Evaluation of DFID's Work in Ethiopia 2003-2008

The Country Program Evaluation for Ethiopia assessed the relevance, effectiveness and efficiency of the Department of International Development (DFID)’s development program from 2003 to 2008. Over this period, the program has been rapidly scaled up, from around £43 million in 2002/03 to £140 million in 2007/08.  The report includes findings and recommendations.

Country Program Evaluation: Ethiopia

The evaluation acknowledges the significant contribution made by DFID to development in Ethiopia, most notably in a high level of alignment with government strategies and its systems, particularly in the latter period the Protection of Basic Services.

Balanced Scorecard Assessment Status Report

The Ethiopian Federal Ministry of Health (FMOH) has made great strides in creating a culture of planning. From strategic to operational planning, members of the health sector at large appreciate the value of planning their work and working their plans. In 2007, the FMOH embarked on a journey to transform its strategic planning and management processes by adopting the Balanced Scorecard (BSC) as their framework.

Leadership and Management

A broken health system is a silent killer. People get sicker and die in disproportionate numbers just as they do during an epidemic. Yet the culprit is not lack of knowledge. Nor is it always a shortage of funds. Technically and medically, we know what to do to reduce illness and save lives. But what is sorely amiss is the dearth of knowledge and skill to manage these very complicated health systems. Dr. William H. Foege sums up the issue as "global health waits expectantly for management to match its science."

Signed, Sealed, Delivered? Evidence from Rwanda on the Impact of Results-based Financing for Health

Excitement is growing about results-based financing (RBF) for health, a financing mechanism that turns the traditional donor approach of paying for inputs on its head. RBF for health is a cash payment or non-monetary transfer made to a national or sub-national government, provider, payer, or consumer of health services after predefined results have been attained and verified.

Paying Primary Health Care Centers for Performance in Rwanda

Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. P4P can affect health care by providing incentives for providers to put more effort into specific activities, and by increasing the amount of resources available to finance the delivery of services. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventive care using data produced from a prospective quasi-experimental evaluation nested into the national rollout of P4P in Rwanda.

Educating leaders in hospital management: a new model in Sub-Saharan Africa

Strengthening health systems is an international priority as highlighted by the World Health Organization, World Bank and major donor groups. Central to health systems strengthening is enhancing the management capacity within a health-care delivery system.

Strong Ministries for Strong Health Systems

Through detailed interviews with those who know these issues best — the ministers and their stakeholders — this report examines the roles of health ministries, their resource needs, and the challenges they face. Based on the candid and thoughtful input of those interviewed, and the supporting research and consultation activities, this report offers seven action items geared toward building a systematic and sustained program of support for health ministries.

Reducing Financial Barriers to Reproductive Health Care: Experiences with Free Care and Health Insurance

High-level support and smart program design are crucial to launching health financing strategies, but success hinges on developing effective implementation and monitoring, according to a MLI issue brief on reducing financial barriers to reproductive health released this month. 

  • MLI Voices

    Jun 22 2009 - 4:25pm

    Sierra Leone

    Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.


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