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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:	Health Sector Resources Development Project - Rationalisation of Health Services
Client:	Asian Development Bank
Country:	Mongolia
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Sector Reform, Hospital Services, Planning, Organisation and Management, Public Private Partnership, Training and Human Resource Development
Description:	Narrative Description of Project: Support to the Health Sector Resources Development Project Rationalisation of rural and urban health services. Definition of basic package of services, staff mix, infrastructure, essential equipment, financing mechanisms and referral system at all levels. Proposal for family group practitioners in not-for-profit private sector, paid on capitation. Description of Actual Services Provided: Teaching of senior MOH directors in health sector reform concepts. Development of the financing strategy of GP practices in a ‘private’ set-up (inclusive of performance based incentive payment, per-capita forfait, group practices, etc.). Development of rationalization strategies in health infrastructure development.
Year:	1997

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 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:	Design of a public health campaign in the health sector reform process
Client:	BBC - ADB
Country:	Mongolia
Fields of expertise:	Health Sector Reform, Planning, Organisation and Management
Description:	Narrative Description of Project: Design of a public health campaign in the health sector reform process.
Year:	1999

Assignment:	Formulation of the second phase of the "Health System Reform and Malaria Control Programme"
Client:	BTC-CTB
Country:	Laos
Fields of expertise:	Health Sector Reform, Identification and Formulation, Other Health Programmes
Description:	Narrative Description of Project: The Belgian Technical Cooperation (BTC) continues to support the Lao Ministry of Health in implementing the World Bank sponsored “Health System Reform and Malaria Control Program” (started in 1995). The objective is to formulate the intervention of BTC in the second phase of the project. Description of Actual Services Provided: Translate the identification report into a formulation dossier that allows sustainable implementation Verification of the situation described in the identification report Check the technical and financial feasibility of the options taken in the identification report In-depth analysis of the logical framework
Year:	2002

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 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:	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:	Assist the MoH in costing the transition of the health sector
Client:	Danida
Country:	Zambia
Fields of expertise:	Costing Studies, Health Financing and Provider Payment, Health Sector Reform
Description:	Narrative Description of Project: Assist the MoH in costing the transition of the health sector.
Year:	1997

Assignment:	Appraisal Mission for the Health Sector Programme Support IV
Client:	Danida
Country:	Ghana
Fields of expertise:	Appraisal, Health Financing and Provider Payment, Health Sector Reform
Description:	Narrative Description of Project: Provide quality assurance of the process of preparing the HSPS IV as well as the technical content of the proposed support. Description of Actual Services Provided: The appraisal report is a brief management paper, which assesses the draft programme document and complementary component documents. It contains an assessment of the content and quality of the preparatory process, an assessment of the programme in the national and sectors context and an assessment of the programme and/or components (including compatibility of the programme with objectives and policies of Danida, social and technical feasibility, sustainability of the expected outcome of the programme, assumptions, risks and pre-conditions). The appraisal specifically assesses the pros and cons of moving from basket funding to sector budget support.
Year:	2007

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:	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:	Change review of Namibia Integrated Health Programme
Client:	EC - KIT
Country:	Namibia
Fields of expertise:	Basic Health Services, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Reform, Monitoring and Evaluation, National Medicines Policy Development, Planning, Organisation and Management
Description:	Narrative Description of Project: The different components of the NHIP programme are the following: Support to central level Support the intermediate and operational regional levels Support to the essential drug programme NIHP’s general objectives are in a nutshell: to promote comprehensive development of the central level of the MOHSS, with particular emphasis on strengthening the administrative and financial services; to support the process of decentralisation of the health system and to improve the delivery of comprehensive primary health care by strengthening Regional Health Directorates and regional Health Management Teams (RHMT); to support the planning and development of an Essential Drugs Programme (EDP) by enhancing rational and cost-effective procurement, storage, distribution, supply and use of pharmaceutical products and medical supplies. Description of Actual Services Provided: Review of Namibia Integrated Health Programme and change review of the health sector reform process performance. Recommendations for the future.
Year:	1999

