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Assignment:	Evaluation of the intervention "Support to the Health District of Kabgayi" before starting to elaborate the identification phase
Client:	ABOS
Country:	Rwanda
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Hospital Services, Identification and Formulation, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: Evaluation of all the realisations with respect to the general objective as per Specific Convention for this intervention to the “Support to the Primary Health Care and Referrals of the area of responsibility zone of the hospital of Kabgayi”. The purpose is to analyse the project and to define new priorities in cooperation with all other actors in the health sector. Description of Actual Services Provided: The results of the study are: Evaluation of the degree of achievement of the intermediary results; Evaluation of the activities planned for the development of the district; Proposal of practical and feasible solutions within the current context; Identification of new interventions for the new intervention phase.
Year:	1999

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

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

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

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

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

Assignment:	Evaluation of the Urban Health Project (“Projet Pikine”)
Client:	Belgian Government - DGCD
Country:	Senegal
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Hospital Services, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: Evaluation of the Urban Health Project (“Projet Pikine”), Pikine, Dakar; and proposals for future policy development in the Belgian medical cooperation.
Year:	1997

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

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

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

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

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

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

Assignment:	Formulation of the "Support to the Health Zone of Klouékanmé, Toviklin and Lalo" project
Client:	BTC-CTB
Country:	Benin
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Hospital Services, Identification and Formulation
Description:	Narrative Description of Project: The project’s general objective is to improve the health situation of the population of the health zone. The specific objective is to make the health zone of Klouékanmé, Toviklin and Lalo operational by improving health care supply, improving the use of health care and improving the environment. Description of Actual Services Provided: On the basis of documentation and discussion with the Authorities: Critical review of other actual and preceding projects in the health zone of Klouékanmé, Toviklin and Lalo Participatory approach: Dialogue between the population and the medical personnel. Target sample of health infrastructure. Meetings with different health formations. Write-up of the formulation report (logical framework). Draft Cooperation Agreement. Draft Specific Agreement between the Belgian Government and the Government of Benin (including an operational technical and financial dossier).
Year:	2002

Assignment:	Identification Study of the "Support Project to the Health region of Kigali Capital and Rural Kigali 2003-2006"
Client:	BTC-CTB
Country:	Rwanda
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Identification and Formulation
Description:	Narrative Description of Project: Identification of a new intervention “Support Project to the Health region of Kigali Capital and Rural Kigali 2003-2006”. Description of Actual Services Provided: Project document that permits the identification of a new intervention within the Support Project to the Health region of Kigali Capital and Rural Kigali 2003-2006”.
Year:	2002

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

Assignment:	Strengthening of Primary Health Care and the first referral services in the district of Kita and Yanfolila - Joint Mid-term Evaluation of two projects of BTC
Client:	BTC-CTB
Country:	Mali
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Development of mechanisms and tools in preparation for the decentralised financial management within the framework of future SWAp (sector wide approach). Description of Actual Services Provided: Evaluation of the institutional framework of the development cooperation, and analysis of the operation of the different administrative structures, including the Steering Committee; Evaluation of the modes of implementation of the services and of their relevance; Evaluation of the results (quality, quantity and budget), the conformity in relation to the logical framework and budget; examination of eventual discrepancies and their relevance; Assessment of the validity of the monitoring indicators for development activities, including the validity of hypotheses that determine the success of the services; Study of the degree of reduction of physical and/or financial participation by the people for the construction of health centres.
Year:	2000

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

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

Assignment:	Final Evaluation of the BTC project: "Support to PNLS"
Client:	BTC-CTB
Country:	Congo RDC
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: Evaluate the project implementation in order to formulate recommendations for a better operation of the project in the context of the new AIDS strategy and the development of health services in the DRC and in the light of an eventual second phase of the project. Evaluate the above, with a view of: the technical and financial dossier; the institutional anchoring; the policy/strategy of supporting the HIV/AIDS strategy and the strengthening of the health system; the involvement of the population in the process of the development of its own capacities. Description of Actual Services Provided: Evaluation of the ongoing project; Analysis of the institutional anchoring of the PNLS and of the project and of the organisation and the functioning of the activities supported by the project; Formulate recommendations.
Year:	2006

Assignment:	Pan Caribbean Partnership against HIV/AIDS (PANCAP). Evaluation and Development of the Caribbean Strategic Framework 2002-2006 and 2008-2012
Client:	CARICOM
Country:	Caribbean Partnership
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Major review of PANCAP’s performance including: An overall assessment of the results achieved against strategic objectives and expected outputs by PANCAP and its implementing partners through the CRSF 2002-2006 An analysis of how the CRSF has been and will be positioned to support national strategic plans through the provision of regional public goods. Present key findings; draw lessons and provide clear and forward-looking recommendations for the development of the CRSF 2008-2012 including a clear identification of priorities. Description of Actual Services Provided: Development of a detailed evaluation plan for measuring the impact of the CRSF 2002-2006 with emphasis on financial, institutional, programmatic, and sustainability components. Conduct of the evaluation and feedback to stakeholders. Draft evaluation report of CRSF 2002-2006 Comprehensive summary report for each level of consultation conducted – national, regional, donors, key influencials- outlining the main observations and recommendations. Development of draft CRSF 2008-2012. Final report based on the recommendations of the consultative process. Presentation to the Regional Coordinating Mechanism.
Year:	2007 - 2008

Assignment:	Pan Caribbean Partnership against HIV/AIDS (PANCAP). Evaluation and Development of the Caribbean Strategic Framework 2002-2006 and 2008-2012
Client:	CARICOM
Country:	Trinidad & Tobago
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Major review of PANCAP’s performance including: An overall assessment of the results achieved against strategic objectives and expected outputs by PANCAP and its implementing partners through the CRSF 2002-2006 An analysis of how the CRSF has been and will be positioned to support national strategic plans through the provision of regional public goods. Present key findings; draw lessons and provide clear and forward-looking recommendations for the development of the CRSF 2008-2012 including a clear identification of priorities. Description of Actual Services Provided: Development of a detailed evaluation plan for measuring the impact of the CRSF 2002-2006 with emphasis on financial, institutional, programmatic, and sustainability components. Conduct of the evaluation and feedback to stakeholders. Draft evaluation report of CRSF 2002-2006 Comprehensive summary report for each level of consultation conducted – national, regional, donors, key influencials- outlining the main observations and recommendations. Development of draft CRSF 2008-2012. Final report based on the recommendations of the consultative process. Presentation to the Regional Coordinating Mechanism.
Year:	2007 - 2008

Assignment:	Pan Caribbean Partnership against HIV/AIDS (PANCAP). Evaluation and Development of the Caribbean Strategic Framework 2002-2006 and 2008-2012
Client:	CARICOM
Country:	St. Lucia
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Major review of PANCAP’s performance including: An overall assessment of the results achieved against strategic objectives and expected outputs by PANCAP and its implementing partners through the CRSF 2002-2006 An analysis of how the CRSF has been and will be positioned to support national strategic plans through the provision of regional public goods. Present key findings; draw lessons and provide clear and forward-looking recommendations for the development of the CRSF 2008-2012 including a clear identification of priorities. Description of Actual Services Provided: Development of a detailed evaluation plan for measuring the impact of the CRSF 2002-2006 with emphasis on financial, institutional, programmatic, and sustainability components. Conduct of the evaluation and feedback to stakeholders. Draft evaluation report of CRSF 2002-2006 Comprehensive summary report for each level of consultation conducted – national, regional, donors, key influencials- outlining the main observations and recommendations. Development of draft CRSF 2008-2012. Final report based on the recommendations of the consultative process. Presentation to the Regional Coordinating Mechanism.
Year:	2007 - 2008

Assignment:	Pan Caribbean Partnership against HIV/AIDS (PANCAP). Evaluation and Development of the Caribbean Strategic Framework 2002-2006 and 2008-2012
Client:	CARICOM
Country:	Dominican Republic
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Major review of PANCAP’s performance including: An overall assessment of the results achieved against strategic objectives and expected outputs by PANCAP and its implementing partners through the CRSF 2002-2006 An analysis of how the CRSF has been and will be positioned to support national strategic plans through the provision of regional public goods. Present key findings; draw lessons and provide clear and forward-looking recommendations for the development of the CRSF 2008-2012 including a clear identification of priorities. Description of Actual Services Provided: Development of a detailed evaluation plan for measuring the impact of the CRSF 2002-2006 with emphasis on financial, institutional, programmatic, and sustainability components. Conduct of the evaluation and feedback to stakeholders. Draft evaluation report of CRSF 2002-2006 Comprehensive summary report for each level of consultation conducted – national, regional, donors, key influencials- outlining the main observations and recommendations. Development of draft CRSF 2008-2012. Final report based on the recommendations of the consultative process. Presentation to the Regional Coordinating Mechanism.
Year:	2007 - 2008

Assignment:	Pan Caribbean Partnership against HIV/AIDS (PANCAP). Evaluation and Development of the Caribbean Strategic Framework 2002-2006 and 2008-2012
Client:	CARICOM
Country:	St. Vincent and the Grenadines
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Major review of PANCAP’s performance including: An overall assessment of the results achieved against strategic objectives and expected outputs by PANCAP and its implementing partners through the CRSF 2002-2006 An analysis of how the CRSF has been and will be positioned to support national strategic plans through the provision of regional public goods. Present key findings; draw lessons and provide clear and forward-looking recommendations for the development of the CRSF 2008-2012 including a clear identification of priorities. Description of Actual Services Provided: Development of a detailed evaluation plan for measuring the impact of the CRSF 2002-2006 with emphasis on financial, institutional, programmatic, and sustainability components. Conduct of the evaluation and feedback to stakeholders. Draft evaluation report of CRSF 2002-2006 Comprehensive summary report for each level of consultation conducted – national, regional, donors, key influencials- outlining the main observations and recommendations. Development of draft CRSF 2008-2012. Final report based on the recommendations of the consultative process. Presentation to the Regional Coordinating Mechanism.
Year:	2007 - 2008

Assignment:	Pan Caribbean Partnership against HIV/AIDS (PANCAP). Evaluation and Development of the Caribbean Strategic Framework 2002-2006 and 2008-2012
Client:	CARICOM
Country:	Jamaica
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Major review of PANCAP’s performance including: An overall assessment of the results achieved against strategic objectives and expected outputs by PANCAP and its implementing partners through the CRSF 2002-2006 An analysis of how the CRSF has been and will be positioned to support national strategic plans through the provision of regional public goods. Present key findings; draw lessons and provide clear and forward-looking recommendations for the development of the CRSF 2008-2012 including a clear identification of priorities. Description of Actual Services Provided: Development of a detailed evaluation plan for measuring the impact of the CRSF 2002-2006 with emphasis on financial, institutional, programmatic, and sustainability components. Conduct of the evaluation and feedback to stakeholders. Draft evaluation report of CRSF 2002-2006 Comprehensive summary report for each level of consultation conducted – national, regional, donors, key influencials- outlining the main observations and recommendations. Development of draft CRSF 2008-2012. Final report based on the recommendations of the consultative process. Presentation to the Regional Coordinating Mechanism.
Year:	2007 - 2008

