Independent Monitoring & Evaluation for Accountability Presented to Health Sector Steering Committee, 21 st July 2009

+ IHP+Results 1.Purpose & Principles of IHP+Results 2.What this will deliver 3.How we will do this 4.Who will be involved in monitoring & evaluation 5.Why IHP+Results is important

+ Purpose and principles “An independent, evidence-based assessment of results at country level and of the performance of [IHP+ Signatories] individually as well as collectively”  Mandated by the IHP+ Global Compact and Ministerial Communiqué  Based on principles of  Transparency  Participation  Mutual Accountability  Contributed to monitoring and follow up of coordination and partnerships process in countries in line with IHP+ expectations

+ What the process will deliver 1.Annual performance monitoring 2.Annual performance report in December 3.IHP+Results Scorecards 4.Support to the IHP+ process  Highlight best practice  Make operational recommendations  Raise profile of successes  Highlight issues for action at highest level

+ How it is done 1.Within 5 Results Areas Transparent and Responsible Health Financing Strengthening and Using Country Systems Country Ownership and Promoting Accountability Managing for Development Results Strengthening Health Systems to achieve the health MDGs 2.Focus on assessing effective behaviour change 3.Collect evidence of change

+ Country Scorecards Simply communicate to a wide range of stakeholders Increase accessibility of IHP+ process and its achievements Rate progress against specific commitments in global/country compacts (CoC of Kenya) Show performance in supporting county processes Give an indication of public ratings for each partner

+ Process description  Initial Scorecard presented to country from June IHP meeting  Jointly record specific actions, based on commitments (in CoC)  Apply measures & criteria for assessing actions  Assess progress on Actions with Partners (again as in CoC)  Conduct initial rating to produce Draft Scorecard  Review Ratings with country to finalize scorecards  Adjudication of objections (formal mechanism)  Publish Finalised Scorecard

+ Process Timelines  Jun/ Jul: Draft scorecards  Aug: Key informant interviews with CoC partners  Sept: Updating of data in scorecards, and AOP report  Late Sept: Country reports finalised  Oct: Country reports synthesised into global report  30 Oct: Draft report to SuRG  Dec: Annual Report published  Feb: Presented to Ministerial Review

+ In conclusion: What to expect 1. Independent monitoring & evaluation, based on strong principles of transparency, participation & accountability 2. An Annual Performance Report with high impact scorecards 3. Based on evidence of change within 5 Results Areas collected at the country level 4. Through a collaborative process that involves stakeholders 5. Contributing to the mechanisms for mutual accountability

+ Link to AOP 4 performance report Review of Governance, and partnership section Tool available to review progress with Code of Conduct adherence Need for independently conducted, but structured process to review CoC adherence in AOP 4 Process to develop annual score card would include review of CoC adherence Harmonization of both reviews ensures synergy in outputs, and reduces duplication Expectation: Use IHP annual review process to inform AOP 4 governance and partnership assessment