Performance Evaluation of USAID’s Integrated Health Program in the Democratic Republic of Congo

Performance Evaluation of USAID’s Integrated Health Program in the Democratic Republic of Congo
Performance Evaluation of USAID’s Integrated Health Program in the Democratic Republic of Congo
Abstract: This report presents findings from a performance evaluation of the United States Agency for International Development’s (USAID) Integrated Health Program (IHP) in the Democratic Republic of Congo. The evaluation, conducted by Data for Impact, assessed the program's effectiveness in achieving its objectives: strengthening health system governance, increasing access to integrated health services, and promoting healthy behaviors. The evaluation focused on four research questions: Did the expected changes in outcomes and impacts occur? To what extent were changes in healthy behaviors attributable to USAID IHP? Did the project contribute to gender equity in health services? What factors enabled or limited the program's success?

Using both quantitative and qualitative methods—including surveys, interviews, and focus groups—the evaluation found that USAID IHP made progress in governance and service delivery, especially in maternal health, tuberculosis, and malaria. However, such challenges as high staff turnover, political instability, and limited government ownership hindered sustainability. USAID IHP contributed to gender equity by increasing women’s leadership in health committees. The report highlights the need for continued focus on health worker training, integrated service delivery, and system-wide improvements in referral systems and financing models to ensure long-term success.
Shortname: TR-24-598 D4I
Author(s): Janna Wisniewski, David Hotchkiss, Lauren Blum, Jonathan Niles, Steven Dominguez, Jr., Savannah Badt, Paul-Samson Lusamba-Dikassa, Eric Mafuta, Anicet Yemewni, Marc Bosonkie
Year: 2024
Language: English