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Field of expertise:	All Health Economics and Financing    Cost-effectiveness Studies    Costing Studies    Health Expenditure Review    Health Financing and Provider Payment    Health Insurance    National Health AccountsHealth Programmes    Basic Health Services    HIV-AIDS-STI-TB    Hospital Services    Other Health Programmes    Reproductive HealthHealth System    Health Information System / Epidemiology / Operational Research    Health Policy and Policy Dialogue    Health Sector Reform    Health Sector Review or Health Sector Diagnosis    Monitoring and Evaluation    Planning, Organisation and Management    Public Private Partnership    Sector Wide Approach (SWAp)    Training and Human Resource DevelopmentPharmaceutical Sector    Access to Medicine Campaigns    Drug Pricing Studies    Drug Regulatory Authority Support    Drug Supply Management System Strengthening    Essential Drugs Programme Support    Essential Medicines Financing    Increasing Transparency In Public And Private Pharmaceutical Markets    Medical Store Evaluation    National Medicines Policy Development    Pharmaceutical Sector Review    Procurement and Tender Support    Public Private Partnership Interventions    Quantification of Essential Drug Needs    Rational Use Surveys    Selection of Essential Medicines    Training and Human Resource DevelopmentProject Cycle    Appraisal    Identification and Formulation    Long Term Technical Assistance    Monitoring and Evaluation
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Assignment:	Additional mission to support the definition of an resource allocation system in order to monitor and evaluate additional resources of decentralized levels and health facilities
Client:	AFD
Country:	Madagascar
Fields of expertise:	Basic Health Services, Cost-effectiveness Studies, Costing Studies, Health Sector Review or Health Sector Diagnosis, Sector Wide Approach (SWAp)
Description:	Narrative description of Project: The Government of the Republic of Madagascar has opted for a sectoral approach in the health sector and has developed the Plan for the Health Sector Development and Social Welfare 2007-2011 (PDSSPS) consistent with the components 'health' and 'welfare' (commitments 5 and 8) of the "Madagascar Action Plan" which provides the framework for all stakeholders. AFD provides the establishment of a financial contribution of around 14 million Euros in 2008 for the health sector in Madagascar. This contribution will finance activities defined in the priorities of PDSSPS. The objective of this mission was twofold: (a) assess the current allocation of resources in the health system, both the state resources and additional resources (including resources from the World Bank through its projects) and (b) propose scenarios for allocating resources at the decentralized levels of the health system (levels of management and production levels) for future joint funding. Description of actual services provided by your staff within the assignment: The consultant conducted a study to: Develop and discuss the necessary specifications by describing the operational management of a future system; Define the needs and modalities for strengthening various levels, especially the regional directorates of health; Propose a process to change the allocation device’s envelopes; Submit an envelope that AFD could allocate for this component and estimate the necessary disbursements; Assess fiduciary risks and other risks and propose measures to lessen the likelihood or impact of those risks.
Year:	2008

Assignment:	Mission to support the definition of the component “decentralisation and development of health education” of a competitive examination of AFD held in Madagascar
Client:	AFD
Country:	Madagascar
Fields of expertise:	Basic Health Services, Cost-effectiveness Studies, Costing Studies, Health Expenditure Review, Health Sector Review or Health Sector Diagnosis, Sector Wide Approach (SWAp)
Description:	Narrative description of Project: Carry out a study in order to: dispose of precise elements regarding the current allocation of additional resources’ system and to evaluate its implementation as well as its impact Propose scenarios for the allocation of additional resources to districts and health education Description of actual services provided by your staff within the assignment: An analysis of the public budgets dedicated to health: (i) by level (national, regional, district or health education level), by nature of expenses (investment, operational expenses) and by type of health education; (ii) currently used distribution criteria; A description and an analysis of the current allocation of additional resources’ system financed by the World Bank in the framework of its ongoing project (PDSSP) and its prior interventions: age, distribution criteria, nature of the additional resources, level of decentralisation and of decision making on the granting and use of these additional resources, financing channels, follow-up mechanisms. An analysis of the respective volumes between the strictly budgetary resources and the additional resources supplied by the donors; An evaluation of the actual system, and of its impact on the activity of health education and on the quality of the services rendered; Describe scenarios for updating the additional system allocations to districts and health facilities. Two field studies during which the consultant met with officials of the health sector at regional level as well as some health facilities. A review of available studies was conducted. The consultant identified the surveys, studies and interviews necessary to obtain all the relevant information.
Year:	2008

Assignment:	Study about the development of the financial circuits of 2DC
Client:	Agence française de Développement
Country:	Cameroon
Fields of expertise:	Health Expenditure Review, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: 2DC is a Contract of Disendebtment and Development signed between Cameroon and France. The outcome of the 2DC project is to contribute to the rehabilitation of the health of the Cameroonian population. The objectives of this study are twofold: reinforce the quality and accessibility of the health services in the provinces and reinforce the functioning and financing of the health system. This study takes part in the framework of the implementation of a future 2DC and defines elements of the financial implementation. Description of Actual Services Provided: Definition of the procedures of budget preparation and the execution of the financial expenditure for each programme financed by C2D; Identification of the procedures used for the execution of the national budget and the HIPC credits (Heavily Indebted Poor Countries); Description and analysis of the existing financial circuits for the National Aids Committee (NAC) and the Extended Programme of Immunisation (EPI); Description of the procedures used by other stakeholders in the health sector; Analysis of the actual capacities of the implementation for each programme.
Year:	2006

Assignment:	Feasibility Study of the Health Sector in Palestine Territory
Client:	Agence française de Développement
Country:	Palestine
Fields of expertise:	Basic Health Services, Health Expenditure Review, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Pharmaceutical Sector Review, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The general objective of this mission is to identify and formulate the needs for investment and priority technical support in the health sector; both in the public sector and in the private health sector. Description of Actual Services Provided: This study of the health sector analyses the following issues: Based on the existing literature and exchanges with the stakeholders: The actual state of the health sector and its principal problems; Health policy, health sector reform, improvements in health development and the obstacles for the implementation; Evaluation of the total health expenditure for the last years; Organisation of the Public health system and of the health care services, SWOT analysis of the public health system, the consequences of the worsening of the political and socio-economical context; A brief description of the private health sector, its role in the provision of services, the control mechanisms and the regulation of private health services. Based on a field mission: Description of the public and private health sector, mentioning for each principal hospital the available services, the demand, the major constraints, the available support, the priority needs and needed interventions; Description of the role and involvement of the Palestinian and foreign NGO’s in health projects; Evaluation of the projects and strategies supported by the technical and financial partners; Degree of cooperation between the Ministry and the partners and the ongoing initiatives regarding the harmonisation of aid; Priority needs that are not covered by the partners.
Year:	2007

Assignment:	Identification of the Decentralised Health Services Programme
Client:	Asian Development Bank
Country:	Indonesia
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Reproductive Health
Description:	Narrative Description of Project: Identification mission of next health sector support programme for ADB. Description of Actual Services Provided: Expertise in public health reproductive health. Expertise in health system development and decentralization. Performance based contracting of health providers.
Year:	2000

Assignment:	Preparation of ADB paper on experiences in Health Sector Reform relative to PNG within the framework of ADB's Participation in World Bank's Proposed Scaling Up Poverty Reduction
Client:	Asian Development Bank
Country:	Papua New Guinea
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The learning program and high level forum conference aims to present several studies from around the world highlighting cases where poverty reduction projects or schemes have been successful and which can be ‘upscaled’ or replicated in similar or varying conditions. Examples from all aspects of poverty are being drawn upon including raising household incomes, improving health standards, infrastructure development, stimulating private investment and job creation, and increasing access to education. Description of Actual Services Provided: Discussion paper for HLF meeting in Shangai (2004) produced on the PNG case study, with: Focus on the trajectory of the health sector reform implementation process making reference to (a) rationale and objectives; (b) political context; (c) consistency of the objectives with any ongoing country poverty reduction strategies; (d) institutions involved and initial degree of commitment; (e) other actors involved; (f) preliminary results and comparison with initial objectives; (g) minor adjustments and fundamental changes to original plan; (h) changes in scale. Analyse the final results and attempt to assess the impact of the initiative. Highlight the main factors that drove the implementation process, considering four main categories: (A) Commitment and political economy for change; (B) Institutional innovation; (C) Learning and experimentation; and (D) External catalysts. Elaborate recommendations regarding lessons learned that can be applied to other countries, as well as future prospects and actions that should be taken to ensure sustainability of present achievements.
Year:	2004

Assignment:	Preparing the Health Sector Development
Client:	Asian Development Bank
Country:	Papua New Guinea
Fields of expertise:	Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Assist the Program Technical Committee (TC), to work on Planning and Prioritization, and Resources allocation. Assist the Finance TC, in charge of issues relating to financial management and procurement., working along with the assistance fielded by AusAID and the World Bank on these subjects. Description of Actual Services Provided: Health Planning Projection of the resource availability for the health sector over the medium term (2004-2006) Facilitation of a process among key stakeholders to identify and agree on a set of principles for setting priorities over the medium term among different types of health services and among health service inputs Reviewed the existing pattern of resource allocation of the sector and estimated the cost of implementing the agreed priorities Conducted an Institutional/Organizational Analysis that identifies current areas of capacity/technical assistance support; assesses the implementation of agreed sectoral priorities; and recommended priorities for ongoing technical assistance/capacity building and how this should be met. Reviewed current and previous strategies employed to increase provincial government financing for health (particularly operational funding) and recommend possible strategies in this area for consideration by the HSIP Working Group. Health Financing Participated in the identification of the required transformation of the HSIP Trust Account, in view of a broad participation including both donors and Government funds, and assess the potential legal issues. Reviewed the common disbursement mechanisms existing under HSIP in view of all stakeholders’ requirements and made appropriate recommendations in order to evolve toward a SWAp (restricting notably specific geographic or programmatic conditions on disbursements). Explored the possibilities of expanding the use of the HSIP trust account to include churches (direct performance contracts), NGOs, hospitals and/or training schools depending on the agreed sector priorities Reviewed the HSIP procedures manual in view of the implementation of the SWAp. Participated in the identification of the needs for TA in the sector of financial management and define its TORs. Identified the needs for TA in the sector of procurement and define its TORs Participated in the review of the existing procurement procedures of the PNG Government and the donors requirements, and make appropriate recommendations. Participated in the preparation of an agreement to be signed by NDOH and donors on common procurement procedures Developed a broad rolling medium term (3 year) expenditure program for the health sector
Year:	2003

Assignment:	Health Sector Review
Client:	Asian Development Bank
Country:	Papua New Guinea
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Based on the evolution of the Government’s health policy as stated in the National Health Plan 2001-2010 and in consultation with other aid agencies: evaluate the potential of coordination with other aid agencies within the sector-wide approach (SWAp, including monitoring, reporting and financial mechanisms, and; assess the possibilities and the modalities for the ADB to assist the health sector within the framework of he SWAp, considering increasing bilateral grant funding and better use of loan funding. Description of Actual Services Provided: consultation of provincial and district stakeholders (in discussion groups) identification of the priority targets and the most efficient modalities to reach the most vulnerable groups in the rural areas identification of the barriers to the effective provision of public services review of the partnership agreements between the provinces discussion of the issues of rural health services under funding and the mechanisms of substitution by external funding.
Year:	2002

