A Big Family NowA Big Family Now
2007 2012
Developing countries: 8 31
Bilateral donors: 8 13
Int'l agencies and foundations*: 11 12
TOTAL 27 56
*African Development Bank, Bill and Melinda Gates Foundation, European Commission, GAVI Alliance, Global Fund, International Labour Organization, UNAIDS, UNICEF, UNDP, WHO, UNFPA, World Bank
Civil society also plays a key role in IHP+
Increased support for one national health strategy, through:1. More inclusive, better aligned national planning and joint
assessment processes2. More unified support, through country compacts 3. More harmonized financial management 4. One results monitoring platform, to track strategy
implementation5. Greater mutual accountability by monitoring progress against
commitmentsIHP+ works through its partners – governments, development
partners, CSOs; builds on existing processes; and
provides a neutral platform for countries to discuss with development partners
How IHP+ works
10/04/23
Facilitating involvement of all stakeholders cornerstone in IHP+ approach because only with broad ownership of stakeholders will the country’s strategy deliver the expected results.
IHP+ has had a special role in facilitating the involvement of civil society
Importance of other non-governmental actors and parliamentarians increasingly acknowledged
Stakeholder Involvement
10/04/23
Support for One Plan, because:
•Countries have a sovereign right to ownership
•The health care market can only produce optimal result when government provides strong leadership
•Only a comprehensive country strategy can adequately address the people’s needs
Alignment with One Plan = Results
10/04/23
Where it all comes together:
• 12 countries now have formally used the tool for Joint Assessment of National Strategy & Plans (JANS)
• Resulting in improved strategy with an emphasis on a proper results framework and increased confidence from funders
National planning and joint assessment processes
10/04/23
•18 countries now have compacts specifying the commitments of all partners to implementing the strategy
•This mutual accountability is increasingly enforced by specific indicators, and we hope to assist countries on improving this monitoring based on the experience with IHP+Results
Country Compacts
10/04/23
Joint fiduciary arrangements would harmonize all types of support with common reporting and one auditObvious advantages in terms of transparency, accountability and transaction cost; but also for ability to align all funding behind strategic priorities. All leading to more effective use of funds and thereby improved results
Harmonized & Aligned FM
10/04/23
Precondition for focus on results Good quality common framework for
measurement and a well functioning Joint Annual Review (JAR) process are key
Linked with the Commisssion on Information & Accountability for Women’s & Children’s Health (CoIA) follow up plans on M&E has been made in most of the countries present
One results monitoring platform
10/04/23
We have started looking at South-South collaboration
And thinking of new areas where IHP+ has comparative advantage and with a clear effect on achieving better results by improving strategies and their implementation, for example alignment of TA
New areas
10/04/23
Not Yet There………..U5M Measles MMR SAB ANC1 ANC4 ART
HIVprevalence
TBincidence
Nets Antimalarial
1990-2011 2011 1990-2010 Since 2005 Since 2005 Since 2005 2009 2000-2009 2000-2011Since 2005
Since 2005
BeninBurkina FasoBurundiCambodiaCameroonCape VerdeChadCôte d'IvoireDRCDjiboutiEl SalvadorEthiopiaGuineaKenyaMadagascarMaliMauritaniaMozambiqueNepalNigerNigeriaPakistanRwandaSenegalSierra LeoneSudanTogoUgandaViet NamZambia
MDG 4Reduce child
mortality
MDG 5Improve maternal health
MDG 6Combat HIV/AIDS, malaria and other diseases
• We are all mutual accountable for our commitments towards the national plan, and we need to monitor our commitments
• And not least Development Partners need to walk the talk, only then will they maximise the results of their contributions
Mutual Accountability for Results
10/04/23