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Asraade Aba
Aug
ate (MD, M
gust, 201
MSc)
10
F M O H
 
ACRO
ADC
ARM
BPR
BSC
DAC
DCI
DFID
DPs
EFY
FMO
HPF
HPN
HSD
IA
IC
JCCC
JRM
M&E
MDG
MDG
MOU
PAS
PFM
PPFG
RHB
RNE
TA
TOR
UNIC
WBP
WHO
H ,   E t h i o
ONYMS
C ……
M ……
R ……
……
CA ……
……
D ……
……
……
OH ……
……
N ……
DP ……
……
……
C ……
M ……
E ……
G ……
G PF ……
U ……
DEP ……
M ……
GD ……
B ……
E ……
……
R ……
CEF ……
P ……
O ……
p i a   –   E v
S
………. Aus
………. Ann
………. Bus
………. Bal
………. Dru
………. Dev
………. De
………. Dev
………. Eth
………. Fed
………. Hea
………. Hea
………. Hea
………. Iris
………. Ita
………. Joi
………. Joi
………. Mo
………. Mil
………. Mil
………. Me
………. Pla
………. Poo
………. Pol
………. Reg
………. Roy
………. Tec
………. Ter
………. Un
………. Wo
………. Wo
a l u a t i o n
strian Devel
nual Review
siness Proce
lanced Score
ug Administ
velopment C
partment Fo
velopment P
hiopian Fisca
deral Minist
alth Pooled
alth, Popula
alth Sector
sh Aid
alian Cooper
nt Core Coo
nt Review M
onitoring and
llennium De
llennium De
emorandum
an for Accele
oled Fund m
licy, Plan an
gional Healt
yal Netherla
chnical Assis
rms of Refer
ited Nations
oreda Based
oreda Health
n   o f   H e a
lopment Coo
w Meeting
ess Re-engin
e card
tration and C
Cooperation
or Internatio
Partners
al Year
ry of Health
Fund
ation and Nu
Developmen
ration
ordinating C
Meeting
d Evaluation
evelopment
evelopment
of Understa
erated and S
manager
nd Finance G
th Bureau
ands Embas
stance
rence
s Children’s
d Planning
h Office
l t h   P o o l
I
operation
neering
Control Age
n of Ireland
onal Develo
h
utrition
nt Plan
ommittee
n
Goals
Goals Poole
anding
Sustained D
General Dire
sy
Education F
e d   F u n d
Index consu
ncy
opment
ed Fund
Development
ectorate
Fund
                     
sult, August,
t to End Pov
   | 1 
 2010 
verty
F M O H
 
Table
1. IN
1
1
1
1
1
1
2. O
3. SC
3
3
4. IM
4
4
4
4
5. R
6. A
6
6
H ,   E t h i o
e of Con
NTRODUCTIO
.1. Establish
.2. Objective
.3. Developm
.4. Implemen
.5. The Pool
.6. Reporting
OBJECTIVES O
COPE OF THE
.1. Pre-evalu
.2. Output o
MPLEMENTA
.1. Financial
4.1.1.
4.1.2.
.2. Major Ac
4.2.1.
4.2.2.
4.2.3.
4.2.4.
.3. Performa
.4. Performa
4.4.1.
4.4.2.
4.4.3.
4.4.4.
4.4.5.
REFERENCES
ANNEX
.1. List of Pa
.2. Question
p i a   –   E v
ntents
ON
hment of the H
es of the Hea
ment Partner
ntation and M
l Fund Mana
g
OF THE EVAL
E EVALUATIO
uation steps
f the Evaluat
ATION RESUL
l highlights
Inflow of f
Expenditur
chievements
Technical A
Reviews, T
Studies and
Woreda ba
ance, Effectiv
ance of Partn
Conclusion
Enhancing
Sustainabil
Technical A
Availabilit
articipants
nnaire
a l u a t i o n
Health Secto
alth Pooled F
rs Contributin
Monitoring o
ager
LUATION
ON AND MET
tion
LTS
funds
res
of the Projec
Assistance
Trainings and
d Researches
ased Plannin
veness and E
ners
n and Recom
g monitoring
lity of the He
Assistance a
ty of Operatio
n   o f   H e a
or Pooled Fun
Fund
ng to HPF-II
of Health Sec
THODOLOGY
ct
d Exposures
s
g
fficiency of t
mmendations
and evaluati
ealth Pooled
and Needs an
on Procedure
l t h   P o o l
I
nd
I
ctor Pooled F
Y
the Project
s
ion measures
Fund
nd Impact As
es and Manu
e d   F u n d
Index consu
Fund
s
ssessment
uals
                     
sult, August,
   | 2 
 2010 
F M O H
 
Execu
The
to e
syste
plan
Harm
harm
proc
proc
The
HSD
less
HSD
mon
HSD
issue
of n
parti
and
The
purp
repo
utiliz
reco
I wa
mad
ente
2007
conf
activ
The
FMO
stud
H ,   E t h i o
utive su
Federal De
nsuring the
em through
, the FMOH
monization a
monization a
cess, the He
cess of HSDP
overall obje
DP by suppo
cumbersom
DP-III. The H
itoring and
DP mid-term
es; training
national and
icipated in H
UNICEF. DP
objective of
pose or not
orts a true a
zation of H
ommendation
s engaged t
e available
ered by Deve
7 to June 20
formed to th
vities as a wh
main activit
OH Reviews
ies and also
p i a   –   E v
ummary
mocratic Re
accessibilit
the impleme
H and the HP
and Alignme
and alignme
ealth Pooled
P and achiev
ective of the
orting its im
me funding m
HPF-II spec
evaluation
m evaluation;
and visits bo
d internatio
HPF-II betwe
Ps contributi
f the evalua
by providin
and fair view
HPF-II in a
ns.
to perform t
in HPF-II fo
elopment Pa
010. The ev
he guideline
hole.
ties accomp
s, continued
o the full sup
a l u a t i o n
y
epublic of Et
y of effectiv
entation of th
PN Develop
ent Action P
ent for aid
d Fund (HPF
vement of th
HPF-II is to
mplementatio
mechanisms
cifically cove
through sup
; policy dialo
oth within an
onal consult
een July 20
ions to HPF-
tion is to as
ng evidence
w of the perf
accordance
the evaluatio
or the progr
artners and
valuation wa
as provided
plished in HP
support fo
port to carry
n   o f   H e a
thiopia, Mini
ve health se
he Health S
ment Partne
Plan that su
effectivenes
F) is establis
he MDGs in
o contribute
on process t
s, in line wit
ered expens
pervision an
ogue works
nd outside t
tants. A to
07 and June
-II amounted
ssess wheth
e for the DP
formance, e
with its o
on of the ac
ram of work
FMOH. The
as executed
d in the MO
PF-II include
r Trainings
y out the Wo
l t h   P o o l
I
stry of Healt
ervices at e
ector Develo
ers have dev
upports the
ss. As par
shed to sup
Ethiopia.
to the fulfillm
through flex
h the Harmo
ses related
d meetings
hops; studie
he country,
otal of six
e 2010: DC
d to a total o
er the fund
Ps and the
effectiveness
objectives,
ctivities, perf
by all sour
e evaluation
d in accorda
OU and cove
es the provi
and Expos
reda Based
e d   F u n d
Index consu
th (FMOH) i
very level o
opment Plan
veloped a H
country’s ac
rt of this ha
pport the imp
ment of the
xible, time-s
onization Ac
to technical
such as A
es on key h
and also for
Developme
I, RNE, DFI
f $ 4,692,91
has served
FMOH. The
s, efficiency
thereby dr
formance an
ces based o
covered the
nce with sta
ered the Po
ision of TAs
ures, asses
Planning.
                     
sult, August,
is committed
of the health
n. Within this
Health Secto
ction plan o
armonization
plementation
goals of the
ensitive and
ction Plan o
assistance
RMs, JRMs
health secto
r recruitmen
ent Partners
ID, IC, ADC
3.77 million
its intended
e evaluation
and eligible
raw lessons
nd resources
on the MOU
e period July
andards and
ooled Fund’s
s, successfu
ssments and
   | 3 
 2010 
d
h
s
r
of
n
n
e
d
of
e,
s;
r
t
s
C,
.
d
n
e
s
s
U
y
d
s
ul
d
F M O H
 
In g
resp
need
proc
from
there
The
new
conf
Hea
need
parti
man
imple
How
•
•
•
•
H ,   E t h i o
eneral, the
ponsive and
ds of HSDP
cess. The es
m the HPF. T
eby reach th
overall findi
donors in t
ference, and
lth Pooled F
ds of the H
icipatory. UN
aging the
ementation
wever, there a
The utilizati
The reques
Monitoring
Ensuring TA
requires tho
p i a   –   E v
evaluation
demand-dr
P by strength
stablishment
These are im
he poor in Et
ings in HPF
the Pooled
d increased
Fund has sig
HSDP more
NICEF, as
fund and
process.
are significa
ion of the fun
sts made by
activities ne
A effectivene
orough Need
a l u a t i o n
revealed th
iven fund c
hening the
of the MDG
mportant ste
hiopia.
-II demonstr
Fund, involv
level of fun
gnificant be
e efficiently.
a Pooled F
also to f
ant concerns
nd as a who
RHBs to util
ed to be enh
ess and skil
ds and Impa
n   o f   H e a
hat HPF-II is
hanneled to
planning an
G Performanc
pping stone
rated advan
vement of D
nding. The e
nefits in allo
. The involv
und Manag
fill importan
s that need to
ole was very
lize HPF-II h
hanced to en
l transfer for
ct Assessme
l t h   P o o l
I
s widely se
owards the m
nd coordinat
ce Funds ha
es in realizin
cements in
DPs in study
evaluation te
owing fundin
vement of
er, provided
nt funding
o be address
low;
has been ins
nsure eligible
r capacity bu
ent;
e d   F u n d
Index consu
een as effec
most urgent
tion and imp
as drawn a lo
g the Paris
terms of pa
y tours and
eam conclud
ng to respon
donors has
d substantia
gaps thro
sed and incl
significant;
e fund utiliza
uilding and s
                     
sult, August,
ctive, timely
t and critica
plementation
ot of lessons
Agenda and
rticipation o
internationa
ded that the
nd to priority
s been very
al support in
oughout the
ude:
ation;
sustainability
   | 4 
 2010 
y,
al
n
s
d
of
al
e
y
y
n
e
y
F M O H
 
Introd
1. Estab
The
ensu
throu
HSDP
be im
Partn
suppo
part o
the im
Since
fundi
mech
Monit
such
key h
and
imple
The f
Marc
Nethe
UNIC
first H
purpo
accou
suppo
H ,   E t h i o
duction
blishment of
Federal Dem
ring the acc
ugh the imple
P III is near
mplemented
ners have d
orts the cou
of this harm
mplementatio
e its inceptio
ng aimed
hanisms. Th
toring and E
as ARMs, J
health secto
also for
ementation o
first phase o
h 2007 by a
erlands Em
CEF, which a
HPF, condu
ose intended
unt the reco
ort the exten
p i a   –   E v
f the Health
mocratic Re
cessibility of
ementation
its complet
from 2010-
eveloped a
untry’s action
onization pr
on process o
on on July 20
at support
he HPF sp
Evaluation th
JRMs, HSDP
r issues; Tra
recruitment
of HSDP and
of the HPF
joint fundin
bassy (RNE
also carried
cted in Mar
d. Based on
ommendation
nsion of the
a l u a t i o n
Sector Poo
epublic of Et
f effective h
of the Healt
ion and the
-2015. Withi
Health Sec
n plan of har
rocess, the H
of HSDP and
005, the Hea
ting implem
ecifically co
hrough Sup
P Mid-Term
aining and E
of nationa
d also build t
was implem
g from the D
E), the Dep
out the fun
rch/April 200
n the positiv
ns of the eva
Fund into a
n   o f   H e a
oled Fund
thiopia, Min
health servic
th Sector De
preparation
n this plan,
ctor Harmon
rmonization
Health Poole
d achieveme
alth Pooled F
mentation o
overs expen
ervision and
Evaluation;
Exposure vis
al and int
the capacity
mented betw
Development
artment for
nd administr
07, conclude
ve experienc
aluation, a n
new phase f
l t h   P o o l
I
istry of Hea
ces at every
evelopment
s are under
the FMOH
nization and
and alignme
ed Fund (HP
ent of the he
Fund has be
of HSDP t
nses related
d financial s
; Policy dialo
sits both wit
ternational
of the FMO
ween 1st of N
t Cooperatio
Internationa
ation. An in
ed that the
ces with the
number of H
for 3 years, t
e d   F u n d
Index consu
alth (FMOH)
y level of th
Plan. The im
rway for HSD
and the HP
Alignment
ent for aid e
PF) is estab
ealth MDGs
ecome an im
through su
d to Techn
support for F
ogue worksh
thin and out
consultants
H.
November 2
on of Ireland
al Developm
dependent e
fund had be
e initial HPF
HPN Partners
the HPF-II.
                     
sult, August,
is committe
he health sy
mplementati
DP IV, whic
PN Develop
Action Plan
effectiveness
blished to su
in Ethiopia.
portant sour
ustained fun
nical Assista
FMOH’s Rev
hops; Studie
side the cou
to assist
2005 and 31
(DCI), the R
ment (DFID)
evaluation o
een used fo
F and taking
s have agre
   | 5 
 2010 
ed to
ystem
on of
h will
pment
n that
s. As
pport
rce of
nding
ance,
views
es on
untry,
t the
1st of
Royal
) and
of the
or the
g into
eed to
F M O H
 
2. Objec
The g
by s
cumb
The s
a
b
c)
d
e
f)
g
h
i)
j)
 
 
 
 
H ,   E t h i o
ctives of the
general obje
supporting
bersome fun
specific obje
) Support t
HSDP Mi
to facilita
reporting
indicators
) Help to
seminars
) Provide r
(operation
) Enable h
internatio
useful ga
implemen
) Provide r
assist the
Strengthe
activities
) Build cap
and Align
) Sponsorin
developm
Cover the
Provide
implemen
p i a   –   E v
e Health Poo
ective of the
its impleme
ding mecha
ectives of the
the monitori
d-Term Rev
te the secto
process as
s and targets
cover the c
on importan
resources fo
nal research
health policy
nal confere
ains of exp
ntation.
resources fo
e Ministry on
ening the ca
in the health
acity at all le
ment.
ng meetings
ment of stand
e manageme
resources
ntation of HS
a l u a t i o n
oled Fund
HPF-II is to
entation pro
nisms, in lin
e HPF-II incl
ng and eva
views and F
or’s inputs t
s well as t
s in the PAS
cost of wor
nt health issu
or commissio
h) in Ethiopia
y makers a
nces, semin
periences a
or the recru
policy relate
apacity of th
h sector.
evels of the
s of the MOH
dards, guide
ent fee charg
for other
SDP priorities
n   o f   H e a
contribute to
ocess throu
e with the H
ude:
luation prog
inal Evaluat
towards the
he tracking
DEP policy
rkshops for
ues in Ethiop
oning releva
a.
and key imp
nars, short
and exposu
itment of in
ed research,
he HSDP se
health syste
H and the pr
lines and ma
ged by UNIC
relevant p
s.
l t h   P o o l
I
o the fulfillm
ugh flexible
armonizatio
grams of HS
tions) to imp
overall PA
of progres
matrix.
policy dial
pia.
ant studies
plementers
study trips
re in healt
nternational
, assessmen
ecretariat an
em in plannin
rivate health
anuals on Pu
CEF.
process act
e d   F u n d
Index consu
ent of the go
e, time-sen
on Action Pla
SDP (such a
prove its imp
ASDEP/MDG
ss in terms
ogue and f
on key hea
to participa
or visits th
th policy de
and nationa
nts and innov
nd FMOH in
ng, M&E, an
h sector and
ublic Private
tivities in
                     
sult, August,
oals of the H
nsitive and
an of HSDP-
as ARMs, J
plementation
G monitoring
of the rele
formulation,
lth sector is
ate in local
hat contribu
evelopment
al consultan
vations.
co-ordinatio
nd Harmoniz
providing T
e Partnership
support of
   | 6 
 2010 
HSDP
less
III.
RMs,
n and
g and
evant
and
ssues
and
ute to
and
nts to
on of
zation
TA on
ps.
f the
F M O H
 
