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

Assignment:	Medium-term and operational planning for the Belgian Association against Cancer based on public health and cost-effectiveness criteria
Client:	Belgian Association against Cancer
Country:	Belgium
Fields of expertise:	Cost-effectiveness Studies, Health Information System / Epidemiology / Operational Research, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Medium-term and operational planning for the Belgian Association against Cancer based on public health and cost-effectiveness criteria. The study included an institutional analysis of the association as well as a long-term plan for the health programme of the organisation based on a national consensus with respect to the public health objectives.
Year:	1995

Assignment:	Study on the viability and feasibility of BUFMAR, central medical store
Client:	BUFMAR - Memisa
Country:	Rwanda
Fields of expertise:	Appraisal, Medical Store Evaluation, Planning, Organisation and Management, Public Private Partnership, Public Private Partnership Interventions
Description:	Narrative Description of Project: Study the viability and feasibility of BUFMAR. Technical support to end up with the formulation of new strategies for the Directory of Bufmar, a new exploitation plan and a reorientation and reorganisation plan to be submitted to the General Assembly for approval. This plan should serve as a blueprint for the definition of the internal organisation, the external relations and the discussion framework of the donors. Description of Actual Services Provided: The results of the study are: internal analysis of Bufmar external analysis of the pharmaceutical market synthesis of the role of Bufmar on the actual and future market recommendations: synthesis of external and internal analysis
Year:	1999

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:	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:	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:	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:	Economic health care due diligence for the hospital in Klagenfurt
Client:	European Investment Bank
Country:	Austria
Fields of expertise:	Appraisal, Cost-effectiveness Studies, Health Financing and Provider Payment, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Project scope of work is to provide the Bank’s services with analytical descriptions of the major elements of the project’s business case. Description of Actual Services Provided: Description of investment issues and EIB risk exposure Detailed description and analysis of the “model of care” of the current hospital and the service model developed for the future hospital (including demand estimates ALS ) Cost estimate reliability for new hospital.
Year:	2004

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:	Economic health care due diligence for the hospital Sud Francilien (PPP)
Client:	European Investment Bank
Country:	France
Fields of expertise:	Appraisal, Costing Studies, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: To provide the Bank’s services with analytical descriptions of the major elements of the project’s business case. Description of Actual Services Provided: Review of project papers, identification of issues and preparation for mission Attendance at and project missions and meetings with EIB Preparation of appraisal report in standard EIB template: opinion of appraisal standard project appraisal report including a supporting commentary on the PPP procurement approach being adopted final PPP appraisal note
Year:	2005 - 2006

Assignment:	Economic health care due diligence for selected projects
Client:	European Investment Bank
Country:	The Netherlands
Fields of expertise:	Appraisal, Cost-effectiveness Studies, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Project scope of work is to provide the Bank’s services with analytical descriptions of the major elements of the project’s business case. Description of Actual Services Provided: Description of investment issues and EIB risk exposure. Detailed description and analysis of the “model of care” of the current hospital and nine local care units and the service model developed for the future hospital. Description and justification for locating all units on one central site. Explanation of approach to procurement taken by the promoter.
Year:	2004

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

Assignment:	Economic health care due diligence for selected projects
Client:	European Investment Bank
Country:	Global
Fields of expertise:	Appraisal, Cost-effectiveness Studies, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Project scope of work is to provide the Bank’s services with analytical descriptions of the major elements of the project’s business case. Description of Actual Services Provided: Description of investment issues and EIB risk exposure Detailed description and analysis of the ’model of care’ of the current hospital and nine local care units and the service model developed for the future hospital Description of the justification for locating all units on one central site Explanation of approach to procurement taken by the promoter.
Year:	2004 - 2005

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:	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:	Evaluation of a Public Private Partnership arrangement for a new national referral hospital
Client:	Ministry of Health
Country:	Lesotho
Fields of expertise:	Hospital Services, Public Private Partnership
Description:	Narrative description of Project: The Government of Lesotho engaged the International Finance Cooperation (IFC) to act on its behalf on all aspects of bidding that includes the construction of the hospital according to specifications, the tertiary clinical service package, human resource issues and all contractual aspects. IFC has been working on this assignment since early 2006 and has now come up with draft bidding documents that have shown the way forward in terms of options for what services can be developed at the New Referral Hospital against the resource envelope that the Government of Lesotho can afford. It is in this context that a short term independent Technical Advisor was sought to advise the MOHSW on the aspects of the PPP that have been put forward by IFC that would optimally suit the country in providing the best tertiary referral services at the new hospital within the affordability frame of government. Description of actual services provided: Study the documents produced by IFC, specifically the draft bidding documents, and all other relevant documents on QEII Hospital. Study the financial proposals put forward by IFC for their soundness in regard to the construction costs and running costs of the new hospital and Unitary Payment costs obligations required by government Advise on the scope of service that is proposed by the IFC draft bidding documents compared with what the clinicians at QE II are proposing Advise on the human resource option for provision of clinical services as contained in the IFC bidding documents. Advise on the option of including the Filter Clinics of Maseru City catchment area in the PPP arrangement.
Year:	2007

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:	Planning and financing of AIDS prevention
Client:	SIDA Agency
Country:	Belgium
Fields of expertise:	Health Financing and Provider Payment, HIV-AIDS-STI-TB, Planning, Organisation and Management, Public Private Partnership, Training and Human Resource Development
Description:	Narrative Description of Project: Study of the financing of secondary and tertiary prevention of Aids in Belgium, in the French speaking Community. Medium-term and operational planning of Aids prevention in the French Community of Belgium. Detailed Description of Actual Services provided: Analysis of present financing mechanisms at federal and state level of AIDS care and prevention. Development of a new financing mechanism at national and state level for AIDS prevention. Teaching planning skills to actors at state and local level. Development of a 3 year rolling plan for AIDS prevention in the French Community of Belgium, together with the main actors through the Logical Framework Approach and consensus exercises.
Year:	1994 - 1995