Jurien Toonen

Jurrien Toonen

Senior Adviser

+31 (0)20 568 8714

Jurrien Toonen is perceived by clients as a seasoned advisor, with over 20 years of experience in health systems strengthening, focusing on:

  • governance/ accountability, incl. M&E systems and impact evaluation,
  • organising health services and health financing
  • health insurance and performance based financing.

His  experience stems from working through action-research at the interface between policy-making and implementation, working for public sector and private sector and for NGOs, supported by a wide variety of multi-and bi-lateral financing agencies. Always seeking to contribute in the battle against the social injustice that is in those in need, having no access to quality care.


  • Witter S, Toonen J., Meessen B., Kagubare J., Fritsche G., Vaughan K. (October 2013 – publication accepted BMC Health Services Research): Performance -based financing as a health system, reform– mapping the key dimensions for monitoring and evaluation
  • Van der Wal B., Toonen J., (2012), Proper preparation prevents poor performance”, in Van der Kwaak A., Ormel H, Richters A : Capacity-building for knowledge generation: experiences in the context of health and development. KIT Publishers, Amsterdam.
  • Toonen J., Wal B, results-based financing in healthcare, a one-size-fits-one implementation approach, KIT Editors, (June 2012)
  • Monitoring quality of care and accountability mechanisms at the district level: the potential role of the National Health Insurance Scheme in Ghana KIT Working Papers Series H6,
  • Martens, M., J. Toonen and B. van der Wal (2011)
  • Toonen, J., D. Dao and T. Hilhorst (2007) Mali: Vers un système d’information essentielle sur le secteur de la santé pour les acteurs communaux (SIEC-S). KIT and SNV.
  • Dieleman M., J. Toonen, H. Touré and T. Martineau (2006). ‘The match between motivation and performance management of health sector workers in Mali’. In: Human Resources for Health, 4(2)
  • Schreuder, B., Toonen, J. Sector policy review tool: a guide for users and facilitators Amsterdam. KIT Publishers
  • Toonen J. and R. van Poelje (2005) ‘Monitoring and evaluation at the crossroads: meeting the challenge of sector-wide approaches and budget support’. In : Why did the chicken cross the road ? European Forum on International Cooperation (Euforic). Amsterdam 2005
  • Toonen J.J.M. (1995) ‘Community Financing for Health Care, a Case Study from Bolivia’.
    KIT Bulletin 342, KIT Press Amsterdam 1995
  • Toonen J.J.M. (1987). “Health Care in Bolivia” In: B. van Schaik et al.: “Gaven delen over grenzen” (Sharing gifts abroad), 1987
  • Toonen, J.J.M. (1987, 1988). Review in “Proceso Salud-Enfermedad”, La Paz-Bolivia.
    “Cinco mitos sobre medicamentos en Bolivia” (december 1987) “Aspirinetas, un peligro”
    (January 1988) “Los Anti-diarreicos, que sentido tienen?”
  • Roberto Lopez et al. (1987). Medicamentos Esenciales – los casos de Bolivia, Chile y Peru. Chimbote, Peru. (chapters on Bolivia by J.J.M. Toonen)
  • Nunez R., J.J.M. Toonen (1987). La Farmacia en Bolivia – arte o negocio? CEDOIN,
    La Paz-Bolivia.


  • NIGERIA, for UNICEF, Team leader. Impact evaluation of UNICEF’s WASH program 2009-2013 in Nigeria through a mixed-methods approach
  • ZIMBABWE, FOR REBUILD funds (Funded by DFID), Coordinator KIT’s participation in a study on reviewing/ rethink health financing in Zimbabwe.
  • BENIN, GUINEA CONAKRY, DEMOCRATIC REPUBLIC OF CONGO, for MUSKOKA (French Coop.): study on community accountability mechanisms in health, after 25 years Bamako Initiative
  • SENEGAL, for TRAction/ USAID, Principle Investigator for an action-oriented research on the effects of Performance Based Financing on the quality of the care that had been provided.
  • BURUNDI, CAMEROON, for World Bank, support to local partners, capitalising their experiences in Performance Based Financing, free health care, community involvement, public-private partnership
  • MALI, for MOH Mali, Coordinator of the MDG5/ PBF program – the MOH’ pilot program before scaling-up to country level of performance-based financing, TL for the impact evaluation.
  • BENIN for BTC (Belgian Technical Cooperation), Team Leader, Technical assistance to the program’s focus Universal Health Coverage (RAMU) and Performance Based Financing.
  • WORLD-WIDE for BTC: support to the capitalisation efforts of BTC and its partners, e.g. in Democratic Republic of Congo and Benin
  • GHANA, for the World Bank (2010 – 2012), Coordinator of the WB-support to the Ministry of Health to develop a national policy for the “Results Based Financing” in Ghana

Selected short term assignments that have ended

  • GHANA, For: Nuffic/ DGIS (2010 – 2012), Team coordinator training of the National Health Insurance Authority, the regulator of Ghana NHIS, for KIT, development of M&E system
  • DRC, Burundi, Zambia, Tanzania. In Rwanda (2008 – 2009), For: Cordaid (Dutch NGO); Coordinatorcoordination evaluation teams. Formative evaluation for lessons learning on implementing Performance Based Financing.
  • GHANA For: MOH (2009-2010), Team Leader. Support to the MOH of Ghana to study the political economy of human resource policy development.
  • EGYPT. For: MOHP, World Bank (2007, 2008), Lead Consultant, Support to the development of a monitoring system for the new National Health Insurance Fund, incl. impact evaluation.
  • Zambia (2007), Bangladesh (2005): For: DFID, Evaluation of DFID Country Program (CAP)
  • GHANA (2007), Burkina Faso (2005), MALI (2002), SENEGAL (2003), For World Bank/ pooled funds: Mid Term Reviews of National Health Plans of Work.
  • MALI For: European Commission (200 – 2002), Team leader, development of the Human Resource Development Policy for the Ministry of Health.