International Health Partnership- IHP+

Paper IV: Health System Management and International He

A class presentation on:

International Health Partnership Prabesh Ghimire MPH 341

Background 

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

2

Progress towards MDG: Inadequate 25 20

Trends in U-5 deaths, 1960-2015 (million deaths per year) 4.1 3.6

15 10

2.7 13.5

10.9

1.8

1.4

7

5.1

4.1

3.5

4.1

4.6

4.9

5 0

3

2.9

3.2

1.1

8.3

0.8 3

0.1 2.2 2

5.1

Other Asia Africa

Investment in Health: Insufficient

4

International Funding: Irregular 40 35 30 Benin Burundi Ethiopia Mali Niger

25 20 15 10 5 0 2000 5

2001

2002

2003

2004

Background contd. 

2001: Report of Commission Economics and Health 





6

on

Macro

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

Background contd. 

Feb 2007: Paris declaration on Aid effectiveness

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Birth of IHP 

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 operation (2011)

Co-

Four main objectives:  

  8

Results-focused, country-led compacts Generating and disseminating relevant knowledge, guidance and tools Coordination and efficiency Mutual accountability and monitoring of performance

What IHP does? 

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

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Framework of Partnership Donors/ Funders

Multi, Bilateral Health Initiatives

Related Health Initiatives

Country Led National Health • harmonized Strategy partnership, • more efficient use of domestic and external resources for health, and • improved results against the health MDGs / SDGs 10

Recipient country

Related initiatives 

  

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+)

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IHP + Related Initiatives

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IHP+ Partners  

26 Partners in 2007 Currently 66 partners   

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37 Partner countries 29 Development Partners Civil Societies

Compacts 

Global Compacts    

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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

Compacts contd. 

Country Compacts  

negotiated agreement between a government and development partners Set out points on how to work together to improve health outcomes

Benefits:     

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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

Country Led National Health Plan   

Central to the compact is the country led national health plan one costed, results-oriented IHP + shifts in aid environment

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Results and Evidences 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 17

Source: IHP + 2014 Progress Report

Results and Evidences 

Democratic Republic of Congo, 



Ethiopia 



New MOH single donor coordination arrangement led to a significant reduction in management costs for donor funds from 28 percent to nine percent. Progressive alignment of donors helped increase Primary Health Care coverage.

Nepal:  

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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. 

IHP+ Recent Developments 

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 

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Replaced MDG with SDG ----- attain universal health coverage

How development partners can change for better health?

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Nepal in International Health Partnership     

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

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References 1.

2. 3. 4. 5. 6. 7.

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Sharma N. The International Health Partnership (IHP) and Related Initiatives (IHP+)and Nepal’s Experience. [Presentation]. 2009. International Health Partnership official webpage http://www.internationalhealthpartnership.net/ Paris Declaration on Aid Effectiveness, 2007 IHP + Strategic Directions 2016-17 Nepal Health Development Partnership. Kathmandu: Government of Nepal; 2009. Progress in the International Health Partnership & Related Initiatives (IHP+). 2014. Holzcheiter A. The Handbook of Transnational Governance: Institutions and Innovations. UK: Polity Press; 2012.