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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:	Additional mission to support the definition of an resource allocation system in order to monitor and evaluate additional resources of decentralized levels and health facilities
Client:	AFD
Country:	Madagascar
Fields of expertise:	Basic Health Services, Cost-effectiveness Studies, Costing Studies, Health Sector Review or Health Sector Diagnosis, Sector Wide Approach (SWAp)
Description:	Narrative description of Project: The Government of the Republic of Madagascar has opted for a sectoral approach in the health sector and has developed the Plan for the Health Sector Development and Social Welfare 2007-2011 (PDSSPS) consistent with the components 'health' and 'welfare' (commitments 5 and 8) of the "Madagascar Action Plan" which provides the framework for all stakeholders. AFD provides the establishment of a financial contribution of around 14 million Euros in 2008 for the health sector in Madagascar. This contribution will finance activities defined in the priorities of PDSSPS. The objective of this mission was twofold: (a) assess the current allocation of resources in the health system, both the state resources and additional resources (including resources from the World Bank through its projects) and (b) propose scenarios for allocating resources at the decentralized levels of the health system (levels of management and production levels) for future joint funding. Description of actual services provided by your staff within the assignment: The consultant conducted a study to: Develop and discuss the necessary specifications by describing the operational management of a future system; Define the needs and modalities for strengthening various levels, especially the regional directorates of health; Propose a process to change the allocation device’s envelopes; Submit an envelope that AFD could allocate for this component and estimate the necessary disbursements; Assess fiduciary risks and other risks and propose measures to lessen the likelihood or impact of those risks.
Year:	2008

Assignment:	Mission to support the definition of the component “decentralisation and development of health education” of a competitive examination of AFD held in Madagascar
Client:	AFD
Country:	Madagascar
Fields of expertise:	Basic Health Services, Cost-effectiveness Studies, Costing Studies, Health Expenditure Review, Health Sector Review or Health Sector Diagnosis, Sector Wide Approach (SWAp)
Description:	Narrative description of Project: Carry out a study in order to: dispose of precise elements regarding the current allocation of additional resources’ system and to evaluate its implementation as well as its impact Propose scenarios for the allocation of additional resources to districts and health education Description of actual services provided by your staff within the assignment: An analysis of the public budgets dedicated to health: (i) by level (national, regional, district or health education level), by nature of expenses (investment, operational expenses) and by type of health education; (ii) currently used distribution criteria; A description and an analysis of the current allocation of additional resources’ system financed by the World Bank in the framework of its ongoing project (PDSSP) and its prior interventions: age, distribution criteria, nature of the additional resources, level of decentralisation and of decision making on the granting and use of these additional resources, financing channels, follow-up mechanisms. An analysis of the respective volumes between the strictly budgetary resources and the additional resources supplied by the donors; An evaluation of the actual system, and of its impact on the activity of health education and on the quality of the services rendered; Describe scenarios for updating the additional system allocations to districts and health facilities. Two field studies during which the consultant met with officials of the health sector at regional level as well as some health facilities. A review of available studies was conducted. The consultant identified the surveys, studies and interviews necessary to obtain all the relevant information.
Year:	2008

