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

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

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

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

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

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

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

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

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

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

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

Assignment:	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:	Financing of the Health Sector
Client:	EC - EDF
Country:	Solomon Islands
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, Identification and Formulation, Monitoring and Evaluation, Training and Human Resource Development
Description:	Narrative Description of Project: Evaluation of ongoing EU financed health project. Study on financing of the health sector. Proposals for EU support in the context of the planned Structural Adjustment Plan. Description of Actual Services Provided: Responsible for the evaluation of the EU financed Health Sector Program in the Solomon Islands, specifically in the areas of manpower development, health information, infrastructure, equipment and maintenance policy. Identification of future project development. Responsible for carrying out a health sector financing study of the Solomon Islands, formulating proposals for financing within the context of the Structural Adjustment Programme.
Year:	1994

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

Assignment:	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:	Technical Assistance to the Benghazi Action Plan 2
Client:	European Commission
Country:	Libya
Fields of expertise:	Basic Health Services, Health Information System / Epidemiology / Operational Research, HIV-AIDS-STI-TB
Description:	Narrative Description of Project: The implementation of a national programme against HIV/AIDS. Support the National AIDS programme with statistical expertise. Input on the design of a national sero-prevalence survey and behavioural surveillance survey. Description of Actual Services Provided: Construction of sampling frame and calculating sample size for national and behavioural surveys in view of design and planning of a national sero-prevalence and behavioural survey.
Year:	2006

Assignment:	Technical Assistance for the elaboration of a development plan for the public statistic structure of the health sector
Client:	European Commission
Country:	Tunisia
Fields of expertise:	Health Information System / Epidemiology / Operational Research
Description:	Narrative Description of Project: Promote the national system of statistics through the strengthening of public statistics structures. Prepare the updating of the Public Statistics Structure operating in the health sector and the development of statistical data in this field. Description of Actual Services Provided: Formulation of a diagnosis of the organisation of statistic activities of the public statistic structure in the health sector; Detailed examination of the elaboration process of three priority statistical products; Elaboration of a development plan for updating the statistics structure; Presentation of the conclusions and recommendations.
Year:	2006

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

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

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

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

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

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

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

Assignment:	Short-term consultancy in writing FP 7 proposal for CERCA (Community Embedded Reproductive Care for Adolescents)
Client:	International Centre for Reproductive Health
Country:	Belgium
Fields of expertise:	Health Information System / Epidemiology / Operational Research, HIV-AIDS-STI-TB, Reproductive Health
Description:	Narrative description of Project: The main objective of the consultancy is to develop a research proposal ‘CERCA’ which aims to contribute to the global knowledge about how health systems could be more responsive to the sexual and reproductive health needs of adolescents and by extension to the other health needs of their populations. Description of actual services provided by your staff within the assignment: The consultant undertook the following activities: Support in the negotiations between partners and support in the process of project development and structuring. Drafting of a budget based on the workplan. Completing of part A of the proposal based on inputs of project coordinator UGhent and information requested from other partners: proposal summary, organisational information of the partners and budget. Drafting of part B of proposal in close coordination with project coordinator (UGhent) and in cooperation with other partners: scientific/technical methodology, management structures and procedures, expected impact, ethical issues and gender aspects. Finalizing part B based on the comments of partners.
Year:	2008

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

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

Assignment:	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:	Epidemiological survey on the morbity and mortality patterns in 5 major hospitals
Client:	WB - Ministry of Health
Country:	Morocco
Fields of expertise:	Health Information System / Epidemiology / Operational Research, Hospital Services
Description:	Narrative Description of Project: Study of the epidemiological and hospital morbidity profile of 5 hospitals: To document in a precise way the nature and tendency of the morbidity and hospital activities in 5 hospitals; To determine the respective attraction zones of the 5 hospitals To propose improvement mechanisms of the health information in the 5 hospitals with the aim of an eventual technical exploitation Description of Actual Services Provided: The expected output is of two types: a database and reports : The data base contains the set of the collected data which are analysed on computer (for the five hospitals) Five hospital specific reports. A global report articulates the results of the five studies in order to identify the likeness/discrepancy of the morbidity profile between hospitals. This report comes up with recommendations for the hospital network.
Year:	2001

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

Assignment:	Costing study of the Health System
Client:	WB - Ministry of Health
Country:	Rwanda
Fields of expertise:	Basic Health Services, Costing Studies, Health Expenditure Review, Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services
Description:	Narrative Description of Project: Support the Ministry of Health in the rationalisation of the financial resources allocation and in improving the performance of the health services guaranteeing the feasibility of the system and the access Proposals for the improvement of the supply efficiency in terms of health Propose and define improvements and/or alternatives in terms of financing mechanisms of the supply (and/or the demand) with respect to health Define and propose methods and techniques to improve the performance and the instrument-performance link of health services. Description of Actual Services Provided: The study results are : An objective measure for actual costs and performances of the health system Analysis of the possibilities and efficiency-improving techniques of the health system taking care of the sector policy, the economic reality and the obligations of the social justice (equity and access) The analysis has been made at four levels: At the global level, At the level of a population of 50 health formations, At the level of the minimum essential package as is practised in the health formations of the population, and At the level of the users of the health formations included in the population
Year:	1998 - 1999