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A Big Family Now A Big Family Now 2007 2012 Developing countries: 8 31 Bilateral donors: 8 13 Int'l agencies and foundations*: 11 12 TOTAL 27 56 *African Development Bank, Bill and Melinda Gates Foundation, European Commission, GAVI Alliance, Global Fund, International Labour Organization, UNAIDS, UNICEF, UNDP, WHO, UNFPA, World Bank Civil society also plays a key role in IHP+ How IHP+ works Increased support for one national health strategy, through: 1. More inclusive, better aligned national planning and joint assessment processes 2. More unified support, through country compacts 3. More harmonized financial management 4. One results monitoring platform, to track strategy implementation 5. Greater mutual accountability by monitoring progress against commitments IHP+ works through its partners – governments, development partners, CSOs; builds on existing processes; and provides a neutral platform for countries to discuss with development partners 18/07/2015 Stakeholder Involvement Facilitating involvement of all stakeholders cornerstone in IHP+ approach because only with broad ownership of stakeholders will the country’s strategy deliver the expected results. IHP+ has had a special role in facilitating the involvement of civil society Importance of other non-governmental actors and parliamentarians increasingly acknowledged 18/07/2015 Alignment with One Plan = Results Support for One Plan, because: • Countries have a sovereign right to ownership • The health care market can only produce optimal result when government provides strong leadership • Only a comprehensive country strategy can adequately address the people’s needs 18/07/2015 Where it all comes together: National planning and joint assessment processes • 12 countries now have formally used the tool for Joint Assessment of National Strategy & Plans (JANS) • Resulting in improved strategy with an emphasis on a proper results framework and increased confidence from funders 18/07/2015 Country Compacts • 18 countries now have compacts specifying the commitments of all partners to implementing the strategy • This mutual accountability is increasingly enforced by specific indicators, and we hope to assist countries on improving this monitoring based on the experience with IHP+Results 18/07/2015 Harmonized & Aligned FM - Joint fiduciary arrangements would harmonize all types of support with common reporting and one audit - Obvious advantages in terms of transparency, accountability and transaction cost; but also for ability to align all funding behind strategic priorities. All leading to more effective use of funds and thereby improved results 18/07/2015 One results monitoring platform - Precondition for focus on results - Good quality common framework for measurement and a well functioning Joint Annual Review (JAR) process are key - Linked with the Commisssion on Information & Accountability for Women’s & Children’s Health (CoIA) follow up plans on M&E has been made in most of the countries present 18/07/2015 New areas We have started looking at South-South collaboration And thinking of new areas where IHP+ has comparative advantage and with a clear effect on achieving better results by improving strategies and their implementation, for example alignment of TA 18/07/2015 Not Yet There……….. MDG 4 Reduce child mortality U5M 1990-2011 Benin Burkina Faso Burundi Cambodia Cameroon Cape Verde Chad Côte d'Ivoire DRC Djibouti El Salvador Ethiopia Guinea Kenya Madagascar Mali Mauritania Mozambique Nepal Niger Nigeria Pakistan Rwanda Senegal Sierra Leone Sudan Togo Uganda Viet Nam Zambia Measles MMR MDG 5 Improve maternal health SAB ANC1 2011 1990-2010 Since 2005 Since 2005 MDG 6 Combat HIV/AIDS, malaria and other diseases ANC4 Since 2005 ART HIV prevalence 2009 2000-2009 TB Nets incidence Since 2000-2011 2005 Antimalarial Since 2005 Mutual Accountability for Results • We are all mutual accountable for our commitments towards the national plan, and we need to monitor our commitments • And not least Development Partners need to walk the talk, only then will they maximise the results of their contributions 18/07/2015