COUNTRY ACCOUNTABILITY FRAMEWORK: Assessment* Lao …...M&E components is ongoing (supported by...

COUNTRY ACCOUNTABILITY FRAMEWORK: Assessment* Lao People's Democratic Republic

Information updated: May 25, 2012

Policy Context

Global strategy on women and children/

commitment

National Health Sector Plan and

M&E Plan

Country team present at the Philippines Accountability Workshop, March 19-20, 2012

GOVERNMENT

Dr Somchit Akkhavong

Deputy Director of Hygiene and Prevention Department

Ministry of Health

Email: [email protected]

Mr Suphab Panyakeo

Technical Officer

Planning and Finance Department

Ministry of Health


Dr Khampiou Syhakhang

Deputy Director

Maternal and Child Health Centre

Ministry of Health

Email: [email protected]; [email protected]

Mr Somphanid Vongdeuan

Technical Officer

Division of Social Statistics

Ministry of Planning and Investment

Department of Statistics


WHO COUNTRY OFFICE

Dr Kunhee Park

Office of the WHO Representative in Lao PDR


H4+

Ms Siriphone Sakulku

MNCH Coordinator

UNFPA, Lao PDR


To provide free deliveries in order to ensure access to the most vulnerable;

To produce 1500 new midwives by 2015 by upgrading existing staff and training and recruiting new staff; and

To increase immunization from 67% to 90% by 2015.

To increase the proportion of couples with access to modern contraception and;

To increase the proportion of births attended by a skilled attendant.

Situation Analysis

*This final version has been reviewed and validated through a broad consultation with the major stakeholders in-country. /16

KEY:

1

2

3

4

Situation analysis

(strengths, weaknesses/gaps)Priority Actions

Assessment & Plan 1Coordinating Mechanism 2Hospital reporting 1.5Community reporting 2Vital statistics 1Local studies for mortality 1

Already present/no action needed

Lao People's Democratic Republic

Not present, needs to be developed

Needs a lot of strengthening

Needs some strengthening

COUNTRY ACCOUNTABILITY FRAMEWORK: Scorecard*

Civil registration & vital statistics

systems

There is no comprehensive assessment on CRVS. However, a

simple assessment is included in national HIS strategic plan

2009-2015 (Goal 4 Objective 9). Rapid assessments are

ongoing by the Lao Statistics Bureau. A Situation Assessment

and Design of CRVS was proposed by UNICEF, UNFPA, WHO,

UNESCAP and Plan International in 2011. There is no official

interagency coordinating committee, but an interagency

(MPI/NSB, MOHA, MOH, MOE, UNICEF, UNFPA, UNESCAP,

ADB, WB, Plan International) task force is in place. National

standardized forms for facility-based death reporting exist

and computer-based system is being piloted in selected

central hospitals. However, function needs to be improved.

There is a form of community reporting in selected provinces

in some aspects. Vital statistics rely on 2005 national census

projection. There are no local studies for mortality.

1. Conduct Situaltion Assessment and Design of CRVS in Lao PDR (UNICEF,

UNFPA, WHO have secured some seed fund/ To be discussed with concerned

Ministries and partners).

2. Strengthen interagency coordination involving all key stakeholders.

3. Multi-stakeholder follow up event.

4. Improve hospital reporting of death, use electronic reporting system (start

from central hospitals, TA/fund required).

5. Training of doctors in ICD 10 (Training in Thailand will be supported by

WHO).

6. Review the progress in selected provinces and scale up to other provinces

(additional fund required for scaling up).

7. Strengthen the analytical capacity of vital statistics office, including data

quality assessment.

8. Prepare next national census 2015 (MPI).

9. Consult with University of Health Science and NIOPH to start HDSS in

selected districts (TA/fund required).


