The evaluation aimed to assess the relevance, effectiveness, efficiency, outcomes and sustainability of its CCEOP investment between 2018 and 2021.
It was conducted at the global level (market shaping) in three countries, Guinea, Kenya and Pakistan, and it included an assessment of CCEOP planning and implementation at different timepoints: baseline (2018), midline (2019), and endline (2021).
The market-shaping evaluation (2020) followed a different timeline due to annual procurement cycles and related performance indicators, as well as a strategy shift mid-CCEOP.
The country-level implementation focused on achievements made in upgrading and expanding cold chain equipment (CCE) and creating a more efficient and effective supply chain.
The results of this evaluation were intended to help the Alliance improve the design of the platform, including Gavi’s cold chain equipment (CCE) market shaping strategies, and to help countries in scope and other Gavi countries implementing the Platform.
The evaluation used a mixed-methods case-control research design that was mainly prospective, involving key informant interviews (KIIs) at multiple levels of the health system, document reviews, direct observation (when possible), a health facility assessment (HFA), and health management information system/logistics information management system (HMIS/LMIS) where possible.
Data from all sources were triangulated to draw the results and recommendations. The evaluation team worked with the Ministry of Health (MOH) and other stakeholders in each country to identify the sample.
Final sampling areas at the district/sub-county and health facility levels were selected using the following criteria:
- Vaccination coverage
- Priority status of CCE deployment
FINDINGS AND CONCLUSIONS
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