Presentation on theme: "07.01.2014 Seite 1 TA Mangement within the Health SWAp - achievements,challenges and perspectives Dr. Dieter Koecher, Malawi German Health Programme."— Presentation transcript:
Seite 1 TA Mangement within the Health SWAp - achievements,challenges and perspectives Dr. Dieter Koecher, Malawi German Health Programme
Seite 2 Page 2 TA-Strategy: achievements and gaps Capacity needs assessment CD strategyTA strategyImplementationM+E done Not done o Comprehensive picture o Most effective and efficient approaches o Identify priority areas o mangement procedures, costing, funding, timing (exit plan)
Seite 3 Page 3 Draft of TA-Strategy: 1. situational analysis Bilateral funding Variable quality of TA Insufficient CP Weak cost-effectiveness of LATH-intervention Levelservice areaposition Central MoHDoPP 1 advisor to the DoPP (JICA), 1 advisor to the deputy (ded) PAM 2 advisors to the Head of PAM (JICA) Disease control 2 advisors to Head of HIV-unit (USAID) HR 1 advisor to follow up on HRMIS (VSO), 1 advisor to support PB-Mgmt (GTZ) CMS? Advisors (USAID) Central hospitalsInternal medicine CIM: 1 KCH, 1 ZCH, 1 QECH China: ? KCH, ? MCH various foundations and NGOs: ? KCH, ?QECH Surgery CIM: 1 ZCH, 2 QECH China: ? KCH, ? MCH various foundations and NGOs: ? KCH, ?QECH Obs and gyne CIM: 2 KCH, 1 ZCH, 1 QECH, China: ? KCH, ? MCH various foundations and NGOs: ? KCH, ?QECH Ped CIM: 1 KCH, 1 ZCH, 1 QECH China: ? KCH, ? MCH various foundations and NGOs: ? KCH, ?QECH Anaesthesia CIM: 1 KCH, 2 QECH China: ? KCH, ? MCH various foundations and NGOs: ? KCH, ?QECH Peripheral MoHZHSO Ded: 4 PH Specialists District hospitals UNV: 30? District management VSO: 25? MSF France:? MSF Belgium: 2? > >60 1.Myopia and ambiguity towards TA 2.Biased understanding + poor strategic orientation
Seite 4 Page 4 Draft of TA-Strategy: 2. RE DESIGNING TA Control of Performance Management, Coordination and M+E by MoH Review service delivery and funding modalities for TA Identify Suitably Qualified and Experienced Senior Staff as Counterpart Personnel and motivate them Elaborate an Exit Plan with a phased withdrawal of long term TA Support
Seite 5 Page 5 Draft of TA-Strategy: 3. funding options One poolSeparate TA poolobservations Use of existing resources and structures * Flexibility (integration of various resources **) *Insufficient ** GTZ (and ??) could add additional resources harmonisation+alignment Less transaction costs (theoretically *); government develops its own Mgmt capacities ** Effective management (easy oversight; out sourcing of certain Mgmt tasks improves quality) * + ** Existing structures overburdened lost opportunities = hidden costs and limited impact of TA Politically correct (on budget); fragmented TA (at least short term-TA mainly ad hoc based and bilaterally provided Pragmatic solution (off budget) *; comprehensive approach to TA * What about accountability?! Integration of short term consultants, possibly some trainings for counterparts, etc.
Seite 6 Page 6 Way forward… Finetune and disseminate TA-Strategy Discuss it with special emphasis on different funding options and come to a common position Move rapidly towards implementation