3. Deve
The D
a
b
c)
d
e
f)
In ac
initiat
discu
of pe
4. Imple
The
follow
Coord
and
Finan
Annu
efficie
Expe
Base
its b
reque
its pu
Annu
Upon
docu
Minis
H ,   E t h i o
elopment Pa
DPs who sig
) Departme
) Developm
) Royal Net
) Italian Co
) Austrian D
United Na
ccordance w
ted by FMO
ussed and ag
rformance, r
ementation a
developmen
wing the pro
dinating Co
Nutrition (H
nce General
ual HPF-II A
ent utilizatio
enditure Plan
ed on the joi
udget, the
ests for fund
urpose. JCC
ual Plan or fo
n approval f
mentation w
stry of Health
p i a   –   E v
rtners (DPs)
gned up the M
ent for Intern
ment Cooper
therlands Em
ooperation (IC
Developmen
ations Childr
with the MO
H for the pu
greed by the
reporting an
and Monitor
nt of annua
oper implem
mmittee (JC
PN) partne
l Directorate
Activity and
on. PPFGD/F
ns and finaliz
ntly approve
PPFGD-FM
ding, and ens
CC’s endorse
or activities w
for funding,
will be trans
h.
a l u a t i o n
) Contributin
MoU with FM
national Deve
ration of Irela
mbassy (RN
C),
nt Cooperatio
ren’s Educat
U, allocatio
urpose of im
e JCCC, whi
d audit, as o
ring of Healt
al utilization
mentation of
CCC) of the
rs. The JCC
e of the FM
Expenditure
FMOH is in
zing it with J
ed Annual A
MOH is resp
sures the ap
ement is ne
which excee
written aut
mitted to U
n   o f   H e a
ng to HPF-II
MOH and co
elopment (D
and (DCI),
NE),
on (ADC);
tion Fund (U
ns from the
mplementing
ich will ensu
outlined in th
th Sector Po
plan, decis
its decision
Federal Mi
CC, chaired
OH, has de
e Plan and
charge of d
CCC.
Activity and E
ponsible for
ppropriate an
eded for ap
ed the agreed
thorization f
NICEF by t
l t h   P o o l
I
I
ontributed to
DFID), UK,
UNICEF);
e Pooled Fu
the HSDP.
ure consisten
he MOU.
ooled Fund (
sion on the
n is the res
inistry of He
d by the He
elegated res
controlling
developing t
Expenditure
r receiving,
nd efficient u
pproval of ac
d budget (lin
for payment
the Head of
e d   F u n d
Index consu
the HPF-II a
und are bas
The propos
ncy with the
(HPF-II)
utilization
ponsibility o
ealth and He
ead of the P
sponsibility f
the Fund’s
the draft An
Plan and w
processing
use of the Fu
ctivities not
ne) with more
t together w
f the PPFGD
                     
sult, August,
are the follow
ed on prop
sal are initial
aims and re
of the HPF
of the Joint
ealth, Popul
Policy, Plan
or endorsing
appropriate
nual Activity
within the lim
g and appro
und in the sp
being part o
e than 10%.
with the rele
D of the Fe
   | 7 
 2010 
wing:
osals
lly be
eview
F and
Core
lation
n and
g the
e and
y and
mits of
oving
pirit of
of the
evant
ederal
F M O H
 
5. The P
In line
has o
mana
charg
UNIC
autho
Fede
contr
venue
will b
6. Repo
UNIC
imple
Plan,
The s
1
2
3
4
5
H ,   E t h i o
Pool Fund M
e with HPF-
officially req
aging and a
ged a 5 % fe
CEF will effe
orization sign
eral Ministry
racts of hire
es and facil
e executed
orting
CEF should
ementation o
One Budge
specific repo
) Quarterly
undertake
within 4 w
) Overall a
year, to b
) A final na
project, co
) A final ce
operation
) Provision
JCCC and
p i a   –   E v
Manager (PF
-II proposal a
quested UN
administerin
ee for admini
ect payment
ned by the H
of Health. T
d consultan
ities, transpo
by UNICEF
produce an
of the activiti
et and One R
orts that shou
summary
en by the fu
weeks after t
nnual progr
e submitted
arrative and
overing the e
ertified financ
ally closed.
of additiona
d the Develo
a l u a t i o n
M)
and in cons
ICEF to as
ng the HPF
istration and
ts for activit
Head of the
The procure
nts, payment
ortation for s
in collabora
d submit co
ies and the
Report, so av
uld be subm
financial st
und recipien
he end of th
ress (narrati
within 6 we
financial re
entire period
cial stateme
al informatio
opment Part
n   o f   H e a
ultation with
ssist the imp
F. The Deve
d operationa
ties financed
Policy, Plan
ement of go
ts for such
such occasi
tion with the
onsolidated
execution of
voiding acco
mitted by the
tatements a
nts during th
e reporting p
ve and fina
eks after the
port no late
d of the proje
ent no later t
n pertaining
ners.
l t h   P o o l
I
h DPs and th
plementation
elopment P
l cost by UN
d by the HP
n and Financ
oods and se
services as
ons as JRM
e PPFGD-FM
Progress an
f the Fund, d
ounting to ind
PFM include
and a brief
he quarter i
period.
ancial) repor
e end of the
er than 6 mo
ect,
than one yea
to the HPF-
e d   F u n d
Index consu
he Federal M
n of the HP
Partners con
NICEF.
PF-II upon r
ce General D
ervices, adm
s in the rent
Ms and printi
MOH.
nd Financia
drawn up in
dividual don
e:
summary
n question,
rts for every
reporting pe
onths after c
ar after the
-II as may b
                     
sult, August,
Ministry of H
PF-II by hol
ntribution wi
receipt of o
Directorate o
ministration o
tal of confer
ng of docum
l Reports on
the spirit of
ors.
of the acti
to be subm
y Ethiopian
eriod.
completion o
project has
e required b
   | 8 
 2010 
Health
lding,
ill be
fficial
of the
of the
rence
ments
n the
f One
vities
mitted
fiscal
of the
been
by the
F M O H
 
Objec
The obje
purpose
draw less
Specific o
a) T
im
b) T
u
c) T
th
d) T
F
e) T
co
f) T
a
g) T
th
h) T
fle
i) T
sh
H ,   E t h i o
ctive of
ective of the
or not by pro
sons and rec
objectives o
To assess a
mplementatio
To assess th
tilization of t
To identify wh
he objectives
To appraise
MOH and ot
To identify in
ommitment o
To assess th
bout HPF an
To assess th
he fund and
To assess th
exibility, spe
To gather fee
hould functio
p i a   –   E v
the Eva
evaluation i
oviding evide
commendati
f the evaluat
ctivities and
on of HPF-II
he performa
the Fund (inc
hether the fu
s of HPF-II;
the general
ther non-HP
nterests, ch
of only few D
e level of aw
nd scrutinize
e extent of
activity mon
he performa
eed and tran
edbacks, opi
on better or
a l u a t i o n
aluation
is generally
ence for DP
ions.
tion are:
d achieveme
based on th
ances within
cluding all re
und has bee
understand
PF donors on
allenges an
DPs through
wareness, fa
e their challe
the coordina
nitoring by JC
nce of fund
sparency att
inions and s
be enhance
n   o f   H e a
to assess w
s and the FM
ents carried
he MOU ente
n the scope
esources ma
en utilized fo
ding, percep
n the design,
nd/or other
hout the impl
amiliarity and
enges in utiliz
ation, plann
CCC, as per
administrat
tained;
suggestions
d for a susta
l t h   P o o l
I
whether the f
MOH on utili
d out within
ered by DPs
e of HPF-II
ade available
r its intended
ptions, exper
, objectives a
relevant fac
lementation
d experienc
zing the HPF
ing, decision
r the mandat
tion by UNIC
from all stak
ainable impa
e d   F u n d
Index consu
fund has se
ization of the
the specifie
s and FMOH
and meas
e through HP
d purpose a
rience and o
and perform
ctors that co
of Health Po
e of potentia
F;
n making in
te provided;
CEF and ga
keholders as
act;
                     
sult, August,
erved its inte
e fund, there
ed period o
H;
sure the lev
PF-II);
s per the sp
opinions of
mance of HPF
ontributed to
ool Fund;
al fund recip
the utilizati
auge the lev
s to how the
   | 9 
 2010 
ended
eby to
of the
vel of
pirit of
DPs,
F-II;
o the
pients
on of
vel of
HPF
F M O H
 
Scope
I was en
available
Developm
The eval
accordan
evaluatio
1. Pre-e
As pa
1
2
3
4
5
6
7
8
9
1
For this
compreh
Donors,
Technica
FMOH a
prepared
relevance
question
principal
via e-ma
In additio
related d
question
evaluatio
Achievem
,   E t h i o p
e of the
ngaged to p
e in HPF-II
ment Partne
luation cove
nce with sta
on covered th
evaluation st
art of our pre
) Terms of
) The Mem
) The Natio
) Health Se
) Minutes o
) Financial
) Annual R
) Proposals
) Payments
0) Supports
relevant H
s evaluation
ensive data
PFM team,
al Assistance
and others a
d to reflect
e, efficiency
naires are a
evaluator e
il and/or thro
on to the qu
documents o
naires, disc
on paramete
ments, perfo
i a   –   E v a
e Evalua
perform ass
for the prog
ers and FMO
ered the per
andards and
he Pooled F
teps
e-evaluation
reference (T
morandum of
onal Health S
ector Pooled
of JCCC mee
Statements
eports on th
s of recipien
s Policy Guid
for non-op
HPF-II docum
n, question
a from FMO
, previous c
e for FMOH
and the com
the standa
y, sustainab
annexed with
either throug
ough telepho
uestionnaires
of fund utiliz
cussions an
ers and in ac
ormances, e
l u a t i o n  
ation an
essment of
gram of wo
OH.
riod July 20
d conformed
Fund’s activit
activities an
TOR) of the
Understand
Sector Deve
d Fund I, Fina
etings;
and reports
e Health Po
ts submitted
delines and
perational re
mentations.
nnaires wer
H, DPs, JC
contractors
H. The quest
mments obta
rd evaluatio
bility, owner
h this report
h individual
one.
s, documen
zation were
nd documen
ccordance w
effectiveness
o f   H e a l
nd Metho
the activitie
ork by all so
007 to June
d to the gu
ties as a who
nd steps, the
Health Poole
ding (MOU) b
elopment Pla
al Evaluation
s of HPF-II p
oled Fund II
d to JCCC; a
Procuremen
esearches a
re develope
CC membe
hired by th
tionnaires w
ained were
on informati
rship, impac
. All of the q
in-depth int
ts related to
reviewed.
nt reviews
with the obje
s, efficiency
t h   P o o l e
I
odology
es, perform
ources base
2010. The
uideline as
ole and the e
e following d
ed Fund Fin
between the
an (HSDP-III
n Report; Ap
roduced by
I activities, th
and
nt Rules and
as in HMIS,
ed with a
ers and othe
e PFM and
were discuss
incorporate
on and con
ct and othe
questionnair
terviews, co
o the author
The results
were analy
ective and ta
y, fund adm
e d   F u n d  
Index consu
y
ances and
ed on the M
evaluation
provided in
entire opera
ocuments w
al Evaluatio
e DPs and th
, preparation
pril2007;
UNICEF Eth
hrough to Ju
d Procedures
HSDP IV
purpose
er relevant s
d also cons
sed with tec
ed. The que
nstitute gen
er important
es were adm
nversation,
rization, exe
were collec
yzed using
argets speci
inistration (f
                     
sult, August,
resources m
MOU entere
was execut
n the MOU.
tions.
were reviewe
n;
e FMOH;
n of HSDP IV
hiopia;
une 2010;
s;
preparation
of collectin
stakeholders
ultants prov
hnical expe
stionnaires
eral, cohere
t questions.
ministered b
and discuss
ecution and
cted through
the approp
fied in the M
flexibility, sp
 | 10 
 2010 
made
ed by
ed in
The
ed:
V);
n and
ng a
s and
viding
rts of
were
ence,
The
by the
sions,
other
h the
priate
MOU.
peed,
F M O H
 
transpare
reporting
2. Outp
In acc
evalu
1
2
3
4
5
6
7
,   E t h i o p
ency, accou
g were amon
ut of the Eva
cordance wit
ation are pre
. A section
as found f
. A section
major acti
. A section
Pooled Fu
. A section
publication
. A section
Fund with
. A section
existing lim
. This repor
responden
i a   –   E v a
untability, cu
ng the major
aluation
th the terms
esented below
of the evalua
from the fina
of the evalu
ivities comple
reporting o
nd, commen
commenting
ns specifying
on specific c
pertinent s
on other re
mitations rec
rt also includ
nts in the inte
l u a t i o n  
umbersomen
parameters
of reference
w:
ation reportin
ancial report
uation report
eted.
on the perfo
ting on the d
g on the He
g areas of pos
challenges a
uggestions fo
elevant and
cognized.
des tables, fig
erviews.
o f   H e a l
ness), level
taken up in
(TOR) for th
ng on the fin
reviews.
ting on the
ormances, ef
degree of com
ealth Pool Fu
ssible improv
and areas of
or their impro
practical rec
gures, questi
t h   P o o l e
I
of advocacy
the process
he assignmen
nancial status
Health Poole
ffectiveness
mpliance with
und docume
vement.
weakness id
ovement;
ommendatio
ionnaires, ev
e d   F u n d  
Index consu
y, planning,
s.
nt, outputs o
s of the Heal
ed Fund II d
and efficien
h the objecti
ntation, reco
dentified in t
ons to assist
valuation too
                     
sult, August,
monitoring
f the indepen
lth Pooled Fu
disbursement
ncy of the H
ve.
ords and rel
the Health P
in correctin
ls used and
 | 11 
 2010 
, and
ndent
und II
t and
Health
evant
ooled
g the
list of
F M O H
 
1. Finan
2.1. I
A
2
w
a
$
D
D
D
R
I
A
U
U
A
T
A
C
Ta
G
2.2. E
B
a
a
by
,   E t h i o p
ncial highligh
nflow of funds
A total of six
010: DCI, R
was initially s
s the TOR
3,769,368.0
Developmen
Department
Developmen
Royal Nethe
Italian Coope
Austrian Dev
United Natio
Utilization in
Administrati
Total Contrib
Amount not
Contribution
able 1; DPs c
raph 1: %age
Expenditures
Based on the
nd paid to t
ctivities targ
y the recipie
i a   –   E v a
hts
s
Developme
NE, DFID, I
signed by al
required. Th
08 million.
nt Partners
for Internatio
nt Cooperatio
rlands Emba
eration (IC)
velopment C
ons Children’
n HPF I
on Cost
bution for HP
Utilized
n not utilized
contribution to
e of total con
e agreemen
the recipient
geted at FM
ents and app
l u a t i o n  
nt Partners
C, ADC, and
l the DPs; h
he final con
onal Develop
on of Ireland
assy (RNE)
Cooperation (
’s Education
PF II
( by June, 2
o the HPF-II.
tributions in H
nts signed m
ts. These ar
OH’s strateg
proved by the
o f   H e a l
participated
d UNICEF, w
however, DP
ntributions of
pment (DFID
(DCI)
(ADC)
n Fund (UNIC
2010)
HPF-II, by 20
money was r
re payments
gic priorities
e Joint Core
t h   P o o l e
I
in HPF-II b
which also a
Ps did not co
f DPs to HP
Con
)
CEF)
010.
released int
s to recipien
s for which p
e Coordinatin
e d   F u n d  
Index consu
between July
administered
ommit and d
PF-II amoun
ntribution in
$504
$1,201
$1,165
$753
$528
$539
$
$3,769
$1,241
o the disbu
nts for the im
proposals ha
ng Committe
                     
sult, August,
y 2007 and J
d the fund. H
disburse as
nted to a tot
USD
4,624.34
1,121.50
5,962.00
3,010.00
8,267.50
9,928.43
$688,900
5%
9,368.08
1,152.93
32.9%
rsement acc
mplementati
ad been init
ee (JCCC).
 | 12 
 2010 
June,
HPF-II
early
tal of
count
on of
tiated
F M O H
 
3. Majo
The b
goals
five y
activi
previo
of HS
The e
 
 
3.1. T
3
3
3
3.2. R
3
,   E t h i o p
r Achieveme
basic initiativ
s of the HSD
years has b
ities in the h
ous HPF ev
SDP and also
evaluation p
Technical Ass
.1.1.One of
capacit
resourc
adoptio
the pro
also pe
.1.2.The FM
contribu
the TAs
based
proposa
support
them w
through
.1.3.The HP
activitie
prepara
standar
and prin
Reviews, Trai
.2.1.The HP
program
indicato
the cos
enabled
contribu
develop
i a   –   E v a
ents of the H
ve for the es
DP by suppo
been scored
health sector
valuation ver
o an invalua
roduced sig
sistance (TA)
the major a
ty of the FM
ces for the r
on, mobilizat
ovision of po
ersonnel recr
MOH receive
uted to the
s was dema
on the HSD
al submitted
t from HPF.
were approve
h the suppor
PF has also
es carried o
ation events
rds, guidelin
nting and dis
inings and Ex
PF provided
ms of HSDP
ors and targe
st of works
d policy ma
ute to use
pment and im
l u a t i o n  
HPF II
stablishment
orting its imp
d by the HP
r. The roles
rified that th
able asset to
nificant findi
activities in t
MOH throug
recruitment o
ion of servic
olicy advice,
ruited to prov
ed considera
achievemen
and-driven a
DP strategic
d to the FM
Of the total
ed by FMOH
rt of HPF-II.
o been an e
out during th
s of HSDP-IV
es and man
stribution of
xposures
d support fo
P as well as
ets in the PA
shops, semi
akers to pa
eful gains
mplementati
o f   H e a l
t of the HPF
plementation
PF supportin
of the HPF
e HPF had
the health s
ngs as ident
the impleme
gh the provi
of consultan
ces, skills, kn
capacity bu
vide both ga
able TAs from
nt of sectora
and also car
c plan and
MOH to hire
30 personn
and hired. A
easily access
he impleme
V. The pub
nuals; HSDP
published m
or the impl
s the trackin
ASDEP polic
nars, comm
articipate in
of experien
on.
t h   P o o l e
I
was to cont
n process. O
ng the imple
has been e
been a bac
sector in gen
tified below:
entation of H
ision of Tec
nts. Technica
nowledge an
uilding or se
ap filling and
m various pa
al objectives
rried out in c
targets. Th
e Technical
el proposed
A total of 11
sible fund to
entation acti
lishing activ
P’s performan
materials.
ementation,
ng of progre
cy matrix. Th
missioning o
local and
nces and
e d   F u n d  
Index consu
tribute to the
On the basis
ementation H
enormous an
kbone in the
neral.
HPF-II was t
chnical Assi
al Assistanc
nd technolog
ervice delive
advisory ro
artners throu
s and target
consultation
his was dem
Assistants
to be recru
consultants
o finance va
vities of HS
vity includes
nce reports
monitoring
ess in terms
he HPF supp
of relevant
internationa
exposure i
                     
sult, August,
e fulfillment o
s of this initia
HSDP and
nd reports fr
e implement
to strengthe
istance inclu
ce is the tran
gy. These inc
ery functions
les.
ugh the HPF
ts. The prov
with all par
monstrated
with a fina
ited by HPF
s have been
arious publis
SDP-III and
s developme
and publicat
g and evalu
s of the rele
port also cov
researches,
al seminars
n health p
 | 13 
 2010 
of the
ative,
other
rom a
tation
n the
uding
nsfer,
clude
s and
F that
vision
rtners
by a
ancial
, 6 of
hired
shing
also
ent of
tions;
uation
evant
vered
and
that
policy
F M O H
 
