Transcript Middle Incomes Countries (MICs): How Does Development

Middle Incomes Countries (MICs):
Priorities for Effective Cooperation?
Dr. Muhammed Lecky
Health Reform Foundation of Nigeria
(HERFON)
Prospect of Changing Landscape of Donor
Assistance
1.
Different Perspectives:
a) UN System
b) Bilateral
c) INGOs: GF; GAVI; BMGF
a) GAVI - 2017
2. Nigeria and recent rebasing of the economy:
a) Largest economy in Africa
3. Transparent exit/scale down policies
a) Unclear exit strategies/driven by donor-countries national govt.
policies.
b) Implications for ongoing ihp+ compacts; Revising Compacts?
c) Criteria: multi-dimensional criteria
i.
the inadequacy of GNP per capita vs. range of equity issues.
4. Full import of changes are poorly understood; not being discussed.
a) Need for urgent studies, reports and policy briefs for highest-level
political engagement tools.
Unfinished Agenda of the International Health
Partnership and related initiatives (1)
1. Progress has been made; but not much has changed
fundamentally; challenges to alignment –
a)
a landscape of reputational deficits; partners exiting otherwise good
programs/projects without sustainability and ownership (in a
responsible manner).
b) virtually all donor funding for the health sector in Nigeria is allocated
to service delivery or technical assistance, with little or no funding
allocated to advocacy.
c) MOH & Finance Ministry: Institutionalized Annual Dialogue Forum
2. The power of strengthening and building capacity for
advocacy to unlock reforms is underrated and largely ignored
by both national governments and donors
a)
Need to identify and build capacity of strong non-state actors
institutional champions.
3. Absence of policy frameworks for engendering government
and development partners engagement with CSOs
Unfinished Agenda of the International Health
Partnership and related initiatives (2)
1.
2.
3.
Need tools to foster in-country private philanthropy as a source of
development funding.
Inadequate cooperation around coordination; paucity of programs
designed around coordination despite the huge translational value of
coordination (waste, territoriality, effectiveness and efficiency).
a) Perfunctory participation
b) Strong quest for attribution
Support and encourage health reform efforts by supporting a broad
range of national Civil Societies Organizations
a) True Ownership: investing in social movements, community
systems and policy change
i.
4.
this requires a new level of development cooperation with no grantees?
There’s need for independent DPG-cum-CSOs report on performance of
the health sector for evidence-based response to changes…
Thank You!