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Field of expertise:	All Health Economics and Financing    Cost-effectiveness Studies    Costing Studies    Health Expenditure Review    Health Financing and Provider Payment    Health Insurance    National Health AccountsHealth Programmes    Basic Health Services    HIV-AIDS-STI-TB    Hospital Services    Other Health Programmes    Reproductive HealthHealth System    Health Information System / Epidemiology / Operational Research    Health Policy and Policy Dialogue    Health Sector Reform    Health Sector Review or Health Sector Diagnosis    Monitoring and Evaluation    Planning, Organisation and Management    Public Private Partnership    Sector Wide Approach (SWAp)    Training and Human Resource DevelopmentPharmaceutical Sector    Access to Medicine Campaigns    Drug Pricing Studies    Drug Regulatory Authority Support    Drug Supply Management System Strengthening    Essential Drugs Programme Support    Essential Medicines Financing    Increasing Transparency In Public And Private Pharmaceutical Markets    Medical Store Evaluation    National Medicines Policy Development    Pharmaceutical Sector Review    Procurement and Tender Support    Public Private Partnership Interventions    Quantification of Essential Drug Needs    Rational Use Surveys    Selection of Essential Medicines    Training and Human Resource DevelopmentProject Cycle    Appraisal    Identification and Formulation    Long Term Technical Assistance    Monitoring and Evaluation
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Assignment:	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:	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:	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:	Design of a public health campaign in the health sector reform process
Client:	BBC - ADB
Country:	Mongolia
Fields of expertise:	Health Sector Reform, Planning, Organisation and Management
Description:	Narrative Description of Project: Design of a public health campaign in the health sector reform process.
Year:	1999

Assignment:	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:	Support to the EU HIV action Plan for Benghazi (Phase 4) in Libya
Client:	Belgian Red Cross
Country:	Libya
Fields of expertise:	HIV-AIDS-STI-TB, Identification and Formulation, Planning, Organisation and Management
Description:	Narrative description of Project: In December 2007, BRC was awarded a service contract for the provision of management, training and technical support services to the 4th phase of the Benghazi HIV/AIDS Action Plan. The agreement between the EC and BRC will be for the period till 2009, with possibility of extension. In accordance with EC requirements a “Logical Framework” and indicative workplan were compiled in November 2007. This work plan was subsequently discussed and further operationalised during an inception workshop with Libyan stakeholders and the team of European experts held in Benghazi from 24 to 26 January 2008. BRC requested HERA to facilitate above mentioned planning process. The overall objective of the HIV/AIDS Action Plan for the forthcoming period will be to “improve the technical and managerial capacities of relevant Libyan health institutions to deliver an integrated package of preventive and curative HIV/AIDS services”. Description of actual services provided: Analysis of the proposed logframe. Evaluation of the progress. Institutional analysis and recommendations. Back-to-office report summarizing the inception workshop and making some recommendations to BRC to further improve its performance in Libya.
Year:	2007 - 2008

Assignment:	Formulation study for supporting the health structures in the province of Kirundo
Client:	Belgian Technical Cooperation
Country:	Burundi
Fields of expertise:	Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, Identification and Formulation, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative description of Project: Preliminary study including an institutional and organizational analysis as well as an analysis of the current funding policies of the health sector. Description of actual services provided by your staff within the assignment: For the formulation of the project, one mission in two phases was organised in Burundi. The organizational and institutional analysis, including among others: A description of the organization of the health system at national level and of Kirundo in particular. Particular attention was given to the institutional capacity at provincial level and the relationship between hierarchical levels; A description of the health system financing at various levels of the administrative services and health care; A description and analysis of all instances involved in the health sector (in Kirundo and nationally), reflecting their role in the sector and the relations between these actors; A quantitative analysis of human resources working in the health sector (public institutions) and their level of training; An analysis of specialized training centres for basic training of health personnel; An analysis of opportunities and initiatives undertaken by stakeholders to promote the harmonization of interventions in the health sector in order to improve efficiency (including a description of the policy and modes of intervention for other donors in the sector); An analysis of the current funding policies of the health sector included: An analysis of the modalities and operational problems of the financing system for the decentralized health structures, and the coordination with the central level; The identification procedures for contracting; Identifying areas of uncertainty and risk in the new funding policy. The team carried out the above described tasks meticulously and presented their results at a workshop for all local and national stakeholders involved in the health sector and other interest fields. This workshop helped to validate the key proposals.
Year:	2007

Assignment:	Formulation study for Wilaya de Tamanrasset
Client:	Belgian Technical Cooperation
Country:	Algeria
Fields of expertise:	HIV-AIDS-STI-TB, Identification and Formulation, Planning, Organisation and Management, Reproductive Health
Description:	Narrative description of Project: The project focuses on strengthening the health system in terms of geographical accessibility and improving the delivery of health services in the wilaya of Tamanrasset across 3 areas: Strengthening the fight against STI / HIV / AIDS prevention and care Decreasing the levels of mortality and maternal and neonatal morbidity Strengthening the management of reproductive health, particularly in the field of family planning and adolescent health and youth. The formulation mission aims to validate the data contained in the identification document and to prepare a Technical and Financial Proposal (TFP) Description of actual services provided by your staff within the assignment: The formulation team has worked closely with experts from the Ministry of Health, Population and Hospital Reform and with the representation of BTC in Algiers on the following activities: Validating the data of the identification mission, namely the validation of the project objectives and defining (or adjusting if necessary) the results. For this purpose, the objectively verifiable indicators, along with the sources of verification and the main assumptions which could jeopardize the implementation of the project, were specified. Presentation of the logical framework, including a detailed description of activities with indicators, sources of validation and critical assumptions; Produce a Technical and Financial Proposal (TFP) on the basis of the logical framework with Detailed planning validating the activities related to the results planning of the project based on expected results and activities Defining the timeline budgetary planning in accordance with the provisions of BTC Allocation of financial and human resources to the governments of Algeria and Belgium; Suggesting topics for operational research into possible areas for intervention and innovative arrangements for central authorities to have experiences in the field. Define the organizational and institutional framework of the project, consistent with the first draft of the Tamanrasset project (including the issue of technical assistance); Define the modalities for project management, and the practicalities of implementation consistent with the first draft of Tamanrasset; Establish procedures for monitoring and evaluation, including the type of reports expected; Periodicity; The person responsible for their production.
Year:	2007

