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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Assignment:	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:	External Evaluation of the District Support Programme of Mibilizi (Memisa Medicus Mundi)
Client:	Cordaid
Country:	Rwanda
Fields of expertise:	Basic Health Services, Hospital Services, Identification and Formulation, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: The objective of this mission is twofold: On one hand the evaluation of the support programme of Memisa to the district of Mibilizi and on the other hand the preparation of a 3 year programme including the support to the districts of Mibilizi and Kibogora. Description of Actual Services Provided: The team did the evaluation of the support programme of Memisa, including questions regarding the objectives, indicators, budgets, needs of the population, the strategies, the coordination, etc. Recommendations were included in the report and formed the basis of the formulation of the fulltime 3 year programme. The team held a restitution meeting with the partners and the representatives in order to share the conclusions and recommendations.
Year:	2000

Assignment:	Round Table Preparation
Client:	Danida
Country:	Benin
Fields of expertise:	Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: Preparation of the health sector round table. Diagnosis of the health sector, consensus development and planning of health sector reforms at national level. Adapting the previous health system of the marxist-leninist period to the new political and economical context. Description of Actual Services Provided: Responsible for assisting the Ministry of Health in reviewing all aspects of the health system (Logical Framework Approach). Assisting the Ministry of Health in selecting priority areas for reform. Developing reform proposals with the Ministry of Health. Translating reforms in strategic and operational plans. Developing a 5-year development plan. Formulation of the interventions by DANIDA.
Year:	1992 - 1993

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

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

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

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

Assignment:	Technical Review of the Community-Based Nutrition Programme (CBNP)
Client:	Danida
Country:	Kenya
Fields of expertise:	Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: The development objective of the programme is to reduce poverty for women and men, and improve the nutritional status of children through enhancement of social and human capital using participatory approaches. The immediate objectives are: Improved capability of districts and divisions teams to support communities in addressing their social development including nutritional security using participatory and multi-sectoral approaches. Enhanced capability of rural communities to plan and implement sustainable social development activities towards the improvement of nutrition security. Description of Actual Services Provided: Assess if the objectives, inputs, expected outputs and time frame are realistic in the light of the progress of the programme until now. To make recommendations for the remaining programme period, especially in relation to budget allocation and priorities of activities within the framework of the programme document. Assess the prospect of sustainability of the programme (both at the level of individual communities and at district level), and make specific recommendations for realistic strategies to be put in place to ensure the programme’s survival independent of external funding.
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:	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:	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/Partners Annual Review of the Health Sector
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Annual evaluation the progress made in the sector reform process and in the decentralisation towards health districts and in the execution of the annual plan. Technical and policy evaluation. Description of Actual Services Provided: HERA was mostly responsible for the policy evaluation and has participated in the technical evaluation as co-responsible.
Year:	2001

Assignment:	Technical Review of the Health Service delivery at district level (Technical Review of the SWAp)
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: To review the health service delivery at district level with a focus on major overall achievements, weaknesses, challenges and opportunities and compare this with the results of the district health services review of 2003, as part of the annual SWAp review. To assist in preparing the Main Annual SWAp Review Report.
Year:	2004

Assignment:	Technical Review 2005: Public Private Partnership for equitable provision of health services
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Public Private Partnership, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The technical review marks the second year of implementation of the new Health Sector Strategic Plan taking into cognition changing conditions and new challenges facing SWAPs in the health sector such as shifting from health sector funding to general budget support global funds targeting selected vertical programmes or selected diseases. Description of Actual Services Provided: Share information on developments, achievements and intentions in key areas of health sector strategy : Progress against prior year milestones Implementation of the Health Sector Strategy, Budget execution on approved budget; actual disbursements of the budget and actual expenditure against disbursements and releases Service delivery performance Deliberation on the findings of the PPP technical review and identification of necessary actions Review resource allocation and management Review implications of changing conditions and challenges on SWAPS. Determination and formulation of milestones for FY2005/6.
Year:	2005

