The International  Health Partnership +  IHP+ CSO Consultation  May 23, 2008 Bob Fryatt, Head,  Partnerships and Coordinat...
Why now?
Progress towards MDGs:  Inadequate   Trend in Under-Five Deaths, 1960-2015 (Millions deaths per year)
Health system constraints:  unaddressed <ul><li>Human resources  Production, retention and migration </li></ul><ul><li>Inf...
Investment in health:  insufficient
International   funding:  unpredictable Source:  WHO, NHA Data, 2006 Donor Commitments for Health as % of Total Health Exp...
Support to countries:  inefficient
What has been the response?
Paris Declaration on aid effectiveness
Systems  and  programmes: getting results Maternal & Child Health National strategy Vital registration IMCI Emergency obst...
What does the IHP+ offer?
1. Enabling Countries…. Existing  country  mechanisms Development  Partners Bilaterals/ multilaterals Civil Society Donors...
Country compacts <ul><li>ONE single  </li></ul><ul><ul><li>country health plan, results framework, policy matrix,  </li></...
A new way of doing business
<ul><li>National Plans and Strategies   </li></ul><ul><li>Results-Based Financing   </li></ul><ul><li>Aid effectiveness an...
3. Enhanced coordination… I nter-agency  country  health  sector teams <ul><li>Ministry of Health </li></ul><ul><li>Minist...
Technical Support & Harmonization for Health in Africa
4. Accountability & performance..  <ul><li>Global accountability  </li></ul><ul><ul><li>Common M&E Framework </li></ul></u...
Framework for monitoring performance and evaluation  of the scale-up for better health Funding Domestic sources Internatio...
4. Accountability & performance..  <ul><li>Global accountability  </li></ul><ul><ul><li>Common M&E Framework </li></ul></u...
Challenges…  <ul><li>Compacts & expectations: more money & better behaviours </li></ul><ul><li>Increasing the political mo...
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Bob Fryatt Presentation, Ihp+ & Cso Consultation

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Bob Fryatt Presentation, Ihp+ & Cso Consultation