Lao People's Democratic RepublicCOUNTRY ACCOUNTABILITY FRAMEWORK: Scorecard*

Situation analysis


M&E Plan 2.5M&E Coordination 2Health Surveys 2.5Facility data (HMIS) 2Analytical capacity 2Equity 2Data sharing 2

Monitoring of results

The 7th National Health Sector Development Plan (2011-15)

with specified indicators is available. However, there is no

comprehensive M&E plan is included in NHSDP. There are

M&E plans of Sector Working Group and sub-sectorial health

plans. Two indicators among the 11 indicators, namely

PNC<2days and PMTCT, are missing in the M&E of the

national MNCH package. National Sector Working Group for

Health and several technical working groups exist as

coordination mechanisms. Discussion to improve national

M&E components is ongoing (supported by SWG). Lao Social

Indicator Survey (MICS+DHS) 2011-12 is ongoing and may

produce the initial result in August 2012. Lao Expenditure

and Consumption Survey (LECS) 5 will be available in 2013

(Data collection in 2012). 2nd STEP survey (non-

communicable diseases) will be conducted in 2012. The first

annual national health statistics report 2009/2010 using

HMIS was issued in 2011. The second annual report

2010/2011 will be issued in the middle of 2012. Vertical

programs such as FP, EPI , HTM have conducted facility

based survey on data verification and service readiness.

Stock availability survey for essential medicine and FP

commodities is undergoing annually. Effort to improve

province and district capacity on HMIS is undergoing. The

first annual national health statistics report contained little

analysis. Disaggregated results are available in the national

survey. However, there is a lack of disaggregated

information in HMIS. Limited function of the MoH and

national statistics center website.

1. Strengthen the M&E component of the NHS (during mid-term review of 7th

NHSDP in 2013).

2. Strengthen national M&E actions into national Sector Working Group for

Health (no extra budget required).

3. Strengthen the collaboration between national statistics center (MPI) and

MoH (especially, questionnaire development, joint analysis).

4. Include 10 year health survey plan into NHSDP during mid-term evaluation

in 2013 (no extra budget required) .

5. Consider MNCH household survey (only MNCH coverage or socio-economic

module survey) in selected areas in late 2013 (To be discussed, additional

funds required) Possibly not a required priority action.

6. Prepare next LSIS 2015.

7. Revise and harmonize the HMIS-MCH forms.

8. Conduct annual survey for data verification and service readiness

(collaboration with GAVI, GF or additional fund required).

9. National health statistics report includes additional information such as

NHA, stock availability survey.

10. Province/district level capacity building will be included and integrated into

the MNCH package implementation (Funds partially secured by several

partners).

11. Strengthen the analysis of data for more disaggregated data use.

12. Update MoH and national statistics center website for more access to

health information (GF, JICA).

13. Wider dissemination of all relevant reports.



Situation analysis


Notification 1Capacity to review and act 2.5Hospitals / facilities 2Quality of care 1Community reporting & feedback 1.8Review of the system 2

Maternal death surveillance &

response

There is no national policy (However, routine reports could

be a better option for Lao than 24 hour notification?).

Routine report from village level has been implemented in

selected provinces (Vientiane capital, Xiengkhuang, Salavan/

Future: Luangnamtha, Savannakhet, Houaphan out of 17

provinces). Maternal death review system has been

implemented in two provinces and will be scaling up to other

provinces. Only selected hospitals (4 central, 2 provincial, 14

district hospitals and around 100 health centers) are

conducting facility based maternal death review. National

focal point for maternal death review occuring in hospitals

(person and department) has not yet been identified. EmOC

assessment in 15 provinces and rapid EmOC assessment in

other provinces. 10 MR (Minimum requirement) for district

hospital and health center under implementation (simple

checklist, nation wide). Community reporting and feedback

present in selected provinces (Vientiane capital,

Xiengkhuang, Salavan/ Future: Luangnamtha, Savannakhet,

Houaphan out of 17 provinces). The first annual review of

system meeting will be conducted in the middle of 2012.

1. MoH to discuss whether MoH includes maternal death into notifiable events

rather than reporting separately (currently 19 events). If yes, disseminate

above decision to provinces and districts (using surveillance budget).

2. Provincial level trainings to strengthen province and district capacity (fund

secured by UNFPA and WHO/CO).

3. Develop hospital based reporting guideline and template (24 hours

notification) (to be discussed).

4. Training in ICD certification and coding (links with CRVS) (fund secured by

WPRO, in Thailand) .

