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Paper IV: Health System Management and International He

A class presentation on:

International Health Partnership


Prabesh Ghimire
MPH 341

Background

2000s MDG declaration: 3 of 8 goals were


health related

Development assistance doubled


Global initiatives for specific health priorities
increased
Progress results were inadequate

Significant Bottlenecks:
Health systems constraints
Level and way health aid was provided/managed

Progress towards MDG: Inadequate


25
20

Trends in U-5 deaths, 1960-2015 (million deaths per year)


4.1
3.6

15
10

2.7
13.5

10.9

1.8

1.4

5.1

4.1

3.5

4.1

4.6

4.9

5
0

2.9

3.2

1.1

8.3

0.8
3

0.1
2.2
2

5.1

Other
Asia
Africa

Investment in Health: Insufficient

International Funding: Irregular


40
35
30
Benin
Burundi
Ethiopia
Mali
Niger

25
20
15
10
5
0
2000
5

2001

2002

2003

2004

Background contd.

2001: Report of Commission


Economics and Health

on

Macro

Low income countries are not capable of financing


modest package of essential health services by
themselves.
recommendation for poor countries to work in
partnership with high income countries to scale up
their health systems
Donors support low income countries

Background contd.

Feb 2007: Paris declaration on Aid


effectiveness

Birth of IHP

Sep 2007:
Global partnership launched under UK
government
initiative
as
International
Health
Partnership

Built on core principles of Paris declaration, 2007


Accra Agenda for Action, 2008
Busan
Partnership
for
Effective
Development
operation(2011)

Co-

Four main objectives:

Results-focused, country-led compacts


Generating and disseminating relevant knowledge, guidance
and tools
Coordination and efficiency
Mutual accountability and monitoring of performance

What IHP does?

Putting principles into practice

Support inclusivenational planningprocesses


Jointly assessnational health strategies and plans
(JANS)
Negotiate and agreecountry compactsor their
equivalent
Report on progress in a more unified way, based
onone common results monitoring framework
Ensuremutual accountabilitybetween all
stakeholders.

Smallcountry grants, as flexible funds

Framework of Partnership
Donors/
Funders

Multi, Bilateral
Health
Initiatives

Related Health
Initiatives

Country Led
National Health

harmonized
Strategy
partnership,
more efficient use of
domestic
and
external
resources
for health, and
improved
results
against the health
MDGs / SDGs
10

Recipient
country

Related initiatives

Related initiatives came at same time to


scale-up access and interventions to address
health system bottlenecks.
Coordination with multitude of global/ donor
initiatives and a common workplan
Initiated in 2008
Called as the international health partnership
and related initiatives (IHP+)

11

IHP + Related Initiatives

12

IHP+ Partners

26 Partners in 2007
Currently 66 partners

13

37 Partner countries
29 Development Partners
Civil Societies

Compacts

Global Compacts

14

Foundation global document for IHP+


All partner countries, international agencies and
bilateral donors sign it when they join IHP+
sets out the goals and approach of IHP+
Signatories make collective and individual
commitments to adhere to agreed aid
effectiveness principles in the health sector

Compacts contd.

Country Compacts

negotiated agreement between a government and


development partners
Set out points on how to work together to improve
health outcomes

Benefits:

15

improve partner alignment with country systems;


brings new partners into health sector coordination efforts;
addresses the fragmentation and volatility of health aid, and
reduces transaction costs
tool for mutual accountability

Country Led National Health Plan

Central to the compact is the country led


national health plan
one costed, results-oriented
IHP +
shifts in aid environment

16

Results and Evidences


Overall
country
performance scores were
positively correlated with
the number of years a
country participated in the
IHP+

There
was
also
a
positive
correlation
between overall country
performance scores and
level
of
external
funding
17

Source: IHP + 2014 Progress Report

Results and Evidences

Democratic Republic of Congo,

Ethiopia

New MOH single donor coordination arrangement led to a


significant reduction in management costs for donor funds
from 28 percent to nine percent.
Progressive alignment of donors helped increase Primary
Health Care coverage.

Nepal:

18

Impressive results from free maternal health care launched


in few districts in 2007.
Nationwide scale up because government and donors
acted collectively to ensure the necessary resources
reached all districts.

IHP+ Recent Developments

2011: 4th High Level Forum on Aid


Effectiveness in Busan

IHP+ changed its focus from aid effectiveness to


effective development cooperation
South-south and triangular cooperation
Engaging private sector and emerging economies

2012: Seven systems-focused behaviours


identified for international partners
2016: Commitments to Sustainable
Development Goals

19

Replaced MDG with SDG ----- attain universal health


coverage

How development partners can change for


better health?

20

Nepal in International Health Partnership

First South Asian country to sign global


compact in Sep 2007
Third country to sign country compact in Feb
2009
IHP+ Nepal Country Compact: Nepal Health
Development Partnership
Signed by 8 EDPs
7 commitment areas, joint and separate
responsibilities

21

References
1.

2.
3.
4.
5.
6.
7.

22

Sharma N. The International Health Partnership (IHP) and


Related
Initiatives
(IHP+)and
Nepals
Experience.
[Presentation]. 2009.
International
Health
Partnership
official
webpage
http://www.internationalhealthpartnership.net/
Paris Declaration on Aid Effectiveness, 2007
IHP + Strategic Directions 2016-17
Nepal Health Development Partnership. Kathmandu:
Government of Nepal; 2009.
Progress in the International Health Partnership & Related
Initiatives (IHP+). 2014.
Holzcheiter A. The Handbook of Transnational Governance:
Institutions and Innovations. UK: Polity Press; 2012.