German-Rwandan Cooperation

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Transcript German-Rwandan Cooperation

Governance and Coordination:
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
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
• Support and avoid distortion
• Harmonize policy dialogue , consultation and
• 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
• Monitoirng and Evaluation Framework
• Financial Procedures: consistent with aid Policy,
« 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
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)
• 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
– Communication to be improved (MoH intern, MoH-DPS)
– Delay in funds disbursements