Assignment:	Health Sector resourcing framework design and appraisal
Client:	AusAid
Country:	Papua New Guinea
Fields of expertise:	Appraisal, Health Sector Review or Health Sector Diagnosis, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Desk appraisal of draft design documentation for the Health Sector Resourcing Framework to ensure the design of the framework achieves its goal : a new approach to AusAID’s funding for health services in PNG. Description of Actual Services Provided: The team commented the discussion paper prepared by the HSR Framework design team & the capacity building service center design document.
Year:	2003 - 2004

Assignment:	Health Sector Independent Sector Review
Client:	AusAid
Country:	Papua New Guinea
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objectives of the Independent Sector Review (ISR) were: To review the performance of the PNG health sector in achieving the objectives and targets set out in the Medium Term Expenditure Framework (MTEF) and more broadly, progress towards, the National Health Plan (2001-2010) and the Millennium Development Goals. To analyze reasons for good/poor performance for the sector overall in terms of (1) and recommend any changes the sector stakeholders could take to improve performance. To critically review the current data sources and monitoring approaches employed by the PNG health sector, and if necessary recommendations improvements/ changes to the systems. To review the available data on provincial performance (quality, validity, reliability) and recommend (if considered appropriate) a methodology and resulting ranking of provincial performance to be used as a basis for rewards/ incentives for provinces. To consider and make recommendations (if considered appropriate) for an ongoing program of review/monitoring/evaluation for the PNG health sector designed to strengthen sector performance, including the optimal form/timing of future Independent Sector Review processes. Description of Actual Services Provided: Review of background documentation relevant to the PNG health sector Review and critical analysis of the existing sector policy and strategy documents. Review and critical analysis of the existing performance data related to the PNG health sector Consultation with a wide range of sector stakeholders on their perceptions of sector directions and performance. Visit of a cross section of provinces/districts/facilities in the country and to the extent feasible based on these visits and secondary data analysis, identify the factors that contribute to good/poor performance at the provincial/district level. Review of the existing indicators in the sector performance monitoring framework in terms of relevance, reliability, validity and if considered appropriate, recommend possible modifications to these indicators, including. Assessment of issues associated with the introduction of some degree of reward/incentive based funding of provinces in Papua New Guinea, including an assessment of the appropriateness of the existing sources of data to be used as a basis for such a rewards/incentive program.
Year:	2005

Assignment:	Independent Monitoring and Review of the PNG Health Sector
Client:	AusAid
Country:	Papua New Guinea
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Provide an objective assessment of an overall sector performance; an assessment of all parties - Governments and DPs- performance and contribution to sector performance, and an independent view on the causes of good/poor performance (and what should be done to improve it). Description of Actual Services Provided: Conduct an independent annual review of sector performance against key indicators of the performance monitoring framework (PMF) and to contribute to the periodic higher level of monitoring of sector performance at an outcome and impact level as detailed in the National Health Plan (2001-2010) and the Millenium Development Goals. Assess provincial performance on an annual basis against a transparent methodology and rank provinces in terms of most improved performance. Assess Development Partner, Central Agencies, NDOH, provincial Government and NGO performance against annual benchmarks/targets set out in relevant performance agreements. Review consistency of allocations and expenditure against priorities identified in the Medium Term Expenditure Framework and their annual Activity Plans. Conduct stakeholder meetings or policy summits. Assess PNG progress towards implementing HSIP stage 2; reports of the auditors on financial management and procurement procedures. Assess the effectiveness of donor harmonisation. Periodically assess the quality and adequacy of PNG's health data collection system. Make recommendations based on observed practices.
Year:	2006 - 2008

Assignment:	Health Sector Assessment of the Belgian Cooperation
Client:	Belgian Government - DGCD
Country:	Congo RDC
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation
Description:	Narrative Description of Project: Theme : “Access to Quality Basic Global Health Care” The assessment is aimed at: Confirming whether Belgian co-operation indeed currently reflects in practice the spirit/coherence/priority of the strategic document, namely “contributing to the improvement of quality global healthcare for all that is accessible, adequate and fair”. Checking whether the strategic document is still relevant Checking to what extent Belgian co-operation has made significant contributions to access to quality basic global healthcare. Identifying the constraints connected with the implementation of the strategic document’s contents, for all types of health intervention (projects/programmes/players/multilateral or non-multilateral backers, etc.). Making concrete recommendations about a strategy for the optimum operationalisation of the health strategic document in the DG D’s new health programmes and about the “rationale” for choosing between the various types of health intervention. Circulating the results of the assessment to relevant players/partners in the health sector with a view to feeding reflection about the stakes posed in the strategic document and about the harmonisation and alignment principles promoted by the OECD DAC. Description of Actual Services Provided: Global evaluation of direct bilateral aid (Belgian Technical Cooperation), indirect bilateral aid (NGOs, universities, Tropical Institute, Belgian Surviving Fund) and multilateral aid (EC, World Bank, OMS, DANIDA, GFATM, etc) Leadership and organisation of the evaluation Development of tools Evaluation per country Synthesis Presentation of the results.
Year:	2005

Assignment:	Health Sector Assessment of the Belgian Cooperation
Client:	Belgian Government - DGCD
Country:	Global
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation
Description:	Narrative Description of Project: Theme : “Access to Quality Basic Global Health Care” The assessment is aimed at: Confirming whether Belgian co-operation indeed currently reflects in practice the spirit/coherence/priority of the strategic document, namely “contributing to the improvement of quality global healthcare for all that is accessible, adequate and fair”. Checking whether the strategic document is still relevant Checking to what extent Belgian co-operation has made significant contributions to access to quality basic global healthcare. Identifying the constraints connected with the implementation of the strategic document’s contents, for all types of health intervention (projects/programmes/players/multilateral or non-multilateral backers, etc.). Making concrete recommendations about a strategy for the optimum operationalisation of the health strategic document in the DG D’s new health programmes and about the “rationale” for choosing between the various types of health intervention. Circulating the results of the assessment to relevant players/partners in the health sector with a view to feeding reflection about the stakes posed in the strategic document and about the harmonisation and alignment principles promoted by the OECD DAC. Description of Actual Services Provided: Global evaluation of direct bilateral aid (Belgian Technical Cooperation), indirect bilateral aid (NGOs, universities, Tropical Institute, Belgian Surviving Fund) and multilateral aid (EC, World Bank, OMS, DANIDA, GFATM, etc) Leadership and organisation of the evaluation Development of tools Evaluation per country Synthesis Presentation of the results.
Year:	2005

Assignment:	Health Sector Assessment of the Belgian Cooperation
Client:	Belgian Government - DGCD
Country:	Cambodia
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation
Description:	Narrative Description of Project: Theme : “Access to Quality Basic Global Health Care” The assessment is aimed at: Confirming whether Belgian co-operation indeed currently reflects in practice the spirit/coherence/priority of the strategic document, namely “contributing to the improvement of quality global healthcare for all that is accessible, adequate and fair”. Checking whether the strategic document is still relevant Checking to what extent Belgian co-operation has made significant contributions to access to quality basic global healthcare. Identifying the constraints connected with the implementation of the strategic document’s contents, for all types of health intervention (projects/programmes/players/multilateral or non-multilateral backers, etc.). Making concrete recommendations about a strategy for the optimum operationalisation of the health strategic document in the DG D’s new health programmes and about the “rationale” for choosing between the various types of health intervention. Circulating the results of the assessment to relevant players/partners in the health sector with a view to feeding reflection about the stakes posed in the strategic document and about the harmonisation and alignment principles promoted by the OECD DAC. Description of Actual Services Provided: Global evaluation of direct bilateral aid (Belgian Technical Cooperation), indirect bilateral aid (NGOs, universities, Tropical Institute, Belgian Surviving Fund) and multilateral aid (EC, World Bank, OMS, DANIDA, GFATM, etc) Leadership and organisation of the evaluation Development of tools Evaluation per country Synthesis Presentation of the results.
Year:	2005

Assignment:	Health Sector Assessment of the Belgian Cooperation
Client:	Belgian Government - DGCD
Country:	Rwanda
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation
Description:	Narrative Description of Project: Theme : “Access to Quality Basic Global Health Care” The assessment is aimed at: Confirming whether Belgian co-operation indeed currently reflects in practice the spirit/coherence/priority of the strategic document, namely “contributing to the improvement of quality global healthcare for all that is accessible, adequate and fair”. Checking whether the strategic document is still relevant Checking to what extent Belgian co-operation has made significant contributions to access to quality basic global healthcare. Identifying the constraints connected with the implementation of the strategic document’s contents, for all types of health intervention (projects/programmes/players/multilateral or non-multilateral backers, etc.). Making concrete recommendations about a strategy for the optimum operationalisation of the health strategic document in the DG D’s new health programmes and about the “rationale” for choosing between the various types of health intervention. Circulating the results of the assessment to relevant players/partners in the health sector with a view to feeding reflection about the stakes posed in the strategic document and about the harmonisation and alignment principles promoted by the OECD DAC. Description of Actual Services Provided: Global evaluation of direct bilateral aid (Belgian Technical Cooperation), indirect bilateral aid (NGOs, universities, Tropical Institute, Belgian Surviving Fund) and multilateral aid (EC, World Bank, OMS, DANIDA, GFATM, etc) Leadership and organisation of the evaluation Development of tools Evaluation per country Synthesis Presentation of the results.
Year:	2005

Assignment:	Health Sector Assessment of the Belgian Cooperation
Client:	Belgian Government - DGCD
Country:	Benin
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation
Description:	Narrative Description of Project: Theme : “Access to Quality Basic Global Health Care” The assessment is aimed at: Confirming whether Belgian co-operation indeed currently reflects in practice the spirit/coherence/priority of the strategic document, namely “contributing to the improvement of quality global healthcare for all that is accessible, adequate and fair”. Checking whether the strategic document is still relevant Checking to what extent Belgian co-operation has made significant contributions to access to quality basic global healthcare. Identifying the constraints connected with the implementation of the strategic document’s contents, for all types of health intervention (projects/programmes/players/multilateral or non-multilateral backers, etc.). Making concrete recommendations about a strategy for the optimum operationalisation of the health strategic document in the DG D’s new health programmes and about the “rationale” for choosing between the various types of health intervention. Circulating the results of the assessment to relevant players/partners in the health sector with a view to feeding reflection about the stakes posed in the strategic document and about the harmonisation and alignment principles promoted by the OECD DAC. Description of Actual Services Provided: Global evaluation of direct bilateral aid (Belgian Technical Cooperation), indirect bilateral aid (NGOs, universities, Tropical Institute, Belgian Surviving Fund) and multilateral aid (EC, World Bank, OMS, DANIDA, GFATM, etc) Leadership and organisation of the evaluation Development of tools Evaluation per country Synthesis Presentation of the results.
Year:	2005

Assignment:	Health Sector Assessment of the Belgian Cooperation
Client:	Belgian Government - DGCD
Country:	Niger
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation
Description:	Narrative Description of Project: Theme : “Access to Quality Basic Global Health Care” The assessment is aimed at: Confirming whether Belgian co-operation indeed currently reflects in practice the spirit/coherence/priority of the strategic document, namely “contributing to the improvement of quality global healthcare for all that is accessible, adequate and fair”. Checking whether the strategic document is still relevant Checking to what extent Belgian co-operation has made significant contributions to access to quality basic global healthcare. Identifying the constraints connected with the implementation of the strategic document’s contents, for all types of health intervention (projects/programmes/players/multilateral or non-multilateral backers, etc.). Making concrete recommendations about a strategy for the optimum operationalisation of the health strategic document in the DG D’s new health programmes and about the “rationale” for choosing between the various types of health intervention. Circulating the results of the assessment to relevant players/partners in the health sector with a view to feeding reflection about the stakes posed in the strategic document and about the harmonisation and alignment principles promoted by the OECD DAC. Description of Actual Services Provided: Global evaluation of direct bilateral aid (Belgian Technical Cooperation), indirect bilateral aid (NGOs, universities, Tropical Institute, Belgian Surviving Fund) and multilateral aid (EC, World Bank, OMS, DANIDA, GFATM, etc) Leadership and organisation of the evaluation Development of tools Evaluation per country Synthesis Presentation of the results.
Year:	2005

