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Field of expertise:	All Health Economics and Financing    Cost-effectiveness Studies    Costing Studies    Health Expenditure Review    Health Financing and Provider Payment    Health Insurance    National Health AccountsHealth Programmes    Basic Health Services    HIV-AIDS-STI-TB    Hospital Services    Other Health Programmes    Reproductive HealthHealth System    Health Information System / Epidemiology / Operational Research    Health Policy and Policy Dialogue    Health Sector Reform    Health Sector Review or Health Sector Diagnosis    Monitoring and Evaluation    Planning, Organisation and Management    Public Private Partnership    Sector Wide Approach (SWAp)    Training and Human Resource DevelopmentPharmaceutical Sector    Access to Medicine Campaigns    Drug Pricing Studies    Drug Regulatory Authority Support    Drug Supply Management System Strengthening    Essential Drugs Programme Support    Essential Medicines Financing    Increasing Transparency In Public And Private Pharmaceutical Markets    Medical Store Evaluation    National Medicines Policy Development    Pharmaceutical Sector Review    Procurement and Tender Support    Public Private Partnership Interventions    Quantification of Essential Drug Needs    Rational Use Surveys    Selection of Essential Medicines    Training and Human Resource DevelopmentProject Cycle    Appraisal    Identification and Formulation    Long Term Technical Assistance    Monitoring and Evaluation
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Assignment:	Primary Health Component of the Kagera Community Development Programme - Reformulation
Client:	BTC-CTB
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Insurance, Identification and Formulation
Description:	Narrative Description of Project: Due to the increase of budget allocation and new time frame for the above mentioned project, the existing formulation document must be adapted and new conditions must be budgeted. Description of Actual Services Provided: The expert considered all the already existing documents in order to produce some necessary changes. He adapted the proposed activities to the new budget and time frame based on the recommendations from the advisory committee and on inputs from the Representation in Tanzania. Furthermore he paid special attention to the long term approach for cost sharing and health insurance.
Year:	2002

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

Assignment:	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:	Co-organising the international conference on ‘Economics of Health Insurance in Low and Middle-Income Countries
Client:	WHO
Country:	Global
Fields of expertise:	Health Insurance, Health Policy and Policy Dialogue
Description:	Narrative Description of Project: Co-organising the international conference on ‘Economics of Health Insurance in Low and Middle-Income Countries.' Antwerp, 17-18 January 1997.
Year:	1997