Evaluation of Gavi HSS support to Nepal

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Client GAVI Alliance
Dates 2015
Sector(s)Global Health
Service(s)Review & Evaluation
CEPA has been appointed to carry out an evaluation of Gavi’s Health System Strengthening (HSS) support to Nepal through the pooled funding mechanism. The aim of the evaluation is to identify the key advantages and disadvantages of support through the pooled fund and highlight essential lessons that could be useful to guide Gavi’s future HSS support in Nepal and other countries.

The evaluation, which will assess the design, relevance, engagement approaches and results achieved by Gavi HSS support through the pooled funding mechanism in Nepal, encompasses the following elements:
  • Design and relevance – an assessment of the relevance of Gavi’s HSS support to Nepal in terms of Gavi’s own mandate and national plans/ priorities, as well as alignment with the IHP+ criteria.
  • Implementation and governance – a review of the efficiency and efficacy of the implementation of the NHSP-II and pooled funding mechanism including issues such as management, coordination and reporting – covering the roles and performance of the Nepalese government and other in-country partners, as well as Gavi and its partners.
  • Results – an assessment of the achievements made under the Gavi HSS grant and NHSP-II in improving health system outcomes and immunisation performance.
The review also considers a number of “cross cutting” issues including how the experience and results might have differed if Gavi had provided “traditional” earmarked funding as compared to contributing to the pooled funding mechanism (i.e. the counterfactual); what might be specific features of the Nepalese health system (and broader country-specific factors) that might have driven the success or failure of the pooled funding mechanism; and what might be specific features of Gavi and its HSS window that may have supported the success or failure of the funding to Nepal.

We are employing a mixed-methods approach for the evaluation comprising document and data review, stakeholder consultations, field visits to Nepal (Kathmandu and three districts) and comparator analysis of other countries using a pooled funding approach.

The evaluation is being delivered in partnership with Health Research and Social Development Forum (HERD), a local research firm along with advisory inputs from key partnership, health systems strengthening and Nepal country experts.