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Evaluation of the Health Transition Fund in Zimbabwe

The Health Transition Fund is a pooled funding mechanisms funded by various bilateral donors and managed by UNICEF, to support the MOH in enhancing essential MNCH interventions in Zimbabwe.

 LSTM has been contracted to perform the external evaluation of this initiative, over its four years life span. The following five periodic evaluations have been conducted by CMNH:

  1. Baseline evaluation, 2011 conducted in 2013
  2. Annual Review-2012 conducted in June-Sep 2013
  3. Mid-Term Review 2013  conducted in Mar-Jun 2014
  4. Annual Review conducted in Apr-Jul 2015
  5. Final evaluation conducted in Feb-May 2016

In the 1980s and 1990s, Zimbabwe was a model for many African countries, for the quality and availability of health and social services to the population.

The health system was severely hit by the crisis that affected Zimbabwe between 2000-2008, and the impact of this crisis was further exacerbated by the severe HIV/AIDS epidemic that hit the country during the same period.

In such social, economic and political context, the HTF was designed to contribute to tackle a dramatic situation and to support the government in inverting trends in maternal and child health for all Zimbabweans.

The objective of the HTF is to improve maternal, newborn and child health (MNCH) by strengthening health systems and scaling up the implementation of high impact interventions through the health sector through three key pillars from 1st January 2012 to 31st December 2015.

Evaluation purpose
LSTM has been contracted until July 2016 to perform the external evaluation of this initiative, over its four years life spam to assess to what extent HTF strategies, approaches and overall intervention logic have contributed to changing the health situation of the population with a special focus on MNCH and at the same time to determine whether the resources have been used in the most efficient way to achieve those changes.

The conceptual framework of the evaluation used five OECD-DAC criteria for international development evaluations: impact, effectiveness, relevance, efficiency and sustainability. 

 

The evaluation using the following methods:

  • A mixed methods design.
  • A nationwide health services assessment, conducted in 2014, 2015 and 2016 to assess the availability of health services at district level and at primary care level through a modular survey administered at three levels of the health system: District Health Management, District Level Hospitals and Level 1 Facilities.                      
  • Key informant interviews conducted in 2015 and 2016 and used to gather views and perspectives of stakeholders at three levels: national, district in health facilities, and community in health centre committees.
  • Focus group discussions with members of district health offices, village health workers and beneficiaries (women of reproductive age, care givers of children under-5).
  • Secondary data and reports available in Zimbabwe and internationally.