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Assignment:	Additional mission to support the definition of an resource allocation system in order to monitor and evaluate additional resources of decentralized levels and health facilities
Client:	AFD
Country:	Madagascar
Fields of expertise:	Basic Health Services, Cost-effectiveness Studies, Costing Studies, Health Sector Review or Health Sector Diagnosis, Sector Wide Approach (SWAp)
Description:	Narrative description of Project: The Government of the Republic of Madagascar has opted for a sectoral approach in the health sector and has developed the Plan for the Health Sector Development and Social Welfare 2007-2011 (PDSSPS) consistent with the components 'health' and 'welfare' (commitments 5 and 8) of the "Madagascar Action Plan" which provides the framework for all stakeholders. AFD provides the establishment of a financial contribution of around 14 million Euros in 2008 for the health sector in Madagascar. This contribution will finance activities defined in the priorities of PDSSPS. The objective of this mission was twofold: (a) assess the current allocation of resources in the health system, both the state resources and additional resources (including resources from the World Bank through its projects) and (b) propose scenarios for allocating resources at the decentralized levels of the health system (levels of management and production levels) for future joint funding. Description of actual services provided by your staff within the assignment: The consultant conducted a study to: Develop and discuss the necessary specifications by describing the operational management of a future system; Define the needs and modalities for strengthening various levels, especially the regional directorates of health; Propose a process to change the allocation device’s envelopes; Submit an envelope that AFD could allocate for this component and estimate the necessary disbursements; Assess fiduciary risks and other risks and propose measures to lessen the likelihood or impact of those risks.
Year:	2008

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

Assignment:	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:	Support to the preparation of a Health SWAp programme in Cameroon
Client:	Agence française de Développement
Country:	Cameroon
Fields of expertise:	Health Financing and Provider Payment, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The general objective of the mission is to contribute (i) to the formulation of the framework for financing of the health sector respecting the principles of harmonization and alignment and (ii) to the elaboration of the different stages of implementation. The purpose is to develop a consensus between the Ministry and its partners concerning the methods of financing and the management of the SWAp; to elaborate a roadmap for activities and studies to be implemented for the set up of the SWAp and of the communal fund; and to propose the terms of reference for complementary studies. Description of Actual Services Provided: Identification of the sectors for which a harmonised sector policy is being implemented, the methods of management and financing, the successes and problems encountered and the lessons learnt for the Ministry of Health; Identification of the actual modes of financing of the health sector implemented by the principal partners and their wishes in relation to the financing of the SWAp; Analysis of the capacity and internal organisation of the Ministry of Health regarding the programming, the financial management and the evaluation of the activities linked to the implementation of the sector strategy; Identification of the possible modes of financing of the sector policy, the type of harmonisation desired, taking into account the Cameroonian context and the willingness, wishes, constraints and requests of the government and the stakeholders; Presentation of the advantages and disadvantages of each method, the preconditions, the operational implications, the foreseeable risks and difficulties and the stages of implementation. The hypothesis of communal funds was tested, in particular regarding: (i) the private sector, (ii) support to the provinces, and (iii) support to the central level of the Ministry; Proposal of general modes of financing or of the management of the communal funds; Identification of the nature of the expenses that should be financed by the communal funds.
Year:	2007

Assignment:	Support to the finalisation of a new Health Swap (C2D Health II) in Cameroon
Client:	Agence française de Développement (AFD)
Country:	Cameroon
Fields of expertise:	Health Financing and Provider Payment, Identification and Formulation, Sector Wide Approach (SWAp)
Description:	Narrative description of Project: Technical assistance provided to support the mission of Dr Dauby (AFD) in validating the content and putting into practice the new Health Swap (C2D Health II). Description of actual services provided: 2 field missions to Cameroon Finalisation of TOR of complementary studies for installing the system of demand side financing. Actualisation of the budget according to decisions made by the Ministry of Health Based on this, preparation of a budget presentation per component with a timetable for its execution. Finalise a treasury plan and a plan for tenders for the first year Evaluate the necessary changes to the management programme now used for the first phase of C2D Health (programme called TOMPRO). Finalisation of the logical framework and the calculation of indicators.
Year:	2008