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:	Mid Term Review of the EC-funded Health Sector and Demography Support (HSDS) Programme
Client:	EC - lot 8
Country:	Yemen
Fields of expertise:	Health Sector Reform, Monitoring and Evaluation, Reproductive Health
Description:	Narrative Description of Project: The Programme’s stated objective is: ‘to contribute to the improvement of the health status of the population of Yemen, especially the poorest segments of society, with a major emphasis on improving the access of women in underserved areas to reproductive health services.' Description of Actual Services Provided: The MTR examined the HSDS, not as an ‘isolated project’, but as part of a national context wherein decentralization and health sector reforms are major themes. Together with the emphasis on capacity building, these wider themes are at the core of HSDS efforts. The MTR team has taken this into account in its recommendations concerning the remaining period, including considerations of ‘what comes after’. Of particular relevance therein are the newly launched Maternal and Newborn Health (MNH) programme and the forthcoming Reproductive Health Population Programme (RHPP) (Funded by the EKN and EC respectively, and each including Taiz and Lahj Governorates).
Year:	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:	Support to IOTA during the transition phase of the Support Programme against Blindness
Client:	EC/EDF
Country:	Mali
Fields of expertise:	Health Sector Reform, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: The African Ophtalmological Tropical Institute (IOTA) had been in charge of the Regional Support Programme against Blindness between 1993 and 1998. The Programme had been extended with one year till 1999 when IOTA would have been handed over to the Malian government. The mid-term evaluation of the Programme had recommended to extend the transition period with one more year till 2000 in order to: (i) evaluate the national Programmes against Blindness of the 8 beneficiary countries, (ii) identify the needs in terms of technical and epidemiological expertise and (iii) to develop a network of epidemiologists in ophthalmology in the 8 countries. Description of Actual Services Provided: A field visit to each of the beneficiary countries in order to: Assess the physical and functional availability and utilisation of the equipment provided by the Programme; Guide the 8 countries during the transition phase; Define the needs and study the modalities of a future collaboration between each of the countries and IOTA.
Year:	2000 - 2001

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:	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:	Health Sector Reform Project (HSRP)
Client:	European Commission
Country:	Egypt
Fields of expertise:	Basic Health Services, Costing Studies, Health Sector Reform
Description:	Narrative Description of Project: To analyse and calculate the cost of delivering the reform model of primary health care services and, through this process, contribute to building the capacity of a Research and Administrative Unit in conducting regular service delivery costing activities intended to provide Health Sector Reform Programme decision makers with appropriate data. Description of Actual Services Provided: A baseline cost analysis and medium-term cost projections for the Basic Benefit Package of services at primary level in a sample of both public and private health facilities. The system provides information to cost services on a per capita and on a per intervention basis of full cost recovery. Possible institutional arrangements to develop capacity for health economic analysis in HSRP implementing bodies have been explored and proposals for such arrangements to be operationalised provided, envisaging how productive partnerships with local and/or institutional institutions could be developed.
Year:	2001 - 2002

Assignment:	Support to the conception of a manual on the approaches of the European Commission in the area of development in the health sector
Client:	European Commission
Country:	Global
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Support the health network of the EC in elaborating and editing a manual that explains the concepts and the operationalisation of the EC’s health programmes in the development context. Description of Actual Services Provided: Documentary research/data collection/surveys/reports; Meetings with the working group/network “health”; Consensus on the documentation presented; Presentation of the draft manual; Elaboration of the final document: objectives and modus operandi of the manual; health development in a worldwide and European perspective; sector-wide approach in the framework of health programs; intervention strategies within the health framework and different financing instruments; application of the principles and intervention strategies of the EC in the area of health sector to the project cycle stages; annexes.
Year:	2002

Assignment:	Mid-term Review of support to the health sector
Client:	European Commission
Country:	Lesotho
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Sector Reform, Monitoring and Evaluation, National Health Accounts, Planning, Organisation and Management
Description:	Narrative Description of Project: To develop an effective and unified health information system which will provide data on the impact of the health reforms and will facilitate future planning; and to develop and pilot a strategic plan for the decentralisation of health services. Description of Actual Services Provided: Review of the existing health management information systems and their reliability, the selection of key indicators of the impact of the reform process and the elaboration of a plan of action. Related activities include (i) training of staff in data collection/analysis and in the application of data to the planning, budgeting and health sector reform process, (ii) elaboration of instruments for monitoring; (iii) planning further phases in institutional capacity building, and (iv) cooperation with the Bureau of Statistics
Year:	2004

Assignment:	Technical Assistance for the monitoring of the Health Sector Reform in Morocco
Client:	European Commission
Country:	Morocco
Fields of expertise:	Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Long Term Technical Assistance
Description:	Narrative Description of Project: The EU supports the Health Sector Reform Process in Morocco in concentrating on the elaboration and application of a reform in the financing of the health sector (extension and reform of the compulsory health insurance scheme) and in accompanying measures to increase substantially the efficacy of the health financing (purchasing) and health care (provider) program. The purpose of the present contract is to monitor this EU support program through bi-annual evaluations by a team of consultants. Description of Actual Services Provided: Analysis of the Health Sector in Morocco and of the Health Sector Reform Program Analysis of the impact of the reform process on the accessibility to health services by the population Indications of the factors impeding the reform process Analysis of the consequences of the financial and budgetary reform
Year:	2002 - 2004

