Framework for improving aid effectiveness in global health

1. Framework for Improving Aid
Effectiveness in Global Health
Elvira Beracochea, MD, MPH
CEO, President
143rd APHA Annual Meeting
Chicago, November 4, 2015

2. Relationships to disclose:
President and CEO of Realizing Global Health Inc.
www.realizingglobalhealth.com
Elvira Beracochea, MD. MPH.

3. Elvira Beracochea, MD. MPH.

4. Why
Effectiveness
in Global
Health?
Elvira Beracochea, MD. MPH.

5. 1. How well does global health assistance work?
2. How effective are global health projects,
organizations and initiatives?
3. How sustainable are their interventions?
4. What is the impact of aid in global health?
5. What is the ROI of global health aid?
6. How is existing knowledge, technology and skills
transferred to developing countries?
7. Are there effective ways of saving more lives?
Elvira Beracochea, MD. MPH.

6. Fragmentation

7. 7
7
Unnecessary Complexity
Contra-
ceptives and
RH
equipment
STI
Drugs
Essential
Drugs
Vaccines
and
Vitamin A
TB/Leprosy
Blood
Safety
Reagents
(inc. HIV
tests)
D
F
I
D
K
f
W
UNICEF
J
I
C
A
GOK, WB/
IDA
Source of
funds for
commodities
Commodity
Type
(colour coded) MOH
Equip-
ment
Point of first
warehousing
KEMSA Central Warehouse
KEMSA
Regional
Depots
Organization
responsible
for delivery to
district levels
KEMSA and KEMSA Regional Depots
(essential drugs, malaria drugs,
consumable supplies)
Procurement
Agent/Body
Crown
Agents
Government
of Kenya
GOK
GTZ
(procurement
implementation
unit)
JSI/DELIVER/KEMSA Logistics
Management Unit (contraceptives,
condoms, STI kits, HIV test kits, TB
drugs, RH equipment etc)
E
U
K
f
W
UNICEF
KEPI Cold
Store
KEPI
(vaccines
and
vitamin A)
Malaria
U
S
A
I
D
U
S
A
I
D
U
N
F
P
A
E
U
R
O
P
A
Condoms
for STI/
HIV/AIDS
prevention
C
I
D
A
U
N
F
P
A
US
Gov
C
D
C
NPHLS store
MEDS
(to Mission
facilities)
Private
Drug
Source
G
D
F
Government
NGO/Private
Bilateral Donor
Multilateral Donor
World Bank Loan
Organization Key
Japanese
Private
Company
W
H
O
G
A
V
I
S
I
D
A
NLTP
(TB/
Leprosy
drugs
Commodity Logistics System in Kenya (as of April 2004)
Constructed and produced by Steve Kinzett, JSI/Kenya - please communicate
any inaccuracies to skinzett@cb.jsikenya.com or telephone 2727210
Anti-
Retro
Virals
(ARVs)
Labor-
atory
supp-
lies
Global
Fund for
AIDS, TB
and Malaria
The
"Consortium"
(Crown Agents,
GTZ, JSI and
KEMSA)
B
T
C
MEDS
D
A
N
I
D
A
Mainly District level staff: DPHO, DPHN, DTLP, DASCO, DPHO, etc or staff from the Health Centres,
Dispensaries come up and collect from the District level
MEDS
Provincial and
District
Hospital
Laboratory
Staff
Organization
responsible for
delivery to sub-
district levels
K
N
C
V
MSF
MSF

8. Lack of Healthcare Standards

9. Lack of Health Providers and
Training Standards

10. The Unfinished Agenda of the
MDGs

11. Elvira Beracochea, MD. MPH.

12. Framework
for Improving
Effectiveness
Elvira Beracochea, MD. MPH.

13. 1. Mission
Elvira Beracochea, MD. MPH.

14. Elvira Beracochea, MD. MPH.
Effectiveness Starts
with The Right to
Health

15. The Right to Health:
 UDHR, 1948 – Article 25
 ICESCR, 1966
 CEDAW, 1979
 The Right to Development, 1986
 CRC, 1989
 The Millennium Declaration, 2000
 General Comment 14, 2000
 Paris Declaration, 2005
 2015 UNGA Resolution: SDG3
Elvira Beracochea, MD. MPH.

16. Elvira Beracochea, MD. MPH.
The Principles of the Paris Declaration
and the Accra Action Agenda

17. 2. Vision
Elvira Beracochea, MD. MPH.

18. Effective Aid
Improves How
The Health
System
Functions
Elvira Beracochea, MD. MPH.
Governance
AcademiaHospitals
Civil Society
& Non Profit
Sector
Private
Sector
Health
Centers
Public
Sector
Health
Centers

19. Elvira Beracochea, MD. MPH.
systemprogramproject
Effective Aid is By Design

20. 3.Accountability
Elvira Beracochea, MD. MPH.

21. Effective
Health
Facilities
Elvira Beracochea, MD. MPH.

22. ?
Increase by 10% per Year
the Number of Health
Facilities with Empowered
Health Providers that
Deliver Quality Healthcare
Elvira Beracochea, MD. MPH.

23. CBPHC
Community Mapping
Community Participatory Research
Community-Led Management
Community Existing Assets
Community Organization
Community Health Workers
Community Monitoring
Elvira Beracochea, MD. MPH.

24. Paris
Declaration
Ownership
Harmonization
Alignment
Management by Results
Accountability
Elvira Beracochea, MD. MPH.

25. Partnerships
3 C’s
Communication
Coordination
Collaboration
Elvira Beracochea, MD. MPH.

26. Join the Discussion
LinkedIn: Aid Effectiveness in Global Health
USAID Learning Lab
http://usaidlearninglab.org/working-group/effectiveness-global-
health-projects
Elvira Beracochea, MD. MPH.