Evaluation of USAID’s Tubiteho project in Burundi

Evaluation of USAID’s Tubiteho project in Burundi
Evaluation of USAID’s Tubiteho project in Burundi Cover
Abstract: This evaluation assesses USAID’s Tubiteho project in Burundi, implemented by Pathfinder and its partners from 2019 to 2024. The evaluation aims to determine the extent to which Tubiteho achieved its objectives across three intermediate results: increasing access to quality essential health services, promoting the adoption of positive health behaviors, and strengthening health systems. Key evaluation questions include factors influencing the project’s success, integration of local perspectives, and sustainability plans.

A mixed-methods approach was employed, involving in-depth interviews, key informant interviews, and focus group discussions across selected provinces. Data were gathered from various informants, including government officials, USAID staff, implementing partners, health providers, community health workers, and community members.

Key findings indicate that while Tubiteho’s strategies and integration efforts were largely effective, there were notable gaps in monitoring and evaluation and certain service areas. Further, persistent challenges such as cultural resistance, resource shortages, and economic constraints continue to affect the project’s overall impact. Continuous adaptation, enhanced data collection, and targeted interventions are needed to address these challenges and improve future project outcomes.

Recommendations emphasize the need for sustained capacity strengthening, resource allocation, and infrastructure development to ensure long-term impact and sustainability. Enhanced data collection and monitoring practices are also crucial for ongoing performance assessment. The evaluation concludes that Tubiteho made progress in its goals, offering valuable lessons for future health interventions in similar contexts.
Shortname: TR-24-596 D4I
Author(s): Janna Wisniewski, Martha Silva, Miriam Makali, Gloria Igihozo, René Manirakiza, Judith Ndayizeye, Désiré Munezero, Jean François Régis Sindayihebura
Year: 2024
Language: English
Region(s): BURUNDI