetary Incentives

If you provided equipment and/or operational support, how significant has the support been in ensuring a successful implementation of the Program/Project

¨ Critical ¨ Important ¨ Not very important

The total expenditure in 2002 on equipment and operational support provided:....................................................

2.2 Monetary Incentives

If you provided such incentives to Government staff, in what form? Please tick the following box(es) that best suit(s) you:

1. ¨ Salary Supplements	2. ¨ Payments for Special Tasks	3. ¨ DSA	4. ¨ Overtime Payments
5. ¨ Per diem	6. ¨ Allowances for attending Workshops/Seminars	7. ¨ Other forms of monetary incentives

Function in the Program/Project            Type of incentives        Number of persons         Range of monthly
(e.g. National Director/Counterpart,               (1-7)                                                       payment in USD
Program Officer, etc.)
……………………………………………            ……………………...       ………….................         .............................
……………………………………………            ……………………...       ………….................         .............................
……………………………………………            ……………………...       ………….................         .............................
……………………………………………            ……………………...       ………….................         .............................
* If you need more space, please use a blank sheet of paper

If you provided supplements/incentives, how significant a factor has it been in ensuring a successful implementation of the Program/Project

¨ Critical ¨ Important ¨ Not very important

The total expenditure in 2002 on providing the incentives:.................................................................................

3. NATIONAL PERSONNEL EMPLOYED BY THE PROJECT/PROGRAM

Function in the context of the Program/Project             Duration               Number             Range of Monthly
(e.g. manager, project officer, administration              in months           of persons              salary in USD
assistant, support staff)
………………………………………………................          ....………………      ……….…………      ...............................
………………………………………………................          ....………………      ……….…………      ...............................
………………………………………………................          ....………………      ……….…………      ...............................
………………………………………………................          ....………………      ……….…………      ...............................
………………………………………………................          ....………………      ……….…………      ...............................
* If you need more space, please use a blank sheet of paper
The total expenditure in 2002 on national personnel employed:       ......................................

4. INTERNATIONAL PERSONNEL EMPLOYED BY THE PROJECT/PROGRAM

Role in the context                      Area of Expertise                        Duration                           Number of
of the Program/Project                                                               in months                            Persons
…..…………………………..           ………......………………             …….....................….          ..............................
…..…………………………..           ………......………………             …….....................….          ..............................
…..…………………………..           ………......………………             …….....................….          ..............................
…..…………………………..           ………......………………             …….....................….          ..............................
…..…………………………..           ………......………………             …….....................….          ..............................
* If you need more space, please use a blank sheet of paper
The total expenditure in 2002 on international personnel employed :.......................................................
Do you have a volunteer program? If yes, how many volunteers in 2002?............................................................

5. OTHER INITIATIVES/EFFORTS

…..…………………………..…………………………….....…............................…… ......…………….....................................
…..…………………………..…………………………….....…............................…… ......…………….....................................
…..…………………………..…………………………….....…............................…… ......…………….....................................
…..…………………………..…………………………….....…............................…… ......…………….....................................
…..…………………………..…………………………….....…............................…… ......…………….....................................

6. POLICY CHANGES (IF ANY) IN 2003

Note: Please be assured that all the information provided in this questionnaire will be kept strictly confidential.
In the final report only aggregate figures will be presented.

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