1

Aligning the work of the SWGs to support health policy making/reform

Experiences from the health sector

2

Example: MNCH Health Partner Mapping

3

1

Policy Dialogue

Program TWG

>Deputy Director of related Dpt.>Related Depts>Members: MoH & DPs

Human Resource TWG>Deputy Director of DOP>MoH & DPs & other technical

stakeholders like PACSA

Structure of Lao Sector Coordination Mechanism for Health (Revised June 2011)

Technical consultation,

discussion and recommendation

MOH Steering Committee> Minister> Vice Ministers> Directors and Deputy Directors DECISION-MAKING

> Deputy Directors of MoH> Representatives of Development Partners> Other stakeholders like MOLSW, MoF, MPI, ...

Sector Working Group for Health (Operation level)>Vice Minister/ Director of the Cabinet/ DPF

4 times/year

Planning & Financing TWG>Deputy Director of DPF>MoH & DPs & other technical stakeholders like MoF/Dept of Bud., etc.monthly

Sector Working Groups for Health

Chair: MoH Co-Chair: WHO and Japan

Round Table Meeting

Secretariat for SWGsCoordination Unit at MoH> Chair: Dep. Dir. of Cabinet/DPF> Members from the Cabinet, Depts> Focal Points of TWGs

FACILITATION & LOGISTICS

Strategy and Coordination on reviewing health system

Inter-sectoraltechnical coordination

and dialogue

> Ambassadors and Representatives of Development Partners

Sector Working Group for Health (Policy level)

MNCH-TWG

> Representatives of MoH

> Advisors and Other stakeholders

2 times/year

> Minister of Health

TASK FORCESAd hoc TASK FORCES TASK FORCES

FDD TWG>Deputy Directorof related Dpt. >Related Depts>Members: MoH & DPs

DevelopmentPartners

HCare TWG>Deputy Directorof related Dpt. >Related Depts>Members: MoH & DPs

H&P TWG>Deputy Drectorof related Dpt. >Related Depts>Members: MoH & DPs

4

NSEDP Alignment and Cross-sectoral Linkages• Poverty alleviation & economic growth• Social welfare & protection• Nutrition• HIV/AIDS• International health security e.g. emerging diseases• Environment/Climate change• Gender• other

5

Health SWG Products Developed

Policies & strategies e.g.Mother & Child Health (MNCH) / Nutrition

HTM & other diseases / ESR / Health Human Resources Skilled Birth Attendant / Health Information System

HF & NHI decree /Medical devices / HEPR /Water & Sanitation (WASH) / Others

• Sector Common Work plan & Monitoring Framework

• Health partner resource mapping

• Costing estimates• Successful GFATM & GAVI

HSS proposals in 2009/2010• (Re)-establishment of MOH website

Key documents developed cross- sectoral e.g.

Key documents developed to strengthen SWGs/TWGs

and their activities• Revised ToR / Annual work plans• Guidelines s.a. supervision

• Other

6

Achievements of SWC in HealthStructural and technical progress since August 2006

e.g.• Input to high level Round Table (Implementation)

Meetings (i.e. aid effectiveness)• Contribution to health chapter of 6th and 7th NSEDP• Joint preparation of draft 7th Health Sector

Development Plan• Regular sector-wide information exchange,

consultation, planning and monitoring through• MoH Steering Committee• SWG (P) and (O) levels, • TWGs on HPF, HRH & MNCH with multiple Task forces• Secretariat (Chair, Co-chairs and invitees)

• Harmonized with other Country Coordination Mechanism (CCM of GFATM, GAVI and SWC)

• Rolling out of SWC mechanism to provincial level

7

Good Practice in Health SWC(according to Lao UNDP analysis 2010)

1. Leadership and Partnership- leadership and commitment to guide SWG - Generate dynamic process in which development partners (DPs) want to be part of the success.- Transparency and provide DPs with greater willingness to align their resources behind sector priorities. - More effective collaboration among and between the DPs. - Towards a programme-based approach:

2. Common Understanding on Scope of Work 3. Management of the SWG’s Work

8

Variations in Sector Aid Arrangements: SWC vs. SwAP/Programme-based Approach

Sector reform program

Project type aid

Earmarked funds

Pooled funds

Budget support

Stand alone projects

9

On going support from Nossal institute

• Engagement of Ministry of Public Health, Lao PDR with the Health Policy and Health Finance Hub

• Institutional strengthening for universal coverage in the Lao PDR: barriers and policy options

• Findings will be useful to establish the National Health Insurance Authority in Lao PDR to accelerate the Universal Coverage

10

Conclusions & Recommendations

• Critical importance of health sector for MDG and NSEDP achievement

• Good progress in many areas of sector but challenges remaining e.g.– Urgent need for increased & sustained funding for sector– Ongoing need for cross-sectoral exchange and cross-

fertilization of SWG and MPI DIC facilitation– Joint support required for issues s.a. pro-poor policies,

transparency & accountability, strengthening human resources (PACSA), environmental protection, etc

11

Thank you