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Assignment:	Technical Assistance in output-based budget formulation
Client:	World Bank - PIU
Country:	Tajikistan
Fields of expertise:	Basic Health Services, Costing Studies, Health Financing and Provider Payment
Description:	Narrative description of Project: Improving output-based budget formulation methods, initially concentrated on improvement of primary health care (PHC) per-capita financing, as well as on cost calculation and adjusting the Basic Program of Medical Care Services (BPMCS); Applying the output-based budget formulation methods in the development of the medium-term budget program and the annual budget formulation process Description of actual services provided: Analysis of the health budget planning process Review of the sector strategic tasks and their adaptation in the budget formulation, forecasting the expected results Upgrading of the budget structure and the health sector classifications focused on health functions and levels of health services Development of measures and creation of a basis for the implementation of a budget allocation consolidation and integration mechanism (accumulation) for health at the oblast level. Identification of capacity-building needs in budget formulation and implementation and developing a capacity-building plan for Ministry of Health and Oblast health departments Development of a medium-term budget program and annual budget formulation process reflecting the link between the sector and sub-sector strategies in strict compliance with health development priorities, taking into account the transition to per-capita financing and the implementation of BPMCS Concordance of the medium-term budget program and the annual budget formulation methods acceptable to MOH of RT; Recommendations for the implementation of the medium term output-based budget into the budget planning practice at the oblast level; Recommendations for the strengthening the budgeting process. Workshops and progress reports
Year:	2007

Assignment:	Study about the development of the financial circuits of 2DC
Client:	Agence française de Développement
Country:	Cameroon
Fields of expertise:	Health Expenditure Review, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: 2DC is a Contract of Disendebtment and Development signed between Cameroon and France. The outcome of the 2DC project is to contribute to the rehabilitation of the health of the Cameroonian population. The objectives of this study are twofold: reinforce the quality and accessibility of the health services in the provinces and reinforce the functioning and financing of the health system. This study takes part in the framework of the implementation of a future 2DC and defines elements of the financial implementation. Description of Actual Services Provided: Definition of the procedures of budget preparation and the execution of the financial expenditure for each programme financed by C2D; Identification of the procedures used for the execution of the national budget and the HIPC credits (Heavily Indebted Poor Countries); Description and analysis of the existing financial circuits for the National Aids Committee (NAC) and the Extended Programme of Immunisation (EPI); Description of the procedures used by other stakeholders in the health sector; Analysis of the actual capacities of the implementation for each programme.
Year:	2006

Assignment:	Support to the preparation of a Health SWAp programme in Cameroon
Client:	Agence française de Développement
Country:	Cameroon
Fields of expertise:	Health Financing and Provider Payment, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The general objective of the mission is to contribute (i) to the formulation of the framework for financing of the health sector respecting the principles of harmonization and alignment and (ii) to the elaboration of the different stages of implementation. The purpose is to develop a consensus between the Ministry and its partners concerning the methods of financing and the management of the SWAp; to elaborate a roadmap for activities and studies to be implemented for the set up of the SWAp and of the communal fund; and to propose the terms of reference for complementary studies. Description of Actual Services Provided: Identification of the sectors for which a harmonised sector policy is being implemented, the methods of management and financing, the successes and problems encountered and the lessons learnt for the Ministry of Health; Identification of the actual modes of financing of the health sector implemented by the principal partners and their wishes in relation to the financing of the SWAp; Analysis of the capacity and internal organisation of the Ministry of Health regarding the programming, the financial management and the evaluation of the activities linked to the implementation of the sector strategy; Identification of the possible modes of financing of the sector policy, the type of harmonisation desired, taking into account the Cameroonian context and the willingness, wishes, constraints and requests of the government and the stakeholders; Presentation of the advantages and disadvantages of each method, the preconditions, the operational implications, the foreseeable risks and difficulties and the stages of implementation. The hypothesis of communal funds was tested, in particular regarding: (i) the private sector, (ii) support to the provinces, and (iii) support to the central level of the Ministry; Proposal of general modes of financing or of the management of the communal funds; Identification of the nature of the expenses that should be financed by the communal funds.
Year:	2007

Assignment:	Support to the finalisation of a new Health Swap (C2D Health II) in Cameroon
Client:	Agence française de Développement (AFD)
Country:	Cameroon
Fields of expertise:	Health Financing and Provider Payment, Identification and Formulation, Sector Wide Approach (SWAp)
Description:	Narrative description of Project: Technical assistance provided to support the mission of Dr Dauby (AFD) in validating the content and putting into practice the new Health Swap (C2D Health II). Description of actual services provided: 2 field missions to Cameroon Finalisation of TOR of complementary studies for installing the system of demand side financing. Actualisation of the budget according to decisions made by the Ministry of Health Based on this, preparation of a budget presentation per component with a timetable for its execution. Finalise a treasury plan and a plan for tenders for the first year Evaluate the necessary changes to the management programme now used for the first phase of C2D Health (programme called TOMPRO). Finalisation of the logical framework and the calculation of indicators.
Year:	2008

Assignment:	Identification of the Decentralised Health Services Programme
Client:	Asian Development Bank
Country:	Indonesia
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Reproductive Health
Description:	Narrative Description of Project: Identification mission of next health sector support programme for ADB. Description of Actual Services Provided: Expertise in public health reproductive health. Expertise in health system development and decentralization. Performance based contracting of health providers.
Year:	2000

Assignment:	Health Sector Resources Development Project - Rationalisation of Health Services
Client:	Asian Development Bank
Country:	Mongolia
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Sector Reform, Hospital Services, Planning, Organisation and Management, Public Private Partnership, Training and Human Resource Development
Description:	Narrative Description of Project: Support to the Health Sector Resources Development Project Rationalisation of rural and urban health services. Definition of basic package of services, staff mix, infrastructure, essential equipment, financing mechanisms and referral system at all levels. Proposal for family group practitioners in not-for-profit private sector, paid on capitation. Description of Actual Services Provided: Teaching of senior MOH directors in health sector reform concepts. Development of the financing strategy of GP practices in a ‘private’ set-up (inclusive of performance based incentive payment, per-capita forfait, group practices, etc.). Development of rationalization strategies in health infrastructure development.
Year:	1997

