In 2010, the German Federal Government agreed to the request of the Rwandan government to discontinue its support to the Rwandan health sector by the end of 2012. The amicable decision accommodates the Rwandan Government’s commitment to improve the division of labour between donors in accordance with the Paris Declaration on Aid Effectiveness and the Accra Agenda for Action.
This historic moment provided a unique opportunity to assess the 30 years of cooperation in the health sector by means of a summative evaluation. DEval conducted the evaluation between July 2012 and October 2013.
In line with the phases of Rwanda’s history and the milestones in German and international development policy, the evaluation divided the period since 1980 into three periods: (1) the period between 1980 and the genocide of 1994, (2) the post-conflict period and subsequent years of reconstruction up to around 2003 and (3) the period up to 2012, which was characterised by the integration of the Rwandan-German health care programme into the Rwandan Sector-Wide Approach (SWAp) including sectoral budget support.
An analysis of the key social, political and economic trends examined the entire period since 1980 and provided the backdrop for a critical revision of Rwandan-German cooperation since 1980. This context analysis also included an overview of changes in the health sector and the development of the health of the Rwandan population.
The evaluation looked primarily at the phase between 2003 and 2012. First, the extensive documentation of more recent development projects in comparison to the early phase allowed a more precise analysis. Second, the strategic change in Rwandan-German cooperation since 2003 provided an interesting additional object of investigation.