5. Dissemination of the reporting template (using OBGY society annual

conference).

6. Strengthening 10 MR for HCs.

7. Continue province/district based implementation (fund partially secured).

8. First annual report and review meeting in the middle of 2012 (fund partially

secured, TA required).



Situation analysis


Policy 2Infrastructure 2Services 1.5Standards 1Governance 1Protection 1

Innovation and eHealth

A specific national eHealth strategy does not exist. However,

an eHealth component is included in the national HIS

strategic plan 2009-2015. National ICT strategic plan (mainly

infrastructure) is under finalization in the Ministry of Post

and Telecommunication. Signal (3G) is available in most

district hospital and health center levels. However, these

devices are not available at the health center level. There are

some onging pilot initiatives to improve information

systems. There is currently no national eHealth standard or

interoperability requirements. There is an absence of a

separate governance mechanism responsible to coordinate

with stakeholders to plan and implement eHealth. There is

an absence of a data protection legislation and regulatory

framework.

1. Build on a national eHealth strategy with country leadership (to be

discussed) using eHeatlh Strategy Development Toolkit.

2. Provide proper devices (such as mobile phone, tablet PC, 3G sim card, etc)

and training to health centers in selected districts.

3. Advocate for better connectivity to rural areas.

4. Share the experiences from different pilot initiatives (Fund required).

5. Harmonize/Develop the application or a program at national level to replace

current paper based data collection forms (TA needed).

6. Consider pilot project on Innovative ICT for MNCH in selected districts to get

practical experience (fund required).

7. Develop interoperability requirements or standard at national level (TA

needed ).

8. Develop a data dictionary.

9. Use existing health planning and financing TWG as the national coordination

mechanism for eHealth.

10. Strengthen coordination between Ministry of Post and Telecommunication,

MPI, MOLSW and MoH.

11. Draft a national policy on data protection (TA needed).



Situation analysis


National health accounts 2Compact 2Coordination 2Production 1.3Analysis 1.5Data Use 1

NHA report for FY 2006-07 was not endorsed. NHA report

for FY 2009-10 is ongoing: it is under health planning and

finance TWG as a coordination mechanism. Sub-account for

RMNCH is not yet available . Formal agreements between

government and partners exist but formal reporting is not

submitted regularly to related department (MPI and MOH).

However, International Cooperation Unit in DPF is trying to

map fund and activities from all donors. General steering

committee (HPF TWG) exist but does not focus on NHA. The

first official NHA report is under finalization with limited

stakeholders engagement (supported by WHO, JICA). There

is very limited human resources for NHA work. Automatic

NHA data conversion system does not exist. Only estimation

is available publicly.

Monitoring of resources

1. Finalize 2009-10 NHA report.

2. Develop NHA framework and action plan (TA/Funding required).

3. Organize a meeting to engage government and development partners and

work towards "compact".

4. Consider MoH (or MPI) regulation towards compact.

5. Use NHA data as a part of existing steering committee (HPF TWG) role, with

institutional support, and functioning using results-based management

methods.

6. Ensure inclusion of all key stakeholders in resource tracking /NHA.

7. Establish/strengthen the NHA team at central and provincial level with

capacity building (fund secured WHO/DFID).

8. Develop /strengthen database for production of NHA (TA from HS 2020?).

9. Strengthen analytical capacity in government and other institutions.

10. Disseminate report and analyses on government website (Lao statistics

bureau website) and related government meetings.

11. Advocate for /promote use of NHA (including RMNCH ) data in policy

making process (special session for NHA during HPF TWG).



Situation analysis


Reviews 2.7Synthesis of information & policy context 2.5From review to planning 2Compacts or equivalent mechanisms 2.5

National sector wide coordination mechanism: (1) Overall

health: Sector Working Group (Policy and implementation

levels), (2) MNCHN TWG (technical working group). Annual

MNCH implementation review meeting will be continuously

conducted. Ongoing work on HMIS. The first annual statistics

book using HMIS data has been issued in 2011 and second

book is under preparation. There is limited qualitative data

available (Maternal death review result will be available in

the mid of 2012). HiT (Health system in Transition)

information will be available soon. There are limited

mechanisms to translate results of the review meeting into

planning, including resource allocation. The following

mechanisms are in place: the Vientiane Declaration, a

country action plan, a MDG compact and a sector wide

coordination mechanism. The department of planning and

finance has established a International Cooperation Unit to

track partners' funding flows. However, it is still difficult to

get the whole figure.