3
3.3. S
3
3
3
 
 
 
3.4. W
W
ca
p
by
w
,   E t h i o p
.2.2.This ke
a) Su
b) Fin
Gu
c) Su
(BP
d) Fin
e) Fin
trai
Studies and R
.3.1.The HP
importa
related
.3.2.The ev
support
a) Ass
b) Ass
c) Stat
d) Imp
e) Ass
f) Ass
g) Othe
.3.3.The ev
docume
support
of stud
other m
alternat
Woreda based
Woreda Base
arried out b
rovided a cr
y a financia
were develop
i a   –   E v a
ey activities id
pport for the
nancing the
muz)
pport during
PR) and also
nanced the B
nanced trave
inings.
Researches
PF supporte
ant for the im
FMOH activ
aluation lea
t from HPF-I
essment of
essment of p
tus of Implem
act Evaluatio
ess achieve
ess impleme
er assessme
valuation trie
ented objec
ted via HPF
ies have be
mechanisms
tives are ava
d Planning
ed Planning
by each Wor
rucial suppo
al support fr
ped by each
l u a t i o n  
dentified in t
e review mee
Annual Re
g the designi
o staff trainin
Balanced Sc
els, both inte
ed various s
mproved ac
vities in gene
rnt that the
II.
EFY 2001 im
pre-hospital
mentation of
on of the Glo
ements of the
entation of H
ents, survey
ed to exam
ctives of HP
seems min
een execute
s. The bas
ailable.
is an annu
reda, an ad
ort for the W
rom the HPF
Woreda, ve
o f   H e a l
this category
etings (JRM
eview Meet
ng process
ng;
ore Card (BS
ernational a
tudies, asse
tivities and
eral.
following ac
mplementatio
service nee
f HMIS;
obal Fund;
e health sect
HSDP III and
s for various
mine efficien
PF. The to
imal but I al
ed using com
ic intention
al, evidence
ministrative
Woreda Base
F-II. During
rified and su
t h   P o o l e
I
y include:
and ARM) c
tings of RH
of the Busin
SC) training
nd local, for
essments an
performance
ctivities were
on of HSDP
eds;
tor EFY 200
d identify pre
s initiatives a
ncy of fund
otal number
lso understo
mpetitive fun
was not t
e-based, hea
level equiv
ed Planning
this activity
ubmitted.
e d   F u n d  
Index consu
conducted by
HBs (e.g. B
ness Process
for DACA s
r meetings,
nd surveys
e of HSDP
e conducted
priority activ
01 implemen
eparation nee
and healthca
utilization
r of operati
ood that a si
nds made a
to congest
alth service
alent to Dis
activities wh
y, 801 Wore
                     
sult, August,
y the FMOH
Benshangul
s Re-engine
staff;
conferences
which were
in particular
d with a fina
vities;
tation
eds of HSDP
are reforms;
in line with
onal resear
gnificant nu
available thr
the HPF w
planning ac
strict. The F
hich was ba
eda Health P
 | 14 
 2010 
H;
and
eering
s and
very
r and
ancial
P IV;
h the
rches
mber
rough
when
ctivity
MOH
acked
Plans
F M O H
 
4. Perfo
In ge
and d
stren
first o
of th
impo
Ethio
4.1. T
t
t
f
a
4.2. I
f
y
d
f
s
4.3. T
f
c
w
v
4.4. T
o
t
s
i
4.5. O
u
a
o
n
a
4.6. I
a
p
D
r
,   E t h i o p
ormance, Eff
neral, the ev
demand-driv
gthening the
of its kind in
e MDG Per
rtant steppi
opia.
The perform
terms of par
tours and in
fund adminis
activities (as
n HPF-II th
funding (the
years of su
demonstrate
framework fo
sector progra
The HPF m
funding leve
costs and the
will be targe
volume of aid
The standard
of core proje
this, the rap
speed to ma
ncreased qu
On top of th
understood t
are consiste
objectives, a
needs of the
and policies
n this rating
adjustability
process dur
DPs particip
resource allo
i a   –   E v a
fectiveness a
valuation rev
ven fund cha
e planning a
pooling fun
rformance F
ng stones i
mance of HP
rticipation of
nternational
stration, and
s in the imple
e assistance
first cycle,
ustained do
es an incre
or the priori
ams.
may have be
ls, as well as
e trust they b
eted to prio
d to the prog
d resource a
ects aimed a
pid fund allo
ake timely fu
uality of the o
e achieveme
that it would
ent with the
as formally d
e health sect
for poverty r
g the relevan
to suit cha
ing impleme
ation in each
ocation, deci
l u a t i o n  
and Efficienc
vealed that H
anneled towa
and coordina
ds in the Et
Funds has
n realizing
PF-II, as co
f new donor
conferences
enhanced u
ementation o
e and fundi
HPF-I). This
onor comm
eased confid
tization and
een an attra
s for new do
build up thro
rity needs.
grams which
allocation in
at meeting t
ocations via
nding decisi
outputs.
ents and im
be useful to
primary ob
documented
tor, the curre
reduction.
nce of the o
anging circu
entation are
h state of the
ision making
o f   H e a l
cy of the Pro
HPF-II is wid
ards the mo
ation and im
hiopian hea
drawn a lot
the Paris A
ompared to
rs in the Poo
s, increased
utilization of
of WBP).
ng levels by
s increase c
itment and
dence in th
planning of
active tool
onors to part
ough time to
Thus, it ha
h desperately
the Annual
the strategic
the HPF I
ions in respo
pacts attain
o review whe
bjectives su
d in the MO
ent strategie
bjectives, fo
mstances a
e carefully e
e HPF imple
g and implem
t h   P o o l e
I
oject
dely seen as
ost urgent an
mplementatio
lth sector, a
t of lessons
Agenda and
HPF-I, dem
oled Fund, i
d level of sa
the fund in h
y DPs incre
consolidated
assistance
he HPF as
f core HSD
for tradition
ticipate, poss
channel the
as the pote
y needed it.
Plan aims to
c objectives
I provided t
onse to dem
ed through
ether the ori
pporting the
OU, has a re
es of FMOH
ocus of the d
and participa
examined. T
ementation p
mentation ha
e d   F u n d  
Index consu
s effective, ti
nd critical ne
on process.
s a result, th
s from the
d thereby re
monstrated a
involvement
atisfaction o
harmonizatio
eased comp
the trends
e to the F
s a useful,
P activities
nal donors t
sibly becaus
eir aids with c
ntial to incr
o support the
identified in
the necessa
mands by the
HPF in the
ginal design
e HSDP. Th
elevance to
and also the
design on th
ation of sta
The evaluatio
process inclu
as been satis
                     
sult, August,
mely, respo
eeds of HSD
The HPF i
he establish
HPF. These
each the po
advancemen
t of DPs in s
of DPs, impr
on and align
ared to prev
of the past
FMOH and
comprehe
and other h
to increase
se of the red
confidence t
rease the ov
e implement
n the HSDP.
ary flexibility
e FMOH and
past five ye
n features of
he review o
contemplate
e country’s p
he right prior
keholders in
on revealed
uding the de
sfactory.
 | 15 
 2010 
nsive
DP by
s the
hment
e are
oor in
nts in
study
roved
nment
vious
three
also
nsive
health
their
duced
that it
verall
tation
For
y and
d also
ars, I
f HPF
of the
e the
plans
rities,
n the
d that
esign,
F M O H
 
4.7. T
s
t
D
p
r
e
4.8. T
d
e
o
r
t
s
4.9. I
t
s
M
p
t
c
s
4.10.
4.11.
4.12.
4.13.
,   E t h i o p
The scope o
spirit of the o
to utilize HP
Dawa, Orom
period. The
recommenda
expression o
The financia
demonstrate
expectation a
of the total c
recipients an
the responde
since there is
n the evalua
the foundatio
scheme with
MDG PF is f
per the Ethio
the DPs que
commented
same time.
The issues
was not str
evaluation.
proposed to
of HPF in to
HPF or inco
issue remai
The evaluat
objectives o
seems mini
executed u
basic intent
Document r
generic ann
the plans a
appealing fo
the availabi
The HPF d
directives m
general gu
communica
be committe
i a   –   E v a
of utilization
objectives o
PF-II has be
mia and Bens
review of H
ation had be
of interest or
al statemen
ed that the
and also not
contribution
nd also a mo
ents and PF
s adequate
ation proces
on of the M
h wider pers
ully adminis
opian Gover
estioned the
on the exist
contemplate
aightforward
Some of the
o continue as
o MDG PF,
orporating th
ns the same
tion tried to e
of HPF. The
imal but I al
sing compe
ion was not
reviews dur
nual plans th
re nonspeci
or more spe
lity of a room
oes not hav
mentioned in
uide in cla
tion betwee
ed.
l u a t i o n  
of the HPF-
of HPF, the p
en insignific
shangul Gum
PF's docum
een sent out
r request sub
nts (as ind
amount of
t in the inten
is not spent
odest monito
FM, some of
money in the
ss I learnt th
MDG Pool F
spectives wh
tered by FM
rnment Proc
e efficiency
tence of para
ed are clear
d as such. S
e responden
s it is. Other
redirecting H
he HPF as a
e).
examine effi
e total num
lso understo
etitive funds
to congest t
ing the eva
hroughout th
ific, there w
ecific ones. R
m for the flex
ve a formall
the MOU. W
ssifying an
n fund recip
o f   H e a l
-II has also
participation
cant. Only th
muz Region
ents reveale
t by the PPD
bmitted by R
icated in T
f contributio
nded objectiv
t at all. This
oring activity
the DPs did
e HPF’s acc
hat the perfo
Fund (MDG
hich apparen
MOH and pro
curement Ru
of the HPF
allel funds to
r enough to
Several solu
nts valued th
solutions pr
HPF-specific
a componen
ciency of fun
mber of oper
ood that a s
s made ava
he HPF whe
luation show
he implemen
asn’t a sing
Rather, all p
xibility of deta
y document
Without form
nd executin
pients and m
t h   P o o l e
I
been asses
as well as t
hree reques
al Health Bu
ed that vario
D/FMOH. Bu
RHBs, excep
Table, 1) re
on that rem
ves of HPF.
underlines
y. In addition
dn’t actually
count.
ormance of
PF). The M
ntly has ove
ocurements a
ules and Pro
F as a sepa
o which mos
observe, pin
utions have
he essential
roposed by r
c funds from
t of MDG P
nd utilization
rational rese
significant nu
ailable throu
en alternative
wed that the
ntation of HP
gle request e
articipants i
ailed action
ted procedu
mally docume
g requests
managers co
e d   F u n d  
Index consu
sed in this e
the requests
sts have bee
ureaus within
ous letters o
ut there was
t those state
eviewed by
mained unut
More than a
the limited a
to this, as I
install the la
HPF had be
MDG PF is
erwhelmed t
are exclusive
ocedures. H
rate funding
st DPs are c
npointing the
been entert
l objectives
respondents
m MDG PF a
F (but still th
n in line with
earches sup
umber of stu
gh other m
es are availa
e FMOH/PP
PF-II. In spit
entertained
n the evalua
plans.
ures manual
ented proce
s, the conc
ould be lost
                     
sult, August,
evaluation. I
s made by R
en made by
n the three y
of notification
s no docume
ed.
y the evalu
ilized is be
a quarter (32
advocacy am
have learnt
ast disburse
een exempla
a bigger fun
the HPF. Bu
ely carried o
owever, som
g entity and
ontributing a
e perfect sol
tained during
of the funds
s include me
and channel
he administr
the docume
pported via
udies have
mechanisms.
able.
PD had prod
te of the fac
in the evalu
ation apprec
except som
dures to act
cept of sm
and errors c
 | 16 
 2010 
n the
RHBs
y Dire
years
n and
ented
uation
eyond
2.9%)
mong
t from
ement
ary in
nding
ut the
out as
me of
also
at the
lution
g the
s and
erging
ed to
rative
ented
HPF
been
The
duced
t that
uation
ciated
me of
t as a
mooth
could
F M O H
 
5. Perfo
5.1. A
I
o
a
r
t
5.2. T
a
r
f
o
s
i
D
a
5.3. I
t
a
U
i
D
d
t
t
5.4. I
i
a
n
a
d
a
t
5.5. T
t
t
c
m
5.6. J
e
m
s
M
i
e
,   E t h i o p
ormance of P
As per the M
I by holding
operational c
also states t
regulations,
those relatin
The reports
and summar
report; final n
final certified
operationally
statements a
nformation p
DPs. Thoug
applied to su
n the same
the commen
assistants to
UNICEF pro
mplementat
During the s
disburse as
the Fund allo
the requests
learned tha
ncluding do
and requests
not necessa
and were tr
documented
applied in su
the inconsist
The contribu
terms of the
the demand
contracting
makes excep
JCCC contin
ensuring qua
members pr
stakeholders
MOU is ad
mprovemen
efficient utiliz
i a   –   E v a
Partners (FM
MOU, UNICE
g, managing
cost deducte
hat the adm
rules, direct
g to interest
expected fr
ry of the acti
narrative an
d financial s
y closed. As
and consolid
pertaining to
h the repor
ubmit reports
respect, UN
nts from the
o bridge the
ovided subst
ion of HPF-I
specified pe
early as the
ocation proc
s have been
at there were
uble fund re
s made with
arily related
raced back
instructions
uch circums
tencies to em
ution from UN
flexibility of
s do not go
process, sa
ptions to rule
nued to pla
ality standar
rovide techn
s including n
dmirable. H
t including t
zation of the
l u a t i o n  
MOH, DPs, a
EF has been
g and admin
ed from the
ministration o
tives and pr
t.
om UNICEF
vities undert
d financial re
statement n
s stated in t
dated report
o HPF-II wa
rts were su
s in order to
NICEF has
evaluation
e communic
tantial suppo
II, particularl
eriod, such
e TOR requir
cess. But, th
entertained
e instances o
equests (sen
h a very sho
to FMOH o
to the Fun
s, procedure
tances. The
merge.
NICEF, man
f the funds, a
o along with
alary scales
es or it takes
y a crucial
rds of projec
nical expert
non-HFP do
However, th
the limited a
fund (as in
o f   H e a l
and UNICEF
n requested t
nistering the
total contrib
of the fund b
rocedures a
F include su
taken by the
eport no late
no later than
the MOU, U
ts on the im
as also prod
bmitted rela
strengthen t
relatively im
of the previ
cation gap w
ort to fill the
ly in the first
a gap surfa
red, which m
is funding ga
as usual.
of inconsiste
nd to UNICE
ort notice. S
or UNICEF’s
d’s genesis
es or manua
e absence of
naging the H
and timeline
h UNICEF’s
and other
s a lot of res
role in the
ct presentati
tise and the
onors. The o
e evaluatio
action taken
low fund exp
t h   P o o l e
I
F)
to assist the
e fund. 5 %
bution will be
by UNICEF w
applicable to
mmary of q
e fund recipie
er than 6 mo
n one year
UNICEF sub
mplementatio
uced as req
atively on tim
the monitorin
mproved its f
ious HPF cy
with FMOH
e important f
t few months
aced becaus
made it diffic
ap has been
encies with t
EF and othe
Some of the
performanc
. A major f
als that coul
f such guide
ealth Pooled
ess. But it is
rules as in
issues. In s
ources to so
process of
on and sele
ere was a
overall cohe
on team ob
by the com
ploitation by
e d   F u n d  
Index consu
e implementa
% fee for ad
e paid to UN
will be in acc
o special acc
uarterly fina
ents; overall
onths after c
after the p
bmitted summ
on activities.
quired by th
me, more e
ng activities
fund manag
ycle and als
fund reque
funding gap
s after the in
se DPs did
cult to do pla
n filled up by
the requests
r partners a
problems e
ce per se, b
finding was
ld be used
elines is the
d Fund, has
really difficu
n time taken
such cases
ort things out
f project ap
ection for fun
balanced r
erence and
bserved are
mmittee towa
RHBs).
                     
sult, August,
ation of the
dministration
NICEF. The
cordance wi
counts, inclu
ancial statem
annual prog
completion; a
project has
mary of fina
Other addit
e JCCC and
efforts shoul
by JCCC.
ement acce
so hired pro
ests. In add
ps throughou
itiation of HP
not commit
anning and b
y UNICEF an
s made by F
at the same
experienced
but are struc
the absenc
as guideline
major trigge
been valuab
ult at times w
n for recruitm
, either UN
t.
proval aimin
nding. The J
representatio
compliance
eas of pos
ards fosterin
 | 17 
 2010 
HPF-
n and
MOU
ith its
uding
ments
gress
and a
been
ancial
tional
d the
ld be
epting
gram
dition,
ut the
PF-II.
t and
begin
nd all
MOH
time)
were
ctural
ce of
e and
er for
ble in
when
ment,
ICEF
ng at
JCCC
on of
e with
ssible
g the
F M O H
 
