Transcript German-Rwandan Cooperation

SECTOR WIDE APPROACH
COORDINATION
Governance and Coordination:
SWAp
WHAT IS SWAp
Rwada Contexte
• Approach adopted in partnership between GoR
& DPs to support health sector development and
reform programs, to improve efficiency and
effectiveness of sector support and predictability
of resource allocation.
SWAp: Commitment of GOR
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Leadership
All resources for HSSP reflected in MTEF
Consistency between Health District Plans & HSSP
Annual JHSR
Consult all Partners on major amendments of
policy and HSSP and if significant changes in
budget allocation are necessary in the course of
the year
SWAp: Commitment of Dev Partners
• Align & harmonize own planning, performance
monitoring and reviewing activities
• Plan, negotiate and implement with GoR and other
Partners
• Support and avoid distortion
• Harmonize policy dialogue , consultation and
information
• Support an aligned approach to capacity building
SWAp: Collective responsibilities
• Fund activities related to HSSP
• Disburse funds timely and increase annual funding
• Ensure consistency with EDPRS, Vision 2020
• Manage development assistance using existing
structures in order to reduce transaction costs and
improve sustainability
• Recognise the Health Sector Working Group
(HSWG) as highest advisory coordination body
SWAp: Modes of Cooperation
• Planning (HSSP,EDPRS,MTEF,JHSR)
• Monitoirng and Evaluation Framework
• Financial Procedures: consistent with aid Policy,
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« on plan »= HSSP, « on budget » = MTEF
Technical and financial reporting: MoH summary
Capacity Development: needs based
Cooperation with the private sector
Disagreement and Amendment of MoU
SWAP Progress
• MoU signed in Oct 07 Dev Partners
• The SWAP Task Force was put in place with
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clear TOR in the middle of 2008
Prioritization for the Sector Budget Support and
the Capacity Development Pooled Fund
Regular meetings on behalf of DP & MoH
Health SBS : Particularities
• Disconnected from activities, linked to results
• Focus on EDPRS and HSSP priorities
• Particular focus on poverty alleviation through
care at primary and secondary level
• Intensified sector dialogue complementary to
general budget support (GBS)
• Utilisation of selected EDPRS and all GBS
indicators for:
– M&E
– Associated triggers for disbursement
SBS: Trigger system
• Technical
– Health insurance coverage
– Service utilisation rate outside MVK
– % of HCs and DHs providing comprehensive
care package, fulfilling staffing norms
– Contraceptive & condom utilisation prevalence
– % of professionally assisted deliveries
– DTCP III vaccination coverage
• Financial
– Increase of domestic budget to sector and to
primary/secondary care level
– Proven additionality of HSBS funds
SBS Prioritization
• Family Planning : procurement & distribution of
contraceptives & other products
• Maternal Health: Emergency obstetrical and neonatal
care (training & equipment)
• Financial Access: Subsidies for mutuelles (solidarity
fund), subsidies for free mutuelles premiums for the poor
• HRH : remuneration & incentives (PBF) in rural areas
• Equipment of health facilities
CDPF : Functioning and Activities
Ojbective: Financing & Coordination Tool on Cap Dev
3 Modes:
• In Kind (partners announce Cap Dev Act to CDPF)
• Ad Hoc activities (Comité decides: MoH & Donor)
• Mid & Long Term financing CD Act (via the CD Plan)
Bottlenecks
• SWAp:
Despite good team spirit and good will, not yet systematic
application of SWAp procedures :
– Different level of knowldege
– Constraints of diverse administrative requirements
• SBS:
– Follow up of some prerequisites
– Priority definition, Rigorous monitoring of jointly fixed
triggers
• CDPF:
– Communication to be improved (MoH intern, MoH-DPS)
– Delay in funds disbursements
MURAKOZE