Transcript Slide 1

Aligning the work of the SWGs to support
health policy making/reform
Experiences from the health sector
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Example: MNCH Health Partner Mapping
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Structure of Lao Sector Coordination Mechanism for Health (Revised June 2011)
MOH
Steering Committee
> Minister
> Vice Ministers
> Directors and Deputy Directors
Round Table Meeting
DECISION-MAKING
Sector Working Groups for
Health
Sector Working Group for Health (Policy level)
Policy
Dialogue
Chair: MoH
Co-Chair: WHO and Japan
> Minister
of Health
> Ambassadors and Representatives of Development Partners
> Representatives of MoH
> Advisors and Other stakeholders
2 times/year
Sector Working Group for Health (Operation level)
>Vice Minister/ Director of the Cabinet/ DPF
> Deputy Directors of MoH
> Representatives of Development Partners
> Other stakeholders like MOLSW, MoF, MPI, ...
Inter-sectoral
technical coordination
and dialogue
4 times/year
Secretariat for SWGs
Coordination Unit at MoH
> Chair: Dep. Dir. of Cabinet/DPF
> Members from the Cabinet, Depts
> Focal Points of TWGs
FACILITATION & LOGISTICS
Development
Partners
Planning & Financing TWG
Human Resource TWG
>Deputy Director of DPF
>MoH & DPs & other technical
stakeholders like MoF/Dept of Bud., etc.
monthly
>Deputy Director of DOP
>MoH & DPs & other technical
stakeholders like PACSA
Program TWG
FDD TWG
>Deputy
Director ofHCare
relatedTWG
Dpt.
>Deputy
Director
>Related
Depts >Deputy Director
of related
Dpt. MoH of
Dpt.
>Members:
& related
DPs
>Related Depts
>Related Depts
>Members: MoH & >Members: MoH &
DPs
DPs
H&P TWG
>Deputy Drector
of related Dpt.
>Related Depts
>Members: MoH
& DPs
MNCH-
Strategy and
Coordination
on reviewing
health system
Technical
consultation,
discussion and
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recommendation
NSEDP Alignment and Cross-sectoral Linkages
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Poverty alleviation & economic growth
Social welfare & protection
Nutrition
HIV/AIDS
International health security e.g. emerging diseases
Environment/Climate change
Gender
other
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Health SWG Products Developed
Policies & strategies e.g.
Mother & Child Health (MNCH) / Nutrition
HTM & other diseases / ESR / Health Human Resources
Skilled Birth Attendant / Health Information System
HF & NHI decree /Medical devices / HEPR /
Water & Sanitation (WASH) / Others
Key documents developed
to strengthen SWGs/TWGs
and their activities
• Revised ToR / Annual work plans
• Guidelines s.a. supervision
• Other
• Sector Common Work plan
& Monitoring Framework
• Health partner
resource mapping
• Costing estimates
• Successful GFATM & GAVI
HSS proposals in 2009/2010
• (Re)-establishment of MOH website
Key documents developed cross- sectoral e.g.
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Achievements of SWC in Health
Structural and technical progress since August 2006
e.g.
• Input to high level Round Table (Implementation)
Meetings (i.e. aid effectiveness)
• Contribution to health chapter of 6th and 7th NSEDP
• Joint preparation of draft 7th Health Sector
Development Plan
• Regular sector-wide information exchange,
consultation, planning and monitoring through
• MoH Steering Committee
• SWG (P) and (O) levels,
• TWGs on HPF, HRH & MNCH with multiple Task forces
• Secretariat (Chair, Co-chairs and invitees)
• Harmonized with other Country Coordination
Mechanism (CCM of GFATM, GAVI and SWC)
• Rolling out of SWC mechanism to provincial level
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Good Practice in Health SWC
(according to Lao UNDP analysis 2010)
1. Leadership and Partnership
- leadership and commitment to guide SWG
- Generate dynamic process in which development partners (DPs) want
to be part of the success.
- Transparency and provide DPs with greater willingness to align their
resources behind sector priorities.
- More effective collaboration among and between the DPs.
- Towards a programme-based approach:
2. Common Understanding on Scope of Work
3. Management of the SWG’s Work
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Variations in Sector Aid Arrangements:
SWC vs. SwAP/Programme-based Approach
Sector reform program
Project
type aid
Stand alone
projects
Earmarked
funds
Pooled
funds
Budget
support
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On going support from Nossal institute
• Engagement of Ministry of Public Health, Lao PDR
with the Health Policy and Health Finance Hub
• Institutional strengthening for universal coverage in
the Lao PDR: barriers and policy options
• Findings will be useful to establish the National
Health Insurance Authority in Lao PDR to accelerate
the Universal Coverage
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Conclusions & Recommendations
• Critical importance of health sector for MDG and
NSEDP achievement
• Good progress in many areas of sector but challenges
remaining e.g.
– Urgent need for increased & sustained funding for sector
– Ongoing need for cross-sectoral exchange and crossfertilization of SWG and MPI DIC facilitation
– Joint support required for issues s.a. pro-poor policies,
transparency & accountability, strengthening human
resources (PACSA), environmental protection, etc
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Thank you
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