Prabesh Ghimire presented on the International Health Partnership (IHP). The IHP was launched in 2007 to help coordinate global health initiatives and improve health systems in developing countries. It aims to support country-led health plans, jointly assess strategies, negotiate funding agreements, and increase accountability. The IHP has grown to include 66 partner organizations and 37 countries. Country compacts outline commitments between governments and donors to align funding with national health priorities. Studies show countries engaged with IHP have seen positive results, including increased health funding and coverage. Nepal was an early adopter of IHP principles through its own health partnership compact.

1. Prabesh Ghimire
MPH 341
International Health Partnership
A class presentation on:
Paper IV: Health System Management and International Hea

2. Background
2
 2000s MDG declaration: 3 of 8 goals were health
related
 Development assistance doubled
 Global initiatives for specific health priorities increased
 Progress results were inadequate
Significant Bottlenecks:
 Health systems constraints
 Level and way health aid was provided/managed

3. Progress towards MDG: Inadequate
3
2.9 3.2 3.5 4.1 4.6 4.9
2
5.1
13.5
10.9
8.3 7 5.1 4.1
2.2
3
4.1
3.6
2.7
1.8
1.4
1.1
0.1
0.8
0
5
10
15
20
25
Other
Asia
Africa
Trends in U-5 deaths, 1960-2015 (million deaths per year)

4. Investment in Health: Insufficient
4

5. International Funding: Irregular
5
0
5
10
15
20
25
30
35
40
2000 2001 2002 2003 2004
Benin
Burundi
Ethiopia
Mali
Niger

6. Background contd.
6
 2001: Report of Commission on Macro Economics
and Health
 Low income countries are not capable of financing
modest package of essential health services by
themselves.
 recommendation for poor countries to work in partnership
with high income countries to scale up their health
systems
 Donors support low income countries

7. Background contd.
7
 Feb 2007: Paris declaration on Aid effectiveness

8. Birth of IHP
8
 Sep 2007: Global partnership launched under UK
government initiative as International Health Partnership
 Built on core principles of Paris declaration, 2007
 Accra Agenda for Action, 2008
 Busan Partnership for Effective Development Co-
operation (2011)
 Four main objectives:
 Results-focused, country-led compacts
 Generating and disseminating relevant knowledge, guidance
and tools
 Coordination and efficiency
 Mutual accountability and monitoring of performance

9. What IHP does?
9
 Putting principles into practice
 Support inclusive national planning processes
 Jointly assess national health strategies and plans
(JANS)
 Negotiate and agree country compacts or their equivalent
 Report on progress in a more unified way, based on one
common results monitoring framework
 Ensure mutual accountability between all stakeholders.
 Small country grants, as flexible funds

10. Framework of Partnership
10
Donors/
Funders
Recipient country
Multi, Bilateral
Health Initiatives
Related Health
Initiatives
Country Led
National Health Strategy• harmonized
partnership,
• more efficient use of
domestic and external
resources for health,
and
• improved results
against the health
MDGs / SDGs

11. Related initiatives
11
 Related initiatives came at same time to scale-up
access and interventions to address health system
bottlenecks.
 Coordination with multitude of global/ donor
initiatives and a common workplan
 Initiated in 2008
 Called as the international health partnership and
related initiatives (IHP+)

12. IHP + Related Initiatives
12

13. IHP+ Partners
13
 26 Partners in 2007
 Currently 66 partners
 37 Partner countries
 29 Development Partners
 Civil Societies

14. Compacts
14
 Global Compacts
 Foundation global document for IHP+
 All partner countries, international agencies and bilateral
donors sign it when they join IHP+
 sets out the goals and approach of IHP+
 Signatories make collective and individual commitments
to adhere to agreed aid effectiveness principles in the
health sector

15. Compacts contd.
15
 Country Compacts
 negotiated agreement between a government and
development partners
 Set out points on how to work together to improve health
outcomes
Benefits:
 improve partner alignment with country systems;
 brings new partners into health sector coordination efforts;
 addresses the fragmentation and volatility of health aid, and
 reduces transaction costs
 tool for mutual accountability

16. Country Led National Health Plan
16
 Central to the compact is the country led national
health plan
 one costed, results-oriented
 IHP + shifts in aid environment

17. Results and Evidences
17 Source: IHP + 2014 Progress Report
Overall country performance
scores were positively
correlated with the number of
years a country participated in
the IHP+
There was also a positive
correlation between overall
country performance
scores and level of external
funding

18. Results and Evidences
18
 Democratic Republic of Congo,
 New MOH single donor coordination arrangement led to a
significant reduction in management costs for donor funds from
28 percent to nine percent.
 Ethiopia
 Progressive alignment of donors helped increase Primary
Health Care coverage.
 Nepal:
 Impressive results from free maternal health care launched in
few districts in 2007.
 Nationwide scale up because government and donors acted
collectively to ensure the necessary resources reached all
districts.

19. IHP+ Recent Developments
19
 2011: 4th High Level Forum on Aid Effectiveness in
Busan
 IHP+ changed its focus from aid effectiveness to effective
development cooperation
 South-south and triangular cooperation
 Engaging private sector and emerging economies
 2012: Seven systems-focused behaviours identified
for international partners
 2016: Commitments to Sustainable Development
Goals
 Replaced MDG with SDG ----- attain universal health
coverage

20. How development partners can change for
better health?
20

21. Nepal in International Health Partnership
21
 First South Asian country to sign global compact in
Sep 2007
 Third country to sign country compact in Feb 2009
 IHP+ Nepal Country Compact: Nepal Health
Development Partnership
 Signed by 8 EDPs
 7 commitment areas, joint and separate
responsibilities

22. References
1. Sharma N. The International Health Partnership (IHP) and Related
Initiatives (IHP+)and Nepal’s Experience. [Presentation]. 2009.
2. International Health Partnership official webpage
http://www.internationalhealthpartnership.net/
3. Paris Declaration on Aid Effectiveness, 2007
4. IHP + Strategic Directions 2016-17
5. Nepal Health Development Partnership. Kathmandu: Government
of Nepal; 2009.
6. Progress in the International Health Partnership & Related
Initiatives (IHP+). 2014.
7. Holzcheiter A. The Handbook of Transnational Governance:
Institutions and Innovations. UK: Polity Press; 2012.
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