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

Assignment:	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 a new intervention of the Belgian Cooperation in the Health Zone of Comé (Benin Mono)
Client:	BTC-CTB
Country:	Benin
Fields of expertise:	Health Financing and Provider Payment, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:	Narrative Description of Project: Identification of a new intervention of the Belgian cooperation in the health zone of Come for a period of four years. Description of Actual Services Provided: Elaboration of strategic axes and intervention actions Study of the political, social and economic context of the intervention Participative analysis of the problems and the goals Motivated choice of strategy and beneficiary target groups Estimation of financial and human inputs required.
Year:	2005

Assignment:	Mid-term Review of the Revolving Drug Fund in Nyamira
Client:	BTC-CTB
Country:	Kenya
Fields of expertise:	Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment, Monitoring and Evaluation
Description:	Narrative Description of Project: The objective of the study is to assess the operations of the Revolving Drug Fund (RDF) after 11 months of RDF activities. Description of Actual Services Provided: The team assessed: the initial set up of the project and its potential for success, to which extent the activities outlined in the adjusted project proposal and approved by the Sector Steering Committee, have been implemented the achievements and impact of the Revolving Drug Fund (RDF) project since the commencement of the field activities in April 2002, the integration of the RDF activities into the activities and/or general policies of the Ministry of Health, the progress of RDF in relation with the anticipated time-plan and plan of operation, and identify facilitating and constraining factors to programme performance, the probability that this project will be able to reach the objectives through verifiable and operational achievements within the original time span, and make recommendations on: ways and means to overcome any constraints the potential to integrate comparable programmes in adjacent areas within the RDF
Year:	2003

Assignment:	Technical Assistance Mission regarding the First Phase of the Revolving Drug Fund in Nyamira
Client:	BTC-CTB
Country:	Kenya
Fields of expertise:	Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment
Description:	Narrative Description of Project: Assessment of the Revolving Drug Fund project in Western Kenya. Identify critical indicators that should be monitored by the project. Discuss and advice in the identification of training needs and materials. Advise on the preparation of the required information materials. Provide suggestions for defining the intervals for intermediate, internal self-evaluation. Provide suggestions for joint GoK/MoH – BTC programme evaluations. Overview the assessment of the existing policies on pricing and price setting, cost awareness and the existing exemption methods with the health staff and the public and discuss and give advice for the development of pricing methodology, price setting guidelines, exemption methodology and guidelines. Overview the assessment of existing situation with regard to drug management skills, operations, capacity and capabilities and give advice for adaptation to RDF requirements. Discuss on guidelines in the development of RDF programme control and checking methods on administrative skills, quality of records and management of stocks and funds. Discuss on guidelines in outlining the drafts for the procedure manual on the flow of drugs, storage and distribution within the system.
Year:	2001

Assignment:	Primary Health Care Financing Support - Karagwe District
Client:	BTC-CTB
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Drug Supply Management System Strengthening, Health Financing and Provider Payment, Hospital Services, Identification and Formulation
Description:	Narrative Description of Project: Formulation of a PHC financing project in Karagwe District. Description of Actual Services Provided: The team formulated proposals for adequate support to the Primary Health Care (PHC) in Karagwe within the frameworks of both the KCDP and the Health Sector Reform (HSR). The proposals were based upon an analysis of: The need for adequate financial contributions from the government, interested donors and communities; The current, basic medical service delivery systems; identify how the PHC in general can be supported; The current operational and financial management systems in the health facilities; In particular: addressing the prevailing situation of regular shortcomings in the drug supply system.
Year:	2001

Assignment:	Primary Health Component of the Kagera Community Development Programme - Reformulation
Client:	BTC-CTB
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Insurance, Identification and Formulation
Description:	Narrative Description of Project: Due to the increase of budget allocation and new time frame for the above mentioned project, the existing formulation document must be adapted and new conditions must be budgeted. Description of Actual Services Provided: The expert considered all the already existing documents in order to produce some necessary changes. He adapted the proposed activities to the new budget and time frame based on the recommendations from the advisory committee and on inputs from the Representation in Tanzania. Furthermore he paid special attention to the long term approach for cost sharing and health insurance.
Year:	2002

Assignment:	Strengthening of Primary Health Care and the first referral services in the district of Kita and Yanfolila - Joint Mid-term Evaluation of two projects of BTC
Client:	BTC-CTB
Country:	Mali
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Development of mechanisms and tools in preparation for the decentralised financial management within the framework of future SWAp (sector wide approach). Description of Actual Services Provided: Evaluation of the institutional framework of the development cooperation, and analysis of the operation of the different administrative structures, including the Steering Committee; Evaluation of the modes of implementation of the services and of their relevance; Evaluation of the results (quality, quantity and budget), the conformity in relation to the logical framework and budget; examination of eventual discrepancies and their relevance; Assessment of the validity of the monitoring indicators for development activities, including the validity of hypotheses that determine the success of the services; Study of the degree of reduction of physical and/or financial participation by the people for the construction of health centres.
Year:	2000

Assignment:	Proposal for the financing of a programme in the provinces of Makamba and Bururi
Client:	Cordaid
Country:	Burundi
Fields of expertise:	Appraisal, Health Financing and Provider Payment, Hospital Services
Description:	Narrative Description of Project: Analysis of health care, esp. finance and organisation in the hospitals of Makamba and Rumonge. Feasibility study of Cordaid interventions in accordance with other donors in order to guarantee the continuity of health services in these two provinces. Description of Actual Services Provided: Bibliographical analysis and documentation; Explanation of the tools to gather information and the working method; Study of medical and financial data (health information with epidemiological data, cost sharing with drug consumption and financial management of CDS,etc.) for the preparation of financial strategies; Field visits to the health district of Makamba and Bururi; Meetings and interviews with medical authorities of the Ministry of Public Health, actual and potential donors, CORDAID and its partners; Opinion poll amongst beneficiaries, especially concerning the vulnerable groups (poor, homeless, women and children (=focus groups); Debriefing with a technical committee that validated the report.
Year:	2005

