Implementation of the recommendations in this report represents a relatively low risk. Appropriate resources will need to be allocated, however in making the recommendations, the evaluators have considered the need for a balance between resources allocated to trachoma control and treatment, and resources allocated to surveillance. It is considered that the enhancement/expansion program represents an appropriate balance particularly as the total resources being allocated to trachoma surveillance and control by the Australia Government have been increased from $1.12m over three years to $16m over four years (a factor of 10). In such circumstances it is clear that the national trachoma surveillance system needs to be enhanced to deliver the data required to assess the impact of the funding increase.

Nonetheless, no project is without some risk. Table 6.2 sets out the key risks associated with implementing the recommendations for enhancing and expanding the national trachoma surveillance system, as perceived by the evaluation team. High level risk management strategies are also suggested.

Table 6.2: Project risk management analysis

Identified risk Risk management strategy

Risk management strategy

  • Insufficient resources allocated for implementation of recommendations
  • Commonwealth and jurisdictions to meet soon after finalisation of this report to negotiate and agree on the resources required to implement the supported recommendations in the implementation plan.
  • Insufficient numbers of skilled staff are available to implement the enhanced and expanded trachoma surveillance strategy
  • Give high priority to the development of training packages in trachoma screening and surveillance data collection (including the option of web-based training).
  • Delays in implementing the recommended enhancements and expansions to the national trachoma surveillance system
  • Pursue an early agreement between the Commonwealth and jurisdictions on the implementation of the recommendations;
  • Flesh out the broad implementation plan presented in this report and assign clear responsibilities for completion of tasks within defined timeframes;
  • Imbed the implementation of recommendations as appropriate into the funding and performance agreements between the Commonwealth and jurisdictions that govern the allocation of funds under the new measure; and
  • Imbed the implementation of the recommendations as appropriate into the agreement between the Commonwealth and the provider of the NTSRU.
As can be seen, the review team is of the view that there are few risks associated with implementing the recommended enhancements to the national trachoma surveillance system so long as the appropriate quantum of resources is allocated. top of page