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Evaluation of UNICEF’s District Health Systems Strengthening Initiative 2019-2022 (UCO In-depth Report))
Overview
The District Health Systems Strengthening Initiative (DHSSi) was a three-year initiative (2019-2022) to support sub-national health systems strengthening in Kenya, Tanzania, Malawi and Uganda, countries where decentralization of health service delivery makes effective subnational planning and management critical for health system improvement. DHSSi was led by the UNICEF Eastern and Southern Africa Regional Office (UNICEF ESARO) and implemented in collaboration with respective UNICEF country offices (COs), under a grant agreement with the Bill and Melinda Gates Foundation (BMGF). In coordination with ESARO, the Foundation for Professional Development (FPD) provided additional technical assistance support across countries. The total budget was US$ 9,536,604, spread across work at international and regional level and in the four countries. A Phase 2 was originally planned to continue and embed DHSSi activities post-2022, but this was not taken forward, in part due to a change in BMGF strategy. This report summarizes UNICEF Uganda country specific findings from a three-year regional evaluation of DHSSi that was undertaken to assess progress and inform ongoing design, implementation, and future scale-up. The evaluation approach was theory-based and aligned to DHSSi’s theory of change. There were three annual rounds of data collection, analysis and reporting, starting in 2020 and with the third round in 2022. Evaluation questions were structured using criteria of relevance, coherence, efficiency, effectiveness, sustainability, and impact. Questions on impact related to reduction in bottlenecks and improved coverage of priority health interventions, and this information was collected primarily for results framework reporting and to support future assessment, given the time needed to see change at this level. The evaluation and indepth report extraction for Uganda was carried out by Oxford Policy Management and managed by the ESARO Evaluation Section.
Report Details
| Year Published | |
| Type | |
| Joint | No |
| Partner/s | N/A |
| Consultant name | |
| Agency Focal Point | Jonathan Gamusi |
| Focal Point Email | jgamusi@unicef.org |
| Managed by Independent Evaluation Office | No |
| Geographic Scope | Country |
| Country/ies |
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Evaluation of UNICEF’s District Health Systems Strengthening Initiative 2019-2022 (UCO In-depth Report))
