multi-country workshop to strengthen results and ... · seven countries were invited to participate...

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1 MULTI-COUNTRY WORKSHOP TO STRENGTHEN RESULTS AND ACCOUNTABILITY SUMMARY – WORKSHOP REPORT Manila, Philippines, March 19-21 2011 World Health Organization ____________________________________________________________ Executive Summary On 19-21 March, delegations from seven Eastern Asian countries (China & Mongolia), South- Eastern Asian countries (Cambodia, Lao, Philippines and Viet Nam) and Papua New Guinea, supported by a range of country, regional and global partners 1 *, met in Manila, Philippines to develop country roadmaps to strengthen national accountability and action for improving women’s and children’s health. The Manila workshop, one in a series of regional workshops that will ultimately cover 75 priority countries, is part of the action plan for implementing the recommendations of the Commission on Information and Accountability for Women’s and Children’s Health. The Commission, which issued its final report in May 2011, outlined recommendations in three areas: better tracking of results, better tracking of resources, and better oversight of results and resources, nationally and globally. The country delegations who participated in the “Multi-country workshop to strengthen results and accountability for women’s and children’s health”, organized by WHO and partners 1 , assessed their current situations and developed draft roadmaps for enhancing accountability in seven key areas for action: monitoring of results, tracking resources, civil registration and vital statistics, maternal death reviews, strengthening the use of information and communication technology (ICT), strengthening national mechanisms for review and accountability, and advocacy for accountability and action. A Country Accountability Framework tool, with suggested criteria for progress in each of these seven areas, was used by the delegations to identify strengths and weaknesses and define appropriate actions for their country. The objectives of the CAF tool are: 1. To provide an overview of the current status of the different components of a country accountability framework for the health sector, with a focus on Reproductive Maternal Newborn and Child Health (RMNCH); 2. To lay the foundation for the development of a roadmap with specific activities to implement/strengthen the country accountability; 1 Partners present at the workshop: Asian-Pacific Resource and Research Centre for Women (ARROW), UN Economic and Social Commission for Asia and the Pacific (ESCAP), Japan International Cooperation Agency (JICA), International Telecommunication Union (ITU), International Planned Parenthood Federation (IPPF) East and Southeast Asia and Oceania Region, Korea Foundation for International Care (KOFIH), Save the Children (Viet Nam), Likhaan Center for Women’s Health (Philippines), the Mongolian Family Welfare Association, United Nations Population Fund (UNFPA) APRO, Lao PDR, Mongolia, Papua New Guinea, Philippines, Viet Nam, UNICEF Mongolia, Philippines, and World Vision Development Foundation.

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Page 1: MULTI-COUNTRY WORKSHOP TO STRENGTHEN RESULTS AND ... · Seven countries were invited to participate in the workshop and included: Cambodia, China, Lao PDR, Papua New Guinea, Philippines,

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MULTI-COUNTRY WORKSHOP TO STRENGTHEN RESULTS AND

ACCOUNTABILITY

SUMMARY – WORKSHOP REPORT

Manila, Philippines, March 19-21 2011

World Health Organization

____________________________________________________________

Executive Summary

On 19-21 March, delegations from seven Eastern Asian countries (China & Mongolia), South-

Eastern Asian countries (Cambodia, Lao, Philippines and Viet Nam) and Papua New Guinea,

supported by a range of country, regional and global partners1*, met in Manila, Philippines to

develop country roadmaps to strengthen national accountability and action for improving

women’s and children’s health. The Manila workshop, one in a series of regional workshops

that will ultimately cover 75 priority countries, is part of the action plan for implementing the

recommendations of the Commission on Information and Accountability for Women’s and

Children’s Health. The Commission, which issued its final report in May 2011, outlined

recommendations in three areas: better tracking of results, better tracking of resources, and

better oversight of results and resources, nationally and globally.

The country delegations who participated in the “Multi-country workshop to strengthen results

and accountability for women’s and children’s health”, organized by WHO and partners1,

assessed their current situations and developed draft roadmaps for enhancing accountability

in seven key areas for action: monitoring of results, tracking resources, civil registration and

vital statistics, maternal death reviews, strengthening the use of information and

communication technology (ICT), strengthening national mechanisms for review and

accountability, and advocacy for accountability and action.