Assignment:	Formulation of the project to support the multisectoral national plan to combat HIV/AIDS
Client:	Belgian Technical Cooperation (BTC)
Country:	Burkina Faso
Fields of expertise:	HIV-AIDS-STI-TB, Identification and Formulation, Planning, Organisation and Management
Description:	Narrative Description of Project: In 2001 Burkina Faso and the Belgian government initiated the identification process of a multisectoral HIV/AIDS intervention. The identification report was finalised and validated in 2003. After that, a team of 3 consultants was contracted by BTC for the formulation of the project. The general objective of the identification report was “the negative impact of HIV/AIDS on sustainable development of Burkina Faso is reduced”, while the specific objective was “the implementation of the Multisectoral National Plan to combat HIV/AIDS has improved in a sustainable way”. The proposed project consists of three “subprojects”, each of them with a specific objective: a subproject that has the objective to reinforce the multisectoral fight against HIV/AIDS in the region of Plateau central; a subproject that has the objective to reinforce the response to HIV/AIDS in university community of Ouagadougou; and a subproject that aims at improving the operational research in the field of HIV/AIDS in Burkina Faso. Description of Actual Services Provided: Analysis and validation of the identification report. Analysis of the problems and identification of solutions in a participative workshop. Study on the capacity of SP/CNLS to coordinate the whole project, the capacity of putting the right human resources at the disposal of the project (integration of Centre Muraz) and the necessary financial means. An analytical review of the proposed strategies in order to select the most accurate to obtain the global goal of the programme and to diminish the number of interventions. Formulation in a Technical and Financial File.
Year:	2004 - 2005

Assignment:	Review and re-orientation of the Belgian Contribution in the Health System Reform Malaria Control Programme
Client:	BTC-CTB
Country:	Laos
Fields of expertise:	Basic Health Services, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: In-depth analysis and re-orientation of the specific objectives, intermediary results, and budget of the Malaria control project. Description of Actual Services Provided: Reformulation of latest project phase and team building of local TA towards enw project objectives. Logical Framework: planning Financial budget Technical and Financial Feasibility Formulation of qualitative and quantitative indicators Review of the project
Year:	2000

Assignment:	Formulation Study to improve the capacity building in the department of health
Client:	BTC-CTB
Country:	South Africa
Fields of expertise:	Identification and Formulation, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative Description of Project: Capacity building through the provision of training in the health services, in co-operation with South African and Belgium Institutions of higher learning, in order to improve the health services. Description of Actual Services Provided: Review and actualization of data contained in the identification report Review of possibilities for training in public health and health management in Belgium and Europe Fact finding mission to South Africa in order to determine the actions to be taken by the Belgian government. Technical and Financial file Draft implementation contract between the Belgian state and BTC. Debriefing and workshop.
Year:	2004

Assignment:	Strengthening of the STD Component of the National AIDS Control Programme of the Ministry of Health in Tanzania - Formulation
Client:	BTC-CTB
Country:	Tanzania / Zanzibar
Fields of expertise:	Essential Drugs Programme Support, Essential Medicines Financing, HIV-AIDS-STI-TB, Identification and Formulation, Planning, Organisation and Management
Description:	Narrative Description of Project: The objective of the formulation mission to Tanzania was to produce a description of the viability of the Belgian support and to indicate the main areas of attention during the project implementation. Description of Actual Services Provided: The team prepared a document in close collaboration with the main party involved – NACP management – and in consultation with other parties, in particular the Medical Stores Department (MSD) reflecting the main considerations, conclusions and decisions with respect to potential for successful and effective implementation of the support by Belgian aid by means of: a brief, policy and organisation oriented assessment; a technical, operation assessment. The mission reviewed the proposed Specific Agreement between the Belgian and Tanzanian Governments.
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:	Support to the development of a Ophthalmology project in the provinces of Ouarzazate and Zagora
Client:	BTC-CTB
Country:	Morocco
Fields of expertise:	Basic Health Services, Other Health Programmes, Planning, Organisation and Management, Procurement and Tender Support
Description:	Narrative Description of Project: The overall objective is to improve the health of the population of the provinces of Ouarzazate and Zagora. The more specific objective is to improve coverage of the population with basic health services and with ophthalmology services. Description of Actual Services Provided: The team carried out the mission in order to evaluate the essential needs of ophthalmology and medical equipment and to specify the technical characteristics of this material; Provide technical support to BTC in the preparation of new CSC’s; Financial and technical analysis of the offers that will be substituted.
Year:	2001

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

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

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

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

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

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

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

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

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

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

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

Assignment:	Long term health Sector manpower planning at national level in Burkina Faso (Promofor)
Client:	Danida
Country:	Burkina Faso
Fields of expertise:	Long Term Technical Assistance, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative Description of Project: Long term health manpower planning at national level in Burkina Faso. Evaluation of basic training of paramedical personnel. Project Preparation and Appraisal. Technical assistance support to the National Public Health School of Ouagadougou. Description of Actual Services Provided: Responsible for the review of health of health manpower development in Burkina Faso, specifically for paramedical staff. Identification and appraisal of the project proposal of support to manpower training at the new Public Health School of Ouagadougou. Responsible for part of the project implementation. Responsible for developing a 5 year development plan with the authorities of the school, including aspects of internal management. Co-responsible for assisting the authorities of the school in reviewing the present training curricula.
Year:	1992 - 1997

Assignment:	Promotion of training at the School of Public Health in Ouagadougou
Client:	Danida
Country:	Burkina Faso
Fields of expertise:	Long Term Technical Assistance, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative Description of Project: Support to the School of Public Health for the training of paramedical staff; Development of a master plan for 5 to 10 years; Support in the organisation and administrative and financial management of the School; Review of the curriculum program for training of paramedical staff. Several intermittent missions.
Year:	1994 - 1998

Assignment:	Review cum Appraisal of the Kenyan-Danish Health Research Project (KEDAHR)
Client:	Danida
Country:	Kenya
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objective was to review the progress of the KEDAHR project including: Assessment of the quality and sustainability of the research capacity build, the quality and appropriateness of the project management and the project compliance with Danida development aid principles in Kenya in the current and in other optional organisational context. Appraisal of the KEDAHR phase III proposal. Description of Actual Services Provided: The team visited local research institutions and direct partners and researchers and former students involved in the project. In addition, the team met with the ‘management’ of the universities and the Danish Embassy, CTA (Chief Technical Adviser) and partners within the Danish supported Health Programme. Furthermore, the team visited field investigation sites and research stations, as the Danish partner institutions. The review appraisal was based on interviews, discussions, scrutinising of relevant documents and materials and compromised the following aspects: KEDAHR networking/ interdisciplinary approach Research activities/ output The project management The Danida context
Year:	2001

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:	Review of the Health Management Information System
Client:	Danida
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Review of the design of the HMIS, its operation and its ability to provide timely and appropriate management information to all levels in the health care system; Assessment of the extent to which clients/users at all relevant levels have made appropriate use of processed information for planning and management purposes; Assessment of the products of the Adult Mortality and Morbidity Project (AMMP) and to which extent such information products have been used for health policy formulation and adjustments, and to which extent AMMP information has been used for validating the information products of the HMIS; Provide recommendations for changes and adjustments in HMIS and AMMP for these systems also to serve the specific purposes in relation to the introduction of Health Reform. Description of Actual Services Provided: A report with details of methodology, findings, analysis and recommendations; A presentation of findings and recommendations to the relevant entities in the MoH; A plan of implementation with budget if major changes and adjustments are needed.
Year:	2000

