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

Assignment: Formulation study for supporting the health structures in the province of Kirundo
Client: Belgian Technical Cooperation
Country: Burundi
Fields of expertise: Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, Identification and Formulation, Planning, Organisation and Management, Training and Human Resource Development
Description:Narrative description of Project:

Preliminary study including an institutional and organizational analysis as well as an analysis of the current funding policies of the health sector.

Description of actual services provided by your staff within the assignment:

For the formulation of the project, one mission in two phases was organised in Burundi.
  1. The organizational and institutional analysis, including among others:
    • A description of the organization of the health system at national level and of Kirundo in particular. Particular attention was given to the institutional capacity at provincial level and the relationship between hierarchical levels;
    • A description of the health system financing at various levels of the administrative services and health care;
    • A description and analysis of all instances involved in the health sector (in Kirundo and nationally), reflecting their role in the sector and the relations between these actors;
    • A quantitative analysis of human resources working in the health sector (public institutions) and their level of training;
    • An analysis of specialized training centres for basic training of health personnel;
    • An analysis of opportunities and initiatives undertaken by stakeholders to promote the harmonization of interventions in the health sector in order to improve efficiency (including a description of the policy and modes of intervention for other donors in the sector);
  2. An analysis of the current funding policies of the health sector included:
    • An analysis of the modalities and operational problems of the financing system for the decentralized health structures, and the coordination with the central level;
    • The identification procedures for contracting;
    • Identifying areas of uncertainty and risk in the new funding policy.
The team carried out the above described tasks meticulously and presented their results at a workshop for all local and national stakeholders involved in the health sector and other interest fields. This workshop helped to validate the key proposals.
Year:2007

Assignment: Identification Study concerning the project "Support to Schools for Nursing Sciences in Rwanda 2002-2004"
Client: BTC-CTB
Country: Rwanda
Fields of expertise: Identification and Formulation, Training and Human Resource Development
Description:Narrative Description of Project:
Identification concerning the project “Support to Schools for Nursing Sciences in Rwanda 2002-2004”

Description of Actual Services Provided:
Report on the project envolving new cooperations entitled : “Appui aux Ecoles des Sciences Infirmières du Ruanda 2002-2004”

This project file contains 3 base lines:
  • Quality development of theoretical and practical formation in nursing schools
  • Strategic development of terms of probation and relations with hospitals
  • Collaboration between the supervising Ministries
Year:2002

Assignment: Formulation Study to improve the capacity building in the department of health
Client: BTC-CTB
Country: South Africa
Fields of expertise: Identification and Formulation, Planning, Organisation and Management, Training and Human Resource Development
Description:Narrative Description of Project:
Capacity building through the provision of training in the health services, in co-operation with South African and Belgium Institutions of higher learning, in order to improve the health services.

Description of Actual Services Provided:
  • Review and actualization of data contained in the identification report
  • Review of possibilities for training in public health and health management in Belgium and Europe
  • Fact finding mission to South Africa in order to determine the actions to be taken by the Belgian government.
  • Technical and Financial file
  • Draft implementation contract between the Belgian state and BTC.
  • Debriefing and workshop.
Year:2004

Assignment: Long term health Sector manpower planning at national level in Burkina Faso (Promofor)
Client: Danida
Country: Burkina Faso
Fields of expertise: Long Term Technical Assistance, Planning, Organisation and Management, Training and Human Resource Development
Description:Narrative Description of Project:
  • Long term health manpower planning at national level in Burkina Faso.
  • Evaluation of basic training of paramedical personnel. Project Preparation and Appraisal.
  • Technical assistance support to the National Public Health School of Ouagadougou.
Description of Actual Services Provided:
  • Responsible for the review of health of health manpower development in Burkina Faso, specifically for paramedical staff.
  • Identification and appraisal of the project proposal of support to manpower training at the new Public Health School of Ouagadougou.
  • Responsible for part of the project implementation.
  • Responsible for developing a 5 year development plan with the authorities of the school, including aspects of internal management.
  • Co-responsible for assisting the authorities of the school in reviewing the present training curricula.
Year:1992 - 1997