A Country Accountability Framework tool, with suggested criteria for progress in each of these

seven areas, was used by the delegations to identify strengths and weaknesses and define

appropriate actions for their country.

The objectives of the CAF tool are:

1. To provide an overview of the current status of the different components of a country

accountability framework for the health sector, with a focus on Reproductive

Maternal Newborn and Child Health (RMNCH);

2. To lay the foundation for the development of a roadmap with specific activities to

implement/strengthen the country accountability;

1 Partners present at the workshop: Asian-Pacific Resource and Research Centre for Women (ARROW), UN Economic and Social

Commission for Asia and the Pacific (ESCAP), Japan International Cooperation Agency (JICA), International Telecommunication

Union (ITU), International Planned Parenthood Federation (IPPF) East and Southeast Asia and Oceania Region, Korea Foundation

for International Care (KOFIH), Save the Children (Viet Nam), Likhaan Center for Women’s Health (Philippines), the Mongolian

Family Welfare Association, United Nations Population Fund (UNFPA) APRO, Lao PDR, Mongolia, Papua New Guinea, Philippines,

Viet Nam, UNICEF Mongolia, Philippines, and World Vision Development Foundation.

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In addition, each delegation made a start with the development of a roadmap to implement

the accountability framework according to their specific needs and priorities.

As a next step, a national stakeholders workshop is to be organized where the results of the

assessment and draft roadmap will be presented to a broader group of stakeholders resulting

in a final roadmap 2012-2015, which in every country will build upon and strengthen existing

processes. It should also form the basis for the identification of a set of priority activities that

can be implemented in 2012-13.

Background

In May 2011, the Commission on Information and Accountability for Women's and Children's

Health (COIA) delivered its ten recommendations to strengthen accountability for resources

and results 2. The Commission's work draws on the IHP+ work on monitoring and evaluation3,

and endorses the principles of national leadership and ownership of results, strengthening

country capacity in monitoring, evaluation and review, and reducing the reporting burden.

Accountability has been defined by the COIA as a cyclical process of monitoring, review and

action, linking accountability for resources to results.

A multi-stakeholder process, including a consultation in July 2011 resulted in the translation of

the recommendations into a common strategic work plan. The work-plan identifies priority

areas of focus for strengthening country accountability based on these 10 key

recommendations. These include:

1) Monitoring of results

2) Strengthening use of ICT

3) Resource tracking

4) Birth and death registration,

5) Maternal death review and surveillance

6) National mechanisms for reviews and accountability

7) Advocacy/action.

The overall aim of the workshop was for countries to undertake a situation analysis and to

define priorities within these activities. The proposal was for them to then develop a four year

roadmap for strengthening accountability with a budget allowing catalytic action in countries.

The aim is to build on what ongoing activities, mechanisms and processes in -country,

following the IHP+ approach for harmonization and alignment.

Objective

The overall objective of the workshop was to bring together key stakeholders from ministries

of health, parliamentarians and the partner community to discuss and develop country

roadmaps to further enhance results and accountability for women's and children's health in

particular and the health sector as a whole. Specific objectives included:

2 Keeping promises, measuring results, Every Woman Every Child. Commission on Information and Accountability for Women's

and Children's Health 3 Monitoring, Evaluation and Review of National Health Strategies. A country platform for information and accountability. WHO,

Geneva 2001. ( http://www.who.int/healthinfo/country_monitoring_evaluation/1085_IER_131011_web.pdf )

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1. Orient key stakeholders about the context and implications of the recommendations of the

Commission on Information and Accountability for Women's and Children's Health.

2. Assess the current situation in terms of progress and plans, opportunities and challenges

for implementing the recommendations, and identity priority actions.

3. Building on existing plans and frameworks, develop a country roadmap for enhancing

accountability with costed activities for the next 4 years outlining how the gaps and

priorities will be addressed and implemented.

4. Establish a shared understanding of the work required and the roles and responsibilities of

each partner to implement the roadmap.

Outputs

The expected outputs from this workshop are:

1. Increased awareness and understanding by country and regional stakeholders of the

Commission recommendations and opportunities/challenges for country

implementation;

2. A completed self-assessment and a proposed 4-year accountability roadmap for each

country, identifying the priority actions to be presented and finalized in a national

stakeholder workshop;

3. Shared understanding of the work required and the roles and responsibilities of all

stakeholders in implementing the roadmap and a set of concrete next steps, including

technical assistance requirements.

