UNFPA End Line Evaluation of the H4+ Joint Programme Canada and Sweden (2011-2016)

Burkina Faso
Côte d'Ivoire
Congo, the Democratic Republic of the
Sierra Leone

Euro Health Group conducted the 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 represented 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 aimed to complement existing programmes, accelerate progress in RMNCAH through catalytic interventions, and support innovative methods which can be taken to scale.

The programme focused on improving access to quality care in RMNCAH for adolescent girls and women of child bearing age. Key intended beneficiaries included 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 was also the lead agent of the three-agency Evaluation Management Group composed of representatives of the Evaluation Offices of UNFPA, UNICEF and Global Affairs Canada.

The four-member evaluation team carried out intensive field work in four of the ten programme countries. The evaluation was 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. Country case studies as well as the final Evaluation Brief are published on UNFPA website.

Final report available here.