Assignment:	Health Sector Assessment of the Belgian Cooperation
Client:	Belgian Government - DGCD
Country:	Ecuador
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation
Description:	Narrative Description of Project: Theme : “Access to Quality Basic Global Health Care” The assessment is aimed at: Confirming whether Belgian co-operation indeed currently reflects in practice the spirit/coherence/priority of the strategic document, namely “contributing to the improvement of quality global healthcare for all that is accessible, adequate and fair”. Checking whether the strategic document is still relevant Checking to what extent Belgian co-operation has made significant contributions to access to quality basic global healthcare. Identifying the constraints connected with the implementation of the strategic document’s contents, for all types of health intervention (projects/programmes/players/multilateral or non-multilateral backers, etc.). Making concrete recommendations about a strategy for the optimum operationalisation of the health strategic document in the DG D’s new health programmes and about the “rationale” for choosing between the various types of health intervention. Circulating the results of the assessment to relevant players/partners in the health sector with a view to feeding reflection about the stakes posed in the strategic document and about the harmonisation and alignment principles promoted by the OECD DAC. Description of Actual Services Provided: Global evaluation of direct bilateral aid (Belgian Technical Cooperation), indirect bilateral aid (NGOs, universities, Tropical Institute, Belgian Surviving Fund) and multilateral aid (EC, World Bank, OMS, DANIDA, GFATM, etc) Leadership and organisation of the evaluation Development of tools Evaluation per country Synthesis Presentation of the results.
Year:	2005

Assignment:	Identification Study of a new intervention of the Belgian Cooperation in the Health Zone of Comé (Benin Mono)
Client:	BTC-CTB
Country:	Benin
Fields of expertise:	Health Financing and Provider Payment, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:	Narrative Description of Project: Identification of a new intervention of the Belgian cooperation in the health zone of Come for a period of four years. Description of Actual Services Provided: Elaboration of strategic axes and intervention actions Study of the political, social and economic context of the intervention Participative analysis of the problems and the goals Motivated choice of strategy and beneficiary target groups Estimation of financial and human inputs required.
Year:	2005

Assignment:	Formulation of the "Support of the Health sector in Bas-Congo"
Client:	BTC-CTB
Country:	Congo RDC
Fields of expertise:	Basic Health Services, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation
Description:	Narrative Description of Project: Formulation of the project “Support to the health sector in Bas-Congo”. Description of Actual Services Provided: In-depth analysis of the identification report Elaboration of the project formulation (logical framework) Draft cooperation agreement. PDraft Specific Agreement between the Belgian Government and the Government of the Democratic Republic of Congo (including an operational technical and financial dossier).
Year:	2001

Assignment:	Formulation of the BTC intervention for the "Programme of the Health and Social Reform (PRODESS)"
Client:	BTC-CTB
Country:	Mali
Fields of expertise:	Basic Health Services, Health Expenditure Review, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The formulation mission had to determine the most pertinent activities (within those activities planned in the PRODESS Programme which have not been selected by other donors yet). These activities should respond to the priorities set out by the BTC in terms of primary health care. The financial participation is 7,5 million EURO. Description of Actual Services Provided: Analysis of the quality of the PRODESS Programme in terms of strategies and techniques; Assessment of the technical and financial feasibility of the intervention proposals; Preparation of the modalities of the financial intervention of the withheld activities; Detailed analysis of the funds allocation and the control on the use of the funds; Proposal of a draft Specific Convention between the Belgian government and the government of the Malian Republic including a technical and financial operational plan.
Year:	2001

Assignment:	Identification study of the Upgrading of the community health services in Hoa Binh Province
Client:	BTC-CTB
Country:	Vietnam
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:	Narrative Description of Project: The first phase of the study focused on (i) the setting of the cooperation intervention in partnership with the province as it is conceived in the Republic of Vietnam nowadays, (ii) analysis of the health sector in the province of Hoa Binh, (iii) validation of the identification report in the actual context and (iv) the consensual definition of goals, strategies and expected results of the project. The second phase focused on the elaboration and presentation of the preliminary technical and financial file. Description of Actual Services Provided: Study and analysis of documents (methodological docs from the international Belgian cooperation about the logical framework and the project cycle and docs of BTC about project management and administration) Strategic and operational documents Identification report Meetings with provincial and national health authorities Organisation of meetings with donors of the project in Hoa Ninh and of the EC-project in the province of Lai Chau. Field mission to talk with the beneficiary communities Writing a preliminary technical and financial file Workshop for all actors concerned Writing of a final TFF and presentation of debriefing with all future members of the steering committee.
Year:	2003 - 2004

Assignment:	Support to the Department of Planning of the Ministry of Health - Phase II
Client:	BTC-CTB
Country:	Congo RDC
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Planning, Organisation and Management
Description:	Narrative Description of Project: The global objective of this identification report is to “contribute to improving health of the Congolese population in the global context of the poverty reduction programme”. The specific objective is to “provide support to the implementation, monitoring and evaluation of the Health Development Plan (PDDS) of the DRC and in particular to the revitalisation of the health districts”. Description of Actual Services Provided: Validation and actualisation of the data presented in the identification document; A Technical and Financial File (TFF) containing the following elements: results-based-planning of the activities in lines with the budgetary planning; allocation of financial and human resources of both Governments; Definition of qualitative and quantitative indicators to verify if the results were obtained. A draft implementation agreement between the Belgian Government and BTC.
Year:	2006

Assignment:	Elaboration of a strategic plan for the health development of Kigali 2020
Client:	BTC-CTB
Country:	Rwanda
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objective of the project is to define a health development plan for the city of Kigali in order to support the decisions of the Ministry of Public Health, the city of Kigali and the Belgian Cooperation in investment matters and the extension of health services until 2020. Description of Actual Services Provided: A complete assessment of the actual provision of health care to create an exhaustive inventory of the existing health care establishments by category and according to their nature and capacity. A study with the horizon of 2020 on the expected demographical evolutions and the expected growth points for the expansion of the city of Kigali. An analysis of the motivation and behaviour of the users regarding the health services in Kigali and the determinants of the demand for health care and the perspectives of development. A performance analysis of the of the actual service configuration at the level of Kigali in terms of needs covered, geographical accessibility and costs of access. An examination of the actual hierarchy of the establishments at the different levels and a proposal to adapt this hierarchy along the needs of the population of Kigali. Design of a health map of Kigali, up to date, with the localisation of the public and private health services as well as the potential groups of users per district. Formulation of a methodology for the elaboration of a dynamic and adaptable health map. Formulation of a health development plan with horizon of 2020: the ideal number of unities to be implemented, their scale and localisation. Description of the possible scenarios for the operationalisation of the health development. An estimation of the needs, human resources and logistics to guarantee the functioning of the plan.
Year:	2006

Assignment:	Report in Preparation of the Zambia Health Joint Donor Mission
Client:	Central Board of Health
Country:	Zambia
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objective of the assignment is: assess and analyse the effectiveness of past and current efforts to link the views of health sector clients – including vulnerable groups such as the very poor, women and HIV + people into future plans; propose possible options for the future. Description of Actual Services Provided: Mercedes Juarez presented a set of recommendations, suitable for the joint donor appraisal team to consider, on how the view of the clients – especially poor and vulnerable people - might be incorporated into health sector priorities, planning and resource allocation in the future. a brief description and analysis of structures designed to articulate the views of the clients, both past and present.
Year:	2000

Assignment:	Round Table Preparation
Client:	Danida
Country:	Benin
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: Preparation of the health sector round table. Diagnosis of the health sector, consensus development and planning of health sector reforms at national level. Adapting the previous health system of the marxist-leninist period to the new political and economical context. Description of Actual Services Provided: Responsible for assisting the Ministry of Health in reviewing all aspects of the health system (Logical Framework Approach). Assisting the Ministry of Health in selecting priority areas for reform. Developing reform proposals with the Ministry of Health. Translating reforms in strategic and operational plans. Developing a 5-year development plan. Formulation of the interventions by DANIDA.
Year:	1992 - 1993

Assignment:	Joint Sector Review (JSR) of the Health Sector Programme Support, Phase III
Client:	Danida
Country:	Bhutan
Fields of expertise:	Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objectives of the review were to: Assessment of the progress of implementation of the national health sector program Assessment of the progress of implementation of Danish support to the health sector program Assessment of draft work plans and budget 2005-2006 Assessment of possible future Danish support to the health sector Description of Actual Services Provided: A Review Aid Memoire An Action Plan for follow-up by the partners. Assessing the Progress of the Health Sector Programme.
Year:	2005

Assignment:	Joint Sector Review (JSR) of the Health Sector Programme Support, Phase III
Client:	Danida
Country:	Bhutan
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objectives of the review were to: Assess the progress achieved and the constraints met with focus on the implementation of the 9FYP and HSPSIII. Recommend on major issues of importance to the sustainable and equitable development of the health sector over the coming years, and how the HSPSIII may contribute. Recommend on continued budget support to the health sector for the fiscal year 2004/05. Recommend on the work plan and budget for the earmarked funds under component 2 of HSPSIII for the fiscal year 2004/05. Assess the completion of the HSPSII Assess the completion of the RWSS component incl. the possible future need for support. Description of Actual Services Provided: A Review Aid Memoire including a general assessment of and recommendations for the health sector and the Danish support programme (incl. possible recommendations for adjustments or modifications of plans and budgets with focus on the fiscal year 2004/05). A Process Action Plan outlining the proposed operational plan for implementation of the recommendations. The Assessing for Progress of the Sector Programme.
Year:	2003

Assignment:	Appraisal of support to the Health Sector Programme III
Client:	Danida
Country:	Ghana
Fields of expertise:	Appraisal, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Public Private Partnership, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objectives of the appraisal are: Appraisal of the appropriateness and feasibility of the suggested Danida Sector Programme Support with respect to the 5 Y POW II, the Ghana Poverty Reduction Strategy (GPRS), the Medium Term Expenditure Framework (MREF), the CMA and the revised MTHS, as well as the Danida policies and requirements; Recommend changes to the future support as outlined in the draft SPS; An outline of next steps. Description of Actual Services Provided: The focus of the appraisal team was formed of two major areas: Health Account and earmarked support. The work comprised: Assessment of critical aspects of the POW II with a view to continued support through the Health Account: Policy and institutional development Priority intervention Human resources Support services Economic and financing Monitoring of the programme Common management arrangements Modalities of support / Donor coordination Environmental issues Assessment of the earmarked support, and procedures for their implementation: General Estate management unit (EMU) Improving access for the poor Strengthening public/private health service delivery at district level Assessment of the proposed set-up for monitoring of the POW II and implementing the Danida components (HSSO), including cross cutting concerns. Assess the financial management systems. Recommendations. The appraisal provided Danida with analysis and guidance regarding desirable developments in the health sector of Ghana with a view to the ongoing policy dialogue with the GOC during the programme period.
Year:	2002