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:	Review of the Drug Provision System (indent system)
Client:	Danida
Country:	Tanzania / Zanzibar
Fields of expertise:	Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Monitoring and Evaluation, Planning, Organisation and Management, Rational Use Surveys
Description:	Narrative Description of Project: The objectives of the review are to carry out a thorough assessment of the indent system for drugs distribution as piloted in Morogoro region under HSPS and make recommendations for the further implementation of a pull system in Tanzania. Description of Actual Services Provided: The team performed the following review: Assessment of the initial design and the operational version of the Indent System; Assessment of the actual implementation of the system package with regard to its adequacy for implementation in other regions; Assessment of the impact of the system; Assessment of the financial aspects; Assessment of the system’s potential to respond to the health reform target of delegation responsibilities for the planning and execution of drug supply at PHC level; Assessment of quality of the data acquired via the system as basis for preparation of drug sector policies; Assessment of the system’s potential to promote rational use of drugs; Analysis and comparison of the costs and control mechanism of the previous “push” system of standard kits versus the Indent System as a “pull” system; Analysis and assessment of options for further implementation of a “pull system” and recommend on replication and adjustments of the present system. Assess and quantify the need for further external financial and technical assistance. Identify the need for socio-economic assessment of the system after introduction of socio-sharing for drugs.
Year:	2000

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:	Review of the Expanded Programme of Immunisation (EPI)
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Monitoring and Evaluation, National Medicines Policy Development, Planning, Organisation and Management, Procurement and Tender Support
Description:	Narrative Description of Project: Review of the actual immunisation operations in Tanzania Identification of the needs to improve the immunisation programme.
Year:	2000

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:	Mid-term evaluation of the Programme to Support the Health and Social Development (PADSS) in the Mopti region
Client:	Direction Administrative et Financière (DAF), Ministry of Health
Country:	Mali
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: The overall objective of the PADSS is to contribute to the enhancement of the access (geographical, financial and cultural) and the quality of the care, at regional (regional hospital), Cercle (Referral Health Centres) and community (Community Health Centres or CSCOM) level. The Logical Framework mentions three specific objectives (i) Contribute significantly to the enhancement of the access to care for the populations of the 5th Region and of the treatment of the patients and their pathologies; (ii) Reduce the disparities in access to health services and improve the availability of care, and (iii) Develop initial training of health staff and the management capacities of the decentralised facilities. The approach used was a financial and technical aid to the entire health system in the region, through a direct support to PRODESS (the Health and Social Development Programme) Description of actual services provided by your staff within the assignment: The general objective of the mission was to evaluate the Programme to Support the Health and Social Development of the Mopti region. The specific objectives were to: Judge on the relevance of the PADSS in the 5th Region, and on the consistency of the PADSS with the sectorial health policy (from 2005 on implemented by the PRODESS-2); with its environment (regional context, other partners). Analyse the institutional organisation, as well as the organisation of the programme, its management, and the role/ performance of the technical assistance SOFRECO. Analyse de state of progress of the planned activities, as well as the extent of the results (including their ‘impact’ on the health system of the 5th Region). Formulate concrete and pragmatic recommendations, to obtain a maximum of results during the next phase. The adopted approach was participative, allowing the main actors and the agents in the field to expose their expectations of the programme and their perceptions regarding the obtained results: Meetings in Bamako with the central services and the partners; Meetings in the Mopti region with (i) the Regional Health Director (DRS) and his assistants (DRDSES), the heads of department, the Assistance Advice team (AA); (ii) the administrative authorities; (iii) the representatives of the communities; (iv) the representatives of the civil society; and (v) the public health teams; A participative workshop “Open Space”, bringing together the public health teams of the 8 Cercles, the two Regional Directions and the AA team; The analysis of the documentation and the data of the Health and Social Information System at regional level.
Year:	2009

Assignment:	Health Sector Reform Project (HSRP)
Client:	EC
Country:	Egypt
Fields of expertise:	Basic Health Services, Essential Drugs Programme Support, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The Ministry of Health has launched a Health Sector Reform Project (HSRP). This programme aims at organising the health services towards all families and being financed by health insurance (compulsory and complementary health insurance). A pilot model of health services is being tested in 5 Governorates, including both purchasers and provider organisations. Reform of the present health insurance scheme and the development of sustainable financing strategies are key elements of the reform. Description of Actual Services Provided: Regular monitoring of the reform process through bi-annual evaluations. Advise to the Minister of Health on the reform strategies and implementation.
Year:	2000 - 2006

Assignment:	Health Sector Review
Client:	EC - AIDCO
Country:	Palestine
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative Description of Project: The overall objective of the study is to improve health sector planning for better health outcomes. The specific objective is to support the Palestinian National Authority, especially the MOH and its partners involved in the provision of health services, to develop a clear overview and analysis of the health sector, and to propose a set of priorities and strategic orientations to be explored and developed according to foreseeable scenarios. It will be essential during this review to identify all local stakeholders and all local ‘support groups’ (local and international NGOs active in health, private sector support, etc.) in order to build as much as possible local partnerships and coordinated action towards best health outcomes. Description of Actual Services Provided: Areas that were addressed during the sectoral study: National Health & Development Profile; Health Policy and Legislative Framework; Health System Organisation and Management Structures; Health Planning and Management; Health System Infrastructure and Facilities; Health Services and Programmes; Support Services; Intersectoral Linkages; Community Participation in Health; Human Resources for Health; Health Sector Resources and Financing; External Support for the Sector.
Year:	2003 - 2004

Assignment:	Health Sector Support Programme
Client:	EC - AIDCO
Country:	Palestine
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Long Term Technical Assistance, Planning, Organisation and Management
Description:	Narrative Description of Project: The project aims to achieve the following results: Improved MOH planning and priority setting based on objectively verifiable criteria. Annual action plans developed based on the National Strategic Health Plan with detailed budgets based on comprehensive analysis of the cost associated with the proposed activities. A transparent MoH budget that in its implementation reflects the stated health policy priorities. Development and implementation of pilot action plans for innovative responses to priority public health problems, using the full potential of primary, secondary and tertiary care and prevention. Improved ability, both administratively and clinically, by the MoH to develop and implement cost-effective alternatives to high-cost Treatment Abroad referrals. Development of strategies to react more effectively to changing situations. Enhanced coordination of partners by MOH. Enhanced enabling role of MOH to strengthen entire health sector. The project consists of various capacity building measures (technical assistance, operational research, study visits, scholarships, exchange of experiences, visiting teams etc.) and of pilot activities for priority health problems. Description of Actual Services Provided: Develop a Project Action Plan and first annual work plan Establish financial procedures for the project Develop TORs for implementation period and develop tender documents Review the output of the working groups and compose an action plan, completed with logical framework and first year annual plan. Finalise management and institutional arrangements as a basis for the Memorandum of understanding between PNA-MoH and the EC.
Year:	2004 - 2005

