Evaluation of Health Sector Adjustment Project (HSAP) British Caribbean Dependent Territories 1993-97

This document describes an evaluation of the Health Sector Adjustment Project (HSAP) implemented in the British Caribbean Dependent Territories with the goal of enhancing health outcomes by improving the organization, financing, and quality of healthcare from 1993 to 1996. The evaluation, conducted by the Department for International Development (DFID), utilized a variety of methods including file reviews, stakeholder interviews, and field visits. The findings revealed that the project was largely unsuccessful due to an unrealistic timeframe and limited achievement of its objectives, although there were some positive developments in understanding health sector reform. The project struggled with issues such as inflexibility to local contexts, unclear roles, and resistance to new management structures, leading to a fragile sustainability and limited impact. The evaluation recommended that future health sector programs should have clearer objectives, engage stakeholders more effectively, and adopt a phased approach to reform. Additionally, the evaluation addressed the project's relevance, design, effectiveness, and cost-efficiency, and considered its impact on poverty, gender, and environmental issues, concluding with a comparison of the original and revised project frameworks. **This summary was written by an AI model and therefore should not be considered a definitive summary of the report. If you are aware of inaccuracies, please email evaluation.registry@cabinetoffice.gov.uk.**

Description

• Lead department: Closed organisation: Department for International Development
• Evaluation stage: A complete evaluation report
• Other departments: No other departments listed
• Evaluation types: Impact evaluation
• Impact methods: Theory-based methods
• Theory-based methods: Other
• Grant information: This intervention is not distributing funding via a grant
• Government Major Project information: This intervention is not a major project
• Policies: No policies provided

Event Dates

• Event Name: Publication of final results
• Event date: December 1998

Evaluation Costs

• Cost: Not provided

Evaluation sharing

• Link(s) to published report(s): Yes
• Links to evaluation plans: No link provided
• Findings: Not provided
• Permission to share confirmed: Yes