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 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:	Study to define an affordable and sustainable mechanism for cost sharing at primary level health facilities in Zanzibar
Client:	DANIDA
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Costing Studies
Description:	Narrative description of Project: Development of an affordable and sustainable cost sharing model at the primary level in Zanzibar with particular emphasis on assuring access to quality of care for the poor. Description of actual services provided: Identify/analyze: the services which should bear a cost (based on services/activities/items as defined in the Essential Health Services Package) estimates of the actual cost for these services – with focus on the analysis of the cost of services at the Raha Leo Dispensary – in comparison with the cost estimates from the Essential Health Care Package work and other studies done on costing of services in the East African context At Raha Leo (and selected other PHCUs identified as having introduced direct charges), the current fee structure, the range of fees and how the clinics determine the amount any given client should pay the willingness and ability of the people to contribute to those costs (with focus on the catchment shehias of Raha Leo – in comparison with a few randomly selected shehias in one additional peri-urban and two rural areas) the acceptable / affordable cost-sharing amounts for the majority of the people (with focus on the catchment area see above) the optimal charging structure which should be logical and promote efficiency in use of the health services and which should link with and relate to existing/revised cost-sharing mechanisms in practice at referral hospitals the likelihood of people bypassing the lower level facilities and accessing hospital services directly when cost-sharing is introduced at primary level and the best practice to mitigate this problem if applicable (catchment area see above; using distance from reference facility in selection) good practices in revenue collection and in the management of funds the extent to which the proposed cost-sharing system can contribute to the running / maintenance cost of a primary health facility options for using cost-sharing for sustaining / maintaining the quality of the services - expenditure and decision making options for community involvement in the management of cost-sharing at facility level options for an effective and efficient exemption and waiver system that ensures access to care for the poor who cannot afford to pay for services the current national guidelines for cost-sharing and its strengths and weaknesses and appropriateness in light of an effective cost-sharing system at primary level requirements for effective and efficient monitoring and evaluation for cost-sharing system at primary level; this includes possible indicators (output and outcome) as well as reporting requirements for fees collected and for the use of revenues at (primary) health facilities; link should be made to the national Health Management Information System. recommendations
Year:	2007 - 2008

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:	Cost of National Blood Transfusion (Medical Equipment & Training Component)
Client:	EC/ATF - WHO/GPA
Country:	Global
Fields of expertise:	Cost-effectiveness Studies, Costing Studies, HIV-AIDS-STI-TB
Description:	Narrative Description of Project: Proposal for a cost-analysis of national blood transfusion services in low-income countries. Development of Guidelines. Description of Actual Services Provided: Preparation of international workshop on costs of national blood transfusion services in developing countries at WHO/Geneva. Responsible for developing a methodological tool for cost analysis of Blood Transfusion services. Responsible for the presentation of and discussion on the tool at an Aids Task Conference in Brussels and an international workshop organised by the World Health Organisation in Geneva. Finetuning of the method.
Year:	1991

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 Project (HSRP)
Client:	European Commission
Country:	Egypt
Fields of expertise:	Basic Health Services, Costing Studies, Health Sector Reform
Description:	Narrative Description of Project: To analyse and calculate the cost of delivering the reform model of primary health care services and, through this process, contribute to building the capacity of a Research and Administrative Unit in conducting regular service delivery costing activities intended to provide Health Sector Reform Programme decision makers with appropriate data. Description of Actual Services Provided: A baseline cost analysis and medium-term cost projections for the Basic Benefit Package of services at primary level in a sample of both public and private health facilities. The system provides information to cost services on a per capita and on a per intervention basis of full cost recovery. Possible institutional arrangements to develop capacity for health economic analysis in HSRP implementing bodies have been explored and proposals for such arrangements to be operationalised provided, envisaging how productive partnerships with local and/or institutional institutions could be developed.
Year:	2001 - 2002

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:	Cost Analysis and quality analysis of health care in 2 hospitals
Client:	European Commission - Ministry of Health
Country:	St. Lucia
Fields of expertise:	Costing Studies, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services
Description:	Narrative Description of Project: Comparative Cost Analysis of 2 major hospitals per department and per intervention, in order to determine the overall cost of the hospitals, the unit cost per hospital department and per indicator (hospitalisation days per department, per patient, per bed, per consultation and per intervention type) Identify the economies of scale between the hospitals Propose the profile for a future hospital (to be constructed) Client satisfaction Survey. Description of Actual Services Provided: Development & adaptation of the data collection and date cleaning instruments; Training of the local personnel for the collection of the data; Data management and statistical analysis of the data; Interpretation of the data and results; Proposals for the future of the 2 hospitals within the health sector reform; Presentation of the data comparing the performance of the 2 hospitals; Report per hospital; Presentation of the results and conclusions; Workshop to discuss the results.
Year:	2000