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:	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:	Designing and testing of a performance base contracting system for the provision of family health services in the context of the Egypt HSRP
Client:	European Commission
Country:	Egypt
Fields of expertise:	Health Financing and Provider Payment, Health Sector Reform, Planning, Organisation and Management
Description:	Narrative Description of Project: Designing and testing of a performance base contracting system for the provision of family health services in the context of the Egypt Health Sector Reform Project
Year:	2000

Assignment:	Appraisal of the EC Ghana Health Sector Support Programme
Client:	European Commission
Country:	Ghana
Fields of expertise:	Appraisal, Health Sector Reform, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Appraisal of the EC Ghana Health Sector Support Programme.
Year:	1998

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:	Evaluation and Planning of the Rural Health Programme in the province of Zambezia and Feasibility study for the next phase of the EU intervention in the health sector
Client:	European Commission - Ministry of Health
Country:	Mozambique
Fields of expertise:	Appraisal, Basic Health Services, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services, Identification and Formulation, Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Evaluation of the « Support to the province of Zambezia » Programme. Formulation of a new support programme at the provincial and central level within the framework of SWAp. Feasibility Study. Description of Actual Services Provided: Evaluation of the « Support to the province of Zambezia » Programme. Analysis of the political willingness of the partners to progress towards a sectoral approach (SWAp). Identification of the support opportunities at the central, provincial and health district level. Feasibility study within the framework of the 9th EDF.
Year:	2001

Assignment:	Monitoring of the EC Support to the Health Sector Reform Project (HSRP)
Client:	European Commission - Ministry of Health
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, Hospital Services, Long Term Technical Assistance, Monitoring and Evaluation, Monitoring and Evaluation, National Medicines Policy Development, Planning, Organisation and Management, Public Private Partnership
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 families and being financed by health insurance. A pilot model of family health services has been created in 3 Governorates. This model has been operated by the Ministry of Health, the Health Insurance Organisation (HIO) and the private sector. The Ministry of Health wishes to develop a health insurance system and to reach national coverage. The European Commission provides support to this reform through budgetary help for the Family Health Fund, annual activity programmes and technical assistance programmes. Moreover. Description of Actual Services Provided: An external team monitors the process of the reform and gives advise to the Ministry of Health and the EC to improve the impact of the reform strategies. HERA provided the team leader to the monitoring team. Bi-annual missions were carried out between 2001-2006. Monitoring, on behalf of the EC, the progress of the health sector reform and health insurance reform in Egypt (over a 5-year period); Advise the Ministry of Health and Population on reform concepts, policy development, processes and change; Advise the EC on Tranche Release for the sector reform.
Year:	2000 - 2004

Assignment:	Evaluation of the Namibian Integrated Health Programme
Client:	European Commission - Ministry of Health
Country:	Namibia
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services, Monitoring and Evaluation
Description:	Narrative Description of Project: Evaluation of the Namibian Integrated Health Programme.
Year:	1997

Assignment:	Change review of the Namibian Integrated Health Programme
Client:	European Commission - Ministry of Health
Country:	Namibia
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services, Monitoring and Evaluation
Description:	Narrative Description of Project: Change review of the Namibian Integrated Health Programme.
Year:	1998 - 1999

Assignment:	Cost Analysis and quality analysis of health care in 2 hospitals
Client:	European Commission - Ministry of Health
Country:	St. Lucia
Fields of expertise:	Costing Studies, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services
Description:	Narrative Description of Project: Comparative Cost Analysis of 2 major hospitals per department and per intervention, in order to determine the overall cost of the hospitals, the unit cost per hospital department and per indicator (hospitalisation days per department, per patient, per bed, per consultation and per intervention type) Identify the economies of scale between the hospitals Propose the profile for a future hospital (to be constructed) Client satisfaction Survey. Description of Actual Services Provided: Development & adaptation of the data collection and date cleaning instruments; Training of the local personnel for the collection of the data; Data management and statistical analysis of the data; Interpretation of the data and results; Proposals for the future of the 2 hospitals within the health sector reform; Presentation of the data comparing the performance of the 2 hospitals; Report per hospital; Presentation of the results and conclusions; Workshop to discuss the results.
Year:	2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Global
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Mali
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Togo
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Ivory Coast
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Burkina Faso
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Mauritania
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Niger
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Benin
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

