Policy dialogue & donor coordination

1. Policy dialogue & donor coordination

2. Outline • Needs & justification • Management of policy dialogue • Lessons learned • Way forward

3. 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

4. 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 ?

5. 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

6. Needs • Case of complex emergencies : specific needs ( donor coordination, fund raising, managing transition, political problems • Need to manage political tensions : Iraq, South Sudan, etc…

7. 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

8. 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…

9. 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

10. 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,

11. 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

12. 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

13. 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

14. Thank you