Assignment:	Support the quality assurance of medicines in South Kivu
Client:	Cordaid
Country:	Congo RDC
Fields of expertise:	Drug Supply Management System Strengthening, Essential Medicines Financing, Health Financing and Provider Payment, Medical Store Evaluation, Procurement and Tender Support
Description:	Narrative description of Project: Since 2005, PHI (Provincial Health Inspectors) of South Kivu, the BDOM (Bureau diocésain des Oeuvres Médicales) of Bukavu and Cordaid are performing a Performance Based Financing programme in the province of South Kivu. Up until 2007, five drug distributors were identified as having met the conditions for selling drugs to health facilities. These results were favorable and supported by the household survey and the quality survey held in February 2008, during which the availability of the medicines in these health zones were compared with the performance based financing of health zones where this approach has not been applied. However, there is still a good ability to assess the quality of drugs and possibilities to review and refresh the list of drug distributors. Based on this analysis a resolution was adopted to strengthen the capacity of the Pharmaceutical Inspectorate of the Province and to solicit support from Cordaid. Description of actual services provided by your staff within the assignment: The consultant has worked closely with the Chief Pharmacist of BDOM as well as with colleagues at the PHI. Besides this technical support, the collaboration of the BdOM, the PAA and Cordaid’s local office has been essential for the successful completion of the mission. Interviews were held with most of the wholesalers registered in Bukavu and with key partners. The international standards were compared with the current situation. Deficiencies were observed and together with the local partners proposals were developed to improve the quality assurance system for medicines. One of the proposals is to buy a minilab so that the IPS has a practical instrument to intervene when it has doubts about the quality of medicines. A follow up mission was organized in July 2009. The prequalification had not been done yet and the procedures have been redeveloped by the consultant. In collaboration with the PHI, other small projects (such as a strategic plan, minilab and system for pharmacovigilance) were developed and their implementation planned.
Year:	2008 - 2009

Assignment:	Consultancy to review proposed model for Expansion of the pilot Accredited Drug Dispensing Outlets (ADDO) model implemented in Ruvuma region of Tanzania to cover the rest of the country
Client:	Danida
Country:	Tanzania / Zanzibar
Fields of expertise:	Cost-effectiveness Studies, Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment, Public Private Partnership Interventions
Description:	Narrative Description of Project: Review strategies applied and associated costs and budget for ADDOs, pilot in Ruvuma region and indicate whether it is possible to reduce future implementation costs or come up with some innovative cost sharing approaches with duka owners, local government and explore other stakeholders. possible sources of income such as charging the dukas for training when rolling out the initiative. Provide cost effective and sustainable options on how best to replicate the Ruvuma pilot to cover all 21 regions at a cost the GOT can afford. Description of Actual Services Provided: The study involved discussion with key stakeholders, visiting of the pilot region and reviewing the project documents and other relevant literature. Assessment and advice.
Year:	2006

Assignment:	Assist the MoH in costing the transition of the health sector
Client:	Danida
Country:	Zambia
Fields of expertise:	Costing Studies, Health Financing and Provider Payment, Health Sector Reform
Description:	Narrative Description of Project: Assist the MoH in costing the transition of the health sector.
Year:	1997

Assignment:	Appraisal Mission for the Health Sector Programme Support IV
Client:	Danida
Country:	Ghana
Fields of expertise:	Appraisal, Health Financing and Provider Payment, Health Sector Reform
Description:	Narrative Description of Project: Provide quality assurance of the process of preparing the HSPS IV as well as the technical content of the proposed support. Description of Actual Services Provided: The appraisal report is a brief management paper, which assesses the draft programme document and complementary component documents. It contains an assessment of the content and quality of the preparatory process, an assessment of the programme in the national and sectors context and an assessment of the programme and/or components (including compatibility of the programme with objectives and policies of Danida, social and technical feasibility, sustainability of the expected outcome of the programme, assumptions, risks and pre-conditions). The appraisal specifically assesses the pros and cons of moving from basket funding to sector budget support.
Year:	2007

Assignment:	Appraisal of Bhutan Social Sector Budget Support
Client:	Danida
Country:	Bhutan
Fields of expertise:	Appraisal, Costing Studies, Health Financing and Provider Payment, Health Sector Review or Health Sector Diagnosis
Description:	Narrative description of Project: The main objective is to provide quality assurance of the process of preparing the SSBS as well as the technical content of the proposed support. The appraisal will focus on the following key aspects: (i) the preparation process; (ii) the programme or component in the national and sectors context; (iii) the actual programme and components. Description of actual services provided: The appraisal team: assessed the quality of the preparation process against the present Guidelines and the international ownership, alignment and harmonisation agenda; assessed the analyses carried out and the proposed support against the present Guidelines and other relevant parts of the AMG and relevant technical criteria; assessed the quality of the proposed programme in terms of the international agenda on ownership, alignment and harmonisation; assessed whether the risks associated with the programme are acceptable and whether relevant mitigation action has been included in the draft programme document; assessed if recommendations provided by the Programme Committee have been taken into consideration.
Year:	2007

Assignment:	Health Care Financing in Tanzania - Costing Study of Health Services
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Costing Studies, Health Financing and Provider Payment, Hospital Services
Description:	Narrative Description of Project: Costing study of health services in 4 districts. Cost analysis of the essential package of health services at district level. Development of an interactive model of cost planning of health services at district level. Support to the Ministry of Health in the development of criteria for the use of financial resources at the district level within the framework of the Sector Wide Approach. Training of local partners in the public and private sector: methodology of cost analysis at district level and health services.
Year:	1999

Assignment:	Joint MoH and Cooperative Partners Health Appraisal, Zambia National Health Strategic Plan 2001-2005
Client:	Danida - Ministry of Health
Country:	Zambia
Fields of expertise:	Appraisal, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Medical Store Evaluation, Planning, Organisation and Management, Public Private Partnership, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:	Narrative Description of Project: Joint feasibility study by the international partners and the Ministry of Health of the five-year program of the Ministry of Health (2001-2005) within the framework of the Health Sector reform. Economic, financial, social, technical and institutional evaluation of the plan and the health sector itself. Evaluation of the proposed strategies in terms of efficiency, effectiveness, impact and sustainability to achieve the objectives of the health reform, the decentralisation process, etc. Proposal of mechanisms and structures to encourage the Sector-Wide Approach and to redynamise the partnership between the government and the partners. Proposal of amendments to the government's health plan to make it more realistic and efficient. Description of Actual Services Provided: Preparation of the mission (prospection mission before the start to consult all the clients) Organisation of the complete mission, the study and the report. Interlocutor between the consultants, clients and the Government of Zambia. Finalisation of all the products, recommendations, terms of reference, five-years plan, etc. Expertise in health economics, health system development, health sector reform and SWAp processes.
Year:	2000 - 2001

