Transcript Slide 1

Our plan for 2011
(Based on December online brainstorming)
Steering Committee
Bujumbura (14-17/2/2011) & Saly (18-19/3/2011)
Our vision
• PBF as a new holistic health system strenghtening
strategy that can help African countries to
accelerate progress towards universal coverage,
the health MDGs and better governance of their
health system.
• However PBF is difficult. The strategy conveys
risks. Failure will be a missed opportunity for
population and harm reputation of the strategy.
Our diagnosis: challenges at 3 levels
• Individual experts.
• Agencies.
• Countries.
Challenges at expert level
• PBF requires contextualisation and tapping tacit
and explicit knowledge  highly qualified
expertise combining analytical skills and field
experience.
• High enthusiasm for the strategy  We need
many experts, rapidly.
• They will have to be able to design, implement
and evaluate PBF schemes, with a real concern
to limit the risks and perverse effects (critical
mind and versatility).
Challenges at agency level
• Some historical actors, some newcomers.
• They tap different resources, use different aid
instruments, face different constraints.
• Need for collaboration, transfer of expertise,
coordination but also emulation and even
competition.
 They need a platform for healthy interactions.
Challenges at country level
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« Too much » enthusiasm, impatience.
Lack of vision (reform dimension of PBF).
Lack of expertise in most countries.
Little connection to experiences in other
countries.
 We have to enhance exchanges between
countries and accompany countries.
The CoP as the main strategy to
address these challenges (1)
At expert level, the CoP can contribute to:
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Expand their number.
Build their capacity.
Update/upgrade continuously their PBF expertise.
Empower them as regional experts.
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Enhance their circulation at regional level.
These could be our new strategic objectives for individual experts.
The CoP as the main strategy to
address these challenges (2)
At agency level, the CoP can:
• Favour exchange and collaboration.
• Know each other, fair competition practices.
At country level, the CoP can:
• Favour cross-fertilization
• Ensure some quality assurance (reputation of PBF
is a ‘commons’).
These could be our new strategic objectives for agencies and countries.
Implications for our activities
They should:
• reach experts, involve different ‘PBF agencies’, cover
any interested African countries.
• be inclusive, but focus on practitioners.
• address needs of African experts in terms of capacity
building.
• ensure broad vision and critical mind.
• promote senior African experts at regional level.
• enhance the ‘regional community’ dimension and
trust among members.
CoP as a Knowledge Management strategy
• By its membership and its activities, our CoP
could cover the full spectrum of issues to be
covered by any KM strategy:
– Share existing knowledge among members.
– Enhance acquisition of knowledge by newcomers.
– Enhance utilisation of knowledge.
– Identify knowledge gaps.
– Accumulate, create and develop new knowledge.
– Store knowledge.
Implications for our membership
It should cover the whole spectrum of knowledge
holders and users:
– Practitioners.
– Policy makers.
– Technical assistants and consultants.
– Trainers.
– Researchers.
– Field innovators.
– Knowledge brokers.
Implications for our activities (long run)
• Dissemination: books, papers, workshops, edebate.
• Acquisition: training, debate, access to
literature.
• Use: tools with operational relevance.
• Identification: studies, debate, brainstorming.
• Creation: studies and working groups.
• Storage: websites, e-library.
Our strategic ambition
• The CoP as the leading knowledge platform on
PBF in Africa. To be assessed on the following
indicators:
– Most PBF experts are members of the CoP.
– Most of the PBF knowledge is produced by CoP
members.
– Many knowledge users are members.
– There is enough quality assurance internally to
improve/validate knowledge.
Main objectives for 2011
• Membership: continue expansion, with a focus
on East and West Africa; yet, with a same level
of intimacy and trust.
• Domain: maintain focus on PBF, but be open to
interest for other RBF mechanisms?
• Practices: how to design and implement a pilot
PBF; how to scale up; how to improve/revise
PBF schemes (quality assurance).
New!
Ambitions for 2011: activities
• Consolidate.
• Perpetuate.
• Innovate.
• Improve.
Consolidate (update 2/2011)
• The Book on PBF in Central Africa.
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New!
– A Spin-off: the PBF CoP working paper series
• The scientific supplement on health sector
reform in Rwanda. 
• The PBF toolkit. 
Perpetuate/repeat (2/2011)
• Regional workshops: 
– Bujumbura February 2011.
– Saly, March 2011.
– Tanzania, November 2011.
Cordaid
• PBF courses.
• Google group:
– Market place/opportunities (e.g. courses).
– Info sharing.
– Debate.
New!
Starting
– Online readers club.
Innovate: capacity building (2/2011)
Funding
needed!
• Development of operational tools.
Toolkit
• Training: advanced 1-week course on
economic forecasting and budgeting of a
(funding unavailable for the moment)
PBF policy.
• Short capacity building sessions during
workshops.
 (Bujumbura)
• E-learning on the PBF-toolkit.
To be followed
Innovate: quality assurance (2/2011)
Funding
needed!
• Working groups on important topics (‘good
practices’).Starting!
• Study tours in the Great Lakes; internship.
Rockefeller funding?
• Peer review of projects.
Doubtful (funding unavailable)
Innovate: evidence (2/2011)
Funding
needed!
• Develop a multi-country research project
involving African scholars (small studies).
A project to be written in 2011?
• Evaluation tools.
• Literature review.
• Training to enhance scientific skills.
• Coaching for members writing scientific papers.
• Financial support for CoP members whose
papers are accepted at international
conference. Difficult, we do our best
Innovate: ICT platforms (2/2011)
• Mendeley®: storage of papers.
Progressively
• Test new tools (chat, videoconference…)
• Collaboration with the RBF website
In standby
– Mapping PBF in Africa
• Web platform
• Expert database.
– Calendar of events.
Starting (but without support)
Under consideration
Improve (2/2011)
• Recognition that different actors are
complementary. We progress
• Better coordination around training activities
and materials. Build on the toolkit?
• Better coordination on country workshops
with involvement of CoP members as
Not yet
trainers.
• Better coordination with other CoPs.
– A first workshop with the PPP CoP in 2011?
Postponed because of the other CoP
Facilitation of the CoP (2/2011)
• Challenges:
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Manage the growth and the high expectations.
Workload.
Raise funds for the CoP.
Involve members.
• Strategies:
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Funding obtained
(Rockefeller),
An African hub (ESP Kigali).
A junior expert as support (ESP Kigali).
Under recruitment!
Yearly report 2010; advocacy.
Delegation (e.g. working groups).
Sponsoring (2/2011)
• For 2011, little commitment from HHA
agencies at regional level so far (secured:
funding for facilitation - 6 months, AfDB).
• Main message: We will not be able to
undertake all the ideas proposed in December
2010.
Sponsoring: our strategy
• (1) Look for funding from HHA agencies at
Proved!
country level, seems feasible for some
activities (eg. workshops) but requires good
coordination and personal relationships.
• (2) Build on funding from agencies outside
HHA.
Conclusion
• Imbalance between our achievements in 2010
and the resources we will receive in 2011. We
will have to be creative to access resources.
• Pressure on available expertise will remain
high.
• Quality assurance should come higher on our
priorities.