Participants

Seven countries were invited to participate in the workshop and included: Cambodia, China,

Lao PDR, Papua New Guinea, Philippines, Mongolia and Viet Nam A total of 74 participants

attended the workshop. Annex 1 includes the list of participants.

Each country team consisted of key constituents from each of the seven countries. These

included representatives from the Ministry of Health (RMNCH, planning, monitoring and

evaluation, health systems and financing), civil society organizations, UN/H4 agencies, bilateral

partners and donors among others.

Regional and country level partners were very well represented and included participants from:

Asian-Pacific Resource and Research Centre for Women (ARROW), UN Economic and Social

Commission for Asia and the Pacific (ESCAP), Japan International Cooperation Agency (JICA),

International Telecommunication Union (ITU), International Planned Parenthood Federation

(IPPF), Korea Foundation for International Care (KOFIH), Save the Children (Viet Nam), the

Mongolian Welfare Association, United Nations Population Fund (UNFPA) APRO, Lao, Mongolia,

Papua New Guinea, Philippines, Viet Nam, UNICEF Mongolia, Philippines, World Vision

Development Foundation.

The workshop was hosted by the government of the Philippines, facilitated and organized by

the Regional Office for the Western Pacific.

Sessions

The workshop sessions were organized along the seven key areas of focus of the results and

accountability, as identified by the Commission on Information and Accountability for

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Women’s and Children’s Health (the agenda for the workshop is in Annex 2). These covered

the following:

I. Introduction, objectives and framework

II. Country Practices: Country accountability framework

1. Maternal death surveillance and response (MDSR) and quality of care assessment

2. Monitoring of results

3. Civil registration and vital statistics (CRVS)

4. Innovation through the use of Information, Communication and Technology (ICT)

5. Resource tracking

6. National review mechanisms

7. Advocacy and accountability

III.Country Accountability Framework: Roadmaps and Next steps

Each of the seven sessions for country practices were organized in three parts:

1. Plenary presentation and country presentation

2. Country group work

3. Country report to plenary

The first consisted of a brief introductory presentation highlighting the goal of the topic area,

the current situation, the main gaps and the key features of success. This was then followed by

a short country perspective relating to the specific topic area. The country perspective focused

on the current situation in country, the main weaknesses and gaps, the needs and priority

activities to address the gaps.

Country teams were then invited to convene in break-out rooms with one or two facilitators,

including global and regional partners, to discuss and work on the situation analysis and

propose possible action for each of the 7 areas listed above using the “Self- Assessment Tool

for planning and implementing the Country Accountability Framework.” This tool can be

found at the following link www.who.int/woman_child_accountability.

For each item included in the assessment tool, a range of possible scenarios is provided

allowing for objective and quantitative ratings. Each group was able to provide a consensus

score for each item and complete the excel sheet provided. Two or three countries were then

invited to report back on their discussions and the main highlights.

The last part of the workshop focused on the review and finalization of their country situation

assessment and priority actions for the accountability roadmap.

Results

Each country team completed a self-assessment of the current situation in their respective

countries in the 7 priority areas of focus of the workshop, including review and planning

processes, monitoring of results, tracking resources, birth and death registration, maternal

death surveillance and response, eHealth and innovation, and advocacy for accountability and

action. Items within each of the sections in the tool were scored using a Likert-type scale and

an overall score was generated for each section. Please find the overall results by country in

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the priority areas in Annex 3. While participants were asked to score themselves in the priority

areas, the purpose of the scoring was less as an absolute measure of performance but more as

an indicative measure of areas requiring further action. These scores are a self-assessment

subject to change when presented to other stakeholders at the national workshops. Based on

the scoring of the priority areas and the situational analysis, a scorecard was generated for

each country. These scorecards are be posted on www.who.int/woman_child_accountability.

In addition, the teams were asked to initiate the development of a roadmap to implement the

accountability framework according to their specific needs and priorities. This initial self-

assessment round serves as a spring board for a national stakeholder workshop where all

relevant partners in the country would meet to discuss and finalize the results, situational

analysis and priority actions proposed in the initial self-assessment.