Assignment:	Technical Assistance for Development and Rehabilitation of Health Services in Zanzibar
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The overall objective of the technical assistance is to assist the Revolutionary Government of Zanzibar in establishing and analysing the essential information for policy and strategic decision making and in assessing the different emerging policy and technical options within key aspects of the health system of Zanzibar. Description of Actual Services Provided: Support to setting up SWAp process. Review of essential drugs needs. Technical advice in specific areas as per request by the MOH. Financing strategies for the health sector.
Year:	2003 - 2004

Assignment:	Evaluation of the Belgian contribution to multi-annual budget support interventions
Client:	DGDC
Country:	Global
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The main purpose of this evaluation was to supply an systematic and objective appraisal of Belgian multi-annual budget support and provide useful information that enables the integration of lessons learned into the process of decision-making in respect of multi-annual budget support both in Belgium and partner countries. Description of Actual Services Provided: Study Phase: gathering information and interviews/e-mail surveys (opinion gathering) Field missions to : Niger, Mozambique and Uganda (HERA only assisted with Uganda) Restitution Phase: drafting reports, discussion with steering committee and presentation of findings at attaché conference days.
Year:	2007

Assignment:	Evaluation of the Belgian contribution to multi-annual budget support interventions
Client:	DGDC
Country:	Uganda
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The main purpose of this evaluation was to supply an systematic and objective appraisal of Belgian multi-annual budget support and provide useful information that enables the integration of lessons learned into the process of decision-making in respect of multi-annual budget support both in Belgium and partner countries. Description of Actual Services Provided: Study Phase: gathering information and interviews/e-mail surveys (opinion gathering) Field missions to : Niger, Mozambique and Uganda (HERA only assisted with Uganda) Restitution Phase: drafting reports, discussion with steering committee and presentation of findings at attaché conference days.
Year:	2007

Assignment:	Evaluation of the Belgian contribution to multi-annual budget support interventions
Client:	DGDC
Country:	Niger
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The main purpose of this evaluation was to supply an systematic and objective appraisal of Belgian multi-annual budget support and provide useful information that enables the integration of lessons learned into the process of decision-making in respect of multi-annual budget support both in Belgium and partner countries. Description of Actual Services Provided: Study Phase: gathering information and interviews/e-mail surveys (opinion gathering) Field missions to : Niger, Mozambique and Uganda (HERA only assisted with Uganda) Restitution Phase: drafting reports, discussion with steering committee and presentation of findings at attaché conference days.
Year:	2007

Assignment:	Evaluation of the Belgian contribution to multi-annual budget support interventions
Client:	DGDC
Country:	Mozambique
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Monitoring and Evaluation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The main purpose of this evaluation was to supply an systematic and objective appraisal of Belgian multi-annual budget support and provide useful information that enables the integration of lessons learned into the process of decision-making in respect of multi-annual budget support both in Belgium and partner countries. Description of Actual Services Provided: Study Phase: gathering information and interviews/e-mail surveys (opinion gathering) Field missions to : Niger, Mozambique and Uganda (HERA only assisted with Uganda) Restitution Phase: drafting reports, discussion with steering committee and presentation of findings at attaché conference days.
Year:	2007

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

Assignment:	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:	Evaluation of Blood Transfusion Services
Client:	EC - EDF
Country:	Uganda
Fields of expertise:	Health Financing and Provider Payment, HIV-AIDS-STI-TB, Monitoring and Evaluation
Description:	Narrative Description of Project: Evaluation of Blood Transfusion Services. Proposal for financing strategies.
Year:	1995

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

Assignment:	Review of the Pharmaceutical Sector
Client:	EC/EDF
Country:	Madagascar
Fields of expertise:	Costing Studies, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Health Financing and Provider Payment, Identification and Formulation, Medical Store Evaluation, National Medicines Policy Development, Pharmaceutical Sector Review
Description:	Narrative Description of Project: Analysis of the pharmaceutical sector. Elaboration of a proposal of a new central medical store. Description of Actual Services Provided: Analysis and evaluation of the pharmaceutical sector. Project proposal of new central medical stores. Development of distribution mechanisms (up to the periphery). Cost-recovery schemes. Appraisal study of the central medical store. The central medical store (SALAMA) which is actually operational in Atananarivo is the result of the technical and organisational proposals made by HERA.
Year:	1994 - 1995

Assignment:	Health Sector Reform
Client:	EC/TACIS
Country:	Moldova
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: Health Sector Reform Study. Detailed Description of Actual Services provided: Responsible for the economic and financial aspects of the health sector review study. Presentation of recent Health Sector Reforms of Belgium on an international workshop. Assist the Ministry of Health in proposal for reform of the health sector. Organising visits of Moldavian health officials to visit the health system in Belgium.
Year:	1995 - 1996

Assignment:	Health Sector Public Expenditure Review
Client:	European Commission
Country:	Lesotho
Fields of expertise:	Health Expenditure Review, Health Financing and Provider Payment
Description:	Narrative Description of Project: Health Sector Public Expenditure Review.
Year:	1996

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

Assignment:	Formulation mission of a Humanitarian Fund
Client:	European Commission
Country:	Myanmar
Fields of expertise:	Health Financing and Provider Payment, HIV-AIDS-STI-TB, Identification and Formulation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Preparation and formulation of the multi-stakeholder fund (20 million US$ - EC, DFID, AusAid, SIDA, DGIS, Norwegian Cooperation) intended to finance HIV/AIDS, TB and Malaria programmes in the context of the withdrawal of the Global Fund (GFATM) in Myanmar. Description of Actual Services Provided: Financial proposal (EC and DFID format), logical framework, budget, risk evaluation, institutional arrangements, operational procedures, financial mechanisms and flows, technical and administrative annexes.
Year:	2006

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

Assignment:	Health Sector Public Expenditure Review
Client:	European Commission
Country:	Benin
Fields of expertise:	Health Expenditure Review, Health Financing and Provider Payment
Description:	Narrative Description of Project: Health Sector Public Expenditure Review
Year:	1996

Assignment:	Study to assist Programming for 8th EDF assistance to the Health Sector
Client:	European Commission
Country:	Zimbabwe
Fields of expertise:	Appraisal, Basic Health Services, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation
Description:	Narrative Description of Project: Study to assist Programming for 8th EDF assistance to the Health Sector in Zimbabwe.
Year:	1997 - 1998

