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Evaluation and health and childcare

Evaluation of health and childcare

This evaluation identified best practices and lessons learned in the EEA and Norway Grants 04-09. Five countries were selected for in-depth studies of the implementation of the health and child-care grants: Czech Republic, Hungary, Lithuania, Poland and Romania.

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Download country chapters (PDFs): Czech Republic, Hungary, Lithuania, Romania

The health and childcare evaluation was based on a study of 16 projects in the Czech Republic, Hungary, Lithuania, Poland and Romania.

The EEA and Norway Grants 04-09 supported 234 projects within the health and childcare sector, totalling EUR 167 million. An evaluation was commissioned by the Financial Mechanism Office and conducted by COWI between January and November 2011.

Key findings

  •  Almost all evaluated projects achieved planned deliverables, with some exceeding defined objectives.
  • The projects addressed relevant EU challenges, national priorities and local needs.
  • The projects had a demonstrable impact on improved health and social conditions for the various target groups and made a significant contribution to the institutional capacity of the health and childcare sectors
  • The impacts on areas and target groups were generally reported to be positive, especially when looking at short-term impacts with clear indicators.



The evaluation noted that establishing partnerships proved challenging, with limited participation from relevant donor state partners. More structured support has been provided for establishing partnerships in the new health programmes.

It also recommended that the new health programmes should target areas with high levels of deprivation and focus on reducing social inequalities in health. In response, many of the programme operators are now working closely with the local World Health Organisation (WHO) offices which have a similar mandate.