Assignment:	Pre-feasibility and Feasibility Study of the "Health Sector and Demography Support"
Client:	EC - AIDCO
Country:	Yemen
Fields of expertise:	Appraisal, Basic Health Services, Health Expenditure Review, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, National Medicines Policy Development, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: Both studies will provide the decision-makers in the Government of Yemen and the European Commission with a proposal for the future design of the project “Health Sector and Demography Support”. The proposed project design will take into account the recommendations of the pre-feasibility study carried out on 2002 as well as the key issues of the ongoing discussions between the Ministry of Public health and Population and the EC services since then. Description of Actual Services Provided: Health sector review : analysis of Yemen’s health sector reform plan and implementation; performance of the health sector; analysis of public and private health expenditure; management and implementation capacity of existing providers; human resources development policy; essential drugs policy and supply; demography and reproductive health; Stages of sectoral review using the logframe methodology Recommendations about the strategic choices to be made; Participatory strategy analysis and planning workshops at the Governorate level using the logframe methodology according to EC standards; Establish links with possible EC support to National Population Council. Study reproductive health issues and gender roles and interests relating to these services. A precise proposal on the organisation of the project and the technical inputs necessary to achieve the objectives of the project. Presentation of the proposed project to the central level and to the major stakeholders Draft Financing Proposal and TAPS; Analysis of constraints to efficient service delivery and propose solutions; Human resource management and performance.
Year:	2002 - 2003

Assignment:	Assistance to the MoH in the planning of a National STD Prevention and Control Programme
Client:	EC - Aids Task Force, MoH
Country:	Zimbabwe
Fields of expertise:	HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Assitantce to the MoH in the planning of a National STD Prevention and Control Programme. Integration of STD and Aids Control. Financial evaluation of the plan.
Year:	1991

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

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

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

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

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

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

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

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

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

Assignment:	Final Evaluation of the PAGH: Support Programme for reinforcing the financial management capacities in public hospitals
Client:	EC/EDF
Country:	Guinea Conakry
Fields of expertise:	Health Financing and Provider Payment, Hospital Services, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objective of the PAGH is (i) on the one hand to contribute to the improvement of the level of performance and the financial autonomisation of the hospitals involved, through the establishment of good practices in terms of financial management and in a sustainable and consistent way and (ii) on the other hand to improve the execution and follow-up by the Finances department of the operational budget (salaries excluded) and the management by the decentralized health administration. Description of Actual Services Provided: Measurement of the results and the impact of the PAGH programme; Analyze the strengths and weaknesses of the actions by the PAGH; Evaluation the actions of the technical assistance with respect to the organization and the performance of the services provided to the beneficiaries; Identify and evaluate the feasibility factors and the durability at the end of the project; Recommendations with respect to the observations made.
Year:	2002

Assignment:	Support to IOTA during the transition phase of the Support Programme against Blindness
Client:	EC/EDF
Country:	Mali
Fields of expertise:	Health Sector Reform, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: The African Ophtalmological Tropical Institute (IOTA) had been in charge of the Regional Support Programme against Blindness between 1993 and 1998. The Programme had been extended with one year till 1999 when IOTA would have been handed over to the Malian government. The mid-term evaluation of the Programme had recommended to extend the transition period with one more year till 2000 in order to: (i) evaluate the national Programmes against Blindness of the 8 beneficiary countries, (ii) identify the needs in terms of technical and epidemiological expertise and (iii) to develop a network of epidemiologists in ophthalmology in the 8 countries. Description of Actual Services Provided: A field visit to each of the beneficiary countries in order to: Assess the physical and functional availability and utilisation of the equipment provided by the Programme; Guide the 8 countries during the transition phase; Define the needs and study the modalities of a future collaboration between each of the countries and IOTA.
Year:	2000 - 2001

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

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

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

Assignment:	Planning Workshop and Appraisal of HIV/AIDS interventions
Client:	European Commission
Country:	Sierra Leone
Fields of expertise:	HIV-AIDS-STI-TB, Planning, Organisation and Management
Description:	Narrative Description of Project: Planning Workshop and Appraisal of HIV/AIDS interventions.
Year:	1998

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

Assignment:	Health Sector Review in Selected States
Client:	European Commission
Country:	Nigeria
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Planning, Organisation and Management
Description:	Narrative Description of Project: Health sector review. Planning of Health Sector Reforms during present economic constraints. Providing Health System Fund for project purposes. Description of Actual Services Provided: Responsible for a detailed health sector review in three different states of Nigeria. Consensus development with the key actors (public, private and NGO) on which priorities in the health sector need early attention. Responsible for developing a methodology how different key actors can set priorities, test different solutions and agree on priority reforms. Responsible for organising national workshop on health structure reform. Responsible for the financing proposal for phase I and II of the European Union support to Nigeria.
Year:	1994 - 1996

Assignment:	Support to the Health Planning and Reform
Client:	European Commission
Country:	St. Lucia
Fields of expertise:	Health Expenditure Review, Health Financing and Provider Payment, Health Insurance, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Planning, Organisation and Management
Description:	Narrative Description of Project: The overall objective of this consultancy is to give support to the elaboration of the five-year National Health Strategic Plan (2006-2011). This plan needs to be developed within a clearly defined strategic framework for health sector reform and in consultation with all relevant stakeholders and in close partnership with the Corporate Planning Unit of the Ministry of Health, Human Services, Family Affairs and Gender Relations. Capacity in the Corporate Planning Unit (and where possible beyond) for strategic planning and programme development and management will also be strengthened. Description of Actual Services Provided: The team has produced the following outputs/reports: National Health Strategic Plan 2006-2011: The Plan deals with 1) the health vision and health sector organisation, 2) St. Lucia’s health profile and priorities, 3) Regional health services, 4) Hospital services, 5) Health sector financing, 6) Human resources for health and 7) Health sector information needs (M&E) of the Ministry of Health. Report of the socio-economic impact assessment of the Universal Health Coverage scheme: An economic and social analysis of the UHC Financing Proposal was made and its feasibility for implementation was assessed. Report of the Institutional Review: The institutional review was conducted through the preparation, and discussion of, a series of discussion papers that sought to clarify a number of the institutional issues surrounding the health sector reforms. A framework for an Operational Manual: Guidelines and procedures were reviewed and an operational manual of procedures was developed for the Planning Unit. Report of the HMIS review: After a review of the current health management information systems, advice was provided on how the needs for information at each level of the health system might be improved. Report of the Human Resources development and Sector Training Plan: This deliverable has been based on the planning processes for the four separate areas: the Priority Health Areas, the Regional Health Teams, the Hospitals and the Central Support Services.
Year:	2005

Assignment:	Final Evaluation of the HIV/AIDS Prevention and Care Programme (HAPAC)
Client:	European Commission
Country:	Swaziland
Fields of expertise:	HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: The objective of the evaluation is to assess if the programme has lead to a reduction in the rate of transmission of HIV in Swaziland and developed programmes for the provision of home-based care for those with AIDS. Description of Actual Services Provided: An assessment of the efficiency, effectiveness impact and viability of the project in order to verify that its activities and results are in line with those outlined in the Financing Agreement. Solid recommendations for the 2006-2008 programme.
Year:	2006