Assignment:	Pan Caribbean Partnership against HIV/AIDS (PANCAP). Evaluation and Development of the Caribbean Strategic Framework 2002-2006 and 2008-2012
Client:	CARICOM
Country:	Guyana
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Major review of PANCAP’s performance including: An overall assessment of the results achieved against strategic objectives and expected outputs by PANCAP and its implementing partners through the CRSF 2002-2006 An analysis of how the CRSF has been and will be positioned to support national strategic plans through the provision of regional public goods. Present key findings; draw lessons and provide clear and forward-looking recommendations for the development of the CRSF 2008-2012 including a clear identification of priorities. Description of Actual Services Provided: Development of a detailed evaluation plan for measuring the impact of the CRSF 2002-2006 with emphasis on financial, institutional, programmatic, and sustainability components. Conduct of the evaluation and feedback to stakeholders. Draft evaluation report of CRSF 2002-2006 Comprehensive summary report for each level of consultation conducted – national, regional, donors, key influencials- outlining the main observations and recommendations. Development of draft CRSF 2008-2012. Final report based on the recommendations of the consultative process. Presentation to the Regional Coordinating Mechanism.
Year:	2007 - 2008

Assignment:	Pan Caribbean Partnership against HIV/AIDS (PANCAP). Evaluation and Development of the Caribbean Strategic Framework 2002-2006 and 2008-2012
Client:	CARICOM (Caribbean Community Secretariat)
Country:	Barbados
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Major review of PANCAP’s performance including: An overall assessment of the results achieved against strategic objectives and expected outputs by PANCAP and its implementing partners through the CRSF 2002-2006 An analysis of how the CRSF has been and will be positioned to support national strategic plans through the provision of regional public goods. Present key findings; draw lessons and provide clear and forward-looking recommendations for the development of the CRSF 2008-2012 including a clear identification of priorities. Description of Actual Services Provided: Development of a detailed evaluation plan for measuring the impact of the CRSF 2002-2006 with emphasis on financial, institutional, programmatic, and sustainability components. Conduct of the evaluation and feedback to stakeholders. Draft evaluation report of CRSF 2002-2006 Comprehensive summary report for each level of consultation conducted – national, regional, donors, key influencials- outlining the main observations and recommendations. Development of draft CRSF 2008-2012. Final report based on the recommendations of the consultative process. Presentation to the Regional Coordinating Mechanism.
Year:	2007 - 2008

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:	Consultancy to assist with procurement plans
Client:	Clinton Foundation HIV/AIDS initiative
Country:	Liberia
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Procurement and Tender Support
Description:	Narrative Description of Project: The Clinton Foundation works in partnership with the Ministry of Health and Social Welfare to expand access to care and treatment services for Liberians living with HIV/AIDS, and support the strengthening of the health system. The goal of the project is to improve physical access to essential health services and to strengthen policy-making and management functions of the Ministry of Health. This particular assignment addressed the procurement needs. Description of Actual Services Provided: Production of a simplified procurement plan for the World Bank Health System Reconstruction Project: improving maternal and child survival with a budget of 8.5 million USD Review of all terms of reference required to be advertised to ensure compliance with World Bank procurement regulations Comments and suggestions to the MOH Assistance with the preparation of the technical specifications for the first two major equipment purchases and review for compliance with World Bank regulations.
Year:	2007

Assignment:	Evaluation of the health activities de BELACD of the Pala Diocese
Client:	Cordaid
Country:	Chad
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: This mission has two principal objectives: collect data, verify the results and analyse the constraints to establish the efficiency and effectiveness of the use of available resources in the framework of the implementation of the 7th framework-plan; provide an organisational analysis of the existing organogramme of the administrative procedures, the management tools of the participation of the population in order to establish the effectiveness in the health programme of the BELACD of Pala. Description of Actual Services Provided: The expert implemented the evaluation, in particular the review of the results, the achievement of activities and the management of the health programme. In a second phase the expert provided recommendations and conclusions regarding the actions to be implemented when elaborating the next triennial plan.
Year:	2000

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:	Second Technical Review Report: Community Based Nutrition Programme (CBNP)
Client:	Danida
Country:	Kenya
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Other Health Programmes
Description:	Narrative Description of Project: Assessment of the monitoring and evaluation process and reports produced so far. Assessment of possibilities for using the monitoring and evaluation data to produce peer- reviewed publications. Develop a plan for ensuring that the current monitoring and evaluation process leads to high quality reports and peer reviewed journals with a particular focus on social development, child development and families affected by HIV/AIDS. Description of Actual Services Provided: Assessment of the monitoring and evaluation process. Review data produced by the Applied Nutrition Programme Review the sampling framework of the various monitoring and evaluation procedures Review the hypotheses developed and the plausibility to account for the various indicators that have been reported on. Formal checking of the statistical basis for the analysis Review possibilities for data analysis Review the policy implications of the report Development of a plan for writing up and publishing the current programme of monitoring and evaluation. This includes information of several types including health, environment, social development and nutrition of target groups within the specific communities that are the focal point of CBNP activities. Assessment of child development within the context of HIV/AIDS
Year:	2003

Assignment:	Review of the District Based Health Project in north-eastern and coastal provinces
Client:	Danida
Country:	Kenya
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: The main objective of the Review is: To assess the project performance in the context of the MoH current policies, structures and systems at national, provincial, district, and facility level, and to provide guidance on changes as necessary. Identify areas where the Project has been successful and where improvement should be made Provide recommendations for the remaining project period. Description of Actual Services Provided: Assessment of the project performance, progress and viability of the involved components. Identification of areas of success and areas where improvements should be made & provision of recommendations for the remaining project period.
Year:	2003

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

Assignment:	Review of Danida Supported Health Research in Developing Countries
Client:	Danida
Country:	Global
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:	Narrative Description of Project: Review the Danida supported health research regarding: Scientific quality Range in terms of volume, comprehensiveness and priority areas Impact in terms of changed approaches Effect on capacity building in developing countries Impact in terms of influencing national health policy and the international health debate Recommend scenarios for the future Danida support in the research area. Description of Actual Services Provided: Initial briefing meeting between Review Team and the MoFA and the Danish research community and key Danish consultancy companies. Inception report based on a desk summary: previous reviews and available documentation; review of broad selection of research work supported by Danida, questionnaires to Danish research institutions; and international work on health sector research in developing countries. Review of all research conducted 1996-2006. Review, with a view to get ideas from different approaches, of other donor agencies’ approach to support health research in developing countries (including CIDA, DfiD, EC, Netherlands, NORAD, SDC, SIDA/SAREC, USAID and Gates Foundation Interviews and workshops with relevant stakeholders. Three country studies. Final report and recommendations.
Year:	2006 - 2007

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

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

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

Assignment:	Project identification and formulation at provincial level
Client:	Danida
Country:	Mozambique
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Hospital Services, Identification and Formulation, Training and Human Resource Development
Description:	Narrative Description of Project: Project identification and formulation at provincial level. Planning of primary health care services, health districts, training of health personnel, rehabilitation of infrastructure, development of a national health information system.
Year:	1990

Assignment:	Review of Danida Supported Health Research in Developing Countries
Client:	Danida
Country:	Ghana
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:	Narrative Description of Project: Review the Danida supported health research regarding: Scientific quality Range in terms of volume, comprehensiveness and priority areas Impact in terms of changed approaches Effect on capacity building in developing countries Impact in terms of influencing national health policy and the international health debate Recommend scenarios for the future Danida support in the research area. Description of Actual Services Provided: Initial briefing meeting between Review Team and the MoFA and the Danish research community and key Danish consultancy companies. Inception report based on a desk summary: previous reviews and available documentation; review of broad selection of research work supported by Danida, questionnaires to Danish research institutions; and international work on health sector research in developing countries. Review of all research conducted 1996-2006. Review, with a view to get ideas from different approaches, of other donor agencies’ approach to support health research in developing countries (including CIDA, DfiD, EC, Netherlands, NORAD, SDC, SIDA/SAREC, USAID and Gates Foundation Interviews and workshops with relevant stakeholders. Three country studies. Final report and recommendations.
Year:	2006 - 2007

Assignment:	Review of Danida Supported Health Research in Developing Countries
Client:	Danida
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:	Narrative Description of Project: Review the Danida supported health research regarding: Scientific quality Range in terms of volume, comprehensiveness and priority areas Impact in terms of changed approaches Effect on capacity building in developing countries Impact in terms of influencing national health policy and the international health debate Recommend scenarios for the future Danida support in the research area. Description of Actual Services Provided: Initial briefing meeting between Review Team and the MoFA and the Danish research community and key Danish consultancy companies. Inception report based on a desk summary: previous reviews and available documentation; review of broad selection of research work supported by Danida, questionnaires to Danish research institutions; and international work on health sector research in developing countries. Review of all research conducted 1996-2006. Review, with a view to get ideas from different approaches, of other donor agencies’ approach to support health research in developing countries (including CIDA, DfiD, EC, Netherlands, NORAD, SDC, SIDA/SAREC, USAID and Gates Foundation Interviews and workshops with relevant stakeholders. Three country studies. Final report and recommendations.
Year:	2006 - 2007

Assignment:	Review of Danida Supported Health Research in Developing Countries
Client:	Danida
Country:	Uganda
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:	Narrative Description of Project: Review the Danida supported health research regarding: Scientific quality Range in terms of volume, comprehensiveness and priority areas Impact in terms of changed approaches Effect on capacity building in developing countries Impact in terms of influencing national health policy and the international health debate Recommend scenarios for the future Danida support in the research area. Description of Actual Services Provided: Initial briefing meeting between Review Team and the MoFA and the Danish research community and key Danish consultancy companies. Inception report based on a desk summary: previous reviews and available documentation; review of broad selection of research work supported by Danida, questionnaires to Danish research institutions; and international work on health sector research in developing countries. Review of all research conducted 1996-2006. Review, with a view to get ideas from different approaches, of other donor agencies’ approach to support health research in developing countries (including CIDA, DfiD, EC, Netherlands, NORAD, SDC, SIDA/SAREC, USAID and Gates Foundation Interviews and workshops with relevant stakeholders. Three country studies. Final report and recommendations.
Year:	2006 - 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:	Technical Review 2005: Public Private Partnership for equitable provision of health services
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Public Private Partnership, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The technical review marks the second year of implementation of the new Health Sector Strategic Plan taking into cognition changing conditions and new challenges facing SWAPs in the health sector such as shifting from health sector funding to general budget support global funds targeting selected vertical programmes or selected diseases. Description of Actual Services Provided: Share information on developments, achievements and intentions in key areas of health sector strategy : Progress against prior year milestones Implementation of the Health Sector Strategy, Budget execution on approved budget; actual disbursements of the budget and actual expenditure against disbursements and releases Service delivery performance Deliberation on the findings of the PPP technical review and identification of necessary actions Review resource allocation and management Review implications of changing conditions and challenges on SWAPS. Determination and formulation of milestones for FY2005/6.
Year:	2005

