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Securing National Ownership through Dialogue. Capacity Building in the Health Sector, Nicaragua Case: Obstetric Nurses Programme. Programme based on previous experiences - and failures. Started in the 1980s as an NGO initiative Teachers/trainers where trained

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securing national ownership through dialogue

Securing National Ownership through Dialogue

Capacity Building in the Health Sector, Nicaragua

Case: Obstetric Nurses Programme

programme based on previous experiences and failures
Programme based on previous experiences - and failures...
  • Started in the 1980s as an NGO initiative
  • Teachers/trainers where trained
  • Approx. 200 Obstetric Nurses (OB’s) where trained
  • Ownership at NGO level and university
positive outcome of the project
Positive outcome of the project
  • Institutional twinning Nicaragua-Sweden
  • Technically successful project
  • Enthusiasm and innovation
  • Personal commitment
but what about sustainability
But what about sustainability?
  • National health authority absent
  • Financial sustainability insecure
  • Local health authorities unaware
  • No dissemination in local communities
  • Professional groups not ”on board”
so in the end
So in the end...
  • Project ended
  • NGO commitment decreased
  • Enthusiasm + personal commitment faded
  • Trained capacities where not used
  • Only a handful work today as OB’s
new initiative based on dialogue
New initiative based on dialogue
  • Sida received an informal request in 2001 from NGO and Managua University
  • Feasibilty and appraisal missions with Swedish OB’s plus + communicator
  • Interviews including all stakeholders
  • LFA-seminars with key stakeholders
securing national ownership
Securing national ownership
  • Negotiations with key professional groups
  • Discussions with Minsitry of Health (MoH)
  • Formation of a programme ”Core Group”
  • Technical design phase in dialogue with national health authorities on all levels
sida s role s as donor partner
Sida’s role(s) as donor/partner
  • Offering technical assistance in design
  • Securing initial support from MoH
  • Involving and informing donor community
  • Promoting national dialogue, esp. local level
  • Liasing with other related donor inititives
cont sida s role s as donor
cont. Sida’s role(s) as donor...
  • Inclusion of communication components in programme design and budget
strategic communication in the design phase
Strategic communication in the design phase
  • Communication exercise with Core Group in the design phase
  • Professional support in communication
  • Focus on ”communication opportunities” with each target group, connected overall objectives
what about sustainabilty now
What about sustainabilty now?
  • Building on National Health Strategy
  • Included in Health Sector SWAp
  • Included in PRSP (as means to reduce maternal and infant mortality)
  • Institutional twinning arrangements
  • Long-term investment that requires ”donor patience”