Global Fund Prospective Country Evaluations in Cambodia, Myanmar and Sudan

The aim of the Global Fund Prospective Country Evaluations (PCE) is to enable greater in-depth, real-time monitoring and evaluation, learning and problem solving that will improve programme adaptation. The PCE is designed to generate evidence from ongoing country programmes with the goal of accelerating progress towards achieving the Global Fund’s Strategic Objectives (1 to 4) and Strategic Enablers of the 2017 to 2022 strategy “Investing to End Epidemics”.

The PCE model was adapted from the GAVI full country evaluations implemented since 2013 in Bangladesh, Mozambique, Uganda and Zambia and builds on lessons learned from those countries. The PCE places a strong focus on the implementation of both the Global Fund grants and overall disease programmes. It also looks at the corresponding achievement of impact against the three diseases.

Within this context, an organizing framework has been developed (see figure). It has five analytical methods that have been employed for the design, implementation and analysis of different areas of work across two core work streams: impact and process evaluation. Synthesis will be undertaken across the findings from in-country and cross-country work of all three consortia.

We have developed an overarching evaluation framework through a process of individual consultation and multi-stakeholder workshops. The workshops were designed to discuss the broad set of issues and gather input on the priority issues in each country.  The framework is populated with key evaluation questions that were prioritized by stakeholders in the three countries.

Mini-theories of change (ToC) were designed around the key evaluation questions. These were given priority to guide the work of the PCE. Country evaluation partners are responsible, with support and oversight from the global evaluation partner, for generating and assessing evidence to determine progress against the ToCs. The country evaluation partners will regularly feedback real-time evidence and lessons learned to country stakeholders, the TERG and the Global Fund Secretariat to ensure programme course correction, as well as supporting cross-country analysis and annual synthesis.

Year one implementation of the PCEs has focused on setting up structures in countries. These structures include: creating technical advisory committees to help guide the PCEs; developing mini ToCs and related tools to evaluate key questions and themes; undertaking a process evaluation of the funding request and grant-making processes, looking across all three diseases; and initiating work under the impact workstream.

The project is funded by the Global Fund and implemented by EHG in collaboration with a variety of partners: Itad and University of California, San Fransisco (UCSF), as well as country evaluation partners from Cambodia, (Angkor Research and Consulting), Myanmar (Myanmar Knowledge Management Foundation - MKMF) and Sudan (Blue Nile Institute for Communicable Disease – BNNICD). IHME/Path and JHU were also commissioned by the Global Fund to undertake the PCE in Mozambique, Guatemala, DRC, Senegal and Uganda.