title: Results from implementation of aid effectiveness principles in the health sector in Mali.
abstract: The international community holds high expectations for aid producing demonstrable results in the health sector, at the global and developing country levels. Yet, measuring the effectiveness of aid presents methodological challenges. Existing evaluation frameworks are not sufficiently geared toward learning whether and how practices have changed. We present a framework for measuring the results of implementing aid effectiveness principles at three levels: implementation process, health system strengthening, and outcomes/impact. We developed this framework in the context of monitoring results on the effectiveness of the aid agenda in the health sector in Mali. Despite some changes in behavior that resulted in increased aid effectiveness and improved results at system and outcome levels, overall, the aid effectiveness principles have not been fully implemented. Thus expectations in terms of health outcomes should be realistic.
authors.affiliation: Research Group on the Implementation of the Agenda for Aid Effectiveness in the Health Sector (GRAP-PA Santé), Université de Liège, Boulevard du Rectorat 7, Bât B31, bte 8, Liège 4000, Belgium. E.Paul@ulg.ac.be
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Paul
authors.forename: Megan
authors.initials: M
authors.lastname: Ireland
authors.forename: Jessica
authors.initials: J
authors.lastname: Martini
authors.forename: Véronique
authors.initials: V
authors.lastname: Zinnen
authors.forename: Ignace
authors.initials: I
authors.lastname: Ronse
authors.forename: Salif
authors.initials: S
authors.lastname: Samaké
authors.forename: Bruno
authors.initials: B
authors.lastname: Dujardin
mesh_terms: D006296:Health Services / Q000191:economics; D006801:Humans; D007391:International Cooperation; D008302:Mali; D015397:Program Evaluation; D011787:Quality of Health Care / Q000592:standards