Abstract: This study provides a reflexive analysis of evaluative practice in the health sector in Burkina Faso. A sample of ten evaluations carried out in the health sector since 2011 was analyzed. The descriptive analysis shows that current evaluation practices vary very widely across the country. Most evaluation reports do not comply with international norms and standards in evaluation, in particular with regard to the definition of terms of reference and evaluation questions, the precision of evaluation criteria and the quality of the methodology. We conclude that a culture of evaluation must be developed and capacity must be built for better capitalization of experiences and for evidence-based decision-making.