echo partners' conference 2009 workshop b: ngos and the ......enhancing ngo participation •...
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GlobalHealth Cluster
IASCInter-Agency Standing Committee
ECHO Partners' Conference 2009 Workshop B: "NGOs and the
Cluster Roll-out, Strengths and Suggestions for the Future"
The Global Health Cluster's Perspective Linda Doull, Merlin
Nevio Zagaria, WHO
GlobalHealth Cluster
IASCInter-Agency Standing Committee
Countries with designated Humanitarian * (blue) or Resident (green) Coordinator that adopted the
cluster approach (November 2009)
Countries with Humanitarian Coordinators: Afghanistan, Burundi, CAR, Chad, Colombia, Côte d’Ivoire, DRC, Ethiopia, Guinea, Haiti, Indonesia, Iraq, Kenya, Liberia, Nepal, Niger, oPt, Pakistan, Somalia, Sri Lanka, Sudan, Timor-Leste, Uganda, Zimbabwe and Yemen.
Onset emergencies in countries with Resident Coordinators:Bangladesh, Dominican Republic, El
Salvador, Georgia, Honduras, Lao PDR, Lebanon, Madagascar, Mozambique, Philippines, Samoa, Tajikistan.
*: Eritrea (in red) is the only country with Humanitarian Coordinators not using the cluster approach.
GlobalHealth Cluster
IASCInter-Agency Standing Committee
Current Status (1)On 31 active Health Clusters:
12 countries have dedicated full time trainedHealth Cluster Coordinators (HCC) (3 from NGOs)
16 countries have double hatted HCC/Emergency Health Officer, 6 of which are untrained
3 countries have vacant HCC positions (Burundi, Haiti, and Samoa)
90 HCC have been trained and are on the roster (too few from NGOs, too many not available)
GlobalHealth Cluster
IASCInter-Agency Standing Committee
Current Status
(2)
• Health Cluster Guide published and tools finalized and disseminated
• Building staff and partners' capacity to assess and monitor using GHC tools at regional and
country levels
• Regional and Country training /capacity building workshops for I/ NGO representatives
on Humanitarian Reform, Cluster approach and health cluster strategic framework
GlobalHealth Cluster
IASCInter-Agency Standing Committee
The Health Cluster Guide
http://www.who.int/hac/ne twork/global_health_clust er/guide/en/index.html
GlobalHealth Cluster
IASCInter-Agency Standing Committee
GlobalHealth Cluster
IASCInter-Agency Standing Committee
GlobalHealth Cluster
IASCInter-Agency Standing Committee
Core Health Indicators (total # suggested: 26)
1. Health Resources Availability (A 1‐8)
2. Health Services Coverage (C 1‐6)
3. Risk Factors (R 1‐7)
4. Health Outcome (O 1‐5)
GlobalHealth Cluster
IASCInter-Agency Standing Committee
Merlin - Health Cluster Engagement• Global
– Policy & Strategy Team– Working Group for Country Support– Joint presentations, trainings, developing tools & guidance etc.– Mainstreaming cluster guidance & tools into Merlin policy &
guidance.
– Nominate candidate as Health Cluster Coordinator.
• National– Active member – Co‐steward (DRC, Somalia, Myanmar, CAR)– Joint Country Mission (Afghanistan)
• Sub‐national– Active member– Co‐steward (DRC, Somalia).
GlobalHealth Cluster
IASCInter-Agency Standing Committee
Co-stewardshipBenefits
• Promotes joint working• Complement agency skills • Clearer understanding of
humanitarian context• More transparent resource
allocation• Stronger representation of
NGO issues (+ local)• Improved links with MoH• ‘De-politicised’ agency
remits.
Challenges• Vague or no ToRs• Qualified staff for role
– Staff turnover– Training?
• Time commitment – up to 20%
• Opportunity costs to NGO programme delivery/quality
• Costs – travel, gap fill, admin support.
• National or sub-national role?
GlobalHealth Cluster
IASCInter-Agency Standing Committee
Enhancing NGO participation
• Critical for success and effective action!• ECHO funded project: ‘Effective NGO
Participation in Humanitarian Coordination Mechanisms: Mainstreaming Good Practice for Cluster Partners.
• 12 countries – Afghanistan, Pakistan, Nepal, CAR, Ethiopia, Kenya, Liberia, DRC, Somalia, Sudan, Zimbabwe & OPT. – NGO mapping (who is/isn’t & why)?– Awareness raising & Lesson Learning exchange.
GlobalHealth Cluster
IASCInter-Agency Standing Committee
The future……..what needs to be done?
• Increased pro-active engagement by NGOs at all levels, especially country.
• Rapidly scale-up the dissemination & use of GHC tools & standards
• Agree defined ToR for co-steward & clarify level of engagement.
• Clarify costs of NGO engagement in key activities.
• Capture good practice
GlobalHealth Cluster
IASCInter-Agency Standing Committee
Challenges for the Health Cluster at country / field levels
• From coordination to partnership
• From information sharing to analysis of critical information and collective strategic direction
of health sector response
• Mainstreaming cross cutting issues in health sector response, and catalyze multisectoral
response when needed (GBV, HIV, MHPSS, … ) through ICCG