Review processes

1. Hold annual reviews that are based on the goals, targets of the NHS.

2. Define at country level a calendar event to ensure better quality of the

annual review process.

3. Ensure that the RMNCH appraisals are held and that findings feed into the

health sector reviews.

4. Define annual targets and means of verification.

5. Develop mechanism to collect qualitative data.

6. Develop/implement mechanism to compile all quantitative and qualitative

information to inform annual reviews.

7. Joint review of several donor funded programs.

8. Resource re-allocation as per review results if possible.

9. Strengthen resource mapping.

10. Harmonize the donor resource mapping format.

11. Strengthen the role of International cooperation unit in DPF.



Situation analysis


Parliament active on RMNCH issues 2.5Civil Society Coalition 2.5Media role 1.7Countdown event for RMNCH 1.5

Advocacy & outreach

Social Affair Commission in National Assembly (NA) is in

charge of overall health including oversight to provinces. NA

is keen to achieve health related MDGs which include

RMNCH. NA decided to increase government health

expenditure up to 9% of total government expenditure

including free MCH services. There is NCMC (National

Commission for Mother and Child) under Prime Minister

Office. Joint UN supported SELNA program focuses on

RMNCH also. INGO Group' has been established and

assigned a chair person for health and nutrition. MNCHN

TWG promotes NGOs' participation. There is fragmented

contact to the media by different stakeholders. The

Committees for MDGs in MFA and MoH are actively

following up the progress of MDGs. Annual round table

implementation review includes RMNCH progress. However,

separate national Countdown event not yet planned.

1. Parliamentarians are mobilized to engage in RMNCH accountability,

especially on financing (Political discussion).

2. Joint field visit between MoH and NA members to see RMNCH situation at

local level (fund secured).

3. Strengthen communication between the Government and NGOs for further

alignment.

4. Support capacity of civil society to synthesize evidence and disseminate

messages.

5. Consider joint media briefing on RMNCH regularly (MNCHN TWG and CIEH

coordinate).

6. Integrate the Countdown event into annual review meeting on MNCH

package implementation (MNCHN TWG).

7. Prepare mid-term Countdown report / profile using all evidence in 2013

(MNCHN TWG).


Lead

government/

national

institute

Partners 2012 2013 2014 2015

Conduct Situaltion Assessment and Design of CRVS in

Lao PDR (UNICEF, UNFPA, WHO have secured some

seed fund/ To be discussed with concerned Ministries

and partners)

1 Rapid assessment MHA,MOH,MPI,

MLSW,NA

UNICEF,

UNFPA,

UNESCAP,

WHO, Plan

X $30,000 $30,000 $0 $0

Strengthen interagency coordination involving all key

stakeholders

2 Meeting MHA,MOH,MPI,

MLSW,NA

UNICEF,

UNFPA,

UNESCAP,

WHO, Plan

x x $0 $0 $0

Multi-stakeholder follow up event 2 Follow up MHA,MOH,MPI,

MLSW,NA

UNICEF,

UNFPA,

UNESCAP,

WHO, Plan

$0 $0 $0

Improve hospital reporting of death, use electronic

reporting system (start from central hospitals, TA/fund

required)

1 Development template, training DHC,DPF WHO x x x x $30,000 $30,000 $0

Training of doctors in ICD 10 (Training in Thailand will

be supported by WHO)

2 Training DHC,DPF WHO x x X X $100,000 $20,000 $20,000 $60,000 WHO, WB?

COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Lao People's Democratic Republic

Priority (1=very high,

2=high,

3=medium

4=low)

Actions Suggested approach/methods

Total

Estimated

Cost per

action

Fund secured

2012/13

Catalytic

funding

CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)

