Neglected Tropical Diseases (NTD) can be prevented, controlled, and eliminated by an appropriate combination of interventions, if appropriate tools and commodities are available. A fundamental step for monitoring the success of NTD programmes is to know the coverage of preventive chemotherapy distribution. The Children’s Investment Fund Foundation (CIFF) has commissioned Kantar to conduct a coverage evaluation survey to its Accelerate Resilient, Innovative, and Sustainable Elimination of NTDs (ARISE-NTDs) project in four African countries: Kenya, Tanzania, Mozambique, and Uganda. The ARISE-NTDs project will run for 4.5 years (2021 and end December 2025). LAMP Development is conducting a costing analysis as part of this evaluation survey.
Faya is a two-year Children’s Investment Fund Foundation (CIFF) investment targeting adolescents between the ages of 15 to 19 years old in Homa Bay, Kilifi, Mombasa, and Siaya counties in Kenya. The programme, implemented by Amref Health Africa, looks to increase access to quality sexual and reproductive health (SRH) education among adolescents and to link adolescents to health services through the delivery of comprehensive sexual education via a Life Skills Education (LSE) Toolkit.
Kantar Public is providing monitoring and evaluation services over the life of the 2-year Faya investment. This work will serve to test the effectiveness and efficiency of the programme delivery channels and to understand delivery challenges and successes. As part of this evaluation, LAMP will be conducting a cost-effectiveness analysis.
Client: One Acre Fund
Dates: 2020 – 2022
Project Description: The One Acre Fund (OAF) works with farmers directly to improve household food production and nutritional status. OAF’s work in western Kenya addresses both poverty and malnutrition in targeted smallholder farming households across OAF’s Kenyan farmer network. With funding from the Children’s Investment Fund, OAF established a nutrition programme which aimed to improve the dietary diversity of these families, particularly among children and pregnant and lactating women, by increasing household food production and consumption of nutritious food.
Our Role: To assess the impact of this nutrition programme, Kantar was commissioned to conduct an evaluation, using a quasi-experimental approach, to compare outcomes relating to household dietary diversity, women’s dietary diversity, and minimum acceptable diet of children between six and 23 months.
As part of this evaluation, LAMP conducted a cost-effectiveness analysis of adding the nutritionprogramme to the core OAF programme. This analysis compared the costs and benefits of the two respective programmes to assess whether the additional benefits from the nutrition programme justified its additional costs.
Team Members: Ijeoma Edoka, Jennifer Armitage
Dates: March – April 2021
Project Description: Since starting in 2012, the Evidence for Action (E4A) programme has used a combination of evidence to drive accountability for maternal and new-born health outcomes. In 2021, across the three states supported by E4A, reports indicated that funding for healthcare interventions and programmes, including Reproductive, Maternal, Newborn, and Child Health (RMNCH), were affected by the COVID-19 pandemic. However, the extent to which funding was affected, and whether funds remained within the health sector or had been diverted to other sectors, was not clear. Structured information-gathering on what facilitated or hindered funding for RMNCH during the pandemic was therefore required to better inform decision-making by government, civil society and other relevant stakeholders.
Our Role: E4A commissioned LAMP to conduct a case study to identify how allocation and release of funding for RMNCH changed between 2019 to 2021 in Bauchi, Niger, and Lagos States. It aimed to identify how allocation and release of funding for RMNCH changed in the year preceding the COVID-19 pandemic and during the pandemic and to assess the extent to which the COVID-19 pandemic contributed to these changes. Specifically, it aimed to pinpoint the decision-making process that informed funding choices, including how they were influenced by advocacy/accountability efforts of the State-Led Accountability Mechanisms (SLAMs), and to understand the impact these adjustments had on the delivery and take-up of RMNSHC services.
LAMP utilised a mixed methods approach. Both quantitative and qualitative data collection tools were developed, and data collection was carried out using cost templates and key informant interview guides. The data was cleaned and analysed, and key findings were summarised in a report which was reviewed with the E4A team before the final case study report was produced.
Team Members: Adesoji Ologun, Nura Musa, Temitope Oke, Jennifer Armitage
We are currently providing inputs to the Independent Evaluation of the Development Impact Bonds (DIBs Pilot Programme). The purpose of the evaluation is to generate learnings and recommendations on the use of DIBs as an instrument for aid delivery, by using the experience of the UK Aid DIBs pilot programme to generate learning to inform FCDO’s future policy aiming to make the most effective use of DIBs. The evaluation will also help FCDO and pilot project partners evaluate whether the tools they are developing are useful, scalable and replicable.