Assignment:	Review of MSL Management under 1st year Management Contract between MSL and Crown Agents
Client:	DFID
Country:	Zambia
Fields of expertise:	Drug Supply Management System Strengthening, Essential Drugs Programme Support, Monitoring and Evaluation, Procurement and Tender Support
Description:	Narrative Description of Project: The objective is to review MSL management and operations (warehousing, inventory management, quality assurance, distribution) including operating costs and management fee. Description of Actual Services Provided: The Review Team assessed the functioning of MSL management and MSL performances with regard to its key operations, i.e. receipt of goods, storage and distribution, as well as the support functions financing and human resources management. Indicators are proposed and a baseline established for MSL performance. Further emphasis is on options to bring the procurement of health commodities back in one supply chain of storage and distribution of all health commodities at the MSL as well as the future relations with the DSBL. The Review Report includes indicators with baseline data and options for optimal functioning of MSL within the procurement and supply system in the health sector and draft terms and conditions for the 2nd and 3rd year MSL Management Contract.
Year:	2005

Assignment:	Joint Review of the Health Sector Development Programme (HSDP)
Client:	DGIS Netherlands
Country:	Ethiopia
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objectives of JRM3 are as followed: Assess the level of readiness/preparation by implementing bodies to implement HSDP II; Assess the progress/constraints component by component in the implementation of E.F.Y. 1994 Plan of HSDP I and the first 6 months of HSDP II; Review the situation of financial flow, utilization and management capacity of the period under review; Identify inputs to the Final Evaluation of HSDP I; Identify major implementation problems, gaps, best practices and lessons learnt, and propose/recommend measures that will help to improve the implementation of HSDP II and the preparation of HSDP III; Assess the effects of the newly introduced policy and reform measures such as woreda decentralization, SDPRP, HIV/AIDS, the emergency drought situation on HSDP activities. Description of Actual Services Provided: Guidance of the Joint Annual Review of the Health Sector Development Programme, together with a team of international and national consultants.
Year:	2003

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

Assignment:	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:	Monitoring and Mid-term Review of Health Sector Modernisation Programme
Client:	EC - lot 8
Country:	Syria
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: The objective is to provide decision-makers in the government of Syria and European Commission with sufficient information to make an informed judgement about the performance of HSMP (its efficiency and effectiveness), and decisions about any required changes to project scope (such as objectives, duration, financing, management arrangements, etc). Description of Actual Services Provided: The monitoring team carries out 2 yearly missions to the project. A separate evaluation team carries out a Mid-Term Review and a follow-up workshop in between the monitoring missions. Both teams advise on the state of implementation and on the further conduct of the project throughout the implementation of the HSMPT (2006-2007). Assess and comment HSMP reports of MoH and the TA team; Assess and comment policy initiatives of MoH or of GoS that are relevant to the health sector (e.g. civil service reform, budgetary changes, changes in management of public finance or public procurement, privatisation policies and redefinitions of the role of the state etc.); Assess and comment economic, societal, political, epidemiological and other changes of framework conditions that are relevant to the health sector; Assess and comment donor coordination by the MoH; Assess and comment activities of other donors in the health sector; Conduct on site visits and stakeholder interviews with the actors of the project, with international partners, and local health sector organisations and local health sector experts (including health care users); Participate in project workshops in Syria (and possibly in the MEDA region) upon request of the EC Delegation (currently not more than two such workshops anticipated); Carry out these and other tasks necessary for the fulfilment of the specific terms of reference prepared for individual missions; Organise debriefings with the MoH, with the TA team and with the EC Delegation in Damascus, and with EC headquarters in Brussels; Analysis and recommendations are to be made with respect to the main stakeholders of the HSMP, particularly the MoH, the TA team and the EC Delegation.
Year:	2006 - 2007