  1. 1. The International Health Partnership + IHP+ CSO Consultation May 23, 2008 Bob Fryatt, Head, Partnerships and Coordination Health Systems and Services World Health Organization
  2. 2. Why now?
  3. 3. Progress towards MDGs: Inadequate Trend in Under-Five Deaths, 1960-2015 (Millions deaths per year)
  4. 4. Health system constraints: unaddressed <ul><li>Human resources Production, retention and migration </li></ul><ul><li>Infrastructure L ogistics, procurement, physical infrastructure </li></ul><ul><li>Catastrophic health expenditures Reduction of out-of-pocket expenditure – social protection </li></ul><ul><li>Ineffective delivery Integration, primary care, community engagement, non-state providers, management </li></ul>
  5. 5. Investment in health: insufficient
  6. 6. International funding: unpredictable Source: WHO, NHA Data, 2006 Donor Commitments for Health as % of Total Health Expenditure
  7. 7. Support to countries: inefficient
  8. 8. What has been the response?
  9. 9. Paris Declaration on aid effectiveness
  10. 10. Systems and programmes: getting results Maternal & Child Health National strategy Vital registration IMCI Emergency obstetrics Continuum of care Fighting AIDS National strategy Surveillance Safe sex Treatment Continuum of care common agenda? more efficient? better outcomes? Service delivery Medical products, technologies Information systems Human resources Health financing Leadership / governance Strengthened health systems
  11. 11. What does the IHP+ offer?
  12. 12. 1. Enabling Countries…. Existing country mechanisms Development Partners Bilaterals/ multilaterals Civil Society Donors Int Agencies Improved Outcomes for MDGs 1b, 4, 5, & 6 Scaling Up Effective Coverage One costed, results-oriented national health plan and budget Inter-agency country health sector teams Long-term, predictable financing One common M&E and mutual accountability framework Country Compact Fix health Systems bottlenecks One common review process/ validation
  13. 13. Country compacts <ul><li>ONE single </li></ul><ul><ul><li>country health plan, results framework, policy matrix, </li></ul></ul><ul><ul><li>budget, fiduciary framework (some cases) </li></ul></ul><ul><ul><li>monitoring and reporting process, </li></ul></ul><ul><ul><li>country-based appraisal and validation process, </li></ul></ul><ul><li>Benchmarks </li></ul><ul><ul><li>for government performance, </li></ul></ul><ul><ul><li>for development partner performance </li></ul></ul><ul><li>Agreement on aid modalities. </li></ul><ul><li>Process for resolution of non-performance and disputes. </li></ul>
  14. 14. A new way of doing business
  15. 15. <ul><li>National Plans and Strategies </li></ul><ul><li>Results-Based Financing </li></ul><ul><li>Aid effectiveness and health </li></ul><ul><li>Service Delivery </li></ul><ul><li>Health Financing and social protection </li></ul><ul><li>Global Health Initiatives and Health Systems </li></ul>2. Generating knowledge…
  16. 16. 3. Enhanced coordination… I nter-agency country health sector teams <ul><li>Ministry of Health </li></ul><ul><li>Ministry of Finance </li></ul><ul><li>Civil Society </li></ul><ul><li>Bilaterals/Multilaterals </li></ul><ul><li>International health agencies </li></ul>Inter-agency working groups Regular partner forums (inc civil society) Inter- agency Core Team <ul><li>Washington DC </li></ul><ul><li>Geneva </li></ul><ul><li>Brazzaville (HHA) </li></ul>Scaling-up Reference Group 1 ) Business: Gates, GAVI, GF, UNAIDS, UNFPA, UNICEF, WHO, WB 2) Steering: Same, plus development Partners and civil society Inter-agency working groups Political Advocacy H8, SG
  17. 17. Technical Support & Harmonization for Health in Africa
  18. 18. 4. Accountability & performance.. <ul><li>Global accountability </li></ul><ul><ul><li>Common M&E Framework </li></ul></ul><ul><ul><li>Agency constraints & commitments </li></ul></ul><ul><ul><li>Engaging civil society </li></ul></ul>
  19. 19. Framework for monitoring performance and evaluation of the scale-up for better health Funding Domestic sources International sources Plan Coherent, prioritised and funded Harmonization Aligned international efforts with national plan Well coordinated and harmonized support National plan implementation Systems strengthening Priority interventions scale-up Capacity building Programmes Institutions People Accountability Performance monitoring Results focus and evaluation Use for better practices Health system strengthened Governance, HR, medical products, information Increased service utilization and intervention coverage Reduced inequity (e.g. gender, socio-economic position) Responsiveness No drop-off non-health sector interventions (e.g. water & sanitation) Improved survival Child mortality Maternal mortality Adult mortality due to infectious diseases Improved nutrition Children Pregnant women Reduced morbidity HIV, TB, malaria, repr. health Improved equity Social and financial risk protection Reduced impoverishment due to health expenditures Improved services Access, safety, quality, efficiency Inputs Outputs Outcomes Impact Process Aid process monitoring Resource tracking Strengthen country health information systems Evaluation: process, health systems strengthening, impact M & E action Health system monitoring Coverage monitoring Impact monitoring Implementation Monitoring
  20. 20. 4. Accountability & performance.. <ul><li>Global accountability </li></ul><ul><ul><li>Common M&E Framework </li></ul></ul><ul><ul><li>Agency constraints & commitments </li></ul></ul><ul><ul><li>Engaging civil society </li></ul></ul><ul><li>Monitoring & evaluation: external review </li></ul><ul><li>Progress reports for high level events </li></ul><ul><ul><li>Ministerial review </li></ul></ul><ul><ul><li>Secretary – General MDG review </li></ul></ul><ul><ul><li>OECD/DAC and aid effectiveness </li></ul></ul>
  21. 21. Challenges… <ul><li>Compacts & expectations: more money & better behaviours </li></ul><ul><li>Increasing the political momentum without (too many) more initiatives. </li></ul><ul><li>Adhering to current commitments (eg HIV/AIDs, RH targets, vulnerable groups).. </li></ul><ul><li>Widening donor engagement, eg PEPFAR </li></ul><ul><li>Engaging with civil society in countries </li></ul>
  22. 22. Thank You!

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