End Line Evaluation of the H4+ Joint Programme

A Euro Health Group team is conducting this major evaluation of a ten-country, 100 million USD programme delivered jointly by the H4+ (now H6) partnership using direct funding from Canada and Sweden.  The programme aimed to accelerate progress toward reaching Millennium Development Goals four and five and improving access to quality care in Reproductive Maternal Newborn Child and Adolescent Health (RMNCAH) in ten countries in Africa: Burkina Faso, Cameroon, Cote d’Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea Bissau, Liberia, Sierra Leone, Zambia and Zimbabwe. 

The H4+ JPCS programme represents an effort to fund, plan and implement coordinated interventions in RMNCAH at both global and country level, undertaken by UNFPA, UNICEF, WHO, UNAIDS, UN Women and the World Bank. It aims to complement existing programmes, accelerate progress in RMNCAH through catalytic interventions, and support innovative methods which can be taken to scale.

The programme is focused on improving access to quality care in RMNCAH for adolescent girls and women of child bearing age. Key intended beneficiaries include adolescent girls and young women at risk of early marriage and/or teenage pregnancy; women of child bearing age in disadvantaged groups or under-served communities; and infants and children. All of these beneficiary groups are at risk of avoidable deaths and increased burden of disease due to weaknesses in national and local systems for providing accessible prevention and care in RMNCAH.

The evaluation was commissioned by UNFPA who also leads the three-agency Evaluation Management Group composed of representatives of the Evaluation Offices of UNFPA, UNICEF and Global Affairs Canada.

The evaluation is being carried out by a core team of four members with members of this team leading the field work in each country.

The evaluation of H4+ JPCS was designed by EHG as a theory-based study applying a mixed-methods approach (case studies, document reviews, online surveys) and utilising contribution analysis as the core analytical model. The inception phase involved development of a comprehensive set of theories of change for the programme at global and country level along with the identification of a full set of key causal assumptions. The causal assumptions were then the central focus of field work and reporting for the then programme countries.

This evaluation is an important tool for both accountability and learning, and will be one of the foundations for the planned work of the H6 agencies in their efforts to support progress in RMNCAH under the Sustainable Development Goals.