Delivering Effective Aid for Health: International Health
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Transcript Delivering Effective Aid for Health: International Health
Aid Effectiveness in the Health Sector: A civil
society perspective
Elaine Ireland
Policy Adviser: Global Health
Global Health Policy Forum
9th September 2010
www.actionforglobalhealth.eu
Aid Effectiveness in the Health Sector
Paris Declaration
Accra Agenda for Action
IHP+
JANS
HSS Funding Platform
Action for Global Health & Aid Effectiveness
IHP+:
Northern Civil Society Representative to Executive Team &
SuRG
HSS Funding Platform
TTHATS:
Contribution to OECD Interim Report
CS representation in TTHATS; specific focus on democratic
ownership
Policy reports:
‘Healthy Aid’
‘Health in Crisis’
Progress on Aid Effectiveness (IHP+)
JANS:
Conducted in Nepal, Uganda, Ethiopia
Upcoming in Vietnam, Ghana, Mali
Lessons learned:
Helpful as structured approach to analysing draft plan
Enabled broader participation (incl. CS)
Expected to improve quality of plans
Suggestions not always new, but can emphasise key issues to
be addressed
Nepal: GAVI used JANS in approving support; others already
committed to funding plan
Ethiopia: awaiting responses from development partners
regarding what they will do differently.
Progress on Aid Effectiveness (IHP+)
IHP+ Results:
Annual monitoring of IHP+ commitments
Putting mutual accountability into practice
Developed an agreed set of Standard
Performance Measures
Coordinating efforts with OECD/DAC
Production of country scorecards
Progress on Aid Effectiveness (IHP+)
IHP+ Results:
Expected Results:
1.
2.
3.
4.
5.
Commitments are documented & mutually agreed
Support is based on country plans & strategies
Funding commitments are increased &/or long-term
Funds are disbursed predictably and as committed
Country systems for procurement & public financial
management are used & strengthened
6. Resources are being managed for Development
results
7. Mutual accountability is being demonstrated
8. Civil society is actively engaged
Challenges & Risks for IHP+ in 2010
Challenges:
Countries moving faster than development partners
Are development partners really committed?
Ensuring behaviour change
Understanding mutual accountability
Demonstrating results
Turning the rhetoric into action
Sustaining donor interest
Filling the financing gaps
Opportunities, Challenges & Risks for IHP+ in 2010
Risks:
IHP+ is about catalysing change but risks becoming a
stand-alone project
All signatories need to take responsibility for the
success of the IHP+
All partners must be responsible for meeting
commitments made
IHP+ needs to be responsive to new developments in
global health financing
2010: need for greater focus on
Joint Assessment of National Strategies (JANS)
Mutual Accountability
Progress on Aid Effectiveness
HSS Funding Platform (GAVI, Global Fund, World
Bank, WHO)
Strengthen country systems
Mobilise new & existing funds for HSS
Align & harmonise HSS support
NOT: a new global fund or pool for HSS resources
Platform will be: country-driven; results-focused;
involve relevant stakeholders
Based on supporting: One national plan; One financial
management & procurement arrangement; One
performance assessment framework, shared annual
report, & one M&E system
The HSS Funding Platform
Track 1: Better harmonisation between existing GAVI & GFATM
projects
Track 2: How new funding should be allocated, 2 options:
1.
2.
Merging of current GAVI & GFATM HSS applications – to become
operational in 2011
Funding of national health sector strategies/plans
Track 2, option 2:
IHP+ JANS tool to be used as basis for funding decisions
Donors work together to decide which parts of national health sector
strategies/plans they will fund
Funding allocated through existing mechanisms, but more coordinated
and transparent
Global Health Initiatives in 2010
Agenda for Action on the MDGs
MDG Contracting
MDG Review Summit
EC Global Health Communication
Muskoka Initiative
Global Strategy for Women and Children’s
Health
Making progress on aid effectiveness in health?
Challenges in applying Paris Declaration principles on:
Managing for results
Mutual accountability
Democratic ownership (incl. civil society involvement)
How are new initiatives responding to aid
effectiveness principles?
Action for Global Health & Aid Effectiveness
Aid effectiveness fact-finding missions
Countries:
Uganda, Tanzania, El Salvador, Mozambique, India, Vietnam
Objective:
Gather evidence and experience from Southern partners on progress on
aid effectiveness
Scope:
Ownership, including CS & MP participation in the health sector
Impact of donor coordination on health spending in developing countries
Role of aid in progress towards the MDGs and universal access to
primary health care.
Action for Global Health & Aid Effectiveness
Aid effectiveness Online Dialogue, Oct 2010-March 2011:
2 parallel online discussions
Thematic Axes:
Ownership, including CS & MP participation in the health sector
Impact of donor coordination on health spending in developing countries
Role of aid in progress towards the MDGs and universal access to
primary health care.
Roundtables on aid effectiveness:
EU Donor Roundtable (April 2011)
Joint CSO/Donor Roundtable (June 2011)
THANK YOU!
www.actionforglobalhealth.eu