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:	Evaluation of the Belgian contribution to multi-annual budget support interventions
Client:	DGDC
Country:	Global
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The main purpose of this evaluation was to supply an systematic and objective appraisal of Belgian multi-annual budget support and provide useful information that enables the integration of lessons learned into the process of decision-making in respect of multi-annual budget support both in Belgium and partner countries. Description of Actual Services Provided: Study Phase: gathering information and interviews/e-mail surveys (opinion gathering) Field missions to : Niger, Mozambique and Uganda (HERA only assisted with Uganda) Restitution Phase: drafting reports, discussion with steering committee and presentation of findings at attaché conference days.
Year:	2007

Assignment:	Evaluation of the Belgian contribution to multi-annual budget support interventions
Client:	DGDC
Country:	Uganda
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The main purpose of this evaluation was to supply an systematic and objective appraisal of Belgian multi-annual budget support and provide useful information that enables the integration of lessons learned into the process of decision-making in respect of multi-annual budget support both in Belgium and partner countries. Description of Actual Services Provided: Study Phase: gathering information and interviews/e-mail surveys (opinion gathering) Field missions to : Niger, Mozambique and Uganda (HERA only assisted with Uganda) Restitution Phase: drafting reports, discussion with steering committee and presentation of findings at attaché conference days.
Year:	2007

Assignment:	Evaluation of the Belgian contribution to multi-annual budget support interventions
Client:	DGDC
Country:	Niger
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The main purpose of this evaluation was to supply an systematic and objective appraisal of Belgian multi-annual budget support and provide useful information that enables the integration of lessons learned into the process of decision-making in respect of multi-annual budget support both in Belgium and partner countries. Description of Actual Services Provided: Study Phase: gathering information and interviews/e-mail surveys (opinion gathering) Field missions to : Niger, Mozambique and Uganda (HERA only assisted with Uganda) Restitution Phase: drafting reports, discussion with steering committee and presentation of findings at attaché conference days.
Year:	2007

Assignment:	Evaluation of the Belgian contribution to multi-annual budget support interventions
Client:	DGDC
Country:	Mozambique
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The main purpose of this evaluation was to supply an systematic and objective appraisal of Belgian multi-annual budget support and provide useful information that enables the integration of lessons learned into the process of decision-making in respect of multi-annual budget support both in Belgium and partner countries. Description of Actual Services Provided: Study Phase: gathering information and interviews/e-mail surveys (opinion gathering) Field missions to : Niger, Mozambique and Uganda (HERA only assisted with Uganda) Restitution Phase: drafting reports, discussion with steering committee and presentation of findings at attaché conference days.
Year:	2007

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:	Evaluation of the EC AIDS/HIV Programme in Developing Countries
Client:	EC - DG Development - DPE
Country:	Global
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Selection of Essential Medicines
Description:	Narrative Description of Project: ‘Global’ Evaluation of the EC AIDS/HIV Programme in Developing Countries (1987 to 1996; 350 projects; 82 countries; budget of 200 million USD). Appraisal of the Implementing Institution (EC AIDS Task Force in Brussels) Evaluation of Policy Development, Selection of Strategies, Programme Implementation Options for institutional reform for the Aids Task Force Proposals for future policy and strategies Description of Actual Services Provided: Overall responsibility for the evaluation and special expertise on public health, health planning, HIV/AIDS and health economics. Countries visited: Dominican Republic, Bangladesh, Kenya, Senegal, Tanzania, Zambia. Evaluation of regional and national activities; evaluation of the funds committed by source of funding, by strategy and by contracting agency or partner. Two logical frameworks have been developed: the ex-post Logical Framework of the Programme, reflecting the main strategies of the past programme and a present and future Logical Framework. Based on the evaluation, the EC has decided to reorganise the implementing of its global HIV/AIDS programme and adjust the policy and strategic framework.
Year:	1996

Assignment:	Evaluation of the EC AIDS/HIV Programme in Developing Countries
Client:	EC - DG Development - DPE
Country:	Dominican Republic
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Selection of Essential Medicines
Description:	Narrative Description of Project: ‘Global’ Evaluation of the EC AIDS/HIV Programme in Developing Countries (1987 to 1996; 350 projects; 82 countries; budget of 200 million USD). Appraisal of the Implementing Institution (EC AIDS Task Force in Brussels) Evaluation of Policy Development, Selection of Strategies, Programme Implementation Options for institutional reform for the Aids Task Force Proposals for future policy and strategies Description of Actual Services Provided: Overall responsibility for the evaluation and special expertise on public health, health planning, HIV/AIDS and health economics. Countries visited: Dominican Republic, Bangladesh, Kenya, Senegal, Tanzania, Zambia. Evaluation of regional and national activities; evaluation of the funds committed by source of funding, by strategy and by contracting agency or partner. Two logical frameworks have been developed: the ex-post Logical Framework of the Programme, reflecting the main strategies of the past programme and a present and future Logical Framework. Based on the evaluation, the EC has decided to reorganise the implementing of its global HIV/AIDS programme and adjust the policy and strategic framework.
Year:	1996

Assignment:	Evaluation of the EC AIDS/HIV Programme in Developing Countries
Client:	EC - DG Development - DPE
Country:	Bangladesh
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Selection of Essential Medicines
Description:	Narrative Description of Project: ‘Global’ Evaluation of the EC AIDS/HIV Programme in Developing Countries (1987 to 1996; 350 projects; 82 countries; budget of 200 million USD). Appraisal of the Implementing Institution (EC AIDS Task Force in Brussels) Evaluation of Policy Development, Selection of Strategies, Programme Implementation Options for institutional reform for the Aids Task Force Proposals for future policy and strategies Description of Actual Services Provided: Overall responsibility for the evaluation and special expertise on public health, health planning, HIV/AIDS and health economics. Countries visited: Dominican Republic, Bangladesh, Kenya, Senegal, Tanzania, Zambia. Evaluation of regional and national activities; evaluation of the funds committed by source of funding, by strategy and by contracting agency or partner. Two logical frameworks have been developed: the ex-post Logical Framework of the Programme, reflecting the main strategies of the past programme and a present and future Logical Framework. Based on the evaluation, the EC has decided to reorganise the implementing of its global HIV/AIDS programme and adjust the policy and strategic framework.
Year:	1996

Assignment:	Evaluation of the EC AIDS/HIV Programme in Developing Countries
Client:	EC - DG Development - DPE
Country:	Kenya
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Selection of Essential Medicines
Description:	Narrative Description of Project: ‘Global’ Evaluation of the EC AIDS/HIV Programme in Developing Countries (1987 to 1996; 350 projects; 82 countries; budget of 200 million USD). Appraisal of the Implementing Institution (EC AIDS Task Force in Brussels) Evaluation of Policy Development, Selection of Strategies, Programme Implementation Options for institutional reform for the Aids Task Force Proposals for future policy and strategies Description of Actual Services Provided: Overall responsibility for the evaluation and special expertise on public health, health planning, HIV/AIDS and health economics. Countries visited: Dominican Republic, Bangladesh, Kenya, Senegal, Tanzania, Zambia. Evaluation of regional and national activities; evaluation of the funds committed by source of funding, by strategy and by contracting agency or partner. Two logical frameworks have been developed: the ex-post Logical Framework of the Programme, reflecting the main strategies of the past programme and a present and future Logical Framework. Based on the evaluation, the EC has decided to reorganise the implementing of its global HIV/AIDS programme and adjust the policy and strategic framework.
Year:	1996

Assignment:	Evaluation of HIV/AIDS programme
Client:	EC - DG Development - DPE
Country:	Senegal
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Selection of Essential Medicines
Description:	Narrative Description of Project: ‘Global’ Evaluation of the EC AIDS/HIV Programme in Developing Countries (1987 to 1996; 350 projects; 82 countries; budget of 200 million USD). Appraisal of the Implementing Institution (EC AIDS Task Force in Brussels) Evaluation of Policy Development, Selection of Strategies, Programme Implementation Options for institutional reform for the Aids Task Force Proposals for future policy and strategies Description of Actual Services Provided: Overall responsibility for the evaluation and special expertise on public health, health planning, HIV/AIDS and health economics. Countries visited: Dominican Republic, Bangladesh, Kenya, Senegal, Tanzania, Zambia. Evaluation of regional and national activities; evaluation of the funds committed by source of funding, by strategy and by contracting agency or partner. Two logical frameworks have been developed: the ex-post Logical Framework of the Programme, reflecting the main strategies of the past programme and a present and future Logical Framework. Based on the evaluation, the EC has decided to reorganise the implementing of its global HIV/AIDS programme and adjust the policy and strategic framework.
Year:	1996

Assignment:	Evaluation of the EC AIDS/HIV Programme in Developing Countries
Client:	EC - DG Development - DPE
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Selection of Essential Medicines
Description:	Narrative Description of Project: ‘Global’ Evaluation of the EC AIDS/HIV Programme in Developing Countries (1987 to 1996; 350 projects; 82 countries; budget of 200 million USD). Appraisal of the Implementing Institution (EC AIDS Task Force in Brussels) Evaluation of Policy Development, Selection of Strategies, Programme Implementation Options for institutional reform for the Aids Task Force Proposals for future policy and strategies Description of Actual Services Provided: Overall responsibility for the evaluation and special expertise on public health, health planning, HIV/AIDS and health economics. Countries visited: Dominican Republic, Bangladesh, Kenya, Senegal, Tanzania, Zambia. Evaluation of regional and national activities; evaluation of the funds committed by source of funding, by strategy and by contracting agency or partner. Two logical frameworks have been developed: the ex-post Logical Framework of the Programme, reflecting the main strategies of the past programme and a present and future Logical Framework. Based on the evaluation, the EC has decided to reorganise the implementing of its global HIV/AIDS programme and adjust the policy and strategic framework.
Year:	1996