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

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

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

Assignment:	Evaluation of Health Sector Programmes in Timor-Leste
Client:	European Commission
Country:	East Timor
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: The evaluation study consisted of a combined evaluation for 1) a comprehensive, and independent final review and analysis of the performances of The Second Health Sector Rehabilitation and Development Project (HSRDP II) against the Contribution Agreement with World Bank, and 2) a comprehensive, and independent mid-term review and analysis of the performances of the Support to the Implementation of the Health Sector Investment Programme (SIHSIP) against the Financing Agreement of the Contribution Agreement with World Bank, and Service Contract with BMB Mott McDonald. The main objective of this evaluation was to provide an independent assessment on the performance of the programmes, key lessons and practical recommendations for follow-up and to convey an opinion on the relevance of the programme and the feasibility of sector support for the future. Description of actual services provided by your staff within the assignment: For both evaluations the team used conventional components of document review, interviews with key stakeholders, and a workshop for presenting the findings and recommendations as well as gathering feedback. Key stakeholders were identified and a provisional work plan was made. The interviews were semi-structured with questions along the lines of the specific objectives. The specific objectives for Final Evaluation of HSRDP II were achieved as described below: A comprehensive assessment of the achievements of the programme was performed; The lessons learned were analysed; The relevance and efficiency of the programme management and implementation was evaluated; The effectiveness of planning and management support, monitoring and supervision, communication, coordination, etc were examined; The stakeholders’ participation was evaluated The likelihood for positive outcomes to continue after completion period was assessed. For the Mid-term Evaluation of the SIHSIP, the specific objective were addressed as follows: The extent to which the SIHSIP is contributing to development in the health sector was reviewed; The consistency and links between the two components was assessed; The team examined how lessons and experiences can be used by national partners; The quality of the technical assistance was assessed; Problems were identified and possible recommendations suggested; The possibility of a no-cost extension for each component and the programme as a whole was reviewed.
Year:	2008

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Assignment:	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:	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 TILAK Kinder und Herzcentrum und R&D
Client:	European Investment Bank
Country:	Germany
Fields of expertise:	Appraisal, Cost-effectiveness Studies, Hospital Services, Planning, Organisation and Management
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 inscription and analysis of the “model of care” of the current hospital and the service model developed for the future hospital (including demand estimates, ALS) Description and justification of the education and R&D components within the “Competence center” Cost estimate reliability for new hospital.
Year:	2004

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:	Strengthening of medical laboratory services in the Caribbean
Client:	European Union - Delegation of the EC in Trinidad & Tobago, the Netherlands Antilles and Aruba
Country:	St. Lucia
Fields of expertise:	Appraisal, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objectives were: to review the baseline information on health and disease trends and threats, the state of the medical laboratories in the region, the national and regional health/medical laboratory policy framework, the role and activities of CAREC and other public and private sector entities involved in the field, as well as donor supported activities in this sector carried out in the region; to appraise the intervention proposed, quantify the targets of the projects as well as the means of intervention including human resource requirements, carry out a feasibility analysis and lay down the necessary conditions for sustainability of the programme, and propose the most suitable management structure for the programme to prepare and discuss with CAREC, CARIFORUM and the EC Delegation a brief report on the work undertaken and a revised draft financing proposal in accordance with CARIFORUM/EDF guidelines containing all the necessary technical annexes including the feasibility analysis. Description of Actual Services Provided: Briefing in Brussels and briefing in Port of Spain, preliminary examination of documentation, discussions with CAREC and EC Delegation, and preparation of work programme. Country visits and consultations with CARIFORUM (2 weeks) Conducting of project appraisal, feasibility analysis, revision of financing proposal and preparation of draft final report and draft financing proposal. Debriefing in Brussels.
Year:	1999

Assignment:	Strengthening of medical laboratory services in the Caribbean
Client:	European Union - Delegation of the EC in Trinidad & Tobago, the Netherlands Antilles and Aruba
Country:	Dominican Republic
Fields of expertise:	Appraisal, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objectives were: to review the baseline information on health and disease trends and threats, the state of the medical laboratories in the region, the national and regional health/medical laboratory policy framework, the role and activities of CAREC and other public and private sector entities involved in the field, as well as donor supported activities in this sector carried out in the region; to appraise the intervention proposed, quantify the targets of the projects as well as the means of intervention including human resource requirements, carry out a feasibility analysis and lay down the necessary conditions for sustainability of the programme, and propose the most suitable management structure for the programme to prepare and discuss with CAREC, CARIFORUM and the EC Delegation a brief report on the work undertaken and a revised draft financing proposal in accordance with CARIFORUM/EDF guidelines containing all the necessary technical annexes including the feasibility analysis. Description of Actual Services Provided: Briefing in Brussels and briefing in Port of Spain, preliminary examination of documentation, discussions with CAREC and EC Delegation, and preparation of work programme. Country visits and consultations with CARIFORUM (2 weeks) Conducting of project appraisal, feasibility analysis, revision of financing proposal and preparation of draft final report and draft financing proposal. Debriefing in Brussels.
Year:	1999

Assignment:	Strengthening of medical laboratory services in the Caribbean
Client:	European Union - Delegation of the EC in Trinidad & Tobago, the Netherlands Antilles and Aruba
Country:	Trinidad & Tobago
Fields of expertise:	Appraisal, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objectives were: to review the baseline information on health and disease trends and threats, the state of the medical laboratories in the region, the national and regional health/medical laboratory policy framework, the role and activities of CAREC and other public and private sector entities involved in the field, as well as donor supported activities in this sector carried out in the region; to appraise the intervention proposed, quantify the targets of the projects as well as the means of intervention including human resource requirements, carry out a feasibility analysis and lay down the necessary conditions for sustainability of the programme, and propose the most suitable management structure for the programme to prepare and discuss with CAREC, CARIFORUM and the EC Delegation a brief report on the work undertaken and a revised draft financing proposal in accordance with CARIFORUM/EDF guidelines containing all the necessary technical annexes including the feasibility analysis. Description of Actual Services Provided: Briefing in Brussels and briefing in Port of Spain, preliminary examination of documentation, discussions with CAREC and EC Delegation, and preparation of work programme. Country visits and consultations with CARIFORUM (2 weeks) Conducting of project appraisal, feasibility analysis, revision of financing proposal and preparation of draft final report and draft financing proposal. Debriefing in Brussels.
Year:	1999

