Fiscal space analysis in Sierra Leone: the free health care initiative and universal health coverage

This brief highlights how Sierra Leone can improve the sustainability of the free health care initiative (FHCI) financing, lower household out-of-pocket (OOP) payments on health care, and decrease its dependence on donors. A secondary analysis provides insights into how Sierra Leone could work towards achieving its longer-term health goal of Universal Health Coverage (UHC). If… Read more


Monitoring and evaluation in Sierra Leone’s health sector

As part of the review of Sierra Leone’s Free Health Care Initiative (FHCI), researchers assessed its monitoring and evaluation (M&E) system, strengths and weaknesses, and the changes that took place as a result of the FHCI. This brief notes that a strong M&E system is crucial to help improve performance and achieve results. Several key… Read more


The free health care initiative (FHCI) in Sierra Leone: real gains for mothers and young children

In 2010, the Free Health Care Initiative (FHCI) abolished health user fees for pregnant women, lactating mothers and children under five. This was a response to very high mortality and morbidity levels among mothers and children and reports that financial costs were a major barrier to health service uptake and use by these groups. This… Read more


Sierra Leone’s free health care initiative: financing implications

In 2010, the Government of Sierra Leone (GoSL) took steps towards establishing the Free Health Care Initiative (FHCI). At its core, this was the removal of user fees (on drugs and consultations) for pregnant women, lactating mothers and children under five. This brief is based on an independent review of FHCI completed in 2016, which looked… Read more


Uganda’s assessment system: a road-map for enhancing assessment in education

Assessment in education in Uganda takes many forms: for example, the Primary Leaving Examination (PLE) and Uganda Certificate of Education (UCE) examinations, the National Assessment of Progress in Education (NAPE) and other system-wide tests, practice examinations used in schools, formal and informal classroom assessment. Uganda’s assessment system is a complex and interconnected web of all… Read more


Lessons learned from introducing value added performance measures in Uganda: DFID think piece

A school’s success in promoting learning is often measured in terms of the examination results of the students. Value added measures are designed to account for the ability of a school’s intake to provide a fairer and more accurate indication of performance. They are being increasingly used to provide more accurate data about the quality… Read more


Narrative report to accompany the 2016 annual review of the Working to Improve Nutrition in Northern Nigeria (WINNN) programme

This Narrative Report has been written to accompany the 2016 Annual Review of the Working to Improve Nutrition in Northern Nigeria (WINNN) programme. The WINNN programme aims to deliver evidence-based, cost effective interventions in five northern states in Nigeria: Zamfara, Katsina, Kebbi, Jigawa, and Yobe, while improving government capacity, leadership, and financial commitment in relation… Read more


Working to Improve Nutrition in Northern Nigeria (WINNN) Annual Review – summary sheet

The Working to Improve Nutrition in Northern Nigeria (WINNN) programme continues to be successful achieving most of its objectives, is well managed and year on year is improving its effectiveness and increasing its reach. This summary sheet captures the headlines on programme performance, agreed actions and learning over the course of the review period. Summary… Read more


Strengthening examinations and assessment in Uganda: a roadmap – inception report

Improving student learning outcomes is one of the top priorities for the Ministry of Education, Science, Technology & Sports (MOESTS). Valid and reliable measures of the quality and distribution of student learning outcomes are essential components in the drive for improved education quality. However, improved learning achievement depends not only on the resources invested in… Read more


Literature review: higher education and development

Research focusing on the links between education, development and social change has a long history; this includes research on higher education investment in low-income countries by external and international development agencies. Analysis of the impact on society of higher education in developing countries emerged alongside post-colonial discourses and modernisation theories. Research generally focused on how… Read more


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