Global Fund Prospective Country Evaluation

Related program: Health systems

Uncovering what's working, what's not working, and why.

The Global Fund Prospective Country (PCE) generates timely feedback intended to inform Global Fund decision-makers and country disease programs at each step of the grant cycle, from application to implementation. Through embedded local evaluation platforms, our innovative integration of quantitative and qualitative methods facilitates rapid identification of problems, efficient investigation into root causes, and targeted communication of recommendations.

What is the PCE?

Commissioned by the Global Fund's Technical Evaluation Reference Group (TERG) in 2017, the PCE is an embedded mixed-methods evaluation platform designed to examine the Global Fund business model, investments, and contribution to disease program outcomes and impact in eight countries. The Institute of Health Metrics and Evaluation (IHME) and PATH work hand in hand with evaluation partners in the Democratic Republic of the Congo, Guatemala, Senegal, and Uganda; and the Euro Health Group (EHG), University of California San Francisco (UCSF), and Itad work with teams in Cambodia, Mozambique, Myanmar, and Sudan.

What makes the PCE unique?

  • Prospective evaluation allows for timely data collection, analysis, visualization, and interpretation aligned with program implementation.
  • Mixed-methods approaches utilizing qualitative process evaluation to explain quantitative impact results allowing for a deeper understanding of the 'what', 'why', and 'how' of grant implementation.
  • Data triangulation across a variety of primary and secondary data sources increases the strength of findings.
  • Synthesis across multiple diverse country portfolios highlights recurring themes to inform Global Fund business model processes.
  • Dissemination and regular feedback to stakeholders enables use of PCE findings in decision-making.

About_PCE_one_pager_final.png

Findings and Reports

Democratic Republic of the Congo

Guatemala

Uganda

Senegal

Cross-Country

Peer-Reviewed Publications

Lessons learned from implementing prospective, multicountry mixed-methods evaluations for Gavi and the Global Fund (Global Health: Science and Practice)

In this article, we present five key lessons learned based on the evaluation team’s experience from over 7 years (2013–2020) implementing the Gavi and Global Fund prospective mixed-methods evaluations. We reflect on how these lessons can help inform the design of future evaluations of complex interventions, including the importance of balancing stakeholder priorities, aligning on “breadth” versus “depth" regarding the evaluation scope, and ensuring use of the evaluation findings.

Click here to read the article on ghspjournal.com

Partnership and participation—a social network analysis of the 2017 Global Fund application process in the Democratic Republic of the Congo and Uganda (Annals of Global Health)

In this article, we use social network analysis to examine and compare stakeholder representation during Global Fund’s 2017 application process in the Democratic Republic of the Congo and Uganda. We also present findings on the perceived benefits and drawbacks of engagement and partnership on the outcomes of efficiency, effectiveness, and country ownership of the application process.

Click here to read the article on annalsofglobalhealth.org

Bringing a health systems modelling approach to complex evaluations: multicountry applications in HIV, TB and malaria (BMJ Global Health)

In this article, we present findings and lessons from applying a health systems modelling approach in the Democratic Republic of the Congo, Guatemala, and Senegal to understanding how financial inputs translate to tuberculosis and malaria outcomes. We also highlight how the modeling approach can be applied to develop actionable improvements in implementation.

Click here to read article on gh.bmj.com