Independent report

Evaluation of the Value for Money in DFID’s Health Portfolio for Bihar, Madhya Pradesh and Odisha, India

This study assesses (VFM) of DFID’s assistance in terms of the relevance, economy, efficiency, effectiveness, equity and sustainability of programmes.

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DFID has made a substantial investment in health-sector development in India, and has dramatically increased its engagement with the state governments of Bihar, Madhya Pradesh (MP) and Odisha since 2005. , The key focus of the three state health sector programmes has been to improve access to essential health services (especially for maternal and child health), nutrition, and vector-borne disease control, with a focus on poor and excluded groups. For this purpose, increased support to state budgets through direct financial assistance (FA) is complemented with support in the form of technical assistance (TA). TA is focused on capacity building and system strengthening, in focal areas such as strengthening financial and human resources management, developing procurement systems, and improving quality of services.

This study is concerned with two main issues: firstly, a focus on assessing the value for money (VFM) of DFID’s assistance in terms of the relevance, economy, efficiency, effectiveness, equity and sustainability (REEEES) of the DFID-supported programmes; and secondly, a broader, overarching issue relating to the mechanism by which FA and TA are expected to generate an impact and exploring the assumptions underpinning these theories of change.

Published 23 February 2016