Evaluation of Health Guarantee to Centenary Rural

This evaluation was commissioned by the Embassy of Sweden in Kampala with the purpose to assess health-related outcomes of the Sida/USAID supported Health Guarantee to Centenary Rural Development Bank (CRDB) in Uganda.Sida and USAID entered into a guarantee agreement with CRDB Uganda in 2012. The guarantee is set-up as a loan portfolio guaranteecovering term-loans to privately-owned and operated micro, small, and medium enterprises as well as healthcare workers in thehealth value chain. The main objective of the guarantee for Sida was to increase access to private health care in Uganda, with specialattention to rural areas, by catalysing private capital for investments in the health sector.The evaluation focused on two key areas; what extent the loans provided under the guarantees contributed to improved access tohealth for poor people and, to which degree this project intervention model has supported the development of the private sector inUganda. The evaluation applied the following four of the five OECD/DAC standard criteria; relevance, efficiency, effectiveness andimpact.The evaluation provides key recommendations to Sida, and presents lessons learned central to the successful implementation ofsimilar projects in the future, either in Uganda or elsewhere.