Assignment:	Evaluation of the EC AIDS/HIV Programme in Developing Countries
Client:	EC - DG Development - DPE
Country:	Zambia
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Selection of Essential Medicines
Description:	Narrative Description of Project: ‘Global’ Evaluation of the EC AIDS/HIV Programme in Developing Countries (1987 to 1996; 350 projects; 82 countries; budget of 200 million USD). Appraisal of the Implementing Institution (EC AIDS Task Force in Brussels) Evaluation of Policy Development, Selection of Strategies, Programme Implementation Options for institutional reform for the Aids Task Force Proposals for future policy and strategies Description of Actual Services Provided: Overall responsibility for the evaluation and special expertise on public health, health planning, HIV/AIDS and health economics. Countries visited: Dominican Republic, Bangladesh, Kenya, Senegal, Tanzania, Zambia. Evaluation of regional and national activities; evaluation of the funds committed by source of funding, by strategy and by contracting agency or partner. Two logical frameworks have been developed: the ex-post Logical Framework of the Programme, reflecting the main strategies of the past programme and a present and future Logical Framework. Based on the evaluation, the EC has decided to reorganise the implementing of its global HIV/AIDS programme and adjust the policy and strategic framework.
Year:	1996

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:	Mid-term Review of the South West Rural Health Programme (Phase III) and West Nile Health Programme
Client:	EC - EDF
Country:	Uganda
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Hospital Services, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes
Description:	Narrative Description of Project: Evaluation of the two programmes using logical framework. Description of Actual Services Provided: Performance assessment of the national policy framework; the Rural Health Programme; the District Health Systems Strengthening Project; the Sleeping Sickness Control Project. Participatory approach (work closely with government officials, EC delegation and project staff). Field visits (discussions with stakeholders).
Year:	1999 - 2000

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

Assignment:	Monitoring and Evaluation of project activities and ensuring its effectiveness and sustainability
Client:	EC - Government of Zambia
Country:	Zambia
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: The overall objective is to improve the efficiency and effectiveness of health care delivery through the strengthening of HMIS, seen as a combination of people, equipment and procedures organised to provide health information enabling concerned stakeholders to make timely and informed decisions and use of information at various levels. Description of actual services provided: The team: Held consultations with stakeholders at central, provincial and district level; Assessed the existing situation at all levels of the health system; Prepared and participated in an external evaluation of the project in 2007; Designed an ongoing monitoring and evaluation scheme of project activities by national, provincial and district level staff linked to the quarterly performance appraisal, the Joint Annual Review process and the PAF; Initiated and implemented the ongoing monitoring and evaluation scheme of project activities.
Year:	2007 - 2008

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 Evaluation of the decentralised support to the health care programme
Client:	EC - lot 8
Country:	Togo
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Hospital Services, Monitoring and Evaluation
Description:	Narrative Description of Project: Contribute to the improvement of the health services in district V of Lomé and the lake district. Provide the decision makers with the necessary elements to relaunch or re-orient the project so that the set goals are achieved. Serve as a basis for the rider to the financing agreement. Description of Actual Services Provided: Analysis of project documents, plans, budgets, reports . Local visits and interviews with all actors concerned: delegation, ministry of health, coordination unit, district teams, other stakeholders. A validation workshop was held to present the findings and recommendations. Final report.
Year:	2006

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:	Evaluation of the EDF Health Programme
Client:	EC/EDF
Country:	Chad
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: Evaluation of the (regional) EDF Health Programme. Proposals for future Health interventions. Description of Actual Services Provided: Responsible for carrying-out the midterm evaluation of the Chad health programme, covering approximately half of the country, ongoing since almost nine years. Proposals for reorientation of the health programme. Proposals for discussion of EU health policy for sub-Saharan Africa.
Year:	1995

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

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

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

Assignment:	Long Term Technical Assistance on Human Resource Management
Client:	Embassy of Sweden
Country:	Zambia
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Long Term Technical Assistance, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative Description of Project: To provide expert advice and assistance on human resource issues to the Ministry of Health in general and the Directorate for Human Resources and Administration in particular. Capacity building to deal effectively with current major human resource issues and lay the foundation for the longer term improvement in health care staffing levels and management. Description of Actual Services Provided: Key tasks: Enable the Ministry of Health resolve the immediate staffing crisis Develop the focus on strategy in the human resource function at national level Strengthen the general capacity for human resource management/development Support the completion of the management restructuring Help to strengthen career planning and progression of health workers at all levels.
Year:	2006 - 2008

Assignment:	Evaluation of the treatment of low frequent diseases
Client:	Embassy of the Netherlands
Country:	Suriname
Fields of expertise:	Cost-effectiveness Studies, Health Policy and Policy Dialogue, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the process of expatriating, the costs, the management structures and the spin-off effects of the regulation on the Surinam health care. The drawn conclusions and recommendations are an important input to the policy of health care. Description of Actual Services Provided: Evaluation of the organisation and costs of the regulation in the period 1 January 1997 – 31 December 2002 & 1 January 2003 – 31 December 2003. Data collection from patient files, interviews with treating specialists in Suriname and abroad. Discussion with ARMULOV work group.
Year:	2004 - 2005

Assignment:	Mid-term Review of Sexual and Reproductive Health EC/UNFPA/IPPF Joint Programme
Client:	Europaid - AIDCO
Country:	Global
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Reproductive Health
Description:	Narrative Description of Project: The objective of the review was to provide the EC, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgement about the performance of the project and to provide operational recommendations. Description of Actual Services Provided: Review of selected projects in representative countries which serve as basis for the overall programme review. (different geographically and different types of projects) Study of all related documents: national strategy, health development plans, project financing agreements, reports submitted by IPPF and UNFPA to the EC, annual reports of the country project, reports of mid-term reviews etc. Meetings with key policy makers, stakeholders and project managers Contacts with officials at the EC Delegation and key donors in SRH area. 6 field visits of 5 days each Review of regional offices input in programme implementation (Dakar, London) Draft report Validation workshop in Brussels with EC/IPPF/UNFPA/ACP secretariat and AIDCO/C/4 Final report
Year:	2005 - 2006

Assignment:	Mid-term Review of Sexual and Reproductive Health EC/UNFPA/IPPF Joint Programme
Client:	Europaid - AIDCO
Country:	Ghana
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Reproductive Health
Description:	Narrative Description of Project: The objective of the review was to provide the EC, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgement about the performance of the project and to provide operational recommendations. Description of Actual Services Provided: Review of selected projects in representative countries which serve as basis for the overall programme review. (different geographically and different types of projects) Study of all related documents: national strategy, health development plans, project financing agreements, reports submitted by IPPF and UNFPA to the EC, annual reports of the country project, reports of mid-term reviews etc. Meetings with key policy makers, stakeholders and project managers Contacts with officials at the EC Delegation and key donors in SRH area. 6 field visits of 5 days each Review of regional offices input in programme implementation (Dakar, London) Draft report Validation workshop in Brussels with EC/IPPF/UNFPA/ACP secretariat and AIDCO/C/4 Final report
Year:	2005 - 2006

Assignment:	Mid-term Review of Sexual and Reproductive Health EC/UNFPA/IPPF Joint Programme
Client:	Europaid - AIDCO
Country:	Burkina Faso
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Reproductive Health
Description:	Narrative Description of Project: The objective of the review was to provide the EC, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgement about the performance of the project and to provide operational recommendations. Description of Actual Services Provided: Review of selected projects in representative countries which serve as basis for the overall programme review. (different geographically and different types of projects) Study of all related documents: national strategy, health development plans, project financing agreements, reports submitted by IPPF and UNFPA to the EC, annual reports of the country project, reports of mid-term reviews etc. Meetings with key policy makers, stakeholders and project managers Contacts with officials at the EC Delegation and key donors in SRH area. 6 field visits of 5 days each Review of regional offices input in programme implementation (Dakar, London) Draft report Validation workshop in Brussels with EC/IPPF/UNFPA/ACP secretariat and AIDCO/C/4 Final report
Year:	2005 - 2006

Assignment:	Mid-term Review of Sexual and Reproductive Health EC/UNFPA/IPPF Joint Programme
Client:	Europaid - AIDCO
Country:	Sudan
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Reproductive Health
Description:	Narrative Description of Project: The objective of the review was to provide the EC, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgement about the performance of the project and to provide operational recommendations. Description of Actual Services Provided: Review of selected projects in representative countries which serve as basis for the overall programme review. (different geographically and different types of projects) Study of all related documents: national strategy, health development plans, project financing agreements, reports submitted by IPPF and UNFPA to the EC, annual reports of the country project, reports of mid-term reviews etc. Meetings with key policy makers, stakeholders and project managers Contacts with officials at the EC Delegation and key donors in SRH area. 6 field visits of 5 days each Review of regional offices input in programme implementation (Dakar, London) Draft report Validation workshop in Brussels with EC/IPPF/UNFPA/ACP secretariat and AIDCO/C/4 Final report
Year:	2005 - 2006

Assignment:	Mid-term Review of Sexual and Reproductive Health EC/UNFPA/IPPF Joint Programme
Client:	Europaid - AIDCO
Country:	Rwanda
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Reproductive Health
Description:	Narrative Description of Project: The objective of the review was to provide the EC, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgement about the performance of the project and to provide operational recommendations. Description of Actual Services Provided: Review of selected projects in representative countries which serve as basis for the overall programme review. (different geographically and different types of projects) Study of all related documents: national strategy, health development plans, project financing agreements, reports submitted by IPPF and UNFPA to the EC, annual reports of the country project, reports of mid-term reviews etc. Meetings with key policy makers, stakeholders and project managers Contacts with officials at the EC Delegation and key donors in SRH area. 6 field visits of 5 days each Review of regional offices input in programme implementation (Dakar, London) Draft report Validation workshop in Brussels with EC/IPPF/UNFPA/ACP secretariat and AIDCO/C/4 Final report
Year:	2005 - 2006

Assignment:	Mid-term Review of Sexual and Reproductive Health EC/UNFPA/IPPF Joint Programme
Client:	Europaid - AIDCO
Country:	Mauritania
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Reproductive Health
Description:	Narrative Description of Project: The objective of the review was to provide the EC, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgement about the performance of the project and to provide operational recommendations. Description of Actual Services Provided: Review of selected projects in representative countries which serve as basis for the overall programme review. (different geographically and different types of projects) Study of all related documents: national strategy, health development plans, project financing agreements, reports submitted by IPPF and UNFPA to the EC, annual reports of the country project, reports of mid-term reviews etc. Meetings with key policy makers, stakeholders and project managers Contacts with officials at the EC Delegation and key donors in SRH area. 6 field visits of 5 days each Review of regional offices input in programme implementation (Dakar, London) Draft report Validation workshop in Brussels with EC/IPPF/UNFPA/ACP secretariat and AIDCO/C/4 Final report
Year:	2005 - 2006

