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Home > Main Library > Health > Health systems and resources > International health organisations and programmes > Bilateral health programmes

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Bilateral health programmes

Individual Documents

Title: DFID’s Health Programmes in Burma
Date of publication: July 2013
Description/subject: Executive Summary: "Burma (also known as Myanmar) is a fragile state, one of the poorest countries in Asia, with a long history of political unrest and armed conflict. Following elections in 2010, the country is now undergoing rapid change. The UK is the largest international donor to Burma. It spends almost half of its Burma expenditure on health, £110 million over the period 2010-15. This review assesses whether DFID is achieving impact and value for money in Burma through its aid to the health sector..... Overall Assessment: Green - DFID has designed and delivered an appropriate health aid programme in a country where there is significant health need and where there are significant challenges of access and capacity. DFID has demonstrated clear leadership in working well with intended beneficiaries, other donors, delivery partners and the Government of Burma’s Ministry of Health. The health programme has addressed many health needs, although demonstrating the impact of DFID’s health programmes has been difficult given the lack of good data in Burma... Objectives Assessment: Green - DFID’s health programme has identified and balanced the health needs of the Burmese people wi th the longer-term objective of helping the Government of Burma to develop a robust public health system. We consider DFID Burma’s health objectives to be sound. DFID has taken the lead in a challenging environment, complementing the work of other donors and contributing to the peacebuilding process by working in conflict-affected and ceasefire areas. By developing relationships at the local level, DFID has helped to create a bottom-up approach to identifying health needs which has informed the design of health programmes and has prepared the ground for stronger state–citizen relationships in the future. There is, however, a lack of a clear approach for engaging with the informal and for-profit sectors which accounted for up to 85% of health expenditure in Burma in 2011... Delivery Assessment: Green - The health programme has delivered against its objectives and has helped to address the needs of intended beneficiaries. Good governance, sound financial management and risk management are integrated into the design and delivery of each intervention. Administrative and overhead costs of the programmes need to be understood better by DFID to help to ensure that delivery costs represent value for money... Impact Assessment: Green - Programme targets have, on the whole, been achieved. The health impact to date has been positive, insofar as it can be measured, although there is a risk that attribution to DFID may have been over-estimated by an independent evaluation. Intended beneficiaries who we met in Burma, including people living in the Irrawaddy Delta and intravenous drug users suffering from HIV/AIDS, supported this view of positive impact. Despite being largely humanitarian, the programme has been implemented in the light of longer-term, strategic objectives for the wider health sector. As a result, the prospects of generating better health impacts in the future, from the solid foundations built through DFID’s presence and leadership in the sector, are good... Learning Assessment: Green-Amber - DFID is sensitive to the context of working in Burma and is taking account of lessons learned. Recommendations from end-of-programme evaluations have been taken on board in new designs, especially around future monitoring and evaluation. The physical, political and aid context for generating evidence in Burma is very challenging. As a result, the monitoring of outcomes is difficult, due to a lack of robust baseline data. DFID could have done more work to establish baselines. It is now doing so for the new Three Millennium Development Goals (3MDG) Fund, which brings together previous programmes as well as new areas of health activities. The 3MDG Fund also presents significant risks as it needs to be highly flexible in a rapidly changing Burma. Also, there is a risk that critical corporate memory could be lost as long-serving DFID staff are replaced..."
Language: English
Source/publisher: Independent Commission for Aid Impact (ICAI) - Report 25
Format/size: pdf (470K-reduced version; 539K-original)
Alternate URLs: http://icai.independent.gov.uk/wp-content/uploads/2013/07/16-July-2014-ICAI-Burma-Health-Report-FIN...
Date of entry/update: 11 August 2013

Title: 3-D Fund - Programme Document agreed with Government of Myanmar, June 2006
Date of publication: June 2006
Description/subject: TITLE: Three Diseases Fund... BENEFICIARY COUNTRY: Myanmar... 1. RATIONALE: 1.1. Strategic framework - The Three Diseases Fund is in accordance with the humanitarian objectives of each of the participating donors in relation to Myanmar. It is also in line with the ‘European Union Common Position on Myanmar’. The proposed action addresses the prevailing public health emergency relating to the three major communicable diseases - HIV/AIDS, TB and malaria - through financial contributions to a single pooled funding mechanism - the Three Diseases Fund (3DF)..."
Language: English
Source/publisher: DFID
Format/size: pdf
Alternate URLs: http://www.dfid.gov.uk/pubs/files/three-disease-fund.pdf
Date of entry/update: 12 October 2007