Assignment:	Identification of new budget and feasibility NE Province
Client:	Danida
Country:	Kenya
Fields of expertise:	Appraisal, Basic Health Services, Health Expenditure Review, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Pharmaceutical Sector Review, Reproductive Health, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objective of the mission is twofold: To identify/formulate a framework for additional support towards the health sector (2004-2006) aimed at further strengthening and supporting the MOH in the development and implementation of health related policies nationwide. To conduct a feasibility study on the re-inclusion of the HSP component related to North Eastern in Danida’s project envelope. Description of Actual Services Provided: To prepare a programme, HSPS I, that would focus on strengthening the capacity in districts and at the same time participate in the preparation of a sector-wide approach (SWAp), leading to budget financing in a possible next phase of the HSPS I. The components are: Support to the SWAp process Support to the pharmaceutical sector Support to district health management information systems (HMIS) Support to implementation of the Integrated Management of Childhood Illness (IMCI) strategy
Year:	2003 - 2004

Assignment:	Review of the Health Sector Support Programme
Client:	Danida
Country:	Mozambique
Fields of expertise:	Appraisal, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: The objective of the mission was to carry out an appraisal of the draft Health Sector Programme Support (HSPS) document to establish a decision basis for the Danida Management with respect to support to the health sector during the last phase. Description of Actual Services Provided: The team presented an appraisal of possible Danida support to the health sector during a third and final phase. The analyses and assessments were undertaken in the following areas: proposed support to policy development at central level and support to the preparation of provincial health sector strategies; coordination between curative and preventive interventions at provincial level; support to primary health care level, especially malaria and HIV/AIDS, including support to traditional health providers such as traditional birth attendants (APE); institutional set-up and management at provincial level; national HRD and training policies and practices; HR-situation in DPs Tete and proposals for practical solution; support to development of Capital Assets Management Capacity; Financial management and accountability, and flow of funds; support to decentralisation; programme administration in relation to TA-pool and short term vs. long-term advisors taking into consideration cost efficient and long term sustainability; budget support to Tete province for ongoing activities.
Year:	2001

Assignment:	Joint Annual Health Sector Review 2006: District Health Services Delivery
Client:	Danida
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, HIV-AIDS-STI-TB, Hospital Services, Identification and Formulation, Planning, Organisation and Management, Reproductive Health, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Appraisal of health service delivery with a special focus on: How the HRH crisis affects service delivery at district level and potential short term quick wins and possible long term remedies How the availability of drugs and medical supplies affect the quality of health care at district level The effects of HIV and AIDS on district health services including issues of sustainability Results from the recent Demographic Health Survey in terms of lessons, challenges and future direction Reproductive Health – how we can do better Review of earmarked funded activities HSPS Mainland and Zanzibar. Description of Actual Services Provided: Analysis of all background documents Discussion with stakeholders Field trips to Zanzibar, Mwanza and Kagera Participation in bilateral meetings between Danida and MoH&SW on Zanzibar and Mainland Participation in joint review meetings on Zanzibar and Mainland Main report with findings and recommendations.
Year:	2006

Assignment:	Preparation Danida Health Sector Programme Support Phase III
Client:	Danida
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Drug Supply Management System Strengthening, Health Expenditure Review, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Pharmaceutical Sector Review, Planning, Organisation and Management, Public Private Partnership Interventions, Rational Use Surveys, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Main objectives of Phase III: Development Objective: to improve the health and well being of all Tanzanians, with a focus on those at risk, and to encourage the health system to be more responsive to the needs of the people. Specific Objectives of Danish support: Improve comprehensive planning and delivery of quality health services – including the private sector at district level- with a focus on the major diseases including HIV/AIDS, the poor and vulnerable as well as on gender aspects. Improve the capacity of the private sector to contribute to systems development and participate in policy dialogue Improve drug supply and the rational use of drugs Improve hospital management on district and regional level Improve the information systems relevant to the health sector Description of Actual Services Provided: Study of background documents relying on existing documentation and with very limited primary data gathering; meetings with key officials from government and donor partners, field trips and workshops. A detailed report with attention to cross-cutting issues and priority themes., management and organisation, financial management and procurement, monitoring, reporting, reviews and evaluation, assessment of key assumptions and risks, component implementation plan, and recommendations.
Year:	2003

Assignment:	Identification of Danish Health Sector Programme Support Phase III
Client:	Danida
Country:	Uganda
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: To carry out an analysis of the macro and sector policy framework within which HSPS III is expected to be designed and also to analyze and document experiences from the sector including Danish support. Description of Actual Services Provided: An Identification Report containing the main findings conclusions and recommendations on the following: National and sector context Status of implementation of HSSP I, preliminary assessment of HSSP II, relevance and effectiveness of HSPS II and arguments as to why a Danish HSPS phase III is considered relevant and effective in contributing to poverty reduction the rationale for the various suggested components and a description of the opportunities and risks.
Year:	2004

Assignment:	Appraisal of Bhutan Social Sector Budget Support
Client:	Danida
Country:	Bhutan
Fields of expertise:	Appraisal, Costing Studies, Health Financing and Provider Payment, Health Sector Review or Health Sector Diagnosis
Description:	Narrative description of Project: The main objective is to provide quality assurance of the process of preparing the SSBS as well as the technical content of the proposed support. The appraisal will focus on the following key aspects: (i) the preparation process; (ii) the programme or component in the national and sectors context; (iii) the actual programme and components. Description of actual services provided: The appraisal team: assessed the quality of the preparation process against the present Guidelines and the international ownership, alignment and harmonisation agenda; assessed the analyses carried out and the proposed support against the present Guidelines and other relevant parts of the AMG and relevant technical criteria; assessed the quality of the proposed programme in terms of the international agenda on ownership, alignment and harmonisation; assessed whether the risks associated with the programme are acceptable and whether relevant mitigation action has been included in the draft programme document; assessed if recommendations provided by the Programme Committee have been taken into consideration.
Year:	2007

Assignment:	Health System Review of the Ghanaian health system and health services
Client:	Danida - Ministry of Health
Country:	Ghana
Fields of expertise:	Basic Health Services, Essential Drugs Programme Support, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:	Narrative Description of Project: Health system review of the Ghanaian health system and health services. Project identification at district, provincial and central level. Description of Actual Services Provided: Responsible for the Health System Review following the Logical Framework Approach. Problem identification and problem solving of the health sector. Project identification and appraisal in the fields of district health system, essential drugs and health manpower development.
Year:	1990

Assignment:	Health sector review
Client:	Danida - Ministry of Health
Country:	Niger
Fields of expertise:	Basic Health Services, Essential Drugs Programme Support, Health Sector Review or Health Sector Diagnosis, Training and Human Resource Development
Description:	Narrative Description of Project: Health sector review. Proposal for strengthening of health sector. Project identification in the area of district support, essential drugs supply, and basic training of health personnel.
Year:	1992

Assignment:	Joint MoH/Partners Annual Review of the Health Sector
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Annual evaluation the progress made in the sector reform process and in the decentralisation towards health districts and in the execution of the annual plan. Technical and policy evaluation. Description of Actual Services Provided: HERA was mostly responsible for the policy evaluation and has participated in the technical evaluation as co-responsible.
Year:	2001

Assignment:	Technical Review of the Health Service delivery at district level (Technical Review of the SWAp)
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: To review the health service delivery at district level with a focus on major overall achievements, weaknesses, challenges and opportunities and compare this with the results of the district health services review of 2003, as part of the annual SWAp review. To assist in preparing the Main Annual SWAp Review Report.
Year:	2004

Assignment:	Joint MoH and Cooperative Partners Health Appraisal, Zambia National Health Strategic Plan 2001-2005
Client:	Danida - Ministry of Health
Country:	Zambia
Fields of expertise:	Appraisal, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Medical Store Evaluation, Planning, Organisation and Management, Public Private Partnership, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:	Narrative Description of Project: Joint feasibility study by the international partners and the Ministry of Health of the five-year program of the Ministry of Health (2001-2005) within the framework of the Health Sector reform. Economic, financial, social, technical and institutional evaluation of the plan and the health sector itself. Evaluation of the proposed strategies in terms of efficiency, effectiveness, impact and sustainability to achieve the objectives of the health reform, the decentralisation process, etc. Proposal of mechanisms and structures to encourage the Sector-Wide Approach and to redynamise the partnership between the government and the partners. Proposal of amendments to the government's health plan to make it more realistic and efficient. Description of Actual Services Provided: Preparation of the mission (prospection mission before the start to consult all the clients) Organisation of the complete mission, the study and the report. Interlocutor between the consultants, clients and the Government of Zambia. Finalisation of all the products, recommendations, terms of reference, five-years plan, etc. Expertise in health economics, health system development, health sector reform and SWAp processes.
Year:	2000 - 2001

Assignment:	Technical Assistance for Development and Rehabilitation of Health Services in Zanzibar
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The overall objective of the technical assistance is to assist the Revolutionary Government of Zanzibar in establishing and analysing the essential information for policy and strategic decision making and in assessing the different emerging policy and technical options within key aspects of the health system of Zanzibar. Description of Actual Services Provided: Support to setting up SWAp process. Review of essential drugs needs. Technical advice in specific areas as per request by the MOH. Financing strategies for the health sector.
Year:	2003 - 2004

Assignment:	Joint Review of the Health Sector Development Programme (HSDP)
Client:	DGIS Netherlands
Country:	Ethiopia
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objectives of JRM3 are as followed: Assess the level of readiness/preparation by implementing bodies to implement HSDP II; Assess the progress/constraints component by component in the implementation of E.F.Y. 1994 Plan of HSDP I and the first 6 months of HSDP II; Review the situation of financial flow, utilization and management capacity of the period under review; Identify inputs to the Final Evaluation of HSDP I; Identify major implementation problems, gaps, best practices and lessons learnt, and propose/recommend measures that will help to improve the implementation of HSDP II and the preparation of HSDP III; Assess the effects of the newly introduced policy and reform measures such as woreda decentralization, SDPRP, HIV/AIDS, the emergency drought situation on HSDP activities. Description of Actual Services Provided: Guidance of the Joint Annual Review of the Health Sector Development Programme, together with a team of international and national consultants.
Year:	2003

Assignment:	Health Sector Reform Project (HSRP)
Client:	EC
Country:	Egypt
Fields of expertise:	Basic Health Services, Essential Drugs Programme Support, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The Ministry of Health has launched a Health Sector Reform Project (HSRP). This programme aims at organising the health services towards all families and being financed by health insurance (compulsory and complementary health insurance). A pilot model of health services is being tested in 5 Governorates, including both purchasers and provider organisations. Reform of the present health insurance scheme and the development of sustainable financing strategies are key elements of the reform. Description of Actual Services Provided: Regular monitoring of the reform process through bi-annual evaluations. Advise to the Minister of Health on the reform strategies and implementation.
Year:	2000 - 2006

