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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:	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:	Feasibility Study of the Health Sector in Palestine Territory
Client:	Agence française de Développement
Country:	Palestine
Fields of expertise:	Basic Health Services, Health Expenditure Review, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Pharmaceutical Sector Review, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The general objective of this mission is to identify and formulate the needs for investment and priority technical support in the health sector; both in the public sector and in the private health sector. Description of Actual Services Provided: This study of the health sector analyses the following issues: Based on the existing literature and exchanges with the stakeholders: The actual state of the health sector and its principal problems; Health policy, health sector reform, improvements in health development and the obstacles for the implementation; Evaluation of the total health expenditure for the last years; Organisation of the Public health system and of the health care services, SWOT analysis of the public health system, the consequences of the worsening of the political and socio-economical context; A brief description of the private health sector, its role in the provision of services, the control mechanisms and the regulation of private health services. Based on a field mission: Description of the public and private health sector, mentioning for each principal hospital the available services, the demand, the major constraints, the available support, the priority needs and needed interventions; Description of the role and involvement of the Palestinian and foreign NGO’s in health projects; Evaluation of the projects and strategies supported by the technical and financial partners; Degree of cooperation between the Ministry and the partners and the ongoing initiatives regarding the harmonisation of aid; Priority needs that are not covered by the partners.
Year:	2007

Assignment:	Formulation of the BTC intervention for the "Programme of the Health and Social Reform (PRODESS)"
Client:	BTC-CTB
Country:	Mali
Fields of expertise:	Basic Health Services, Health Expenditure Review, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The formulation mission had to determine the most pertinent activities (within those activities planned in the PRODESS Programme which have not been selected by other donors yet). These activities should respond to the priorities set out by the BTC in terms of primary health care. The financial participation is 7,5 million EURO. Description of Actual Services Provided: Analysis of the quality of the PRODESS Programme in terms of strategies and techniques; Assessment of the technical and financial feasibility of the intervention proposals; Preparation of the modalities of the financial intervention of the withheld activities; Detailed analysis of the funds allocation and the control on the use of the funds; Proposal of a draft Specific Convention between the Belgian government and the government of the Malian Republic including a technical and financial operational plan.
Year:	2001

Assignment:	Identification of new budget and feasibility NE Province
Client:	Danida
Country:	Kenya
Fields of expertise:	Appraisal, Basic Health Services, Health Expenditure Review, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Identification and Formulation, Pharmaceutical Sector Review, Reproductive Health, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The objective of the mission is twofold: To identify/formulate a framework for additional support towards the health sector (2004-2006) aimed at further strengthening and supporting the MOH in the development and implementation of health related policies nationwide. To conduct a feasibility study on the re-inclusion of the HSP component related to North Eastern in Danida’s project envelope. Description of Actual Services Provided: To prepare a programme, HSPS I, that would focus on strengthening the capacity in districts and at the same time participate in the preparation of a sector-wide approach (SWAp), leading to budget financing in a possible next phase of the HSPS I. The components are: Support to the SWAp process Support to the pharmaceutical sector Support to district health management information systems (HMIS) Support to implementation of the Integrated Management of Childhood Illness (IMCI) strategy
Year:	2003 - 2004

Assignment:	Preparation Danida Health Sector Programme Support Phase III
Client:	Danida
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Drug Supply Management System Strengthening, Health Expenditure Review, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Identification and Formulation, Pharmaceutical Sector Review, Planning, Organisation and Management, Public Private Partnership Interventions, Rational Use Surveys, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: Main objectives of Phase III: Development Objective: to improve the health and well being of all Tanzanians, with a focus on those at risk, and to encourage the health system to be more responsive to the needs of the people. Specific Objectives of Danish support: Improve comprehensive planning and delivery of quality health services – including the private sector at district level- with a focus on the major diseases including HIV/AIDS, the poor and vulnerable as well as on gender aspects. Improve the capacity of the private sector to contribute to systems development and participate in policy dialogue Improve drug supply and the rational use of drugs Improve hospital management on district and regional level Improve the information systems relevant to the health sector Description of Actual Services Provided: Study of background documents relying on existing documentation and with very limited primary data gathering; meetings with key officials from government and donor partners, field trips and workshops. A detailed report with attention to cross-cutting issues and priority themes., management and organisation, financial management and procurement, monitoring, reporting, reviews and evaluation, assessment of key assumptions and risks, component implementation plan, and recommendations.
Year:	2003

