[Title Page]
Contents
Rating based on the Evaluation Result 8
Abstract 18
I. Introduction 23
1. Evaluation Background 25
2. Evaluation Purpose and Scope 26
3. Evaluation Subject 27
II. Methodology and Evaluation 29
1. Key Terms 31
A. Healthcare System 31
B. Healthcare Network 34
C. Six Building Blocks System 36
2. Evaluation Criteria and Methodology 38
A. Methodology 38
B. Evaluation Questions and Main Points 40
3. Research Methodology 43
A. Evaluation Team and Schedule 43
B. Research Methodology 45
4. Limitations and Constraints of the Evaluation 48
III. Project for Improving the Korea-Peru Health Center in Bellavista, Callao, Peru 51
1. Analysis on Subject 53
A. Peru's Health and Medical System 53
B. Callao's Regional Health Network 55
C. Evaluation Subject: Bellavista Public Maternal and Child Health Center 58
D. Project Outcomes 60
2. Evaluation Results 68
A. Relevance 68
B. Efficiency 71
C. Effectiveness 72
D. Impact 75
E. Sustainability 76
IV. Public Health Service Improvement for Mother and Child in El Alto, Bolivia 79
1. Analysis on Subject 81
A. Bolivia's Health and Medical System 81
B. El Alto City Health Network 83
C. Evaluation Subject: Korean Hospital(Hospital Corea) Mother and Child Health Services Center 85
D. Project Outcomes 87
2. Evaluation Results 94
A. Relevance 94
B. Efficiency 96
C. Effectiveness 99
D. Impact 101
E. Sustainability 103
V. Program for Improving Maternal and Child Health Care Services in Paraguay 105
1. Analysis on Subject 107
A. Paraguay's Healthcare System 107
B. Central State's Health Service Network 108
C. Evaluation Subject: Three Hospitals 110
D. Project Outcomes 112
2. Evaluation Results 116
A. Relevance 116
B. Efficiency 118
C. Effectiveness 119
D. Impact 120
E. Sustainability 121
VI. Construction Project for Maternal Homes for Maternal and Child Health in El Salvador 123
1. Analysis on Subject 125
A. El Salvador's Healthcare System 125
B. Evaluation Subject: Maternal Homes for Expectant Mothers(Hogarde Espera Materna; HEM) 129
C. KOICA Supported Project 133
D. Project Outcomes 135
2. Evaluation Results 140
A. Relevance 140
B. Efficiency 141
C. Effectiveness 142
D. Impact 144
E. Sustainability 145
VII. Conclusion and Recommendations 147
1. Main Evaluation Results and Lessons Learned 149
A. Analysis of Healthcare Networks and Lessons for the Future Projects in Latin America 149
B. Comprehensive Evaluations on Four Projects and Lessons 152
2. Recommendations 160
A. Project Design 160
B. Ex-Post Management and Follow-Up Projects 164
Copyright 168
[Back Cover] 169
〈Table II-1〉 Details of Integrated Health Service Delivery Network(IHSDN) by Category 35
〈Table II-2〉 Main Evaluation Questions on Relevance 41
〈Table II-3〉 Main Evaluation Questions on Efficiency 41
〈Table II-4〉 Main Evaluation Questions on Effectiveness 42
〈Table II-5〉 Main Evaluation Questions on Impact 42
〈Table II-6〉 Main Evaluation Questions on Sustainability 43
〈Table II-7〉 Individual Responsibilities 43
〈Table II-8〉 Schedule for Evaluation Activities 44
〈Table II-9〉 Summary of the Field Investigation Schedule 46
〈Table III-1〉 Overview of Peru Project 59
〈Table III-2〉 Bellavista Health Center's Number of Medical Personnel 60
〈Table III-3〉 Bellavista Health Center Treatment/Child Delivery Cases 61
〈Table III-4〉 Child delivery Cases in Callao Region 62
〈Table III-5〉 Cases of Stillbirths and Child Delivery at Facilities in Callao State 65
〈Table III-6〉 Maternal and Infant Mortality Rate in the Callao State and Bellavista... 66
〈Table IV-1〉 El Alto City's Medical Facilities 83
〈Table IV-2〉 Overview of Bolivia Project 86
〈Table IV-3〉 Hospital Corea's Number of Treatments and Childbirth Deliveries(2009~2013) 88
〈Table IV-4〉 Hospital Corea's Financial Condition(2009~2013) 88
〈Table IV-5〉 Hospital Corea's Number of Medical Personnel(2009, 2014) 89
〈Table IV-6〉 El Alto City's Network(Red) Populations and Childbirth Deliveries 90
〈Table IV-7〉 El Alto City's 3 Main Hospitals and Number of Deliveries and Stillbirth 91
〈Table IV-8〉 Proportion of Secondary Medical Facilities in El Alto City's Overall... 92
〈Table V-1〉 Overview of Paraguay Project 111
〈Table V-2〉 The Number of Treatments in the Three Hospitals 112
〈Table V-3〉 The Number of Deliveries in the Three Hospitals 113
〈Table V-4〉 The Number of Deliveries in Five hospitals in the Central State 115
〈Table V-5〉 Infant Mortality Rate in Central State Hospital 115
〈Table VI-1〉 El Salvador's Three Sector Health System 126
〈Table VI-2〉 El Salvador's Medical Personnel Classification 128
〈Table VI-3〉 Overview of Project in El Salvador 134
〈Table VI-4〉 La Palma Maternal Homes for Expectant Mothers Utilization... 137
〈Table VI-5〉 El Salvador Nationwide HEM Number of Users(2013) 138
〈Table VI-6〉 Proportion of HEM Use among Expectant Mothers within Target Region 139
[Figure II-1] The General Healthcare System in Latin America 32
[Figure II-2] The General Health Delivery System in Latin America 34
[Figure II-3] Graphic Representation of the Essential Attributes of IHSDNs 36
[Figure II-4] Six Building Blocks System 'Input and Process', 'Output and Outcomes' 37
[Figure III-1] Map of Three Health Networks in Callao Area 56
[Figure III-2] Welfare Effects of Bellavista Health Center 66
[Figure IV-1] Bolivia's Five Sector Health System 82
[Figure IV-2] El Alto's Five Health Networks 84
[Figure V-1] Map of the Central State of Paraguay and its Eight Hospitals 109
[Figure VI-1] El Salvador's Regional Health Service Network and Maternal Homes... 132
[Figure VI-2] Map of Maternal Homes for Expectant Mothers in El Salvador... 133
[Figure VI-3] Map of Medical Facility in La Palma Network 136