Evaluation of agreement between Norwegian Church Aid and Norad for financial support to Haydom Lutheran Hospital

Abstract

Executive summary Haydom Lutheran Hospital (HLH) opened in 1955. HLH is owned by the Evangelical Lutheran Church of Tanzania (ELCT), Mbulu Synod, but for decades, HLH has relied primarily on financial support from the Norwegian government through the Ministry of Foreign Affairs. The support was until 2014 channeled through the Royal Norwegian Embassy (RNE) in Dar es Salaam. From 2015, the management of the fund was transferred to Norwegian Church Aid (NCA). The total grant from Norad under the current four-year agreement is NOK 56 million. The four-year program managed by NCA has focused on supporting HLH to gradually sustain itself through expanding its revenue base, with the aim of reducing HLH’s dependency on a single donor (Norad) while maintaining the quality of services. HLH has committed to reducing overall budget dependence on Norwegian government grants from 47% in 2014 to 22% by 2018. The Grant Agreement document stipulated that a program evaluation should be held no later than 1 June 2018. This program evaluation was commissioned by NCA. The objectives of the evaluation were to assess progress and deviations in relation to the main purpose of the main Grant Agreement (QZA-0178 TAN 15/0009); and to assess the role of NCA in supporting HLH, especially on the deliverables defined in the Sub-Project Agreement.