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Summative Evaluation of the WHO Rapid Access Expansion Initiative (RAcE)
Nigeria, Malawi, Mozambique, The Democratic Republic of The Congo, Niger
Field of Expertise:
Health Service Delivery; PHC/MNCH/RH/Nutrition/W&S; Reproductive Health / Maternal health / newborn health; Health Service Delivery; PHC/MNCH/RH/Nutrition/W&S; Child health
Narrative description of project:
The Rapid Access Expansion (RAcE) Initiative was funded by the Government of Canada in 2012 with a grant of C$ 75 million over six years to the WHO Global Malaria Programme (GMP) to increase the coverage of Integrated community case management (iCCM) services for the achievement of the health-related Millennium Development Goals and to generate evidence to inform WHO policy recommendations and guidance on iCCM. The RAcE initiative distinguished itself from other internationally funded iCCM programmes by aiming to achieve universal health coverage (UHC) for all children in hard-to-reach areas within selected geographic boundaries. The number of children covered was estimated at 1.9 million.
The evaluation of the RAcE Initiative was implemented by hera under contract to the WHO Evaluation Office. Data were collected between November 1st 2017 and February 28th 2018. The evaluation employed a qualitative methodological approach, using a combination of Contribution Analysis (CA) and Process Tracing (PT) by assigning a prior probability that an impact has occurred and testing it to determine a posterior probability in the light of new evidence. The evaluation design included the post-hoc development of a Theory of Change (TOC) framework and the preparation of an evaluation matrix including evaluation questions, assumptions, indicators, data sources and data collection methods and a chain of reasoning linking the evaluation question to the TOC.
Final report available here:
Volume 1 Synthesis Report:
Volume 2 Annexes:
Volume 3 Country Briefs:
Description of services provided:
Data were collected in document reviews, key informant interviews (KIIs) and focus group discussions (FGDs). The data collection tools were pretested during an inception mission to Niger State, Nigeria. The data of baseline and end-line household surveys conducted by the implementing partners were used throughout the evaluation as evidence of programme results, triangulated with data from KIIs, FGDs and the review of documents and databases.