WHO contribution in Iraq: Evaluation report

Contents Acknowledgements Abbreviations Glossary Executive summary 1.Introduction2.Methodology3.Findings4.Conclusions5.Recommendations6.Lessons learned7.Annexes List of figures Figure 1 WHO Iraq office locations5Figure 2 Theory of change for WHO Iraq10 List of tables Table 1 Leading causes of death, Iraq 2019 (rates per 100 000 inhabitants)1Table 2 Budget allocation for WHO Country Office6Table 3 Iraq Programme financing and utilization6Table 4 Users of the evaluation7Table 5 Evaluation questions9Table 6 Stakeholder characteristics (KIIs only)12Table 7 Focus group discussions13Table 8 . Output level performance21Table 9 Iraq Programme Budget Financing (US$)28Table 10 GPW13 outcomes and number of outputs selected per biennial workplan37Table 11 . Budget per GPW outcome area (mobilized and spent)39Table 12 Scoring of evaluation questions based on evaluation findings43 Acknowledgements The evaluation team would like to thank the WHO Iraq Country Office team for their insightful and open contributions. Wewould also like to thank all the contributors that have provided their views in the frame of this evaluation, particularly fromthe Ministry of Health, United Nations country team, other health and development partners and civil society actors inIraq, including from the Kurdistan Region of Iraq. Particular thanks are due to the acting WHO Representative in Iraq, Dr Wael Hatahit, and the National Professional OfficerHealth Systems, Dr Aamr Bebany, for their support throughout the exercise. The evaluation team very much appreciatedthe guidance, support and quality assurance from the WHO evaluation managers at WHO regional and headquarters level,and the inputs of the members of the Evaluation Reference Group. Finally, The Evaluation Team wish to express their gratitude to Dr Awfa Aalyassin and her team of national researchers fortheir support in the in-country data collection and insights to help better understand the efforts that WHO has taken toaddress the unmet needs of people in Iraq. Evalua�on Team Paul JanssenHana Asfour Evaluation Managers Calistus Masika Wanjala, Regional Evaluation Officer, Eastern Mediterranean Regional OfficeClaudia Lo Forte, Evaluation Manager, WHO Evaluation OfficeAnand Sivasankara Kurup, Senior Evaluation Officer, WHO Evaluation Office Evalua�on Reference Group The Evalua�on Reference Group included technical focal points and senior managers from WHO Iraq and the EasternMediterranean Regional Office as well as senior officials from the Ministry of Health of the Republic of Iraq and theKurdistan Region of Iraq, senior managers from the UN Resident Coordinator’s Office, anddirectors ofimplemen�ngpartners’ organiza�on Dary and Heevie. Abbrevia�ons AISPOAssociation for Solidarity among PeopleAPMactivity plan moduleAMRantimicrobial resistanceBObusiness operationBWPbiannualworkplanCCACCCMCommon Country AnalysisCamp Coordination and CampManagementCOCountry OfficeCLACluster Lead AdvisorCMDcommunicable diseasesCCPMcluster coordination performancemonitoringCCScountry cooperation strategyCORcorporate functionsDSTWGDurable Solutions Technical WorkinggroupDHIS-2District Health Information SoftwareDOHDepartment of HealthDDIDivision of Data, Analytics and Deliveryfor ImpactECHOEuropean Civil Protection andHumanitarian Aid OperationsEWSEarly Warning SystemEIOSEpidemic Intelligence from Open SourcesEWARNEarly Warning, Alert and ResponseNetworkEMROWHO Regional Office for the EasternMediterraneanEmONCemergency obstetric and new-born careERGEvaluation Reference GroupFGDsfocus group discussionsFTSfinancial tracking serviceGOIGovernment of IraqGPWGeneral Programme of WorkGLASSGlobal Antimicrobial Resistance and UseSurveillance SystemHeRAMSHealth Resources and ServicesAvailability Monitoring SystemHCHealth ClusterHDPNHumanitarian – Development– PeaceNexusHGISHealth Geographical Information SystemHIVhuman immunodeficiency virusHMISHealth Management Information System HQheadquartersHRhuman resourcesHRPhumanitarian response planHSYhealth systemsHTOHumanitarian Transition OverviewICUIntensive Care UnitIDidentity documentsIDPinternally displaced personIHFIraq Humanitarian FundIHRinternational health regulationINGOinternational non-governmentalorganizationIOMInternational Organization for MigrationIMUInformation Management UnitIPCinfection prevention and controlISILIslamic State of Iraq and the LevantJCCJordan Crisis Coordination CentreJEE/IHRJoint External Evaluation/ InternationalHealth RegulationKIIskey informant interviewsKPIkey performance indicatorsKRGKurdistan Regional GovernmentKRIKurdistan Region of IraqLTAlong-term agreementM&Emonitoring and evaluationMCHmaternal and child healthMHPSSmental health and psychosocial supportMoHministry of healthOCRoutbreak, crisis response and scalableoperationsOCHAUnited Nations Office for theCoordination of Humanitarian AffairsOECDDACOrganisation for Economic Cooperationand Development – DevelopmentAssistance CriteriaOSCoutput score cardNCDnon-commu