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Policy dialogue & donor coordination. Outline . Needs & justification Management of policy dialogue Lessons learned Way forward. Needs. Changing service delivery scenarios : growing role of the private sector, professional associations , media & CSO Need to manage conflicting interests

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Presentation Transcript
outline
Outline
  • Needs & justification
  • Management of policy dialogue
  • Lessons learned
  • Way forward
needs
Needs
  • Changing service delivery scenarios : growing role of the private sector, professional associations , media & CSO
  • Need to manage conflicting interests
  • Waves of policy changes : HSR often as part of macro economic reforms : SAP
  • Reforms are often financially supported by donors
needs1
Needs
  • Changing Aid’s architecture : new major players, moves towards direct country support
  • Donors & partners have different administrative requirements to manage projects
  • How to reconcile government’ s objectives with donor’s agenda ?
  • New approaches for UN reforms : expectations , potential risks ?
needs2
Needs
  • MOHs are weak : priority setting, policy analysis & development ownership
  • Coordination function is often weak
  • Intimidation by donors : new jargon
  • Growing interest in investing in health : Macro economics & health commission, MDGs, PRSP, round table discussions, SWAP
  • Need to help countries in mobilizing resources for health development
needs3
Needs
  • Case of complex emergencies : specific needs ( donor coordination, fund raising, managing transition, political problems
  • Need to manage political tensions : Iraq, South Sudan, etc…
management of pd
Management of PD
  • Preparation: knowledge base on HS and health policies : generating evidence
  • Clarifying country priorities : five year development plans
  • Reconciling country health priorities with UNDAF, CAS, PRSP, CCS, etc…
  • Refine the vision for health development in the country
management of pd1
Management of PD
  • Implementation : sectoral exercise following an in depth HS review
  • Interaction with major national & international partners for health development
  • Work through existing mechanisms : national policy forums, donor coordination committees, etc…
management of pd2
Management of PD
  • Joint exercise : the 3 parts of WHO
  • Main findings : donor’s commitment, agreement on policy objectives, building consensus over national agenda
  • Social marketing of the findings : better information, advocacy
lessons learned
Lessons learned
  • Useful exercise if well prepared
  • Contributes to empowering MOHs
  • Facilitates communication : among donors and MOH, MOH- CSO and other national partners
  • Leads to better efficiency : avoid duplication of donor’s input, maximize benefit to countries,
lessons learned1
Lessons learned
  • WHO is well placed to lead and manage PD : neutral, technically strong, well respected
  • WHO is playing a major role in aligning the contribution of donors concerned with MDGS: High level policy forum
  • The WHO advocacy role has paid off : increase in OS funds, GAVI HSS window, Global Fund interest in HSS
the way forward
The way forward
  • Need to capitalize on WHO’s experience world wide
  • Need to document country experiences and major findings & lessons learned
  • Use of analytical tools to assess the HS and to generate solid evidence
  • Importance of capacity & institutional strengthening: analytical, coordination, policy development functions
the way forward1
The way forward
  • Use of tools such as stake holder analysis & political mapping
  • The PD exercise should be owned by countries
  • Link with WHO’ s technical cooperation : support the national priorities, show concrete achievments on the ground