Assignment: Promotion of training at the School of Public Health in Ouagadougou
Client: Danida
Country: Burkina Faso
Fields of expertise: Long Term Technical Assistance, Planning, Organisation and Management, Training and Human Resource Development
Description:Narrative Description of Project:
  • Support to the School of Public Health for the training of paramedical staff;
  • Development of a master plan for 5 to 10 years;
  • Support in the organisation and administrative and financial management of the School;
  • Review of the curriculum program for training of paramedical staff.
  • Several intermittent missions.
Year:1994 - 1998

Assignment: Review of Danida Supported Health Research in Developing Countries
Client: Danida
Country: Global
Fields of expertise: Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:Narrative Description of Project:
Review the Danida supported health research regarding:
  • Scientific quality
  • Range in terms of volume, comprehensiveness and priority areas
  • Impact in terms of changed approaches
  • Effect on capacity building in developing countries
  • Impact in terms of influencing national health policy and the international health debate
Recommend scenarios for the future Danida support in the research area.

Description of Actual Services Provided:
  1. Initial briefing meeting between Review Team and the MoFA and the Danish research community and key Danish consultancy companies.
  2. Inception report based on a desk summary: previous reviews and available documentation; review of broad selection of research work supported by Danida, questionnaires to Danish research institutions; and international work on health sector research in developing countries.
  3. Review of all research conducted 1996-2006.
  4. Review, with a view to get ideas from different approaches, of other donor agencies’ approach to support health research in developing countries (including CIDA, DfiD, EC, Netherlands, NORAD, SDC, SIDA/SAREC, USAID and Gates Foundation
  5. Interviews and workshops with relevant stakeholders.
  6. Three country studies.
  7. Final report and recommendations.
Year:2006 - 2007

Assignment: Project identification and formulation at provincial level
Client: Danida
Country: Mozambique
Fields of expertise: Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Hospital Services, Identification and Formulation, Training and Human Resource Development
Description:Narrative Description of Project:
Project identification and formulation at provincial level. Planning of primary health care services, health districts, training of health personnel, rehabilitation of infrastructure, development of a national health information system.
Year:1990

Assignment: Review of Danida Supported Health Research in Developing Countries
Client: Danida
Country: Ghana
Fields of expertise: Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:Narrative Description of Project:
Review the Danida supported health research regarding:
  • Scientific quality
  • Range in terms of volume, comprehensiveness and priority areas
  • Impact in terms of changed approaches
  • Effect on capacity building in developing countries
  • Impact in terms of influencing national health policy and the international health debate
Recommend scenarios for the future Danida support in the research area.

Description of Actual Services Provided:
  1. Initial briefing meeting between Review Team and the MoFA and the Danish research community and key Danish consultancy companies.
  2. Inception report based on a desk summary: previous reviews and available documentation; review of broad selection of research work supported by Danida, questionnaires to Danish research institutions; and international work on health sector research in developing countries.
  3. Review of all research conducted 1996-2006.
  4. Review, with a view to get ideas from different approaches, of other donor agencies’ approach to support health research in developing countries (including CIDA, DfiD, EC, Netherlands, NORAD, SDC, SIDA/SAREC, USAID and Gates Foundation
  5. Interviews and workshops with relevant stakeholders.
  6. Three country studies.
  7. Final report and recommendations.
Year:2006 - 2007

Assignment: Review of Danida Supported Health Research in Developing Countries
Client: Danida
Country: Tanzania / Zanzibar
Fields of expertise: Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:Narrative Description of Project:
Review the Danida supported health research regarding:
  • Scientific quality
  • Range in terms of volume, comprehensiveness and priority areas
  • Impact in terms of changed approaches
  • Effect on capacity building in developing countries
  • Impact in terms of influencing national health policy and the international health debate
Recommend scenarios for the future Danida support in the research area.

Description of Actual Services Provided:
  1. Initial briefing meeting between Review Team and the MoFA and the Danish research community and key Danish consultancy companies.
  2. Inception report based on a desk summary: previous reviews and available documentation; review of broad selection of research work supported by Danida, questionnaires to Danish research institutions; and international work on health sector research in developing countries.
  3. Review of all research conducted 1996-2006.
  4. Review, with a view to get ideas from different approaches, of other donor agencies’ approach to support health research in developing countries (including CIDA, DfiD, EC, Netherlands, NORAD, SDC, SIDA/SAREC, USAID and Gates Foundation
  5. Interviews and workshops with relevant stakeholders.
  6. Three country studies.
  7. Final report and recommendations.
Year:2006 - 2007

Assignment: Review of Danida Supported Health Research in Developing Countries
Client: Danida
Country: Uganda
Fields of expertise: Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Sector Wide Approach (SWAp), Training and Human Resource Development
Description:Narrative Description of Project:
Review the Danida supported health research regarding:
  • Scientific quality
  • Range in terms of volume, comprehensiveness and priority areas
  • Impact in terms of changed approaches
  • Effect on capacity building in developing countries
  • Impact in terms of influencing national health policy and the international health debate
Recommend scenarios for the future Danida support in the research area.