Assignment:	Health Sector Review
Client:	EC - AIDCO
Country:	Palestine
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative Description of Project: The overall objective of the study is to improve health sector planning for better health outcomes. The specific objective is to support the Palestinian National Authority, especially the MOH and its partners involved in the provision of health services, to develop a clear overview and analysis of the health sector, and to propose a set of priorities and strategic orientations to be explored and developed according to foreseeable scenarios. It will be essential during this review to identify all local stakeholders and all local ‘support groups’ (local and international NGOs active in health, private sector support, etc.) in order to build as much as possible local partnerships and coordinated action towards best health outcomes. Description of Actual Services Provided: Areas that were addressed during the sectoral study: National Health & Development Profile; Health Policy and Legislative Framework; Health System Organisation and Management Structures; Health Planning and Management; Health System Infrastructure and Facilities; Health Services and Programmes; Support Services; Intersectoral Linkages; Community Participation in Health; Human Resources for Health; Health Sector Resources and Financing; External Support for the Sector.
Year:	2003 - 2004

Assignment:	Health Sector Support Programme
Client:	EC - AIDCO
Country:	Palestine
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Long Term Technical Assistance, Planning, Organisation and Management
Description:	Narrative Description of Project: The project aims to achieve the following results: Improved MOH planning and priority setting based on objectively verifiable criteria. Annual action plans developed based on the National Strategic Health Plan with detailed budgets based on comprehensive analysis of the cost associated with the proposed activities. A transparent MoH budget that in its implementation reflects the stated health policy priorities. Development and implementation of pilot action plans for innovative responses to priority public health problems, using the full potential of primary, secondary and tertiary care and prevention. Improved ability, both administratively and clinically, by the MoH to develop and implement cost-effective alternatives to high-cost Treatment Abroad referrals. Development of strategies to react more effectively to changing situations. Enhanced coordination of partners by MOH. Enhanced enabling role of MOH to strengthen entire health sector. The project consists of various capacity building measures (technical assistance, operational research, study visits, scholarships, exchange of experiences, visiting teams etc.) and of pilot activities for priority health problems. Description of Actual Services Provided: Develop a Project Action Plan and first annual work plan Establish financial procedures for the project Develop TORs for implementation period and develop tender documents Review the output of the working groups and compose an action plan, completed with logical framework and first year annual plan. Finalise management and institutional arrangements as a basis for the Memorandum of understanding between PNA-MoH and the EC.
Year:	2004 - 2005

Assignment:	Pre-feasibility and Feasibility Study of the "Health Sector and Demography Support"
Client:	EC - AIDCO
Country:	Yemen
Fields of expertise:	Appraisal, Basic Health Services, Health Expenditure Review, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, National Medicines Policy Development, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: Both studies will provide the decision-makers in the Government of Yemen and the European Commission with a proposal for the future design of the project “Health Sector and Demography Support”. The proposed project design will take into account the recommendations of the pre-feasibility study carried out on 2002 as well as the key issues of the ongoing discussions between the Ministry of Public health and Population and the EC services since then. Description of Actual Services Provided: Health sector review : analysis of Yemen’s health sector reform plan and implementation; performance of the health sector; analysis of public and private health expenditure; management and implementation capacity of existing providers; human resources development policy; essential drugs policy and supply; demography and reproductive health; Stages of sectoral review using the logframe methodology Recommendations about the strategic choices to be made; Participatory strategy analysis and planning workshops at the Governorate level using the logframe methodology according to EC standards; Establish links with possible EC support to National Population Council. Study reproductive health issues and gender roles and interests relating to these services. A precise proposal on the organisation of the project and the technical inputs necessary to achieve the objectives of the project. Presentation of the proposed project to the central level and to the major stakeholders Draft Financing Proposal and TAPS; Analysis of constraints to efficient service delivery and propose solutions; Human resource management and performance.
Year:	2002 - 2003

Assignment:	Feasibility Study of the "Health Sector and Demography Support"
Client:	EC - AIDCO
Country:	Yemen
Fields of expertise:	Appraisal, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: The feasibility study will provide the decision-makers in the Government of Yemen and the European Commission with a proposal for the future design of the project “Health Sector and Demography Support”. The proposed project design will take into account the recommendations of the pre-feasibility study carried out on 2002 as well as the key issues of the ongoing discussions between the Ministry of Public health and Population and the EC services since then. Description of Actual Services Provided: Participatory planning workshop at the Governorate level using the logframe methodology according to EC standards. Consider links with a programme component of possible EC support to National Population Council. Study reproductive health issues and gender roles and interests relating to these services. All components of the logframe should be well described and possible alternatives, if necessary, are to be laid down. Particular attention should be paid to the conditionalities or decisions to be taken by both parties before the start of the project. A timetable for any decisions to be taken or derogations to be obtained will be included in the report of the consultants. A precise proposal on the organisation of the project and the technical inputs necessary to achieve the objectives of the project. Presentation of the proposed project to the central level and to the major stakeholders Draft a Financing Proposal
Year:	2003

Assignment:	Health expenditure review in context of Health Sector Review
Client:	EC - DRN
Country:	Nigeria
Fields of expertise:	Health Expenditure Review, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: The study provides the decision-makers in the Nigerian Government and the European Commission with the best information to support choices regarding the focal sectors of the future EC development cooperation with Nigeria. The study includes sectors such as: agriculture & fisheries, infrastructure, health, education, tourism, private sector, etc. As it also includes themes as good governance, trade, poverty alleviation, gender and environment, and offer suggestions about how to take them into account. The study considers how development assistance may help Nigeria address its various challenges in the context of Nigeria’s overall financial and economic constraints, and analyse the likely role of development assistance within and besides overall public finances. Description of Actual Services Provided: Our expert was responsible for the health sector and contributed to the main analysis as follows: an analysis and the identification of the areas for possible future European Commission support, with a view to contributing to the choice of focal sectors to be funded by the EC; defining the criteria by which choices regarding the focal sectors can be made; suggestions for possible choices of focal sectors, information on non-focal sectors; an analysis of the uncompleted past projects closed after the imposition of the sanctions in 1995 ; an analysis of the macro-economic size and proportions of Nigerian economy; information on the relative impact of “good-governance” and “productive” projects; an analysis of public spending; an analysis of the impact of the proposed approach according to gender; a review of the distribution of previous EC projects by region and comparison of this with indicators of population location and poverty distribution; a compilation of inputs obtained from the civil society on the priorities for development; copies of all existing documentation prepared by the various Ministries, agencies and other donors; the terms of reference for any further studies that are deemed necessary.
Year:	2001

Assignment:	Identification mission of the 9th EFD Health in Benin
Client:	EC - Ecorys
Country:	Benin
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:	Narrative Description of Project: Support the Delegation in the dialogue with the authorities, the beneficiaries and the principal partners in order to define the interventions that could be retained in the framework of the 9th EFD. These interventions must aim mainly the set up of and support to the priority reforms in the health sector. Provide the necessary elements for the Project Identification Form (PIF); Detailed formulation of the support that will be provided, prepare the project and write a draft financial proposal in line with the standards of the European Commission. Description of Actual Services Provided: Discussion of the evaluation documents and sector analysis, the challenges and the concepts of reform with the national authorities. Start up a dialogue with the Ministry of Health and other ministries concerned, the beneficiaries and the health partners, defining the necessary support to the priority health sector reforms. Presentation of the conclusions of the mission to the Delegation of the EC, to the technical and financial partners, the representatives of the beneficiaries, the representatives of the Ministry of Health and the National Coordinating Authority. Formulation of a project document and a short mission report. Formulation of the Project Identification Form in collaboration with the Delegation. Formulation of a draft financial proposal in agreement and collaboration with the Delegation of the EC.
Year:	2006 - 2007

Assignment:	Support to the Health Sector Reform
Client:	EC - German Education and Training
Country:	Yemen
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:	Narrative Description of Project: The project’s overall purpose was to support the Ministry of Public Health and Population in the design and the implementation of the health sector reform program. Description of Actual Services Provided: Reflection of the project’s achievements to date and recommendations for the formulation of the work plan for the Project Support Stage (second phase) Study of the project planning, policy environment, project management and implementation structure. Assessment of the implementation status, identification of plausible pathways of implementation, training programs and information flows. Study of efficiency and effectiveness Study of sustainability. Recommendations for implementation of the PPS and coordination with HSDS (Health Sector and Demographic Support)
Year:	2004

Assignment:	Monitoring and Mid-term Review of Health Sector Modernisation Programme
Client:	EC - lot 8
Country:	Syria
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: The objective is to provide decision-makers in the government of Syria and European Commission with sufficient information to make an informed judgement about the performance of HSMP (its efficiency and effectiveness), and decisions about any required changes to project scope (such as objectives, duration, financing, management arrangements, etc). Description of Actual Services Provided: The monitoring team carries out 2 yearly missions to the project. A separate evaluation team carries out a Mid-Term Review and a follow-up workshop in between the monitoring missions. Both teams advise on the state of implementation and on the further conduct of the project throughout the implementation of the HSMPT (2006-2007). Assess and comment HSMP reports of MoH and the TA team; Assess and comment policy initiatives of MoH or of GoS that are relevant to the health sector (e.g. civil service reform, budgetary changes, changes in management of public finance or public procurement, privatisation policies and redefinitions of the role of the state etc.); Assess and comment economic, societal, political, epidemiological and other changes of framework conditions that are relevant to the health sector; Assess and comment donor coordination by the MoH; Assess and comment activities of other donors in the health sector; Conduct on site visits and stakeholder interviews with the actors of the project, with international partners, and local health sector organisations and local health sector experts (including health care users); Participate in project workshops in Syria (and possibly in the MEDA region) upon request of the EC Delegation (currently not more than two such workshops anticipated); Carry out these and other tasks necessary for the fulfilment of the specific terms of reference prepared for individual missions; Organise debriefings with the MoH, with the TA team and with the EC Delegation in Damascus, and with EC headquarters in Brussels; Analysis and recommendations are to be made with respect to the main stakeholders of the HSMP, particularly the MoH, the TA team and the EC Delegation.
Year:	2006 - 2007

Assignment:	Round Table Preparation
Client:	EC/EDF
Country:	Benin
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:	Narrative Description of Project: Preparation of the health sector round table. Diagnosis of the health sector, consensus development and planning of health sector reforms at national level. Adapting the previous health system of the marxist-leninist period to the new political and economical context. Description of Actual Services Provided: Responsible for assisting the Ministry of Health in reviewing all aspects of the health system (Logical Framework Approach). Assisting the Ministry of Health in selecting priority areas for reform. Developing reform proposals with the Ministry of Health. Translating reforms in strategic and operational plans. Developing a 5-year development plan. Formulation of the interventions by EC.
Year:	1993 - 1994

Assignment:	Health Sector Review
Client:	EC/EDF
Country:	Burundi
Fields of expertise:	Appraisal, Basic Health Services, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation
Description:	Narrative Description of Project: Health sector review at national and provincial level in Burundi. Study made within the framework of the Lomé IV agreements. Project identification, preparation and appraisal at central, provincial and district level. Elaboration of the financing proposal. Description of Actual Services Provided: Responsible for the execution of the Health Sector Review following the Logical Framework Approach. Problem identification and problem solving. Identification of possible intervention financed through European Development Funds. Development and appraisal of proposals retained by the European Union (EU) and the Government of Burundi. Preparation of EU financing proposal and tender documents.
Year:	1992

Assignment:	Health Sector Review
Client:	EC/EDF
Country:	Dominican Republic
Fields of expertise:	Appraisal, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:	Narrative Description of Project: Health sector review and project identification at provincial and national level. Description of Actual Services Provided: Responsible for the health sector review following the Logical Framework Approach. Problem identification and problem solving. Agreed with the Government and the European Commission on the type of intervention to be supported. Responsible for project preparation and appraisal. Drafted the European Union financial proposal.
Year:	1992 - 1993

