The International Health Partnership and Related Initiatives (IHP+) and Civil Society Engagement
Download ReportTranscript The International Health Partnership and Related Initiatives (IHP+) and Civil Society Engagement
The International Health Partnership and Related Initiatives (IHP+) and Civil Society Engagement
Susanne Weber-Mosdorf, Assistant Director General, WHO Joy Phumaphi, Vice President, Human Development, World Bank June 24, 2008
1
• • • • • • •
What is the IHP+?
A
renewed effort
to support countries in achieving their
health MDGs (1b, 4, 5, 6)
Through a single
harmonized in-country implementation effort
With scaled-up
financial, technical and institutional support
health MDGs for
How will it be implemented?
Country-focused and
country-led
Builds on
existing structures, mechanisms, and country health plans
Provides
long term, predictable financing
national plans and strategies for results-oriented Ensures
mutual accountability
commitments for delivering on compact 2
IHP Signatories
• • As of 23 June 2008, the IHP global compact has been signed by: –
Ten Ministers
from developing country governments (Burundi, Cambodia, Ethiopia, Kenya, Madagascar, Mali, Mozambique, Nepal, Nigeria, Zambia), –
Nine international organizations
(WHO, World Bank, Global Fund, GAVI Alliance, UNFPA, UNAIDS, UNICEF, UNDP,
EC
), –
Eleven bilateral donors
(Australia, Canada,
Germany, Italy, Netherlands, UK
), and Norway,
Finland, France, Portugal, Sweden,
and –
Two other donors
(Bill & Melinda Gates Foundation & African Development Bank).
IHP+ Countries
In addition to signatories of the IHP global compact, the following developing countries are participating countries from IHP related initiatives (IHP+) – Benin, Burkina Faso, Ghana, Niger 3
IHP+ Related Initiatives
International Health Partnership Catalytic Initiative to Save a Million Lives UN SG MDG Africa Initiative Innovative Results Based Financing Providing for Health Initiative Global Health Workforce Alliance Health Metrics Network GAVI Health Systems Strengthening Global Fund National Strategy Applications Deliver Now For Women and Children
4
Why now?
5
Progress towards MDGs: inadequate
Trend in Under-Five Deaths, 1960-2015 (Millions deaths per year) 25
Africa Asia Other
20
4.1
3.6
15
2.7
1.8
1.4
10
13.5
10.9
8.3
1.1
4.1
7 5.1
0.8
3
5
0.1
2.2
2 2.9
3.2
3.5
4.1
4.6
4.9
5.1
0 1960 1970 1980 1990 2000 2005 2015 with achievement of 2015 with current Trend MDGs
6
Health system constraints: unaddressed
• • • •
Human resources
Production, retention and migration
Infrastructure
L
ogistics, procurement, physical infrastructure
Catastrophic health spending
Reduction of out-of-pocket expenditure, social protection
Ineffective delivery
Integration and coordination, primary care, community engagement, non state providers, management 7
Investment in health: insufficient
8
International funding: unpredictable
40 35 30 25 20 15 10 5 0 2000 2001 2002 2003 2004 Benin Burundi Ethiopia Mali Niger 9
Support to countries: inefficient
GTZ CIDA Norad USAID RNE Sida PEPFAR GFATM CF HSSP CCM NCTP UNAIDS MOH WHO DAC UNICEF T-MAP WB GFCCP UNTG PRSP MOF SWAP 3/5 INT NGO MOEC PMO NACP CCAIDS CTU LOCALGVT CIVIL SOCIETY PRIVATE SECTOR
10
The Paris Declaration on Aid Effectiveness
11
Objectives of the IHP+
2.
3.
4.
Four main objectives consistent with the Paris Declaration on Aid Effectiveness: 1.
Developing
results-focused, country-led
compacts that rally all development partners around one national health plan; one M&E framework; and one review process, thus improving harmonization, alignment, focus on results and mutual accountability Generating and disseminating relevant knowledge, guidance and tools Enhancing coordination and efficiency at country, regional and global levels Ensuring mutual accountability and monitoring of performance 12
• • • • • • •
Value-Added of the IHP+
Country-focused and country-led activities
ONE costed, results-oriented national health plan
Build consensus and inclusion of all stakeholders through
Country Compacts
Long-term predictable financing for strengthening health systems which addresses volatility, fiduciary and procurement issues Improved harmonization and alignment of aid which reduces fragmentation and transaction costs Improved coordination between country governments and development partners Strengthened mutual accountability and transparency 13
Systems and programmes: getting results
Maternal & Child Health
National strategy Vital registration IMCI Emergency obstetrics Continuum of care common agenda?
more efficient?
better outcomes?