Description of Actual Services Provided:
  1. Initial briefing meeting between Review Team and the MoFA and the Danish research community and key Danish consultancy companies.
  2. Inception report based on a desk summary: previous reviews and available documentation; review of broad selection of research work supported by Danida, questionnaires to Danish research institutions; and international work on health sector research in developing countries.
  3. Review of all research conducted 1996-2006.
  4. Review, with a view to get ideas from different approaches, of other donor agencies’ approach to support health research in developing countries (including CIDA, DfiD, EC, Netherlands, NORAD, SDC, SIDA/SAREC, USAID and Gates Foundation
  5. Interviews and workshops with relevant stakeholders.
  6. Three country studies.
  7. Final report and recommendations.
Year:2006 - 2007

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

Assignment: 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: Financing of the Health Sector
Client: EC - EDF
Country: Solomon Islands
Fields of expertise: Basic Health Services, Health Financing and Provider Payment, Health Information System / Epidemiology / Operational Research, Identification and Formulation, Monitoring and Evaluation, Training and Human Resource Development
Description:Narrative Description of Project:
  • Evaluation of ongoing EU financed health project.
  • Study on financing of the health sector.
  • Proposals for EU support in the context of the planned Structural Adjustment Plan.
Description of Actual Services Provided:
  • Responsible for the evaluation of the EU financed Health Sector Program in the Solomon Islands, specifically in the areas of manpower development, health information, infrastructure, equipment and maintenance policy.
  • Identification of future project development.
  • Responsible for carrying out a health sector financing study of the Solomon Islands, formulating proposals for financing within the context of the Structural Adjustment Programme.
Year:1994

Assignment: Evaluation of the HIV/AIDS interventions financed by the EDF (training course)
Client: EC - EDF
Country: Dominican Republic
Fields of expertise: HIV-AIDS-STI-TB, Monitoring and Evaluation, Training and Human Resource Development
Description:Narrative Description of Project:
Evaluation of the HIV/AIDS interventions financed by the EDF (training course).
Year:1996

Assignment: Long Term Technical Assistance on Human Resource Management
Client: Embassy of Sweden
Country: Zambia
Fields of expertise: Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, Long Term Technical Assistance, Planning, Organisation and Management, Training and Human Resource Development
Description:Narrative Description of Project:
To provide expert advice and assistance on human resource issues to the Ministry of Health in general and the Directorate for Human Resources and Administration in particular. Capacity building to deal effectively with current major human resource issues and lay the foundation for the longer term improvement in health care staffing levels and management.

Description of Actual Services Provided:
Key tasks:
  • Enable the Ministry of Health resolve the immediate staffing crisis
  • Develop the focus on strategy in the human resource function at national level
  • Strengthen the general capacity for human resource management/development
  • Support the completion of the management restructuring
  • Help to strengthen career planning and progression of health workers at all levels.
Year:2006 - 2008

Assignment: Evaluation of the HIV/AIDS Training Course: "Planning for the social and economic impact of HIV/AIDS in developing countries"
Client: European Commission
Country: Global
Fields of expertise: HIV-AIDS-STI-TB, Monitoring and Evaluation, Training and Human Resource Development
Description:Narrative Description of Project:
Evaluation of the HIV/AIDS Training Course: "Planning for the social and economic impact of HIV/AIDS in developing countries".
Year:1998

Assignment: Formulation of the 10th EDF Health and HIV/AIDS Programme
Client: European Commission
Country: Mozambique
Fields of expertise: Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, HIV-AIDS-STI-TB, Identification and Formulation, Planning, Organisation and Management, Training and Human Resource Development
Description:Narrative description of Project:

The European commission has been active in the health sector in Mozambique for many years. The modality of EC support has gradually changed from project support towards sector wide support. EC support aims at strengthening health systems through systems reform and related capacity building as well as through direct financial support. In order to identify appropriate EC support under the EDF-10 to strengthen institutional capacity in the health sector, a needs assessment for capacity building and a mapping of these needs was undertaken.
The objective of this consultancy was to provide advice on the outline of the next EC health and HIV/AIDS Sector Policy Support Programme in Mozambique (2009-2011), specifically in relation to the needs for capacity development for the National AIDS Council and for the Ministry of Health. Options for financial support to CNCS and sector budget support under the PROSAUDE II financing modality were explored.

