IHP+: introduction and ministerial review Action for Global Health Conference Strengthening Accountability to Achieve the Health MDGs Madrid, 7 th June 2011

What is the International Health Partnership (IHP+)? A global partnership that puts the Paris and Accra principles on aid effectiveness into practice, with the aim of improving health services and health outcomes, particularly for the poor and vulnerable 52 signatories in 2011 (up from 27 in 2007): 27 developing countries, 13 bilateral donors, 12 international organisations.

What is the impetus behind IHP+?

Source:

IHP+: expected outcomes & mechanisms Expected outcomes – Better use of existing funds through improved partner coordination; increased investment in national health strategies – Country ownership - Stronger government leadership in sector coordination – Reduced burden on developing countries, allowing increased focus on implementing the national health strategy – ……and hence contribution to better results Mechanisms 1.Support to national planning processes 2.Joint assessment of national health strategies and plans 3.Country compact development 4.One results monitoring framework, to track strategy implementation 5.Promoting mutual accountability by monitoring progress against compact commitments

Several avenues, at national and global level – Nationally: through more inclusive health policy dialogue, sector performance monitoring mechanisms e.g. joint annual reviews (JARs) – Independent monitoring of progress against partners' commitments in Global and Country Compacts – IHP+Results consortium scorecards and annual report – Global platforms for discussion e.g. during World Health Assembly; Country Health Teams Meetings; – Ministerial Review?

What results have been achieved? (1)

What results have been achieved? (2) Ou r findings suggest that progress has been made in key areas: Most governments and DPs have put in place the four policy pillars. DPs have made progress in aligning their health aid financial aid and capacity building with national priorities. Five governments have increased the proportion of their national budget allocated to health. Three governments have strengthened their public financial management systems. DPs are increasing their use of public financial management systems for their health aid Civil society is seen to be engaging more in national health policy processes; governments appear to be involving them more Less progress has been reported on targets for responsible health financing and for strengthening and using country systems: No African government had met the 15% Abuja target DP performance on predictable financing has been mixed Government performance in disbursing their health budgets was mixed. DP use of country procurement systems appeared to have declined. Civil society engagement in health sector policy processes could increase much further, and could be supported much more. Countries allocated a lower proportion of funding to human resources for health, despite developing HRH plans and beginning to integrate them into national health plans.

Establishing and supporting national plans

52% 79% DPa: Aggregate proportion of partner support reported on national budgets. Aid reported on budget

Are DPs aligning health aid with national priorities? 2DPb: support for capacity development that is coordinated and in line with national strategies Source DP data returns

Strength of country Public Financial Management Systems Aggregate partner use of Country Public Financial Management Systems Mixed effect on Strengthening Systems

Figure 3.9: Proportion of the health sector budget spent on Human Resources for Health (HRH) Figure 3.10: Number of skilled medical personnel per 10,000 population NATIONAL HRH PLAN Health systems investments

Conclusion A growing partnership - increasing signs of country demand for and ownership of the IHP+ Emergent signs of change – ripples rather than a sea More information is available for mutual accountability But more needs to be done, in particular: Ensuring meaningful involvement of civil society to progress towards real mutual accountability Ensuring stronger country ownership – developing mechanisms to institutionalize monitoring Encouraging more partners to participate Continued focus on results Ensuring support for aid effectiveness continues – at Busan and in decisions about the future of the IHP+

Thank you For more information on IHP+Results please visit

Additional slides

IHP+ and SWAps Building on SWAps (reinforcing, reinvigorating) Linking to global level Bringing in new partners Accountability

EC data in 4 supported IHP+ Countries

Establishing and signing Compacts

Establishing and using national Performance Assessment Frameworks

Establishing and using common accountability mechanisms

Civil Society engagement in policy & planning processes