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Experiences from the field: Country-level strategies for resource tracking harmonization and impact. Montreux, November 18 2010. Douglas M. Glandon, MPH Health Systems 20/20 [email protected]. Overview. Example 1: Coordinated implementation of RT activities (NASA & NHA) Concept - PowerPoint PPT Presentation
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Abt Associates Inc. In collaboration with:I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health
Experiences from the field: Country-level strategies for resource tracking harmonization and impact
Montreux, November 18 2010
Douglas M. Glandon, MPHHealth Systems 20/20
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Example 1: Coordinated implementation of RT activities (NASA & NHA) Concept Challenges Potential solutions
Example 2: Common database for tracking donor & NGO spending Concept Challenges Potential solutions
Overview
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Concept:Capitalize on overlaps to consolidate data collection for multiple RT activities
http://www.healthsystems2020.org/content/resource/detail/2321/
Coordinating National Health Accounts (NHA) and National AIDS Spending Assessments (NASA) has the potential to:
Reduce the burden of data reporting on all partners
Minimize time and money wasted on duplicative tasks
Produce consistent, complementary results to inform policy
Bring together inter-sectoral stakeholders
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Harmonizing NHA & NASA in the field
Rwanda (2007-8, 2010) NHA/NASA ‘crosswalk tables’ applied to NHA
estimation
Namibia (2010) Joint NHA/NASA data collection, report with
UNAIDS
DRC (2010) Joint NHA/NASA data collection with UNAIDS,
PNMLS
Ethiopia (2009-10) Collaboration with UNAIDS in NHA estimation;
NHA figures to be used to generate UNGASS tables
Vietnam (2010-11) Joint NHA/NASA data collection with UNAIDS
http://www.healthsystems2020.org/content/resource/detail/2321/
5
Example 1: Coordinated implementation of RT activities (NASA & NHA) Concept Challenges Potential solutions
Example 2: Common database for tracking donor & NGO spending Concept Challenges Potential solutions
Overview
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Coordinated implementation of RT activities (NASA & NHA)
Different counterparts, stakeholders for each RT activity Differences in intended use of results by stakeholders
Timelines for implementation, reporting, etc. Consistency in local capacity-building Funding mechanisms
Data needs, methods of data collection and analysis Potential for inconsistency of results
PoliticalLogisticalTechnical
Challenges
7
Coordinated implementation of RT activities (NASA & NHA)
Frame the activity as part of institutionalizing RT Emphasize collaboration at stakeholder meetings Joint reports (or joint sections)
Clear division of responsibilities up frontTrain local counterpart staff on joint methodology Hire the same consultant to work on both RT activities
Combined technical working sessions Single set of data collection instruments Single data collection effort
PoliticalLogisticalTechnical
Potential Solutions
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Example 1: Coordinated implementation of RT activities (NASA & NHA) Concept Challenges Potential solutions
Example 2: Common database for tracking donor & NGO spending Concept Challenges Potential solutions
Overview
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Concept:Resource tracking software that collects and stores health expenditure data from donors and NGOs in a country
Increased data consistency, comparability, and availability for health policy planning
Faster and easier for partners to complete spending reports Improved coordination of health sector spending
10
Example 1: Coordinated implementation of RT activities (NASA & NHA) Concept Challenges Potential solutions
Example 2: Common database for tracking donor & NGO spending Concept Challenges Potential solutions
Overview
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Challenge:Differences in methods and definitions between resource tracking activities
Potential solution: Define common classification criteria for expenditures
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Challenge: Potential overlap/duplication of existing RT activities, health information system
Potential solution: Integrate database with existing data sources, data needs
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Potential solution: Design database to produce reports stakeholders want
Challenge:Initial added reporting burden until database replaces other RT activities
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Potential solution: Develop open source software with Ministry of Health programmers; provide training
Challenge:Maintenance, improvement and use of the RT database
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Acknowledgements
Rwanda and Vietnam Ministries of Health UNAIDS teams from Vietnam, Rwanda, Namibia,
DRC, and Ethiopia Health Systems 20/20
Catherine Connor; Nirmala Ravishankar; Hong Wang; Ha Nguyen; Michael DeLuca; Jeremy Snider; Gregory Nelson
Abt Associates Inc. In collaboration with:I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health
Thank you
Reports related to resource tracking and National Health Accounts are available at www.HS2020.org
Health Systems 20/20 is USAID’s global health project to strengthen health systems in developing countries, focusing on integrated financing, governance, operational and capacity building.
