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Fifth IHP+ Monitoring Round – Country Assessments


IHP+ is a group of 65 partners committed to improving the health of citizens in developing countries by putting the principles of Effective Development Cooperation (EDC) into practice in the health sector and is jointly managed by WHO and the World Bank.

Partners include international organizations, bilateral agencies and country governments, and they all sign the IHP+ Global Compact where they agree to be held to account on implementing principles of EDC, through an independent assessment of performance, individually as well as collectively.

Four rounds of independent monitoring have taken place since 2007, with the aim to provide information and data for mutual accountability at global and country level.

Our role

Itad, as part of a consortium led by Hera, has been contracted to deliver the fifth IHP+ monitoring round. The fifth monitoring round includes a stronger focus on more qualitative work to assess the extent of compliance with the agreed EDC practices and reasons for current ways of working in the health sector, and the mechanisms by which performance data can be used to improve results and take action at country level.

Our approach

This project involves managing and implementing a country-level mutual accountability process in 31 countries, using a standardised methodology to collate, analyse and report on EDC performance and practice, as well as facilitating discussion between in-country partners of findings on performance, obstacles and potential remedial action. Specifically, the consortium is responsible for coordinating the following components, in partnership with national institutions in each country:

  • A set of quantitative financial indicators, building on the ones already measured in the previous rounds, collected through desk reviews at country and global level, for both governments and agencies
  • A qualitative assessment, using a tool to collect information about compliance with effective cooperation behaviours and the country level and barriers to compliance
  • An in-country discussion of findings from the quantitative indicators and the qualitative assessment
  • An assessment of the quality of CSO engagement in health policy, planning and oversight, based on the new survey approach being developed by Global Partnership on Effective Development Cooperation (GPEDC) and other sources.

While the production of country reports, as well as comprehensive datasets, are the central deliverables expected, the main emphasis is on the use of information in domestic policy fora. Supporting countries to collect, analyse and report data, as well as supporting modalities to discuss the findings at country level, are two mutually reinforcing deliverables that support the overall aim of increasing the political momentum for the principles of EDC, and to trigger pressure for behaviour change both at country level and by development partners.


Image © AMISOM Medical Clinic. Photo Credit: AMISOM Public Information

Team members
Giada Tu Thanh