Assignment:	Mid-term Evaluation and Programming of the PATS II program
Client:	European Commission
Country:	Congo RDC
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: The principal objective of PATS II is to maintain and to reinforce the access and quality level of the health services as obtained within the PATS I program in the 3 geographical regions. This mid-term evaluation aims at analyzing the coherence of the program with respect to the context, the institutional framework and the constraints of the health sector in DRC and at assessing the work and planning modalities of the program. Description of Actual Services Provided: Analysis (based on the evaluation methodology of the EC) of: The coherence and realism of the conception and planning of the project; The functioning of the project; The institutional framework. Evaluation of the efficiency and impact of the projects on the health system and services.
Year:	2001

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

Assignment:	Mid-term Evaluation of the 8th EFD Health Project
Client:	European Commission
Country:	Chad
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: The global objective is to elaborate a general critical assessment of the project, including its structure, organisation, implementation and capacities as well as the capacities of the MoH to continue the project implementation respecting the initially fixed objectives. If relevant, the team will present a reorientation of the project approach in order to respect its objectives. This approach will focus in particular on the decentralization of responsibilities concentrating the supported activities to essential functions and to an optimal complementary use of petroleum resources. Description of Actual Services Provided: Evaluation of the progress of project implementation and the results in relation to the time and the objectives of the financing agreement; evaluation of the adequacy between the objectives, the strategies proposed by the financing agreement and the spent resources; Evaluation of the functioning of the institutional framework of the project; Evaluation of the relations with the project partners; Evaluation of the respect of the contractual obligations by the Consortium and the Ministry of Public Health, as well as the degree of responsibility and involvement of the Ministry, its degree of understanding and ownership of the concepts to the project; Evaluation of the quality of support provided by the Consortium to the Ministry of Public Health; Evaluation of the quality of the integration of the project within MoH; Evaluation of the relevance implementation of the strategies of the financing agreement in regard with the present situation and the difficulties. Proposal of a project reorientation, allowing for complete decentralization through contractualisation or a complete different mechanism more adapted to the objective limitations of MoH.
Year:	2003

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

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

Assignment:	Mid-term Review of the programme EC/ACP/WHO Partnership on Health Millenium Development Goals
Client:	European Commission
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: The overall objective of the programme is to contribute to the poverty alleviation and to the achievement of the Millennium Development Goals in the ACP region. The purpose is to enhance national capacity for formulation and implementation of health policies including a strengthened engagement of the health authorities in Poverty Reduction Strategies Plans (PRSPs), Sector Wide Approaches (SWAPS) and budget support processes in order to scale up programmes to accelerate the achievement of the Millennium Development Goals (MDG's). A joint EC-WHO review of the programme is planned to be conducted during phase I of the programme. The objective of the Mid Term Review (MTR) is to provide the EC, WHO, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgment about the performance of this programme (namely its efficiency, effectiveness and relevance), and recommendations based on the findings of the evaluators about any required changes to programme scope (such as objectives, duration, financing, management etc…). The MTR will also provide essential information to guide WHO in the programming of years 4 and 5. In this respect, the review will assess the implementation of the programme to date. The review will provide important opportunity to consolidate the aspects of this intervention which have proved successful and explore and apply corrective measures to areas where difficulties and delays have been experienced. The ultimate goal of the Review is therefore to contribute to a better understanding of the conditions needed for the success of the programme and to draw strategic lessons for the remainder period of the programme. The purpose of the mid-tem evaluation of this programme is therefore to: Confirm that the programme's original objectives, desired outcomes and impact remain valid; Comment, by making evidence-based conclusions and suggestions, on the level of the inputs, outputs, results, and their effectiveness in the attainment of the planned outcomes/objectives for the Programme as a whole and for each four areas of work; Comment, by making evidence-based observations and suggestions, on the programme's management and administrative systems and practices, on decision-making procedures and monitoring approaches, and on the level of participatory interaction among the programme's partners ; Recommend a course of action, supported by data, to ensure that the programme's expected outcomes and objectives, and/or their modifications, are met during the remainder of the programme Description of actual services provided by your staff within the assignment: The review was empirical and evidence based. It started with some deskwork done at WHO Headquarters followed by in-country visits to the following ACP countries: Haiti, Malawi and Tanzania. These countries are representative of the different geographical areas included within the programme and will permit to get field evidence for the overall programme review. After the field visits a first draft of the report was presented to WHO, EC and ACP secretariat who submitted their comments to this report. Version 2 of the report was produced including recommendations proposed by the evaluators. This was discussed during the validation workshop in Nairobi. A final version of the report, including minutes and final comments made at the workshop will be presented .
Year:	2008 - 2009

Assignment:	Mid-term Review of the programme EC/ACP/WHO Partnership on Health Millenium Development Goals
Client:	European Commission
Country:	Malawi
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: The overall objective of the programme is to contribute to the poverty alleviation and to the achievement of the Millennium Development Goals in the ACP region. The purpose is to enhance national capacity for formulation and implementation of health policies including a strengthened engagement of the health authorities in Poverty Reduction Strategies Plans (PRSPs), Sector Wide Approaches (SWAPS) and budget support processes in order to scale up programmes to accelerate the achievement of the Millennium Development Goals (MDG's). A joint EC-WHO review of the programme is planned to be conducted during phase I of the programme. The objective of the Mid Term Review (MTR) is to provide the EC, WHO, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgment about the performance of this programme (namely its efficiency, effectiveness and relevance), and recommendations based on the findings of the evaluators about any required changes to programme scope (such as objectives, duration, financing, management etc…). The MTR will also provide essential information to guide WHO in the programming of years 4 and 5. In this respect, the review will assess the implementation of the programme to date. The review will provide important opportunity to consolidate the aspects of this intervention which have proved successful and explore and apply corrective measures to areas where difficulties and delays have been experienced. The ultimate goal of the Review is therefore to contribute to a better understanding of the conditions needed for the success of the programme and to draw strategic lessons for the remainder period of the programme. The purpose of the mid-tem evaluation of this programme is therefore to: Confirm that the programme's original objectives, desired outcomes and impact remain valid; Comment, by making evidence-based conclusions and suggestions, on the level of the inputs, outputs, results, and their effectiveness in the attainment of the planned outcomes/objectives for the Programme as a whole and for each four areas of work; Comment, by making evidence-based observations and suggestions, on the programme's management and administrative systems and practices, on decision-making procedures and monitoring approaches, and on the level of participatory interaction among the programme's partners ; Recommend a course of action, supported by data, to ensure that the programme's expected outcomes and objectives, and/or their modifications, are met during the remainder of the programme Description of actual services provided by your staff within the assignment: The review was empirical and evidence based. It started with some deskwork done at WHO Headquarters followed by in-country visits to the following ACP countries: Haiti, Malawi and Tanzania. These countries are representative of the different geographical areas included within the programme and will permit to get field evidence for the overall programme review. After the field visits a first draft of the report was presented to WHO, EC and ACP secretariat who submitted their comments to this report. Version 2 of the report was produced including recommendations proposed by the evaluators. This was discussed during the validation workshop in Nairobi. A final version of the report, including minutes and final comments made at the workshop will be presented .
Year:	2008 - 2009

Assignment:	Mid-term Review of the programme EC/ACP/WHO Partnership on Health Millenium Development Goals
Client:	European Commission
Country:	Haiti
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: The overall objective of the programme is to contribute to the poverty alleviation and to the achievement of the Millennium Development Goals in the ACP region. The purpose is to enhance national capacity for formulation and implementation of health policies including a strengthened engagement of the health authorities in Poverty Reduction Strategies Plans (PRSPs), Sector Wide Approaches (SWAPS) and budget support processes in order to scale up programmes to accelerate the achievement of the Millennium Development Goals (MDG's). A joint EC-WHO review of the programme is planned to be conducted during phase I of the programme. The objective of the Mid Term Review (MTR) is to provide the EC, WHO, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgment about the performance of this programme (namely its efficiency, effectiveness and relevance), and recommendations based on the findings of the evaluators about any required changes to programme scope (such as objectives, duration, financing, management etc…). The MTR will also provide essential information to guide WHO in the programming of years 4 and 5. In this respect, the review will assess the implementation of the programme to date. The review will provide important opportunity to consolidate the aspects of this intervention which have proved successful and explore and apply corrective measures to areas where difficulties and delays have been experienced. The ultimate goal of the Review is therefore to contribute to a better understanding of the conditions needed for the success of the programme and to draw strategic lessons for the remainder period of the programme. The purpose of the mid-tem evaluation of this programme is therefore to: Confirm that the programme's original objectives, desired outcomes and impact remain valid; Comment, by making evidence-based conclusions and suggestions, on the level of the inputs, outputs, results, and their effectiveness in the attainment of the planned outcomes/objectives for the Programme as a whole and for each four areas of work; Comment, by making evidence-based observations and suggestions, on the programme's management and administrative systems and practices, on decision-making procedures and monitoring approaches, and on the level of participatory interaction among the programme's partners ; Recommend a course of action, supported by data, to ensure that the programme's expected outcomes and objectives, and/or their modifications, are met during the remainder of the programme Description of actual services provided by your staff within the assignment: The review was empirical and evidence based. It started with some deskwork done at WHO Headquarters followed by in-country visits to the following ACP countries: Haiti, Malawi and Tanzania. These countries are representative of the different geographical areas included within the programme and will permit to get field evidence for the overall programme review. After the field visits a first draft of the report was presented to WHO, EC and ACP secretariat who submitted their comments to this report. Version 2 of the report was produced including recommendations proposed by the evaluators. This was discussed during the validation workshop in Nairobi. A final version of the report, including minutes and final comments made at the workshop will be presented .
Year:	2008 - 2009

