Implementing and evaluating health reform processes : lessons from the literature

This report reviews the literature on past reform experiences and discusses the lessons learned. A key finding is the importance of understanding the underlying factors at play during reform implementation. One of the report"s conclusions is that these factors (the level of organizational capacity among reformers, for example) play a critical role in shaping and affecting the success of a reform package. Finally, this report reviews evaluation methods and strategies, including the key problems of evaluating public or health sector reform, approaches for evaluation that address these key problems, and critical aspects of the overall strategy of evaluation. Includes references. (Author abstract)