Transcript Linking NHA HIV subaccounts with sustainability analysis

Experiences from the field:
Country-level strategies for resource tracking
harmonization and impact
Montreux, November 18 2010
Douglas M. Glandon, MPH
Health Systems 20/20
Abt Associates Inc.
In collaboration with:
I Aga Khan Foundation I Bitrán y Asociados
I BRAC University I Broad Branch Associates
I Deloitte Consulting, LLP I Forum One Communications
I RTI International I Training Resources Group
I Tulane University’s School of Public Health
[email protected]
Overview
 Example 1: Coordinated implementation of RT activities (NASA & NHA)
 Concept
 Challenges
 Potential solutions
 Example 2: Common database for tracking donor & NGO spending
 Concept
 Challenges
 Potential solutions
2
Concept:
Capitalize on overlaps to consolidate data collection for multiple RT
activities
 Coordinating National Health Accounts (NHA) and National AIDS
Spending Assessments (NASA) has the potential to:
 Reduce the burden of data
reporting on all partners
 Minimize time and money
wasted on duplicative tasks
 Produce consistent,
complementary results to
inform policy
 Bring together inter-sectoral
stakeholders
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Harmonizing NHA & NASA in the field
Rwanda (2007-8, 2010)

NHA/NASA ‘crosswalk tables’ applied to NHA
estimation
Namibia (2010)

Joint NHA/NASA data collection, report with
UNAIDS
DRC (2010)

Joint NHA/NASA data collection with UNAIDS,
PNMLS
Ethiopia (2009-10)

Collaboration with UNAIDS in NHA estimation;
NHA figures to be used to generate UNGASS
tables
Vietnam (2010-11)
 Joint NHA/NASA data collection with UNAIDS
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44
Overview
 Example 1: Coordinated implementation of RT activities (NASA & NHA)
 Concept
 Challenges
 Potential solutions
 Example 2: Common database for tracking donor & NGO spending
 Concept
 Challenges
 Potential solutions
5
Coordinated implementation of RT
activities (NASA & NHA)
 Challenges
Technical
 Data needs,
methods of data
collection and analysis
 Potential for
inconsistency of results
Logistical
 Timelines for
implementation,
reporting, etc.
 Consistency in local
capacity-building
 Funding
mechanisms
Political
 Different
counterparts,
stakeholders for each
RT activity
 Differences in
intended use of results
by stakeholders
6
Coordinated implementation of RT
activities (NASA & NHA)
 Potential Solutions
Technical
 Combined technical
working sessions
 Single set of data
collection instruments
 Single data
collection effort
Logistical
 Clear division of
responsibilities up front
Train local
counterpart staff on
joint methodology
 Hire the same
consultant to work on
both RT activities
Political
 Frame the activity as
part of institutionalizing
RT
 Emphasize
collaboration at
stakeholder meetings
 Joint reports (or joint
sections)
7
Overview
 Example 1: Coordinated implementation of RT activities (NASA & NHA)
 Concept
 Challenges
 Potential solutions
 Example 2: Common database for tracking donor & NGO spending
 Concept
 Challenges
 Potential solutions
8
Concept:
Resource tracking software that collects and stores health
expenditure data from donors and NGOs in a country
 Increased data consistency, comparability, and availability for
health policy planning
 Faster and easier for partners to complete spending reports
 Improved coordination of health sector spending
9
Overview
 Example 1: Coordinated implementation of RT activities (NASA & NHA)
 Concept
 Challenges
 Potential solutions
 Example 2: Common database for tracking donor & NGO spending
 Concept
 Challenges
 Potential solutions
10
Challenge:
Differences in methods and definitions between resource
tracking activities
 Potential solution: Define common classification criteria
for expenditures
11
Challenge:
Potential overlap/duplication of existing RT activities,
health information system
 Potential solution: Integrate database with existing
data sources, data needs
12
Challenge:
Initial added reporting burden until database replaces
other RT activities
 Potential solution:
 Design database to produce reports stakeholders want
13
Challenge:
Maintenance, improvement and use of the RT database
 Potential solution: Develop open source software with
Ministry of Health programmers; provide training
14
Acknowledgements
 Rwanda and Vietnam Ministries of Health
 UNAIDS teams from Vietnam, Rwanda, Namibia,
DRC, and Ethiopia
 Health Systems 20/20
 Catherine Connor; Nirmala Ravishankar; Hong Wang; Ha
Nguyen; Michael DeLuca; Jeremy Snider; Gregory Nelson
15
Thank you
Health Systems 20/20 is USAID’s global health project to
strengthen health systems in developing countries, focusing on
integrated financing, governance, operational and capacity
building.
Reports related to resource tracking and National
Health Accounts are available at www.HS2020.org
Abt Associates Inc.
In collaboration with:
I Aga Khan Foundation I Bitrán y Asociados
I BRAC University I Broad Branch Associates
I Deloitte Consulting, LLP I Forum One Communications
I RTI International I Training Resources Group
I Tulane University’s School of Public Health