Assignment:	Study on the costing and financing of the health system in Burundi
Client:	European Commission
Country:	Burundi
Fields of expertise:	Cost-effectiveness Studies, Costing Studies, Health Financing and Provider Payment, Health Sector Review or Health Sector Diagnosis
Description:	Narrative description of Project: The general objective of this mission is to conduct a costing study on the priority intervention packages and on health system financing of Burundi which should lead to a reform of the financing methods of the health system in the country. Specific objectives: To analyse the cost of the services of the MAP (Minimum Activities Package of the health centres) and of the CAP (Complementary Activities Package of the hospitals) determining the most cost-effective priority interventions package. To conduct studies regarding the “capacity to pay” and the “will to pay” of households, including a system of price setting of the services towards the users, taking into account the imperatives of entering into a contract on the basis of performance. To formulate useful recommendations for the elaboration of a sectoral health policy within the framework of the national poverty reduction strategy and the achievement of the Millennium Development Goals by providing the policy-makers with the necessary analysing methods. To participate in the redaction of the Medium Term Expenditure Framework (MTEF) Description of actual services provided by your staff within the assignment: A start-up mission took place immediately after signing the contract. A costing study /MBB (Marginal Budgeting for Bottlenecks)/MTEF mission has been carried out, completed by a seminar to present the findings The planned survey on the capacity and the will to pay was transformed into a demographic and health survey with a “will to pay” component added to it.
Year:	2008 - 2009

Assignment:	Health Financing Workshop
Client:	European Commission
Country:	Belgium
Fields of expertise:	Health Financing and Provider Payment
Description:	Narrative description of Project: The purpose of the consultancy is to prepare a workshop on health financing which aims to exchange experiences and sharing of basic concepts of health financing between and with EC Delegation health and social sector experts from Asia and ENP countries. The specific objective is to strengthen EC contribution to sector programmes and sector policy dialogue in health. The concept of the workshop is to put the participants in an active learning position and to base the learning process not only on key note presentations but to also give sufficient room for debate, interaction and to allow participants to apply health financing concepts and other countries' experiences to their own context. Description of actual services provided by your staff within the assignment: The consultant successfully prepared the workshop on Health Financing and undertook the following activities: Preparing and presenting during two sessions of the workshop; Animating sessions, facilitating debate and stimulating the working groups. Consolidating key issues at the end of each day as part of preparation for final day conclusions and way forward; Making available specific know-how in the field of health financing with a focus on international co-operation and social policies; Contributing to a lively and mutually fruitful exchange; Attending the workshop in order to respond to the problem analysis and participants expectations; Submitting presentations electronically.
Year:	2008

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

Assignment:	Economic health care due diligence for the hospital in Klagenfurt
Client:	European Investment Bank
Country:	Austria
Fields of expertise:	Appraisal, Cost-effectiveness Studies, Health Financing and Provider Payment, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Project scope of work is to provide the Bank’s services with analytical descriptions of the major elements of the project’s business case. Description of Actual Services Provided: Description of investment issues and EIB risk exposure Detailed description and analysis of the “model of care” of the current hospital and the service model developed for the future hospital (including demand estimates ALS ) Cost estimate reliability for new hospital.
Year:	2004

Assignment:	Study on the financing of secondary and tertiary prevention of Aids in Belgium
Client:	Government of French Community
Country:	Belgium
Fields of expertise:	Health Financing and Provider Payment, HIV-AIDS-STI-TB
Description:	Narrative Description of Project: Study on the financing of secondary and tertiary prevention of Aids in Belgium (French Community). Proposal of new financing mechanisms was discussed with the Government of the Flemish Community and the RIZIV.
Year:	1994

Assignment:	Review of the Health Financing and Provider Payment System
Client:	Health Project Implementation Unit (HPIU)
Country:	Armenia
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: The Government of Armenia has embarked on a Health Systems Optimization Project which has as main objective more accessible, efficient and sustainable health care services to the population, especially the most vulnerable groups. The components of the project are the scaling up of the implementation of the primary health care strategy, the optimization (or rationalization) of the hospital sector and the improvement of its governance, and to improve the prevention and management of public health threats. The review of the health sector financing and provider payment systems is one component of the project preparation. The main objective is to help the Ministry of Health developing a medium term strategy to strengthen the health financing system (for achieving financial sustainability and more equitable access to essential health services). Description of Actual Services Provided: The review concentrated on the following components: Review of the current allocation and utilization of funds in terms of cost-effectiveness, consistency, affordability and ability to provide vulnerable groups with access to essential clinical services; Review of the current system of provider payment mechanisms in view of identifying system strengths and weaknesses and recommending short and medium term measures to strengthen the system; Assess the State Health Agency procedures (financer and contractor of health providers) and staff capacity; Advise on the Health Finance Regulatory Environment; Assessment of the Governance Structure of the State Health Agency; Assess the provider capacity to manage and implement contracts; Recommendations for Medium Term Health Finance Development Strategy.
Year:	2003 - 2004

Assignment:	Health Sector Review
Client:	ICU/WHO
Country:	Ethiopia
Fields of expertise:	Health Financing and Provider Payment, Health Sector Reform, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: Review of the national health sector. Financing proposal for strategies and components of the health sector within the Structural Adjustment Programme. Description of Actual Services Provided: Responsible for assisting the Ministry of Health in priority setting of health sector strategies and financing within the limits imposed by the Structural Adjustment Plan.
Year:	1992 - 1993

Assignment:	Financing Study of an Out-patient Treatment Center for HIV/AIDS in Kinshasa
Client:	Institute of Tropical Medicine
Country:	Congo RDC
Fields of expertise:	Cost-effectiveness Studies, Health Financing and Provider Payment, HIV-AIDS-STI-TB
Description:	Narrative Description of Project: Financial analysis and proposal for financing strategies for an Out-patient Treatment Center for HIV/AIDS in Kinshasa. Description of Actual Services Provided: Cost analysis: Investment costs, Recurrent costs, Average costs per department Analysis of the financing mechanisms Cost recovery options Legal, fiscal and institutional aspects
Year:	2002

Assignment:	Analysis of sector finance mechanisms and a proposal for a common financing mechanism
Client:	KfW
Country:	Cameroon
Fields of expertise:	Health Financing and Provider Payment, Sector Wide Approach (SWAp)
Description:	arrative description of Project: The overall objective of the mission is to contribute to the design of a common provincial fund (multi-stakeholders) to finance more effectively the health districts in order to permit them to offer basic health care services of acceptable quality and accessible for the population, particularly the more vulnerable people. This design will respect the principles of the Paris Declaration. Description of actual services provided: The consultant conducted: Analysis of the actual mechanisms of district financing: sources of financing, allocation criteria, public and private beneficiaries, budgets, functioning and investment expenses, private expenses, administration and management, financial circuits, essential drugs list; Brief analysis of planning and the actual health district budgets; Analysis of the modes of financing and the functioning of special funds for the promotion of health in different provinces supported by the German Development Cooperation; Elaboration of tools for planning and budgeting the health districts with consolidation on regional level; Elaboration of allocation criteria; Design a common provincial fund adopted to the special funds for the promotion of health; Field visits.
Year:	2008