Assignment:	Strengthening of medical laboratory services in the Caribbean
Client:	European Union - Delegation of the EC in Trinidad & Tobago, the Netherlands Antilles and Aruba
Country:	Jamaica
Fields of expertise:	Appraisal, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objectives were: to review the baseline information on health and disease trends and threats, the state of the medical laboratories in the region, the national and regional health/medical laboratory policy framework, the role and activities of CAREC and other public and private sector entities involved in the field, as well as donor supported activities in this sector carried out in the region; to appraise the intervention proposed, quantify the targets of the projects as well as the means of intervention including human resource requirements, carry out a feasibility analysis and lay down the necessary conditions for sustainability of the programme, and propose the most suitable management structure for the programme to prepare and discuss with CAREC, CARIFORUM and the EC Delegation a brief report on the work undertaken and a revised draft financing proposal in accordance with CARIFORUM/EDF guidelines containing all the necessary technical annexes including the feasibility analysis. Description of Actual Services Provided: Briefing in Brussels and briefing in Port of Spain, preliminary examination of documentation, discussions with CAREC and EC Delegation, and preparation of work programme. Country visits and consultations with CARIFORUM (2 weeks) Conducting of project appraisal, feasibility analysis, revision of financing proposal and preparation of draft final report and draft financing proposal. Debriefing in Brussels.
Year:	1999

Assignment:	Strengthening of medical laboratory services in the Caribbean
Client:	European Union - Delegation of the EC in Trinidad & Tobago, the Netherlands Antilles and Aruba
Country:	Grenada
Fields of expertise:	Appraisal, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objectives were: to review the baseline information on health and disease trends and threats, the state of the medical laboratories in the region, the national and regional health/medical laboratory policy framework, the role and activities of CAREC and other public and private sector entities involved in the field, as well as donor supported activities in this sector carried out in the region; to appraise the intervention proposed, quantify the targets of the projects as well as the means of intervention including human resource requirements, carry out a feasibility analysis and lay down the necessary conditions for sustainability of the programme, and propose the most suitable management structure for the programme to prepare and discuss with CAREC, CARIFORUM and the EC Delegation a brief report on the work undertaken and a revised draft financing proposal in accordance with CARIFORUM/EDF guidelines containing all the necessary technical annexes including the feasibility analysis. Description of Actual Services Provided: Briefing in Brussels and briefing in Port of Spain, preliminary examination of documentation, discussions with CAREC and EC Delegation, and preparation of work programme. Country visits and consultations with CARIFORUM (2 weeks) Conducting of project appraisal, feasibility analysis, revision of financing proposal and preparation of draft final report and draft financing proposal. Debriefing in Brussels.
Year:	1999

Assignment:	Strengthening of medical laboratory services in the Caribbean
Client:	European Union, Delegation of EC in Trinidad & Tobago, The Netherlands Antilles and Aruba
Country:	Caribbean Partnership
Fields of expertise:	Appraisal, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objectives were: to review the baseline information on health and disease trends and threats, the state of the medical laboratories in the region, the national and regional health/medical laboratory policy framework, the role and activities of CAREC and other public and private sector entities involved in the field, as well as donor supported activities in this sector carried out in the region; to appraise the intervention proposed, quantify the targets of the projects as well as the means of intervention including human resource requirements, carry out a feasibility analysis and lay down the necessary conditions for sustainability of the programme, and propose the most suitable management structure for the programme to prepare and discuss with CAREC, CARIFORUM and the EC Delegation a brief report on the work undertaken and a revised draft financing proposal in accordance with CARIFORUM/EDF guidelines containing all the necessary technical annexes including the feasibility analysis. Description of Actual Services Provided: Briefing in Brussels and briefing in Port of Spain, preliminary examination of documentation, discussions with CAREC and EC Delegation, and preparation of work programme. Country visits and consultations with CARIFORUM (2 weeks) Conducting of project appraisal, feasibility analysis, revision of financing proposal and preparation of draft final report and draft financing proposal. Debriefing in Brussels.
Year:	1999

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:	Development of a cost-effective Flemish Cancer Registration Network
Client:	Flemish Government
Country:	Belgium
Fields of expertise:	Cost-effectiveness Studies, Costing Studies, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Development of a registration aims at: a consistent and high qualitative information concerning incidence and prevalence of cancers in Flanders; a tool to measure the impact of cancer prevention and cancer control programmes in order to improve cancer policies. Description of Actual Services Provided: The study assignment was divided into 3 phases: Preparation review of the existing registration systems; SWOT analysis of the existing systems; evaluation of the existing national cancer registration network; short study of existing European cancer registration networks. Investigation defining of requirements for a new network; defining the required minimal dataset; study of the bottle necks of the existing registration network; proposal of various new scenarios; cost-effectiveness analysing the scenarios. Detailed proposal of the organisation and costs of the chosen scenarios for a cost effective cancer registration network for Flanders.
Year:	2001

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

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

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

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

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

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

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

Assignment:	Assistance to the Ministry of Planning in developing a 5 year National Development Plan (Health Sector Aspects)
Client:	John Macrae Consultants
Country:	Benin
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Planning, Organisation and Management
Description:	Narrative Description of Project: Assistance to the Ministry of Planning in developing a 5 year National Development Plan: Health Sector Aspects. Description of Actual Services Provided: Responsible for a historical review of the health sector trends in Benin. Responsible for integrating and translating a 5 year health sector plan in the National Development Plan.
Year:	1995 - 1996

Assignment:	Formulation mission VIE/027: Supporting Health Care Policy for the poor in Cao Bang and Bac Kan
Client:	Lux Development
Country:	Vietnam
Fields of expertise:	Basic Health Services, Identification and Formulation, Planning, Organisation and Management
Description:	Narrative description of Project: The proposed global objective is to improve the health status of the population of Bac Kan and Cao Bang province. The project aims at contributing to the following Millenium Development Goals: MDG 4: reduce child and infant mortality MDG 5 : improve maternal health and MDG 6: combat HIV/AIDS, malaria and other diseases The project is to improve the quality of health care service delivery in the two provinces by building capacity and increasing access of the poor to utilisation of quality health services. Description of actual services provided: Focus on 3 components: Institutional: preparation of health care strategic plans and implementation at the province and district levels Demand: the Health Care Fund for the Poor is supported and ensured of its expansion of coverage for the poor population. Supply: Technical and managerial capacity of selected Community Health Centres is reinforced. Approach: Briefing at Lux-Development headquarters. Documentary research and analysis, updating of analysis made during identification Fieldwork throughout a series of workshop/meetings at different locations Logical framework matrix composition and institutional and organisational set-up through participatory planning workshops Confirmation of analysis and participatory planning in final workshop in Hanoi Project outline and debriefing at Lux-Development ROF Drawing up of the project document, including log frame and detailed budget Debriefing in Luxembourg and final report
Year:	2008

Assignment:	Reformulation of the Support to the medical district North of Santiago
Client:	Lux-Development
Country:	Cap Vert
Fields of expertise:	Appraisal, Health Expenditure Review, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Planning, Organisation and Management
Description:	Narrative Description of Project: The mission’s objective was to proceed to the review and validation of the existing formulation documents and to update the project document and annexes taking into account the recent evolutions, recommendations of the mission “Financing of health care” and the budgetary constraints of the cooperation program between Cape Verde and Luxembourg. The budget available for 2004 is limited to 300 000 EUR. Description of Actual Services Provided: Formulated the technical support for the improvement of the management system; Described in detail all conditions for a progressive autonomy for the regional hospital; Prepared an analytical framework for selection procedures (specifically for the poor); Developed the component with regards to the strengthening of the private sector activities; Formulated the necessary conditions for the project at national level; Studied the role of the different partners and the possible collaboration on this project.
Year:	2003 - 2004