Assignment:	Mid-term Evaluation of the Support Programme against Blindness in the Sahel Countries
Client:	European Commission - Ministry of Health
Country:	Senegal
Fields of expertise:	Appraisal, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the regional support programme to fight blindness in the Sahel countries, under the authority of the African Ophtalmological Tropical Institute (IOTA). The objective of the Programme (initial duration 5 years, between April 1993 and April 1998 and with a budget of 9,3 million Euro) was to develop complementary actions to the ones initiated by the EC within the framework of the fight against onchocercose. It comprises 4 fields of action: (i) the physical and functional rehabilitation of IOTA, (ii) the training of medical doctors and other health personnel working in ophtalmological departments, (iii) the coordination of the National Programmes against Blindness (PNLC) of 8 beneficiary members (Benin, Burkina Faso, Ivory Coast, Mali, Mauritania, Niger, Senegal, and Togo) as well as the support to the development of activities of these programmes, and (iv) the development of operational research in the priority areas of the fight against blindness. Description of Actual Services Provided: Two field missions to IOTA in Bamako Evaluation of the results and the management of the Support Programme against Blindness; Assessment of the feasibility of the financial structure of IOTA; Recommendations for actions/focus during the transition phase of IOTA to the Malian government.
Year:	1999 - 2000

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:	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:	Evaluation study of sector-wide approach
Client:	Inspectie Ontwikkelingssamenwerking en Beleidsevaluatie (IOB) - DGIS
Country:	Burkina Faso
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: In July 1999 the House of Representatives of the Netherlands approved the sector-wide approach (SWAp) as method to increase aid effectiveness. In December 2003 the Minister for Development Cooperation announced an overall evaluation of the SWAp. The independent Policy and Operations Evaluation Department (IOB) of the Netherlands Ministry of Foreign Affairs was charged with conducting that worldwide evaluation. Description of Actual Services Provided: Situation assessment and evaluation of the SWAp development process in the sectors health and primary education in Burkina Faso, both at the level of the bilateral Dutch Cooperation as at the level of the receiving government, of Burkina Faso. The objective of the overall evaluation, as formulated by the IOB, is to assess “whether and to what extent the introduction of the sector-wide approach has improved conditions for achievement of the main objective of Dutch development policy, namely poverty reduction”. To this end, the following key questions have been formulated: To what extent have the desired changes in Dutch policy been achieved and what explanatory factors can be given for the findings? To what extent have the desired changes in the aid recipient country been achieved and what were the most influential factors? As part of the research methodology, case studies in five selected countries have been conducted. This case study regarding Burkina Faso is one of those.
Year:	2004

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:	Elaboration of a Blue Print for the Health System of Flanders in the 21st Century
Client:	Ministry of Finance and Ministry of Health of Flanders
Country:	Belgium
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: The purpose of the study is to define the future health system for Flanders, including how the health policy should be translated in structures, what the payment modalities of these structures should be, which type of basic benefit package should be delivered and what should be covered by compulsory health insurances. Description of Actual Services Provided: The study has defined the following elements: The health policy of Flanders (objectives, principles, integration of health care, competition). Organisation of the health policy (defederalisation, decentralisation, work schemes, health insurance, definition of categories having benefit of health insurance, equilibrium between competition and integration of health care, modalities of health care payments.
Year:	1999

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:	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:	Organisational Review of the Ministry of Health of Botswana
Client:	Ministry of Health, British Council
Country:	Botswana
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: The Government of Botswana itself financed a study to review the organizational aspects of its Ministry of Health. Description of Actual Services Provided: Examined the Ministry's Mandate, Vision, Mission, Ideals and Strategies in the context of Vision 2016 and NDP8, and suggested improvements if necessary. Identified Ministry strengths and weaknesses, taking into account the current needs of the Health Sector. In the process of the above analysis, examined the feasibility of decentralisation of appropriate functions to the regions/districts to facilitate service delivery and customer empowerment. In the same purview, assessed the adequacy and distribution of the Ministry's functions and, where feasible and practicable, relocation, realignment and/or privatisation or outsourcing some of them. Determined reporting relationships and co-ordination within the proposed structure both within Government structures, Local Authorities, Mission Hospitals, non-government health-related organisations, and to propose improvements. Given the above scenario, examined and streamlined the Ministry's functions and organisational structure. Explored areas requiring computerisation systems, and made appropriate proposals.
Year:	2002