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

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

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

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

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

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

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

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

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

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

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

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

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

Assignment:	Review of 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:	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:	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:	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:	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:	Formulation mission of a Humanitarian Fund
Client:	European Commission
Country:	Myanmar
Fields of expertise:	Health Financing and Provider Payment, HIV-AIDS-STI-TB, Identification and Formulation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Preparation and formulation of the multi-stakeholder fund (20 million US$ - EC, DFID, AusAid, SIDA, DGIS, Norwegian Cooperation) intended to finance HIV/AIDS, TB and Malaria programmes in the context of the withdrawal of the Global Fund (GFATM) in Myanmar. Description of Actual Services Provided: Financial proposal (EC and DFID format), logical framework, budget, risk evaluation, institutional arrangements, operational procedures, financial mechanisms and flows, technical and administrative annexes.
Year:	2006

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

Assignment:	Evaluation 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:	Development of techniques and tools for the evaluation of the health sector (SWAp)
Client:	European Commission - Particip
Country:	Global
Fields of expertise:	Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: This study is part of the project “ Design implementation and dissemination of evaluation techniques and tools adapted to the European Commission’s development aid and co-operation policies – lot 3 : techniques and tools necessary for the evaluation of sectors and themes.” Description of Actual Services Provided: Development of evaluation tools for EC support to sectors, and especially the health sector. These tools exist of: Impact diagram of the health sector; typology of the health sector; definition of the sector; evaluation questions; review of the EC policy in health issues; review of the sector policy of other development partners.
Year:	2004 - 2005

Assignment:	Sectoral Approach in health care, education, housing, good governance, environment and agriculture
Client:	Government of Suriname
Country:	Suriname
Fields of expertise:	Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objectives of the assignment are to (i) provide knowledge and insight in the processes of sectoral approach with focus on monitoring and evaluation techniques as the use of indicators; (ii) to monitor the process of identification and determine the indicators on different levels within the 6 sectors; (iii) identify the necessary conditions for institutionalisation on short, medium and long term; (iv) to provide a set of measurable and useful indicators for the different levels within the sectors and to provide a sector plan. Description of Actual Services Provided: A presentation for the policy makers about sectoral approach. Three days training for all stakeholders of the 6 sectors mentioned above. A two weeks during session with the stakeholders of each sector to define the sector indicators on different levels. A presentation for the policy makers about the measurable indicators. Provide a report with the measurable indicators per sector and with recommendations regarding the implementation and modalities for joint annual reviews.
Year:	2006

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:	Analysis of sector finance mechanisms and a proposal for a common financing mechanism
Client:	KfW
Country:	Cameroon
Fields of expertise:	Health Financing and Provider Payment, Sector Wide Approach (SWAp)
Description:	arrative description of Project: The overall objective of the mission is to contribute to the design of a common provincial fund (multi-stakeholders) to finance more effectively the health districts in order to permit them to offer basic health care services of acceptable quality and accessible for the population, particularly the more vulnerable people. This design will respect the principles of the Paris Declaration. Description of actual services provided: The consultant conducted: Analysis of the actual mechanisms of district financing: sources of financing, allocation criteria, public and private beneficiaries, budgets, functioning and investment expenses, private expenses, administration and management, financial circuits, essential drugs list; Brief analysis of planning and the actual health district budgets; Analysis of the modes of financing and the functioning of special funds for the promotion of health in different provinces supported by the German Development Cooperation; Elaboration of tools for planning and budgeting the health districts with consolidation on regional level; Elaboration of allocation criteria; Design a common provincial fund adopted to the special funds for the promotion of health; Field visits.
Year:	2008

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

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

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

Assignment:	Health Partners Retreat
Client:	SDC
Country:	Mozambique
Fields of expertise:	Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Provision of technical assistance to prepare and facilitate annual planning workshop of 30 international donor agencies /health partners (HPs) working in the health sector. Description of Actual Services Provided: Review of all materials pertaining to the Health SWAP Conduct informal interviews with key MISAU informants in order to gather and synthesize MOH views on the relationship with HPs Synthesize findings of MOH perceptions on the role and behavior of HPs for presentation at the retreat Develop a proposed retreat agenda Present this retreat agenda for discussion and the “home work” to be done by each HP before the retreat (special session of one pre-SWAP meeting) Facilitate the two-day retreat; Preparation of proceedings of the retreat
Year:	2006

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:	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