The impact of the Belt and Road Initiative (BRI) to global development will be unprecedented and significant, and developmental impact evaluation is therefore central to understanding BRI projects and making informed decisions. Compared with evaluations of individual projects and programs, evaluation of large and mega infrastructure projects under the BRI is particularly challenging and complex in integrating stakeholder objectives, accounting for social benefit and costs, and tracking long-term project impact. In this paper, we summarize the key drawbacks of existing BRI evaluation frameworks, propose a systematic evaluation framework elicitation method based on the inputs from BRI subject matter experts and verified through stakeholder participation, and apply an interim evaluation framework in understanding the Mombasa-Nairobi Standard Gauge Railway project in Kenya, as a proof of concept of a comprehensive evaluation framework. In doing so, we seek to provide a tool for BRI decision makers and stakeholders to assess these projects holistically at planning, construction and operation stages.

Introduction People living with HIV (PLHIV) relied on community-based organizations (CBOs) in accessing HIV care and support during the COVID-19 pandemic in China. However, little is known about the impact of, and challenges faced by Chinese CBOs supporting PLHIV during lockdowns. Methods A survey and interview study was conducted among 29 CBOs serving PLHIV in China between November 10 and November 23, 2020. Participants were asked to complete a 20-minute online survey on their routine operations, organizational capacity building, service provided, and challenges during the pandemic. A focus group interview was conducted with CBOs after the survey to gather CBOs’ policy recommendations. Survey data analysis was conducted using STATA 17.0 while qualitative data was examined using thematic analysis. Results HIV-focused CBOs in China serve diverse clients including PLHIV, HIV high-risk groups, and the public. The scope of services provided is broad, ranging from HIV testing to peer support. All CBOs surveyed maintained their services during the pandemic, many by switching to online or hybrid mode. Many CBOs reported adding new clients and services, such as mailing medications. The top challenges faced by CBOs included service reduction due to staff shortage, lack of PPE for staff, and lack of operational funding during COVID-19 lockdowns in 2020. CBOs considered the ability to better network with other CBOs and other sectors (e.g., clinics, governments), a standard emergency response guideline, and ready strategies to help PLHIV build resilience to be critical for future emergency preparation. Conclusion Chinese CBOs serving vulnerable populations affected by HIV/AIDS are instrumental in building resilience in their communities during the COVID-19 pandemic, and they can play significant roles in providing uninterrupted services during emergencies by mobilizing resources, creating new services and operation methods, and utilizing existing networks. Chinese CBOs’ experiences, challenges, and their policy recommendations can inform policy makers on how to support future CBO capacity building to bridge service gaps during crises and reduce health inequalities in China and globally.

No abstract

We assessed the perceived socio‐economic impact of the Kenyan Standard Gauge Railway (SGR), using an original survey with 132 experts and interviews with 91 community residents across five cities and towns. We found that local and international stakeholders prioritize socio‐economic impacts over other impact domains, while there remain local tensions between economic growth and environmental conservation. SGR significantly helped tourism and moderately enhanced employment, with winners and losers divided by business sizes, sectors and locations. To maximize positive impact, China's infrastructure‐led model may benefit from integrating physical infrastructure with supporting services and facilities to promote more equitable growth worldwide.

No abstract