Conc
The eval
funding t
continued
presente
1. Enhan
1.1. T
s
F
s
a
A
c
1.2. I
c
h
e
1.3. J
f
f
u
2. Susta
2.1. M
it
s
t
H
i
a
s
,   E t h i o p
lusion a
uation team
to respond
d. There a
ed in rough o
ncing Monitor
The success
strategic obj
FMOH other
should spec
activities usi
ARMs, Work
critical health
n fact, in a
continue to e
hubs of WB
ensuring tha
JCCC should
feedback on
financing of
utilizing the f
ainability of th
Most respon
ts sustainab
solutions sug
this particula
HPF. Howev
ncurred und
apparently r
situation in d
i a   –   E v a
and Rec
m concluded
to priority n
re, however
order of prior
ring and Eval
s of the HP
jectives, as
r than PPD a
cifically enco
ng different
kshops, or o
h systems co
addition to i
enhance the
BP. Otherwis
t Annual Pla
d apply mor
performanc
priorities. F
fund for prim
e Health Poo
dents expre
bility, mainly
ggested incl
ar argument
ver, if we en
der the existe
reasonable.
detail to com
l u a t i o n  
commen
that the Hea
needs of th
r, significant
rity as follow
uation Measu
PF should b
identified i
and RHBs ha
ourage the
methods to
others). Par
omponents.
nvolving the
e support tow
se, JCCC s
ans contemp
e efforts to f
ce and moni
For instance
mary targets.
led Fund
essed their fe
y because o
ude merging
t to hold me
ntertain the i
ence of mult
Barring th
e up with op
o f   H e a l
ndations
alth Pooled
e HSDP m
t concerns t
s:
ures
be measure
n the MOU
as been insi
participatio
raise aware
rticularly em
e RHBs, th
wards the W
should not
plate the Wo
foster close
toring in ord
e, by putting
eelings of un
f existence
g of the Poo
erit from the
issues of inc
tiple Pooled
is possibilit
ptions for a w
t h   P o o l e
I
s
Fund has si
ore efficient
that need to
d by the de
U. The part
ignificant in
n of RHBs
eness (cond
mphasizing th
e next gene
Woreda Heal
hesitate to
reda-level n
linkages be
der to ensure
g the ceiling
ncertainty ov
of multiple
oled Funds. T
perspective
creased tran
Funds, merg
ty, we need
way forward.
e d   F u n d  
Index consu
ignificant be
tly and ther
o be addres
egree to wh
ticipation of
HPF-II. The
and step
ducting advo
he access t
eration of H
th Offices s
take a mo
eeds.
tween fundi
e eligible fun
to internati
ver the future
funds. As d
The review
e of the ove
nsaction and
ging the Poo
d to carefu
.
                     
sult, August,
enefits in allo
refore shoul
ssed. These
hich it fulfills
f departmen
refore, the J
up its advo
ocacy sessio
to TA to su
HPF should
ince they ar
re active ro
ng decisions
nd utilization
ional travels
e of the fund
discussed be
team did no
erall objectiv
d overhead
oled Funds s
ully examine
 | 18 
 2010 
owing
ld be
e are
s the
nts of
JCCC
ocacy
ons in
pport
also
re the
ole in
s and
n and
s and
d and
efore,
ot find
es of
costs
seem
e the
F M O H
 
2.2. T
i
i
r
t
t
p
c
s
w
f
2.3. R
t
I
t
p
a
s
2.4. T
b
m
v
t
a
3. Effect
3.1. T
H
o
i
r
3.2. I
t
c
t
a
n
,   E t h i o p
The option o
ssue of flex
ncreased ov
rules and pro
the benefits
the basic be
process will
compete in t
strongly that
which are a
funding to H
Regardless
that can disb
n addition, t
the areas of
package of
account an
synchronizat
To this end,
basis that it
matters of H
viable, indep
the impleme
administratio
tiveness of TA
The provisio
However, co
of TA. The
ntended ski
rather than a
deally, the r
to be based
combined to
to know for
activities of F
nearly every
i a   –   E v a
of merging is
xibility and s
verhead cos
ocedure, the
of employin
enefits of in
be more cum
the market a
t more effor
already deliv
PF.
of all, the de
burse quickly
the HPF cou
f eligible fina
MDG PF f
d continued
tion of the fu
, the evalua
is flexible, s
HSDP. By co
pendent and
entation of H
on of the fun
A, Needs and
n of TAs ha
omplex probl
e main cha
ll transfer, m
as a means t
recruitment,
on an Actio
o a set of so
sure if the
FMOH. The
one recogni
l u a t i o n  
s not merely
speed are m
sts. Second
e flexibility a
ng a Fund A
tended purp
mbersome w
and hire capa
rt should be
vering. This
ecision shou
y and efficie
uld also be
ancing for M
und, allocat
d to be m
unds.
ation conclud
speedy and
ontinuing to
d demand-dr
HSDP. Hen
d should stil
d Impact Asse
s significant
lems arise in
allenge, tho
mainly becau
to build long
contracting
on Plan that
und baseline
provision of
e needs and
zes more wo
o f   H e a l
y safe; rathe
more acute
d, since FM
and timelines
Administrato
pose of the
with possibil
able and mo
e devoted to
s provides
uld be based
ently in orde
considered
MDG PF is
ted for TA,
managed b
des that the
also helps t
contribute t
riven fund ou
ce, as per t
ll continue w
essment
tly contribute
n the whole
ugh, remain
use the cons
-term and su
and second
is grounded
e indicators
f TAs is hav
impact asse
ork needs to
t h   P o o l e
I
er it comes w
in the perfo
MOH operate
ss of disburs
r will not be
HPF. For i
ity of greate
otivated cons
o making e
another go
d on the ne
er to support
as part of th
the provisio
could be d
by UNICEF.
e continuity
to better gro
to the HPF,
utside the M
the evaluatio
with UNICEF
ed to the ach
process of r
ns ensuring
sultants are
ustainable c
dment of con
d in a more
that measu
ving an imp
essment is a
o be done in
e d   F u n d  
Index consu
with several
ormance of
es as per th
sement wou
e available, w
nstance, the
r delays and
sultants. So
xisting fund
od reason
ed for a fun
t the HSDP t
he MDG PF
on of TA. H
directly chan
. This way
of HPF is j
ound decisio
, DPs ensur
MDG Pooled
on results, I
.
hievement H
ecruitment a
g TA effecti
deployed in
apacity.
nsultants to t
thorough ne
re the outpu
act on the c
n important
this area.
                     
sult, August,
l risks. Firs
HSDP than
he governm
ld be lost. T
which will d
e fund exec
d also difficu
ome DPs als
ing mechan
to maintain
nding mecha
to fulfill its g
F because o
Hence, a sp
nneled to H
y there wil
justifiable on
ns for the u
re that there
Fund to su
recommend
HSDP’s objec
and manage
iveness and
a gap-filling
the FMOH n
eeds assess
uts. This will
capacity bu
step forward
 | 19 
 2010 
t, the
n the
ment’s
Third,
defeat
cution
ulty to
so felt
nisms
n the
anism
goals.
ne of
ecific
HPF’s
ll be
n the
rgent
e is a
pport
d the
ctive.
ement
d the
g role
needs
sment
l help
ilding
d, but
F M O H
 
 
 
 
 
 
 
 
 
 
 
,   E t h i o p i a   –   E v a l u a t i o n   o f   H e a l t h   P o o l e
I
e d   F u n d  
Index consu
                     
sult, August,
 | 20 
 2010 
F M O H
 
 
• F
• O
• P
• T
 
,   E t h i o p
Full Name
Organizatio
Position ___
Type of inv
i a   –   E v a
__________
on________
__________
volvement
l u a t i o n  
__________
__________
___________
in the HP
o f   H e a l
Ques
___________
___________
__________
F ________
t h   P o o l e
I
stionnaire co
___________
__________
__________
___________
e d   F u n d  
Index consu
ode # ____
____
____
____
__
                     
sult, August,
__________
 | 21 
 2010 
____
A
1
2
3
4
5
6
F M O H
 
A. General
1) Are you a
Yes,
 
2) What is t
• D
• F
• JC
• R
• F
• C
• O
 
3) What are
________
________
________
 
4) What wa
________
________
 
 
5) What is y
________
________
________
 
 
6) Who are
________
________
________
________
________
________
,   E t h i o p
aware that t
No
the role of yo
Donor,
MOH
CCC membe
RHB
und Adminis
Contractor/Cl
Other
e the objectiv
__________
__________
__________
s the amoun
__________
__________
your opinion
__________
__________
__________
the major c
__________
__________
__________
__________
__________
__________
i a   –   E v a
the Health Po
our organiza
er,
stration,
ient,
ves of the H
___________
___________
___________
nt fund raise
___________
___________
on the scop
___________
___________
___________
contributors
___________
___________
___________
___________
___________
___________
l u a t i o n  
ool Fund (H
ation in the H
HPF?
__________
__________
__________
ed and durat
__________
__________
pe (adequac
__________
__________
__________
of the Healt
__________
__________
__________
__________
__________
__________
o f   H e a l
PF) Exists?
Health Pool
_________
_________
_________
tion of the H
_________
_________
cy, eligible ar
_________
_________
_________
h Pool fund?
_________
_________
_________
_________
_________
_________
t h   P o o l e
I
Fund?
HPF?
reas) of Hea
?
e d   F u n d  
Index consu
alth Pool Fun
                     
sult, August,
nd (HPF)?
 | 22 
 2010 
B
1
2
3
4
5
6
7
F M O H
 
B. Relevan
1) Is the wo
stakehold
Yes,
________
________
2) What is H
________
________
________
 
3) Are all th
Yes,
4) What are
________
________
________
5) How do y
(Highly sat
6) Are there
Yes,
If yes, pl
 
________
________
7) Are there
Yes,
If yes, pl
 
________
________
________
,   E t h i o p
nce
ork of Health
ders? If your
No
__________
__________
HPF’s compa
__________
__________
__________
he requests r
No
e the areas m
__________
__________
__________
you rate the
tisfactory [5], S
e any proble
No
ease mentio
__________
__________
e any proble
No
ease mentio
__________
__________
__________
i a   –   E v a
h Pool Fund
r answer is N
___________
___________
arative advan
___________
___________
___________
received and
most often re
___________
___________
___________
degree of p
Satisfactory [4
ms in the de
on the proble
___________
___________
ms in the im
on the proble
___________
___________
___________
l u a t i o n  
(HPF) cons
No, please e
__________
__________
ntage relativ
__________
__________
__________
d executed in
equested fo
__________
__________
__________
political com
4], fairly satisfa
esign of the
ems
__________
__________
mplementatio
ems
__________
__________
__________
o f   H e a l
sistent with t
explain.
_________
_________
ve to other a
_________
_________
_________
n line with H
r funding?
_________
_________
_________
mitment am
actory [3], Less
Health Pool
_________
_________
on or commi
_________
_________
_________
t h   P o o l e
I
the developm
alternatives c
Health Pool F
mong key sta
s satisfactory [
Fund [HPF]
issioning of t
e d   F u n d  
Index consu
ment strateg
covering sim
Fund (HPF) p
keholders? _
2], Not satisfa
]?
the Health P
                     
sult, August,
gy of its prin
milar issues?
proposal?
______
actory [1])
Pool Fund [H
 | 23 
 2010 
ncipal
HPF]?
C
1
2
3
4
5
6
F M O H
 
C. Coheren
1) In your
implemen
Yes,
2) Are HPF’s
Yes,
a) D
b) W
__
__
3) What has
of HSDP
________
________
________
4) Are the b
effort?
Yes,
5) Why only
for other
________
________
________
 
6) How do
appropria
(Highly sat
 
,   E t h i o p
nce
opinion, w
ntation of HS
No
s time lines,
No
Do you think
Yes,
What needs t
__________
__________
s been the v
III? Please w
__________
__________
__________
benefits of H
No
y few donors
donors for
__________
__________
__________
you rate th
ate for the a
tisfactory [5], S
i a   –   E v a
was Health
SDP III?
milestones
the HPF sho
No
to be improv
___________
___________
value-added
write below,
___________
___________
___________
Health Pool F
s committed
not joining t
___________
___________
___________
he extent to
attainment o
Satisfactory [4
l u a t i o n  
Pool Fund
and targets
ould continu
ved in HPF II
__________
__________
of the Healt
,
__________
__________
__________
Fund [HPF] c
d to Health P
the HPF?
__________
__________
__________
o which the
f its objectiv
4], fairly satisfa
o f   H e a l
d [HPF] a
appropriate
e as it is?
II?
____
____
th Pool Fund
_________
_________
_________ 
commensura
Pool Fund [H
_________
_________
_____ 
Health Poo
ves? ______
actory [3], Less
t h   P o o l e
I
viable opt
e?
d to support
ate with inpu
HPF]? What d
ol Fund desi
___
s satisfactory [
e d   F u n d  
Index consu
tion for st
t the implem
uts in terms
do you think
ign and stra
2], Not satisfa
                     
sult, August,
rengthening
mentation pro
of cost, time
k are the rea
ategy sound
actory [1])
 | 24 
 2010 
g the
ocess
e and
asons
d and
D
F
1
2
3
4
F
5
6
7
8
F M O H
 
D. Efficienc
Fund Utiliza
1) Did the P
of HPF?
Yes,
2) In your o
spirit of i
Ye
3) Did the
through U
Ye
4) How do y
requests
(Highly sat
Fund Appro
5) How muc
_____
6) How do y
(Highly sat
• Regu
• Effect
• Atten
7) How do y
(Highly sat
• Monit
• Trans
• Time
• Feedb
8) How do
_______
(Highly sat
,   E t h i o p
cy
ation
PPD-FMOH h
opinion did t
ts purpose?
es,
PPD-FMOH
UNICEF?
es,
you rate the
for funding?
tisfactory [5], S
oval
ch time does
__ (please sp
you rate the
tisfactory [5], S
larity of the
tiveness of t
ndance by al
you rate JCC
tisfactory [5], S
toring mecha
sparency___
liness______
back mecha
you rate JC
tisfactory [5], S
i a   –   E v a
have annual
No
the PPD-FMO
No
follow the
No
e overall resp
? _______
Satisfactory [4
s the JCCC ta
specify in hour
JCCC’s mee
Satisfactory [4
meetings__
the meetings
l members__
CC's approva
Satisfactory [4
anisms_____
_____
__
nisms_____
CCC's overall
Satisfactory [4
l u a t i o n  
expenditure
OH ensured
standard pr
ponsibility of
4], fairly satisfa
ake, on aver
rs, days, week
etings in term
4], fairly satisfa
_______
s________
_____
al process fo
4], fairly satisfa
__
____
l decision m
4], fairly satisfa
o f   H e a l
e/action plan
the appropr
rocedures to
f PPD-FMOH
actory [3], Less
rage, to app
eks, or months
ms of:
actory [3], Less
r the HPF as
actory [3], Less
making proce
actory [3], Less
t h   P o o l e
I
n for approp
riate and eff
o authorize
H for receivin
s satisfactory [
prove a requ
s)
s satisfactory [
s per the MO
s satisfactory [
ess in alloca
s satisfactory [
e d   F u n d  
Index consu
priate and ef
ficient use o
the execut
ng, processin
2], Not satisfa
est for fundi
2], Not satisfa
OU in terms
2], Not satisfa
ting and uti
2], Not satisfa
                     
sult, August,
fficient utiliz
of the fund i
ion of the
ng and appro
actory [1])
ing?
actory [1])
of:
actory [1])
ilizing resou
actory [1])
 | 25 
 2010 
zation
n the
plans
oving
rces?
F
1
2
3
4
5
6
7
8
9
1
F M O H
 
Fund Admin
1) Were all
schedule
Ye
If not
_____
_____
2) Are all th
Ye
3) How muc
_____
4) Do you
managing
Ye
5) How do y
(Highly sat
6) How do y
(Highly sat
• Less
• Trans
7) How do y
for JCCC
(Highly sat
• Time
• Accur
8) How do y
(Highly sat
• Trans
• Clear
9) How do y
(Highly sat
10) Do you t
continued
Ye
If No
,   E t h i o p
nistration
contributio
?
es,
t, what mea
__________
__________
he required p
es,
ch time does
_____ (pleas
think the h
g the fund?
es,
you rate effi
tisfactory [5], S
you rate the
tisfactory [5], S
cumbersome
sparency___
you rate the
and HPF pa
tisfactory [5], S
liness______
racy_______
you rate the
tisfactory [5], S
sparency of
r TOR for ass
you rate the
tisfactory [5], S
think the ad
d by UNICEF
es,
, please spe
i a   –   E v a
ns by HPF
No
sures were t
___________
___________
procedures a
No
s UNICEF tak
se specify in h
human resou
No
ciency of the
Satisfactory [4
administrat
Satisfactory [4
eness______
______;
e financial st
artners in ter
Satisfactory [4
__
__
selection of
Satisfactory [4
selection___
signment___
overall fund
Satisfactory [4
dministration
F?
No
ecify _______
l u a t i o n  
Donors rece
taken by UN
__________
__________
adhere to up
ke, on avera
hours, days, w
urce allocat
e process of
4], fairly satisfa
tion of the H
4], fairly satisfa
_;
tatements, p
rms of:
4], fairly satisfa
f clients and
4], fairly satisfa
___
____
d administra
4], fairly satisfa
n and mana
__________
o f   H e a l
eived on tim
NICEF to man
___________
___________
pon request
age, to proce
weeks, or mo
ted by UNIC
f the procure
actory [3], Less
HPF by UNIC
actory [3], Less
progress repo
actory [3], Less
contracting
actory [3], Less
tion process
actory [3], Less
agement of
___________
t h   P o o l e
I
me and acc
nage funding
__
__
for spending
ess an autho
onths)
CEF is adeq
ement of ser
s satisfactory [
EF/Ethiopia
s satisfactory [
Flexibility_
Timelines
orts produce
s satisfactory [
process in t
s satisfactory [
s by UNICEF
s satisfactory [
the Health
__________
e d   F u n d  
Index consu
cording to t
g gaps?
g?
orized spend
quate for ad
rvice and go
2], Not satisfa
in terms of:
2], Not satisfa
______
ss_______
ed and subm
2], Not satisfa
terms of:
2], Not satisfa
F/Ethiopia? _
2], Not satisfa
Pool Fund
___________
                     
sult, August,
he disburse
ding?
dministering
ods? _____
actory [1])
actory [1])
mitted by UN
actory [1])
actory [1])
_____
actory [1])
[HPF] shou
________
 | 26 
 2010 
ement
g and
___
NICEF
ld be
E
1
2
3
4
F M O H
 