Assignment:	Formulation of LAO 917/918/919
Client:	Lux-Development
Country:	Laos
Fields of expertise:	Hospital Services, Identification and Formulation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Formulation of 3 projects: LAO/917: Equitable Health Services in the provinces of Bolikhamxay and Khammouane LAO/918: Strengthening of the National Immunisation Programme through the supply of Vaccines and Cold Chain Systems LAO/919: Medical Equipment Management Phase II Description of Actual Services Provided: Documentary research and analysis Fieldwork throughout a series of workshop/meetings at different geographical locations Logical framework matrix composition (in participative manner) Institutional and organisational set-up (in a participative manner) Confirmation of analysis and participatory planning in a final workshop in Vientiane Drawing-up of the Project Document
Year:	2007

Assignment:	Rehabilitation of the Hospitals "Vélez Paiz" and "La Mascota"
Client:	Lux-Development
Country:	Nicaragua
Fields of expertise:	Basic Health Services, Hospital Services, Monitoring and Evaluation, Planning, Organisation and Management, Reproductive Health
Description:	Narrative Description of Project: The project aims at improving the women’s and children’s health by reinforcing the quality of the health services in La Mascota Hospital and by creating the necessary conditions for the rehabilitation of the Fernando Vélez Páiz Hospital. Description of Actual Services Provided: Evaluation of the project. Elaboration of the Final Report. The evaluation focused at: Qualitative evaluation of the infrastructure and the actual situation; Quantitative and qualitative evaluation of the training center, the training programs, the participants; Qualitative evaluation of the hospital management and the impact of the project; Qualitative evaluation of the organization and management of the project; Analysis of the conditions of sustainability of the project; Recommendations.
Year:	2002

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:	Capacity Building and Technical Assistance related to procurement, storage and distribution of Health Sector Goods, and drug supply management in hospitals
Client:	Ministry of Health
Country:	Lesotho
Fields of expertise:	Drug Supply Management System Strengthening, Essential Drugs Programme Support, Long Term Technical Assistance, Medical Store Evaluation, Planning, Organisation and Management, Procurement and Tender Support, Training and Human Resource Development
Description:	Narrative Description of Project: The objectives are to Strengthen drug supply management and security at all hospitals; Enable NDSO to procure essential medicines using international competitive bidding; Provide technical assistance to NDSO and MOH Procurement Unit in procuring the Health Sector Goods financed through the Global Fund using ICB. Description of Actual Services Provided: Development of an effective and efficient drug supply management system at NDSO and District Hospitals; Development of a sound security system in connection with the inventory and the Health Sector Goods at NDSO and District Hospitals; Training of staff at NDSO and Procurement unit on procurement of Health Sector Goods Development of an efficient system for procurement, storage, distribution and M&E of the Health Sector Goods under the Global Fund.
Year:	2006 - 2008

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:	Capacity Building for key players to improve efficiency of Communication Strategies on HIV and AIDS in Mauritius
Client:	National AIDS Secretariat
Country:	Mauritius
Fields of expertise:	Health Information System / Epidemiology / Operational Research, HIV-AIDS-STI-TB, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative description of Project: In March 2007 a National Multisectoral HIV&AIDS Communication Strategy has been developed for the period 2007-2011. Since then, evidence-based information has redefined the epidemiological profile of HIV in Mauritius and on the other hand the National AIDS Secretariat – created in 2001 - has started functioning effectively. The national strategy for communication had therefore to be revised and an operational plan developed with the participation of all stakeholders to ensure optimization of resources allocated in communication. Description of actual services provided by your staff within the assignment: Revision of the communication plan to ensure that the following topics would be addressed accordingly: Prevention of HIV infection in drug users, prisoners and sex-workers acceptance by the general population of needle exchange and methadone programme reduction of stigma and discrimination toward those infected or vulnerable Training of stakeholders on communication in areas selected as priority in a previous assessment conducted in July 2008 Development of an operational plan for implementation of communication strategies Revision of the set of national indicators (in M&E Plan) to evaluate the progress made by communication strategies; proposition of possible additional indicators and tools to inform them.
Year:	2009

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

Assignment:	Program of Supplementary Measures to support the EU HIV Action plan for Benghazi (phase 4) in Libya
Client:	Red Cross Belgium
Country:	Libya
Fields of expertise:	Health Information System / Epidemiology / Operational Research, HIV-AIDS-STI-TB, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative description of Project: In 1998, a severe HIV/AIDS epidemic broke out at Benghazi Children’s Hospital. The Libyan authorities requested the support of the EU, in particular in terms of policy advice, institutional support and training. The “EU HIP Action Plan for Benghazi (BAP)” was launched in November 2004 with the aim to assure appropriate medical care for the cohort of HIV-infected children. Since then, three successive decisions taken by the Commission have supported the implementation of the BAP. The objective of BAP 4 is to introduce a coherent and integrated methodology for HIV/AIDS prevention and treatment starting from Benghazi, and progressively extending in to the whole country over the next few years. Description of actual services provided by your staff within the assignment: The consultant has assisted the Libyan counterpart in consistently implementing all activities agreed under the BAP. The intervention was based on a multidisciplinary and pro-active approach developed and used under previous phases of BAP with a special emphasis on the consolidation of the results achieved and integration and harmonisation with national and local policies and programmes. The specific services provided by the consultant were as follows: Attend the inception meeting in Libya to define a detailed schedule of activities; Provide support to the activities which aim to upgrade the BCIDI laboratory up to an international quality level in order to become a national reference centre. This included definition of laboratory protocols and guidelines; establish Quality Assurance policy and control procedures; implement the procedures and provide continuous service training and long distance follow up; Assist the BCIDI and medical staff to upgrade the level of treatment in BCIDI up to an international standard through introducing the concept of evidence based medicine; defining public and monitoring indicators; consolidating the case management system and multidisciplinary approach; formalising national guidelines and treatment protocols; consolidating and evaluating nurses trainings; establishing a scientific forum for clinical discussions; Provide appropriate management support and assist in the development of the Management Information system (MIS) Strengthen the national blood safety programme by assisting in the approval of draft legislation; support in blood safety training; support in computerisation of blood organisation and support the reorganisation of blood transfusion at national level; Develop community awareness, prevention of stigma and counselling to children and families. This included streamlining the supervision and plan continuous training; implementing counselling for different groups; establishing a forum to raise awareness; address the national agenda through coordination with National AIDS Programme; development and implementation of a treatment adherence strategy and encouragement and implementation of health education programmes with particular relevance to HIV/AIDS
Year:	2008 - 2009

