Mid-term evaluation of EU funded MDGi programme in Zambia

EHG along with Itad, successfully completed the mid-term evaluation of the MDGi Programme. This programme aims to accelerate the reduction of maternal, neonatal and child mortality in Zambia by strengthening public sector management systems.

The MDGi Programme is funded by the European Union and implemented by UNICEF. The mid-term evaluation focused on assessing the performance of the MDGi programme between May 2013 and October 2016. It examined its relevance, effectiveness and efficiency, as well as its prospects for long-term impact and sustainability. By documenting results achieved and lessons learnt thus far, the mid-term evaluation will be used for both accountability and learning purposes.

The mid-term evaluation found that the MDGi programme is a highly ambitious and comprehensive programme that is relevant to the RMNCH&N needs of Zambia. UNICEF has shown itself to be capable of managing the programme as a fund holder, and the Ministry of Health has demonstrated strong leadership and ownership. The programme’s originality lies in its support to health services at the district level of the health system.

Major achievements of the programme include the refurbishment of maternity facilities, the vast amount of capacity building it offers, its health-systems strengthening activities, and the extent to which it balances supply- and demand-side activities. In conclusion, the MDGi programme is on track to implement all activities under the five expected-results areas. However, it needs at least another year to consolidate these achievements through ongoing monitoring, mentoring and supervision. This will allow system changes to be mainstreamed and properly implemented.