E. Impact
1) What are
implemen
________
________
________
 
2) What w
documen
a) Short
_____
_____
_____
 
b) Possi
_____
_____
_____
 
c) What
_____
_____
d) What
_____
_____
3) How do y
donor en
(Highly sat
4) What is y
_______
(Highly sat
,   E t h i o p
e the contri
ntation of HS
__________
__________
____________
were the ou
nted]?
t-term outco
__________
__________
___________
ble long-term
__________
__________
___________
t do you per
__________
__________
t do you per
__________
__________
you rate the
ngagement?
tisfactory [5], S
your overall
tisfactory [5], S
i a   –   E v a
butions of t
SDP?
___________
___________
___________
utputs of
omes
___________
___________
____________
m impacts o
___________
___________
____________
ceive as the
___________
___________
ceive as the
___________
___________
e effectivene
_______
Satisfactory [4
rating of th
Satisfactory [4
l u a t i o n  
the Health P
__________
__________
____________
HPF implem
__________
__________
___________
on the groun
__________
__________
___________
e greatest su
__________
__________
e greatest ch
__________
__________
ess of the H
4], fairly satisfa
he extent of
4], fairly satisfa
o f   H e a l
Pool Fund [
_________
_________
_________ 
mentation [
___________
___________
____________
d
___________
___________
____________
ccesses rega
________
________
hallenges reg
________
___________
Health Pool F
actory [3], Less
f achieveme
actory [3], Less
t h   P o o l e
I
HPF] in the
[quantitative
__
__
__ 
__
__
__ 
arding Healt
garding Heal
__
Fund [HPF]
s satisfactory [
ent Health Po
s satisfactory [
e d   F u n d  
Index consu
e harmonizat
e and qual
th Pool Fund
lth Pool Fund
as a working
2], Not satisfa
ool Fund [H
2], Not satisfa
                     
sult, August,
tion process
litative sha
d [HPF]?
d [HPF]?
g-model for
actory [1])
HPF]'s object
actory [1])
 | 27 
 2010 
s and
ll be
joint
tives?
F
1
2
G
1
2
H
3
I
1
2
F M O H
 
F. Owners
1) Did your
Yes,
2) Did your
Yes,
G. Sustaina
1) Do you th
Yes,
 
2) Are resou
Yes,
H. Institut
3) Do the m
Ye
I. Governa
1) Are the i
appropria
Ye
2) Are the g
Ye
,   E t h i o p
hip and Ha
organization
organization
ability
hink that He
urces adequ
ional Align
members and
es,
ance
nteractions,
ate?
es,
governance p
es,
i a   –   E v a
armonizatio
n participate
No
n play any ro
No
ealth Pool Fu
No
ate to susta
No
nment
d donors in t
No
structure, r
No
procedures o
No
l u a t i o n  
on
e in the desig
ole in the po
und achievem
in progress?
the HPF repr
role and aut
of HPF adeq
o f   H e a l
gn and/or im
opularization
ments will en
?
resent the ke
hority of the
quate in term
t h   P o o l e
I
mplementatio
n of HPF stak
ndure?
ey partners
e HPF and it
ms of transpa
e d   F u n d  
Index consu
on of the HP
keholders?
in the count
ts related go
arency and o
                     
sult, August,
PF?
try?
overnance b
objectivity?
 | 28 
 2010 
odies
J
F M O H
 
J. Overall
3) Do yo
Ye
1) How
• O
• D
• Im
• M
(Highly
2) What
mitig
_____
_____
____
3) What
[HPF]
____
_____
____
4) How
count
(Highly
5) How
(Highly
,   E t h i o p
 
ou think the
es,
do you rate
Objectives___
Design______
mplementati
Monitoring___
y satisfactory [
t barriers to
ated?
__________
__________
__________
t improveme
]?
__________
__________
__________
do you c
tries/standar
y satisfactory [
do you rate
y satisfactory [
i a   –   E v a
efficiency o
No
the strength
_____
_
ion_______
_____
[5], Satisfactor
effective ut
___________
___________
__________
ents do you
__________
___________
__________
compare the
rds? ______
[5], Satisfactor
the overall
[5], Satisfactor
l u a t i o n  
of implement
h and weakn
ry [4], fairly sa
tilization of
__________
__________
_________
suggest for
_________
__________
_________
e achievem
__
ry [4], fairly sa
performance
ry [4], fairly sa
o f   H e a l
tation of HPF
ness of the H
atisfactory [3],
HPF have b
___________
___________
__________
r better imp
__________
___________
__________
ment of HP
atisfactory [3],
e of HPF? __
atisfactory [3],
t h   P o o l e
I
F-II has imp
HPF in terms
, Less satisfacto
been encoun
__
__
__
plementation
__
__
__
PF relative
, Less satisfacto
_____
, Less satisfacto
e d   F u n d  
Index consu
roved comp
s of
ory [2], Not sa
ntered and h
n of future H
to best pr
ory [2], Not sa
ory [2], Not sa
                     
sult, August,
ared to HPF
atisfactory [1])
how can the
Health Pool
ractice in
atisfactory [1])
atisfactory [1])
 | 29 
 2010 
-I?
)
ey be
Fund
other
)
)
F M O H
 
1) L
L
F
D
I
A
I
T
J
H
R
C
,   E t h i o p
List of Eva
List of Gover
Federal Dem
Department 
Italian Co‐op
Austrian Dev
Irish Aid (IA) 
The United N
JCCC Membe
Health Pool F
Regional Hea
Client/contra
i a   –   E v a
aluation Pa
nment Institu
ocratic Repu
For Internati
eration(IC) 
velopment Co
Nations Childr
ers  and Organ
Fund Adminis
alth Bureaus (
actor 
l u a t i o n  
articipants
utions and O
blic of Ethiop
onal Develop
ooperation (A
ren’s Fund in
nizations oth
strator, UNIC
(Oromiya or 
o f   H e a l
s
rganizations 
pia,  Ministry 
pment (DFID)
ADC) 
 Ethiopia (UN
her than the H
CEF 
Addis Ababa
t h   P o o l e
I
 
of Health (FM
) 
NICEF Ethiopi
HPF Donors 
 RHB) 
e d   F u n d  
Index consu
MOH) 
a) 
Total 
                     
sult, August,
# of respond
4 
1 
1 
2 
1 
2 
2 
3 
1 
1 
18 
 | 30 
 2010 
dents 

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HPF_II_Evaluation_Report_of_the_Health_Pooled_Fund

