Process evaluations assess how and to what extent projects and programs unfold in relation to stated goals, objectives, and intentions. Process evaluations are critical elements of monitoring and evaluation because they help organizations identify when and why they have encountered bottlenecks in program administration, as well as more accurately and holistically assess a program’s strengths and weaknesses beyond simply achieving (or not achieving) outcomes. Global Health Insights carries out process evaluations with an emphasis on qualitative research methodologies, multi-stakeholder perspectives, and constructive analysis of challenges faced and solutions deployed.
The World Bank commissioned a team of consultants from Global Health Insights and the Harvard School of Public Health to carry out a process evaluation examining the translation of an Institute of Medicine research report called Saving Lives, Buying Time into an operational plan for a global subsidy for antimalarial drugs. This operational plan led to the establishment of the Affordable Medicines Facility for malaria (AMFm). The goal of the process evaluation was to assess the extent to which the project met its stated goals and objectives, measure these achievements against the most plausible counterfactual scenario, and describe the approach of the project in comparison to best-in-class comparators. The process evaluation assessed not only the outcomes of the World Bank project, but also the “how” and “why” of the process by which the AMFm was established. In addition to an evaluation report, a teaching case study was prepared for the World Bank.