Assignment:	Evaluation of Equity Fund at the Marovoay Hospital
Client:	KfW
Country:	Madagascar
Fields of expertise:	Health Financing and Provider Payment, Monitoring and Evaluation
Description:	Narrative description of Project: Together with the ex-poste evaluation of the Technical Cooperation Programme and the end of the financial resources of the Equity Fund, it seems useful to analyse the Funds, the results, its impact and its perenniality. This document will be used as a “best practice document”. Description of actual services provided: The consultant conducted: Description of the development of the hospital’s functioning, including the offered services and financing; Brief description of the funds, including its functioning and financing; Analysis of the functioning of the Equity Fund, including an economic analysis; Verify the orientation of the Fund towards the poor; did the selection system worked well? Did the Fund contributed to relief poverty? Verify if the introduction of the Fund helped for a better use of the hospital; Discuss the perenniality, perspectives and scaling up of the country; Recommendations; Write a report.
Year:	2007

Assignment:	Evaluation of the Bamako Initiative activities in Guinea
Client:	LSHTM (London), UNICEF
Country:	Guinea Conakry
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Monitoring and Evaluation
Description:	Narrative Description of Project: Evaluation of the Bamako Initiative activities in Guinea. A study carried out in collaboration with the London School of Hygiene and Tropical Medicine, as part of a broader international evaluation of BI activities in 5 African countries.
Year:	1991

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

Assignment:	Elaboration of a Blue Print for the Health System of Flanders in the 21st Century
Client:	Ministry of Finance and Ministry of Health of Flanders
Country:	Belgium
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: The purpose of the study is to define the future health system for Flanders, including how the health policy should be translated in structures, what the payment modalities of these structures should be, which type of basic benefit package should be delivered and what should be covered by compulsory health insurances. Description of Actual Services Provided: The study has defined the following elements: The health policy of Flanders (objectives, principles, integration of health care, competition). Organisation of the health policy (defederalisation, decentralisation, work schemes, health insurance, definition of categories having benefit of health insurance, equilibrium between competition and integration of health care, modalities of health care payments.
Year:	1999

Assignment:	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:	Short term technical assistance for the draftin of TORs in the areas of Health planning and Health financing
Client:	Ministry of Health
Country:	Montenegro
Fields of expertise:	Appraisal, Health Financing and Provider Payment, Health Sector Reform, Health Sector Review or Health Sector Diagnosis
Description:	Narrative description of Project: The objective is to formulate the first phase towards a reform of the health system with priority to increasing capacity for policy, planning and regulation; stabilizing health financing and improving primary health care service delivery. Specifically, the Project supports (i) improvements in financial sustainability of the health care system; (ii) reforms to improve quality, efficiency and access to primary health care and financing of primary care; (iii) a project management network (PMN) of the MoH and a central Technical Services Unit (TSU). Description of actual services provided: The consultant assisted the MoH and other stakeholders in the drafting of a series of terms of references for technical assistance in the area of health services planning and health finance including: TORs for consultancies/TA for the reconfiguration of the network of health institutions; TORs for the redefinition of the basic benefit package to be provided at the secondary and tertiary levels; TORs for a perform of the provider payment mechanism for providers at the secondary and tertiary level of the health care system. He organised and conducted a one day seminar building up the capacity to prepare the TORS.
Year:	2006

Assignment:	Mid-term Review of the National Health Strategic Plan 2006-2010
Client:	Ministry of Health - Zambia
Country:	Zambia
Fields of expertise:	Drug Supply Management System Strengthening, Health Financing and Provider Payment, Monitoring and Evaluation, National Medicines Policy Development, Procurement and Tender Support
Description:	Narrative description of Project: The primary aim of the Mid-Term Review (MTR) was to assess progress in the implementation of the current strategic plan, identify strengths, weaknesses, opportunities and threats that should be cultivated towards accelerated implementation in the remaining half of the term. Secondly, the review will generate key recommendations that can be used to determine possible modifications of the NHSP on sector-specific interventions in order to accelerate the implementation of the plan to attain the health MDGs. Description of actual services provided by your staff within the assignment: The consultant participated in the subgroup Support Systems (SS) and more specifically in the area of Procurement Management System and national drug policy. The team assessed the capacity of the MoH to carry out different phases of the procurement cycle focusing on the organizational aspects; skills of the staff; quality and adequacy of supporting and control systems; record keeping; the general procurement environment and the private sector assessment. In addition the various pharmaceutical policy documents were looked at and assessed. For each area, key questions to initiate discussions during the various interviews were prepared based on the analysis of the available documentation. The questions related closely to the objectives and indicators for the various components of NHSP IV.
Year:	2008

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

Assignment:	Formulation and pre-appraisal for the Health Sector Programme Support, Phase II
Client:	Rambol - Danida
Country:	Zimbabwe
Fields of expertise:	Appraisal, Basic Health Services, Essential Drugs Programme Support, Health Financing and Provider Payment, Hospital Services, Identification and Formulation
Description:	Narrative Description of Project: Formulation and pre-appraisal for the Health Sector Programme Support, Phase II.
Year:	1999

Assignment:	Planning and financing of AIDS prevention
Client:	SIDA Agency
Country:	Belgium
Fields of expertise:	Health Financing and Provider Payment, HIV-AIDS-STI-TB, Planning, Organisation and Management, Public Private Partnership, Training and Human Resource Development
Description:	Narrative Description of Project: Study of the financing of secondary and tertiary prevention of Aids in Belgium, in the French speaking Community. Medium-term and operational planning of Aids prevention in the French Community of Belgium. Detailed Description of Actual Services provided: Analysis of present financing mechanisms at federal and state level of AIDS care and prevention. Development of a new financing mechanism at national and state level for AIDS prevention. Teaching planning skills to actors at state and local level. Development of a 3 year rolling plan for AIDS prevention in the French Community of Belgium, together with the main actors through the Logical Framework Approach and consensus exercises.
Year:	1994 - 1995

