challenges in coordinating aid among donors in laos - tae jong kim
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8/3/2019 Challenges in Coordinating Aid Among Donors in Laos - Tae Jong Kim
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Wondong ChoKorea Institute for Public Finance
Taejong KimKDI School of Public Policy and Management
ADB WorkshopOctober 2011
National spearhead human capital
Catching up faster when one lags behind further
But there are conditions: rule of law, openness, etc.
May also need national spearhead human capital
Entrepreneurs
Public servants Researchers
Teachers
Health professionals
8/3/2019 Challenges in Coordinating Aid Among Donors in Laos - Tae Jong Kim
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Source: Organization for Economic Cooperation and Development
Clinical skills upgrading for
healthcare professionals Vertical interventions may yield measurable impacts
in a speedier fashion, and be easier to fund
Capacity building is essential however for sustaineddevelopment of the healthcare sector
Experiences of Korea as a former recipient Emphasis on capacity building in the development
agenda “Aid and Beyond”
Clinical skills deficit may be a critical bottleneck inLao PDR
Under-use of local facilities/high attrition of HP
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Seoul-Dr. Lee Project Collaboration between the UHS and the SNU School of
Medicine to upgrade faculty capacity for teaching and research Yearlong UHS faculty skills-upgrading in Seoul for up to 9
faculty members a year, combined with equipments andmaterials to be taken back
Named after the late Dr. Lee, Secretary General of WHO Modeled after the collaboration between the SNU School of
Medicine and the University of Minnesota under the aegis of theUSAID from the 50s
Funded through the Korea Foundation for International
Healthcare (KOFIH) Steep challenges: language barrier, differences in field conditions,
relatively small scale, relative lack of focus no more than justanother drop?
Lao-Korea Friendship Children’s Hospital
Largest hospital in Lao PDR to specialize in servingchildren patients over 6 months To serve as one of the teaching hospitals of the UHS
About 70 beds
Funded through KOICA
The funding plan provides for equipments for medicaltreatments, but not for those to support thefunctioning of the facility as a teaching hospital suchas a proper skills lab
A plan in the pipeline to fund skills upgrading for localhealthcare professionals
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Paris Declaration for Aid Effectiveness Ownership : for aid recipients to forge their own
national development strategies
Alignment: for donors to support these strategies
Harmonization: for donors to work to streamline theirefforts in-country
Results: for development policies to be directed toachieving clear goals, and
Mutual accountability: for donors and recipients to be jointly responsible for achieving these goals
How did the capacity building programs
measure up
Ownership: Education Development Center for HP
Alignment: insufficient consultation?
Harmonization: ample opportunities thereof amongKorean and international agencies
Focus on results: collaboration with KDISDevelopment Lab
Joint accountability: awareness of the significance of outputs and outcomes for sustainability
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Consultation among Lao and Korean agencies led to
restructuring, reorientation, and more resource
commitments The pledge on the part of the UHS to select for future Seoul-Dr. Lee
program batches key faculty personnel to be deployed at the newChildren’s Hospital upon their return,
The pledge on the part of the SNU Medical School to send onefaculty advisor to the UHS to assist the returning faculty membersand coordinate the initial development efforts at the newChildren’s Hospital as a teaching hospital, as well as a promise toconsider expansion of the Seoul-Dr. Lee Program into a two-year,degree program,
The pledges from the KOFIH and KOICA to coordinate their future
funding for the SDL project and the Friendship Children’s Hospitalto support the development of the new teaching hospital, and
The pledge from KOLAO, the leading private-sector business groupin Lao PDR to provide funding to augment funding gaps that mightemerge even after combined commitments from governmental andinternational donor agencies.
Seoul-Dr. Lee Project(program to focus on pediatrics and related fields)
Lao-Korea Friendship Children’s Hospital(teaching hospital)
-Clinical skills training for UHS medical students- Pediatrics practice, research and learning center
KOICA follow-up Projects- Training of healthcare professionals from provinces and districts
- Vehicle for diffusion of the Seoul-Dr. Lee Project
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EDC/HP as a Vehicle for Clinical Skills Upgrading Healthcare a bottleneck on the path to sustained
development
Financial AND human resources critical to overcome thebottleneck
Clinical skills deficit could create a vicious circle
In the Korean case, the Minnesota Project provided theinitial impetus, and the momentum sustained through theefforts of the NTTC (the latter with support from the WHO)
Difficulties for bilateral donor agencies to fund theinitiative: long gestation period, long results chain,difficulties in establishing claims of successful outcomes
PediatricsModule
Seoul-Dr. Lee Project(skills upgrading for
faculty members)
Lao-KoreaFriendship
Children’s Hospital(teaching hospital)
KOICA follow-ups-Training of healthcare
professionals fromprovinces and
districs
OB-GYNModule
Settatilath Hospital(teaching hospital)
……
Other Module(InternalMedicine, e.g.)
Other Module
Support from JICA?
UHS EDC/HP
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Road Ahead September Vientiane workshop hosted by the Lao
government, convention of international donor agencies
Sector-wide coordination group the formal policy dialoguechannel
Ownership and leadership on the part of Lao MOH andUHS critical in designing strategic implementation planand securing donor engagement Components/modules phase plan
Financing plan (per module, infrastructure investment vs.recurrent costs)
Need for monitoring and impact assessment system tosustain continued donor engagement