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The Department for International Development (DFID) leads the UK government’s fight against world poverty working with national and international partners. DFID remains committed to ensuring its support for health is in line with aid effectiveness principles and to supporting countries’ own efforts to strengthen health systems and services.




Ethiopia Mozambique





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.

Rwanda Sierra Leone Uganda

100% 2005/7 2011

In 2011 57% of health sector aid was reported by the agency on national health sector budgets - an increase from 37%. 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 100% of capacity development was provided by the agency through coordinated programmes - an increase from 88.3%. Target = 50.0%.

50% 2005/7 2011

In 2011 60% of health sector aid was provided by the agency through programme based approaches - an increase from 34%. Target = 66%.

66% 2005/7 2011 90%

In 2011 92% of health sector aid was provided by the agency through multi-year commitments - an increase from 79%. Target = 90%.

Funding commitments are long-term.

2005/7 2011

71% In 2011 104% of health sector aid disbursements provided by the agency were released according to agreed schedules - an increase from 31% in 2007. Target = 71%.

Funds are disbursed predictably, as committed.


Insufficient data has been provided to enable a rating for the health sector aid provided by the agency that used country procurement systems.

2005/7 2011

80% 2005/7 2011

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

In 2011 85% of health sector aid provided by the agency used national public financial management systems - a decrease from 94%. 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 11.0 - a decrease from 23.0. 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 86% 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 100% of IHP+ countries where they exist. Target = 100%.

100% 2005/7 2011


Civil Society meaningfully engaged.

target achieved

progress made towards achieving target

In , evidence exists in 62% of IHP+ countries that the agency supported civil society engagement in health sector policy processes. Target = 100%.

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

The aggregate figures for these measures mask a significant disparity across countries. Specifically, the scores for Nigeria, where DFID’s health programme is significant, reduce the overall level of performance. DFID is working with the Nigerian authorities to strengthen country systems and frameworks to provide sufficient assurance for greater alignment from development partners.

Data challenges have meant that producing a credible measure of performance has not been possible. In the countries for which this measure applies – Rwanda, Uganda and Sierra Leone – a significant portion of DFID support will use country systems since budget support is used. DFID will work with partners to better establish approaches to capture this.

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

Design licensed with Creative Commons with some restrictions, 2010

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.

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


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