THE HEALTH SECTORCOORDINATING STRUCTURES

Presentation to the Reproductive Health ICC

SWAp Secretariat

Introduction

• The health sector coordination framework is based on the Three Ones ingredients of an operational Sector Wide Approach to ensure strengthening of a government-led and sustained partnership with the various stakeholders. These are:– One plan one budget– One monitoring system– One coordinating framework– Common Management arrangements

Structures

• The Joint Interagency Coordinating Committee (JICC);

• Health Sector Coordinating Committee (HSCC);• HSCC Steering Committee• Interagency Coordinating Committee (ICC);• District Health Stakeholder Committee (DHSF)

National Health Sector Coordination Structures

Joint Interagency Coordinating Committee (JICC)

Health Sector Coordinating Committee (HSCC)

Interagency Coordinating Committees (ICCs)

HSCC Steering Committee

SWAp Secretariat

Joint Interagency Coordinating Committee

• (JICC), chaired by the Minister, is composed of GOK representatives and representatives of missions of major stakeholders and the private sector (to a maximum of 20).

• JICC provides policy guidance on strategic issues of NHSSP II, including harmonization of planning and M&E.

• Also coordinates resource mobilization and allocation.

Health Sector Coordinating Committee (HSCC);

• Mechanism that formally coordinates all operational and strategic actions in the Health Sector

• Membership:• Government of Kenya, represented by

– The Permanent Secretary of Medical Services, and Public Health and Sanitation (alternate chairs)

– Directors in Medical Services, and Public Health and Sanitation (Directors of Medical Services, Public Health and Sanitation, and Administration)

– Heads of Departments in the Ministries of Public Health and Sanitation, and Medical Services

– Representative at the Director’s level of the Finance, Planning and Development, Education, Water and Irrigation, National Aids Control Council, Gender, Sports, Culture and Social Services and State for Youth Affairs

• Development partners, • Implementing partners,

HSCC Cont…

• The HSCC meets quarterly, and as and when need arises

• The quorum will be half of the members and at least one of each of the Collaborating Partner

• Reporting: To JICC

HSCC Steering Committee (HSCC SC)• The HSCC steering committee, the HSCC steering committee

coordinates and manages the day to day technical and administrative functions of the HSCC

• Membership – Government of Kenya, represented by

• Director of Medical Services, and Public Health and Sanitation as co-chairs• From each Ministry, the Health of Technical Planning, Policy and Planning,

MMU and sector coordination• Heads of Department, co-opted as need arises

• Development partners• Implementing partners• Meets monthly and reports to the HSCC• Reports on ICCs form a standing agenda item for HSCC SC

The Interagency Coordinating Committees (ICCs)

• Provide a forum for coordination of specific investments in the sector.

• These ICC’s are:– Support systems ICC: For coordination of investments

in support systems of HRH, infrastructure, Commodity and Supply managements, and Procurement and Financing

– Service delivery ICC’s: For coordination of investments in sector priority service 0delivery areas. These include Child and Adolescent Health, Material Health, HIV, TB, Malaria, and community strategy ICC’s.

1. SUPPORT SYSTEMS ICCs

1. SUPPORT SYSTEMS ICCs

2. TECHNICAL ICCs2. TECHNICAL ICCs

HRH ICC

Infrastructure ICC

Procurement & Supply Chain mgt. ICC

Health Sector Financing ICC

Standard, QA & Regulations ICC

PPP ICC

Child Health ICC

Reproductive Health ICC

HIV ICC

Tuberculosis ICC

Malaria ICC

Community Services ICC

Health Facilities and referral systems ICC

Emergency Response ICC

Nutrition ICC

Non-Communicable Diseases Control ICC

Sanitation and Environmental Health ICC

ICC Membership

• Government of Kenya, represented by– Head of Department responsible for area of the ICC – Representative of HSCC steering committee secretariat– Heads of related divisions in the responsible department

• Development partners, represented by– Partners supporting the areas of the ICC

• Implementing partners, represented by– Partners supporting the areas of the ICC

• Chairpersons of ICCs are appointed by the chair HSCC (Permanent Secretary)

Conduct of business

• The ICC’s will meet monthly. Additional meetings will be called by the Chair as required to deal with emerging or urgent issues.

• Dates of the meetings shall be set, and communicated at the beginning of the year

• The quorum will be at least 3 members for a scheduled meeting• The ICC shall form its own secretariat• Minutes of all meetings along with all relevant documents to be

circulated to members at least one week prior to next meeting• ICCs shall report to the HSCC SC

Next steps – ICC Strengthening

• Baseline information on ICC implementation (analysis ongoing)

• Sensitization of members on TORs of the ICCs• Strengthening of membership• Regular meetings• Reporting to HSCC – standing agenda item in monthly

HSCC SC meetings• Linkages to policy making process• ICC retreat for chairs/secretariat to improve

coordination structures

Requests to ICC

• Reporting/Regular dialogue with HSCC/HSCC Secretariat

• Representation at HSCC/HSCC SC by chairperson

• Inclusion in mailing lists/invitation to ICC meetings

• Copies of ICC minutes/TORs/Calendar of meetings