  • 2. F M O H   ACRO ADC ARM BPR BSC DAC DCI DFID DPs EFY FMO HPF HPN HSD IA IC JCCC JRM M&E MDG MDG MOU PAS PFM PPFG RHB RNE TA TOR UNIC WBP WHO H ,   E t h i o ONYMS C …… M …… R …… …… CA …… …… D …… …… …… OH …… …… N …… DP …… …… …… C …… M …… E …… G …… G PF …… U …… DEP …… M …… GD …… B …… E …… …… R …… CEF …… P …… O …… p i a   –   E v S ………. Aus ………. Ann ………. Bus ………. Bal ………. Dru ………. Dev ………. De ………. Dev ………. Eth ………. Fed ………. Hea ………. Hea ………. Hea ………. Iris ………. Ita ………. Joi ………. Joi ………. Mo ………. Mil ………. Mil ………. Me ………. Pla ………. Poo ………. Pol ………. Reg ………. Roy ………. Tec ………. Ter ………. Un ………. Wo ………. Wo a l u a t i o n strian Devel nual Review siness Proce lanced Score ug Administ velopment C partment Fo velopment P hiopian Fisca deral Minist alth Pooled alth, Popula alth Sector sh Aid alian Cooper nt Core Coo nt Review M onitoring and llennium De llennium De emorandum an for Accele oled Fund m licy, Plan an gional Healt yal Netherla chnical Assis rms of Refer ited Nations oreda Based oreda Health n   o f   H e a lopment Coo w Meeting ess Re-engin e card tration and C Cooperation or Internatio Partners al Year ry of Health Fund ation and Nu Developmen ration ordinating C Meeting d Evaluation evelopment evelopment of Understa erated and S manager nd Finance G th Bureau ands Embas stance rence s Children’s d Planning h Office l t h   P o o l I operation neering Control Age n of Ireland onal Develo h utrition nt Plan ommittee n Goals Goals Poole anding Sustained D General Dire sy Education F e d   F u n d Index consu ncy opment ed Fund Development ectorate Fund                       sult, August, t to End Pov    | 1   2010  verty
  • 3. F M O H   Table 1. IN 1 1 1 1 1 1 2. O 3. SC 3 3 4. IM 4 4 4 4 5. R 6. A 6 6 H ,   E t h i o e of Con NTRODUCTIO .1. Establish .2. Objective .3. Developm .4. Implemen .5. The Pool .6. Reporting OBJECTIVES O COPE OF THE .1. Pre-evalu .2. Output o MPLEMENTA .1. Financial 4.1.1. 4.1.2. .2. Major Ac 4.2.1. 4.2.2. 4.2.3. 4.2.4. .3. Performa .4. Performa 4.4.1. 4.4.2. 4.4.3. 4.4.4. 4.4.5. REFERENCES ANNEX .1. List of Pa .2. Question p i a   –   E v ntents ON hment of the H es of the Hea ment Partner ntation and M l Fund Mana g OF THE EVAL E EVALUATIO uation steps f the Evaluat ATION RESUL l highlights Inflow of f Expenditur chievements Technical A Reviews, T Studies and Woreda ba ance, Effectiv ance of Partn Conclusion Enhancing Sustainabil Technical A Availabilit articipants nnaire a l u a t i o n Health Secto alth Pooled F rs Contributin Monitoring o ager LUATION ON AND MET tion LTS funds res of the Projec Assistance Trainings and d Researches ased Plannin veness and E ners n and Recom g monitoring lity of the He Assistance a ty of Operatio n   o f   H e a or Pooled Fun Fund ng to HPF-II of Health Sec THODOLOGY ct d Exposures s g fficiency of t mmendations and evaluati ealth Pooled and Needs an on Procedure l t h   P o o l I nd I ctor Pooled F Y the Project s ion measures Fund nd Impact As es and Manu e d   F u n d Index consu Fund s ssessment uals                       sult, August,    | 2   2010 
  • 4. F M O H   Execu The to e syste plan Harm harm proc proc The HSD less HSD mon HSD issue of n parti and The purp repo utiliz reco I wa mad ente 2007 conf activ The FMO stud H ,   E t h i o utive su Federal De nsuring the em through , the FMOH monization a monization a cess, the He cess of HSDP overall obje DP by suppo cumbersom DP-III. The H itoring and DP mid-term es; training national and icipated in H UNICEF. DP objective of pose or not orts a true a zation of H ommendation s engaged t e available ered by Deve 7 to June 20 formed to th vities as a wh main activit OH Reviews ies and also p i a   –   E v ummary mocratic Re accessibilit the impleme H and the HP and Alignme and alignme ealth Pooled P and achiev ective of the orting its im me funding m HPF-II spec evaluation m evaluation; and visits bo d internatio HPF-II betwe Ps contributi f the evalua by providin and fair view HPF-II in a ns. to perform t in HPF-II fo elopment Pa 010. The ev he guideline hole. ties accomp s, continued o the full sup a l u a t i o n y epublic of Et y of effectiv entation of th PN Develop ent Action P ent for aid d Fund (HPF vement of th HPF-II is to mplementatio mechanisms cifically cove through sup ; policy dialo oth within an onal consult een July 20 ions to HPF- tion is to as ng evidence w of the perf accordance the evaluatio or the progr artners and valuation wa as provided plished in HP support fo port to carry n   o f   H e a thiopia, Mini ve health se he Health S ment Partne Plan that su effectivenes F) is establis he MDGs in o contribute on process t s, in line wit ered expens pervision an ogue works nd outside t tants. A to 07 and June -II amounted ssess wheth e for the DP formance, e with its o on of the ac ram of work FMOH. The as executed d in the MO PF-II include r Trainings y out the Wo l t h   P o o l I stry of Healt ervices at e ector Develo ers have dev upports the ss. As par shed to sup Ethiopia. to the fulfillm through flex h the Harmo ses related d meetings hops; studie he country, otal of six e 2010: DC d to a total o er the fund Ps and the effectiveness objectives, ctivities, perf by all sour e evaluation d in accorda OU and cove es the provi and Expos reda Based e d   F u n d Index consu th (FMOH) i very level o opment Plan veloped a H country’s ac rt of this ha pport the imp ment of the xible, time-s onization Ac to technical such as A es on key h and also for Developme I, RNE, DFI f $ 4,692,91 has served FMOH. The s, efficiency thereby dr formance an ces based o covered the nce with sta ered the Po ision of TAs ures, asses Planning.                       sult, August, is committed of the health n. Within this Health Secto ction plan o armonization plementation goals of the ensitive and ction Plan o assistance RMs, JRMs health secto r recruitmen ent Partners ID, IC, ADC 3.77 million its intended e evaluation and eligible raw lessons nd resources on the MOU e period July andards and ooled Fund’s s, successfu ssments and    | 3   2010  d h s r of n n e d of e, s; r t s C, . d n e s s U y d s ul d
  • 5. F M O H   In g resp need proc from there The new conf Hea need parti man imple How • • • • H ,   E t h i o eneral, the ponsive and ds of HSDP cess. The es m the HPF. T eby reach th overall findi donors in t ference, and lth Pooled F ds of the H icipatory. UN aging the ementation wever, there a The utilizati The reques Monitoring Ensuring TA requires tho p i a   –   E v evaluation demand-dr P by strength stablishment These are im he poor in Et ings in HPF the Pooled d increased Fund has sig HSDP more NICEF, as fund and process. are significa ion of the fun sts made by activities ne A effectivene orough Need a l u a t i o n revealed th iven fund c hening the of the MDG mportant ste hiopia. -II demonstr Fund, involv level of fun gnificant be e efficiently. a Pooled F also to f ant concerns nd as a who RHBs to util ed to be enh ess and skil ds and Impa n   o f   H e a hat HPF-II is hanneled to planning an G Performanc pping stone rated advan vement of D nding. The e nefits in allo . The involv und Manag fill importan s that need to ole was very lize HPF-II h hanced to en l transfer for ct Assessme l t h   P o o l I s widely se owards the m nd coordinat ce Funds ha es in realizin cements in DPs in study evaluation te owing fundin vement of er, provided nt funding o be address low; has been ins nsure eligible r capacity bu ent; e d   F u n d Index consu een as effec most urgent tion and imp as drawn a lo g the Paris terms of pa y tours and eam conclud ng to respon donors has d substantia gaps thro sed and incl significant; e fund utiliza uilding and s                       sult, August, ctive, timely t and critica plementation ot of lessons Agenda and rticipation o internationa ded that the nd to priority s been very al support in oughout the ude: ation; sustainability    | 4   2010  y, al n s d of al e y y n e y
  • 6. F M O H   Introd 1. Estab The ensu throu HSDP be im Partn suppo part o the im Since fundi mech Monit such key h and imple The f Marc Nethe UNIC first H purpo accou suppo H ,   E t h i o duction blishment of Federal Dem ring the acc ugh the imple P III is near mplemented ners have d orts the cou of this harm mplementatio e its inceptio ng aimed hanisms. Th toring and E as ARMs, J health secto also for ementation o first phase o h 2007 by a erlands Em CEF, which a HPF, condu ose intended unt the reco ort the exten p i a   –   E v f the Health mocratic Re cessibility of ementation its complet from 2010- eveloped a untry’s action onization pr on process o on on July 20 at support he HPF sp Evaluation th JRMs, HSDP r issues; Tra recruitment of HSDP and of the HPF joint fundin bassy (RNE also carried cted in Mar d. Based on ommendation nsion of the a l u a t i o n Sector Poo epublic of Et f effective h of the Healt ion and the -2015. Withi Health Sec n plan of har rocess, the H of HSDP and 005, the Hea ting implem ecifically co hrough Sup P Mid-Term aining and E of nationa d also build t was implem g from the D E), the Dep out the fun rch/April 200 n the positiv ns of the eva Fund into a n   o f   H e a oled Fund thiopia, Min health servic th Sector De preparation n this plan, ctor Harmon rmonization Health Poole d achieveme alth Pooled F mentation o overs expen ervision and Evaluation; Exposure vis al and int the capacity mented betw Development artment for nd administr 07, conclude ve experienc aluation, a n new phase f l t h   P o o l I istry of Hea ces at every evelopment s are under the FMOH nization and and alignme ed Fund (HP ent of the he Fund has be of HSDP t nses related d financial s ; Policy dialo sits both wit ternational of the FMO ween 1st of N t Cooperatio Internationa ation. An in ed that the ces with the number of H for 3 years, t e d   F u n d Index consu alth (FMOH) y level of th Plan. The im rway for HSD and the HP Alignment ent for aid e PF) is estab ealth MDGs ecome an im through su d to Techn support for F ogue worksh thin and out consultants H. November 2 on of Ireland al Developm dependent e fund had be e initial HPF HPN Partners the HPF-II.                       sult, August, is committe he health sy mplementati DP IV, whic PN Develop Action Plan effectiveness blished to su in Ethiopia. portant sour ustained fun nical Assista FMOH’s Rev hops; Studie side the cou to assist 2005 and 31 (DCI), the R ment (DFID) evaluation o een used fo F and taking s have agre    | 5   2010  ed to ystem on of h will pment n that s. As pport rce of nding ance, views es on untry, t the 1st of Royal ) and of the or the g into eed to
  • 7. F M O H   2. Objec The g by s cumb The s a b c) d e f) g h i) j)         H ,   E t h i o ctives of the general obje supporting bersome fun specific obje ) Support t HSDP Mi to facilita reporting indicators ) Help to seminars ) Provide r (operation ) Enable h internatio useful ga implemen ) Provide r assist the Strengthe activities ) Build cap and Align ) Sponsorin developm Cover the Provide implemen p i a   –   E v e Health Poo ective of the its impleme ding mecha ectives of the the monitori d-Term Rev te the secto process as s and targets cover the c on importan resources fo nal research health policy nal confere ains of exp ntation. resources fo e Ministry on ening the ca in the health acity at all le ment. ng meetings ment of stand e manageme resources ntation of HS a l u a t i o n oled Fund HPF-II is to entation pro nisms, in lin e HPF-II incl ng and eva views and F or’s inputs t s well as t s in the PAS cost of wor nt health issu or commissio h) in Ethiopia y makers a nces, semin periences a or the recru policy relate apacity of th h sector. evels of the s of the MOH dards, guide ent fee charg for other SDP priorities n   o f   H e a contribute to ocess throu e with the H ude: luation prog inal Evaluat towards the he tracking DEP policy rkshops for ues in Ethiop oning releva a. and key imp nars, short and exposu itment of in ed research, he HSDP se health syste H and the pr lines and ma ged by UNIC relevant p s. l t h   P o o l I o the fulfillm ugh flexible armonizatio grams of HS tions) to imp overall PA of progres matrix. policy dial pia. ant studies plementers study trips re in healt nternational , assessmen ecretariat an em in plannin rivate health anuals on Pu CEF. process act e d   F u n d Index consu ent of the go e, time-sen on Action Pla SDP (such a prove its imp ASDEP/MDG ss in terms ogue and f on key hea to participa or visits th th policy de and nationa nts and innov nd FMOH in ng, M&E, an h sector and ublic Private tivities in                       sult, August, oals of the H nsitive and an of HSDP- as ARMs, J plementation G monitoring of the rele formulation, lth sector is ate in local hat contribu evelopment al consultan vations. co-ordinatio nd Harmoniz providing T e Partnership support of    | 6   2010  HSDP less III. RMs, n and g and evant and ssues and ute to and nts to on of zation TA on ps. f the
  • 8. F M O H   3. Deve The D a b c) d e f) In ac initiat discu of pe 4. Imple The follow Coord and Finan Annu efficie Expe Base its b reque its pu Annu Upon docu Minis H ,   E t h i o elopment Pa DPs who sig ) Departme ) Developm ) Royal Net ) Italian Co ) Austrian D United Na ccordance w ted by FMO ussed and ag rformance, r ementation a developmen wing the pro dinating Co Nutrition (H nce General ual HPF-II A ent utilizatio enditure Plan ed on the joi udget, the ests for fund urpose. JCC ual Plan or fo n approval f mentation w stry of Health p i a   –   E v rtners (DPs) gned up the M ent for Intern ment Cooper therlands Em ooperation (IC Developmen ations Childr with the MO H for the pu greed by the reporting an and Monitor nt of annua oper implem mmittee (JC PN) partne l Directorate Activity and on. PPFGD/F ns and finaliz ntly approve PPFGD-FM ding, and ens CC’s endorse or activities w for funding, will be trans h. a l u a t i o n ) Contributin MoU with FM national Deve ration of Irela mbassy (RN C), nt Cooperatio ren’s Educat U, allocatio urpose of im e JCCC, whi d audit, as o ring of Healt al utilization mentation of CCC) of the rs. The JCC e of the FM Expenditure FMOH is in zing it with J ed Annual A MOH is resp sures the ap ement is ne which excee written aut mitted to U n   o f   H e a ng to HPF-II MOH and co elopment (D and (DCI), NE), on (ADC); tion Fund (U ns from the mplementing ich will ensu outlined in th th Sector Po plan, decis its decision Federal Mi CC, chaired OH, has de e Plan and charge of d CCC. Activity and E ponsible for ppropriate an eded for ap ed the agreed thorization f NICEF by t l t h   P o o l I I ontributed to DFID), UK, UNICEF); e Pooled Fu the HSDP. ure consisten he MOU. ooled Fund ( sion on the n is the res inistry of He d by the He elegated res controlling developing t Expenditure r receiving, nd efficient u pproval of ac d budget (lin for payment the Head of e d   F u n d Index consu the HPF-II a und are bas The propos ncy with the (HPF-II) utilization ponsibility o ealth and He ead of the P sponsibility f the Fund’s the draft An Plan and w processing use of the Fu ctivities not ne) with more t together w f the PPFGD                       sult, August, are the follow ed on prop sal are initial aims and re of the HPF of the Joint ealth, Popul Policy, Plan or endorsing appropriate nual Activity within the lim g and appro und in the sp being part o e than 10%. with the rele D of the Fe    | 7   2010  wing: osals lly be eview F and Core lation n and g the e and y and mits of oving pirit of of the evant ederal
  • 9. F M O H   5. The P In line has o mana charg UNIC autho Fede contr venue will b 6. Repo UNIC imple Plan, The s 1 2 3 4 5 H ,   E t h i o Pool Fund M e with HPF- officially req aging and a ged a 5 % fe CEF will effe orization sign eral Ministry racts of hire es and facil e executed orting CEF should ementation o One Budge specific repo ) Quarterly undertake within 4 w ) Overall a year, to b ) A final na project, co ) A final ce operation ) Provision JCCC and p i a   –   E v Manager (PF -II proposal a quested UN administerin ee for admini ect payment ned by the H of Health. T d consultan ities, transpo by UNICEF produce an of the activiti et and One R orts that shou summary en by the fu weeks after t nnual progr e submitted arrative and overing the e ertified financ ally closed. of additiona d the Develo a l u a t i o n M) and in cons ICEF to as ng the HPF istration and ts for activit Head of the The procure nts, payment ortation for s in collabora d submit co ies and the Report, so av uld be subm financial st und recipien he end of th ress (narrati within 6 we financial re entire period cial stateme al informatio opment Part n   o f   H e a ultation with ssist the imp F. The Deve d operationa ties financed Policy, Plan ement of go ts for such such occasi tion with the onsolidated execution of voiding acco mitted by the tatements a nts during th e reporting p ve and fina eks after the port no late d of the proje ent no later t n pertaining ners. l t h   P o o l I h DPs and th plementation elopment P l cost by UN d by the HP n and Financ oods and se services as ons as JRM e PPFGD-FM Progress an f the Fund, d ounting to ind PFM include and a brief he quarter i period. ancial) repor e end of the er than 6 mo ect, than one yea to the HPF- e d   F u n d Index consu he Federal M n of the HP Partners con NICEF. PF-II upon r ce General D ervices, adm s in the rent Ms and printi MOH. nd Financia drawn up in dividual don e: summary n question, rts for every reporting pe onths after c ar after the -II as may b                       sult, August, Ministry of H PF-II by hol ntribution wi receipt of o Directorate o ministration o tal of confer ng of docum l Reports on the spirit of ors. of the acti to be subm y Ethiopian eriod. completion o project has e required b    | 8   2010  Health lding, ill be fficial of the of the rence ments n the f One vities mitted fiscal of the been by the
  • 10. F M O H   Objec The obje purpose draw less Specific o a) T im b) T u c) T th d) T F e) T co f) T a g) T th h) T fle i) T sh H ,   E t h i o ctive of ective of the or not by pro sons and rec objectives o To assess a mplementatio To assess th tilization of t To identify wh he objectives To appraise MOH and ot To identify in ommitment o To assess th bout HPF an To assess th he fund and To assess th exibility, spe To gather fee hould functio p i a   –   E v the Eva evaluation i oviding evide commendati f the evaluat ctivities and on of HPF-II he performa the Fund (inc hether the fu s of HPF-II; the general ther non-HP nterests, ch of only few D e level of aw nd scrutinize e extent of activity mon he performa eed and tran edbacks, opi on better or a l u a t i o n aluation is generally ence for DP ions. tion are: d achieveme based on th ances within cluding all re und has bee understand PF donors on allenges an DPs through wareness, fa e their challe the coordina nitoring by JC nce of fund sparency att inions and s be enhance n   o f   H e a to assess w s and the FM ents carried he MOU ente n the scope esources ma en utilized fo ding, percep n the design, nd/or other hout the impl amiliarity and enges in utiliz ation, plann CCC, as per administrat tained; suggestions d for a susta l t h   P o o l I whether the f MOH on utili d out within ered by DPs e of HPF-II ade available r its intended ptions, exper , objectives a relevant fac lementation d experienc zing the HPF ing, decision r the mandat tion by UNIC from all stak ainable impa e d   F u n d Index consu fund has se ization of the the specifie s and FMOH and meas e through HP d purpose a rience and o and perform ctors that co of Health Po e of potentia F; n making in te provided; CEF and ga keholders as act;                       sult, August, erved its inte e fund, there ed period o H; sure the lev PF-II); s per the sp opinions of mance of HPF ontributed to ool Fund; al fund recip the utilizati auge the lev s to how the    | 9   2010  ended eby to of the vel of pirit of DPs, F-II; o the pients on of vel of HPF
  • 11. F M O H   Scope I was en available Developm The eval accordan evaluatio 1. Pre-e As pa 1 2 3 4 5 6 7 8 9 1 For this compreh Donors, Technica FMOH a prepared relevance question principal via e-ma In additio related d question evaluatio Achievem ,   E t h i o p e of the ngaged to p e in HPF-II ment Partne luation cove nce with sta on covered th evaluation st art of our pre ) Terms of ) The Mem ) The Natio ) Health Se ) Minutes o ) Financial ) Annual R ) Proposals ) Payments 0) Supports relevant H s evaluation ensive data PFM team, al Assistance and others a d to reflect e, efficiency naires are a evaluator e il and/or thro on to the qu documents o naires, disc on paramete ments, perfo i a   –   E v a e Evalua perform ass for the prog ers and FMO ered the per andards and he Pooled F teps e-evaluation reference (T morandum of onal Health S ector Pooled of JCCC mee Statements eports on th s of recipien s Policy Guid for non-op HPF-II docum n, question a from FMO , previous c e for FMOH and the com the standa y, sustainab annexed with either throug ough telepho uestionnaires of fund utiliz cussions an ers and in ac ormances, e l u a t i o n   ation an essment of gram of wo OH. riod July 20 d conformed Fund’s activit activities an TOR) of the Understand Sector Deve d Fund I, Fina etings; and reports e Health Po ts submitted delines and perational re mentations. nnaires wer H, DPs, JC contractors H. The quest mments obta rd evaluatio bility, owner h this report h individual one. s, documen zation were nd documen ccordance w effectiveness o f   H e a l nd Metho the activitie ork by all so 007 to June d to the gu ties as a who nd steps, the Health Poole ding (MOU) b elopment Pla al Evaluation s of HPF-II p oled Fund II d to JCCC; a Procuremen esearches a re develope CC membe hired by th tionnaires w ained were on informati rship, impac . All of the q in-depth int ts related to reviewed. nt reviews with the obje s, efficiency t h   P o o l e I odology es, perform ources base 2010. The uideline as ole and the e e following d ed Fund Fin between the an (HSDP-III n Report; Ap roduced by I activities, th and nt Rules and as in HMIS, ed with a ers and othe e PFM and were discuss incorporate on and con ct and othe questionnair terviews, co o the author The results were analy ective and ta y, fund adm e d   F u n d   Index consu y ances and ed on the M evaluation provided in entire opera ocuments w al Evaluatio e DPs and th , preparation pril2007; UNICEF Eth hrough to Ju d Procedures HSDP IV purpose er relevant s d also cons sed with tec ed. The que nstitute gen er important es were adm nversation, rization, exe were collec yzed using argets speci inistration (f                       sult, August, resources m MOU entere was execut n the MOU. tions. were reviewe n; e FMOH; n of HSDP IV hiopia; une 2010; s; preparation of collectin stakeholders ultants prov hnical expe stionnaires eral, cohere t questions. ministered b and discuss ecution and cted through the approp fied in the M flexibility, sp  | 10   2010  made ed by ed in The ed: V); n and ng a s and viding rts of were ence, The by the sions, other h the priate MOU. peed,
