1. The International Health Partnership + IHP+ CSO Consultation May 23, 2008 Bob Fryatt, Head, Partnerships and Coordination Health Systems and Services World Health Organization

2. Why now?

3. Progress towards MDGs: Inadequate Trend in Under-Five Deaths, 1960-2015 (Millions deaths per year)

5. Investment in health: insufficient

6. International funding: unpredictable Source: WHO, NHA Data, 2006 Donor Commitments for Health as % of Total Health Expenditure

7. Support to countries: inefficient

8. What has been the response?

9. Paris Declaration on aid effectiveness

10. Systems and programmes: getting results Maternal & Child Health National strategy Vital registration IMCI Emergency obstetrics Continuum of care Fighting AIDS National strategy Surveillance Safe sex Treatment Continuum of care common agenda? more efficient? better outcomes? Service delivery Medical products, technologies Information systems Human resources Health financing Leadership / governance Strengthened health systems

11. What does the IHP+ offer?

12. 1. Enabling Countries…. Existing country mechanisms Development Partners Bilaterals/ multilaterals Civil Society Donors Int Agencies Improved Outcomes for MDGs 1b, 4, 5, & 6 Scaling Up Effective Coverage One costed, results-oriented national health plan and budget Inter-agency country health sector teams Long-term, predictable financing One common M&E and mutual accountability framework Country Compact Fix health Systems bottlenecks One common review process/ validation

14. A new way of doing business

17. Technical Support & Harmonization for Health in Africa

19. Framework for monitoring performance and evaluation of the scale-up for better health Funding Domestic sources International sources Plan Coherent, prioritised and funded Harmonization Aligned international efforts with national plan Well coordinated and harmonized support National plan implementation Systems strengthening Priority interventions scale-up Capacity building Programmes Institutions People Accountability Performance monitoring Results focus and evaluation Use for better practices Health system strengthened Governance, HR, medical products, information Increased service utilization and intervention coverage Reduced inequity (e.g. gender, socio-economic position) Responsiveness No drop-off non-health sector interventions (e.g. water & sanitation) Improved survival Child mortality Maternal mortality Adult mortality due to infectious diseases Improved nutrition Children Pregnant women Reduced morbidity HIV, TB, malaria, repr. health Improved equity Social and financial risk protection Reduced impoverishment due to health expenditures Improved services Access, safety, quality, efficiency Inputs Outputs Outcomes Impact Process Aid process monitoring Resource tracking Strengthen country health information systems Evaluation: process, health systems strengthening, impact M & E action Health system monitoring Coverage monitoring Impact monitoring Implementation Monitoring

22. Thank You!