Fleming Fund Independent Evaluation Supplier
2016 – 2021; Global; Department of Health
The Department of Health has launched the Fleming Fund, a £265 million one health programme, to support low and middle income countries (LMICs) in tackling antimicrobial resistance (AMR). Drug-resistant infections could kill 10 million people across the world every year by 2050 if they are not tackled. By this date, they could also cost the world around $100 trillion in lost output: more than the size of the current world economy.
The aim of the Fleming Fund is to improve laboratory capacity and diagnosis as well as data and surveillance of AMR in LMICs through a one health approach: building capacity to collect drug resistance data; enabling the sharing of drug resistance data locally, regionally and internationally; collating data on AMR; and encouraging the application of these data to promote the rational use of antimicrobials.
Itad has been contracted to deliver an independent evaluation of the Fleming Fund country and regional level projects. Our work combines both a formative aspect to provide recommendations to guide the portfolio of country and regional grants, and a summative aspect to assess how far the outputs of the portfolio of country and regional grants have contributed, or will contribute, to the outcomes and impact of the overarching Fleming Fund.
Our proposed solution incorporates a utilisation focused evaluation (UFE) design, with a theory based approach using mixed-methods data collection and analysis tools. A key factor in the development of our suggested methodology was to ensure that the evaluation results in real-time learning for key stakeholders, which can be fed directly back in to the Fleming Fund programme to increase efficiency, effectiveness, and overall impact. The overarching Fleming Fund Theory of Change (TOC) acts as a conceptual starting point for the evaluation. In order to test this overarching TOC and frame our evaluative explanations of what happened we will unpack the various ‘middle-range theories’ through which this overarching TOC will be delivered in widely varying contexts. A key aspect of our proposed solution is therefore to invest in co-developing, ex-ante, middle-range theories for three thematic focus areas that we have identified (Strengthened Surveillance Systems, Knowledge & Application, Awareness & Policy Change) which will unpack the overall TOC.
Itad are working closely with the Fleming Fund Management Agent during the inception phase to ensure that evaluation considerations are ‘embedded’ in the programmes across the project cycle.
Image © Laboratory. Photo Credit: George Redgrave