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Technical support to ESIS for improving and expanding access to health care services in India – A transition to formality - Final evaluation

eval_number:
3018
eval_url:
https://webapps.ilo.org/ievaldiscovery/eval/3018
lessons_learned:
themes:
theme:
Planning and programme design
category:
Organizational issues

comments:
International Labour Organization (ILO), Ministry of Labour and Employment (MoLE), ESIC, Bill and Melinda Gates Foundation (BMGF), United Nations (UN) agencies, stakeholders in the domain of social health protection, Civil Society Organizations (CSOs), Workers’ Organizations (WOs) and Enterprise and Business Member Organizations (EBMOs).
challenges:
ESIC is an organization with a tripartite governing committee along with an oversight of the MoLE. Hence, the decision-making process is complex. Therefore, the project’s assumption of a linear process of change in such an organization proved simplistic.
success:
The donor agreed to 3 extensions to enable achievement of maximum number of outputs in the current phase.
context:
The project aimed to achieve structural change in an organization which is very large, is over 70 years old and has a complex decision-making process. This was difficult to achieve in the planned 18-month project duration. This proved even more challenging due to the COVID-19 pandemic, the changes in Employee State Insurance Corporation (ESIC) leadership and the change in context due to the new Code on Social Security, 2020.
description:
A project for organizational change or transformation, needs much longer than 18 months. Even as the first step of a longer process to bring organizational change, the project time frame was too short. Despite the no-cost extensions, a project duration of just over 2.5 years is not sufficient to achieve structural change of a large public sector organization with complex decision-making processes.
administrative_issues:
The project design was changed, to remove the output relating to the state level pilot initiatives.
url:
https://webapps.ilo.org/ievaldiscovery/lessons/243749

location:
country:
India
region:
Asia and the Pacific

eval_title:
Technical support to ESIS for improving and expanding access to health care services in India – A transition to formality - Final evaluation
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