Analysis of the results show that while country-specific variations exist in the contextual

factors that negatively affect accountability for women’s and children’s health, there are some

factors that seem to be common across the board. These factors are mentioned below with

some country-specific highlights:

Next Steps

Country participants were tasked to convene a national stakeholders workshop to present the

results of the assessment, get feedback and agreement on the contextual analysis, and discuss

priority setting. The national stakeholder workshop would produce a completed roadmap,

which has to be submitted to WHO. Catalytic funding for $250,000 is available to all countries

to support priority activities. Other in-country resources would need to be mobilized for the

key priority actions.

The assessment and the roadmap will be published on the Accountability for Women's and

Children's Health website to ensure transparency. Countries should also ensure the publication

of the assessment and roadmap in their ministry of health website.

Finally, the most difficult and yet the most important task would be to actually implement the

tasks set forth in the roadmap.

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ANNEX 1: LIST OF PARTICIPANTS

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ANNEX 2: AGENDA MULTI-COUNTRY WORKSHOP

FOR THE DEVELOPMENT OF ACCOUNTABILITY FRAMEWORK Manila, Philippines, 19-21 March 2012

Monday 19 March 2012 Chair Ugochi Daniels

(UNFPA) 8.00 – 8.30 Registration

1 INTRODUCTION

8.30-9:00

9:00 – 9:15

Opening ceremony

Implementation of the Global Strategy for Women's and

Children's Health and country action

Regional and country context: Political will and

commitment to the Global Strategy

Hans Troedsson (WHO)

Han Tieru (WHO)

Henk Bekedam (WHO)

9:15-09:30 Overview of the Commission recommendations and

opportunities for strengthening country accountability

Presentation Ties Boerma (WHO)

9:30-10:00 Perspectives of partners Tour de table UNFPA, UNICEF, PMNCH/IPPF,

ARROW, ITU, JICA, KOFIH

10:00-10:30 Objectives, introduction to sessions, working groups and

tool

Presentation Fiona Gore (WHO)

Each of the sessions 2-8 will be introduced by short orientation presentation and a short country experience. This will be followed by

country group work working with the self-assessment Country Accountability Framework tool to address following questions: What is the

current situation? What are the main gaps and weaknesses ? How to address the gaps? What are the priority actions to take?

10.30-11.00 GROUP PHOTO & COFFEE BREAK

2 MATERNAL DEATH SURVEILLANCE AND RESPONSE AND QUALITY OF CARE ASSESSMENTS

11:00-11:15

Introductory presentation on maternal death surveillance

and response and quality of care assessments

Orientation

Krishna Bose (WHO)

11:15-11:30 Country perspective Country experience Viet Nam

11:30-12:30 Country working groups with facilitators

Country groups

12:30-13:00 Country feedback

Country feedback in

plenary

13:00-14:00 LUNCH

3 STRENGTHENING MONITORING OF RESULTS

14:00-14:15

14:15-14:30

Introductory presentation on monitoring of results

Country perspective China

Orientation

Country experience

Jun Gao (WHO)

China

14:30-15:30

Country working groups with facilitators

Country groups

15:30-16:00 COFFEE BREAK

16:00-16:30 Country feedback

Country feedback in

plenary

18:00-20:00 RECEPTION

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Tuesday 20 March 2012

Chair Romeo Arca

(IPPF)

4 STRENGTHENING CIVIL REGISTRATION AND VITAL STATISTICS (CRVS)

8:30-8:45 Introductory presentation on CRVS Jan Smit (ESCAP)

8:45-9:00 Country perspective - Mongolia Mongolia

5 STRENGTHENING INNOVATION THROUGH THE USE OF INFORMATION, COMMUNICATION AND

TECHNOLOGY (ICT)

9:00-9:15

Introductory presentation on innovation through use of ICT

Orientation

Aurora Rubio (ITU)/ Mark

Landry (WHO)

9:15-9:30 Country perspective - Cambodia Country experience Cambodia

9:30-10:30 Country working groups with facilitators – Session 4 CRVS &

Session 5 ICT

Country groups

10:30-11:00 COFFEE BREAK

11:00-12:00 Continued: Country working groups with facilitators –

Session 4 CRVS & Session 5 ICT

Country groups

12:00-12:30 Country feedback to plenary on Sessions 4 & 5 Country feedback in

plenary

12:30-13:30 LUNCH

6 RESOURCE TRACKING AND NATIONAL HEALTH ACCOUNTS (MNCH)

13:30-13:45 Introductory presentation on resource tracking, NHA and

MNCH sub-accounts

Orientation

Tessa Edejer (WHO)

