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External mid-term evaluation of CHAI's sustainable health financing program

Clinton Health Access Initiative
Field of Expertise:
Health Economics and Financing; Universal health coverage; Universal health coverage_B; Health Policy and Governance; Policy, Governance, System; Health Policy / Policy Dialogue / Governance / Legal framework
Narrative description of project:
The Swedish International Development Agency (Sida) and the Norwegian Agency for Development Cooperation (NORAD) have funded the Sustainable Health Financing (SHF) Programme in six countries (Ethiopia, Malawi, Rwanda, South Africa, Swaziland, Zambia) since 2012, with a further two countries (Cameroon and Zimbabwe) joining the programme in 2014. This support, implemented over two phases, Phase I from January 2012 until April 2014, and then Phase II which is to be completed in December 2017, is valued at around 83 million Swedish Krona (approximately US$8 million) and has been implemented by the Clinton Health Access Initiative (CHAI) through country teams in each of the participating countries, supported by an international Global Team. The overall purpose of the SHF programme is to support participating governments to bring international, domestic and private health finances into a nationally owned framework. This was to be achieved by work undertaken in a number of areas of work. On the basis of experience gained during Phase I the programmes Work Areas changed somewhat for Phase II. The major changes were the addition of a fourth Work Area in Management Accounting Systems and the removal of the focus on ‘saving lives’ in Work Area 2.