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


Addressing undernutrition in the context of urbanisation in low- and middle-income countries

Urbanisation presents a set of challenges and opportunities for tackling undernutrition in low- and middle-income countries where DFID works. This evidence review considers the scale of urbanisation in these countries, appraises what works in urban settings and how this context differs from the rural context with regard to nutrition programming, and identifies the main evidence… Read more


Impact evaluation of the DFID Programme to Accelerate Improved Nutrition for the Extreme Poor in Bangladesh, phase II: project background and design overview

This report provides the project background and design overview for an in-depth, mixed methods impact evaluation of the DFID Programme to Accelerate Improved Nutrition for the Extreme Poor in Bangladesh (phase II: May 2013 – mid-2016). The aim of the programme is to improve nutritional outcomes for children, mothers and adolescent girls. The programme is… Read more


Baseline report: Impact Evaluation of the DFID Programme to Accelerate Improved Nutrition for the Extreme Poor in Bangladesh

The DFID Programme to Accelerate Improved Nutrition for the Extreme Poor in Bangladesh aims to improve nutrition outcomes for children, mothers and adolescent girls by integrating the delivery of a number of nutrition-specific (or direct) interventions with the livelihood support provided to extremely poor people by three existing programmes in Bangladesh. These three programmes are… Read more


Mixed methods report: Impact Evaluation of the DFID Programme to Accelerate Improved Nutrition for the Extreme Poor in Bangladesh

The DFID Programme to Accelerate Improved Nutrition for the Extreme Poor in Bangladesh aims to improve nutrition outcomes for children, mothers and adolescent girls by integrating the delivery of a number of nutrition-specific (or direct) interventions with the livelihood support provided to extremely poor people by three existing programmes in Bangladesh. These three programmes are… Read more


Determinants of Child Undernutrition in Bangladesh Literature Review

The DFID Programme to Accelerate Improved Nutrition for the Extreme Poor in Bangladesh aims to improve nutrition outcomes for children, mothers and adolescent girls by integrating the delivery of a number of nutrition-specific (or direct) interventions with the livelihood support provided to extremely poor people by three existing programmes in Bangladesh. These three programmes are… Read more


Preventing undernutrition through multi-sectoral initiatives in Pakistan

This report was produced by PATH, AKU and HPI to provide a landscape analysis as an initial step to develop a multi-sectoral nutrition intervention in Pakistan through DFID-funded MQSUN project. The nutritional situation in Pakistan is a cause for much concern and hitherto intransigent to change. Although the proportion of underweight children under 5 years… Read more


Report on phase 1 of the spatial mapping of nutrition programming project

This report provides output for Phase 1 of DFID’s spatial mapping of nutrition programming project. The overall project comprises two discrete phases and aims to better understand if and how spatial analysis can help to coordinate and co-locate nutrition relevant programmes. The rationale for the project is based on the recognition that cross-sector actions are essential… Read more


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