13:45-14:00

Country perspective - Philippines

Country perspective

Philippines

7

NATIONAL REVIEW AND ACCOUNTABILITY MECHANISMS

14:00-14:15

14:15-14:30

Introductory presentation on review and accountability

mechanisms

Country perspective – Lao PDR

Orientation

Country perspective

Maia Ambegaokar (WHO)

Lao PDR

14:30-15:30 Country working groups with facilitators – Session 6

Resource tracking & Session 7 Accountability mechanisms

Country groups

15:30-16:00 COFFEE BREAK

16:00-17:00 Continued: Country working groups with facilitators -

Session 6 Resource tracking & Session 7 Accountability

mechanisms

Country groups

17:00-17:30 Country feedback

Country feedback in

plenary

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Wednesday 21 March 2012

Chair Jan Smit

(ESCAP)

8 ADVOCACY AND OUTREACH

8:30-09:00 Advocacy and outreach panel Panel

Romeo Jr. Abad Arca (IPPF),

Blerta Maliqi (WHO) & Papua

New Guinea

09:00-10:00 Country working groups with facilitators

Country groups

10:00-10:30 COFFEE BREAK

10:30:11:00 Country feedback

Country feedback in

plenary

9 COUNTRY ACCOUTABILITY ROADMAPS AND NEXT STEPS

11:00-11:30

11:30-12:30

- Summary of country assessments: highlights and

challenges

- From country assessments to roadmaps

Final remarks

Ties Boerma (WHO)

Henk Bekedam

(WHO)

12:30-13:30 LUNCH

13:30-15:00 Finalization of country accountability roadmaps with

facilitators: Prioritizing actions

Country groups

15:00-15:30 Wrap-up

Plenary

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ANNEX 3: COUNTRY ACCOUTABILITY FRAMEWORK RESULTS

Maternal death surveillance and responseN

OT

IFIC

AT

ION

Advocate/

develop

national

policy on

maternal

death

notificationC

AP

AC

ITY

TO

RE

VIE

W A

ND

AC

T

Strengthen

national

capacity

through

training in

MDSR

Strengthen

district

capacity

through

training in

MDSR

HO

SPIT

ALS

/FA

CIL

ITIE

S Improve

reporting by

hospitals;

Training in

ICD

certification

and coding

(links with

CRVS)

Strengthen

hospital

capacity and

practices,

including

private

sector

QU

ALI

TY

OF

CA

RE

Support a

regular

system of

QoC

assessments

with good

disseminatio

n of results

for policy

and planning

CO

MM

UN

ITY

RE

PO

RTI

NG

&

Develop /

strengthen a

community

system of

maternal

death

reporting

and

response,

using ICT

Develop /

strengthen a

system of

maternal

death

reporting

and

response

initiation by

electronic

devices

Develop /

strengthen

VA for

maternal

deaths in

communities

Develop

system of

involving

communities

in review

and

response

REV

IEW

OF

TH

E S

YS

TEM Support and

strengthen

review

system

including

disseminatio

n and use of

the report

Cambodia 3 3 2 3 2 4 2 1 2 2 3

China 3 3 3 3 3 3 3 4 3 2 3

Lao 1 3 2 2 2 1 2 1 2 2 2

Mongolia 4 4 3 4 4 2 4 4 4 3 3

Papua New

Guinea1 2 1 2 2 1 2 2 1 1 2

Philippines 1 2 2 2 2 3 1 2 2 1 1

Viet Nam 2 2 2 2 2 1 2 1 2 1 1

KEY: 1 Needs to be developed/done

2 Needs a lot of s trengthening

3 Needs s ome strengthening

4 Already present/no action needed

N/A

Multi country workshop, Manila, March 2012

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24

Monitoring of results

M&

E P

LA

N

Strengthen

the M&E

component

of the NHS

Review the

RMNCH M&E

plan(s) and

a l ign with

the M&E of

the NHS

M&

E C

OO

RD

INA

TIO

N Establ i sh or

s trengthen

M&E

coordinating

body

HE

AL

TH

SU

RV

EY

S Develop 10

year

hea lth

survey

plan

Plan for a

nationa l

coverage

survey 2012-

13, that

includes

RMNCH

interventions FAC

ILIT

Y D

AT

A (

HM

IS)