  • 12. F M O H   transpare reporting 2. Outp In acc evalu 1 2 3 4 5 6 7 ,   E t h i o p ency, accou g were amon ut of the Eva cordance wit ation are pre . A section as found f . A section major acti . A section Pooled Fu . A section publication . A section Fund with . A section existing lim . This repor responden i a   –   E v a untability, cu ng the major aluation th the terms esented below of the evalua from the fina of the evalu ivities comple reporting o nd, commen commenting ns specifying on specific c pertinent s on other re mitations rec rt also includ nts in the inte l u a t i o n   umbersomen parameters of reference w: ation reportin ancial report uation report eted. on the perfo ting on the d g on the He g areas of pos challenges a uggestions fo elevant and cognized. des tables, fig erviews. o f   H e a l ness), level taken up in (TOR) for th ng on the fin reviews. ting on the ormances, ef degree of com ealth Pool Fu ssible improv and areas of or their impro practical rec gures, questi t h   P o o l e I of advocacy the process he assignmen nancial status Health Poole ffectiveness mpliance with und docume vement. weakness id ovement; ommendatio ionnaires, ev e d   F u n d   Index consu y, planning, s. nt, outputs o s of the Heal ed Fund II d and efficien h the objecti ntation, reco dentified in t ons to assist valuation too                       sult, August, monitoring f the indepen lth Pooled Fu disbursement ncy of the H ve. ords and rel the Health P in correctin ls used and  | 11   2010  , and ndent und II t and Health evant ooled g the list of
  • 13. F M O H   1. Finan 2.1. I A 2 w a $ D D D R I A U U A T A C Ta G 2.2. E B a a by ,   E t h i o p ncial highligh nflow of funds A total of six 010: DCI, R was initially s s the TOR 3,769,368.0 Developmen Department Developmen Royal Nethe Italian Coope Austrian Dev United Natio Utilization in Administrati Total Contrib Amount not Contribution able 1; DPs c raph 1: %age Expenditures Based on the nd paid to t ctivities targ y the recipie i a   –   E v a hts s Developme NE, DFID, I signed by al required. Th 08 million. nt Partners for Internatio nt Cooperatio rlands Emba eration (IC) velopment C ons Children’ n HPF I on Cost bution for HP Utilized n not utilized contribution to e of total con e agreemen the recipient geted at FM ents and app l u a t i o n   nt Partners C, ADC, and l the DPs; h he final con onal Develop on of Ireland assy (RNE) Cooperation ( ’s Education PF II ( by June, 2 o the HPF-II. tributions in H nts signed m ts. These ar OH’s strateg proved by the o f   H e a l participated d UNICEF, w however, DP ntributions of pment (DFID (DCI) (ADC) n Fund (UNIC 2010) HPF-II, by 20 money was r re payments gic priorities e Joint Core t h   P o o l e I in HPF-II b which also a Ps did not co f DPs to HP Con ) CEF) 010. released int s to recipien s for which p e Coordinatin e d   F u n d   Index consu between July administered ommit and d PF-II amoun ntribution in $504 $1,201 $1,165 $753 $528 $539 $ $3,769 $1,241 o the disbu nts for the im proposals ha ng Committe                       sult, August, y 2007 and J d the fund. H disburse as nted to a tot USD 4,624.34 1,121.50 5,962.00 3,010.00 8,267.50 9,928.43 $688,900 5% 9,368.08 1,152.93 32.9% rsement acc mplementati ad been init ee (JCCC).  | 12   2010  June, HPF-II early tal of count on of tiated
  • 14. F M O H   3. Majo The b goals five y activi previo of HS The e     3.1. T 3 3 3 3.2. R 3 ,   E t h i o p r Achieveme basic initiativ s of the HSD years has b ities in the h ous HPF ev SDP and also evaluation p Technical Ass .1.1.One of capacit resourc adoptio the pro also pe .1.2.The FM contribu the TAs based proposa support them w through .1.3.The HP activitie prepara standar and prin Reviews, Trai .2.1.The HP program indicato the cos enabled contribu develop i a   –   E v a ents of the H ve for the es DP by suppo been scored health sector valuation ver o an invalua roduced sig sistance (TA) the major a ty of the FM ces for the r on, mobilizat ovision of po ersonnel recr MOH receive uted to the s was dema on the HSD al submitted t from HPF. were approve h the suppor PF has also es carried o ation events rds, guidelin nting and dis inings and Ex PF provided ms of HSDP ors and targe st of works d policy ma ute to use pment and im l u a t i o n   HPF II stablishment orting its imp d by the HP r. The roles rified that th able asset to nificant findi activities in t MOH throug recruitment o ion of servic olicy advice, ruited to prov ed considera achievemen and-driven a DP strategic d to the FM Of the total ed by FMOH rt of HPF-II. o been an e out during th s of HSDP-IV es and man stribution of xposures d support fo P as well as ets in the PA shops, semi akers to pa eful gains mplementati o f   H e a l t of the HPF plementation PF supportin of the HPF e HPF had the health s ngs as ident the impleme gh the provi of consultan ces, skills, kn capacity bu vide both ga able TAs from nt of sectora and also car c plan and MOH to hire 30 personn and hired. A easily access he impleme V. The pub nuals; HSDP published m or the impl s the trackin ASDEP polic nars, comm articipate in of experien on. t h   P o o l e I was to cont n process. O ng the imple has been e been a bac sector in gen tified below: entation of H ision of Tec nts. Technica nowledge an uilding or se ap filling and m various pa al objectives rried out in c targets. Th e Technical el proposed A total of 11 sible fund to entation acti lishing activ P’s performan materials. ementation, ng of progre cy matrix. Th missioning o local and nces and e d   F u n d   Index consu tribute to the On the basis ementation H enormous an kbone in the neral. HPF-II was t chnical Assi al Assistanc nd technolog ervice delive advisory ro artners throu s and target consultation his was dem Assistants to be recru consultants o finance va vities of HS vity includes nce reports monitoring ess in terms he HPF supp of relevant internationa exposure i                       sult, August, e fulfillment o s of this initia HSDP and nd reports fr e implement to strengthe istance inclu ce is the tran gy. These inc ery functions les. ugh the HPF ts. The prov with all par monstrated with a fina ited by HPF s have been arious publis SDP-III and s developme and publicat g and evalu s of the rele port also cov researches, al seminars n health p  | 13   2010  of the ative, other rom a tation n the uding nsfer, clude s and F that vision rtners by a ancial , 6 of hired shing also ent of tions; uation evant vered and that policy
  • 15. F M O H   3 3.3. S 3 3 3       3.4. W W ca p by w ,   E t h i o p .2.2.This ke a) Su b) Fin Gu c) Su (BP d) Fin e) Fin trai Studies and R .3.1.The HP importa related .3.2.The ev support a) Ass b) Ass c) Stat d) Imp e) Ass f) Ass g) Othe .3.3.The ev docume support of stud other m alternat Woreda based Woreda Base arried out b rovided a cr y a financia were develop i a   –   E v a ey activities id pport for the nancing the muz) pport during PR) and also nanced the B nanced trave inings. Researches PF supporte ant for the im FMOH activ aluation lea t from HPF-I essment of essment of p tus of Implem act Evaluatio ess achieve ess impleme er assessme valuation trie ented objec ted via HPF ies have be mechanisms tives are ava d Planning ed Planning by each Wor rucial suppo al support fr ped by each l u a t i o n   dentified in t e review mee Annual Re g the designi o staff trainin Balanced Sc els, both inte ed various s mproved ac vities in gene rnt that the II. EFY 2001 im pre-hospital mentation of on of the Glo ements of the entation of H ents, survey ed to exam ctives of HP seems min een execute s. The bas ailable. is an annu reda, an ad ort for the W rom the HPF Woreda, ve o f   H e a l this category etings (JRM eview Meet ng process ng; ore Card (BS ernational a tudies, asse tivities and eral. following ac mplementatio service nee f HMIS; obal Fund; e health sect HSDP III and s for various mine efficien PF. The to imal but I al ed using com ic intention al, evidence ministrative Woreda Base F-II. During rified and su t h   P o o l e I y include: and ARM) c tings of RH of the Busin SC) training nd local, for essments an performance ctivities were on of HSDP eds; tor EFY 200 d identify pre s initiatives a ncy of fund otal number lso understo mpetitive fun was not t e-based, hea level equiv ed Planning this activity ubmitted. e d   F u n d   Index consu conducted by HBs (e.g. B ness Process for DACA s r meetings, nd surveys e of HSDP e conducted priority activ 01 implemen eparation nee and healthca utilization r of operati ood that a si nds made a to congest alth service alent to Dis activities wh y, 801 Wore                       sult, August, y the FMOH Benshangul s Re-engine staff; conferences which were in particular d with a fina vities; tation eds of HSDP are reforms; in line with onal resear gnificant nu available thr the HPF w planning ac strict. The F hich was ba eda Health P  | 14   2010  H; and eering s and very r and ancial P IV; h the rches mber rough when ctivity MOH acked Plans
  • 16. F M O H   4. Perfo In ge and d stren first o of th impo Ethio 4.1. T t t f a 4.2. I f y d f s 4.3. T f c w v 4.4. T o t s i 4.5. O u a o n a 4.6. I a p D r ,   E t h i o p ormance, Eff neral, the ev demand-driv gthening the of its kind in e MDG Per rtant steppi opia. The perform terms of par tours and in fund adminis activities (as n HPF-II th funding (the years of su demonstrate framework fo sector progra The HPF m funding leve costs and the will be targe volume of aid The standard of core proje this, the rap speed to ma ncreased qu On top of th understood t are consiste objectives, a needs of the and policies n this rating adjustability process dur DPs particip resource allo i a   –   E v a fectiveness a valuation rev ven fund cha e planning a pooling fun rformance F ng stones i mance of HP rticipation of nternational stration, and s in the imple e assistance first cycle, ustained do es an incre or the priori ams. may have be ls, as well as e trust they b eted to prio d to the prog d resource a ects aimed a pid fund allo ake timely fu uality of the o e achieveme that it would ent with the as formally d e health sect for poverty r g the relevan to suit cha ing impleme ation in each ocation, deci l u a t i o n   and Efficienc vealed that H anneled towa and coordina ds in the Et Funds has n realizing PF-II, as co f new donor conferences enhanced u ementation o e and fundi HPF-I). This onor comm eased confid tization and een an attra s for new do build up thro rity needs. grams which allocation in at meeting t ocations via nding decisi outputs. ents and im be useful to primary ob documented tor, the curre reduction. nce of the o anging circu entation are h state of the ision making o f   H e a l cy of the Pro HPF-II is wid ards the mo ation and im hiopian hea drawn a lot the Paris A ompared to rs in the Poo s, increased utilization of of WBP). ng levels by s increase c itment and dence in th planning of active tool onors to part ough time to Thus, it ha h desperately the Annual the strategic the HPF I ions in respo pacts attain o review whe bjectives su d in the MO ent strategie bjectives, fo mstances a e carefully e e HPF imple g and implem t h   P o o l e I oject dely seen as ost urgent an mplementatio lth sector, a t of lessons Agenda and HPF-I, dem oled Fund, i d level of sa the fund in h y DPs incre consolidated assistance he HPF as f core HSD for tradition ticipate, poss channel the as the pote y needed it. Plan aims to c objectives I provided t onse to dem ed through ether the ori pporting the OU, has a re es of FMOH ocus of the d and participa examined. T ementation p mentation ha e d   F u n d   Index consu s effective, ti nd critical ne on process. s a result, th s from the d thereby re monstrated a involvement atisfaction o harmonizatio eased comp the trends e to the F s a useful, P activities nal donors t sibly becaus eir aids with c ntial to incr o support the identified in the necessa mands by the HPF in the ginal design e HSDP. Th elevance to and also the design on th ation of sta The evaluatio process inclu as been satis                       sult, August, mely, respo eeds of HSD The HPF i he establish HPF. These each the po advancemen t of DPs in s of DPs, impr on and align ared to prev of the past FMOH and comprehe and other h to increase se of the red confidence t rease the ov e implement n the HSDP. ary flexibility e FMOH and past five ye n features of he review o contemplate e country’s p he right prior keholders in on revealed uding the de sfactory.  | 15   2010  nsive DP by s the hment e are oor in nts in study roved nment vious three also nsive health their duced that it verall tation For y and d also ars, I f HPF of the e the plans rities, n the d that esign,
  • 17. F M O H   4.7. T s t D p r e 4.8. T d e o r t s 4.9. I t s M p t c s 4.10. 4.11. 4.12. 4.13. ,   E t h i o p The scope o spirit of the o to utilize HP Dawa, Orom period. The recommenda expression o The financia demonstrate expectation a of the total c recipients an the responde since there is n the evalua the foundatio scheme with MDG PF is f per the Ethio the DPs que commented same time. The issues was not str evaluation. proposed to of HPF in to HPF or inco issue remai The evaluat objectives o seems mini executed u basic intent Document r generic ann the plans a appealing fo the availabi The HPF d directives m general gu communica be committe i a   –   E v a of utilization objectives o PF-II has be mia and Bens review of H ation had be of interest or al statemen ed that the and also not contribution nd also a mo ents and PF s adequate ation proces on of the M h wider pers ully adminis opian Gover estioned the on the exist contemplate aightforward Some of the o continue as o MDG PF, orporating th ns the same tion tried to e of HPF. The imal but I al sing compe ion was not reviews dur nual plans th re nonspeci or more spe lity of a room oes not hav mentioned in uide in cla tion betwee ed. l u a t i o n   of the HPF- of HPF, the p en insignific shangul Gum PF's docum een sent out r request sub nts (as ind amount of t in the inten is not spent odest monito FM, some of money in the ss I learnt th MDG Pool F spectives wh tered by FM rnment Proc e efficiency tence of para ed are clear d as such. S e responden s it is. Other redirecting H he HPF as a e). examine effi e total num lso understo etitive funds to congest t ing the eva hroughout th ific, there w ecific ones. R m for the flex ve a formall the MOU. W ssifying an n fund recip o f   H e a l -II has also participation cant. Only th muz Region ents reveale t by the PPD bmitted by R icated in T f contributio nded objectiv t at all. This oring activity the DPs did e HPF’s acc hat the perfo Fund (MDG hich apparen MOH and pro curement Ru of the HPF allel funds to r enough to Several solu nts valued th solutions pr HPF-specific a componen ciency of fun mber of oper ood that a s s made ava he HPF whe luation show he implemen asn’t a sing Rather, all p xibility of deta y document Without form nd executin pients and m t h   P o o l e I been asses as well as t hree reques al Health Bu ed that vario D/FMOH. Bu RHBs, excep Table, 1) re on that rem ves of HPF. underlines y. In addition dn’t actually count. ormance of PF). The M ntly has ove ocurements a ules and Pro F as a sepa o which mos observe, pin utions have he essential roposed by r c funds from t of MDG P nd utilization rational rese significant nu ailable throu en alternative wed that the ntation of HP gle request e articipants i ailed action ted procedu mally docume g requests managers co e d   F u n d   Index consu sed in this e the requests sts have bee ureaus within ous letters o ut there was t those state eviewed by mained unut More than a the limited a to this, as I install the la HPF had be MDG PF is erwhelmed t are exclusive ocedures. H rate funding st DPs are c npointing the been entert l objectives respondents m MDG PF a F (but still th n in line with earches sup umber of stu gh other m es are availa e FMOH/PP PF-II. In spit entertained n the evalua plans. ures manual ented proce s, the conc ould be lost                       sult, August, evaluation. I s made by R en made by n the three y of notification s no docume ed. y the evalu ilized is be a quarter (32 advocacy am have learnt ast disburse een exempla a bigger fun the HPF. Bu ely carried o owever, som g entity and ontributing a e perfect sol tained during of the funds s include me and channel he administr the docume pported via udies have mechanisms. able. PD had prod te of the fac in the evalu ation apprec except som dures to act cept of sm and errors c  | 16   2010  n the RHBs y Dire years n and ented uation eyond 2.9%) mong t from ement ary in nding ut the out as me of also at the lution g the s and erging ed to rative ented HPF been The duced t that uation ciated me of t as a mooth could
  • 18. F M O H   5. Perfo 5.1. A I o a r t 5.2. T a r f o s i D a 5.3. I t a U i D d t t 5.4. I i a n a d a t 5.5. T t t c m 5.6. J e m s M i e ,   E t h i o p ormance of P As per the M I by holding operational c also states t regulations, those relatin The reports and summar report; final n final certified operationally statements a nformation p DPs. Thoug applied to su n the same the commen assistants to UNICEF pro mplementat During the s disburse as the Fund allo the requests learned tha ncluding do and requests not necessa and were tr documented applied in su the inconsist The contribu terms of the the demand contracting makes excep JCCC contin ensuring qua members pr stakeholders MOU is ad mprovemen efficient utiliz i a   –   E v a Partners (FM MOU, UNICE g, managing cost deducte hat the adm rules, direct g to interest expected fr ry of the acti narrative an d financial s y closed. As and consolid pertaining to h the repor ubmit reports respect, UN nts from the o bridge the ovided subst ion of HPF-I specified pe early as the ocation proc s have been at there were uble fund re s made with arily related raced back instructions uch circums tencies to em ution from UN flexibility of s do not go process, sa ptions to rule nued to pla ality standar rovide techn s including n dmirable. H t including t zation of the l u a t i o n   MOH, DPs, a EF has been g and admin ed from the ministration o tives and pr t. om UNICEF vities undert d financial re statement n s stated in t dated report o HPF-II wa rts were su s in order to NICEF has evaluation e communic tantial suppo II, particularl eriod, such e TOR requir cess. But, th entertained e instances o equests (sen h a very sho to FMOH o to the Fun s, procedure tances. The merge. NICEF, man f the funds, a o along with alary scales es or it takes y a crucial rds of projec nical expert non-HFP do However, th the limited a fund (as in o f   H e a l and UNICEF n requested t nistering the total contrib of the fund b rocedures a F include su taken by the eport no late no later than the MOU, U ts on the im as also prod bmitted rela strengthen t relatively im of the previ cation gap w ort to fill the ly in the first a gap surfa red, which m is funding ga as usual. of inconsiste nd to UNICE ort notice. S or UNICEF’s d’s genesis es or manua e absence of naging the H and timeline h UNICEF’s and other s a lot of res role in the ct presentati tise and the onors. The o e evaluatio action taken low fund exp t h   P o o l e I F) to assist the e fund. 5 % bution will be by UNICEF w applicable to mmary of q e fund recipie er than 6 mo n one year UNICEF sub mplementatio uced as req atively on tim the monitorin mproved its f ious HPF cy with FMOH e important f t few months aced becaus made it diffic ap has been encies with t EF and othe Some of the performanc . A major f als that coul f such guide ealth Pooled ess. But it is rules as in issues. In s ources to so process of on and sele ere was a overall cohe on team ob by the com ploitation by e d   F u n d   Index consu e implementa % fee for ad e paid to UN will be in acc o special acc uarterly fina ents; overall onths after c after the p bmitted summ on activities. quired by th me, more e ng activities fund manag ycle and als fund reque funding gap s after the in se DPs did cult to do pla n filled up by the requests r partners a problems e ce per se, b finding was ld be used elines is the d Fund, has really difficu n time taken such cases ort things out f project ap ection for fun balanced r erence and bserved are mmittee towa RHBs).                       sult, August, ation of the dministration NICEF. The cordance wi counts, inclu ancial statem annual prog completion; a project has mary of fina Other addit e JCCC and efforts shoul by JCCC. ement acce so hired pro ests. In add ps throughou itiation of HP not commit anning and b y UNICEF an s made by F at the same experienced but are struc the absenc as guideline major trigge been valuab ult at times w n for recruitm , either UN t. proval aimin nding. The J representatio compliance eas of pos ards fosterin  | 17   2010  HPF- n and MOU ith its uding ments gress and a been ancial tional d the ld be epting gram dition, ut the PF-II. t and begin nd all MOH time) were ctural ce of e and er for ble in when ment, ICEF ng at JCCC on of e with ssible g the