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

Assignment:	Development and implementation of the National Strategy Application (NSA) First Learning Wave
Client:	The Global Fund to Fight AIDS, Tuberculosis and Malaria
Country:	Kenya
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue
Description:	Narrative description of Project: Global Fund has committed to introducing a new process for applying for Global Fund resources - known as “National Strategy Applications” (NSAs). NSAs will be introduced through a phased roll-out, beginning in 2009 with a limited number of countries. The aim of this “First Learning Wave” (FLW) of NSAs is to draw policy and operational lessons to guide the broader roll-out of the new application procedure beyond 2009. The First Learning Wave of NSAs will involve two stages. In the first stage, a national strategy and accompanying documentation (such as an operational plan) will be reviewed to ensure that they contain enough information to be considered as the basis of a funding application. If the outcome of this desk review is favorable, a review team will make a country visit to seek clarifications and collect additional information. A favorable desk review will also lead to an invitation to proceed to the second stage: the CCM submitting a short application (the actual National Strategy Application) focused on the financial request for consideration by the Global Fund Technical Review Panel. To facilitate the overall design of the NSA FLW (and in particular contribute to the development of key processes and review materials), orient the rest of the TRP members to the process, and help draw and document lessons learned from the FLW, the Secretariat seeks the support of two current or former TRP members who will serve as “Focal Points” and provide the Secretariat’s NSA project team with the key deliverables as outlined in the next section. Description of actual services provided by your staff within the assignment: Phase 1: First Learning Wave development Review and comment on proposed processes and draft National Strategy (NS) review materials Participation in a briefing session with the NSA project team (Geneva) to review process and timeline Preparation of materials/guidelines required for the TRP desk review of NS Support the development of a briefing paper to be communicated to TRP reviewers in advance of desk review Development of presentation to orient TRR members on first day of Desk Review Preparation of assessment tools and guidance for TRP country visits Contribution to drafts, review and comment for the development of National Strategy Application Form and communications to countries Phase 2. Technical Review Panel (TRP) Desk Review Presentation on first day of Desk Review to TRP members regarding process Participation in the 5-day meeting for TRP Desk Review of NS materials submitted Upon completion of the meeting, short report on observations and lessons to be learned from process, issues identified by TRP, areas to consider and refine in future Phase 3. In-country Visits country visits Review TRP feedback to the countries on NS review and draft short report on lessons learned from this process Phase 4. TRP review of NSA and Board Report Development and delivery of a briefing on first day of TRP Final Review of NS Applications Meeting Participation in TRP Final Review of NS Applications Review TRP feedback for Secretariat to communicate to applicant countries Contributions to report presentation, particularly on lessons learned from process and observations to inform next phases of NSA development Review and comment on final draft of TRP Report to Board and any presentation material that the NSA team is asked to provide
Year:	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:	Development and implementation of the National Strategy Application (NSA) First Learning Wave
Client:	The Global Fund to fight AIDS, Tuberculosis and Malaria
Country:	China
Fields of expertise:	Health Financing and Provider Payment, Health Policy and Policy Dialogue
Description:	Narrative description of Project: Global Fund has committed to introducing a new process for applying for Global Fund resources - known as “National Strategy Applications” (NSAs). NSAs will be introduced through a phased roll-out, beginning in 2009 with a limited number of countries. The aim of this “First Learning Wave” (FLW) of NSAs is to draw policy and operational lessons to guide the broader roll-out of the new application procedure beyond 2009. The First Learning Wave of NSAs will involve two stages. In the first stage, a national strategy and accompanying documentation (such as an operational plan) will be reviewed to ensure that they contain enough information to be considered as the basis of a funding application. If the outcome of this desk review is favorable, a review team will make a country visit to seek clarifications and collect additional information. A favorable desk review will also lead to an invitation to proceed to the second stage: the CCM submitting a short application (the actual National Strategy Application) focused on the financial request for consideration by the Global Fund Technical Review Panel. To facilitate the overall design of the NSA FLW (and in particular contribute to the development of key processes and review materials), orient the rest of the TRP members to the process, and help draw and document lessons learned from the FLW, the Secretariat seeks the support of two current or former TRP members who will serve as “Focal Points” and provide the Secretariat’s NSA project team with the key deliverables as outlined in the next section. Description of actual services provided by your staff within the assignment: Phase 1: First Learning Wave development Review and comment on proposed processes and draft National Strategy (NS) review materials Participation in a briefing session with the NSA project team (Geneva) to review process and timeline Preparation of materials/guidelines required for the TRP desk review of NS Support the development of a briefing paper to be communicated to TRP reviewers in advance of desk review Development of presentation to orient TRR members on first day of Desk Review Preparation of assessment tools and guidance for TRP country visits Contribution to drafts, review and comment for the development of National Strategy Application Form and communications to countries Phase 2. Technical Review Panel (TRP) Desk Review Presentation on first day of Desk Review to TRP members regarding process Participation in the 5-day meeting for TRP Desk Review of NS materials submitted Upon completion of the meeting, short report on observations and lessons to be learned from process, issues identified by TRP, areas to consider and refine in future Phase 3. In-country Visits country visits Review TRP feedback to the countries on NS review and draft short report on lessons learned from this process Phase 4. TRP review of NSA and Board Report Development and delivery of a briefing on first day of TRP Final Review of NS Applications Meeting Participation in TRP Final Review of NS Applications Review TRP feedback for Secretariat to communicate to applicant countries Contributions to report presentation, particularly on lessons learned from process and observations to inform next phases of NSA development Review and comment on final draft of TRP Report to Board and any presentation material that the NSA team is asked to provide
Year:	2009

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

Assignment:	Design of a master plan for health commodity logistics
Client:	UNICEF
Country:	Ethiopia
Fields of expertise:	Costing Studies, Essential Medicines Financing, Health Financing and Provider Payment, Pharmaceutical Sector Review, Procurement and Tender Support, Training and Human Resource Development
Description:	Narrative Description of Project: Identification of the best options for a new HCSS, based on an analysis of the findings and recommendations of the country wide assessment. Design of a new HSCC for public health commodities and describe how it will operate. This component includes cost-benefit analysis, needs for technical assistance, training, implementation time frame, and sustainable financing system. Proposal of a comprehensive implementation plan to operationalize the proposed system. Preparation of a global cost budget for the implementation of the proposed system. Description of Actual Services Provided: Design of a New Health Commodity Supply System Definition of the Core Functions of the New System Definition of the Legal Status of the New System Defininition of who will be the suppliers and consumers of the new system in both public and private institution. Determination whether the system as proposed above can deliver supplies to meet the needs of beneficiary units cost-effectively and efficiently. Stakeholder agreement and ownership of the new system Definition of the range of products to be handled Capital works Organizational Structure and Staffing Requirements Financial and Administrative Management System Budget and costs Discussion of outsourcing services Implementation scheme
Year:	2005 - 2006

