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Health System Strengthening

A strong and functioning health system is key to promote, maintain, and improve the health status of populations and individuals. All countries in the world have at different levels and degrees, challenges to implement and maintain a functioning health system adapted to their context and available resources. Our work addresses major components of health systems, such as stewardship and management issues, human resources, data management and information, quality of health service provision, as well as demand-side issues such as people-centred care, participation, knowledge and behaviour.

Sectoral coordination mechanisms

Governance, leadership and coordination are essential for a functional health system. We provide advice for governments and international organizations who strive to improve health systems at national and decentralised level. evaplan has conducted feasibility studies and evaluations of health sector coordination mechanisms (e.g. SWAps) and of pooled sector financing. Other recent relevant mandates include studies on the impact of Global Health Initiatives on health systems.

Public Private Partnerships (PPPs)

Our expertise includes designing, implementing, and evaluating PPPs in quality management and e-health areas. Besides providing negotiation support for setting up mutually beneficial PPPs, we ensure sustainability by anchoring these initiatives in the health sector context.

Health planning, monitoring & evaluation

evaplan has guided participatory processes to elaborate national planning guidelines and formats for district, hospital development and HIV/AIDS plans.

Our services range from the design of methods, techniques and tools for programme evaluations (including impact evaluation) to the implementation of programme progress reviews and results-based monitoring.

Human resources for health

The global health workforce crisis calls for approaches that address political, economic, psychological, and sociological dimensions. evaplan supports strategic planning for human resources and undertakes operational research to explore country-specific reasons for poor performance, motivation, and retention of health workers. We have experience of mapping tools to monitor health workers migration and of technically advising the design and implementation of incentive schemes. Support is given to innovative capacity building programmes for health workers and at organisational level.

Global Health Threats, Emerging Diseases & Pandemic Preparedness, and Response

Globalization processes are not only providing opportunities to the development of the world`s population wellbeing, but also increasing and intricating the complex dynamics of global health issues. Climate change and the increasing burden of non-communicable diseases in low and middle-income countries are only some of the new challenges in global health. The HIV-AIDS global epidemic, the SARS outbreak in the early 2000`s, the Ebola and Sika outbreaks, and now the Covid-19 pandemic are only examples of diseases that can only be tackled within a global perspective associated with local action. For example, evaplan has helped design a pandemic preparedness programme for ECOWAS on behalf of GIZ.

evaplan is long committed to tackle global health challenges and to improve the preparedness and response of emerging diseases and pandemics. In Yemen, for instance, an HIV and AIDS capacity building package for health professionals was implemented by evaplan in collaboration with the National AIDS Control Programme and the Yemeni-German Reproductive Health Programme. Furthermore, consultancy services for a generic guide on strategic and operational planning the health sector response to HIV & AIDS were provided to the World Health Organisation.

evaplan has experience in building local government capacity in countries most affected by global health threats with a special focus on Sub-Saharan Africa and South-East Asia. Work undertaken includes the development and implementation of multisectoral training, technical support in processes of knowledge management, and monitoring and evaluation in interventions strengthening gender orientation, health system, and quality improvement in health services. Our team has experience in the implementation and management in research and development projects related to this field of work.

Comprehensive Quality Improvement in Health

The assurance and improvement of quality of care and optimization of processes in the health sector are not only an endeavour to achieve “the highest attainable standard of health”, but a strategy to optimize the use of resources and to increase the efficiency of health systems. evaplan seeks to bring state-of-the-art developments in the area of quality improvement to low- and middle-income countries. To this end, we not only constantly engage in a professional exchange with bi- and multilateral donors but also foster the transfer of knowledge among Southern countries, helping in translating evidence into policy making and practice.

evaplan has extensive experience in supporting quality improvement policy development and implementation at all levels of the health system. Clients include the European Union (EU), German International Cooperation (GIZ), the Global Fund to fight AIDS, Tuberculosis and Malaria, The World Bank (WB), World Health Organisation (WHO), United Nations Population Fund (UNFPA) and U.S. Agency for International Development (USAID). We have a strong track record on producing strategy and concept papers for a variety of audiences and target groups. Additionally, we have significant experience in drafting curricula, providing training for participants from low- and middle-income countries as well as conducting operational research. Over the last decade, evaplan has established a solid cooperation with ISQua – the International Society for quality of care, basically in developing and implementing joint training courses and web conferences.

Social Protection and Health Financing

Social protection for the vulnerable

We conceptualise and strengthen mechanisms alleviating and mitigating the risks of falling into poverty due to ill health, disability, old age and exclusion. Our expertise includes conditional cash transfers and provisions for ageing populations.

Social protection in health

We promote universal health coverage by designing, scaling-up and linking social, private and micro insurance mechanisms. Our experience comprises the definition of benefit packages and the design of models for risk equalization.

Reimbursement and provider payments

We aim at setting the right incentives within an efficient and coherent purchasing framework and combine expert knowledge and skills in issues as diverse as pay for performance, hospital financing (including DRGs) and pharmaceutical pricing.

Public financial management and good governance

Our portfolio encompasses the improvement of public financial management at national, district and local level. We have a track record in the promotion of good governance and in linking health sector strategic plans to national accounting mechanisms.

Economic analyses and costing studies

We conduct economic evaluations and analyse the benefit incidence of health care programmes. We also address the question of how health systems can best incorporate innovations — from e-health to telemedicine.

Capacity building in social protection

The Heidelberg Institute of Global Health at Heidelberg University, Germany, offers in cooperation with evaplan at the University Hospital Heidelberg a large range of tutored and self-paced e-learning courses and face-to-face short courses in social protection and social security. The short courses program offers an exceptional opportunity for customization of the curriculum by request to meet specific capacity building needs at the institutional level in the area of social protection. All our courses are accredited (European Credit Transfer System) and were developed in cooperation with academical experts and institutions in the healthcare, social protection and social security sectors in Germany, at EU level and globally. The courses are suitable for students and professionals alike.

Digital Health

The digital revolution effects the ways of communication, registration, use and share of information, and interaction between people and institutions worldwide. These rapid changes impacted the health sector, producing challenges and generating opportunities that should be addressed with creative and innovative solutions.

evaplan has a large portfolio in digital health, with the development and implementation of digital health projects and different digital health tools in international and local settings. A digital learning management tool for E-Learning courses in social protection, quality improvement and patient safety is available for students and professionals worldwide.  Our quality improvement methodologies use interactive digital solutions that facilitate the analysis of weaknesses in health services and the share of information between peers.