1. REVIEW OF JAR EXPERIENCES MAIN FINDINGS IHP+ Nairobi Meeting December 11-14 2012 1

2. Introduction A key objective of IHP+ is to advance the alignment of international support to national health strategies and plans. Compact, JANS, JAR … Commission on Information and Accountability has agreed to use JARs as a way to increase accountability for results The objective of the study is to review experience and lessons about what has made joint annual health sector review processes effective or not. How well do JARs help to align? What is the added value of the JAR? What makes it effective? Global review of JAR experiences in 9 countries 2

3. No one-size fits all JAR is a long established tradition in many countries All interviewees are in favour of maintaining JAR, while ensuring / improving its efficiency (fatigue) No “one-size fits all” = strength Tailor-made, country- specific Evolve over time Countries can learn from each other Common aspects: M&E cycle / PoW /annual / DPs Modalities vary ++ Focus on policy dialogue versus operational issues 3

4. Added value JARs tend to strengthen policy dialogue, alignment, accountability, implementation of the sector plan and internal resource allocation. But JAR is only one factor. JARs have a potential to improve plans, mobilise additional resources and promote joint accountability. JARs are less recognised for improving harmonisation, setting new targets or indicators and reducing transaction costs. 4

5. Factors determining a successful JAR Strong government leadership, high degree of local ownership of the JAR, meaningful and wide participation of all stakeholders, a constructive climate and an open policy dialogue. Reliable and timely data, evidence-based information and well-designed performance assessment frameworks are essential for effective monitoring and proper decision making. Good preparation and organisation of the joint reviews is essential for ensuring efficient work. JAR integrated in the national planning cycle 5

6. Keep inputs, process and outputs manageable Independent reviews Frequency & timing Size, composition, country experience and continuity of RT Participants: number and profile of participants Recommendations: number, feasibility, prioritisation and timeline Reports: size & user-friendly 6

7. Ensure JAR results into action Share JAR reports, recommendations and proposed actions, with all stakeholders Consistently track JAR recommendations and proposed actions Scope for improving SMART action-oriented recommendations, prioritisation, and ensuring regular monitoring by a high level sector body. 7

8. Main Challenges How to ensure that relevant JAR recommendations are integrated in decentralised plans; How to balance between a drive for more participation and good technical / policy discussions; How to ensure meaningful participation and further develop mutual accountability in the context of a growing tendency among DPs to ask for a direct attribution of results; And how best to integrate meaningful aid effectiveness criteria in monitoring sector and/or national performance 8