Assignment:	Public expenditure review Health Sector Zanzibar
Client:	DANIDA
Country:	Tanzania / Zanzibar
Fields of expertise:	Appraisal, Health Expenditure Review
Description:	Narrative description of Project: The main objectives were: To provide an updated assessment of the level and allocation of public financing to and within the health sector. To the extent possible, given acknowledged data constraints within the sector, this will include both RGOZ and external funding. To review the extent to which existing resources – government and external – are deployed in line with stated priorities as reflected in policy and strategic plan documents; To provide a preliminary analysis of the feasibility of planned sectoral activities given the available resource envelope; To provide support to the implementation and monitoring of the Zanzibar Poverty Reduction Plan, and to feed into the Budget Guidelines and preparation of MTEF for all the priority sectors, To provide support to the achievement of poverty reduction strategy (PRS) targets and related millennium development goals (MDGs), To propose further pieces of analytic work to inform fiscal policy dialogue on Zanzibar’s revenue effort, tracking expenditure and service delivery, and coherence of the development budget with PRS priorities. Description of actual services provided: Review PER FY03 findings and actions taken by the sector in response to those findings indicating unaccomplished/pending actions and reasons as well as implications and the way forward. Identify follow-up actions planned for FY2006/07. Undertake preliminary assessment of the feasibility of current plans compared with the available resource envelope, and spell out the implications of these options and recommendations (e.g. scaling back targets, improving efficiency, mobilization of additional resources etc). Make recommendations regarding future activity to cost sectoral activity. Propose key performance indicators to be used to monitor progress, with reference to the ZPRP and experience elsewhere. Identify key technical programme activities and costings to be included in the 2006/07 Budget and MTEF, drawing upon the available documents. Comment on the allocation of the sectoral resource envelope between the various programmes.
Year:	2006

Assignment:	Health Sector Review
Client:	EC - AIDCO
Country:	Palestine
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, Planning, Organisation and Management, Training and Human Resource Development
Description:	Narrative Description of Project: The overall objective of the study is to improve health sector planning for better health outcomes. The specific objective is to support the Palestinian National Authority, especially the MOH and its partners involved in the provision of health services, to develop a clear overview and analysis of the health sector, and to propose a set of priorities and strategic orientations to be explored and developed according to foreseeable scenarios. It will be essential during this review to identify all local stakeholders and all local ‘support groups’ (local and international NGOs active in health, private sector support, etc.) in order to build as much as possible local partnerships and coordinated action towards best health outcomes. Description of Actual Services Provided: Areas that were addressed during the sectoral study: National Health & Development Profile; Health Policy and Legislative Framework; Health System Organisation and Management Structures; Health Planning and Management; Health System Infrastructure and Facilities; Health Services and Programmes; Support Services; Intersectoral Linkages; Community Participation in Health; Human Resources for Health; Health Sector Resources and Financing; External Support for the Sector.
Year:	2003 - 2004

Assignment:	Pre-feasibility and Feasibility Study of the "Health Sector and Demography Support"
Client:	EC - AIDCO
Country:	Yemen
Fields of expertise:	Appraisal, Basic Health Services, Health Expenditure Review, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, National Medicines Policy Development, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:	Narrative Description of Project: Both studies will provide the decision-makers in the Government of Yemen and the European Commission with a proposal for the future design of the project “Health Sector and Demography Support”. The proposed project design will take into account the recommendations of the pre-feasibility study carried out on 2002 as well as the key issues of the ongoing discussions between the Ministry of Public health and Population and the EC services since then. Description of Actual Services Provided: Health sector review : analysis of Yemen’s health sector reform plan and implementation; performance of the health sector; analysis of public and private health expenditure; management and implementation capacity of existing providers; human resources development policy; essential drugs policy and supply; demography and reproductive health; Stages of sectoral review using the logframe methodology Recommendations about the strategic choices to be made; Participatory strategy analysis and planning workshops at the Governorate level using the logframe methodology according to EC standards; Establish links with possible EC support to National Population Council. Study reproductive health issues and gender roles and interests relating to these services. A precise proposal on the organisation of the project and the technical inputs necessary to achieve the objectives of the project. Presentation of the proposed project to the central level and to the major stakeholders Draft Financing Proposal and TAPS; Analysis of constraints to efficient service delivery and propose solutions; Human resource management and performance.
Year:	2002 - 2003

