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Field of expertise:	All Health Economics and Financing    Cost-effectiveness Studies    Costing Studies    Health Expenditure Review    Health Financing and Provider Payment    Health Insurance    National Health AccountsHealth Programmes    Basic Health Services    HIV-AIDS-STI-TB    Hospital Services    Other Health Programmes    Reproductive HealthHealth System    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    Public Private Partnership    Sector Wide Approach (SWAp)    Training and Human Resource DevelopmentPharmaceutical Sector    Access to Medicine Campaigns    Drug Pricing Studies    Drug Regulatory Authority Support    Drug Supply Management System Strengthening    Essential Drugs Programme Support    Essential Medicines Financing    Increasing Transparency In Public And Private Pharmaceutical Markets    Medical Store Evaluation    National Medicines Policy Development    Pharmaceutical Sector Review    Procurement and Tender Support    Public Private Partnership Interventions    Quantification of Essential Drug Needs    Rational Use Surveys    Selection of Essential Medicines    Training and Human Resource DevelopmentProject Cycle    Appraisal    Identification and Formulation    Long Term Technical Assistance    Monitoring and Evaluation
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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:	Medium-term and operational planning for the Belgian Association against Cancer based on public health and cost-effectiveness criteria
Client:	Belgian Association against Cancer
Country:	Belgium
Fields of expertise:	Cost-effectiveness Studies, Health Information System / Epidemiology / Operational Research, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Medium-term and operational planning for the Belgian Association against Cancer based on public health and cost-effectiveness criteria. The study included an institutional analysis of the association as well as a long-term plan for the health programme of the organisation based on a national consensus with respect to the public health objectives.
Year:	1995

Assignment:	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:	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:	Evaluation of the treatment of low frequent diseases
Client:	Embassy of the Netherlands
Country:	Suriname
Fields of expertise:	Cost-effectiveness Studies, Health Policy and Policy Dialogue, Monitoring and Evaluation, Planning, Organisation and Management
Description:	Narrative Description of Project: Evaluation of the process of expatriating, the costs, the management structures and the spin-off effects of the regulation on the Surinam health care. The drawn conclusions and recommendations are an important input to the policy of health care. Description of Actual Services Provided: Evaluation of the organisation and costs of the regulation in the period 1 January 1997 – 31 December 2002 & 1 January 2003 – 31 December 2003. Data collection from patient files, interviews with treating specialists in Suriname and abroad. Discussion with ARMULOV work group.
Year:	2004 - 2005

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:	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:	Economic health care due diligence for TILAK Kinder und Herzcentrum und R&D
Client:	European Investment Bank
Country:	Germany
Fields of expertise:	Appraisal, Cost-effectiveness Studies, Hospital Services, Planning, Organisation and Management
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 inscription and analysis of the “model of care” of the current hospital and the service model developed for the future hospital (including demand estimates, ALS) Description and justification of the education and R&D components within the “Competence center” Cost estimate reliability for new hospital.
Year:	2004

Assignment:	Economic health care due diligence for selected projects
Client:	European Investment Bank
Country:	The Netherlands
Fields of expertise:	Appraisal, Cost-effectiveness Studies, 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 nine local care units and the service model developed for the future hospital. Description and justification for locating all units on one central site. Explanation of approach to procurement taken by the promoter.
Year:	2004

Assignment:	Economic health care due diligence for selected projects
Client:	European Investment Bank
Country:	Global
Fields of expertise:	Appraisal, Cost-effectiveness Studies, 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 nine local care units and the service model developed for the future hospital Description of the justification for locating all units on one central site Explanation of approach to procurement taken by the promoter.
Year:	2004 - 2005

Assignment:	Institutional analysis of the FARES (organisation for TB prevention) and evaluation of TB prevention in the French speaking Community of Belgium
Client:	FARES
Country:	Belgium
Fields of expertise:	Cost-effectiveness Studies, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership
Description:	Narrative Description of Project: Institutional analysis of the FARES (organisation for TB prevention) and evaluation of TB prevention in the French speaking Community of Belgium. The study included a costeffectiveness analysis of the more focused approach to TB prevention and screening.
Year:	1996

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:	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:	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:	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