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

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

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

Assignment:	Feasibility Study for the interventions 9th EDF in the Health Sector
Client:	European Commission
Country:	Congo RDC
Fields of expertise:	Appraisal, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Monitoring and Evaluation
Description:	Narrative Description of Project: Define a support program for the health sector (9the EDF) and finalize the definition of interventions in the framework of the 8th EDF, interventions which must reinforce the other health actions of the EC. Description of Actual Services Provided: Formulation report Project of Proposal of Finance to be signed by EC and the DR of Congo (accompanied by a technical and financial operational file Guidelines for the request of proposals for projects of the NGO’s Terms of reference for the Coordinating Cel of the Program
Year:	2004 - 2005

Assignment:	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:	Formulation mission Health Sector Policy Support Programme
Client:	European Commission
Country:	The Philippines
Fields of expertise:	Basic Health Services, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Monitoring and Evaluation
Description:	Narrative Description of Project: The objective of the mission was to determine the priority HSRA (Health Sector Reform Agenda) implementation actions to be supported by the EC and the resulting institutional and implementation arrangements, to propose the related conditionalities, benchmarks and performance indicators and tot determine the consequent technical assistance and funding requirements at the various levels of intervention. The works built on the identification work undertaken so far by the EC, the recommendations from the Public Finance Mission, project preparatory studies undertaken by other donors and complementary investigation as required. Focus was on rationalising the allocation and the use of resources for health in adopting a sector-wide approach, explicitly acknowledging the EC support programme. Description of Actual Services Provided: Design of the EC support in such a way that there is no overlap with activities financed by other donors (in particular ADB, World Bank, GTZ, KfW and JICA) and with maximum of complementarity. The 3-year EC support entails 3 components: Support to DOH for : sustaining the implementation of the HSRA improving the policy dialogue between DOH and the donor community institutional strengthening of DOH and oversight agencies Support to the Philippines Health Insurance Corporation (Philhealth) Support to 4-5 provinces for HSRA implementation, aiming at improving the availability and accessibility for the population to good quality essential health services Results: An outline of the EC support programme and an agreed formulation report including a draft Financing Proposal with all necessary annexes.
Year:	2005

Assignment:	Evaluation of the Humanitarian Aid in favour of the population of Cuba
Client:	European Commission
Country:	Cuba
Fields of expertise:	Basic Health Services, Monitoring and Evaluation
Description:	Narrative Description of Project: The goals of the evaluation are the following: analyse the opportunity and the level of achievement of the global humanitarian plan and of the micro projects in favour of the Cuban population; analyse the level of accomplishment of the objectives and the effectiveness of the resources allocated; analyse and quantify the impact of aid; analyse the role played by ECHO in the decision process, and in the other activities for which the services of the European Commission are responsible; verify the visibility of ECHO both in the beneficiary regions as with the authorities and local partners; establish precise and concrete recommendations about the future of financing of ECHO; identify eventual new channels for distribution of humanitarian aid; examine the link between emergency-rehabilitation-development: what types of aid could be substituted or could be taken over from humanitarian aid? Description of Actual Services Provided: The expert worked in close collaboration with the representatives of ECHO, the partners of ECHO, the local authorities, the international organisations and other donors, in order to evaluate the aid programme of ECHO.
Year:	2000

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:	Evaluation of the HIV/AIDS Training Course: "Planning for the social and economic impact of HIV/AIDS in developing countries"
Client:	European Commission
Country:	Global
Fields of expertise:	HIV-AIDS-STI-TB, Monitoring and Evaluation, Training and Human Resource Development
Description:	Narrative Description of Project: Evaluation of the HIV/AIDS Training Course: "Planning for the social and economic impact of HIV/AIDS in developing countries".
Year:	1998

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:	Evaluation and Planning of the Rural Health Programme in the province of Zambezia and Feasibility study for the next phase of the EU intervention in the health sector
Client:	European Commission - Ministry of Health
Country:	Mozambique
Fields of expertise:	Appraisal, Basic Health Services, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services, Identification and Formulation, Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Evaluation of the « Support to the province of Zambezia » Programme. Formulation of a new support programme at the provincial and central level within the framework of SWAp. Feasibility Study. Description of Actual Services Provided: Evaluation of the « Support to the province of Zambezia » Programme. Analysis of the political willingness of the partners to progress towards a sectoral approach (SWAp). Identification of the support opportunities at the central, provincial and health district level. Feasibility study within the framework of the 9th EDF.
Year:	2001

