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Strategic Impact Evaluation Fund (SIEF) - Health Systems and Service Delivery Cluster

Strategic Impact Evaluation Fund (SIEF)
SIEF - Impact Evaluation Cluster Note: Health Systems and Services Delivery


The Strategic Impact Evaluation Fund is a multi-donor trust fund that supports research to evaluate the effectiveness of programs to alleviate poverty and build shared prosperity. The fund, which was started with the assistance of the British Government's Department for International Development, finances impact evaluations, capacity building and knowledge sharing activities. In the first Call for Proposals, 30 projects were picked to receive initial funding (initial funding does not guarantee full funding), among them 5 projects in the Health Systems and Services Delivery cluster. The Fund has now launched its second call for proposals. For further information on what evidence the fund seeks to generate in the area of health, read the cluster note.

Projects that received initial funding in the first round are listed below:

Impact Evaluation of a Health Insurance Pilot in Nepal

  • Location: Nepal
  • Principal investigators: Tekabe Belay, World Bank; Santadarshan Sadhu, Institute of Financial Management and Research (India)
  • Timeline: December 2012 to February 2016
  • Evaluation: Nepal’s out-of-pocket health costs are rising and inequalities in access to health care are increasing. To combat this, the Ministry of Health and Population has been working to develop a strategy for universal health coverage. A proposed pilot project aims to determine the best insurance policy and overall financing strategy. Researchers hope to identify effective financing methods for the provision of comprehensive and equitable health services in low-income settings.

Healthy Mothers and Healthy Babies: Testing Demand and Supply-Side Approaches to Maternal and Child Health in Nigeria

  • Location: Nigeria
  • Principal investigators: Pedro Rosa Dias, University of Sussex; Marcos Vera-Hernandez, University College London; Marcus Holmlund, World Bank
  • Timeline: July 2012 to June 2016
  • Evaluation: In Nigeria, approximately one million mothers and children die every year from preventable diseases. Three-quarters of these deaths wouldn't happen if existing healthcare services were used. Nigeria seeks to reduce deaths from preventable diseases by improving use and quality of healthcare services available for women and children through its Subsidy Reinvestment and Empowerment Programme (SURE-P) Maternal and Child Health Program. Researchers will evaluate the following interventions: the use of monetary and non-monetary incentives to reduce midwife attrition; a community monitoring scheme to reduce stockouts of drugs and other key commodities at primary healthcare facilities; a conditional cash transfer program to encourage pregnant women to get care before and after birth and give birth with a skilled health worker; and the impact of the Maternal and Child Health Program as a whole. This evaluation is part of the strategic collaboration between Nigeria's Federal Ministry of Health, the Gates Foundation, and the World Bank to use impact evaluation to improve maternal and child health, and contribute to Saving One Million Lives.

Impact of Incentives and Information on Quality and Utilization in Primary Care (i3QUIP)

  • Location: Philippines
  • Principal investigators: Junko Onishi, World Bank; Taejong Kim, Korean Development Institute School of Public Policy and Management; Liezel Lagrada, Philippines Health Insurance Corporation
  • Timeline: October 2013 - June 2016
  • Evaluation: In the Philippines, the government has sought to improve the effectiveness of primary health care by expanding coverage of PhilHealth's social health insurance benefit package. Researchers will examine the impact of three measures being implemented: (i) direct payments to providers with increased autonomy on the distribution of the amount, (ii) increased disclosure of information, and (iii) a combination of direct payments and increased disclosure of information.

Improving Health Service Delivery through Community Monitoring and Non-Financial Awards

  • Location: Sierra Leone
  • Principal investigators: Oeindrila Dube, New York University; Johannes Haushofer, The Abdul Latif Jameel Poverty Action Lab; Bilal Siddiqi, Stanford University
  • Timeline: May 2011 to July 2014
  • Evaluation: In Sierra Leone, basic health services are plagued by worker absenteeism, low utilization of health clinics, and a lack of basic care, including vaccinating children under five. The government sought to rectify these problems in 2010 by instituting free healthcare for pregnant women, new mothers, and children under five, abolishing user fees, and raising workers’ salaries. However, the system continues to face problems related to use of services and quality. Researchers will evaluate the relative effectiveness and potential for scale-up of two social-accountability interventions: competitions among clinics for non-financial awards, and community monitoring using health scorecards and community clinic meetings.

Last updated: 2013-11-05

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