Description of actual services provided by your staff within the assignment:

The following activities were performed in order to achieve the mission objectives:
  • The team met with key officials from MOH, CNCS, to identify perceived needs for support, to make a situation analysis of ‘systems development’ within MOH and CNCS, and to map available technical assistance and needs for institutional capacity building.
  • A desk study of relevant documentation on the development of the health sector, including the development of SWAP was undertaken;
  • The team assessed the extent to which EC eligibility criteria for further support were met.
  • It was suggested to include five areas of support in the EC support plan (SPSP):
    1. Proactive participation of the delegation in the MoH led sector wide approach;
    2. Financial support through the sectoral ‘Proasaude’ on-budget common management arrangement;
    3. Development of appropriate, innovative and effective approaches of institutional capacity building, including twinning arrangements with relevant public health institutions;
    4. Technical assistance to support institutional development at all levels in the health sector.
    5. Technical support to the CNCS to support an effective national response to the HIV/AIDS epidemic.
  • The team proposed to provide this support through three modalities:
    1. Financial support to Prosaude, according to national management procedures;
    2. Delegated support to CNCS, by involving a EU Member State;
    3. Specific EC procedures for providing TA.
Year:2008

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: Mid-term Review of ITM-DGCD Framework Agreement
Client: Institute of Tropical Medicine
Country: Global
Fields of expertise: Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:Narrative Description of Project:
The over-all objectives of the MTR were:
  1. to assess the performance of the programme in achieving their objectives
  2. to assess the performance of a number of projects in achieving their objectives
  3. to contribute to the planning of the future programmes
The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future.

Description of Actual Services Provided:
  • Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South.
  • Nine missions to different countries.
  • A participative approach supervised by a committee composed of members of ITM and DGCD.
  • Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:2005 - 2006

Assignment: Mid-term Review of ITM-DGCD Framework Agreement
Client: Institute of Tropical Medicine
Country: Vietnam
Fields of expertise: Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:Narrative Description of Project:
The over-all objectives of the MTR were:
  1. to assess the performance of the programme in achieving their objectives
  2. to assess the performance of a number of projects in achieving their objectives
  3. to contribute to the planning of the future programmes
The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future.

Description of Actual Services Provided:
  • Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South.
  • Nine missions to different countries.
  • A participative approach supervised by a committee composed of members of ITM and DGCD.
  • Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:2005 - 2006

Assignment: Mid-term Review of ITM-DGCD Framework Agreement
Client: Institute of Tropical Medicine
Country: Benin
Fields of expertise: Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:Narrative Description of Project:
The over-all objectives of the MTR were:
  1. to assess the performance of the programme in achieving their objectives
  2. to assess the performance of a number of projects in achieving their objectives
  3. to contribute to the planning of the future programmes
The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future.

Description of Actual Services Provided:
  • Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South.
  • Nine missions to different countries.
  • A participative approach supervised by a committee composed of members of ITM and DGCD.
  • Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:2005 - 2006

Assignment: Mid-term Review of ITM-DGCD Framework Agreement
Client: Institute of Tropical Medicine
Country: Niger
Fields of expertise: Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:Narrative Description of Project:
The over-all objectives of the MTR were:
  1. to assess the performance of the programme in achieving their objectives
  2. to assess the performance of a number of projects in achieving their objectives
  3. to contribute to the planning of the future programmes
The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future.

Description of Actual Services Provided:
  • Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South.
  • Nine missions to different countries.
  • A participative approach supervised by a committee composed of members of ITM and DGCD.
  • Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:2005 - 2006

Assignment: Mid-term Review of ITM-DGCD Framework Agreement
Client: Institute of Tropical Medicine
Country: Senegal
Fields of expertise: Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:Narrative Description of Project:
The over-all objectives of the MTR were:
  1. to assess the performance of the programme in achieving their objectives
  2. to assess the performance of a number of projects in achieving their objectives
  3. to contribute to the planning of the future programmes
The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future.