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

Assignment:	Strengthening the financial sustainability of the national blood transfusion services
Client:	Swiss Red Cross
Country:	Egypt
Fields of expertise:	Costing Studies, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Planning, Organisation and Management
Description:	Narrative Description of Project: Under the “Restructuring the Blood Transfusion Service of the Ministry of Health and Population. (MoHP)” programme, funded by the Government of Switzerland and implemented by the Swiss Red Cross, there is concern about the future economic sustainability of the operations. It was therefore decided to launch a process aimed at awareness raising among senior management on the one hand and examining options to effectively strengthen the financial sustainability of the National blood System on the other hand). Description of Actual Services Provided: February-March:Preparation and organisation of a workshop with the aim: To familiarize the participants with recent policy developments To update all parties on recent achievements and conceptual, strategic, and managerial challenges that need addressing To improve transparency on the current funding structure and mechanism of the national Blood System (NBS) To analyse current and expected financial situation of National Blood Transfusion Service, National Blood Regulatory Authority and Hospital Blood Banks To analyse various options at policy, strategic and operational level to ensure financial sustainability of the blood transfusion system To prepare a realistic Plan of Action setting the key issues to be addressed before the end of the Egyptian-Swiss project mid 2007. June: Monitoring mission with the aim: To discuss and review the recommendations of the workshop with senior management of the MoHP To discuss and reach agreement with the PIU and the First Undersecretary of State Curative Care on the main priority areas for legal, institutional and organisational change of the national blood system that need addressing in short and medium term To define the scope of work for interdisciplinary task groups for the preparatory and implementation work of the change process. To provide methodological support to the task groups in defining TOR for their assignments, assistance with work plans July: visit to Swiss Red Cross HQ Presentation of the main findings, lessons learnt and recommendations of the field work during a workshop at Head Quarter’s of the Swiss Red Cross.
Year:	2006

Assignment:	Programmatic aspects of the audit of the Global Fund grants to Tanzania
Client:	The Global Fund to fight AIDS, Tuberculosis and Malaria
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative description of Project: Audit of 5 grants to Tanzania for a total of over the 447 million USD. The purpose of the audit is to assess the adequacy of the internal control system in managing the GF grants in Tanzania. The audit objectives are to: assess the efficiency and effectiveness in the management, operations and service delivery of the grant programs; review the soundness of systems, policies and procedures in safeguarding Global Fund resources; assess the risks the GF grants are exposed to and adequacy of measures taken to mitigate them; assess compliance with Global Fund’s grant agreements, principles, policies and standards. Description of actual services provided by your staff within the assignment: Review of the Monitoring and Evaluation (M&E) systems, for HIV, TB and Malaria with a view to provide assurance about the adequacy of the systems. The work takes into consideration the national systems as well as those that relate to the Civil Society Organizations (CSOs). Site visits to projects/programs of grant recipients and implementing organizations including visits to selected health facilities, treatment and testing centres, warehouses, stores, regional depots as appropriate. Report including observations and recommendations on the programs reviewed and visited, systems examined, reports/technical guidelines reviewed, quality standards in service delivery centres visited.
Year:	2009

Assignment:	Kuba Project: Support to the Ministry of Health in the organisation and financing of PHC and SHC
Client:	UNICEF
Country:	Azerbaijan
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Planning, Organisation and Management
Description:	Narrative Description of Project: Support to the MOH in the organisation and financing of PHC and SHC. Detailed Description of Actual Services provided: Responsible for developing new financing strategies for health service at the primary and secondary level. Assisting UNICEF and the Ministry of Health in implementing financing mechanisms. Follow-up of UNICEF over 3 years.
Year:	1995 - 1998

Assignment:	Assistance in preparing the meeting of the Task Force on the Logistic system for the health sector
Client:	UNICEF
Country:	Madagascar
Fields of expertise:	Essential Drugs Programme Support, Planning, Organisation and Management, Procurement and Tender Support
Description:	Narrative Description of Project: Assistance with preparation and facilitation of a senior level workshop with partners of Health Sector and Ministry of Health, which will set objectives and roadmap for the design and operationalisation of a national integrated procurement and logistics system for the Health sector. Support in promoting and creating the conditions for the tenure of a similar workshop in the Education sector, through meetings at senior level in the sector and the government. Description of Actual Services Provided: Documentation of the outputs of the meetings Report on the approved objectives, roadmaps and targets for the design and operationalisation of a national integrated procurement and logistics system for the Health sector, and recommendations. Report and recommendations on next stages for the tenure of a workshop in the Education sector.
Year:	2007

Assignment:	Development of an operational plan for the STD programme in Nairobi and Mombassa for the period 1994-1998
Client:	University of Ghent (Belgium)
Country:	Kenya
Fields of expertise:	HIV-AIDS-STI-TB, Planning, Organisation and Management
Description:	Narrative Description of Project: Development of an operational plan for the STD programme in Nairobi and Mombassa for the period 1994-1998.
Year:	1993

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

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

Assignment:	Consulting services for the strengthening of Health Legislation and Licensing
Client:	World Bank - Health Project Implementation Unit (HPIU)
Country:	Armenia
Fields of expertise:	Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: The main objectives of this assignment: to develop alternative licensing, accreditation and certification approaches (2 different models, including the advantages and disadvantages of applying these approaches in the Armenian context; to develop in detail the selected licensing, accreditation and certification approach that will address the key issues suitable for the capabilities of the Ministry, the marz level, and the health facilities themselves and suitable implementation strategy jointly with the system stakeholders; to outline the resources, training and other inputs required to successfully implement selected licensing, accreditation and certification approach in Armenia. Description of Actual Services Provided: Review the licensing, accreditation and certification approaches used in Armenia in the sphere of health education and health care through revision of all related documents and interview with systems key stakeholders. Based on above review the Consultant made an evaluation of the relative strengths and weaknesses of these approaches and their appropriateness in the Armenian health care and health education systems. Presentation in the workshop of the international experience in licensing and certification of health professionals and licensing and accreditation of health facilities and health education program, including the experience of countries like Armenia. Assessment of the current health facilities licensing system and the licensing department capacity against the requirements under the selected licensing programs as well as medium term requirements under the strengthened system, which the consultant will recommend as part of the proposed licensing, accreditation and certification strategy. Development of short and medium term strategies for Armenia. Recommendations for the detailed strategy for health professional licensing and certification, including the required package of necessary documents, professionals licensing procedures/mechanisms and methods (education requirements, experience requirements, indicators, required retrainings, regularity, etc.); as well as tools samples (list of specialties, including the required minimum years of professional training; licensing standards addressing qualifications health care professionals need to operate and focusing on issues of patient safety; indicators for professional qualification assessment). Advise to local experts on ways to address legal inconsistencies and bottlenecks in the current legal and regulatory framework as well as on areas that may need adaptation as the health licensing systems develop. Development of a monitoring tool to evaluate the effectiveness of the improved licensing, accreditation and certification after the introduction of the system. The consultant worked in close collaboration with local experts, facilitating the skill transfer to these.
Year:	2005