COUNTRY INFORMATION AND ACCOUNTABILITY PLATFORM

IHP+ STEERING COMMITTEE MEETING

20 JUNE 2014

Monitoring Results & Accountability

IHP+ country-led platform for information & accountability

Framework & characteristics Developed by WHO, World Bank, GAVI & GF in consultation with countries Published in 2011

Technical framework used by many countries in development of 5-year health sector strategic plans Strengths: focus on core indicators with targets, results, regular reviews Weaknesses: data gaps including quality, suboptimal use of data in

reviews and planning, lack of institutional involvement outside MOH, poor alignment of program plans and reviews with national plan

Partner alignment with country framework Investment of partners in different components Increasing discussion and some action to strengthen the performance of

the national platform (data quality, fill data gaps) Some efforts to use the national platform for global reporting

Accountability framework for women’s and children’s health

10 recommendations of Commission in 2011 75 countries, 63 completed assessment and national roadmaps;

received catalytic resources ($250,000 in phase I)

Focus on: Health with special attention for RMNCH (IHP+ influence), even though

there are many new RMNCH initiatives Monitoring of results, tracking of resources, CRVS, MDSR, e & mHealth,

reviews and advocacy

Results: Accountability framework (monitoring, review, action) resonates well Strengthening of components such as better M&E component of

national health strategy, eHealth strategy, new MDSR guidelines implemented, national health accounts with subaccounts, CRVS “revolution”

Discussions about a second phase for countries

Global Health Agency LeadersIndicators & reporting requirements

WG established with 19 agencies, led by WHO and WB to reduce reporting burden for countries

Rapid review of the burden completed with 12 countries, plus inventory of global agency requirements

Diagnosis Momentum Impediments Possible actions

1 Too many indicators for countries

Willingness to reduce indicators, more emphasis on quality

Demand for more results, more disaggregation and accountability

Agree upon global core set of indicators

 

2 Reporting requirements are diverse and multiple

Willingness of partners to align

Demand for results and emphasis on “tit-for-tat” accountability (specific results for specified external resources)

Agreement by partners to support one national platform for information & accountability that meets IHP+ criteria

2a Poor country systems alignment between M&E of health sector and disease plans

More focus on a smaller set of indicators and targets

Verticalization of programs, fuelled by separate funding streams

Ensure better alignment between plans (IHP+ behaviours)

3 Investments in M&E systems are fragmented and inefficient

Awareness of the need to support systems and address data availability and quality gaps; innovative approaches possible

Program-specific approaches lead to fragmentation;

Strengthen alignment of M&E investments, including DQ, in support of national M&E platform, including innovative approaches

Global Health Agency LeadersIndicators & reporting requirements

WG established with 19 agencies, led by WHO and WB to reduce reporting burden for countries

Rapid review of the burden completed with 12 countries, plus inventory of global agency requirements

Way forward Develop global list of core indicators Focus on countries: work together and make alignment

in support of national platform real along the lines of the IHP+ framework for information and accountability: requires country leadership, supported by partners