Assignment:	Health expenditure review in context of Health Sector Review
Client:	EC - DRN
Country:	Nigeria
Fields of expertise:	Health Expenditure Review, Health Sector Review or Health Sector Diagnosis
Description:	Narrative Description of Project: The study provides the decision-makers in the Nigerian Government and the European Commission with the best information to support choices regarding the focal sectors of the future EC development cooperation with Nigeria. The study includes sectors such as: agriculture & fisheries, infrastructure, health, education, tourism, private sector, etc. As it also includes themes as good governance, trade, poverty alleviation, gender and environment, and offer suggestions about how to take them into account. The study considers how development assistance may help Nigeria address its various challenges in the context of Nigeria’s overall financial and economic constraints, and analyse the likely role of development assistance within and besides overall public finances. Description of Actual Services Provided: Our expert was responsible for the health sector and contributed to the main analysis as follows: an analysis and the identification of the areas for possible future European Commission support, with a view to contributing to the choice of focal sectors to be funded by the EC; defining the criteria by which choices regarding the focal sectors can be made; suggestions for possible choices of focal sectors, information on non-focal sectors; an analysis of the uncompleted past projects closed after the imposition of the sanctions in 1995 ; an analysis of the macro-economic size and proportions of Nigerian economy; information on the relative impact of “good-governance” and “productive” projects; an analysis of public spending; an analysis of the impact of the proposed approach according to gender; a review of the distribution of previous EC projects by region and comparison of this with indicators of population location and poverty distribution; a compilation of inputs obtained from the civil society on the priorities for development; copies of all existing documentation prepared by the various Ministries, agencies and other donors; the terms of reference for any further studies that are deemed necessary.
Year:	2001

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:	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:	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:	Sector based assessment of aids spending
Client:	Ministry of Finance Planning - EC - lot 8
Country:	Uganda
Fields of expertise:	Health Expenditure Review, HIV-AIDS-STI-TB
Description:	Narrative Description of Project: This sector-based assessment had five main aims: to identify the resources available to the sectors of government, their flows and channels; to assess allocation efficiency of sectors’ AIDS spending; to develop a mechanism for institutionalising such sector spending assessments; to identify the extent to which the Medium Term Expenditure Framework (MTEF) influences HIV and AIDS spending; and to identify how the AIDS strategy is reflected in the budgets of different ministries. Description of Actual Services Provided: Participation in an UNAIDS-organised Training of Trainers and expert consultation on the National AIDS Spending Assessment (NASA) methodology in Geneva Inception report explaining the methodology Review of available data and systems for monitoring sector spending on HIV and AIDS Two progress reports to the Technical Working Group overseeing the process Initial development of a database format for routine collation of relevant data Draft report with focus on Current mainstreaming of HIV and AIDS spending in the public sector Volume of available funding through public and development partner sources Public sector expenditure analysis for the period 2003/04 – 2006/07 Conclusions and recommendations Presentation and facilitation of Stakeholder workshop Final report
Year:	2006

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:	High Level Forum on the Health Related Millennium Development Goals
Client:	WHO
Country:	Tanzania / Zanzibar
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The purpose of the consultancy is to prepare a power point presentation in collaboration with officials from the Ministries of Health in Tanzania and Uganda, backed up with a concise issues paper to be used as part of the meeting documentation. The goals is to raise the level of debate surrounding health-related MDGs to ensure that they are adequately represented in both agency and government planning and to harmonize donor support in the health sector. The presentation will highlight key issues arising from the practical experience of managing different forms of donor financing for health in the two countries. Description of Actual Services Provided: Our expert held interviews and brainstorming sessions with government officers, stakeholders and development partners in both countries; wrote up an issue paper (presented at the HLF 2003) and a PPP.
Year:	2003

Assignment:	High Level Forum on the Health Related Millennium Development Goals
Client:	WHO
Country:	Uganda
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The purpose of the consultancy is to prepare a power point presentation in collaboration with officials from the Ministries of Health in Tanzania and Uganda, backed up with a concise issues paper to be used as part of the meeting documentation. The goals is to raise the level of debate surrounding health-related MDGs to ensure that they are adequately represented in both agency and government planning and to harmonize donor support in the health sector. The presentation will highlight key issues arising from the practical experience of managing different forms of donor financing for health in the two countries. Description of Actual Services Provided by Your Staff: Our expert held interviews and brainstorming sessions with government officers, stakeholders and development partners in both countries; wrote up an issue paper (presented at the HLF 2003) and a PPP.
Year:	2003

Assignment:	High level Forum on the Health Related Millennium Development Goals
Client:	WHO
Country:	Global
Fields of expertise:	Health Expenditure Review, Health Policy and Policy Dialogue, Sector Wide Approach (SWAp)
Description:	Narrative Description of Project: The purpose of the consultancy is to prepare a power point presentation in collaboration with officials from the Ministries of Health in Tanzania and Uganda, backed up with a concise issues paper to be used as part of the meeting documentation. The goals is to raise the level of debate surrounding health-related MDGs to ensure that they are adequately represented in both agency and government planning and to harmonize donor support in the health sector. The presentation will highlight key issues arising from the practical experience of managing different forms of donor financing for health in the two countries. Description of Actual Services Provided by Your Staff: Our expert held interviews and brainstorming sessions with government officers, stakeholders and development partners in both countries; wrote up an issue paper (presented at the HLF 2003) and a PPP.
Year:	2003