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ACCESS 2.0 – Phase 2: Advancing Capacity for and Coverage of the Essential Services Package through Systems Strengthening
Donor / contracting authority: European Union (European Commission)
Implementing organization: International Rescue Committee (IRC) – Libya
Locations: Benghazi, Sabha, Souq Al Jumaa and Al Kufra, Libya (18 supported
health facilities)
Project duration: January 2024 – December 2026
Evaluation period: Approximately 40 calendar days, 21 November–31 December 2026
Maximum budget USD 20,000, all costs included
Proposal submission deadline 08/11/2026
1. Background
ACCESS 2.0 is a three-year IRC project supporting Libya’s primary health care system in coordination with the Ministry of Health (MoH), Primary Health Care Institute (PHCI), District Health Offices (DHOs), WHO and other health-sector actors. The project works in Benghazi, Sabha, Souq Al Jumaa and Al Kufra and supports 18 health facilities.
Overall objective: To contribute to improved health outcomes in the Libyan population, particularly among people most at risk or vulnerable.
Specific objective: To improve access to and utilization of essential health services, ensuring equity for vulnerable populations in targeted municipalities.
Theory of change: If the ESP is drafted and implemented consistently in targeted PHCCs and service quality improves, access to and utilization of essential health services for vulnerable populations will improve.
Implementation in Al Kufra started in May 2025, in an emergency-affected context. Estimated direct beneficiaries are approximately 160,000 according to the proposal; the evaluator will use the latest verified figures available at
inception.
The project focuses on six areas:
- Implementation of the Essential Services Package (ESP) in targeted facilities.
- Improved quality of health services.
- Community-level health service delivery.
- Capacity strengthening of national health personnel.
- Promotion of healthy behaviours and practices.
- Improved health and health-system indicators.
2. Purpose and Scope of the Evaluation
The purpose is to provide an independent assessment of what ACCESS 2.0 achieved, how well it was implemented, what is likely to be sustained, and what should inform future programming.
- Cover implementation from January 2024 to 30 November 2026.
- Cover all four municipalities and all 18 supported health facilities, with a proportionate sample of community level interventions.
- Assess achievements across the six project outputs and their contribution to improved access and use of essential health services.
- Compare locations while considering contextual differences, including Al Kufra’s emergency-affected context and shorter implementation period.
- Assess close-out and handover arrangements using available documentation and stakeholder interviews; as the evaluation concludes shortly before the project end date, this should be noted as a limitation.
The evaluation should assess reasonable contribution to improved health outcomes; it is not expected to prove population-level causal attribution, repeat baseline/end-line studies or conduct new large-scale representative surveys.
3. Key Evaluation Questions
Area Core question
Area:…