Assignment:	Mid-term Review of the Health Sector Support Programme I & II
Client:	EC/EDF - Ministry of Health
Country:	Zimbabwe
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The European Commission (EC), through the 8th European Development Fund (EDF), is financing two Health Sector Support Programmes (HSSP-I and HSSP-II) in the Ministry of Health & Child Welfare (MOHCW) of Zimbabwe. The two programmes are based on the needs expressed in the 1997-2007 Zimbabwean National Health Strategy, which includes an agenda for health reforms in Zimbabwe. HSSP-I started in August 2000 with a budget of €24.5m, with the objective to “promote social justice through improved quality of life amongst the most vulnerable by developing a sustainable and efficient health system”. In February 2002, EU measures against Zimbabwe necessitated a re-programming of the project, which was completed in March 2003. HSSP-I is expected to run until September 2006. HSSP-II started in November 2001 with a budget of €33m, with the objective to “reduce the incidence and alleviate the impact of HIV/AIDS and other priority diseases in Zimbabwe”. HSSP-II is programmed to end 30 November 2004. It was not affected by the EU measures. Description of Actual Services Provided: Review of both HSSP Programmes in terms of relevance, efficiency, effectiveness, impact and sustainability. Workshop
Year:	2003

Assignment:	Feasibility Study of HSSP III
Client:	EC/EDF - Ministry of Health
Country:	Zimbabwe
Fields of expertise:	Appraisal, Basic Health Services, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Hospital Services, Planning, Organisation and Management, Procurement and Tender Support, Training and Human Resource Development
Description:	Narrative Description of Project: Feasibility study for designing a new health support programme to be financed by the EC taking into account the present country and political context Description of Actual Services Provided: Support programme 'Vital health services' designed and costed; with the following components: Vital medicines Selected vital medicines available for district health services ARVs for 3000 patients available in selected peripheral health services Safe blood transfusions Selected essential safe blood supplies available at NBTS Human resources for health 1 Primary care nurses training supported Pharmacy Technicians training supported District health staff training in drug management initiated and supported Critical posts filled Selected critical posts in peripheral health services filled Financing proposal developed.
Year:	2004

Assignment:	Health Sector Reform
Client:	EC/TACIS
Country:	Moldova
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: Health Sector Reform Study. Detailed Description of Actual Services provided: Responsible for the economic and financial aspects of the health sector review study. Presentation of recent Health Sector Reforms of Belgium on an international workshop. Assist the Ministry of Health in proposal for reform of the health sector. Organising visits of Moldavian health officials to visit the health system in Belgium.
Year:	1995 - 1996

Assignment:	Feasibility Study for the interventions 9th EDF in the Health Sector
Client:	European Commission
Country:	Congo RDC
Fields of expertise:	Appraisal, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Monitoring and Evaluation
Description:	Narrative Description of Project: Define a support program for the health sector (9the EDF) and finalize the definition of interventions in the framework of the 8th EDF, interventions which must reinforce the other health actions of the EC. Description of Actual Services Provided: Formulation report Project of Proposal of Finance to be signed by EC and the DR of Congo (accompanied by a technical and financial operational file Guidelines for the request of proposals for projects of the NGO’s Terms of reference for the Coordinating Cel of the Program
Year:	2004 - 2005

Assignment:	Re-appraisal of the EC Sierra Leone Health Sector Support Programma
Client:	European Commission
Country:	Sierra Leone
Fields of expertise:	Appraisal, Basic Health Services, Health Sector Review or Health Sector Diagnosis, Hospital Services
Description:	Narrative Description of Project: Re-appraisal of the EC Sierra Leone Health Sector Support Programma.
Year:	1998

Assignment:	Health Sector Review in Selected States
Client:	European Commission
Country:	Nigeria
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Planning, Organisation and Management
Description:	Narrative Description of Project: Health sector review. Planning of Health Sector Reforms during present economic constraints. Providing Health System Fund for project purposes. Description of Actual Services Provided: Responsible for a detailed health sector review in three different states of Nigeria. Consensus development with the key actors (public, private and NGO) on which priorities in the health sector need early attention. Responsible for developing a methodology how different key actors can set priorities, test different solutions and agree on priority reforms. Responsible for organising national workshop on health structure reform. Responsible for the financing proposal for phase I and II of the European Union support to Nigeria.
Year:	1994 - 1996

Assignment:	Formulation mission Health Sector Policy Support Programme
Client:	European Commission
Country:	The Philippines
Fields of expertise:	Basic Health Services, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Monitoring and Evaluation
Description:	Narrative Description of Project: The objective of the mission was to determine the priority HSRA (Health Sector Reform Agenda) implementation actions to be supported by the EC and the resulting institutional and implementation arrangements, to propose the related conditionalities, benchmarks and performance indicators and tot determine the consequent technical assistance and funding requirements at the various levels of intervention. The works built on the identification work undertaken so far by the EC, the recommendations from the Public Finance Mission, project preparatory studies undertaken by other donors and complementary investigation as required. Focus was on rationalising the allocation and the use of resources for health in adopting a sector-wide approach, explicitly acknowledging the EC support programme. Description of Actual Services Provided: Design of the EC support in such a way that there is no overlap with activities financed by other donors (in particular ADB, World Bank, GTZ, KfW and JICA) and with maximum of complementarity. The 3-year EC support entails 3 components: Support to DOH for : sustaining the implementation of the HSRA improving the policy dialogue between DOH and the donor community institutional strengthening of DOH and oversight agencies Support to the Philippines Health Insurance Corporation (Philhealth) Support to 4-5 provinces for HSRA implementation, aiming at improving the availability and accessibility for the population to good quality essential health services Results: An outline of the EC support programme and an agreed formulation report including a draft Financing Proposal with all necessary annexes.
Year:	2005

Assignment:	Formulation mission Health Sectory Policy Support Programme
Client:	European Commission
Country:	The Philippines
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: In November 2003, the Department of Health in the Philippines has invited the EC to become its initial partner in negotiating the crossroad towards more responsive and responsible health governance by utilising the sectoral approach (as defined in the Guidelines for European Commission Support to Sector Programmes ¬February 2003) in designing its support to the implementation of the Health Sector Reform Agenda (HSRA). After three years of experience in implementing the HSRA, the DOH realised that to achieve consistency and coherence in the national health policies, guidelines and procedures, as well as in the budgeting and spending for health programs and projects, the strategy of implementation of the HSRA needs to be changed: Rationalising the allocation and the use of resources for health in adopting a sector-wide approach, explicitly acknowledging the EC support programme. Description of Actual Services Provided: Determine the priority HSRA implementation actions to be supported by the EC and the resulting institutional and implementation arrangements. Propose the related conditionalities, benchmarks and performance indicators. Determine the consequent technical assistance and funding requirements at the various levels of intervention.
Year:	2005

Assignment:	Support to the Health Planning and Reform
Client:	European Commission
Country:	St. Lucia
Fields of expertise:	Health Expenditure Review, Health Financing and Provider Payment, Health Insurance, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Planning, Organisation and Management
Description:	Narrative Description of Project: The overall objective of this consultancy is to give support to the elaboration of the five-year National Health Strategic Plan (2006-2011). This plan needs to be developed within a clearly defined strategic framework for health sector reform and in consultation with all relevant stakeholders and in close partnership with the Corporate Planning Unit of the Ministry of Health, Human Services, Family Affairs and Gender Relations. Capacity in the Corporate Planning Unit (and where possible beyond) for strategic planning and programme development and management will also be strengthened. Description of Actual Services Provided: The team has produced the following outputs/reports: National Health Strategic Plan 2006-2011: The Plan deals with 1) the health vision and health sector organisation, 2) St. Lucia’s health profile and priorities, 3) Regional health services, 4) Hospital services, 5) Health sector financing, 6) Human resources for health and 7) Health sector information needs (M&E) of the Ministry of Health. Report of the socio-economic impact assessment of the Universal Health Coverage scheme: An economic and social analysis of the UHC Financing Proposal was made and its feasibility for implementation was assessed. Report of the Institutional Review: The institutional review was conducted through the preparation, and discussion of, a series of discussion papers that sought to clarify a number of the institutional issues surrounding the health sector reforms. A framework for an Operational Manual: Guidelines and procedures were reviewed and an operational manual of procedures was developed for the Planning Unit. Report of the HMIS review: After a review of the current health management information systems, advice was provided on how the needs for information at each level of the health system might be improved. Report of the Human Resources development and Sector Training Plan: This deliverable has been based on the planning processes for the four separate areas: the Priority Health Areas, the Regional Health Teams, the Hospitals and the Central Support Services.
Year:	2005

Assignment:	Health Sector Review and Assitance to the MoH in the Health Sector Reform Process
Client:	European Commission
Country:	St. Lucia
Fields of expertise:	Appraisal, Health Sector Reform, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: The overall objective of the study is “to result in advice and recommendations to the Government of St Lucia on a range of critical issues bearing on the structure and functioning of the health care system, and the changes necessary to achieve greater effectiveness in service delivery and more efficient use of resources” while “to be justified in terms of their expected impact on the efficiency and equity of health services delivery”. Within the limits of the identified critical issues the study resulted in the identification of potential opportunities for strengthening the health and health-related sector in Saint Lucia, through the provision of appropriate and well targeted external assistance. Description of Actual Services Provided: The team assisted the Ministry of Health in developing proposals for reform that respond to locally set priorities and policy choices and which are feasible with the use of local technical resources, by executing a sector study: identifying policy and strategic options for reform or strengthening and future EU support to the health sector; an appraisal study whereby support proposals and interventions and their financing plans were further developed and appraised.
Year:	1998 - 2000

Assignment:	Study to assist Programming for 8th EDF assistance to the Health Sector
Client:	European Commission
Country:	Zimbabwe
Fields of expertise:	Appraisal, Basic Health Services, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation
Description:	Narrative Description of Project: Study to assist Programming for 8th EDF assistance to the Health Sector in Zimbabwe.
Year:	1997 - 1998

Assignment:	Study on the costing and financing of the health system in Burundi
Client:	European Commission
Country:	Burundi
Fields of expertise:	Cost-effectiveness Studies, Costing Studies, Health Financing and Provider Payment, Health Sector Review or Health Sector Diagnosis
Description:	Narrative description of Project: The general objective of this mission is to conduct a costing study on the priority intervention packages and on health system financing of Burundi which should lead to a reform of the financing methods of the health system in the country. Specific objectives: To analyse the cost of the services of the MAP (Minimum Activities Package of the health centres) and of the CAP (Complementary Activities Package of the hospitals) determining the most cost-effective priority interventions package. To conduct studies regarding the “capacity to pay” and the “will to pay” of households, including a system of price setting of the services towards the users, taking into account the imperatives of entering into a contract on the basis of performance. To formulate useful recommendations for the elaboration of a sectoral health policy within the framework of the national poverty reduction strategy and the achievement of the Millennium Development Goals by providing the policy-makers with the necessary analysing methods. To participate in the redaction of the Medium Term Expenditure Framework (MTEF) Description of actual services provided by your staff within the assignment: A start-up mission took place immediately after signing the contract. A costing study /MBB (Marginal Budgeting for Bottlenecks)/MTEF mission has been carried out, completed by a seminar to present the findings The planned survey on the capacity and the will to pay was transformed into a demographic and health survey with a “will to pay” component added to it.
Year:	2008 - 2009