Assignment:	Mid-term Review of the programme EC/ACP/WHO Partnership on Health Millenium Development Goals
Client:	European Commission
Country:	Switzerland
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: The overall objective of the programme is to contribute to the poverty alleviation and to the achievement of the Millennium Development Goals in the ACP region. The purpose is to enhance national capacity for formulation and implementation of health policies including a strengthened engagement of the health authorities in Poverty Reduction Strategies Plans (PRSPs), Sector Wide Approaches (SWAPS) and budget support processes in order to scale up programmes to accelerate the achievement of the Millennium Development Goals (MDG's). A joint EC-WHO review of the programme is planned to be conducted during phase I of the programme. The objective of the Mid Term Review (MTR) is to provide the EC, WHO, the ACP Group and the decision makers in the respective countries with sufficient information to make an informed judgment about the performance of this programme (namely its efficiency, effectiveness and relevance), and recommendations based on the findings of the evaluators about any required changes to programme scope (such as objectives, duration, financing, management etc…). The MTR will also provide essential information to guide WHO in the programming of years 4 and 5. In this respect, the review will assess the implementation of the programme to date. The review will provide important opportunity to consolidate the aspects of this intervention which have proved successful and explore and apply corrective measures to areas where difficulties and delays have been experienced. The ultimate goal of the Review is therefore to contribute to a better understanding of the conditions needed for the success of the programme and to draw strategic lessons for the remainder period of the programme. The purpose of the mid-tem evaluation of this programme is therefore to: Confirm that the programme's original objectives, desired outcomes and impact remain valid; Comment, by making evidence-based conclusions and suggestions, on the level of the inputs, outputs, results, and their effectiveness in the attainment of the planned outcomes/objectives for the Programme as a whole and for each four areas of work; Comment, by making evidence-based observations and suggestions, on the programme's management and administrative systems and practices, on decision-making procedures and monitoring approaches, and on the level of participatory interaction among the programme's partners ; Recommend a course of action, supported by data, to ensure that the programme's expected outcomes and objectives, and/or their modifications, are met during the remainder of the programme Description of actual services provided by your staff within the assignment: The review was empirical and evidence based. It started with some deskwork done at WHO Headquarters followed by in-country visits to the following ACP countries: Haiti, Malawi and Tanzania. These countries are representative of the different geographical areas included within the programme and will permit to get field evidence for the overall programme review. After the field visits a first draft of the report was presented to WHO, EC and ACP secretariat who submitted their comments to this report. Version 2 of the report was produced including recommendations proposed by the evaluators. This was discussed during the validation workshop in Nairobi. A final version of the report, including minutes and final comments made at the workshop will be presented .
Year:	2008 - 2009

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

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

Assignment:	Scoping mission to identify and argue a change in the actual configuration of the Hospital Performances in the Province of Luxembourg
Client:	European Investment Bank
Country:	Belgium
Fields of expertise:	Health Policy and Policy Dialogue, Hospital Services, Identification and Formulation, Public Private Partnership
Description:	Narrative Description of Project: The objective is to assist the Province of Luxembourg in deciding on an appropriate course of action, the objective of this particular assignment is to make the ‘case for change’. Within the scope of meeting the economic and financial objectives, the ‘case’ shall build on current international trends and experience in hospital service rationalisation and take the Province de Luxembourg’s particular circumstances into consideration. The ‘case’ may include one or two options to the Province’s current hospital configuration - broadly elaborated and based on relevant, applicable practice. To further assist in decision-making, the assignment will include a ‘road map’ setting out the steps, the work, the timescale, and the likely cost of identifying and fully appraising a preferred hospital configuration for the Province. Description of Actual Services Provided: a basic survey of the health institutions in PdL – to assemble the essential knowledge of existing institutions’ capacity, functionality, services offered, staffing, catchment area, design, state of repairs, management, and financial situation etc; a broad assessment of the demand for hospital services in the Province, based on epidemiological data or deriving from a similarly accepted methodology; an estimate of required hospital capacity in the Province. The estimate will take due note of current international trends in hospital services provision and - to the extent possible – take into consideration PdL inhabitants’ access to services outside the Province and the need to continue to procure certain specialised services elsewhere; an analysis of the ‘problem’ and a reasoned suggestion on a response. The pros and cons of the option(s) as concerns investment cost, recurrent cost, accessibility, quality of services, staff requirements, etc. should be described in approximate terms comparative to the current situation; a ‘roadmap’ of the of how to move towards identifying and selecting a preferred option. This will include a detailed description of the tasks included, their time scale, and their approximate cost (=terms of reference), and advise on other practical steps in the process.
Year:	2003

Assignment:	Institutional analysis of the FARES (organisation for TB prevention) and evaluation of TB prevention in the French speaking Community of Belgium
Client:	FARES
Country:	Belgium
Fields of expertise:	Cost-effectiveness Studies, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Institutional analysis of the FARES (organisation for TB prevention) and evaluation of TB prevention in the French speaking Community of Belgium. The study included a costeffectiveness analysis of the more focused approach to TB prevention and screening.
Year:	1996

Assignment:	Identification and Formulation of a project for the renovation of the central hospital in Beira
Client:	Flemish Government - Ministry of Health
Country:	Mozambique
Fields of expertise:	Health Policy and Policy Dialogue, Hospital Services, Identification and Formulation
Description:	Narrative Description of Project: The Ministry of Health (MISAU) had applied for Flemish Cooperation support funds for the rehabilitation of an Infectious and Contagious Disease Ward and for improving laboratory examinations in Beira. The identification and formulation mission was supposed to check the relevance, feasibility and sustainability of the proposal for the renovation of the central Hospital and the “21 de Julho” Hospital. Description of Actual Services Provided: SWOT-analysis The strengths/weaknesses and opportunities/threats were analysed for both alternative solutions: (1) to rehabilitate the building of the hospital ‘24 de julho’ and transform it in a reference unit for infectious diseases; (2) to build a new ward inside the hospital compound that would serve both as the TB and dermatology ward and an infectious disease reference clinic The conclusion was that the construction of a new ward was the best alternative. Stakeholders analysis Formulation of the alternative project: intervention logic, operational planning, budget
Year:	2004

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

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

Assignment:	External Evaluation of Health Care Support Programme - Nangarhar Province
Client:	HealthNet TPO
Country:	Afghanistan
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Hospital Services, Monitoring and Evaluation
Description:	Narrative Description of Project: The purpose of the evaluation is to provide the European Commission with an independent assessment of the relevance, appropriateness, achievements and sustainability of the programme activities carried out during the whole programme duration: The achievement in relation to original objectives of the project as stated in the Contract, Logical Frame Work and Revised Work Plan; The consequences for national health policy for universal coverage of population with basic health services if HN-TPO assistance ends and recommendations to further sustain efforts to improve basic health services in Nangarhar province. Description of Actual Services Provided: The expert evaluated the relevance and coherence of programme strategies, the effectiveness, the efficiency, the sustainability and the coordination of the project using the following methodology: A desk review of the relevant project documents Observation of the process of site activities by selecting sample activities implemented by the HCSP. Initial interviews with key senior staff based in Kabul and Jalalabad. Visits to project sites to interview key field managers and staff and to observe the activities undertaken during the project period. Interviews and meetings with beneficiaries in various locations. Meetings with EC, other stakeholders implementing similar/other projects, both at national policy level as well as in the field Final report
Year:	2007

Assignment:	Socio-behavioural study on HIV/AIDS amongst seafarers in the member countries of the Indian Ocean Commission
Client:	Indian Ocean Commission (IOC)
Country:	Comores
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB
Description:	Narrative description of Project: The Project to Support the Regional Initiative STD/AIDS in the member countries of the IOC (AIRIS-COI Project) aims at contributing to the realisation of the millennium development goal related to combating HIV-AIDS, the STD and Tuberculosis. One of the priorities set by the project is to reduce the vulnerability to HIV infection amongst seafarers, a group particularly considered to be at risk. In order to evaluate the results of the interventions in the framework of the AIRIS project, three socio-behavioural studies had been planned. All countries had already realised these studies at the level of the general population but not amongst the seafarers. Therefore, the Project commissioned a mission that first had to review the data and recommendations of these studies and next, had to conduct socio-behavioural and biological studies amongst the seafarers of the four islands in order to establish a reference situation in terms of HIV and STD prevention, to adjust common policies, strategies and programmes on the fight against HIV and to evaluate the impact of the initiative of the IOC and her partners. Description of actual services provided by your staff within the assignment: Inventory and analysis of data and results of the previous biological and socio-behavioural studies regarding the (general) population of each country. Conception, preparation and implementation of a socio-behavioural and biological study amongst the seafarers of the member countries of the Indian Ocean Commission in collaboration with the respective Ministries of Health, UNAIDS, the IOC and the IOSEA through surveys and blood samples from 4 cross-sections of seafarers, completed by qualitative interviews with sex workers. Analysis and interpretation of the results for each country: Analysis of the HIV epidemiological situation on the islands of the Indian Ocean and the response of each country or in the framework of the regional partnership; In-depth analysis of the reasons justifying the still relatively low level of the epidemic. Proposal of the great lines of a regional strategy in support to the national policies and programmes on the fight against HIV/AIDS to maintain this level and even reduce it in the medium term by identifying the risk behaviours and assuring the promotion of good practices.
Year:	2008

Assignment:	Socio-behavioural study on HIV/AIDS amongst seafarers in the member countries of the Indian Ocean Commission
Client:	Indian Ocean Commission (IOC)
Country:	Madagascar
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB
Description:	Narrative description of Project: The Project to Support the Regional Initiative STD/AIDS in the member countries of the IOC (AIRIS-COI Project) aims at contributing to the realisation of the millennium development goal related to combating HIV-AIDS, the STD and Tuberculosis. One of the priorities set by the project is to reduce the vulnerability to HIV infection amongst seafarers, a group particularly considered to be at risk. In order to evaluate the results of the interventions in the framework of the AIRIS project, three socio-behavioural studies had been planned. All countries had already realised these studies at the level of the general population but not amongst the seafarers. Therefore, the Project commissioned a mission that first had to review the data and recommendations of these studies and next, had to conduct socio-behavioural and biological studies amongst the seafarers of the four islands in order to establish a reference situation in terms of HIV and STD prevention, to adjust common policies, strategies and programmes on the fight against HIV and to evaluate the impact of the initiative of the IOC and her partners. Description of actual services provided by your staff within the assignment: Inventory and analysis of data and results of the previous biological and socio-behavioural studies regarding the (general) population of each country. Conception, preparation and implementation of a socio-behavioural and biological study amongst the seafarers of the member countries of the Indian Ocean Commission in collaboration with the respective Ministries of Health, UNAIDS, the IOC and the IOSEA through surveys and blood samples from 4 cross-sections of seafarers, completed by qualitative interviews with sex workers. Analysis and interpretation of the results for each country: Analysis of the HIV epidemiological situation on the islands of the Indian Ocean and the response of each country or in the framework of the regional partnership; In-depth analysis of the reasons justifying the still relatively low level of the epidemic. Proposal of the great lines of a regional strategy in support to the national policies and programmes on the fight against HIV/AIDS to maintain this level and even reduce it in the medium term by identifying the risk behaviours and assuring the promotion of good practices.
Year:	2008