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

Assignment:	Economic health care due diligence for the hospital Sud Francilien (PPP)
Client:	European Investment Bank
Country:	France
Fields of expertise:	Appraisal, Costing Studies, Hospital Services, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: To provide the Bank’s services with analytical descriptions of the major elements of the project’s business case. Description of Actual Services Provided: Review of project papers, identification of issues and preparation for mission Attendance at and project missions and meetings with EIB Preparation of appraisal report in standard EIB template: opinion of appraisal standard project appraisal report including a supporting commentary on the PPP procurement approach being adopted final PPP appraisal note
Year:	2005 - 2006

Assignment:	Development of a cost-effective Flemish Cancer Registration Network
Client:	Flemish Government
Country:	Belgium
Fields of expertise:	Cost-effectiveness Studies, Costing Studies, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management
Description:	Narrative Description of Project: Development of a registration aims at: a consistent and high qualitative information concerning incidence and prevalence of cancers in Flanders; a tool to measure the impact of cancer prevention and cancer control programmes in order to improve cancer policies. Description of Actual Services Provided: The study assignment was divided into 3 phases: Preparation review of the existing registration systems; SWOT analysis of the existing systems; evaluation of the existing national cancer registration network; short study of existing European cancer registration networks. Investigation defining of requirements for a new network; defining the required minimal dataset; study of the bottle necks of the existing registration network; proposal of various new scenarios; cost-effectiveness analysing the scenarios. Detailed proposal of the organisation and costs of the chosen scenarios for a cost effective cancer registration network for Flanders.
Year:	2001

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

Assignment:	Infrastructure Plan for the Pilot Hospital Mergers in Yerevan
Client:	Health Project Implementation Unit (HPIU)
Country:	Armenia
Fields of expertise:	Appraisal, Costing Studies, Hospital Services
Description:	Narrative Description of Project: The objectives of this assignment were To develop detailed infrastructure plans of hospital mergers at the four selected sites in Yerevan To assess the investment needs for the proposed infrastructure plans based on average costs for rehabilitation costs applicable in Armenia Description of Actual Services Provided: Review of the plans developed by the “Conseil Santé”-consultants and reassessment of the feasibility of the proposed re-locations of departments. Proposal of improvements of typology of the hospital buildings Development of detailed functional plans Definition of the required volume of renovation, reconstruction or new construction of extension to buildings and development of technical conditions for architectural design Assessment of the need of investment and budget costs for the proposed rehabilitation works.
Year:	2004

Assignment:	Pre-feasibility Study of local production of quality anti-retroviral drugs
Client:	Kreditanstalt für Wiederaufbau
Country:	Rwanda
Fields of expertise:	Appraisal, Cost-effectiveness Studies, Costing Studies, Drug Supply Management System Strengthening, National Medicines Policy Development, Public Private Partnership Interventions, Quantification of Essential Drug Needs
Description:	Narrative Description of Project: The objective of the study is to analyse whether ARV production in Rwanda is feasible and would lead to an increased availability of accessible quality drugs in Rwanda and whether there is a potential for export in the sub-region. The second question concerns the best way to implement such a project and whether a cooperation of German development cooperation with Pharmakina could lead to success. Risks and alternatives are also evaluated. Description of Actual Services Provided: Specific tasks Local and regional market and distribution assessment Economic and financial analysis Institutional and organisational analysis Production process technical analysis To evaluate the overall justification in the context of the targets of the German development cooperation Methods Bilateral discussions with MoH and other institutions and donors active in the given filed in Rwanda (GTZ Rwanda: Health and WIRAM (Economy reform and market development, etc.), Revision of available documents, Close cooperation with MoH, GTZ-Rwanda Debriefing meeting in Rwanda Elaboration of a final evaluation report (business plan)
Year:	2005

Assignment:	Study on the cost of curative services for adult patients, comparing patients with HIV-disease with patients without HIV-disease
Client:	LSHTM (London), ODA
Country:	Zambia
Fields of expertise:	Costing Studies, HIV-AIDS-STI-TB
Description:	Narrative Description of Project: Study on the cost of curative services for adult patients, comparing patients with HIV-disease with patients without HIV-disease. Impact of Aids on organisation and cost of health services at district level and below. HERA is responsible for the epidemiological aspects of the study.
Year:	1990 - 1993

