n African Renaissance - Critical issues in the monitoring and evaluation of healthcare delivery in Africa

Volume 3, Issue 4
  • ISSN : 1744-2532
  • E-ISSN: 2516-5305


At the Gleneagles summit of the G-8 nations in 2005 where increased development aid to Africa was made a priority, the leaders of the G-8 nations asked the World Bank to ensure that a sizeable increase in aid is successfully coordinated and implemented (1). A major goal of this initiative is to provide a framework through which additional resources can be delivered effectively and performance measured and evaluated (1). Because aid effectiveness and the sustainability of health programs have been unrelentingly undermined by the lack of or the ineffectiveness of monitoring and evaluation (M&E) indicators, there must be technical and implementing mechanisms for the monitoring and evaluation of development projects in Africa, including healthcare delivery. In essence, domestic and international development programs should have a strong focus on the efficiency and effectiveness of funded programs. In this era of scarce resources, the quest for built-in M&E is extremely important. This paper addresses the critical issues of monitoring and evaluation in healthcare delivery in Africa. It also discusses possible frameworks for articulating and institutionalizing M&E in all phases of healthcare delivery at all levels in Africa.

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