Uganda’s experience with monitoring aid effectiveness commitments in the health sector Dr. Sarah Byakika Ministry of Health 5th October 2012
How is it being done, and what is being monitored? • Compact between GOU and Partners for Implementation of the Health Sector Strategic and Investment (HSSIP) 2010/11 – 2014/15 • Guiding Principles: • Ownership and leadership by government • Alignment of all partner programmes, activities and funding to one national plan (HSSIP) and harmonized annual plan • Use of common management arrangements • Value for money, and • One monitoring framework to promote accountability
How is it being done, & what is monitored? • Health Policy and Advisory Committee (HPAC) serves as the main oversight and steering body for monitoring implementation of the Compact. • Specifically responsible for; • Quarterly review of whether signatories are on track with their commitments . • Attendance of the quarterly sector performance review meetings • Participating in Annual reviews to monitor whether “Government” has met its commitments with respect to the implementation of HSSIP
How are findings being used, and by whom? • Quarterly/biannual and annual reports compiled, discussed and disseminated • Annual performance report findings are discussed at the Joint Review Mission; • Involves all stakeholders in health • Focuses on performance against the core indicator targets, • Jointly identify challenges, priority interventions and targets for the remaining period in the FY and subsequent year. • Expected to guide planning & resource allocationby government and partners • Used for recognition and reward
How are findings being used, and by whom? • Used to meet other national and global reporting requirements e.g. Government of Uganda Annual Report, Project Reports, IHP+ report
What has changed, as a result? • Government taking lead in determining sector priorities (HSSIP) and available resource allocation • Using a common M&E framework (Country-led) with harmonized M&E tools. Minimisedreporting requirements at implementation level • Joint Assessment Framework – jointly agreed targets and monitoring avoiding conflicting reports
Main lessons • Continuous dialogue necessary to bring all partners on board (Long consultative process) • All key stakeholders need to be involved in development of monitoring tools to cater for data/reporting needs, ensure ownership, use and transparency
Major Challenges • Not all donors are signatory to the Compact • Some partners hesitant to adopt the SWAPs – • off budget funding which is difficult to program and monitor and may not be aligned to sector priorities • Opting for project support and Parallel Implementing Units with focus on achieving project indicators. (skews resources) • Difficult to track donor resources due to lack of transparency. (Some do not share MOU, commitments or amounts disbursed with MoH and this information is not easily accessible from MoFPED) • Sometimes disbursements are below commitments. Who is to be held accountable? • Development Partner Commitments are not assessed or discussed during the sector performance reviews.