Zambian Health SWAp revisited – has it made the intended effects?. Collins Chansa Donor Coordinator Ministry of Health - Zambia. Outline of the Presentation. Zambian Health SWAp Notable Developments Basic tenets of the Zambian Health SWAp Structures & Instruments in the SWAp
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Zambian Health SWAp revisited – has it made the intended effects?
Ministry of Health - Zambia
Isn’t Donor Collaboration Wonderful?
Source: WHO: Mbewe
Verticalization of Aid leads to Fragmentation and Poor Results: Child Health
Skilled birth attendance
New born care
Safe and Supportive Environment
Source: WHO: Mbewe
Sector Advisory Group (SAG) Committee
Policy Committee Consultative Committee
Monitoring & Evaluation
Capital Technical Working Group
Health Care Financing Technical Working Group
Procurement Technical Working Group
Human Resources Technical Working Group
MINISTRY OF HEALTH
STAKEHOLDER IN THE HEALTH SECTOR
Sector Dialogue & Communication
Predictable & sustainable funding:
Problems in Funding, Sustainable and Predictable Financing
THE (in USD) / Capita (at exchange rate)
Minimum level of investment recommended by the Commission on Macroeconomics and Health (CMH)
Source: The World Bank. 2005. World Development Indicators. 2006.
Ideally, for a SWAp to be effective,
both govt. and donors have to re-align their working arrangements
In reality, emphasis is on re-aligning govt. systems and rarely donors’ working arrangements
No Mutual Accountability on the part of donors
Who’s in the driver’s seat?
Do donors really let
END OF THE PRESENTATION