Track A- Developing Effective Partnerships to

Roll Back MalariaExperiences and lessons

2

Effective working at country level

• Different contexts: – fighting recurrence– potential success– big challenge settings– complex emergencies

• Why partnership?– Beyond co-ordination: get the best out of available

resources– Common strategy, avoid duplication– Link malaria work with wider human and health

development strategies,– Bring in new partners

3

Elements of partnership• Framework for the partnership: as

inclusive as possible• Agree on goals• Establish consensus on strategy embracing

interests of all, reflecting their own priorities

• Common approach to advocacy • Unified programming, working with and for

each other.• Building on each others’ strengths

4

Who shold be in the partnership?- at country level

• Groups with:– Strong presence throughout country– Focus on health issue but with multi-sectoral

perspective– Willingness to contribute to, and respect a National

strategy– Accepting principles or values of RBM– Willingness to innovate - involve the education

sector, look at the health impact of development projects

– Commitment to build national resources

5

Constraints to effective partnership• Insufficient guidance to partners working in country:

define what different agencies do• Difficult if governments and organisations cannot prioritise

malaria (perhaps alongside HIV and/or other diseases of poverty)

• Difficult when national authorities do not provide strong leadership which covers elements of government, draws in groups outside government (private and NGO), and includes international partners

• Must have vision on how to ensure that more poor people can access ITNs, and clarity on essential action to get this to happen

• Must agree on ways to work better to improve quality of private health providers

6

Opportunities for intensifying action– Governments to link RBM with new

development agendas - children, poverty reduction, debt relief

– Specific goals developed in country, in region, in country

– Build on National Immunisation Days with Child Health Days

– Link to the mobilisation and communication done on HIV

– Focus on malaria, HIV and other priorities in pregnancy

– Prepare to be able to accept increased resources

7

Day 2

• Principles for good country partnerships• Observations and recommendations to

Secretariat • Little focus on how global partners could

better support country partnerships or• How global and regional partnerships

could be more effective - thought to work well.

8

Principles for good country partnerships

• Need for clear and well defined leadership - Ideally Government - but not always poss.

• Need for visison ande clear targets.• Transparency and accountability• Where SWAPs - RBM should seek to ensure

that less malaria is outcome• Where no SWAPs, RBM assists in setting

priorities

9

• Need for long term commitment - malaria like a spring.

10

Strong vs loose partnerships

• Global and Regional - loose ok, but at country and below, need to be firmer.

• Exploit existing partnerhsips and coordination mechs, minimise new structures

• Recognise partnerships take time - need to strengthen capacity

11

Important tensions

• Recognise malaria particularly important, need for action - but want to integrate wherever possible and ensure sustainability.

• Govt and Ministry of Health in drivers seat, but major actions needed by commercial sector, textile makers etc - how to ensure intersectoral action?

• Need to integrate - often essential - with, eg, ANC, IMCI - but how well does it work?

12

Recommendations to Secretariat

• Need for operational research on integration - how well does it work, document best practices

• Identify ways to strengthen national capacity

• Strengthen links with ‘non health’ actors• Ensure all other parts of WHO reflect priority

of RBM - develop plan to ensure this.

13

Remember different contexts

• Global priority – But very different contexts– Working health system– Weak health system– Countries with damaged system

• No ‘one size fits all’ - need to maintain flexibility and avoid too rigid an approach.

14

1 Effective working at

country level • Different contexts:

– fighting recurrence– potential success– big challenge settings– complex emergencies

• Why partnership?– Beyond co-ordination: get the best out of available

resources– Common strategy, avoid duplication– Link malaria work with wider human and health

development strategies, including sector-wide action

– Bring in new partners– Achieve consistency on reporting– Shared approach to strengthening human capacity

2 How partnership

• Devise a framework for the partnership: make it as inclusive as possible: not a template.

• Agree a goal• Establish consensus on strategy

which embraces the interests of all, reflecting their own priorities

• Common approach to advocacy • Unified programming, working with

and for each other.• Building on each others’ strengths

3 Who in the partnership? Groups

with• Strong presence throughout country• Focus on health issue but with multi-

sectoral perspective• Willingness to contribute to, and

respect a National strategy• Accepting principles or values of RBM• Willingness to innovate - involve the

education sector, look at the health impact of development projects

• Commitment to build national resources

4 Constraints to effective partnership

• Insufficient guidance to partners working in country: define what different agencies do

• Difficult if governments and organisations cannot prioritise malaria (perhaps alongside HIV and/or other diseases of poverty)

• Difficult when national authorities do not provide strong leadership which covers elements of government, draws in groups outside government (private and NGO), and includes international partners

• Must have vision on how to ensure that more poor people can access ITNs, and clarity on essential action to get this to happen

• Must agree on ways to work better to improve quality of private health providers

5 Opportunities for intensifying action

• Governments to link RBM with new development agendas - children, poverty reduction, debt relief

• Specific goals developed in country, in region, in country

• Build on National Immunisation Days with Child Health Days

• Link to the mobilisation and communication done on HIV

• Focus on malaria, HIV and other priorities in pregnancy

• Focus on needs of displaced people• Prepare to be able to accept increased

resources

2nd February 2000: 17.00

DEVELOPMENT OF EFFECTIVE RBM PARTNERSHIPS: lessons of experience

Questions for tomorrow: 1 Principles for good country partnerships? 2 How can global partners better support country partnerships? 3 How can global and regional partnerships be more effective? 4 Observations and actionable recommendations to Secretariat: eg case studies of success or failure? Burden reduction for programme staff? Integration of different interventions