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Monitoring and Evaluation

HERA is a key advocate of performance monitoring and evaluation and has developed substantial high-level expertise in this area. HERA has implemented more than 100 evaluations worldwide, covering a wide scope from project to sector through to the global level. HERA has reviewed evaluation methodologies used by many international development agencies, supported development agencies in preparing evaluation tools, tried out innovative approaches and developed its own tools. HERA continuously monitors health sector reform processes worldwide and has evaluated development aid at a global level for different organisations and agencies.

Project evaluations

Sector-wide evaluations

Global or thematic evaluations

EC: Evaluation of the EC AIDS/HIV Programme in Developing Countries (1987 to 1996; 350 projects; 82 countries; budget of 200 million USD). Evaluation of the AIDS Task Force in EC, Brussels (1996);
DGOS: Thematic global evaluation of the Belgian development aid in health (bilateral, multilateral, NGOs, universities, etc.) and of the relevance of the Belgian strategic note on health (2005);
EC-ACP-UNFPA-IPPF Joint Programme: Mid Term Review of Sexual and Reproductive Health in 5 countries: Rwanda, Ghana, Burkina Faso, Sudan and Mauritania (2005);
EC-ACP-WHO: Mid-term review of the EC-ACP-WHO partnership on Pharmaceutical Policies (2006);
Danida: Global and historic review of Danish support to health research (2006);
ITM: Global evaluation of the framework contract between the Belgian government and ITM (including 44 training and research initiatives) (2006).
UNFPA: Thematic Evaluation of UNFPA experience in increasing aid effectiveness through participation in SWAps (2007-2008)
EC-ACP-WHO: Mid-term review of the EC-ACP-WHO partnership on MDGs (2008)
UNFPA: Thematic Evaluation of National Programmes and UNFPA Experience in the Campaign to End Fistula (2008-2009)
EC-ACP-WHO: Final Evaluation of the EC-ACP-WHO partnership on Pharmaceutical Policies (2010);
UNFPA: Evaluation of the Global Fistula Program in 4 West African Countries (2010)
Norad: Impact Evaluation of Norwegian support to health sector in Botswana over a 30 year period (2011)

Evaluation tools and methodologies:

Evaluation methodologies: study of evaluation methodologies used by international agencies in health care programmes, on behalf of LSHTM (1991-93; see publications);
Evaluation methodologies: support to the MOH of Turkey in developing health evaluation tools for measuring sector performance at PHC level, on behalf of UNOPS (1997);
Health sector evaluation tool: support to the evaluation unit of EuropeAid (EC) in developing health sector evaluation tools in the context of sector support programmes and budget aid (2004-2005);
Change review: review of institutional, organisational changes and outputs of the health sector reform process, on behalf of the EC (1998);
System audit: support to the system audit of the health services fund in Egypt, on behalf of the EC (2004).
Realist evaluation: testing out of innovative realist evaluation methodology in the MTR of the City of Kigali Strategic Health Plan implementation (2011)

Long-term monitoring of change processes:

Egypt: monitoring of the health sector reform process and of the EC support to the health sector reform (2001-2006);
Malawi: bi-annual multi-disciplinary assessment of progress of implementation of the NAC strategic HIV/AIDS plan, on behalf of the WB and development agencies (2005-2007);
Morocco: monitoring of the health sector reform and health insurance reform process, on behalf of the EC (2002-2008);
Papua New Guinea: monitoring of the health sector reform and sector-wide approach (SWAp), on behalf of AusAid and the development agencies (2006-2008).
Morocco: Monitoring of the support to health insurance reforms on behalf of the EC (2009-2012)