Assignment:	Monitoring of the EC Support to the Health Sector Reform Project (HSRP)
Client:	European Commission - Ministry of Health
Country:	Egypt
Fields of expertise:	Basic Health Services, Essential Drugs Programme Support, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services, Long Term Technical Assistance, Monitoring and Evaluation, Monitoring and Evaluation, National Medicines Policy Development, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: The Ministry of Health has launched a Health Sector Reform Project (HSRP)). This programme aims at organising the health services towards families and being financed by health insurance. A pilot model of family health services has been created in 3 Governorates. This model has been operated by the Ministry of Health, the Health Insurance Organisation (HIO) and the private sector. The Ministry of Health wishes to develop a health insurance system and to reach national coverage. The European Commission provides support to this reform through budgetary help for the Family Health Fund, annual activity programmes and technical assistance programmes. Moreover. Description of Actual Services Provided: An external team monitors the process of the reform and gives advise to the Ministry of Health and the EC to improve the impact of the reform strategies. HERA provided the team leader to the monitoring team. Bi-annual missions were carried out between 2001-2006. Monitoring, on behalf of the EC, the progress of the health sector reform and health insurance reform in Egypt (over a 5-year period); Advise the Ministry of Health and Population on reform concepts, policy development, processes and change; Advise the EC on Tranche Release for the sector reform.
Year:	2000 - 2004

Assignment:	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:	Evaluation of HIV/AIDS programme. "Support to Safe Blood Transfusion and STD/AIDS education at village level"
Client:	European Commission - Ministry of Health
Country:	Mali
Fields of expertise:	HIV-AIDS-STI-TB, Monitoring and Evaluation
Description:	Narrative Description of Project: Evaluation of the achievement of the objectives assigned to programme: Ensure safe blood transfusion; Ensure a performing management within CNTS; Promote voluntary blood donation by the population; Ensure an external control mechanism of blood transfusion in Mali; Develop auto transfusion; Implement educational and sensitizing actions. Description of Actual Services Provided: The team evaluated the support to the safe blood transfusion and in particular: The relevance of this support in relation with the evolution of the referral services, the decentralization of the health system and more broadly the relation to PRODESS; The coherence in relation to other programmes financed by the European Commission and to the support by other partners in development; The effectiveness in relation to the resources allocated through the programme, in particular the civil engineering investments, the equipment, the technical assistance and the support to the functioning of the structure; The cost-effectiveness in relation to the global costs of the health services and of the budget of the Ministry of Health;
Year:	2001

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

Assignment:	Evaluation of the European Commission's support to the Republic of Mozambique
Client:	European Commission - Particip
Country:	Mozambique
Fields of expertise:	Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative description of Project: The main objectives of the evaluation are (i) to provide the relevant external co-operation services of the EC and the wider public with an overall independent and accountable assessment of the Commission’s past and current co-operation relations with Mozambique; (ii) to identify key lessons from the Commission’s past overall co-operation, and thus provide the policy-makers and managers with a valuable aid for the implementation of the current Strategy and Indicative Programmes and indication for revision of future strategy and implementation. Description of actual services provided: The evaluation team focused on (i) macro-economic support; (ii) transport infrastructures; (iii) food security and agriculture; (iv) governance; (v) HIV/AIDS and assessed the following criteria: The relevance, coherence and complementarity of the Commission’s co-operation strategies for the period 2001-2007; The consistency between programming and implementation for the same period 2001-2007; The implementation of the Commission’s co-operation, focusing on effectiveness and efficiency for the period 2001-2005 and on intended effects for the period under the current programming cycle 2001-2007; The overall cooperation framework with the country, including the main agreements and other official commitments between EU and Mozambique.
Year:	2007

