Transcript No Slide Title

KENYA
HEALTH SECTOR PARTNERSHIP
Third IHP+ Country Health Sector
Teams Meeting
Brussels, December 2010
Kenya Health Sector Partnership
PARTICIPATING PARTNERS
 Ministry of Medical Services (MOMS)
 Ministry of Public Health & Sanitation (MOPHS)
 Development Partners in Health (DPHK)
 Health NGO Network (HENNET)
 Public-Private Partners for Health Kenya (PPPH-K)
Kenya Health Sector Partnership
Health SWAp Code of Conduct
signed August 2007
• Ministry of Finance
• Ministry of Health (now MOMS, MOPHS)
• 15 Development Partners
• 3 private-sector partners
Kenya Health Sector Partnership
Guiding Documents for the Partnership
• Kenya Vision 2020 & medium-term plans
• Kenya Health Policy Framework (KHPF)
• Kenya Health SWAp Code of Conduct (COC)
• National Health Sector Strategic Plan (NHSSP)
• Paris Declaration commitments
• Millennium Development Goals commitments
• IHP+ commitments
Kenya Health Partnership Structures
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Health Sector Coordinating Committee (HSCC)
HSCC Steering Committee
SWAp Secretariat
Development Partners in Health (DPHK)
Health NGO Network (HENNET)
Inter-Agency Coordinating Committees (ICCs)
covering 17 key systems and technical areas
• Provincial and District Stakeholders Forums
Joint Financing Agreement
Joint Financing Agreement (JFA) for the Health SWAp
signed in September 2010:
• Ministry of Finance
• Ministries of Health (MOMS, MOPHS)
• DANIDA, World Bank
• Other partners expected to join over time
• Creates joint funding baskets for service delivery at
all levels, procurement, HRH, capacity and systems
development
Monitoring the Partnership
• Code of Conduct (COC) performance
reviewed for past 3 years as part of annual
sector performance monitoring processes.
• COC indicators largely match Paris
Declaration and IHP+ partnership indicators.
• COC tools still need improvement and are
reviewed and updated annually based on
reporting experiences.
Status and Progress
Country Ownership
 Split of MOH into MOMS and MOPHS in 2008
has fragmented leadership in the sector.
 Quality of coordinating structures is improving,
but still needs attention.
 New challenges for the sector are emerging
from new Constitution – decentralization, and
constitutional “right to health”
Status and Progress
Alignment with Country Systems
 Remains a challenge: DPs perceive GOK
systems to still be weak and high-risk for
channeling funds and monitoring inputs.
 Systems-strengthening efforts are in progress,
but are not well harmonized and coordinated.
 Some partners cannot move towards budget
support, but all are willing to improve efforts to
strengthen GOK systems.
Status and Progress
Harmonisation
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Still a challenge: many parallel structures and
processes place undue burdens on MOHs and result
in duplication of efforts and fragmented support to
national programmes.
But there is renewed commitment from all partners to
improve on harmonization and coordination.
New JFA provides opportunities for coordinated
basket funding.
Status and Progress
Managing for Results
 Joint planning and review processes have
improved considerably, but still need attention.
 HMIS systems are providing better quality
data, and systems strengthening continues.
 Data to monitor equity issues is improving.
 Use of data for decision-making still needs
improvement at all levels.
Status and Progress
Mutual Accountability
 Work on improving comprehensive sector
budget and expenditure reporting and analysis
continues.
 Sector reporting to the public on plans and
achievements needs more attention.
Kenya Partnership Dashboard (1)
Principle
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xx
Indicator
Country
ownership
Country has a national development strategy for health,
with clear priorities linked to the MTEF and reflected in
annual plans and budgets.
Alignment
Procurement and FM systems that either (a) adhere to the
broadly acceptable good practices, or (b) have a reform
program in place to achieve these.
% of aid flows to the Government sector that is reported
on partners national budgets.
% of donor support provided through coordinated
programmes, consistent with national development
strategies.
Progress
AOP 3
AOP 4
AOP 5
(COC Yr 1)
(COC Yr 2)
(COC Yr 3)
Kenya Partnership Dashboard (2)
Principle
Alignment
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xx
Indicator
% of donor funds using country procurement and/or PFM
systems which either (a) adhere to the broadly acceptable
good practices, or (b) have a reform program in place to
achieve these.
Number of parallel Project Implementation Units.
% of disbursements released according to agreed schedules
in annual, or MTEF frameworks.
% aid that is untied.
Progress
AOP 3
AOP 4
AOP 5
(COC Yr 1)
(COC Yr 2)
(COC Yr 3)
Kenya Partnership Dashboard (3)
Principle
Harmonization
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xx
Indicator
% aid that is programme based.
% of (a) field missions, and/or (b) country analytical work,
including joint reviews, that are diagnostic.
Managing for
results
Transparent and monitorable performance assessment
framework to assess progress against (a) national
strategies, and (b) sector progress.
Mutual
accountability
Mutual assessment of progress in implementing agreed
commitments on aid effectiveness.
Progress
AOP 3
AOP 4
AOP 5
(COC Yr 1)
(COC Yr 2)
(COC Yr 3)
Kenya Partnership Dashboard (4)
• Most indicators stagnated; these are
mainly to do with issues of alignment
• Three out of 12 indicators (10%) to do
with country ownership, managing
results and mutual accountability
showed improvement from past years.
Way forward
Ownership
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Develop new Health Sector Policy and NHSSP III
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Undertake capacity building on leadership of MOH and County teams
Alignment
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Operationalize JFA and encourage additional DPHKs to join
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Strengthen GOK financial management and procurement systems
Harmonization
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GOK and DPs to increase efforts to harmonize inputs on systems
strengthening and key programme support.
Managing for results
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Institutionalize data quality monitoring systems and regular quarterly
reporting
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Build capacity and improve practices of using data for decision-making.
Mutual accountability
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Introduce annual ‘health status of the nation’ reports
Conclusions
• The Kenya Health Sector Partnership has
progressed considerably over the past few
years, though still has challenges to address.
• Efforts should concentrate on improving
alignment and harmonization for the sector to
move forward on issues set out in Paris
Declaration, IHP+ and MDG commitments.