2. regional gavi hss status
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This document summarizes GAVI health systems strengthening support commitments and issues across several countries in the region. It shows the amounts committed and received for each country from 2008-2017. It then briefly outlines the focus areas for several countries, such as Bangladesh prioritizing low coverage districts and India focusing on cold chain equipment. Finally, it lists some of the major issues faced in implementing health systems strengthening in countries like capacity development in Bangladesh and coordination challenges in Nepal.
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2. regional gavi hss status
- 1. Regional GAVI HSS Status Dr Sunil Senanayake Regional Adviser (Health Systems Management)
- 2. Country Bangladesh Amount committed (US $) Amount received (US $) Start Year End Year 13,671,418.00 7,243,500.00 2008 2013 193,987.00 152,987.00 2008 2013 DPR Korea 4,361,000.00 2,448,100.00 2009 2013 Indonesia 24,287,250.00 11,683,995.00 2008 2014 Myanmar 32,780,902.00 2,833,405.00 2008 2015 Nepal 1st Application 8,667,000.00 8667000 2008 2010 Nepal 2nd Application 14,540,690.00 4,656,945.00 2010 2012 4,505,000.00 3,447,765.00 2008 2013 45,000,000.00 September 2012 2017 3,000,000.00 September 2012 2017 151,007,247.00 41,133,697.00 Bhutan Sri Lanka India Timro Leste Total
- 3. What other countries are doing… • Bangladesh – Focusing 20 low coverage districts • Bhutan – service expansion • DPRK – cold chain equipment and training • India – cold chain equipment and logistics • Indonesia – Training, information gathering, service expansion • Nepal – service expansion and HRH development • Sri Lanka – 12 low coverage districts • Timor Leste – service expansion and HRH development
- 4. What are the major issues… Bangladesh capacity development of all levels, Quality aspects, Incentive package, accountability, coordination of partners Bhutan redundancy of planned activities, reprogramme, phasing off GAVI Support DPR Korea Quality, AEFI surveillance, Emphasis on performance/outcome indicators Indonesia Annual revision f unit costs and frequent changes in financial regulations, Inter-district variations in technical and management capacity Nepal coordination of planning, implementation and monitoring, frequent staff changes, combine funds and difficulty in getting financial reports on GAVI HSS, political instability, HR and procurement issues Sri Lanka Lack of guidance from missions, results based financing, Work load is too heavy for existing staff at project level
- 5. Myanmar HSS • • • • • • • • Overall Health Systems Assessment??? HRH Assessment & Profiles HIS Assessment and HMN support Drugs, medical products, equipment Assessment??? Essential drug list??? Drug Regulatory mechanism??? Service availability mapping commenced?? Health sector master plan???