Description of Actual Services Provided:
  • Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South.
  • Nine missions to different countries.
  • A participative approach supervised by a committee composed of members of ITM and DGCD.
  • Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:2005 - 2006

Assignment: Mid-term Review of ITM-DGCD Framework Agreement
Client: Institute of Tropical Medicine
Country: Zambia
Fields of expertise: Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:Narrative Description of Project:
The over-all objectives of the MTR were:
  1. to assess the performance of the programme in achieving their objectives
  2. to assess the performance of a number of projects in achieving their objectives
  3. to contribute to the planning of the future programmes
The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future.

Description of Actual Services Provided:
  • Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South.
  • Nine missions to different countries.
  • A participative approach supervised by a committee composed of members of ITM and DGCD.
  • Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:2005 - 2006

Assignment: Mid-term Review of ITM-DGCD Framework Agreement
Client: Institute of Tropical Medicine
Country: Cambodia
Fields of expertise: Basic Health Services, Health Information System / Epidemiology / Operational Research, Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Hospital Services, Monitoring and Evaluation, Other Health Programmes, Planning, Organisation and Management, Reproductive Health, Training and Human Resource Development
Description:Narrative Description of Project:
The over-all objectives of the MTR were:
  1. to assess the performance of the programme in achieving their objectives
  2. to assess the performance of a number of projects in achieving their objectives
  3. to contribute to the planning of the future programmes
The MTR provided an overview of the entire programme, its design and implementation; an assessment of its relevance, effectiveness, impact and sustainability; an individual evaluation of a number of south projects; and recommendations for the future.

Description of Actual Services Provided:
  • Study of documents, writing and treatment of specific questionnaires, interviews with staff of ITM and DGCD and their partners in the South.
  • Nine missions to different countries.
  • A participative approach supervised by a committee composed of members of ITM and DGCD.
  • Writing of evaluation reports with focus on education, institutional strengthening, shared research projects and policy support.
Year:2005 - 2006

Assignment: Identification mission: statistics, impact monitoring assessment and project design
Client: Lot 8
Country: Laos
Fields of expertise: Health Information System / Epidemiology / Operational Research, Identification and Formulation, Monitoring and Evaluation, Training and Human Resource Development
Description:Narrative description of Project:
The global objective was to analyse the statistics and service delivery monitoring capacities within the MoH, specifically through the implementation of the HMIS, and design a project proposal for capacity development to assist MOH to run a service delivery monitoring system. The more specific objective was to assess the existing institutional strengths and weaknesses of the current HMIS as well as to identify the priority needs for capacity building

Description of actual services provided:
The consultant assessed the existing institutional strengths and weaknesses as well as identified the priority needs for capacity building. Therefore the expert:
  • Studied the HMIS format, templates and flows as approved by MOH in March 2004;
  • Obtained and reviewed all relevant project documentation of donors currently involved in the implementation of the HMIS, including ADB, WB, Lux Development and WHO and held discussions with them to ensure complimentarily of EC support;
  • Reviewed WHO updated HMIS implementation strategy with different stakeholders;
  • Close collaboration and support of the Division of Statistics, Department of Planning and Finance. Identify their needs and propose areas where technical assistance of the EC could be constructive;
  • Identify training needs of health staff to use HMIS data collection forms at Central, Provincial, District and Health Centre levels; Identify needs for improved utilisation of HMIS for evidence-based management at every level of the health pyramid both at facility level as well as health office level;
  • Undertake two field visits;
  • Assess the level of computerisation in the use of HMIS at different levels and the plans in the near future to increase computerisation and upgrade software;
  • Liaise with the unit in the Prime Minister Office managing the national e-governance programme in order to identify the data that the HMIS can provide;
  • Liaise with the National Statistics Centre to identify any needs in terms of increasing the information sharing between MOH and NSC.
Year:2008

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: Capacity Building for key players to improve efficiency of Communication Strategies on HIV and AIDS in Mauritius
Client: National AIDS Secretariat
Country: Mauritius
Fields of expertise: Health Information System / Epidemiology / Operational Research, HIV-AIDS-STI-TB, Planning, Organisation and Management, Training and Human Resource Development
Description:Narrative description of Project:

In March 2007 a National Multisectoral HIV&AIDS Communication Strategy has been developed for the period 2007-2011. Since then, evidence-based information has redefined the epidemiological profile of HIV in Mauritius and on the other hand the National AIDS Secretariat – created in 2001 - has started functioning effectively.

