Abstract
Unless a large, new, financial contribution comes from the international community, health indicators are far from good in low income countries. However, even if health financing is still insufficient, better health care in these countries could be produced with their present resources. It requires an improvement in the health system performance, as well as efficacy and efficiency of health programs. As a tool, evaluation allows one firstly to check this performance and efficiency, and then to assess the impact of different programs. This article is organising in three sections. The first presents the different (economic, ethical and social) stakes of an evaluation system. The second section describes its methods and the third analyses its constraints. To cite this article: M. Audibert, C. R. Biologies 331 (2008).
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