The Norwegian Red Cross funded the Health and Organizational Development Program in the Americas Zone (Caribbean, Central America and Andean region), executed by the International Federation of the Red Cross from 2009-2012, with the participation of National Societies (NS). This evaluation was focused primarily on the impact generated from the execution of the programme, although other relevant elements were also analysed. This opinion on the impacts achieved as a result of the execution of the programme is based on interviews with over 30 individuals from different NS and employees of IFRC at different levels.