Assignment:	Health Care Financing in Tanzania - Training
Client:	Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Costing Studies, Training and Human Resource Development
Description:	Narrative Description of Project: Training of key health personnel in the utilisation of a tool developed by HERA to do a costing of health services study.
Year:	2000

Assignment:	Development of Capacity for the procurement of Pharmaceuticals and other Health goods and services & strengthening of management capacity of the Drug Supply Company Suriname (BGVS)
Client:	Ministry of Health
Country:	Suriname
Fields of expertise:	Costing Studies, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, National Medicines Policy Development, Procurement and Tender Support, Training and Human Resource Development
Description:	Narrative description of Project: The overall objective of the technical assistance (TA) for the Procurement and Supply Consultancy and BGVS Management Support Services for the Ministry of Health in Suriname is to establish internationally accepted procurement and supply functions in the health sector, as well as the necessary management arrangements that will facilitate Goods Procurement Practises at the BGVS. Description of actual services provided: The team provided the necessary support to the MOH Pharmaceutical Policy Coordinator with the development of procurement organization and planning as well as storage and distribution of commodities. More specifically assisted the MOH and its programs in the set-up of its institutional framework for procurement of Goods, Works and Services and assisted the BGVS Board of Directors and management in formulating and executing its policy for 2007-2008, which is currently being drafted. The focus lay on: Procurement and supply management activities with regard to essential drugs and supplies at GBVS as well as at MOH and its programs; Development and implementation of harmonized procurement and supply systems, including procedures, quality assurance, administration, monitoring, documentation, …; Recruitment and training of staff to undertake aforementioned tasks; Building working relationships with all stakeholders, including sensitizing senior staff in the public health system on sound procurement systems and procedures; Training and skills transfer regarding Good Procurement Practises at central and BGVS level; Financial management, including costing and pricing of goods and credit control at BGVS; Evaluation of data management at BGVS, with a focus on management information systems and taking into account specific requirements of clients and stakeholders.
Year:	2007 - 2008

Assignment:	Assessment and Improvement of Infrastructure Plans of Selected Hospitals
Client:	Ministry of Health - Health Project Implementation Unit (HPIU) – World Bank
Country:	Armenia
Fields of expertise:	Cost-effectiveness Studies, Costing Studies, Hospital Services
Description:	Narrative description of Project: The objective of the consultancy was to assess and review the hospital plans developed by local architects and recommend improvements based on international standards and norms to ensure that the developed plans meet international accepted requirements of modern hospital design. Description of actual services provided by your staff within the assignment: Review 8 regional hospital infrastructure plans developed by local architects taking into account requirements for accommodation, safety and effectiveness of the clinical care, acceptability to the patients and staff, aesthetic considerations as well as aspects of environmental safety and efficiency improvement. Provide recommendations to improve the typology of the hospital plans, including location of different services, entrances, corridors, etc., taking into account patient flows, relationship between the services and other functional considerations. Provide advice on modern construction methods and materials with special emphasis on environmental issues. Provide advice on international norms/standards and principles of modern hospital design and construction to be applied for Armenian hospitals.
Year:	2008

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:	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:	Strengthening the local production of essential generic drugs in least developed countries (LDCs) through the promotion of SMEs, business partnerships , investment promotion and South-South cooperation
Client:	UNIDO
Country:	Senegal
Fields of expertise:	Costing Studies, Drug Pricing Studies
Description:	Narrative Description of Project: Preparation of a detailed pharmaceutical sector profile of Senegal adding on observations of neighbouring countries and investigating. The results will be critical for determining if the country should be included in the follow-up phase of the project starting mid-2008. Description of Actual Services Provided by Your Staff: Interacting closely with a national expert for Senegal and other experts who will do the same exercise for other countries in the region. Carry out a detailed national pharmaceutical sector scan and present the result in a sector profile Conduct SWOT analyses for local producing SMEs, pre-identify opportunities for business partnerships for the local production of essential medicines in the LDCs under review Present the findings of the sector profile at the Regional Workshop on the Local Production of Generic Drugs in Dakar and discuss with stakeholders.
Year:	2007

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:	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:	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