世界卫生组织在不丹的贡献（2020-2024年）：评估报告

Ev a l u a t i o n r e p o r t © World Health Organization 2025. All rights reserved. The content of this document is not final and the text may be subject to editorial revisions before publication. Thecontent of this draft, however, will not undergo substantive changes. The document may not be reviewed,abstracted, quoted, reproduced, transmitted, distributed, translated or adapted, in part or in whole, in any formor by any means without the permission of the World Health Organization WHO/DGO/EVL/2025.128 Cover photo description:A woman inspects bottledwater for physical contamination in Bhutan, part of the CodexTrust Fund food-safety project involving Bhutan, India and Nepal (11 August 2023). © WHO / Sue Price Contents Executive Summary..................................................................................................................................iv 1Introduction.......................................................................................................................................12Background.........................................................................................................................................13Evaluation object................................................................................................................................54Objectives...........................................................................................................................................75Scope..................................................................................................................................................86Evaluation criteria and questions.......................................................................................................87Evaluation methodology....................................................................................................................98Findings............................................................................................................................................129Theory of Change and challenges....................................................................................................3910Conclusions...................................................................................................................................4111Recommendations........................................................................................................................44Annex1.Terms of reference...................................................................................................................47Annex 2.Bhutan health statistics............................................................................................................70Annex3.Country Cooperation Strategy 2020–2025 strategic priorities................................................71Annex4.Bhutan Country Office budget 2020–2026..............................................................................73Annex5.WHO South-East Asia Regional Office Regional key performance indicators.........................74Annex6.Evaluation matrix.....................................................................................................................76Annex7.Stakeholder Analysis and Key Informants................................................................................80Annex8.Key informant interview (KII) questions..................................................................................81Annex9.Bibliography.............................................................................................................................8712References....................................................................................................................................94 Li s t o f t a b l e s Table1.Overview of the country context for Bhutan..............................................................................1Table2.WHO Bhutan expenditure by area of work 2020–2024..............................................................7Table3.Evaluation criteria and principal evaluation questions (modified from the evaluationtor)......9Table4.Coherence between the Bhutan CCS 2020–2025 and key international and national planningframeworks......................................................................................................................................15Table5.Bhutan engagement in and achievements against South-East Asia Regional Flagships...........22Table6.Bhutan Country Office DFC purchase orders, 2024...................................................................29Table7.Frequency of DFCposby US$ range (derived from Table 6).....................................................30Table8:Bhutan key health statistics......................................................................................................48Table9:CCS 2020–2025 priority areas and expected results..............................................