Evaluation of DGCS-MAE Initiatives in the Health Sector in Mozambique

The evaluation main objective was to produce a comprehensive analysis of the following projects financed by the Italian Government in support of the health sector in Mozambique and implemented in the period 2006 – 2011:

• Sviluppo dei sistemi sanitari locali – Iniziativa di appoggio al Piano di Formazione accelerata dei tecnici sanitari nella provincia di Sofala
• Partecipazione italiana al finanziamento e alla gestione del programma settoriale del Governo Mozambicano per il settore sanitario PROSAUDE
• Sostegno allo sviluppo delle risorse umane nel settore sanitario
• Formazione di medici in Mozambico – Programma di supporto alla Facoltà di Medicina dell’Università Cattolica del Mozambico

Three of the four projects have been implemented directly by the Directorate General of Cooperation and Development of the Italian Ministry for Foreign Affairs (MAE), while one was implemented by the Italian NGO Medici con l’Africa CUAMM.

More specifically, the evaluation exercise aimed to investigate the programme efficiency and effectiveness of the four projects, taking into consideration the DAC criteria and the indications provided by the contracting agency. The appropriateness of the MAE strategy was also taken into consideration in the identification of the recommendations that were provided at the end of the evaluation exercise.

In line with the PuntoSud methodology, the evaluation exercise analysed the project logic and the deviation from the original plan (highlighting changes, and their causes), analysed stakeholder and the project management.

The evaluation exercise included a field survey conducted by three sectoral experts to assess the information collected in Italy and to identify the impact and sustainability of the projects with regard of the local institutions involved (Ministry of Health, Directorate of Health in the two target provinces of Maputo and Beira, the Catholic University of Beira – Faculty of Health Sciences, Training Centres of Maputo and Nhamatanda).