Assignment:	Socio-behavioural study on HIV/AIDS amongst seafarers in the member countries of the Indian Ocean Commission
Client:	Indian Ocean Commission (IOC)
Country:	Seychelles
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB
Description:	Narrative description of Project: The Project to Support the Regional Initiative STD/AIDS in the member countries of the IOC (AIRIS-COI Project) aims at contributing to the realisation of the millennium development goal related to combating HIV-AIDS, the STD and Tuberculosis. One of the priorities set by the project is to reduce the vulnerability to HIV infection amongst seafarers, a group particularly considered to be at risk. In order to evaluate the results of the interventions in the framework of the AIRIS project, three socio-behavioural studies had been planned. All countries had already realised these studies at the level of the general population but not amongst the seafarers. Therefore, the Project commissioned a mission that first had to review the data and recommendations of these studies and next, had to conduct socio-behavioural and biological studies amongst the seafarers of the four islands in order to establish a reference situation in terms of HIV and STD prevention, to adjust common policies, strategies and programmes on the fight against HIV and to evaluate the impact of the initiative of the IOC and her partners. Description of actual services provided by your staff within the assignment: Inventory and analysis of data and results of the previous biological and socio-behavioural studies regarding the (general) population of each country. Conception, preparation and implementation of a socio-behavioural and biological study amongst the seafarers of the member countries of the Indian Ocean Commission in collaboration with the respective Ministries of Health, UNAIDS, the IOC and the IOSEA through surveys and blood samples from 4 cross-sections of seafarers, completed by qualitative interviews with sex workers. Analysis and interpretation of the results for each country: Analysis of the HIV epidemiological situation on the islands of the Indian Ocean and the response of each country or in the framework of the regional partnership; In-depth analysis of the reasons justifying the still relatively low level of the epidemic. Proposal of the great lines of a regional strategy in support to the national policies and programmes on the fight against HIV/AIDS to maintain this level and even reduce it in the medium term by identifying the risk behaviours and assuring the promotion of good practices.
Year:	2008

Assignment:	Socio-behavioural study on HIV/AIDS amongst seafarers in the member countries of the Indian Ocean Commission
Client:	Indian Ocean Commission (IOC)
Country:	Mauritius
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB
Description:	Narrative description of Project: The Project to Support the Regional Initiative STD/AIDS in the member countries of the IOC (AIRIS-COI Project) aims at contributing to the realisation of the millennium development goal related to combating HIV-AIDS, the STD and Tuberculosis. One of the priorities set by the project is to reduce the vulnerability to HIV infection amongst seafarers, a group particularly considered to be at risk. In order to evaluate the results of the interventions in the framework of the AIRIS project, three socio-behavioural studies had been planned. All countries had already realised these studies at the level of the general population but not amongst the seafarers. Therefore, the Project commissioned a mission that first had to review the data and recommendations of these studies and next, had to conduct socio-behavioural and biological studies amongst the seafarers of the four islands in order to establish a reference situation in terms of HIV and STD prevention, to adjust common policies, strategies and programmes on the fight against HIV and to evaluate the impact of the initiative of the IOC and her partners. Description of actual services provided by your staff within the assignment: Inventory and analysis of data and results of the previous biological and socio-behavioural studies regarding the (general) population of each country. Conception, preparation and implementation of a socio-behavioural and biological study amongst the seafarers of the member countries of the Indian Ocean Commission in collaboration with the respective Ministries of Health, UNAIDS, the IOC and the IOSEA through surveys and blood samples from 4 cross-sections of seafarers, completed by qualitative interviews with sex workers. Analysis and interpretation of the results for each country: Analysis of the HIV epidemiological situation on the islands of the Indian Ocean and the response of each country or in the framework of the regional partnership; In-depth analysis of the reasons justifying the still relatively low level of the epidemic. Proposal of the great lines of a regional strategy in support to the national policies and programmes on the fight against HIV/AIDS to maintain this level and even reduce it in the medium term by identifying the risk behaviours and assuring the promotion of good practices.
Year:	2008

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:	Mid-term Review of ITM-DGCD Framework Agreement
Client:	Institute of Tropical Medicine
Country:	Global
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: The over-all objectives of the MTR were: to assess the performance of the programme in achieving their objectives to assess the performance of a number of projects in achieving their objectives to contribute to the planning of the future programmes The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future. Description of Actual Services Provided: Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South. Nine missions to different countries. A participative approach supervised by a committee composed of members of ITM and DGCD. Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:	2005 - 2006

Assignment:	Mid-term Review of ITM-DGCD Framework Agreement
Client:	Institute of Tropical Medicine
Country:	Vietnam
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: The over-all objectives of the MTR were: to assess the performance of the programme in achieving their objectives to assess the performance of a number of projects in achieving their objectives to contribute to the planning of the future programmes The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future. Description of Actual Services Provided: Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South. Nine missions to different countries. A participative approach supervised by a committee composed of members of ITM and DGCD. Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:	2005 - 2006

Assignment:	Mid-term Review of ITM-DGCD Framework Agreement
Client:	Institute of Tropical Medicine
Country:	Benin
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: The over-all objectives of the MTR were: to assess the performance of the programme in achieving their objectives to assess the performance of a number of projects in achieving their objectives to contribute to the planning of the future programmes The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future. Description of Actual Services Provided: Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South. Nine missions to different countries. A participative approach supervised by a committee composed of members of ITM and DGCD. Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:	2005 - 2006

Assignment:	Mid-term Review of ITM-DGCD Framework Agreement
Client:	Institute of Tropical Medicine
Country:	Niger
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: The over-all objectives of the MTR were: to assess the performance of the programme in achieving their objectives to assess the performance of a number of projects in achieving their objectives to contribute to the planning of the future programmes The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future. Description of Actual Services Provided: Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South. Nine missions to different countries. A participative approach supervised by a committee composed of members of ITM and DGCD. Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:	2005 - 2006

Assignment:	Mid-term Review of ITM-DGCD Framework Agreement
Client:	Institute of Tropical Medicine
Country:	Senegal
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: The over-all objectives of the MTR were: to assess the performance of the programme in achieving their objectives to assess the performance of a number of projects in achieving their objectives to contribute to the planning of the future programmes The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future. Description of Actual Services Provided: Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South. Nine missions to different countries. A participative approach supervised by a committee composed of members of ITM and DGCD. Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:	2005 - 2006

Assignment:	Mid-term Review of ITM-DGCD Framework Agreement
Client:	Institute of Tropical Medicine
Country:	Zambia
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: The over-all objectives of the MTR were: to assess the performance of the programme in achieving their objectives to assess the performance of a number of projects in achieving their objectives to contribute to the planning of the future programmes The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future. Description of Actual Services Provided: Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South. Nine missions to different countries. A participative approach supervised by a committee composed of members of ITM and DGCD. Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:	2005 - 2006

Assignment:	Mid-term Review of ITM-DGCD Framework Agreement
Client:	Institute of Tropical Medicine
Country:	Cambodia
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: The over-all objectives of the MTR were: to assess the performance of the programme in achieving their objectives to assess the performance of a number of projects in achieving their objectives to contribute to the planning of the future programmes The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future. Description of Actual Services Provided: Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South. Nine missions to different countries. A participative approach supervised by a committee composed of members of ITM and DGCD. Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:	2005 - 2006

Assignment:	Reformulation of the Support to the medical district North of Santiago
Client:	Lux-Development
Country:	Cap Vert
Fields of expertise:	Appraisal, Health Expenditure Review, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Planning, Organisation and Management
Description:	Narrative Description of Project: The mission’s objective was to proceed to the review and validation of the existing formulation documents and to update the project document and annexes taking into account the recent evolutions, recommendations of the mission “Financing of health care” and the budgetary constraints of the cooperation program between Cape Verde and Luxembourg. The budget available for 2004 is limited to 300 000 EUR. Description of Actual Services Provided: Formulated the technical support for the improvement of the management system; Described in detail all conditions for a progressive autonomy for the regional hospital; Prepared an analytical framework for selection procedures (specifically for the poor); Developed the component with regards to the strengthening of the private sector activities; Formulated the necessary conditions for the project at national level; Studied the role of the different partners and the possible collaboration on this project.
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:	External Evaluation of the Health and Social Development Programme (PRODESS)
Client:	Ministry of Health
Country:	Mali
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objective of this mid-term evaluation is to examine the implementation of the programme since the start and to formulate advice for the ongoing phase and prepare the second five-year phase of PRODESS (2003-2007). Description of Actual Services Provided: Analysis of determining factors: Conception and implementation Management procedures Financial aspects Poverty reduction Internal partnership External partnership Part 1: extension of the coverage and quality improvement of the health services Part 2: strategy against social exclusion Part 3: development of alternative forms and modalities of health financing Part 4: development of human resources.
Year:	2002

Assignment:	Mid-term Evaluation of the support to the Central Hospital of Kigali (CHK)
Client:	Ministry of Health
Country:	Rwanda
Fields of expertise:	Health Policy and Policy Dialogue, Hospital Services, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: The objectives of this evaluation is twofold: evaluate the level of achievement of the intermediate results “Tertiary Care Improved and Accessible” and “Referral and Counter-referral system operational”. This implies the identification of problems and constraints slowing down the implementation of activities and the achievement of the aimed results; and the proposal of orientations for a possible new intervention phase. evaluate or appreciate certain specific aspects of organisation of the services. Description of Actual Services Provided: In addition to carrying out the above tasks, the evaluation also covered the following issues: Estimation how much the CHK disposes of the minimal technical capacity and offers care that actually satisfies the national needs or the demands of the periphery; Evaluation of the medical information system and the management of the patients file; Evaluation of the consequences of the “training” aspects on the care activities; Introduction of private practices within the establishment; Contribute ideas and references to enrich the discussion of the role of the CHK in the national health system.
Year:	2000

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

Assignment:	Final Evaluation of the creation of 5 community Health Centres in the underprivileged districts of the city Abidjan
Client:	Ngo ASAPSU
Country:	Ivory Coast
Fields of expertise:	Basic Health Services, Health Policy and Policy Dialogue, Hospital Services, Monitoring and Evaluation
Description:	Narrative Description of Project: The general objective of the mission was to evaluate the relevance and the degree of success of the project. Description of Actual Services Provided: Definition of the degree of execution of the project regarding the instalment of the health centres: construction, rehabilitation, equipment in place, availability of drugs, human resources, use of the centres, existence of reporting; Evaluate the quality of the approach and implemented strategies, for the success and the management of the project; Evaluate the quality of the support to the health centres of prevention work done by the animators; Measuring, in function of available statistics, the impact of the project on the health of the population covered; Analysis of the degree of autonomy of the centres in relation to the ASUPSU and demonstrate, amongst other things, the relevance or not of the concept “community health association” and its feasibility. Idem for the management comities; Analysis of the level of acceptance of the centres by the populations, the municipalities and the administration; Measuring the economical viability of the centres; Evaluate the effectiveness of ASAPSU as health operator but also as agent in community development.
Year:	2004