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

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

Assignment:	External evaluation of implementation of BPHS and EPHS in Nangarhar Province of Afghanistan
Client:	HealthNet TPO
Country:	Afghanistan
Fields of expertise:	Basic Health Services, Hospital Services, Monitoring and Evaluation
Description:	Narrative description of Project: The current project of BPHS implementation covers 3 DHs 17 CHCs, 38 BHCs, 9 SHC and 593 health posts while the EPHS covers the provincial hospital. The current BPHS project covers the construction of the Phase II of Kama district hospital, renovation and extension of selected health facilities and a new batch of 18 community midwifes training program for Nangarhar. The project started in June 2007 for the period of 23 months. The total grant is 7,315,395 Euro. The overall objective of the project is to reduce avoidable morbidity and mortality among the population of Nangarhar Province, especially women and children, by providing quality and equitable public health services and care to the population, under the stewardship of the Ministry of Public Health at its central and provincial levels. Description of actual services provided: The objective of the evaluation is to provide the European Commission with an independent assessment on the following key evaluation questions: relevance, effectiveness, efficiency and sustainability of the programme activities carried out during the whole programme duration: The achievements in relation to original objectives of the project as stated in the Contract, Logical Frame Work and Revised Work Plan; The consequences for national health policy for universal coverage of population with basic health services if HealthNet TPO assistance ends and recommendations to further sustain efforts to improve basic health services in Nangarhar province. The expert applied the following methodology: A desk review of the relevant project documents Observation of the process of site activities by selecting sample activities implemented by the HCSP. Initial interviews with key senior staff based in Kabul and Jalalabad. Visits to project sites to interview key field managers and staff and to observe the activities undertaken during the project period. Interviews and meetings with beneficiaries in various locations. Meetings with EC, other stakeholders implementing similar/other projects, both at national policy level as well as in the field Final report The expert concluded that the Project has been and still is well-implemented. As regards to the key Evaluation questions the conclusion is: relevance and effectiveness are good, efficiency is modest to good and sustainability is poor. The implementing agency is not accountable for the latter, that conclusion refers to the nearly 100% external financing of the BPHS/EPHS.
Year:	2009

Assignment:	Evaluation study of sector-wide approach
Client:	Inspectie Ontwikkelingssamenwerking en Beleidsevaluatie (IOB) - DGIS
Country:	Burkina Faso
Fields of expertise:	Health Policy and Policy Dialogue, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: In July 1999 the House of Representatives of the Netherlands approved the sector-wide approach (SWAp) as method to increase aid effectiveness. In December 2003 the Minister for Development Cooperation announced an overall evaluation of the SWAp. The independent Policy and Operations Evaluation Department (IOB) of the Netherlands Ministry of Foreign Affairs was charged with conducting that worldwide evaluation. Description of Actual Services Provided: Situation assessment and evaluation of the SWAp development process in the sectors health and primary education in Burkina Faso, both at the level of the bilateral Dutch Cooperation as at the level of the receiving government, of Burkina Faso. The objective of the overall evaluation, as formulated by the IOB, is to assess “whether and to what extent the introduction of the sector-wide approach has improved conditions for achievement of the main objective of Dutch development policy, namely poverty reduction”. To this end, the following key questions have been formulated: To what extent have the desired changes in Dutch policy been achieved and what explanatory factors can be given for the findings? To what extent have the desired changes in the aid recipient country been achieved and what were the most influential factors? As part of the research methodology, case studies in five selected countries have been conducted. This case study regarding Burkina Faso is one of those.
Year:	2004

