Cross-cutting Evaluation – Aligning vertical programs with health systems, Africa

This overview document presents the results of the cross-cutting evaluation of four projects funded by L’Initiative on the theme of vertical program alignment, implemented in six African countries: Benin, Burkina Faso, Côte d’Ivoire, Guinea, Democratic Republic of Congo and Senegal.

The cross-cutting evaluation concludes that the four projects funded by L’Initiative have achieved positive results, which demonstrate the feasibility of vertical program alignment. They have been innovative in fostering partnerships between programs that are usually compartmentalized, and have enabled the dissemination of shared knowledge on the diseases treated and the coordination mechanisms implemented. This evaluation also shows the complexity of setting up projects of this kind, and the challenges encountered in integrating programs.