Strengthen

ana lytica l

capacity,

annual

compi la tion

of s tati s ti cs

from

faci l i ties

wi th data

qua l i ty

assessment

Conduct

annua l

faci l i ty

survey for

data

veri fication

and service

readiness AN

AL

YT

ICA

L C

AP

AC

ITY Strengthen

analyti ca l

capaci ty,

involve key

insti tutions ;

review

contents ,

analyses

and

presentatio

n

EQ

UIT

Y Strengthen

equi ty

analyses

for reviews

DA

TA

SH

AR

ING Develop/

s trengthen

nationa l

data

repos i tory

wi th a l l

relevant

data and

reports

Cambodia 3 3 4 3 3 4 3 3 3 3

China 4 3 3 4 4 3 3 3 3 3

Lao 2 3 2 3 2 2 2 2 2 2

Mongolia 4 4 2 3 4 3 2 2 3 3

Papua New

Guinea4 3 1 2 1 2 1 2 2 2

Phil ippines 3 3 2 4 4 2 2 2 2 2

Viet Nam 3 3 1 1 1 2 2 3 1 2

KEY: 1 Needs to be developed/done

2 Needs a lot of s trengthening

3 Needs some s trengthening

4 Already present/no action needed

N/A

Multi country workshop, Manila, March 2012

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Civil registration and vital statistics systems (CRVS)

AS

SE

SS

ME

NT

& P

LA

N Conduct rapid

CRVS

as sessment

and use

res ults for

advocacy

/mobi l i zation

key

s ta kehol ders

Conduct ful l

CRVS

assessment

and develop

improvement

plan

CO

OR

DIN

AT

ING

ME

CH

AN

ISM Esta bl ish /

s trengthen

interagency

coordinati ng

committee

involving a l l

key

s takeholders HO

SP

ITA

L R

EP

OR

TIN

G Improve

hos pita l

reporting, use

electroni c

reporting

sys tem

Traini ng of

doctors in ICD

10; regular

qual i ty control

of

certi fi cation;

improve

coding

practi ces CO

MM

UN

ITY

RE

PO

RT

ING Strengthen

community

reporting of

bi rths and

deaths ,

impl ement

innovative

approaches

VIT

AL

ST

AT

IST

ICS

LO

CA

L S

TU

DIE

S F

OR

MO

RT

AL

ITY

ST

AT

IST

ICS Develop/

expand the

HDSS s ystem

Cambodi a 4 2 1 4 3 2 1

Chi na 3 3 2 3 2 2 3

Lao PDR 1 1 2 2 1 2 1

Mongol ia 4 3 1 4 3 4 3

Papua New

Guinea 1 1 1 3 3 1 2 1

Phi l ippines 3 3 3 2 2 2 3 1

Viet Nam 1 1 1 4 3 2 2 1

KEY: 1 Needs to be developed/done

2 Needs a lot of s trengthening

3 Needs some strengthening

4 Already present/no a ction needed

N/A

Strengthen the

ana lytica l

capa ci ty of

vi ta l s tatis tics

office,

incl uding data

qua l i ty

assessment

3

1

3

Multi country workshop, Manila, March 2012

3

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26

Monitoring of resources

NH

A F

RA

ME

WO

RK Develop NHA

framework

Organize a

meeting with

decision

makers and

technical

staff to

develop

instituationa

l

arrangement

s and team

CO

MP

AC

T Organize a

meeting to

engage

government

and

developmen

t partners

and work

towards

"compact"