Fighting AIDS
National strategy Surveillance Safe sex Treatment Continuum of care Leadership / governance
Strengthened health systems
Health financing Human resources Information systems Medical products, technologies Service delivery 14
Common Monitoring & Evaluation Framework
15
IHP+ Coordination and Collaboration
• Ministry of Health • Ministry of Finance / Planning • Civil Society • Private Sector • Bilaterals/Multilaterals • International health agencies
Inter-agency country health sector teams Regular partner forums (incl. CS) Inter-agency working groups (incl. CS) Inter- agency Core Team Washington DC, Geneva, Brazzaville (HHA) Political Advocacy H8, SG Civil Society Consultative Group Scaling-up Reference Group (SuRG) 1) Business:
B&M Gates, GAVI, GF, UNAIDS, UNFPA, UNICEF, WHO, WB, and Civil Society
2) Steering:
Above, plus development Partners 16
The Country Compact
Development Partners Country Ownership Existing country mechanisms H8 Agencies Civil Society Donors Bilaterals/ multilaterals One common M&E and mutual Long-term, predictable financing accountability framework One costed, Fix health Systems bottlenecks Inter-agency country health sector teams results-oriented national health plan and budget One common review process/ validation
Country Compact
Scaling Up Effective Coverage
Improved Outcomes for MDGs 1b, 4, 5, & 6
17
ONE National Health Plan
Central to the compact is the national health plan and how it will be used in the new aid environment:
18
Country Health Plan
HIV/AIDS
and Budget
Malaria TB MNCH HRH
Validation/Appraisal Process Agreement on Country Compact Negotiation of Country Compact
Costed Scenario 1 Costed Scenario 2 Costed Scenario 3 Monitoring and Reporting Process Performance Benchmarks Results Framework Aid Modality Policy Matrix
Implementation of Country Compact
19
• • • •
IHP+ Achievements since Sept ‘07
National Health Sector Strategies, Plans and Budgets, Country Compacts –
first compacts to be agreed by September ‘08
Monitoring and Evaluation and External Review –
draft single M&E framework agreed and under discussion at country level; external review to be completed by September.
National Plans and Strategies -
for country health plans.
working towards common appraisal/validation process
Civil Society Engagement –
growing civil society engagement • • • •
IHP+ linked to: Paris Declaration on Aid Effectiveness Results-based Financing Other global partnerships and initiatives Ouagadougou Declaration on primary health care (PHC)
20
IHP+ and the European Union
• •
Eight EU member states
Global Compact are signatories of the IHP+ • The objectives and principles of the IHP+ are
in line with existing commitments
of the EU The IHP+ may serve as a
mechanism for increased collaboration
in policy planning and development at global and country levels 21
Opportunities for Collaboration
• European Parliament has called for the EC to devote 20% of its ODA to primary and secondary education and basic health care. –
IHP+
supports long term
predictable financing targets for health financing.
to health and could thus be used as
tool to achieving EC
• • The EC-proposed
MDG Contracts aid
.
would commit the EU to improve
predictability of
– These
contracts and the IHP+
could be
mutually reinforcing
if the EC and EU partners sign country compacts.
The Barcelona Commitments & the Monterrey Consensus
commit the EU to
increase financial resources
for ODA.
– The
IHP+
could serve as a
common framework for aid implementation for health
.
• The
Paris Declaration on Aid Effectiveness manage for results
.
commits the EU to harmonized efforts to – The
IHP+
represents an opportunity to for the EU to demonstrate real efforts to improve effectiveness of aid for health through
harmonization and alignment
at the global and country levels. –
IHP+
represents and opportunity to promote: use of
innovative and coordinated financing mechanisms
and
additional resources for health
without replacing commitments already made; improved consistency in financial management, accountability and transparency through results and
mutual accountability frameworks
; support of country-led, country-focused activities.
22
• • • •
Value Added of Civil Society in the IHP+
Engage and provide
guidance on the implementation of the IHP+ work-plan
– assisting in the facilitation of the IHP+ process at the country level by encouraging local civil society organizations to participate in all stages of the development and implementation of country compacts; Facilitate and improve
dissemination of IHP+ outputs
– sharing good practices widely through existing networks, – supporting implementation of locally appropriate implementation methods and strategies, – establishing linkages with other existing similar or complimentary efforts.
Monitor progress
achieved as a result of the IHP+ – advising on ways to strengthen effectiveness of the IHP+ process and – effectively relaying potential and existing bottlenecks to implementation (global and country level) for problem solving (donor bottlenecks, implementation bottlenecks, etc)
Ensure responsiveness
teams, holding IHP+ development partners (donors, governments, etc.) accountable. of the IHP+ to government-led, inter-agency country 23
• • • • • • • •
Civil Society’s Engagement in the IHP+
Civil Society Forum held in Geneva, including more than 80 Civil Society representatives (more than half from the south) Consultation on mode of engagement has taken place Revised Concept Note on Civil Society Engagement Concept Note on CS Engagement at the Country Level circulated for comment 2 CS members on steering SuRG 2 CS members on business SuRG 1 CS member will join each thematic working group A consultative group will be formed – CS developing selection process 24
• • • • •
Summing Up
MDG goals 1b, 4, 5 and 6 will not be achieved without a revised and streamlined approach to implementation, which will require
collaboration of all development partners
.
The IHP+ is an opportunity to
harmonize and align development partners
for improved health-related MDG outcomes, in line with the Paris Declaration on Aid Effectiveness.
The focus of IHP+ is
results at the country-level
.
There is significant opportunity for
collaboration between the EU and the IHP+
for delivering results
Civil Society is key
IHP+ to ensuring successful implementation of the 25
The Way Forward
• • • • Enhance strong political commitments to
long-term, predictable financing for health MDGs Widen engagement
Support in IHP+ to include more key players
existing commitments
(e.g. HIV/AIDS, TB, malaria, and maternal, newborn, and child health)
Remove bottlenecks
in the global health architecture 26
Thank You!
27