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Perspectives on Development Aid Health Impact Assessment

Perspectives on Development Aid Health Impact Assessment. Peter Hansen. ASPHER/EAGHA Consultative Workshop Brussels, 6 February 2012. Principles that should underpin impact assessment. Central position of countries What is the country’s impact?

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Perspectives on Development Aid Health Impact Assessment

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  1. Perspectives on Development Aid Health Impact Assessment Peter Hansen ASPHER/EAGHA Consultative WorkshopBrussels, 6 February 2012

  2. Principles that should underpin impact assessment • Central position of countries • What is the country’s impact? • To what extent do different factors, including development aid, contribute to that impact? How? • Impact is joint product of many causes, which operate through complex results chains • No cause is sufficient in itself to produce results • Contribution vs. attribution • Investments in impact assessment should recognize centrality of countries and explicitly focus on strengthening country ownership and capacities

  3. GAVI’s M&E Framework and Strategy

  4. Results framework

  5. Full country evaluations • Build upon country-owned M&E platform • Contribute to strengthening M&E of national health strategies and existing review mechanisms • Country teams participate in all phases as full partners • Harmonise and align evaluation investments and activities across agencies where appropriate • Prospective study design • Conduct over 5 years, concurrent with implementation • Entire results framework covered, from inputs to impact • Indicators and data sources defined in advance

  6. Full country evaluations • Baseline values documented from beginning, with data collection throughout • Focus on assessing country’s impact & identifying factors that meaningfully contribute to that impact; and how • Test assumptions in theory of change underpinning GAVI’s support to countries • Contextual factors that affect implementation—and positive and negative unintended consequences—explained and fully documented • Support ‘real time’ use of data and learning where possible at country and global levels

  7. How do the full country evaluations relate to model-based estimates of impact? • Models focus on measuring impact of vaccination at country level • Country results, not GAVI results • Evaluations test assumptions of modeling exercises through direct measurement of specific endpoints in 5 countries • Evaluations provide evidence to assess robustness of assumptions and adjust assumptions as appropriate • Evaluations identify how interplay of range of factors contributes to the observed result

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