Unfunded

balance

Potential

sources for

funding unmet

balance

Responsibility Year of implementation


Lead

government/

national

institute

Partners 2012 2013 2014 2015



2=high,

3=medium

4=low)


Total

Estimated

Cost per

action

Fund secured

2012/13

Catalytic

funding


Unfunded

balance

Potential

sources for

funding unmet

balance


Review the progress in selected provinces and scale up

to other provinces (additional fund required for scaling

up)

1 Review meeting, advocacy for scaling

up, trainings at province and district

levels

MPI(NSC),DHP,

MCHC,DPF

UNICEF,

UNFPA,

WHO,WB,JICA

,KOFIH, LUX

x x x x $20,000 $20,000 $0 Govt and partners

will fund

Strengthen the analytical capacity of vital statistics

office, including data quality assessment

1 Training, Consultant NSC,DPF $0 $0

Prepare next national census 2015 (MPI) 3 Advocacy NSC,DPF x x x $0 $0 WB

Consult with University of Health Science and NIOPH to

start HDSS in selected districts (TA/fund required)

3 Contract with research group

(university or NIOPH)

$1,000,000 $1,000,000 ?


Lead

government/

national

institute

Partners 2012 2013 2014 2015



2=high,

3=medium

4=low)


Total

Estimated

Cost per

action

Fund secured

2012/13

Catalytic

funding


Unfunded

balance

Potential

sources for

funding unmet

balance


Strengthen the M&E component of the NHS (during

mid-term review of 7th NHSDP in 2013)

2 Mid-term review meeting in 2013,

Consultant

MOH All x $30,000 $15,000 $15,000 Would have

complementary

funding from

othersStrenthen national M&E actions into national Setor

Working Group for Health (no extra budget required)

2 Regular TWG meeting MOH All x $0 $0

Strengthen the collaboration between national

statistics center (MPI) and MoH (especially,

questionnaire development, joint analysis)

1 Regular communication MPI,MOH All x x x x $0 $0

Include 10 year health survey plan into NHSDP during

mid-term evaluation in 2013 (no extra budget required)

3 During 2013 mid-term review MOH All x $0

Consider MNCH household survey (only MNCH

coverage or socio-economic module survey) in selected

areas in late 2013 (To be discussed, Additional fund

required) Possibly not required

3 Under discussion $0

Prepare next LSIS 2015 2 Advocacy x x $0 $0

Revise and harmonize the HMIS-MCH forms 1 Printing and distribution DPF All x $20,000 $10,000 $10,000 $0

Conduct annual survey for data verification and service

readiness (collaboration with GAVI, GF or additional

fund required)

2 Field visit, more discussion needed DPF All x x x x $0

Use more ICT to improve facility based data collection,

recording and analysis

1 Applications/program development,

training

DPF All x $20,000 $20,000

National health statistics report includes additional

information such as NHA, stock availability survey

1 Consultant DPF All x x x x $0 Mobilize fund for

below activity

Improve analytical part of the national health statistics

report and include more information into the report

such as figure from NHA and meaternal death review

(TA committed)

1 Consultant, training DPF All x x $40,000 $20,000 $20,000 $0 WHO will fund

Province/district level capacity building will be included

integrated MNCH package implementation (Fund

partially secured by several partners)

1 On the job coaching, supportive

supervision

DPF All x x x x $200,000 $170,000 $30,000 $0 Partners will fund

for district level

implemen-tation

Strengthen analysis of data for more disaggregared

data use

1 Technical support DFP All x $0 $0

Update MoH and national statistics center website for

more access to health information (GF, JICA)

1 Update the website and hardware DPF,Cabinet,

CIEH

All x x x x $15,000 $15,000 $0 Others may also

take on this work

Wider dissemniate all relevant reports 3 $0

MONITORING OF RESULTS


Lead

government/

national

institute

Partners 2012 2013 2014 2015



2=high,

3=medium

4=low)


Total

Estimated

Cost per

action

Fund secured

2012/13

Catalytic

funding


Unfunded

balance

Potential

sources for

funding unmet

balance


MoH's discussion whether MoH includes maternal

death into notifiable events rather than reporting

separately (currently 19 events)???