Assignment:	Identification mission: statistics, impact monitoring assessment and project design
Client:	Lot 8
Country:	Laos
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Identification and Formulation, Monitoring and Evaluation, Training and Human Resource Development
Description:	Narrative description of Project: The global objective was to analyse the statistics and service delivery monitoring capacities within the MoH, specifically through the implementation of the HMIS, and design a project proposal for capacity development to assist MOH to run a service delivery monitoring system. The more specific objective was to assess the existing institutional strengths and weaknesses of the current HMIS as well as to identify the priority needs for capacity building Description of actual services provided: The consultant assessed the existing institutional strengths and weaknesses as well as identified the priority needs for capacity building. Therefore the expert: Studied the HMIS format, templates and flows as approved by MOH in March 2004; Obtained and reviewed all relevant project documentation of donors currently involved in the implementation of the HMIS, including ADB, WB, Lux Development and WHO and held discussions with them to ensure complimentarily of EC support; Reviewed WHO updated HMIS implementation strategy with different stakeholders; Close collaboration and support of the Division of Statistics, Department of Planning and Finance. Identify their needs and propose areas where technical assistance of the EC could be constructive; Identify training needs of health staff to use HMIS data collection forms at Central, Provincial, District and Health Centre levels; Identify needs for improved utilisation of HMIS for evidence-based management at every level of the health pyramid both at facility level as well as health office level; Undertake two field visits; Assess the level of computerisation in the use of HMIS at different levels and the plans in the near future to increase computerisation and upgrade software; Liaise with the unit in the Prime Minister Office managing the national e-governance programme in order to identify the data that the HMIS can provide; Liaise with the National Statistics Centre to identify any needs in terms of increasing the information sharing between MOH and NSC.
Year:	2008

Assignment:	Support to the SILAIS of Masaya, Carazo and Rivas
Client:	Lux-Development
Country:	Nicaragua
Fields of expertise:	Hospital Services, Monitoring and Evaluation
Description:	Narrative Description of Project: The principal objective of the mission is to do a mid-term evaluation of the project. Compare the attained results with the previewed objectives Register delays and deviations related to the initial programme Find important problems To assess efficiency, effectiveness and durability of the project To suggest reorientations and adjustments of the project Description of Actual Services Provided by Your Staff: Our expert implemented the mid-term evaluation.
Year:	2003

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

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

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

Assignment:	Organisational Review of the Ministry of Health of Botswana
Client:	Ministry of Health, British Council
Country:	Botswana
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: The Government of Botswana itself financed a study to review the organizational aspects of its Ministry of Health. Description of Actual Services Provided: Examined the Ministry's Mandate, Vision, Mission, Ideals and Strategies in the context of Vision 2016 and NDP8, and suggested improvements if necessary. Identified Ministry strengths and weaknesses, taking into account the current needs of the Health Sector. In the process of the above analysis, examined the feasibility of decentralisation of appropriate functions to the regions/districts to facilitate service delivery and customer empowerment. In the same purview, assessed the adequacy and distribution of the Ministry's functions and, where feasible and practicable, relocation, realignment and/or privatisation or outsourcing some of them. Determined reporting relationships and co-ordination within the proposed structure both within Government structures, Local Authorities, Mission Hospitals, non-government health-related organisations, and to propose improvements. Given the above scenario, examined and streamlined the Ministry's functions and organisational structure. Explored areas requiring computerisation systems, and made appropriate proposals.
Year:	2002

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

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

Assignment:	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:	Primary Health Care Monitoring and Evaluation, Health Project Co-ordination Unit
Client:	UNOPS - Ministry of Health
Country:	Turkey
Fields of expertise:	Basic Health Services, Health Sector Reform, Monitoring and Evaluation, Monitoring and Evaluation
Description:	Narrative Description of Project: Developing the evaluation methodology for the Health Sector Reform Project. Reorganization of primary and secondary health services. Description of Actual Services Provided: Developing the monitoring and evaluation framework and tools for the Health Reform Project. Training of directorate staff in monitoring and evaluation skills.
Year:	1997

