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Integrated Reproductive, Maternal and Newborn Health (IRMNH) – VFM Benchmarking and CEA

Sierra Leone

The Project

The IRMNH program is a five-year programme which supported the use of a nationwide comprehensive package of reproductive, maternal and newborn health care services across Sierra Leone. The programme is innovative in that it brings together major implementing partners in the health sector to support the Ministry of Health and Sanitation under one umbrella programme.

LAMP conducted a regional Value for Money Benchmarking Study and Cost Effectiveness Analysis of the IRMNH program. The VfM benchmarking was a desk-based review of the value for money performance indicators of the program together with other similar programmes in Sierra Leone and the West African region using available programme documents. Also, using the Spectrum Policy Modelling System Software and programme data made available, the Cost Effectiveness Analysis of the program was conducted to estimate the potential impact of the IRMNH intervention.

The results of the studies provided programme implementers with information that can be used for accountability and advocacy purposes. In addition, it provided a better understanding of the IRMNH programme’s impact and information to inform future design.

© Dominic Chavez / World Bank

Impact

  • Estimated cost per DALY averted was lower than at the end of the programme compared to the original estimate in the business case
  • Conducted benchmarking exercise of 12 health programmes across more than 6 countries in Africa

Client Testimonial

  • The analysis LAMP made on the case study was very useful for the implementing partners and for users of the report to see the impact of the interventions in monetary and statistical terms. The benefits of both interventions were clearly seen. LAMP were very proactive in data collection and were flexible with regards to challenges in obtaining required data; they were quick to come up with alternative methods to capture data and were able to make use of the limited data available.

    - Crown Agents

  • LAMP’s project objectives were achieved, and we received positive feedback from DFID on the final output. The report led to some interesting discussions with DFID and between partners. The number-crunching and the organization of data was excellent. I think we worked very well together. Jennifer and Susie were always prompt and responsive.

    - Senior manager – M&E, KEEP

  • The framework was very well received by the team. The engagement was carried out in a planned, consultative and thorough manner.  LAMP’s communication style, interaction with partners, response timeliness are all excellent.

    - Solar Nigeria Programme (SNP)

  • Lamp Development provided expertise to help shape our VFM Approach. They worked in a collaborative style, built a strong working relationship with staff and produced practical outputs which is exactly what we asked for. The outputs have already been used by our Project Managers to improve how we report VfM within on-going projects and words have also been included to increase our VfM scoring within bids. Thanks for all the help!

    - Practice Lead, Governance and State Building, Crown Agents

  • We worked with LAMP for an evaluation of an adolescent suicide prevention project in Kazakhstan. LAMP were very professional in defining the scope of the cost-effectiveness stream of work, in dealing with the client, and in delivering within a quick time-frame when the data did arrive! We would work with them again. 

    - Health Team Leader, Itad

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