2 Meeting MOH (DPF,DHP) All x $0 $0

If yes, disseminate above decision to provinces and

districts (using surveillance budget)

2 Meeting (under discussion) x $20,000 $20,000

Provincial level trainings to strengthen province and

district capacity (fund secured by UNFPA and WHO/CO)

3 System strengthening through

technical assistance

DHC,DPF,DHP,

DOP

UNICEF,UNFP

A,WHO

x x x x $20,000 $0 $20,000 $0

Develop hospital based reporting guideline and

template (24 hours notification) (to be discussed)

2 Under discussion $0

Training in ICD certification and coding (links with

CRVS) (fund secured by WPRO, in Thailand)

3 Training DHC WHO x $0 $0 $0

Dissemination of the reporting template (using OBGY

society annual conferrence)

3 Meeting DHC,OBGY

society

WHO,UNFPA x $0 $0 to include with

community report

Strengthening 10 MR for HCs 1 To discuss DHC,DOP,DPF All x $35,000 $35,000 $0

Continue province/district based implementation (fund

partially secured)

1 Review DHC,DPF,DHP,DO

P

UNICEF,UNFP

A,WHO

x x x x $30,000 $15,000 $15,000 $0

First annual report and review meeting in the middle of

2012 (fund partially secured, TA required)

2 Meeting DHC,DPF,DHP,

DOP

All x $0

MATERNAL DEATH SURVEILLANCE AND RESPONSE


Lead

government/

national

institute

Partners 2012 2013 2014 2015



2=high,

3=medium

4=low)


Total

Estimated

Cost per

action

Fund secured

2012/13

Catalytic

funding


Unfunded

balance

Potential

sources for

funding unmet

balance


Build on a national eHealth strategy with country

leadership (to be discussed) using eHeatlh Strategy

Development Toolkit

2 Consultant, meeting DPF x $0

Provide proper devices (such as mobile phone, tablet

PC, 3G sim card, etc) and trainings to health centers in

selected districts

2 Procurement DHC,DPF x x x x $0 Govt will fund

Advocate better connectivity to rural areas 2 Advocacy MOH All x $0

Share the experiences from different pilot initiatives

(Fund required)

2 Workshop MOH All x $0 $0

Harmonize/Develop the application or program at

national level to replace current paper based data

collection forms (TA needed)

1 Development of applications MOH ? x $20,000 $20,000

Consider pilot project on Inovative ICT for MNCH in

selected distrits to get practical experience (fund

required)

2 Pilot implementation MOH ? x $100,000 $100,000

Develop interoperability requirements or standard at

national level (TA needed )

2 Consultant MOH ? x $30,000 $30,000

Develop data dictionary $0

Use existed health planning and finanancing TWG as

the national coordination mechanism for eHealth

2 Coordination MOH x $0

Strengthen coordination between Ministry of Post and

Telecommunication, MPI, MOLSW and MoH

3 Coordination MOH,MPT x $0

Draft national policy on data protection (TA needed) 3 Consultation MOH x $0

INNOVATION AND E-HEALTH


Lead

government/

national

institute

Partners 2012 2013 2014 2015



2=high,

3=medium

4=low)


Total

Estimated

Cost per

action

Fund secured

2012/13

Catalytic

funding


Unfunded

balance

Potential

sources for

funding unmet

balance


Finalize 2009-10 NHA report 1 Report finalization, dissemination DPF WHO x $10,000 $10,000 $0 Govt and WHO

will fund?

Develop NHA framework and action plan (TA/Funding

required)

1 Consultant DPF WHO x $20,000 $20,000 $0 Govt and WHO

will fund?

Organize a meeting to engage government and

development partners and work towards "compact"

1 Advocacy Cabinet,DPF,

MPI,MOF

All x $0 $0

Consider MoH (or MPI) regulation towards compact 1 Advocacy Cabinet,DPF,

MPI,MOF

All x $0 $0

Use NHA data as a part of existing steering committee

(HPF TWG) role, with institutional support, and

functioning using results-based management methods

1 Discussion within MOH MOH x $0 $0

Ensure inclusion of all key stakeholders in resource

tracking /NHA

1 Advocacy Cabinet,DPF,

MPI,MOF

All x $0 $0

Establish/strengthen the NHA team at central and

provincial level with capacity building (fund secured

WHO/DFID)

1 Training DPF WHO x $25,000 $25,000 $0 WHO will fund?

Develop /strengthen database for production of NHA

(TA from HS 2020?)

