5 th IHP+ CHTM: conclusions and messages Very participatory meeting – suggests right topics were covered Reviewed progress over past 2 years on the seven behaviours; then looked forward to likely developments in effective cooperation post 2015 Recurring aspirations and values: trust; equity; more resources for health; broader and frank dialogue Discussed priorities for action by governments, development partners and CSOs, and messages for health leaders at country and global level

Feedback on priorities to make development cooperation in health more effective Mutual accountability in general; compacts, monitor progress on commitments more specifically Increased use of government systems – Monitoring and evaluation of results – Financial management strengthening; PSM strengthening Inclusive planning processes – CSOs; private sector, GHIs – Link health sector plans to overall development plans; – Reflect double burden of disease; address equity; UHC; health system strengthening; ensure sector plans linked to M&E plan, TA plan; Resource use: sector not disease specific investments; decrease targeted funding; increase predictability; efficiency SDG for health: make the case; mobilise resources for health; equity; implement UHC; Others: increase government leadership; south-south cooperation

Overall messages from IHP+ CHTM to health leaders Latest monitoring shows continued progress by countries; overall, DP use of financial management systems declined Political action essential to move this agenda, if status quo to be changed Seven behaviours continue to be relevant; specific approaches adapted to local environment eg fragile states, public health emergencies Need to understand underlying causes of poor performance, incentives in key areas Addressing poor performance needs action by all partners - governments, DPs at HQ and country level, CSOs; also private sector, new players eg BRICS – so far rather neglected by IHP+. Franker dialogue; common language, more collective action needed.

Priorities for action in four areas where more progress is needed, and are opportunities 1)Strengthen and use country systems: one information and accountability platform Joint investment in one country information platform – Governments have health sector M&E investment plans – Development partners support these – CSOs and other partners engage in joint sector performance reviews Global reference list of core indicators used Reference list used by governments and by development partners as basis for selecting indictors for health sector performance monitoring

Priorities for action in four areas where progress needed, and are opportunities 2) Strengthen and use country financing and financial management systems Being on budget becomes the default mode for all agencies  Governments prepare timely and transparent budgets  Agency HQs give stronger message to country staff that providing financial information on time; recorded on budget, should become the default behaviour Move towards use of government FM systems – Joint financial management assessment become standard practice – Governments develop a national FM system strengthening plan, together with DPs – Multiple development partners support the plan – CSOs and elected bodies play a stronger role in scrutinising use of funds

Priorities for action in four areas where progress needed, and are opportunities 3) Technical assistance including south-south cooperation Technical assistance defined based on health sector priorities, and becomes more demand driven. Governments articulate needs more clearly; initiate dialogue with DPs on those needs. Development partners clearer about what technical assistance is available and how to access it, including through support for south-south and triangular cooperation. Joint definition of terms of reference with clear accountability and explicit capacity building objectives; ways to monitor relevance, quality, cost and impact of TA developed

Priorities for action in four areas where progress needed, and are opportunities 4) Mutual accountability Continue focus on country level mutual accountability for effective development cooperation. Use IHP+Results scorecard findings as starting point for more in depth follow-up in areas of less progress. Governments ensure dialogue on latest findings from scorecards; explore incentives to change behaviours with poor progress; include aid effectiveness indicators in one M&E framework Agency HQs: latest IHP+Results findings discussed; requisite action considered CSOs: focus on accountability for seven behaviours by governments and development partners

Looking forward: messages from IHP+ CHTM to health leaders