Executive summary
Introduction
Scope and methodology
The impact of humanitarian aid: definitions, objectives and context
Definitions
Defining ‘impact’
The origins and uses of impact assessment
The levels and objectives of impact analysis
Conceptual frameworks
The levels of impact analysis
The functions of impact analysis
Assessing negative impacts
Perspectives from new public management
Perspectives from the private sector
Chapter summary
Measuring and analysing impact: methods, indicators and constraints
Methods for measuring and analysing impact
Participatory approaches
Indicators
Mortality
Surveillance systems
Surveys
Constraints to measuring impact
The emergency context and the nature of the system
Lack of consensus over the objectives of humanitarian aid
Lack of baseline data and seasonality issues
Control groups and regression analysis
Problems of attribution
Impact assessment beyond the project level
Measurement or analysis?
Chapter summary
Impact assessment: current practice in the health and nutrition sectors
Impact assessment and the health sector
Impact assessment and the food and nutrition sector
General ration programmes
Selective feeding programmes
Interpreting nutritional status data
Micronutrient status
Livelihoods approaches
Chapter summary
Conclusions and recommendations
Beyond the project level
Measuring, analysing or demonstrating impact?
The evidence-base of humanitarian aid
The new public management agenda
The way forward: approaches to impact assessment
References