Prabesh Ghimire presented on the International Health Partnership (IHP). The IHP was launched in 2007 to help coordinate global health initiatives and improve health systems in developing countries. It aims to support country-led health plans, jointly assess strategies, negotiate funding agreements, and increase accountability. The IHP has grown to include 66 partner organizations and 37 countries. Country compacts outline commitments between governments and donors to align funding with national health priorities. Studies show countries engaged with IHP have seen positive results, including increased health funding and coverage. Nepal was an early adopter of IHP principles through its own health partnership compact.
2. Background
2
2000s MDG declaration: 3 of 8 goals were health
related
Development assistance doubled
Global initiatives for specific health priorities increased
Progress results were inadequate
Significant Bottlenecks:
Health systems constraints
Level and way health aid was provided/managed
3. Progress towards MDG: Inadequate
3
2.9 3.2 3.5 4.1 4.6 4.9
2
5.1
13.5
10.9
8.3 7 5.1 4.1
2.2
3
4.1
3.6
2.7
1.8
1.4
1.1
0.1
0.8
0
5
10
15
20
25
Other
Asia
Africa
Trends in U-5 deaths, 1960-2015 (million deaths per year)
6. Background contd.
6
2001: Report of Commission on Macro Economics
and Health
Low income countries are not capable of financing
modest package of essential health services by
themselves.
recommendation for poor countries to work in partnership
with high income countries to scale up their health
systems
Donors support low income countries
8. Birth of IHP
8
Sep 2007: Global partnership launched under UK
government initiative as International Health Partnership
Built on core principles of Paris declaration, 2007
Accra Agenda for Action, 2008
Busan Partnership for Effective Development Co-
operation (2011)
Four main objectives:
Results-focused, country-led compacts
Generating and disseminating relevant knowledge, guidance
and tools
Coordination and efficiency
Mutual accountability and monitoring of performance
9. What IHP does?
9
Putting principles into practice
Support inclusive national planning processes
Jointly assess national health strategies and plans
(JANS)
Negotiate and agree country compacts or their equivalent
Report on progress in a more unified way, based on one
common results monitoring framework
Ensure mutual accountability between all stakeholders.
Small country grants, as flexible funds
10. Framework of Partnership
10
Donors/
Funders
Recipient country
Multi, Bilateral
Health Initiatives
Related Health
Initiatives
Country Led
National Health Strategy• harmonized
partnership,
• more efficient use of
domestic and external
resources for health,
and
• improved results
against the health
MDGs / SDGs
11. Related initiatives
11
Related initiatives came at same time to scale-up
access and interventions to address health system
bottlenecks.
Coordination with multitude of global/ donor
initiatives and a common workplan
Initiated in 2008
Called as the international health partnership and
related initiatives (IHP+)
13. IHP+ Partners
13
26 Partners in 2007
Currently 66 partners
37 Partner countries
29 Development Partners
Civil Societies
14. Compacts
14
Global Compacts
Foundation global document for IHP+
All partner countries, international agencies and bilateral
donors sign it when they join IHP+
sets out the goals and approach of IHP+
Signatories make collective and individual commitments
to adhere to agreed aid effectiveness principles in the
health sector
15. Compacts contd.
15
Country Compacts
negotiated agreement between a government and
development partners
Set out points on how to work together to improve health
outcomes
Benefits:
improve partner alignment with country systems;
brings new partners into health sector coordination efforts;
addresses the fragmentation and volatility of health aid, and
reduces transaction costs
tool for mutual accountability
16. Country Led National Health Plan
16
Central to the compact is the country led national
health plan
one costed, results-oriented
IHP + shifts in aid environment
17. Results and Evidences
17 Source: IHP + 2014 Progress Report
Overall country performance
scores were positively
correlated with the number of
years a country participated in
the IHP+
There was also a positive
correlation between overall
country performance
scores and level of external
funding
18. Results and Evidences
18
Democratic Republic of Congo,
New MOH single donor coordination arrangement led to a
significant reduction in management costs for donor funds from
28 percent to nine percent.
Ethiopia
Progressive alignment of donors helped increase Primary
Health Care coverage.
Nepal:
Impressive results from free maternal health care launched in
few districts in 2007.
Nationwide scale up because government and donors acted
collectively to ensure the necessary resources reached all
districts.
19. IHP+ Recent Developments
19
2011: 4th High Level Forum on Aid Effectiveness in
Busan
IHP+ changed its focus from aid effectiveness to effective
development cooperation
South-south and triangular cooperation
Engaging private sector and emerging economies
2012: Seven systems-focused behaviours identified
for international partners
2016: Commitments to Sustainable Development
Goals
Replaced MDG with SDG ----- attain universal health
coverage
21. Nepal in International Health Partnership
21
First South Asian country to sign global compact in
Sep 2007
Third country to sign country compact in Feb 2009
IHP+ Nepal Country Compact: Nepal Health
Development Partnership
Signed by 8 EDPs
7 commitment areas, joint and separate
responsibilities
22. References
1. Sharma N. The International Health Partnership (IHP) and Related
Initiatives (IHP+)and Nepal’s Experience. [Presentation]. 2009.
2. International Health Partnership official webpage
http://www.internationalhealthpartnership.net/
3. Paris Declaration on Aid Effectiveness, 2007
4. IHP + Strategic Directions 2016-17
5. Nepal Health Development Partnership. Kathmandu: Government
of Nepal; 2009.
6. Progress in the International Health Partnership & Related
Initiatives (IHP+). 2014.
7. Holzcheiter A. The Handbook of Transnational Governance:
Institutions and Innovations. UK: Polity Press; 2012.
22
Hinweis der Redaktion
Ownership: Funded countries exercise leadership over their development policies and strategies
Alignment: Donors base their support on funded countries' strategies, institutions and procedures
Harmonization: Donors’ actions are more harmonised, transparent and collectively effective
Result based Management: Managing resources and improving decision making for results
Mutual Accountability: Donors and partners are accountable for development results
Four main objectives:
Developing results-focused, country-led compacts that rally all development partners around one national health plan; one M&E framework; and one review process,
Generating and disseminating relevant knowledge, guidance and tools
Enhancing coordination and efficiency at country, regional and global levels
Ensuring mutual accountability and monitoring of performance
In Dec 2012, IHP+ identified seven systems-focused behaviours that international partners needed to adopt in order to be more effective, partly because donors were making progress than developing country governments in putting IHP+ principles into practice.
At the IHP+ meeting in Nairobi, December 2012, participants identified a number of critical areas where international development partners need to change their behaviour in order to accelerate progress on the MDGs. Recent meetings of global health leaders have strongly supported renewed action on these seven behaviours which, if implemented, would bring visible results.
The seven behaviours
Agreement on priorities that are reflected in a single national health strategy and underpinning sub-sector strategies, through a process of inclusive development and joint assessment, and a reduction in separate exercises.
Resource inputs recorded on budget and in line with national priorities
Financial management systems harmonized and aligned; requisite capacity building done or underway, and country systems strengthened and used.
Procurement/supply systems harmonized and aligned, parallel systems phased out, country systems strengthened and used with a focus on best value for money. National ownership can include benefiting from global procurement.
Joint monitoring of process and results is based on one information and accountability platform including joint annual reviews that define actions that are implemented and reinforce mutual accountability.
Opportunities for systematic learning between countries developed and supported by agencies (south-south/triangular cooperation).
Provision of strategically planned and well-coordinated technical support.