Assignment:	Mid Term Review of Health Nutrition Population Sector Program (HNPSP)
Client:	World Bank
Country:	Bangladesh
Fields of expertise:	Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Monitoring and Evaluation, Other Health Programmes
Description:	Narrative description of Project: The overall objectives of the MTR are: To assess progress with achievement of strategic objectives and results as highlighted in the Strategic Investment Plan and the Project Appraisal Document, and to identify constraints to progress; To assess contribution of HNPSP to any improvements in health indicators in Bangladesh; To review the implementation of the HNPSP program thus far and take stock of quantitative and qualitative achievement of the goals, targets, reforms, fund utilization; To assess the need for revision of goals, objectives, targets, risks and financing and recommend revisions to these for the remaining period of the program. To provide recommendations for revision of the Project Implementation Plan and the Operational Plans based on the assessment of progress thus far; Review the financing methodologies and assess how well donor support meets the priorities of the HNP sector. Description of actual services provided: The Independent Review Team Carried out a Technical Review to analyze the APIR, data generated routinely within the health delivery system as well as additional qualitative data, conduct fact-finding activities and review components and sub-components; Analyzed the Program Implementation Report and Status of Performance Indicators Report, prepared by the MoHFW Prepared a Consolidated Field Visit Report based on visits to hospitals and other health facilities to focus on services and strategies in order to improve maternal health; Prepared a Stakeholder Consultation Process in order to conduct focus group discussions with HNP related user and providers; Prepared an Independent Risk Assessment and Management Report and an Independent Technical Report; The issues identified in the technical work and field visits formed the agenda of a high level Policy Dialogue between senior representatives of MoHFW and the DPs.
Year:	2008

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

Assignment:	Review of the Pharmaceutical Sector
Client:	World Bank - Ministry of Health
Country:	Kenya
Fields of expertise:	Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, National Medicines Policy Development, Pharmaceutical Sector Review, Procurement and Tender Support, Quantification of Essential Drug Needs, Rational Use Surveys
Description:	Narrative description of Project: The Government of Kenya, with support from its partners including the World Bank, has committed itself to a series of reform efforts in the health sector. As part of this , the MOH commissioned a comprehensive review of the pharmaceutical sector. The review was contracted in 4 different consultancies of which HERA completed 3 parts: Consultancy for Evaluation of Pharmaceutical Access in Kenya, including an Institutional Capacity Assessment of the MOH and KEMSA Consultancy for Evaluating/Improving Quality Assurance and Sustainability in the Medical Supplies Sub-sector in Kenya Consultancy to strengthen the logistics Management and the Rational Use of Drugs in Kenya. Description of actual services provided: Evaluation of Pharmaceutical Access in Kenya: Description of geographical, physical and financial access to drugs in Kenya, particularly for the diseases of poverty, in both public and private sectors; Evaluation of the structure, functioning and outcomes of the existing drug supply systems (including the procurement, warehousing and distribution of drugs to all levels of the health care system); Assessment of the structure, functioning and outcomes of the existing pharmaceutical financing and pricing systems from an efficiency and equity perspective; Development of alternative proposals for efficient and equitable systems of drug supply management, financing and pricing. Evaluating/ Improving Quality Assurance and Sustainability in the Medical Supplies Sub-sector : Description and evaluation of the overall structure, process and performance of drug quality assurance/control systems at both central and provincial levels; Assessment of the procedures ensuring the quality of drugs and of manufacturing facilities, the thoroughness and frequency of these quality inspections and the overall effectiveness of the quality assurance/control systems; Detailed analysis of all the sources and uses of Drug Control Authority Funds; Development of recommendations to ensure that the systems for drug quality assurance at all levels of the health system in the public and private sectors function efficiently and effectively in the future. Strengthening the Logistics Management and Rational Use of Drugs: Description and analysis of the existing patterns of drug prescription, dispensing and consumption in the public and private sectors. Review of the logistics management system in the public and private sectors and recommendations for strengthening and developing a national procurement and logistics management action plan; Evaluation of the existing policies, norms, standards and practices related to the use of pharmaceuticals by health professionals and consumers; Development of alternative proposals for the establishment of an effective program for rational drug use (including an essential drugs policy and generics strategy).
Year:	2004 - 2005