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Opportunities for Civil Society Participation in National Health policy Processes and Monitoring of ODA flows. The Case of Zambia Monica Mutesa. Zambian CSOs involvement in Health Policy processes. 1. NHSP (National Health Strategic Plan) NASF (National Aids Strategic Framework)

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The Case of Zambia Monica Mutesa


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    1. Opportunities for Civil Society Participation in National Health policy Processes and Monitoring of ODA flows The Case of Zambia Monica Mutesa

    2. Zambian CSOs involvement in Health Policy processes • 1. NHSP (National Health Strategic Plan) • NASF (National Aids Strategic Framework) • SNDP (Sixth National Development Plan) • Various Sector Policy Documents that Interface with health • PEPFAR Framework

    3. CSO involvement in M &E • Health Systems Monitoring (the JARs and various meetings held with MOH). • Aid Process Monitoring (Budget/drug/Resource tracking) • Implementation Monitoring • Coverage Monitoring

    4. General Involvement • JTT (Joint Technical Team) • TWG (Technical Working Groups) • SAG (Sector Advisory Groups) • MDG progress meetings

    5. The Role of Oxfam and Other INGOs • Oxfam supports the CSHF, through the Civil Society Health Policy Action Fund (CSHPAF) • Oxfam supports local NGOs in campaigns, advocacy etc e.g. FAIR PLAY for Africa • In general the role of INGOs is seen as facilitating the role of the local NGOs to be the people’s voice • Oxfam works through partnerships, empowering local NGOs to ensure sustainability of the involvement of local NGOs in the various processes • However: Oxfam participates in the SAG, JTT and various TWG and coordinates CSO’s contributions

    6. CSOs in a Difficult Situation The fraud cases in the MOH and the delay in concluding the Governance Action Plan (GAP) have affected movement on the signing of the IHP+ MOU and also affected the gains that were made in the health sector

    7. Successes Challenges and Obstacles Successes: • The realisation by CSO for the need to speak with one voice • The Input into the various Policy processes e.g. the Livingstone NHSP meeting • The engagement with GFTAM over the fraud cases • The inclusion of an Aids chapter in the SNDP and the input of PLWHA into the NASF

    8. Challenges 1. The ‘Legal/Formal’ status of CSOs is not clear > CSO ‘voice’ can or cannot be taken into account depending on the position of both the CPs and Government 2. Capacity of Local NGOs to engage meaningfully in these spaces is limited

    9. Legal Situation: • The NGO Act: Generally perceived as a means for Government to intimidate NGOs especially those that deal with governance issues. • a)Registration Fee b)Constitution of the Registration Board, • Government is currently working to come up with an implementation framework • Questions on accountability and legitimacy of CSOs are valid

    10. Role of CSOs in tracking ODA funds • The Aid process monitoring (Budget tracking etc) • Global Fund CCM should have been a good platform, However: • Members have been there for a long time • Membership should be on a rotating basis? • The CSOs played an important role • Speaking on behalf of the people by highlighting the impact of total withdrawal of funds. • Committing to ensure that there is accountability from the various recipients.

    11. Vielen Dank!!