The national strategy for communication had therefore to be revised and an operational plan developed with the participation of all stakeholders to ensure optimization of resources allocated in communication.

Description of actual services provided by your staff within the assignment:
  • Revision of the communication plan to ensure that the following topics would be addressed accordingly:
    • Prevention of HIV infection in drug users, prisoners and sex-workers
    • acceptance by the general population of needle exchange and methadone programme
    • reduction of stigma and discrimination toward those infected or vulnerable
  • Training of stakeholders on communication in areas selected as priority in a previous assessment conducted in July 2008
  • Development of an operational plan for implementation of communication strategies
  • Revision of the set of national indicators (in M&E Plan) to evaluate the progress made by communication strategies; proposition of possible additional indicators and tools to inform them.
Year:2009

Assignment: Program of Supplementary Measures to support the EU HIV Action plan for Benghazi (phase 4) in Libya
Client: Red Cross Belgium
Country: Libya
Fields of expertise: Health Information System / Epidemiology / Operational Research, HIV-AIDS-STI-TB, Planning, Organisation and Management, Training and Human Resource Development
Description:Narrative description of Project:

In 1998, a severe HIV/AIDS epidemic broke out at Benghazi Children’s Hospital. The Libyan authorities requested the support of the EU, in particular in terms of policy advice, institutional support and training. The “EU HIP Action Plan for Benghazi (BAP)” was launched in November 2004 with the aim to assure appropriate medical care for the cohort of HIV-infected children. Since then, three successive decisions taken by the Commission have supported the implementation of the BAP.
The objective of BAP 4 is to introduce a coherent and integrated methodology for HIV/AIDS prevention and treatment starting from Benghazi, and progressively extending in to the whole country over the next few years.

Description of actual services provided by your staff within the assignment:

The consultant has assisted the Libyan counterpart in consistently implementing all activities agreed under the BAP. The intervention was based on a multidisciplinary and pro-active approach developed and used under previous phases of BAP with a special emphasis on the consolidation of the results achieved and integration and harmonisation with national and local policies and programmes.

The specific services provided by the consultant were as follows:
  • Attend the inception meeting in Libya to define a detailed schedule of activities;
  • Provide support to the activities which aim to upgrade the BCIDI laboratory up to an international quality level in order to become a national reference centre. This included definition of laboratory protocols and guidelines; establish Quality Assurance policy and control procedures; implement the procedures and provide continuous service training and long distance follow up;
  • Assist the BCIDI and medical staff to upgrade the level of treatment in BCIDI up to an international standard through introducing the concept of evidence based medicine; defining public and monitoring indicators; consolidating the case management system and multidisciplinary approach; formalising national guidelines and treatment protocols; consolidating and evaluating nurses trainings; establishing a scientific forum for clinical discussions;
  • Provide appropriate management support and assist in the development of the Management Information system (MIS)
  • Strengthen the national blood safety programme by assisting in the approval of draft legislation; support in blood safety training; support in computerisation of blood organisation and support the reorganisation of blood transfusion at national level;
  • Develop community awareness, prevention of stigma and counselling to children and families. This included streamlining the supervision and plan continuous training; implementing counselling for different groups; establishing a forum to raise awareness; address the national agenda through coordination with National AIDS Programme; development and implementation of a treatment adherence strategy and encouragement and implementation of health education programmes with particular relevance to HIV/AIDS
Year:2008 - 2009

Assignment: Planning and financing of AIDS prevention
Client: SIDA Agency
Country: Belgium
Fields of expertise: Health Financing and Provider Payment, HIV-AIDS-STI-TB, Planning, Organisation and Management, Public Private Partnership, Training and Human Resource Development
Description:Narrative Description of Project:
Study of the financing of secondary and tertiary prevention of Aids in Belgium, in the French speaking Community.

Medium-term and operational planning of Aids prevention in the French Community of Belgium.

Detailed Description of Actual Services provided:
  • Analysis of present financing mechanisms at federal and state level of AIDS care and prevention. Development of a new financing mechanism at national and state level for AIDS prevention.
  • Teaching planning skills to actors at state and local level. Development of a 3 year rolling plan for AIDS prevention in the French Community of Belgium, together with the main actors through the Logical Framework Approach and consensus exercises.
Year:1994 - 1995