Assignment:	Formulation of the 10th EDF Health and HIV/AIDS Programme
Client:	European Commission
Country:	Mozambique
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, HIV-AIDS-STI-TB, Identification and Formulation, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative description of Project: The European commission has been active in the health sector in Mozambique for many years. The modality of EC support has gradually changed from project support towards sector wide support. EC support aims at strengthening health systems through systems reform and related capacity building as well as through direct financial support. In order to identify appropriate EC support under the EDF-10 to strengthen institutional capacity in the health sector, a needs assessment for capacity building and a mapping of these needs was undertaken. The objective of this consultancy was to provide advice on the outline of the next EC health and HIV/AIDS Sector Policy Support Programme in Mozambique (2009-2011), specifically in relation to the needs for capacity development for the National AIDS Council and for the Ministry of Health. Options for financial support to CNCS and sector budget support under the PROSAUDE II financing modality were explored. Description of actual services provided by your staff within the assignment: The following activities were performed in order to achieve the mission objectives: The team met with key officials from MOH, CNCS, to identify perceived needs for support, to make a situation analysis of ‘systems development’ within MOH and CNCS, and to map available technical assistance and needs for institutional capacity building. A desk study of relevant documentation on the development of the health sector, including the development of SWAP was undertaken; The team assessed the extent to which EC eligibility criteria for further support were met. It was suggested to include five areas of support in the EC support plan (SPSP): Proactive participation of the delegation in the MoH led sector wide approach; Financial support through the sectoral ‘Proasaude’ on-budget common management arrangement; Development of appropriate, innovative and effective approaches of institutional capacity building, including twinning arrangements with relevant public health institutions; Technical assistance to support institutional development at all levels in the health sector. Technical support to the CNCS to support an effective national response to the HIV/AIDS epidemic. The team proposed to provide this support through three modalities: Financial support to Prosaude, according to national management procedures; Delegated support to CNCS, by involving a EU Member State; Specific EC procedures for providing TA.
Year:	2008

Assignment:	Evaluation of Health Sector Programmes in Timor-Leste
Client:	European Commission
Country:	East Timor
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: The evaluation study consisted of a combined evaluation for 1) a comprehensive, and independent final review and analysis of the performances of The Second Health Sector Rehabilitation and Development Project (HSRDP II) against the Contribution Agreement with World Bank, and 2) a comprehensive, and independent mid-term review and analysis of the performances of the Support to the Implementation of the Health Sector Investment Programme (SIHSIP) against the Financing Agreement of the Contribution Agreement with World Bank, and Service Contract with BMB Mott McDonald. The main objective of this evaluation was to provide an independent assessment on the performance of the programmes, key lessons and practical recommendations for follow-up and to convey an opinion on the relevance of the programme and the feasibility of sector support for the future. Description of actual services provided by your staff within the assignment: For both evaluations the team used conventional components of document review, interviews with key stakeholders, and a workshop for presenting the findings and recommendations as well as gathering feedback. Key stakeholders were identified and a provisional work plan was made. The interviews were semi-structured with questions along the lines of the specific objectives. The specific objectives for Final Evaluation of HSRDP II were achieved as described below: A comprehensive assessment of the achievements of the programme was performed; The lessons learned were analysed; The relevance and efficiency of the programme management and implementation was evaluated; The effectiveness of planning and management support, monitoring and supervision, communication, coordination, etc were examined; The stakeholders’ participation was evaluated The likelihood for positive outcomes to continue after completion period was assessed. For the Mid-term Evaluation of the SIHSIP, the specific objective were addressed as follows: The extent to which the SIHSIP is contributing to development in the health sector was reviewed; The consistency and links between the two components was assessed; The team examined how lessons and experiences can be used by national partners; The quality of the technical assistance was assessed; Problems were identified and possible recommendations suggested; The possibility of a no-cost extension for each component and the programme as a whole was reviewed.
Year:	2008

Assignment:	Technical Assistance to the Ministry of Health and Child Welfare
Client:	European Commission - Ministry of Health and Child Welfare
Country:	Zimbabwe
Fields of expertise:	Basic Health Services, Costing Studies, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Hospital Services, Long Term Technical Assistance, Monitoring and Evaluation, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative description of Project: The Finance Advisor ensured that there are well functioning hospital financial systems, which guarantee management of reliable information to make decisions. The Public Health Advisor supported the health system at provincial and district level, making use of the provided resources and monitored the health sector performance from the perspective of district service delivery. Description of actual services provided: Outputs of the Finance Advisor: Costing systems in place for 5 hospitals. Training sessions for hospital, district and provincial managers. Improved used of provided resources. Documented best practices in costing, procurement and budgeting for the Ministry. Framework for National Health Accounts. Outputs of the Public Health Advisor : Strengthening of district management (measured by assessment reports for 16 more districts) Annual plan for 8 pilot districts. Provincial supervision of districts strengthened both in frequency and quality. Supervision calendar and reports from provinces and (pilot) districts teams. District and Provincial monitoring of health sector performance strengthened. Measured by the production of updated benchmark reports and profiles, for 16 districts.
Year:	2005 - 2006

Assignment:	Evaluation of the EC's Support to the Republic of India
Client:	European Commission - Particip
Country:	India
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation
Description:	Narrative Description of Project: The primary objectives of this evaluation are the following: To evaluate the overall European Commission’s cooperation with the Republic of India during the period 1991 to 2006 with regard to its relevance, coherence, complementarity and consistency between programming and implementation in order to provide an overall independent and accountable assessment of the external cooperation services of the EC in India; To evaluate the implementation of the Commission’s support and in particular its effectiveness and efficiency for the period from 1991 – 2004; To identify the achievements of impacts for the period covered by the current country strategy, which is 2002 – 2006; To identify lessons from the Commission’s past interventions in India, which will help policy-makers and programme managers during implementation of the current Country Strategy and Indicative Programme and which will give guidance for future strategy and programme formulation. Description of Actual Services Provided: Inception report containing: reconstruction of the intervention logic, selection of evaluation questions (taking into account relevance, impact, effectiveness, efficiency and sustainability) and preparation of explanatory comments for each, overall assessment of EC Co-operation program and strategies with India, identification of judgment criteria and preliminary indicators Field visit and debriefing with the delegation Presentation of preliminary findings to the reference group Final report
Year:	2005 - 2006

Assignment:	Economic health care due diligence for selected projects
Client:	European Investment Bank
Country:	Romania
Fields of expertise:	Appraisal, Health Sector Review or Health Sector Diagnosis, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Health Sector Rehabilitation Project: providing health, economics and technical inputs to the appraisal of the project. Description of Actual Services Provided: Review of project papers (particularly World Bank strategy and appraisal papers), identification of issues and preparation for mission with World Bank, with particular attention to identifying suitable physical projects against which EIB might disburse. Attention at and contribution to mission of 20-22 October. Preparation of draft and final project appraisal report.
Year:	2004

Assignment:	Blueprint for a Flemish Cost-effective Cancer Registry Network
Client:	Flemish Government - Ministry of Health
Country:	Belgium
Fields of expertise:	Cost-effectiveness Studies, Costing Studies, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Monitoring and Evaluation
Description:	Narrative Description of Project: Blueprint for a Flemish Cost-effective Cancer Registry Network. Analysis of performance of existing Cancer registration in Flanders and of two pilot projects. Based on study findings propose scenarios for developing a well performing Cancer registration sysytemm in Flanders. Assess cost-effectiveness of different scenarios. The study contributed to the development of a new cancer regsitration system and institution in Belgium.
Year:	2000 - 2001

Assignment:	Review of the Health Financing and Provider Payment System
Client:	Health Project Implementation Unit (HPIU)
Country:	Armenia
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: The Government of Armenia has embarked on a Health Systems Optimization Project which has as main objective more accessible, efficient and sustainable health care services to the population, especially the most vulnerable groups. The components of the project are the scaling up of the implementation of the primary health care strategy, the optimization (or rationalization) of the hospital sector and the improvement of its governance, and to improve the prevention and management of public health threats. The review of the health sector financing and provider payment systems is one component of the project preparation. The main objective is to help the Ministry of Health developing a medium term strategy to strengthen the health financing system (for achieving financial sustainability and more equitable access to essential health services). Description of Actual Services Provided: The review concentrated on the following components: Review of the current allocation and utilization of funds in terms of cost-effectiveness, consistency, affordability and ability to provide vulnerable groups with access to essential clinical services; Review of the current system of provider payment mechanisms in view of identifying system strengths and weaknesses and recommending short and medium term measures to strengthen the system; Assess the State Health Agency procedures (financer and contractor of health providers) and staff capacity; Advise on the Health Finance Regulatory Environment; Assessment of the Governance Structure of the State Health Agency; Assess the provider capacity to manage and implement contracts; Recommendations for Medium Term Health Finance Development Strategy.
Year:	2003 - 2004

Assignment:	Health Sector Review
Client:	ICU/WHO
Country:	Ethiopia
Fields of expertise:	Health Financing and Provider Payment, Health Sector Reform, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: Review of the national health sector. Financing proposal for strategies and components of the health sector within the Structural Adjustment Programme. Description of Actual Services Provided: Responsible for assisting the Ministry of Health in priority setting of health sector strategies and financing within the limits imposed by the Structural Adjustment Plan.
Year:	1992 - 1993

Assignment:	Assistance to the Ministry of Planning in developing a 5 year National Development Plan (Health Sector Aspects)
Client:	John Macrae Consultants
Country:	Benin
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Planning, Organisation and Management
Description:	Narrative Description of Project: Assistance to the Ministry of Planning in developing a 5 year National Development Plan: Health Sector Aspects. Description of Actual Services Provided: Responsible for a historical review of the health sector trends in Benin. Responsible for integrating and translating a 5 year health sector plan in the National Development Plan.
Year:	1995 - 1996

Assignment:	Technical Review 2004 of the National Tuberculosis and Leprosy Programme
Client:	Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Drug Supply Management System Strengthening, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, HIV-AIDS-STI-TB, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The purpose of the evaluation is to assess achievements and gaps in implementing the second NTLP strategic plan and suggest ways to improve for future planning. Description of Actual Services Provided: Assess progress made by NTLP in the period July 2001 and against the recommendations of the NTLP evaluation conducted in June 2000; Assess progress made in improving TB case detection and treatment outcome in relation to global DOTS targets and suggest ways to improve access to TB diagnosis and treatment; Assess progress made in leprosy elimination in relation to WHO global target of eliminating leprosy elimination as a public health problem by 2005 and advise on ways how to maintain high case-detection, quality care (PoD) and good case-holding for leprosy patients; Assess performance in drug management by NTLP and MSD; including the entire cycle of quantification, tender preparation etc until distribution to the user points and advise on ways how to improve it; Assess proposed joint TB/HIV interventions at district level in relation to WHO guidelines and suggest ways to improve this; Assess management performance within NTLP in general and TLCU in particular and advise on ways for strengthening this in terms of team spirit, effectiveness and efficiency, with particular reference to further integration into health reforms, partnership building in TB/HIV, and possibilities of outsourcing of specific areas of work; Assess the effectiveness of the governance and financial management mechanisms of the NTLP Joint Account in supporting and facilitating the implementation of programme activities in line with the ongoing Health Sector Reforms and SWAp; Identify causes and constraints, which have resulted and contributed to success or failure in achieving the targets and objectives set in the 2nd Medium Term Strategic Plan (2001-2004); Assess and advise on future technical assistance (TA) to NTLP for capacity building in development areas and in overcoming new operational challenges in the achievement of its goals, objectives and ambitions; Present recommendations in a form of a report on all above subjects aimed at mainstreaming NTLP operations to ensure programme performance, effectiveness and sustainability.
Year:	2004

