In 2018, UNICEF Evaluation Office commissioned a formative evaluation of Health Systems Strengthening (HSS) programming to generate evidence and learning on what is needed for successful implementation. The main objectives of the evaluation are to: 1) assess the relevance, efficiency, effectiveness, equity focus and sustainability of UNICEF’s HSS approach; 2) assess and document HSS programming at the implementation level; and 3) based on the evidence gathered, produce clear conclusions and recommendations for policy and management decisions to further transform HSS within UNICEF.
The evaluation, conducted in collaboration with ITAD, is theory-based, centred on the use of an overarching theory of change for UNICEF’s HSS work, and addresses 22 evaluation questions grouped under 7 overarching questions. Data collection and analysis took place over 2017 and 2018, through 6 in-depth and 11 light-touch country studies, 4 thematic case studies, as well as key informant interviews with global and regional stakeholders and an online survey. The theory of change and a framework from a peer-reviewed journal article were used to analyse the extent to which an intervention was supporting or strengthening the health system.
The report is intended primarily for UNICEF internal decision-makers and presents a synthesis of evaluation findings and recommendations as well as 4 thematic case study reports. The following 2 high-level questions were designed to promote accessibility for a range of stakeholders with varying engagement in UNICEF’s HSS work: 1) To what extent is UNICEF implementing relevant and effective HSS interventions? 2) What strategies and factors have enabled or hindered progress? All evaluation questions are addressed through these 2 high-level questions.
Year Published | |
Type | |
Joint | No |
Partner/s | N/A |
Consultant name | |
Agency Focal Point | Stefan Swartling Peterson |
Focal Point Email | speterson@unicef.org |
Managed by Independent Evaluation Office | No |
Geographic Scope | Country |
Country/ies |