Assignment:	Global Medical Plan for the Province of Luxembourg
Client:	Province of Luxembourg
Country:	Belgium
Fields of expertise:	Health Policy and Policy Dialogue, Hospital Services, Planning, Organisation and Management
Description:	Narrative Description of Project: Preparation of a global hospital plan for the province of Luxembourg. Description of Actual Services Provided: A study of hospital data, study together with the general practitioners, study of the weaknesses and risks by service and by hospital.
Year:	2004 - 2005

Assignment:	Development and implementation of the National Strategy Application (NSA) First Learning Wave
Client:	The Global Fund to Fight AIDS, Tuberculosis and Malaria
Country:	Kenya
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue
Description:	Narrative description of Project: Global Fund has committed to introducing a new process for applying for Global Fund resources - known as “National Strategy Applications” (NSAs). NSAs will be introduced through a phased roll-out, beginning in 2009 with a limited number of countries. The aim of this “First Learning Wave” (FLW) of NSAs is to draw policy and operational lessons to guide the broader roll-out of the new application procedure beyond 2009. The First Learning Wave of NSAs will involve two stages. In the first stage, a national strategy and accompanying documentation (such as an operational plan) will be reviewed to ensure that they contain enough information to be considered as the basis of a funding application. If the outcome of this desk review is favorable, a review team will make a country visit to seek clarifications and collect additional information. A favorable desk review will also lead to an invitation to proceed to the second stage: the CCM submitting a short application (the actual National Strategy Application) focused on the financial request for consideration by the Global Fund Technical Review Panel. To facilitate the overall design of the NSA FLW (and in particular contribute to the development of key processes and review materials), orient the rest of the TRP members to the process, and help draw and document lessons learned from the FLW, the Secretariat seeks the support of two current or former TRP members who will serve as “Focal Points” and provide the Secretariat’s NSA project team with the key deliverables as outlined in the next section. Description of actual services provided by your staff within the assignment: Phase 1: First Learning Wave development Review and comment on proposed processes and draft National Strategy (NS) review materials Participation in a briefing session with the NSA project team (Geneva) to review process and timeline Preparation of materials/guidelines required for the TRP desk review of NS Support the development of a briefing paper to be communicated to TRP reviewers in advance of desk review Development of presentation to orient TRR members on first day of Desk Review Preparation of assessment tools and guidance for TRP country visits Contribution to drafts, review and comment for the development of National Strategy Application Form and communications to countries Phase 2. Technical Review Panel (TRP) Desk Review Presentation on first day of Desk Review to TRP members regarding process Participation in the 5-day meeting for TRP Desk Review of NS materials submitted Upon completion of the meeting, short report on observations and lessons to be learned from process, issues identified by TRP, areas to consider and refine in future Phase 3. In-country Visits country visits Review TRP feedback to the countries on NS review and draft short report on lessons learned from this process Phase 4. TRP review of NSA and Board Report Development and delivery of a briefing on first day of TRP Final Review of NS Applications Meeting Participation in TRP Final Review of NS Applications Review TRP feedback for Secretariat to communicate to applicant countries Contributions to report presentation, particularly on lessons learned from process and observations to inform next phases of NSA development Review and comment on final draft of TRP Report to Board and any presentation material that the NSA team is asked to provide
Year:	2009

Assignment:	Development and implementation of the National Strategy Application (NSA) First Learning Wave
Client:	The Global Fund to fight AIDS, Tuberculosis and Malaria
Country:	China
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue
Description:	Narrative description of Project: Global Fund has committed to introducing a new process for applying for Global Fund resources - known as “National Strategy Applications” (NSAs). NSAs will be introduced through a phased roll-out, beginning in 2009 with a limited number of countries. The aim of this “First Learning Wave” (FLW) of NSAs is to draw policy and operational lessons to guide the broader roll-out of the new application procedure beyond 2009. The First Learning Wave of NSAs will involve two stages. In the first stage, a national strategy and accompanying documentation (such as an operational plan) will be reviewed to ensure that they contain enough information to be considered as the basis of a funding application. If the outcome of this desk review is favorable, a review team will make a country visit to seek clarifications and collect additional information. A favorable desk review will also lead to an invitation to proceed to the second stage: the CCM submitting a short application (the actual National Strategy Application) focused on the financial request for consideration by the Global Fund Technical Review Panel. To facilitate the overall design of the NSA FLW (and in particular contribute to the development of key processes and review materials), orient the rest of the TRP members to the process, and help draw and document lessons learned from the FLW, the Secretariat seeks the support of two current or former TRP members who will serve as “Focal Points” and provide the Secretariat’s NSA project team with the key deliverables as outlined in the next section. Description of actual services provided by your staff within the assignment: Phase 1: First Learning Wave development Review and comment on proposed processes and draft National Strategy (NS) review materials Participation in a briefing session with the NSA project team (Geneva) to review process and timeline Preparation of materials/guidelines required for the TRP desk review of NS Support the development of a briefing paper to be communicated to TRP reviewers in advance of desk review Development of presentation to orient TRR members on first day of Desk Review Preparation of assessment tools and guidance for TRP country visits Contribution to drafts, review and comment for the development of National Strategy Application Form and communications to countries Phase 2. Technical Review Panel (TRP) Desk Review Presentation on first day of Desk Review to TRP members regarding process Participation in the 5-day meeting for TRP Desk Review of NS materials submitted Upon completion of the meeting, short report on observations and lessons to be learned from process, issues identified by TRP, areas to consider and refine in future Phase 3. In-country Visits country visits Review TRP feedback to the countries on NS review and draft short report on lessons learned from this process Phase 4. TRP review of NSA and Board Report Development and delivery of a briefing on first day of TRP Final Review of NS Applications Meeting Participation in TRP Final Review of NS Applications Review TRP feedback for Secretariat to communicate to applicant countries Contributions to report presentation, particularly on lessons learned from process and observations to inform next phases of NSA development Review and comment on final draft of TRP Report to Board and any presentation material that the NSA team is asked to provide
Year:	2009

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:	High Level Forum on the Health Related Millennium Development Goals
Client:	WHO
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The purpose of the consultancy is to prepare a power point presentation in collaboration with officials from the Ministries of Health in Tanzania and Uganda, backed up with a concise issues paper to be used as part of the meeting documentation. The goals is to raise the level of debate surrounding health-related MDGs to ensure that they are adequately represented in both agency and government planning and to harmonize donor support in the health sector. The presentation will highlight key issues arising from the practical experience of managing different forms of donor financing for health in the two countries. Description of Actual Services Provided: Our expert held interviews and brainstorming sessions with government officers, stakeholders and development partners in both countries; wrote up an issue paper (presented at the HLF 2003) and a PPP.
Year:	2003

Assignment:	High Level Forum on the Health Related Millennium Development Goals
Client:	WHO
Country:	Uganda
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The purpose of the consultancy is to prepare a power point presentation in collaboration with officials from the Ministries of Health in Tanzania and Uganda, backed up with a concise issues paper to be used as part of the meeting documentation. The goals is to raise the level of debate surrounding health-related MDGs to ensure that they are adequately represented in both agency and government planning and to harmonize donor support in the health sector. The presentation will highlight key issues arising from the practical experience of managing different forms of donor financing for health in the two countries. Description of Actual Services Provided by Your Staff: Our expert held interviews and brainstorming sessions with government officers, stakeholders and development partners in both countries; wrote up an issue paper (presented at the HLF 2003) and a PPP.
Year:	2003

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

Assignment:	High level Forum on the Health Related Millennium Development Goals
Client:	WHO
Country:	Global
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The purpose of the consultancy is to prepare a power point presentation in collaboration with officials from the Ministries of Health in Tanzania and Uganda, backed up with a concise issues paper to be used as part of the meeting documentation. The goals is to raise the level of debate surrounding health-related MDGs to ensure that they are adequately represented in both agency and government planning and to harmonize donor support in the health sector. The presentation will highlight key issues arising from the practical experience of managing different forms of donor financing for health in the two countries. Description of Actual Services Provided by Your Staff: Our expert held interviews and brainstorming sessions with government officers, stakeholders and development partners in both countries; wrote up an issue paper (presented at the HLF 2003) and a PPP.
Year:	2003

Assignment:	Basic Benefit Package Costing Study
Client:	World Bank - Health Project Implementation Unit (HPIU)
Country:	Armenia
Fields of expertise:	Basic Health Services, Costing Studies, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Hospital Services
Description:	Narrative Description of Project: The objectives of the assignment are to (i) analyse and calculate the real cost of delivering BBP services including primary and secondary health care services; (ii) analyze and calculate, for patients and population, the cost of receiving primary and secondary health care services (formal and informal private out of pocket expenditure); (iii) make recommendations for improvement of the cost-accounting and pricing methodology used by the State Health Agency based on costing exercise analysis; (iv) to determine and analyze the evolution of the epidemiological profiles at hospital and polyclinic levels. Description of Actual Services Provided: Review and become familiar with programme documentation, specifically focusing on health sector financing, content of BBP, current organization of the provision of health services and existing service delivery costing results. Collect and summarize with the Consultants with local experience recent work done in Armenia on the cost of BBP delivery, design the necessary structure for a sample study of costs (for health facilities and for patients) and epidemiological profiles. Define the set of costing and activity information (including the tools for data collection) that should be issued by the facilities for the costing analysis of all services included in the BBP at the (i) facility level, (ii) patient level and for epidemiological studies analysis. Instruct and lead the local consultant in applying the methodology in a sample of both public and private health facilities: 4 public hospitals in Yerevan, 2 private hospitals in Yerevan, 2 public hospitals outside Yerevan, 1 dispensary, 2 polyclinics in Yerevan, 2 polyclinics outside Yerevan, 2 rural ambulatories. Evaluate the outcomes of the costing study and epidemiological analysis, done by the local consultants, and provide with the BBP services cost projections. Provide with proposals regarding (i) the opportunities and methodologies to conduct further procedure/disease/condition specific costing exercises, including a priority list established through a consultation process with relevant stakeholders; (ii) BBP content, delivery, financing improvement for year 2007 based on the outcomes of the costing study. Assist the local consultants on issues that may arise during the period of actual costing survey and analysis (including distant assistance, e.g. E-mail).
Year:	2005 - 2006

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