  • 19. F M O H   Conc The eval funding t continued presente 1. Enhan 1.1. T s F s a A c 1.2. I c h e 1.3. J f f u 2. Susta 2.1. M it s t H i a s ,   E t h i o p lusion a uation team to respond d. There a ed in rough o ncing Monitor The success strategic obj FMOH other should spec activities usi ARMs, Work critical health n fact, in a continue to e hubs of WB ensuring tha JCCC should feedback on financing of utilizing the f ainability of th Most respon ts sustainab solutions sug this particula HPF. Howev ncurred und apparently r situation in d i a   –   E v a and Rec m concluded to priority n re, however order of prior ring and Eval s of the HP jectives, as r than PPD a cifically enco ng different kshops, or o h systems co addition to i enhance the BP. Otherwis t Annual Pla d apply mor performanc priorities. F fund for prim e Health Poo dents expre bility, mainly ggested incl ar argument ver, if we en der the existe reasonable. detail to com l u a t i o n   commen that the Hea needs of th r, significant rity as follow uation Measu PF should b identified i and RHBs ha ourage the methods to others). Par omponents. nvolving the e support tow se, JCCC s ans contemp e efforts to f ce and moni For instance mary targets. led Fund essed their fe y because o ude merging t to hold me ntertain the i ence of mult Barring th e up with op o f   H e a l ndations alth Pooled e HSDP m t concerns t s: ures be measure n the MOU as been insi participatio raise aware rticularly em e RHBs, th wards the W should not plate the Wo foster close toring in ord e, by putting eelings of un f existence g of the Poo erit from the issues of inc tiple Pooled is possibilit ptions for a w t h   P o o l e I s Fund has si ore efficient that need to d by the de U. The part ignificant in n of RHBs eness (cond mphasizing th e next gene Woreda Heal hesitate to reda-level n linkages be der to ensure g the ceiling ncertainty ov of multiple oled Funds. T perspective creased tran Funds, merg ty, we need way forward. e d   F u n d   Index consu ignificant be tly and ther o be addres egree to wh ticipation of HPF-II. The and step ducting advo he access t eration of H th Offices s take a mo eeds. tween fundi e eligible fun to internati ver the future funds. As d The review e of the ove nsaction and ging the Poo d to carefu .                       sult, August, enefits in allo refore shoul ssed. These hich it fulfills f departmen refore, the J up its advo ocacy sessio to TA to su HPF should ince they ar re active ro ng decisions nd utilization ional travels e of the fund discussed be team did no erall objectiv d overhead oled Funds s ully examine  | 18   2010  owing ld be e are s the nts of JCCC ocacy ons in pport also re the ole in s and n and s and d and efore, ot find es of costs seem e the
  • 20. F M O H   2.2. T i i r t t p c s w f 2.3. R t I t p a s 2.4. T b m v t a 3. Effect 3.1. T H o i r 3.2. I t c t a n ,   E t h i o p The option o ssue of flex ncreased ov rules and pro the benefits the basic be process will compete in t strongly that which are a funding to H Regardless that can disb n addition, t the areas of package of account an synchronizat To this end, basis that it matters of H viable, indep the impleme administratio tiveness of TA The provisio However, co of TA. The ntended ski rather than a deally, the r to be based combined to to know for activities of F nearly every i a   –   E v a of merging is xibility and s verhead cos ocedure, the of employin enefits of in be more cum the market a t more effor already deliv PF. of all, the de burse quickly the HPF cou f eligible fina MDG PF f d continued tion of the fu , the evalua is flexible, s HSDP. By co pendent and entation of H on of the fun A, Needs and n of TAs ha omplex probl e main cha ll transfer, m as a means t recruitment, on an Actio o a set of so sure if the FMOH. The one recogni l u a t i o n   s not merely speed are m sts. Second e flexibility a ng a Fund A tended purp mbersome w and hire capa rt should be vering. This ecision shou y and efficie uld also be ancing for M und, allocat d to be m unds. ation conclud speedy and ontinuing to d demand-dr HSDP. Hen d should stil d Impact Asse s significant lems arise in allenge, tho mainly becau to build long contracting on Plan that und baseline provision of e needs and zes more wo o f   H e a l y safe; rathe more acute d, since FM and timelines Administrato pose of the with possibil able and mo e devoted to s provides uld be based ently in orde considered MDG PF is ted for TA, managed b des that the also helps t contribute t riven fund ou ce, as per t ll continue w essment tly contribute n the whole ugh, remain use the cons -term and su and second is grounded e indicators f TAs is hav impact asse ork needs to t h   P o o l e I er it comes w in the perfo MOH operate ss of disburs r will not be HPF. For i ity of greate otivated cons o making e another go d on the ne er to support as part of th the provisio could be d by UNICEF. e continuity to better gro to the HPF, utside the M the evaluatio with UNICEF ed to the ach process of r ns ensuring sultants are ustainable c dment of con d in a more that measu ving an imp essment is a o be done in e d   F u n d   Index consu with several ormance of es as per th sement wou e available, w nstance, the r delays and sultants. So xisting fund od reason ed for a fun t the HSDP t he MDG PF on of TA. H directly chan . This way of HPF is j ound decisio , DPs ensur MDG Pooled on results, I . hievement H ecruitment a g TA effecti deployed in apacity. nsultants to t thorough ne re the outpu act on the c n important this area.                       sult, August, l risks. Firs HSDP than he governm ld be lost. T which will d e fund exec d also difficu ome DPs als ing mechan to maintain nding mecha to fulfill its g F because o Hence, a sp nneled to H y there wil justifiable on ns for the u re that there Fund to su recommend HSDP’s objec and manage iveness and a gap-filling the FMOH n eeds assess uts. This will capacity bu step forward  | 19   2010  t, the n the ment’s Third, defeat cution ulty to so felt nisms n the anism goals. ne of ecific HPF’s ll be n the rgent e is a pport d the ctive. ement d the g role needs sment l help ilding d, but
  • 21. F M O H                       ,   E t h i o p i a   –   E v a l u a t i o n   o f   H e a l t h   P o o l e I e d   F u n d   Index consu                       sult, August,  | 20   2010 
  • 22. F M O H     • F • O • P • T   ,   E t h i o p Full Name Organizatio Position ___ Type of inv i a   –   E v a __________ on________ __________ volvement l u a t i o n   __________ __________ ___________ in the HP o f   H e a l Ques ___________ ___________ __________ F ________ t h   P o o l e I stionnaire co ___________ __________ __________ ___________ e d   F u n d   Index consu ode # ____ ____ ____ ____ __                       sult, August, __________  | 21   2010  ____
  • 23. A 1 2 3 4 5 6 F M O H   A. General 1) Are you a Yes,   2) What is t • D • F • JC • R • F • C • O   3) What are ________ ________ ________   4) What wa ________ ________     5) What is y ________ ________ ________     6) Who are ________ ________ ________ ________ ________ ________ ,   E t h i o p aware that t No the role of yo Donor, MOH CCC membe RHB und Adminis Contractor/Cl Other e the objectiv __________ __________ __________ s the amoun __________ __________ your opinion __________ __________ __________ the major c __________ __________ __________ __________ __________ __________ i a   –   E v a the Health Po our organiza er, stration, ient, ves of the H ___________ ___________ ___________ nt fund raise ___________ ___________ on the scop ___________ ___________ ___________ contributors ___________ ___________ ___________ ___________ ___________ ___________ l u a t i o n   ool Fund (H ation in the H HPF? __________ __________ __________ ed and durat __________ __________ pe (adequac __________ __________ __________ of the Healt __________ __________ __________ __________ __________ __________ o f   H e a l PF) Exists? Health Pool _________ _________ _________ tion of the H _________ _________ cy, eligible ar _________ _________ _________ h Pool fund? _________ _________ _________ _________ _________ _________ t h   P o o l e I Fund? HPF? reas) of Hea ? e d   F u n d   Index consu alth Pool Fun                       sult, August, nd (HPF)?  | 22   2010 
  • 24. B 1 2 3 4 5 6 7 F M O H   B. Relevan 1) Is the wo stakehold Yes, ________ ________ 2) What is H ________ ________ ________   3) Are all th Yes, 4) What are ________ ________ ________ 5) How do y (Highly sat 6) Are there Yes, If yes, pl   ________ ________ 7) Are there Yes, If yes, pl   ________ ________ ________ ,   E t h i o p nce ork of Health ders? If your No __________ __________ HPF’s compa __________ __________ __________ he requests r No e the areas m __________ __________ __________ you rate the tisfactory [5], S e any proble No ease mentio __________ __________ e any proble No ease mentio __________ __________ __________ i a   –   E v a h Pool Fund r answer is N ___________ ___________ arative advan ___________ ___________ ___________ received and most often re ___________ ___________ ___________ degree of p Satisfactory [4 ms in the de on the proble ___________ ___________ ms in the im on the proble ___________ ___________ ___________ l u a t i o n   (HPF) cons No, please e __________ __________ ntage relativ __________ __________ __________ d executed in equested fo __________ __________ __________ political com 4], fairly satisfa esign of the ems __________ __________ mplementatio ems __________ __________ __________ o f   H e a l sistent with t explain. _________ _________ ve to other a _________ _________ _________ n line with H r funding? _________ _________ _________ mitment am actory [3], Less Health Pool _________ _________ on or commi _________ _________ _________ t h   P o o l e I the developm alternatives c Health Pool F mong key sta s satisfactory [ Fund [HPF] issioning of t e d   F u n d   Index consu ment strateg covering sim Fund (HPF) p keholders? _ 2], Not satisfa ]? the Health P                       sult, August, gy of its prin milar issues? proposal? ______ actory [1]) Pool Fund [H  | 23   2010  ncipal HPF]?
  • 25. C 1 2 3 4 5 6 F M O H   C. Coheren 1) In your implemen Yes, 2) Are HPF’s Yes, a) D b) W __ __ 3) What has of HSDP ________ ________ ________ 4) Are the b effort? Yes, 5) Why only for other ________ ________ ________   6) How do appropria (Highly sat   ,   E t h i o p nce opinion, w ntation of HS No s time lines, No Do you think Yes, What needs t __________ __________ s been the v III? Please w __________ __________ __________ benefits of H No y few donors donors for __________ __________ __________ you rate th ate for the a tisfactory [5], S i a   –   E v a was Health SDP III? milestones the HPF sho No to be improv ___________ ___________ value-added write below, ___________ ___________ ___________ Health Pool F s committed not joining t ___________ ___________ ___________ he extent to attainment o Satisfactory [4 l u a t i o n   Pool Fund and targets ould continu ved in HPF II __________ __________ of the Healt , __________ __________ __________ Fund [HPF] c d to Health P the HPF? __________ __________ __________ o which the f its objectiv 4], fairly satisfa o f   H e a l d [HPF] a appropriate e as it is? II? ____ ____ th Pool Fund _________ _________ _________  commensura Pool Fund [H _________ _________ _____  Health Poo ves? ______ actory [3], Less t h   P o o l e I viable opt e? d to support ate with inpu HPF]? What d ol Fund desi ___ s satisfactory [ e d   F u n d   Index consu tion for st t the implem uts in terms do you think ign and stra 2], Not satisfa                       sult, August, rengthening mentation pro of cost, time k are the rea ategy sound actory [1])  | 24   2010  g the ocess e and asons d and
  • 26. D F 1 2 3 4 F 5 6 7 8 F M O H   D. Efficienc Fund Utiliza 1) Did the P of HPF? Yes, 2) In your o spirit of i Ye 3) Did the through U Ye 4) How do y requests (Highly sat Fund Appro 5) How muc _____ 6) How do y (Highly sat • Regu • Effect • Atten 7) How do y (Highly sat • Monit • Trans • Time • Feedb 8) How do _______ (Highly sat ,   E t h i o p cy ation PPD-FMOH h opinion did t ts purpose? es, PPD-FMOH UNICEF? es, you rate the for funding? tisfactory [5], S oval ch time does __ (please sp you rate the tisfactory [5], S larity of the tiveness of t ndance by al you rate JCC tisfactory [5], S toring mecha sparency___ liness______ back mecha you rate JC tisfactory [5], S i a   –   E v a have annual No the PPD-FMO No follow the No e overall resp ? _______ Satisfactory [4 s the JCCC ta specify in hour JCCC’s mee Satisfactory [4 meetings__ the meetings l members__ CC's approva Satisfactory [4 anisms_____ _____ __ nisms_____ CCC's overall Satisfactory [4 l u a t i o n   expenditure OH ensured standard pr ponsibility of 4], fairly satisfa ake, on aver rs, days, week etings in term 4], fairly satisfa _______ s________ _____ al process fo 4], fairly satisfa __ ____ l decision m 4], fairly satisfa o f   H e a l e/action plan the appropr rocedures to f PPD-FMOH actory [3], Less rage, to app eks, or months ms of: actory [3], Less r the HPF as actory [3], Less making proce actory [3], Less t h   P o o l e I n for approp riate and eff o authorize H for receivin s satisfactory [ prove a requ s) s satisfactory [ s per the MO s satisfactory [ ess in alloca s satisfactory [ e d   F u n d   Index consu priate and ef ficient use o the execut ng, processin 2], Not satisfa est for fundi 2], Not satisfa OU in terms 2], Not satisfa ting and uti 2], Not satisfa                       sult, August, fficient utiliz of the fund i ion of the ng and appro actory [1]) ing? actory [1]) of: actory [1]) ilizing resou actory [1])  | 25   2010  zation n the plans oving rces?
  • 27. F 1 2 3 4 5 6 7 8 9 1 F M O H   Fund Admin 1) Were all schedule Ye If not _____ _____ 2) Are all th Ye 3) How muc _____ 4) Do you managing Ye 5) How do y (Highly sat 6) How do y (Highly sat • Less • Trans 7) How do y for JCCC (Highly sat • Time • Accur 8) How do y (Highly sat • Trans • Clear 9) How do y (Highly sat 10) Do you t continued Ye If No ,   E t h i o p nistration contributio ? es, t, what mea __________ __________ he required p es, ch time does _____ (pleas think the h g the fund? es, you rate effi tisfactory [5], S you rate the tisfactory [5], S cumbersome sparency___ you rate the and HPF pa tisfactory [5], S liness______ racy_______ you rate the tisfactory [5], S sparency of r TOR for ass you rate the tisfactory [5], S think the ad d by UNICEF es, , please spe i a   –   E v a ns by HPF No sures were t ___________ ___________ procedures a No s UNICEF tak se specify in h human resou No ciency of the Satisfactory [4 administrat Satisfactory [4 eness______ ______; e financial st artners in ter Satisfactory [4 __ __ selection of Satisfactory [4 selection___ signment___ overall fund Satisfactory [4 dministration F? No ecify _______ l u a t i o n   Donors rece taken by UN __________ __________ adhere to up ke, on avera hours, days, w urce allocat e process of 4], fairly satisfa tion of the H 4], fairly satisfa _; tatements, p rms of: 4], fairly satisfa f clients and 4], fairly satisfa ___ ____ d administra 4], fairly satisfa n and mana __________ o f   H e a l eived on tim NICEF to man ___________ ___________ pon request age, to proce weeks, or mo ted by UNIC f the procure actory [3], Less HPF by UNIC actory [3], Less progress repo actory [3], Less contracting actory [3], Less tion process actory [3], Less agement of ___________ t h   P o o l e I me and acc nage funding __ __ for spending ess an autho onths) CEF is adeq ement of ser s satisfactory [ EF/Ethiopia s satisfactory [ Flexibility_ Timelines orts produce s satisfactory [ process in t s satisfactory [ s by UNICEF s satisfactory [ the Health __________ e d   F u n d   Index consu cording to t g gaps? g? orized spend quate for ad rvice and go 2], Not satisfa in terms of: 2], Not satisfa ______ ss_______ ed and subm 2], Not satisfa terms of: 2], Not satisfa F/Ethiopia? _ 2], Not satisfa Pool Fund ___________                       sult, August, he disburse ding? dministering ods? _____ actory [1]) actory [1]) mitted by UN actory [1]) actory [1]) _____ actory [1]) [HPF] shou ________  | 26   2010  ement g and ___ NICEF ld be
  • 28. E 1 2 3 4 F M O H   E. Impact 1) What are implemen ________ ________ ________   2) What w documen a) Short _____ _____ _____   b) Possi _____ _____ _____   c) What _____ _____ d) What _____ _____ 3) How do y donor en (Highly sat 4) What is y _______ (Highly sat ,   E t h i o p e the contri ntation of HS __________ __________ ____________ were the ou nted]? t-term outco __________ __________ ___________ ble long-term __________ __________ ___________ t do you per __________ __________ t do you per __________ __________ you rate the ngagement? tisfactory [5], S your overall tisfactory [5], S i a   –   E v a butions of t SDP? ___________ ___________ ___________ utputs of omes ___________ ___________ ____________ m impacts o ___________ ___________ ____________ ceive as the ___________ ___________ ceive as the ___________ ___________ e effectivene _______ Satisfactory [4 rating of th Satisfactory [4 l u a t i o n   the Health P __________ __________ ____________ HPF implem __________ __________ ___________ on the groun __________ __________ ___________ e greatest su __________ __________ e greatest ch __________ __________ ess of the H 4], fairly satisfa he extent of 4], fairly satisfa o f   H e a l Pool Fund [ _________ _________ _________  mentation [ ___________ ___________ ____________ d ___________ ___________ ____________ ccesses rega ________ ________ hallenges reg ________ ___________ Health Pool F actory [3], Less f achieveme actory [3], Less t h   P o o l e I HPF] in the [quantitative __ __ __  __ __ __  arding Healt garding Heal __ Fund [HPF] s satisfactory [ ent Health Po s satisfactory [ e d   F u n d   Index consu e harmonizat e and qual th Pool Fund lth Pool Fund as a working 2], Not satisfa ool Fund [H 2], Not satisfa                       sult, August, tion process litative sha d [HPF]? d [HPF]? g-model for actory [1]) HPF]'s object actory [1])  | 27   2010  s and ll be joint tives?
  • 29. F 1 2 G 1 2 H 3 I 1 2 F M O H   F. Owners 1) Did your Yes, 2) Did your Yes, G. Sustaina 1) Do you th Yes,   2) Are resou Yes, H. Institut 3) Do the m Ye I. Governa 1) Are the i appropria Ye 2) Are the g Ye ,   E t h i o p hip and Ha organization organization ability hink that He urces adequ ional Align members and es, ance nteractions, ate? es, governance p es, i a   –   E v a armonizatio n participate No n play any ro No ealth Pool Fu No ate to susta No nment d donors in t No structure, r No procedures o No l u a t i o n   on e in the desig ole in the po und achievem in progress? the HPF repr role and aut of HPF adeq o f   H e a l gn and/or im opularization ments will en ? resent the ke hority of the quate in term t h   P o o l e I mplementatio n of HPF stak ndure? ey partners e HPF and it ms of transpa e d   F u n d   Index consu on of the HP keholders? in the count ts related go arency and o                       sult, August, PF? try? overnance b objectivity?  | 28   2010  odies
  • 30. J F M O H   J. Overall 3) Do yo Ye 1) How • O • D • Im • M (Highly 2) What mitig _____ _____ ____ 3) What [HPF] ____ _____ ____ 4) How count (Highly 5) How (Highly ,   E t h i o p   ou think the es, do you rate Objectives___ Design______ mplementati Monitoring___ y satisfactory [ t barriers to ated? __________ __________ __________ t improveme ]? __________ __________ __________ do you c tries/standar y satisfactory [ do you rate y satisfactory [ i a   –   E v a efficiency o No the strength _____ _ ion_______ _____ [5], Satisfactor effective ut ___________ ___________ __________ ents do you __________ ___________ __________ compare the rds? ______ [5], Satisfactor the overall [5], Satisfactor l u a t i o n   of implement h and weakn ry [4], fairly sa tilization of __________ __________ _________ suggest for _________ __________ _________ e achievem __ ry [4], fairly sa performance ry [4], fairly sa o f   H e a l tation of HPF ness of the H atisfactory [3], HPF have b ___________ ___________ __________ r better imp __________ ___________ __________ ment of HP atisfactory [3], e of HPF? __ atisfactory [3], t h   P o o l e I F-II has imp HPF in terms , Less satisfacto been encoun __ __ __ plementation __ __ __ PF relative , Less satisfacto _____ , Less satisfacto e d   F u n d   Index consu roved comp s of ory [2], Not sa ntered and h n of future H to best pr ory [2], Not sa ory [2], Not sa                       sult, August, ared to HPF atisfactory [1]) how can the Health Pool ractice in atisfactory [1]) atisfactory [1])  | 29   2010  -I? ) ey be Fund other ) )
  • 31. F M O H   1) L L F D I A I T J H R C ,   E t h i o p List of Eva List of Gover Federal Dem Department  Italian Co‐op Austrian Dev Irish Aid (IA)  The United N JCCC Membe Health Pool F Regional Hea Client/contra i a   –   E v a aluation Pa nment Institu ocratic Repu For Internati eration(IC)  velopment Co Nations Childr ers  and Organ Fund Adminis alth Bureaus ( actor  l u a t i o n   articipants utions and O blic of Ethiop onal Develop ooperation (A ren’s Fund in nizations oth strator, UNIC (Oromiya or  o f   H e a l s rganizations  pia,  Ministry  pment (DFID) ADC)   Ethiopia (UN her than the H CEF  Addis Ababa t h   P o o l e I   of Health (FM )  NICEF Ethiopi HPF Donors   RHB)  e d   F u n d   Index consu MOH)  a)  Total                        sult, August, # of respond 4  1  1  2  1  2  2  3  1  1  18   | 30   2010  dents