The framework and guideline for the assessment and evaluation of health systems strengthening (HSS) programs are designed to provide insight into the effects of ongoing interventions that aim to strengthen specific elements of a health system. This document was developed to support the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) in assessing its HSS grants, yet it is designed also to effectively assess non-Global Fund supported programs. The present framework and guideline were piloted for evaluating HSS investments in South Sudan in July and August 2012. The Global Fund, in collaboration with technical partners, is in the process of revising its investment framework in health and community systems strengthening. Upon finalizing the investment framework, the present framework and guideline for HSS program evaluation will be revised to ensure necessary consistency between the investment and evaluation frameworks.
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