CO

OR

DIN

AT

ION Set up a

steering

committee,

officially

approved,

with

institutional

support, and

functioning

using results-

based

managemen

t methods

Ensure

inclusion of

all key

stakeholders

in resource

tracking

/NHA

PR

OD

UC

TIO

N Train staff on

system of

health

accounts

2011; train

district and

regional staff

Map

government

codes to NHA

codes and

develop IT

conversion

tool for NHA

Develop

/strengthen

database for

production

of NHA

AN

AL

YS

IS Strengthen

analytical

capacity in

government

and other

institutions

Disseminate

report and

analyses on

public

website

DA

TA

US

E Advocate for

/promote

use of NHA

data in

policy

making

process

Cambodia 1 1 2 1 1 1 1 1 2 1 1

China 4 3 4 3 3 3 3 3 3 3 3

Lao 2 2 2 2 2 2 1 1 2 1 1

Mongolia 2 1 2 1 1 2 1 1 1 1 1

Papua New

Guinea3 2 3 1 1 2 3 1 3 1 2

Phil ippines 3 3 3 3 3 2 2 2 3 3 3

Viet Nam 3 2 2 1 2 2 2 2 3 2 1

KEY: 1 Needs to be developed/done

2 Needs a lot of s trengthening

3 Needs s ome strengthening

4 Already present/no action needed

N/A

Multi country workshop, Manila, March 2012

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27

Review Processes

RE

VIE

WS Advocate for

annual

reviews that

are based on

the goals ,

targets of

the NHS

Define at

country level

a ca lendar

events to

ensure

better

qual i ty of

the annua l

review

process

Ensure that

the RMNCH

appra isal s

are held and

that findings

feed into the

hea lth sector

reviews

SY

NT

HE

SIS

OF

IN

FO

RM

AT

ION

AN

D P

OL

ICY

CO

NT

EX

T Strengthen

the capacity

to prepare

ana lytical

reports prior

to the

reviews

Develop/stre

ngthen

mechanism

to compi le

a l l pol i cy /

qual i tative

information

to inform

annua l

reviews FR

OM

RE

VIE

W T

O P

LA

NN

ING Strengthen

the use of

review

resul ts for

planning

purposes

Ensure

greater

involvement

of a l l

s takeholders

CO

MP

AC

TS

OR

SIM

ILA

R

ME

CH

AN

ISM

S Ensure the

exis tence of

a s ingle M&E

framework

that fi ts into

the s ingle

national

hea lth plan

Al l major

development partners

are committed to the

country "compact",

a im to al ign thei r

resource al l ications

and adjust thei r

budget a l location

according to country

review & planning

outcomes

Cambodia 4 4 4 3 3 3 3 3 2

China 3 3 4 3 3 3 3 4 4

Lao 3 2 3 3 2 2 2 2 2

Mongolia 3 2 3 3 2 2 1 2 2

Papua New

Guinea3 3 3 3 1 3 3 3 3

Phil ippines 3 2 2 2 2 2 2 3 3

Viet Nam 4 4 3 4 3 2 3 3 3

KEY: 1 Needs to be developed/done

2 Needs a lot of s trengthening

3 Needs some strengthening

4 Already present/no action needed

N/A

Multi country workshop, Manila, March 2012

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28

Advocacy & outreach

PA

RL

IAM

EN

T A

CTI

VE

ON

RM

NC

H

Parl iamentari

ans are

mobi l i zed to

engage in

RMNCH

accountabi l i t

y, especia l l y

on financing

Faci l i ta te the

organization

of publ ic

hearings/foru

ms for

shari ng of

information

on RMNCH

CIV

IL S

OC

IET

Y C

OA

LIT

ION Establ ish /

support

/s trengthen

civi l society

coal i tions

Support

capaci ty of

civi l society

to synthes ize

evidence and

disseminate

messages

ME

DIA

RO

LE Work wi th the

media to

s trengthen

their capaci ty

to report on

RMNCH

related

is sues

Work with the

medi a to

strengthen

their capaci ty to

report on the

moni tori ng the

implementati o

n of the Globa l

Strategy

Improve

information

flows to

media

CO

UN

TD

OW

N E

VE

NT Countdown

Coordinating

Committee, UN

agencies (H5),

and other

partners

encourage/supp

ort nationa l

s takehol ders to

plan nationa l

Countdown

Prepare

Countdown

report /

profi l e us ing

a l l evidence

Cambodia 4 3 4 4 3 3 4 4 3

China 4 3 3 3 3 3 3 1 3

Lao 3 2 3 2 2 1 2 2 1

Mongolia 3 3 3 2 3 2 2 2 2

Papua New

Guinea2 1 2 2 2 1 3 2 1

Philippines 3 3 3 3 2 2 2 3 3

Viet Nam 2 2 2 2 2 1 3 1 1

KEY: 1 Needs to be developed/done

2 Needs a lot of s trengthening

3 Needs some s trengthening

4 Al ready present/no action needed

N/A

Multi country workshop, Manila, March 2012