Assignment:	Support to the MoH in developing strategies for health services at the PHC level
Client:	UNICEF
Country:	Kazachstan
Fields of expertise:	Basic Health Services, Health Financing and Provider Payment
Description:	Narrative Description of Project: Support to the MoH in developing strategies for health services at the PHC level.
Year:	1996

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

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Benin
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Burkina Faso
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Cap Vert
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Ivory Coast
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Ghana
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Liberia
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Mali
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Niger
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Nigeria
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Senegal
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Sierra Leone
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Togo
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Gambia
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Guinea
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Guinea Bissau
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Technical Advice in leading the development of proposals for establishment of a financial mode for blood banks in Vietnam
Client:	WHO
Country:	Vietnam
Fields of expertise:	Costing Studies, Health Financing and Provider Payment, HIV-AIDS-STI-TB
Description:	Narrative Description of Project: Leading the development of proposals for costing and sustainable funding models for blood services in Vietnam. Description of Actual Services Provided: Meet selected officials fro MOH, MOF, NIHBT etc to discuss and appraise current blood service costing and financing system in Vietnam Develop detailed sub-objectives and working plan for the NIHBT, MOH, MOF, Regional Blood Centre and Blood Bank Project Team. Develop proposed common balance sheet structure and templates for cost collection for regional blood centres and Province and District National blood banks. Develop and deliver (in Hanoi) training to local staff on data collection Supervise data collection across multiple (up to 9) sites across Vietnam Prepare final report summarising current situation with respect to costing and funding of blood centres and banks in Vietnam.
Year:	2007

Assignment:	Plan for establishment of a financial model for blood banks in Vietnam (Phase II)
Client:	WHO Western Pacific Region
Country:	Vietnam
Fields of expertise:	Costing Studies, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Training and Human Resource Development
Description:	Narrative description of Project: The main objective is to prepare a financial model for blood banks in Vietnam through data analysis; estimation of costs; analysis of different sources of income in relation to national blood transfusion services; completion of intermediate report and development of detailed work plan with sub-objectives for remainder of the study. Description of actual services provided: The consultants delivered a preliminary study report for the financial model for blood banks in Vietnam and a detailed plan of work for future activities to be undertaken within the framework of the study. They presented this information in a national workshop at the National Institute of Haematology and Blood Transfusion.
Year:	2007

Assignment:	Lead the analysis and writing of the Chapter on “Medical products, vaccines and technologies – Procurement and Supply Chain” in The World Bank publication on “Health Systems and HIV/AIDS"
Client:	World Bank
Country:	Global
Fields of expertise:	Essential Medicines Financing, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support
Description:	Narrative description of Project: Considering the significant additional financial resources being made available for AIDS programs there is an ongoing debate on how international funding for AIDS is impacting health systems in low income countries in general, and pharmaceutical procurement and supply management in particular. Evidence to support the various views on this subject is still scarce. The objectives of a chapter on “Medical products, vaccines and technologies – Procurement and Supply Chain” are (i) to synthesize the existing knowledge and evidence of the impact of international AIDS funding on the pharmaceutical procurement and supply chain; (ii) to elaborate a conceptual framework for further reflection on the impact of AIDS funding on the procurement and supply chain that captures the nature, purpose and qualitative characteristics of its component, and (iii) to identify a set of hypotheses and related evaluation framework to be used for further research. Description of actual services provided by your staff within the assignment: A systematic literature search (peer-reviewed and grey literature, electronic databases, websites of (inter)national organizations, manually screening the references of relevant journal articles and publications, contacting experts in the field); Establishment of a searchable database; Outline of a conceptual framework serving as guide for the quantitative, empirical study; Writing of Chapter 5 “Impacts on Medical products, vaccines and technologies – Procurement and Supply Chain” (draft, final draft and final version) encompassing Synthesis of Current Knowledge of Impact, finalized Conceptual framework, Evaluation framework and proposed analyses.
Year:	2008 - 2009

Assignment:	Basic Benefit Package Costing Study
Client:	World Bank - Health Project Implementation Unit (HPIU)
Country:	Armenia
Fields of expertise:	Basic Health Services, Costing Studies, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Hospital Services
Description:	Narrative Description of Project: The objectives of the assignment are to (i) analyse and calculate the real cost of delivering BBP services including primary and secondary health care services; (ii) analyze and calculate, for patients and population, the cost of receiving primary and secondary health care services (formal and informal private out of pocket expenditure); (iii) make recommendations for improvement of the cost-accounting and pricing methodology used by the State Health Agency based on costing exercise analysis; (iv) to determine and analyze the evolution of the epidemiological profiles at hospital and polyclinic levels. Description of Actual Services Provided: Review and become familiar with programme documentation, specifically focusing on health sector financing, content of BBP, current organization of the provision of health services and existing service delivery costing results. Collect and summarize with the Consultants with local experience recent work done in Armenia on the cost of BBP delivery, design the necessary structure for a sample study of costs (for health facilities and for patients) and epidemiological profiles. Define the set of costing and activity information (including the tools for data collection) that should be issued by the facilities for the costing analysis of all services included in the BBP at the (i) facility level, (ii) patient level and for epidemiological studies analysis. Instruct and lead the local consultant in applying the methodology in a sample of both public and private health facilities: 4 public hospitals in Yerevan, 2 private hospitals in Yerevan, 2 public hospitals outside Yerevan, 1 dispensary, 2 polyclinics in Yerevan, 2 polyclinics outside Yerevan, 2 rural ambulatories. Evaluate the outcomes of the costing study and epidemiological analysis, done by the local consultants, and provide with the BBP services cost projections. Provide with proposals regarding (i) the opportunities and methodologies to conduct further procedure/disease/condition specific costing exercises, including a priority list established through a consultation process with relevant stakeholders; (ii) BBP content, delivery, financing improvement for year 2007 based on the outcomes of the costing study. Assist the local consultants on issues that may arise during the period of actual costing survey and analysis (including distant assistance, e.g. E-mail).
Year:	2005 - 2006