1 Consultation DPF WHO x $10,000 $10,000 $0

Strengthen analytical capacity in government and other

institutions

2 Training DPF WHO x $0

Disseminate report and analyses on government

website (Lao statistics bureu website) and related

government meetings

2 Dissemination DPF WHO x $0

Advocate for /promote use of NHA (including RMNCH )

data in policy making process (special session for NHA

during HPF TWG)

2 Advocacy DPF All x x x x $0

MONITORING OF RESOURCES


Lead

government/

national

institute

Partners 2012 2013 2014 2015



2=high,

3=medium

4=low)


Total

Estimated

Cost per

action

Fund secured

2012/13

Catalytic

funding


Unfunded

balance

Potential

sources for

funding unmet

balance


Hold annual reviews that are based on the goals,

targets of the NHS

1 Annual review within the sector wide

coordination mechanism

MOH All x x x x $50,000 $20,000 $30,000 $0

Define at country level a calendar events to ensure

better quality of the annual review process

1 Calendar MOH All x x x x $0 $0

Ensure that the RMNCH appraisals are held and that

findings feed into the health sector reviews

1 Advocacy MOH All x x x x $0 $0

Define annual targets and means of verification 1 Annual review MOH All x x x x $0 $0

Develop mechanism to collect qualatative data 1 Annual review DPF,DHP All x $0 $0

Develop/implement mechanism to compile all

quantatitive and qualitative information to inform

annual reviews

2 Annual review DPF,DHP All x x x x $0 $0

Joint review of several donor funded programs 1 Annual review MOH All x x x x $0

Resource re-allocation as per review results if possible 1 Annual review MOH All x x x x $0

Strengthen resouces mapping 1 TWG meeting DPF All x x x x $0

Harmonize the donor resource mapping format 1 Format finalized by DPF DPF All x x x x $0

Strengthen the role of International cooperation unit in

DPF

2 Advocacy DPF All x x x x $0

REVIEW PROCESSES


Lead

government/

national

institute

Partners 2012 2013 2014 2015



2=high,

3=medium

4=low)


Total

Estimated

Cost per

action

Fund secured

2012/13

Catalytic

funding


Unfunded

balance

Potential

sources for

funding unmet

balance


Parliamentarians are mobilized to engage in RMNCH

accountability, especially on financing (Political

discussion)

2 Advocacy NA,MOH,Prov

Governors

All x x x x $0 $0

Joint field visit between MoH and NA members to see

RMNCH situatioin at local level (fund secured)

3 Field visit NA,MOH,Prov

Governors

All x x x x Fund secured UNDP, UNFPA

Strengthen communication between the Government

and NGOs for further alignment

2 TWG meeting Cabinet, DPF All x x x x $0 $0

Support capacity of civil society to synthesize evidence

and disseminate messages

2 Advocacy Cabinet, DPF All x x x x $0 $0

Consider joint media briefing on RMNCH regularly

(MNCHN TWG and CIEH coordinate)

2 TWG meeting Cabinet,

DPF,DHP

All x x x x $0

Integrate the Countdown event into annual review

meeting on MNCH package implementation (MNCHN

TWG)

3 Annual review meeting MOH All x x x x $0

Prepare mid-term Countdown report / profile using all

evidence in 2013 (MNCHN TWG)

2 Consultation, report MOH All x Fund secured

TOTAL CATALYTIC FUNDING (ESTIMATED NEED) $250,000

ADVOCACY & OUTREACH


COUNTRY ACCOUNTABILITY FRAMEWORK: Assessment* Lao …...M&E components is ongoing (supported by...

Documents

Transcript of COUNTRY ACCOUNTABILITY FRAMEWORK: Assessment* Lao …...M&E components is ongoing (supported by...