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Session Title: Evaluating Health Programs in Developing Countries
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Panel Session 261 to be held in Sebastian Section L1 on Thursday, Nov 12, 10:55 AM to 12:25 PM
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Sponsored by the International and Cross-cultural Evaluation TIG
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| Chair(s): |
| Monika Huppi, World Bank, mhuppi@worldbank.org
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| Abstract:
This session is designed to present the results of evaluations of support for health programs in developing countries. It includes the findings of a broad World Bank Group evaluation, the findings of an evaluation of sector wide multi-donor programs (SWAPs), and of an evaluation of the Global Fund to Fight AIDS, Tuberculosis, and Malaria. The presentations will discuss both the substantive findings and the methodological challenges to conducting the evaluations.
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Evaluating a Decade of World Bank Group Health Sector Support
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| Martha Ainsworth, World Bank, mainsworth@worldbank.org
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The mandate of the World Bank Group is to reduce poverty and promote economic growth. Poor health and malnutrition contribute to low productivity of the poor; improving HNP outcomes is thus seen as a major way of reducing poverty. However, poverty is also a prime cause of poor health, malnutrition, and high fertility. The Independent Evaluation Group of the World Bank evaluated a decade of World Bank group support to help improve health outcomes in developing countries. It looked at what the objectives, effectiveness and main outcomes of this assistance were and what accounted for them. This session will discuss how the evaluation team went about answering these questions, what methodological challenges it encountered and what the major findings were.
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Evaluating Health Sector Sector Wide Multi-donar Programs (SWAP)s
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| Denise Vaillancourt, World Bank, dvaillancourt@worldbank.org
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A sector-wide approach (SWAp) is an approach to support a locally owned program for a coherent sector in a comprehensive and coordinated manner, moving toward the use of country systems. SWAps represent a paradigm shift in the focus, relationship and behavior of governments and their development partners. This presentation is based on (a) fieldwork undertaken in five countries where the World Bank, in coordination with multiple other development partners, has supported health SWAps (Bangladesh, Ghana, Kyrgyz, Malawi and Nepal); (b) internal completion reports on 11 completed health SWAp operations; and (c) a search of the SWAp literature. It stems from an Independent Evaluation Group study, and addresses three evaluative questions: Have the anticipated benefits of the SWAps been realized? Have health SWAps had any impact on health system performance and outcomes? How has the World Bank's role and performance changed under SWAps?
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Five-year Evaluation of the Global Fund to Fight AIDS, Tuberculosis, and Malaria
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| Edward Addai, Global Fund to Fight AIDS, Tuberculosis, and Malaria, edward.addai@theglobalfund.org
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The Global Fund was created in 2002 as a financing institution operating on the principles of country ownership, absence of a country presence, partnerships, lean and fast processes, and performance-based funding. Its Board decided in 2006 to evaluate the Global Fund's performance after its first five years, corresponding to a full grant cycle. The evaluation examined the contribution of the Global Fund and other international partners to scaling up against three diseases, the partnership model, and organizational effectiveness and efficiency. The design used primary data from district comprehensive assessments, secondary data from household surveys and country information systems, analysis of grant performance, review of documentation and the broader literature, and focus group interviews with Board members, Secretariat Staff, implementers, and partners at global and country levels. The presentation will highlight the methodology and findings, to be released in May 2009.
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