A Big Family NowA Big Family Now

2007 2012

Developing countries: 8 31

Bilateral donors: 8 13

Int'l agencies and foundations*: 11 12

TOTAL 27 56

*African Development Bank, Bill and Melinda Gates Foundation, European Commission, GAVI Alliance, Global Fund, International Labour Organization, UNAIDS, UNICEF, UNDP, WHO, UNFPA, World Bank

Civil society also plays a key role in IHP+

Increased support for one national health strategy, through:1. More inclusive, better aligned national planning and joint

assessment processes2. More unified support, through country compacts 3. More harmonized financial management 4. One results monitoring platform, to track strategy

implementation5. Greater mutual accountability by monitoring progress against

commitmentsIHP+ works through its partners – governments, development partners,

CSOs; builds on existing processes; and

provides a neutral platform for countries to discuss with development partners

How IHP+ works

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Facilitating involvement of all stakeholders cornerstone in IHP+ approach because only with broad ownership of stakeholders will the country’s strategy deliver the expected results.

IHP+ has had a special role in facilitating the involvement of civil society

Importance of other non-governmental actors and parliamentarians increasingly acknowledged

Stakeholder Involvement

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Support for One Plan, because:•Countries have a sovereign right to ownership•The health care market can only produce optimal result when government provides strong leadership•Only a comprehensive country strategy can adequately address the people’s needs

Alignment with One Plan = Results

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Where it all comes together:

• 12 countries now have formally used the tool for Joint Assessment of National Strategy & Plans (JANS)

• Resulting in improved strategy with an emphasis on a proper results framework and increased confidence from funders

National planning and joint assessment processes

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•18 countries now have compacts specifying the commitments of all partners to implementing the strategy•This mutual accountability is increasingly enforced by specific indicators, and we hope to assist countries on improving this monitoring based on the experience with IHP+Results

Country Compacts

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­Joint fiduciary arrangements would harmonize all types of support with common reporting and one audit­Obvious advantages in terms of transparency, accountability and transaction cost; but also for ability to align all funding behind strategic priorities. All leading to more effective use of funds and thereby improved results

Harmonized & Aligned FM

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­ Precondition for focus on results­ Good quality common framework for

measurement and a well functioning Joint Annual Review (JAR) process are key

­ Linked with the Commisssion on Information & Accountability for Women’s & Children’s Health (CoIA) follow up plans on M&E has been made in most of the countries present

One results monitoring platform

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We have started looking at South-South collaboration

And thinking of new areas where IHP+ has comparative advantage and with a clear effect on achieving better results by improving strategies and their implementation, for example alignment of TA

New areas

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Not Yet There………..U5M Measles MMR SAB ANC1 ANC4 ART HIV

prevalenceTBincidence Nets Antimalarial

1990-2011 2011 1990-2010 Since 2005 Since 2005 Since 2005 2009 2000-2009 2000-2011 Since 2005

Since 2005

BeninBurkina FasoBurundiCambodiaCameroonCape VerdeChadCôte d'IvoireDRCDjiboutiEl SalvadorEthiopiaGuineaKenyaMadagascarMaliMauritaniaMozambiqueNepalNigerNigeriaPakistanRwandaSenegalSierra LeoneSudanTogoUgandaViet NamZambia

MDG 4Reduce child

mortality

MDG 5Improve maternal health

MDG 6Combat HIV/AIDS, malaria and other diseases

• We are all mutual accountable for our commitments towards the national plan, and we need to monitor our commitments

• And not least Development Partners need to walk the talk, only then will they maximise the results of their contributions

Mutual Accountability for Results

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