Fourth Health Sector Development Project

It is critical for project design to include key activities and budget for the executing agency and implementing agency to be accountable for realizing the targets indicated in the design and monitoring framework (DMF). In this case, the DMF indicator for “report identifying and addressing constraints on achieving gender balance in senior hospital management” was canceled due to the absence of activities and resources planned at the project design stage to identify and address the gender parity issues in senior hospital management. This target could also have been better realized if through the provision of technical support for planning, research, and report production.