WHO’s work with countries

WHO results at country level

WHO/Sergey Vollkov

WHO’s relevance at country level lies in its ability to support Member States in achieving their national health objectives. The Organization coordinates the efforts of multiple government sectors and a growing number of partners, including: bilateral and multilateral institutions; development banks; funds and foundations; civil society organizations; and the private sector.

Assessments of our performance in countries aim to:

  • evaluate whether WHO delivers what is specified in the work plan;
  • assess whether a WHO country office operates according to the Organization’s rules and regulations;
  • assess WHO’s capacity to contribute to national health outcomes;
  • evaluate WHO’s performance compared to other UN agencies or multilateral development agencies; and
  • consider WHO’s efficiency in financial terms to achieve results at country level.


Several internal and external evaluations relevant to WHO’s impact at country level have highlighted the importance of improving performance:

Joint Inspection Unit (JIU)

An external assessment of the management, administration practices and decentralization in WHO. The report concluded that WHO is recognized as the technical adviser and trusted broker to facilitate development partners’ contributions towards national plans. It also identified areas for improvement, including the need to evaluate work to support countries.

UK Department for International Development Multilateral Aid Review (DFID MAR)

An assessment of WHO’s performance in developing countries. The report acknowledged WHO’s leadership role and convening power, especially in an increasingly complex environment with a growing number of partnerships, initiatives and implementing agencies. It highlighted the need to strengthen WHO’s capacity to carry out performance assessment in countries.

The Multilateral Organisation Performance Assessment Network (MOPAN)

The 2013 MOPAN assessment focused on the extent to which WHO has demonstrated progress towards achieving its strategic objectives, as well as its contributions to country-level goals and priorities. It noted improvements in WHO’s organizational effectiveness. The report recommended the Organization to clearly define the results chain, to systematically measure WHO’s contribution to national results.

Second Stage Evaluation of WHO Reform

An evaluation to assess the implementation strategy of the WHO reform, and assess WHO’s preparedness in the process. It highlighted the need to better define clear goals at country level, including measuring WHO’s contributions to national results.

Programme Budget Performance Assessment (PBPA) Report

An assessment of WHO’s performance during the biennium according to each of the Organization’s 13 strategic objectives. It recommended greater alignment between Country Cooperation Strategies (CCSs) and the health plans and strategies of individual countries, as well as with the United Nations Development Assistance Framework (UNDAF)/One Programme processes.

Country Evaluations

Some countries produce performance assessment reports relevant to WHO’s impact at country level. These are available at the regional websites.