Assignment:	Diagnosis of the Sector: Formulation and Feasibility study of the sectoral support programmes of EC (EDF) and Danida
Client:	Ministry of Health
Country:	Zimbabwe
Fields of expertise:	Appraisal, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Organisation of seminars and brainstorming sessions to support the Ministry of Health in developing strategies of sector reform and the five-year plan. Formulation of support programmes for the health sector reform (SWAp) for the EC and Danida. Description of Actual Services Provided: Mission to Zimbabwe for the review of the health sector system. Organisation of a brainstorming session to present and discuss the analysis results and to make a choice between the future options. Development of a proposal of sector support (within the framework of SWAp) for the EC and Danida. Financial proposal for the two donors.
Year:	1997 - 1998

Assignment:	External Evaluation of the Health and Social Development Programme (PRODESS)
Client:	Ministry of Health
Country:	Mali
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objective of this mid-term evaluation is to examine the implementation of the programme since the start and to formulate advice for the ongoing phase and prepare the second five-year phase of PRODESS (2003-2007). Description of Actual Services Provided: Analysis of determining factors: Conception and implementation Management procedures Financial aspects Poverty reduction Internal partnership External partnership Part 1: extension of the coverage and quality improvement of the health services Part 2: strategy against social exclusion Part 3: development of alternative forms and modalities of health financing Part 4: development of human resources.
Year:	2002

Assignment:	Short term technical assistance for the draftin of TORs in the areas of Health planning and Health financing
Client:	Ministry of Health
Country:	Montenegro
Fields of expertise:	Appraisal, Health Financing and Provider Payment, Health Sector Reform, Health Sector Review or Health Sector Diagnosis
Description:	Narrative description of Project: The objective is to formulate the first phase towards a reform of the health system with priority to increasing capacity for policy, planning and regulation; stabilizing health financing and improving primary health care service delivery. Specifically, the Project supports (i) improvements in financial sustainability of the health care system; (ii) reforms to improve quality, efficiency and access to primary health care and financing of primary care; (iii) a project management network (PMN) of the MoH and a central Technical Services Unit (TSU). Description of actual services provided: The consultant assisted the MoH and other stakeholders in the drafting of a series of terms of references for technical assistance in the area of health services planning and health finance including: TORs for consultancies/TA for the reconfiguration of the network of health institutions; TORs for the redefinition of the basic benefit package to be provided at the secondary and tertiary levels; TORs for a perform of the provider payment mechanism for providers at the secondary and tertiary level of the health care system. He organised and conducted a one day seminar building up the capacity to prepare the TORS.
Year:	2006

Assignment:	Independent Multi-Disciplinary Review of the National Aids Commission (NAC)
Client:	National Aids Commission
Country:	Malawi
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, HIV-AIDS-STI-TB, Long Term Technical Assistance, Monitoring and Evaluation
Description:	Narrative Description of Project: The objectives of the project are To provide NAC management and staff with an independent assessment of progress in implementing the SMP annual work plan at six-monthly intervals To provide NAC management and staff with qualitative feedback on selected themes critical to achieving program objectives, including lessons from international experience To identify successful approaches that merit expansion and scaling up as well as areas needing particular attention To enrich the interim and annual review process and provide information useful for adjusting the annual work plan, with the goal of enhancing implementation effectiveness Description of Actual Services Provided: The Multi-disciplinary Review Team reviews progress by NAC and its implementing partners in carrying out the agreed Annual Work Plan (AWP), comparing actual progress observed against targets in the AWP. In addition, the team focuses on selected topics of particular interest to NAC, its partners, and local stakeholders. These selected topics may change from review period to review period. The interim review conducted at mid-year will focus on implementation during the first six months of the FY, while the review conducted following the completion of the fiscal year reviews implementation experience during the entire 12 month period.
Year:	2005 - 2007

Assignment:	Compilation of a database on annual health sector reviews
Client:	WHO/GSC/GPL
Country:	Global
Fields of expertise:	Health Sector Review or Health Sector Diagnosis
Description:	Narrative description of Project: Health Systems and Services (HSS) and Health Metrics Network (HMN) are compiling a database of information and reports on annual health sector reviews in various regions of the world. This is the first step in efforts to complement ongoing work on measuring and monitoring health systems performance. At a later stage, this shall be followed by a systematic review of indicators and measurement strategies used for sector plans and how these are monitored and used during annual sector reviews. Description of actual services provided by your staff within the assignment: The consultant has: Contacted the coordinators of health systems strengthening at each of WHO’s regional offices and requested contact information for persons in WHO country offices and elsewhere who can provide information on annual health reviews in each of the countries in their region. For selected countries, identified by WHO/HMN, all recommended informants were contacted by email and telephone to likewise ask them to provide additional informants. For each of the countries the names, contact information and date of communication were documented. Informants were requested to provide electronic copies of any available reports on annual reviews; paper copies were asked to be converted in electronic form and when not possible to convert electronically, the details and contact information of the person who has the paper report were recorded.
Year:	2008 - 2009

Assignment:	Health System Reform
Client:	World Bank
Country:	Djibouti
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: Study of the national health sector and technical support to the Ministry of Health in the reorganisation of the national health system. Description of Actual Services Provided: Responsible for a brief review of the health sector. Based on the problem analysis of the review, assisted the Ministry of Health to assess possible structural reform of the health system.
Year:	1992 - 1993

Assignment:	Mid Term Review of Health Nutrition Population Sector Program (HNPSP)
Client:	World Bank
Country:	Bangladesh
Fields of expertise:	Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes
Description:	Narrative description of Project: The overall objectives of the MTR are: To assess progress with achievement of strategic objectives and results as highlighted in the Strategic Investment Plan and the Project Appraisal Document, and to identify constraints to progress; To assess contribution of HNPSP to any improvements in health indicators in Bangladesh; To review the implementation of the HNPSP program thus far and take stock of quantitative and qualitative achievement of the goals, targets, reforms, fund utilization; To assess the need for revision of goals, objectives, targets, risks and financing and recommend revisions to these for the remaining period of the program. To provide recommendations for revision of the Project Implementation Plan and the Operational Plans based on the assessment of progress thus far; Review the financing methodologies and assess how well donor support meets the priorities of the HNP sector. Description of actual services provided: The Independent Review Team Carried out a Technical Review to analyze the APIR, data generated routinely within the health delivery system as well as additional qualitative data, conduct fact-finding activities and review components and sub-components; Analyzed the Program Implementation Report and Status of Performance Indicators Report, prepared by the MoHFW Prepared a Consolidated Field Visit Report based on visits to hospitals and other health facilities to focus on services and strategies in order to improve maternal health; Prepared a Stakeholder Consultation Process in order to conduct focus group discussions with HNP related user and providers; Prepared an Independent Risk Assessment and Management Report and an Independent Technical Report; The issues identified in the technical work and field visits formed the agenda of a high level Policy Dialogue between senior representatives of MoHFW and the DPs.
Year:	2008

Assignment:	Analysis of pharmaceutical activities in HSDRP II and overall assessment of pharmaceutical procurement cycle in Timor Leste
Client:	World Bank
Country:	East Timor
Fields of expertise:	Health Sector Review or Health Sector Diagnosis, Medical Store Evaluation, Pharmaceutical Sector Review, Procurement and Tender Support
Description:	Narrative description of Project: As part of financing through a multi-donor trust fund, the Health Sector Rehabilitation and Development Project (HSRDP II) was approved to support the rehabilitation and development of a sustainable health system in Timor Leste. In addition, The Government of Timor Leste received a grant from the EU to finance a range of activities including the strengthening of the Autonomous Medical Stores (SAMES), providing technical assistance to the Pharmaceutical Division of the MoH. Description of actual services provided by your staff within the assignment: Overall assessment of pharmaceutical procurement for Timor Leste which feeded into the June 2008 Joint Sector Review and a larger WB study on pharmaceutical procurement: For the HSRDP II Project: Review the performance of SAMES and key implementation challenges Conduct detailed assessment of the overall pharmaceutical procurement cycle Review of financing procedures/mechanisms Review status of stock management software Assess current stock and supply chain management issues Generate key lessons and operationally relevant recommendations on improving procurement For inputs in WB study: Assessment of Roadblocks to Bank-Financed Procurement of Medicines. Review how the procedures could/should be better adapted for a small fragile state as Timor Leste The contract was extended and a second mission took place in November-December to do a follow-up mission together with Dr Diack from the Human Development Network at the World Bank. Review of the status of the recommendations in the Quick Scan Report from June 2008. Review the SAMES’s autonomisation plan Funding options for the SAMES Procurement Plan Contributions made to suppliers’ prequalification and tendering for framework contracts Draft operational plan for the pharmaceutical sector (taking into account the annual plans for HSRDP II and HSSP-SP). A similar second follow-up mission took place in May-June 2009.
Year:	2008 - 2009

Assignment:	Review of the Pharmaceutical Sector
Client:	World Bank - Ministry of Health
Country:	Kenya
Fields of expertise:	Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, National Medicines Policy Development, Pharmaceutical Sector Review, Procurement and Tender Support, Quantification of Essential Drug Needs, Rational Use Surveys
Description:	Narrative description of Project: The Government of Kenya, with support from its partners including the World Bank, has committed itself to a series of reform efforts in the health sector. As part of this , the MOH commissioned a comprehensive review of the pharmaceutical sector. The review was contracted in 4 different consultancies of which HERA completed 3 parts: Consultancy for Evaluation of Pharmaceutical Access in Kenya, including an Institutional Capacity Assessment of the MOH and KEMSA Consultancy for Evaluating/Improving Quality Assurance and Sustainability in the Medical Supplies Sub-sector in Kenya Consultancy to strengthen the logistics Management and the Rational Use of Drugs in Kenya. Description of actual services provided: Evaluation of Pharmaceutical Access in Kenya: Description of geographical, physical and financial access to drugs in Kenya, particularly for the diseases of poverty, in both public and private sectors; Evaluation of the structure, functioning and outcomes of the existing drug supply systems (including the procurement, warehousing and distribution of drugs to all levels of the health care system); Assessment of the structure, functioning and outcomes of the existing pharmaceutical financing and pricing systems from an efficiency and equity perspective; Development of alternative proposals for efficient and equitable systems of drug supply management, financing and pricing. Evaluating/ Improving Quality Assurance and Sustainability in the Medical Supplies Sub-sector : Description and evaluation of the overall structure, process and performance of drug quality assurance/control systems at both central and provincial levels; Assessment of the procedures ensuring the quality of drugs and of manufacturing facilities, the thoroughness and frequency of these quality inspections and the overall effectiveness of the quality assurance/control systems; Detailed analysis of all the sources and uses of Drug Control Authority Funds; Development of recommendations to ensure that the systems for drug quality assurance at all levels of the health system in the public and private sectors function efficiently and effectively in the future. Strengthening the Logistics Management and Rational Use of Drugs: Description and analysis of the existing patterns of drug prescription, dispensing and consumption in the public and private sectors. Review of the logistics management system in the public and private sectors and recommendations for strengthening and developing a national procurement and logistics management action plan; Evaluation of the existing policies, norms, standards and practices related to the use of pharmaceuticals by health professionals and consumers; Development of alternative proposals for the establishment of an effective program for rational drug use (including an essential drugs policy and generics strategy).
Year:	2004 - 2005