the new way of working - world health organization · the new way of working strengthening the...

The New Way of Working

Strengthening the Humanitarian, Development, Peace Nexus

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programme EMERGENCIES

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Photo: WHO/C. Haskew

The Humanitarian-Development Divide

Humanitarian Development

Substitution/parallel

Outlook

Coordination/Leadership

Planning Frameworks/Tools

Legal Frameworks

Types of Settings

Culture/Approach

5-10 years 6-12 months*

System-led

HRP/HNO/HeRAMS

Sovereign Law

Stable/Willing Fragile/ Unwilling

UNDAF/ CCA/ SARA

Government-led

Complementarity

Humanitarian Principles/ IHL

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New Way of Thinking: 2016 Global Processes

Agenda for Humanity

“Leave No One Behind” “Reach the Furthest First”

Agenda 2030

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Bridging the Hum-Dev Divide in Health

Joint Analysis

Define Collective Outcomes

Joint Planning

Progressive Caseload Management

Life Saving

Assistance

Integration in

National Health

System

Health System

Strengthening

Humanitarian Development

‘Joined Up’ Programming

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What About Peace?

• Things to Consider

–The Sustaining Peace Resolutions of 2016.

–Protracted crises are the new normal.

–Protracted crises are often driven by conflict.

–Governments are sometimes party to conflict.

–Are health services conflict sensitive?

–Can health interventions build peace?

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Horizontal

Social

Cohesion

Vertical

Social

Cohesion

Peace

Dividends

Using Health Services as

Platform to build Peace

Using Health to Advocate for

Inclusion of vulnerable

populations/ warring factions

Using Health Services as tangible

development gains (peace

dividends) and as a means for

further Access.

Explicit Programme Design

Nat

ure

of

Pe

ace

bu

ild

ing

Act

ivit

y

Low Med High

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Peace Through Health: Some Programmatic Options

Conflict Analysis

Conflict Sensitivity Peacebuilding

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Conflict Analysis

Conflict Sensitive Programming

Peacebuilding Programming

Working IN Conflict

Working ON Conflict

Programme Design Objectives

Emergency Health Service

Health Systems Strengthening

Vertical Cohesion(inclusion)

Horizontal Cohesion (dialogue)

Infectious Disease Management

Outcomes

Addressing Root Causes

Ending Needs

Context Analysis

Risk Analysis

DO

MO

RE

GO

OD

D

O N

O H

AR

M

Peace Dividends & Access

Ensure National Reconciliation

Prevent Further Conflict

Reducing Vulnerabilities

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Putting it all Together

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Conflict Analysis

Conflict Sensitive Programming

Peacebuilding Programming

Working IN Conflict

Working ON Conflict

Programme Design Objectives

Emergency Health Service

Health Systems Strengthening

Vertical Cohesion(inclusion)

Horizontal Cohesion (dialogue)

Infectious Disease Management

Outcomes

Addressing Root Causes

Ending Needs

Risk Analysis

DO

MO

RE

GO

OD

D

O N

O H

AR

M

Peace Dividends & Access

Ensure National Reconciliation

Prevent Further Conflict

Promote Reconstruction

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H+D

+P

Context Analysis

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A new way of working

• A coherent response requires a shared analysis and vision based on robust evidence.

• Allow for joint planning between health systems strengthening and humanitarian interventions.

• Collective Outcomes to be identified from the onset of a crisis, and a system put in place to track short, medium, and long term health outcomes.

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• Humanitarian Interventions should focus on Integration and transition to local authorities as early as possible (cluster transition plan).

• While Development Oriented workstreams should target fragile and conflict affected areas in a more operational manner.

• Review ongoing activities in fragile contexts and determine degree to which they are both conflict sensitive, and fit for sustaining peace.

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Strategic objectives in protracted emergencies:

• Progressively expand access, coverage and quality of an Essential Package of Health Services (EPHS)

• Progressively shift from a focus on service delivery by supporting health facilities to an area and population based approach through District Health Management (DHM), supported by community engagement

• All hazard emergency risk management

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• Early recovery approaches, using work around EPHS as practical bridge

• Humanitarian needs/risk analyses & health sector review, disaster risk assessment

• Joint coordination meetings humanitarian and development partners/IHP+, complementarity in planning and funding

• EWARN and preparedness & IHR and EDRMH in fragile contexts

• Connections with GF and Gavi strategy in COI

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• Bringing humanitarian caseload under types of insurance coverage (UNHCR in Lebanon)

• Pilot different provider payment mechanisms in protracted emergencies

• The BBB and improved resilience in recovery planning, & planning for health system resilience against shocks in NHSP

• Do no harm & maintain humanitarian principles

• Remain impartial in dialogue with government

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Thank You…

the new way of working - world health organization · the new way of working strengthening the...

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