RMNCH Trust Fund evaluation is released

RMNCH Trust Fund evaluation is released
A mother is supported by a health worker to perform the mother kangaroo technique for her premature baby in Dr. Ambrosoli memorial hospital Kalongo's intensive care nursery, Agago District, Uganda in June 2016. © UNICEF/Bongyereirwe

In September 2012, recommendations of the United Nations Commission on Life-saving Commodities (UNCoLSC) promoted strategies to address the underutilization of 13 life-saving commodities (LSCs) to accelerate achievement of Millennium Development Goals (MDGs) 4 and 5. To support countries that were not on track to achieve their MDGs to implement these recommendations, the Reproductive, Maternal, Neonatal and Child Health (RMNCH) Trust Fund (TF) was established and operated from 2013 to 2016, with extensions for completion of activities for some countries in 2017. Initial funding was provided by the Norwegian Ministry of Foreign Affairs in late 2013 and by the United Kingdom Department for International Development (DFID) in late 2014.

The Trust Fund was formally established in August 2013. Beginning in 2013/2014, the Trust Fund supported eight pathfinder countries to implement the UNCoLSC recommendations to increase availability and use of the LSCs. Each country identified and prioritized activities to address bottlenecks and gaps according to its specific circumstances (phase 1). In late 2013/2014, consistent with the RMNCH Steering Committee’s desire to avoid siloed interventions, a Country Engagement Process (CEP) was designed which enabled country teams to expand their activities to other high-impact RMNCH interventions (phase 2). The TF supported a total of 19 countries, providing support in the amount of $198 million to those countries.

This is the report on the second of a two-pronged evaluation. The first, a management review,assessed the state of learning at the global level. This evaluation was envisaged as an end-of-fund assessment with a more in-depth analysis at the country level. Using a contribution analysis approach, the evaluation team developed a theory of change and an evaluation matrix based on the OECD DAC criteria of relevance, effectiveness, efficiency and sustainability. The team also consulted with stakeholders on their perceptions of the TF’s added value. The methodology included a document review, field visits to five countries, in-depth reviews with phone consultations with an additional five countries, and an online survey.

The report comprises three volumes:

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