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Ministry of Foreign Affairs coordinates and carries out Dutch foreign policy and development cooperation, through its headquarters and embassies, multilateral & private organisations and NGOs. Priority themes are food security, water, sexual and reproductive health including HIV/AIDS, security and the rule of law in fragile states.


Burkina Faso Ethiopia






An IHP+ Country Compact or equivalent has been signed by the agency in 100% of IHP+ countries where they exist. Target = 100%.

Commitments are documented and mutually agreed.

100% 2005/7 2011

In 2011 100% of health sector aid was reported by the agency on national health sector budgets - an increase from 69%. Target = 50% reduction in aid not on budget (with ≼ 85% on budget).

85% 2005/7 2011

Support is based in country plans and strategies, including to strengthen Health Systems.

In 2011 71.3% of capacity development was provided by the agency through coordinated programmes - a decrease from 100%. Target = 50.0%.

50% 2005/7 2011

In 2011 82% of health sector aid was provided by the agency through programme based approaches - a decrease from 90%. Target = 66%.

66% 2005/7 2011 90%

In 2011 92% of health sector aid was provided by the agency through multi-year commitments - a decrease from 100%. Target = 90%.

Funding commitments are long-term.

2005/7 2011

71% In 2011 131% of health sector aid disbursements provided by the agency were released according to agreed schedules - an increase from 100% in 2007. Target = 71%.

Funds are disbursed predictably, as committed.

The health sector aid provided by the agency that used country procurement systems was deemed not applicable to Netherlands.


2005/7 2011

80% 2005/7 2011

Country systems for procurement and public financial management are used and strengthened.

In 2011 92% of health sector aid provided by the agency used national public financial management systems - a decrease from 100%. Target = 33% reduction in aid not using PFM systems (with ≼ 80% using country systems).

80% 2005/7 2011

In 2011 the stock of parallel project implementation units (PIUs) used by the agency in the surveyed countries was 0.0 - no change from 0.0. Target = 66% reduction in stock of PIUs.

2005/7 2011

Resources are being managed for Development Results.

Mutual accountability is being demonstrated.


In 2011 national performance assessment frameworks were routinely used by the agency to assess progress in 100% of IHP+ countries where they exist. Target = 100%.

Lower values are better

100% 2005/7 2011

In 2011 the agency participated in health sector mutual assessments of progress in 67% of IHP+ countries where they exist. Target = 100%.

100% 2005/7 2011


Civil Society meaningfully engaged.

target achieved

progress made towards achieving target

In 2011, evidence exists in 75% of IHP+ countries that the agency supported civil society engagement in health sector policy processes. Target = 100%.

2005/7 2011

no progress or regression

data not provided

*Performance is assessed in only Niger, Rwanda, Senegal, Sierra Leone and Uganda. Budget support is also not counted. The rating may therefore not fully reflect progress, and could be an underestimate.

measure not applicable

indicates agreed target

This additional information is reported by the Organisation to explain what specific actions it is taking to implement its IHP+ commitments to the 8 Expected Results, or to qualify its measures of progress. The Netherlands has signed national compacts in Ethiopia, Mali and Mozambique.

Support in all countries is based on national health strategies and plans. In 2011 all financial support was reported on national health sector budgets.

The Netherlands has multi-year strategic plans of 4 years: the last one from 2007-2011.

Design licensed with Creative Commons with some restrictions, 2010


The Netherlands provided non-earmarked funds in 2011 to the public health sector of Burkina Faso, Mali and Mozambique which use entirely public financial management systems, also for procurement. In Ethiopia a trust fund of the World Bank has been used for support to the national health sector, using World Bank procedures for procurement.

The Netherlands used national performance assessment frameworks in all 4 countries and advocates for improved use in all countries.

In all 4 countries, the Netherlands participates in national health reviews and advocates for including and improving mutual assessments of IHP+ compacts in these processes. In Burkina Faso, the Netherlands will phase out in 2013 in the health sector. From now till 2013, UNICEF in Burkina Faso will be the vocal partner in future health reviews.

The Netherlands has played a key role in supporting the inclusion of CSOs in national health planning and monitoring. In all 4 countries CSO are supported, in advancing the access and quality of Sexual and Reproductive Health and Rights and in promoting a better coordination and collaboration between public and private sector.

HOW TO INTERPRET THIS SCORECARD Expected Results reflect key commitments that were made by IHP+ signatories in the IHP+ Global Compact. Each expected result has corresponding standard performance measures to track progress over time. The progress of all agencies is rated against these mutually agreed expectations. Rating symbols illustrate whether the Agency has achieved , is working towards , or has not achieved its targets over the most recent annual reporting cycle. Details of these independent assessments undertaken by the IHP+Results Consortium can be found online in the North-South Observatory for IHP+Results ( Target describes the aggregate data on which the Rating is based, with a comparison of 2011 and baseline performance. Overall Progress shows a two-bar graph with the aggregate data for the agency in question across all the countries for which health sector support has been reported. In most cases, the agreed target for each standard performance measure (SPM) is shown as a red line. Scorecard ratings are aggregates of performance across a number of countries. Aggregates might hide variations in the agency's performance. Disaggregated data can be found at NB: The ratings presented here are based on self-reported data. IHP+Results has taken steps to triangulate this data using other sources. More details are vailable at

Produced by the independent North-South Consortium for IHP+Results, mandated by IHP+ Global Compact signatories. See

In Burkina Faso and Mozambique 100% of health sector aid has been disbursed according to plan. In Ethiopia and Mali more than 100% originally committed were disbursed in 2011, due to renewed collaborations into the new multi-year strategic plans for 20122015.