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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

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comments:

International Labour Organization, Ministry of Labour and Employment (MoLE), Employee State Insurance Corporation (ESIC), Bill and Melinda Gates Foundation (BMGF), United Nations (UN) agencies.

challenges:

Since the project did not involve ESIC in the early phases of the agreement on the framework of the diagnostic and the expertise conducting the research, the recommendations were only partially accepted. This was because the ESIC felt that certain recommendations were not suitable for the Indian context.

success:

Despite the lack of adaptability of some recommendations, ESIC has continued to engage and sees high value added from ILO’s technical support. The good relationship forged during the current phase of the project provides a good foundation for the collaboration in the next phase.

context:

In the Indian context, ESIC is the largest public social health protection organization, which collects contribution from members enrolled under the ESI scheme, and offers health services as well as other benefits such as compensation for wage, disability, old age medical care, maternity expenses, funeral expenses, etc. A precondition for expertise is an understanding of the national context, in addition to explicitly bringing in relevant international expertise.

description:

The project could not have sufficient early discussions with ESIC about the framework of the diagnostics and about the national and international expertise needed for preparing the research. Hence, ESIC deemed some of recommendations of the report inadequately adapted to the reality of the Indian context. So, a cautious approach is needed for such a sensitive study. Early agreements on the diagnostic framework and the required expertise might have promoted better acceptance of the findings of the diagnostics report. This points to the need for investing time in early discussions and agreed evaluation framework and expertise required for conducting a diagnostic study of a large social health protection organization like ESIC.

administrative_issues:

No additional resources are required to take cognizance of this lesson, which is relevant through the design and implementation stages of a TC project.

url:

https://webapps.ilo.org/ievaldiscovery/lessons/243759

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location:

country:

India

region:

Asia and the Pacific

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eval_title:

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