Assignment:	Primary Health Care Monitoring and Evaluation, Health Project Co-ordination Unit
Client:	UNOPS - Ministry of Health
Country:	Turkey
Fields of expertise:	Basic Health Services, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: Developing the evaluation methodology for the Health Sector Reform Project. Reorganization of primary and secondary health services. Description of Actual Services Provided: Developing the monitoring and evaluation framework and tools for the Health Reform Project. Training of directorate staff in monitoring and evaluation skills.
Year:	1997

Assignment:	Epidemiological survey on the morbity and mortality patterns & Cost analysis in 9 public hospitals
Client:	WB - Ministry of Health
Country:	Morocco
Fields of expertise:	Costing Studies, Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, Health Sector Reform, Hospital Services, Planning, Organisation and Management
Description:	Narrative Description of Project: Study of the epidemiological and hospital morbidity profile of 9 hospitals: To document in a precise way the nature and tendency of the morbidity and hospital activities in 9 hospitals; To determine the respective attraction zones of the 9 hospitals To propose improvement mechanisms of the health information in the 9 hospitals with the aim of an eventual technical exploitation Cost analysis: to estimate the real cost of different hospital services in order to: Prepare the hospitals for the eventual establishment of the Obligatory Health Insurance (AMO) and the regime for Medical Assistance (RAMED) To appreciate the capacity of auto-financing of the hospitals To propose mechanisms for improvement of the information gathering for performance evaluation and for the setting up of analytical accounting Description of Actual Services Provided: The output is of two types : a database and reports : The database contains the set of the colected data which are analysed electronically(for the nine hospitals) Nine hospital specific reports. A global report articulates the results of the nine studies in order to identify the likeness:discrepancy of the morbidity profile and the costs of service provision between hospitals. This report comes out with recommendations for the hospital network, regarding hospitalisation, hospital management and financing of hospital services.
Year:	2002

Assignment:	Costing study of the Health System
Client:	WB - Ministry of Health
Country:	Rwanda
Fields of expertise:	Basic Health Services, Costing Studies, Health Expenditure Review, Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services
Description:	Narrative Description of Project: Support the Ministry of Health in the rationalisation of the financial resources allocation and in improving the performance of the health services guaranteeing the feasibility of the system and the access Proposals for the improvement of the supply efficiency in terms of health Propose and define improvements and/or alternatives in terms of financing mechanisms of the supply (and/or the demand) with respect to health Define and propose methods and techniques to improve the performance and the instrument-performance link of health services. Description of Actual Services Provided: The study results are : An objective measure for actual costs and performances of the health system Analysis of the possibilities and efficiency-improving techniques of the health system taking care of the sector policy, the economic reality and the obligations of the social justice (equity and access) The analysis has been made at four levels: At the global level, At the level of a population of 50 health formations, At the level of the minimum essential package as is practised in the health formations of the population, and At the level of the users of the health formations included in the population
Year:	1998 - 1999

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:	Diagnosis and reorganisation of the pharmaceutical sector
Client:	World Bank
Country:	Rwanda
Fields of expertise:	Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Health Sector Reform, Medical Store Evaluation, National Medicines Policy Development, Pharmaceutical Sector Review, Planning, Organisation and Management, Quantification of Essential Drug Needs, Rational Use Surveys, Selection of Essential Medicines, Training and Human Resource Development
Description:	Narrative Description of Project: Diagnosis and reorganisation of the pharmaceutical sector in Rwanda (public and private sector). Development of a national policy and legislation for the pharmaceutical sector. Institutional strengthening of the Pharmaceutical Department of the Ministry of Health. Technical and organisational proposals for a new structure for a national central medical store. Quantification of the national needs for essential drugs. Development of the strategies for procurement, supply, storing and distribution of the essential drugs. Proposal for a diagnostic and treatment standard. Strategies for the registration, quality control and rational use of drugs. Development of financial policies for drugs (custom duties, price regulation, etc.). Proposal for the financing of the development plan of the pharmaceutical sector. Description of Actual Services Provided: Responsible for a detailed analysis of the pharmaceutical sector, including policy, legislation, provision and supply of drugs, drug needs by level and by sector, drug use, drug registration, drug financing aspects. Provided assistance to the Ministry of Health in all the above fields to develop proposals to reform. Assisted the Ministry of Health in developing a new central medical stores structure as a parastatal organisation. Developed a financial plan for all proposed reforms. Consensus development at a national and international workshop where proposals for reform have been presented. The actual and functional national central medical store in Kigali is based on the feasibility study and the technical proposals made by HERA-CDP.
Year:	1993 - 1994

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