Mobilising for Development (M4D) was a six-year local governance programme in three northern states of Nigeria funded by UK Aid. The programme aimed to “support local and state level policy makers and service providersto be more responsive and accountable to citizens’ better articulated demands and entitlements, especially adolescent girls (AG) and people with disability (PWD)”.
LAMP conducted a value for money analysis at the end of the programme. The analysis assessed the programme’s VFM based on the 4 Es framework (Economy, Efficiency, Effectiveness and Equity) drawing on programme data and combining this with benchmarking and comparative data. The analysis also assessed whether the improvements achieved by the programme, in terms of service delivery, accountability and inclusion, offered good value for money and in particular whether there was evidence of these improvements being catalytic and sustainable. It also documented lessons learned on measuring and demonstrating VFM in a local governance programme.
The IRMNH program is a five-year programme which supported the use of a nationwide comprehensive package of reproductive, maternal and newborn health care services across Sierra Leone. The programme is innovative in that it brings together major implementing partners in the health sector to support the Ministry of Health and Sanitation under one umbrella programme.
LAMP conducted a regional Value for Money Benchmarking Study and Cost Effectiveness Analysis of the IRMNH program. The VfM benchmarking was a desk-based review of the value for money performance indicators of the program together with other similar programmes in Sierra Leone and the West African region using available programme documents. Also, using the Spectrum Policy Modelling System Software and programme data made available, the Cost Effectiveness Analysis of the program was conducted to estimate the potential impact of the IRMNH intervention.
The results of the studies provided programme implementers with information that can be used for accountability and advocacy purposes. In addition, it provided a better understanding of the IRMNH programme’s impact and information to inform future design.
Endline Evaluation of the EU/NSA project – Strengthening Referral Pathways from the Street to School – Supporting Non State Actors to Protect and Empower Extremely Vulnerable Children and Youth in Sierra Leone
The GOAL Ireland in collaboration with four partners – St Georges Foundation, Sierra Leone Aid Volunteers, Integrated Children and Youth Initiative and Ben Hirsh implemented the EU/NSA project. The aim of the project was to build the capacities of Non State Actors, Local Authorities, and Government to deliver quality basic social services to EVCY by strengthening referral pathways from the Streets to Schools in Western Urban Area and Kenema districts in Sierra Leone.
GOAL commissioned Institute of Development (IfD) to conduct the evaluation of the EU/NSA project based on Development Assistance Committee (DAC) criteria which assessed the relevance, effectiveness, efficiency, sustainability and impact of the project. LAMP partnered with IfD to deliver the efficiency aspect of the evaluation due to its expertise in value for money analysis. Using programme cost and outcome data made available, cost analysis of the programme was conducted and cost per specific programme output estimated. In addition, findings from the qualitative aspect of the evaluation was used to inform the quantitative data analysis and results.
This evaluation will help GOAL improve its future programming through capturing the successes as well as the challenges of this programme and lessons learned.
The Strengthening Research and Knowledge Systems (SRKS) programme, was a five-year, £10.2m programme jointly funded by UK Aid and the Swedish International Development Cooperation Agency (Sida) and implemented by INASP between 2013 and 2018. The programme aimed to increase sustainable (a) access to and (b) production of research literature in particular low income countries. The expected impact was that research knowledge contributes to economic and social development. The programme was being delivered in 24 countries at once, with focus on Tanzania, Sri Lanka, Ghana and Kenya.
LAMP provided inputs to the evaluation including a value for money assessment of the programme.
Started in 2012, E4A-MamaYe has used a combination of evidence and advocacy to drive accountability for maternal and newborn outcomes. E4A-MamaYe acts as a catalyst for action, using evidence strategically to generate political commitment, strengthen accountability and improve planning and decision making at sub-national and national levels.
In Nigeria, E4A-MamaYe supports the implementation of Maternal Perinatal Death Surveillance and Response (MPDSR) in three states and supports accountability mechanisms to ensure the use of findings from MPDSRs to guide advocacy and drive action to improve quality of care.
LAMP designed a study protocol for a social return on investment analysis on the digitisation of the Maternal Perinatal Death Surveillance and Response system in Nigeria.