Monitoring and Evaluating the Transition of Large-Scale Programs in Global Health

Score on World Bank Governance Index

% government budget spent on health

% government budget spent on health program of interest

GNI per capita

USD per capita spent on health

Civil society engagement in health program

% geographic coverage of program

# deaths or cases averted due to health program

% service delivery coverage target addressed by health program

# vulnerable populations reached by health program

Donor and program recipient have agreed on key stakeholders for transition, including communities/beneficiaries, civil society, etc.

Transition team representing key stakeholders has been established

% key stakeholders who have participated in transition planning events

Transition plan with M&E has been agreed upon and documented, including transition timelines

% program recipient transition budget that has been funded

M&E transition budget available

Program is integrated into national policy or health plans

% leaders of affected communities who have been informed of transition plans

Guidelines allow exceptions to operating norms based on realities on the ground

Clear lines of government accountability exist for the health program

% program activities integrated into local operational plans

% program implementers who believe that program recipient has the same or higher level of commitment toward the program as the donor

% implementers with an audit of their financial records

% donor contribution to health program versus government funding

Any recent or planned transitions from other donors working in health area

% gap between estimated annual program costs and resources available

% of required supervision sessions that occur

% health program recipient staff qualified for financial management

% supervisory or managerial position vacant at health program recipient

Capacity needs assessment of program recipient has been conducted

% training activities completed where capacity shortages were identified

Overall budget and individual line items are reviewed and adjusted for alignment

Reporting frequency of government and program recipients are aligned

% reports that are complete upon submission

% health facilities employing government procurement guidelines

% donor indicators currently being reported to government health monitoring information system

% key features of the health program that continue post-transition

Budgets at national/district/facility level reflect funding necessary to support transitioned program

Budgeted funds are allocated and disbursed in a timely fashion.

Government standard operating procedures reflect modalities of the transitioned program

% key program administrators and implementers who view the program as a success

% health program services delivered through program recipient facilities

% clients who are satisfied with the program’s services

% program administrators and implementers describing same or improved quality of program services post-transition

# health facilities providing service before, during, and after the transition

Prevalence and incidence of health condition in question

Coverage of vulnerable populations reached by the health program

% program administrators and implementers who suggest the overall program changed significantly as compared with pre-transition

% program administrators and implementers describing the transition as smooth