1. 10 October 2013 Islamabad OIG Findings & Recommendations in public health

2. GF is making a difference. But concerns were raised around: –appropriateness of indicators (type, numbers and quality) and targets –robustness of systems to collect and verify reported data –weak collaboration of financial with programmatic results (Value for money?) –Reliability of data –Alignment and harmonization to/with national systems Trends –Shift from parallel to national systems –Improvement of indicators and targets –Anecdotal evidence of data quality issues –Status of M&E systems better known – DQAs, OSDVs Where we are coming from?

3. Where we are... Risks are interlinked!

4. Invest it Appropriateness of interventions in creating the desired impact – Proving it Vs Investing it Whether results are contributing to impact Coverage of key affected populations and human rights Effect of health systems on disease programs Value for money Effectiveness of partnerships – government and other donors Holistic view to risk and assurance Shifting focus with GF strategy (including NFM)… Raise it Invest it Prove it

5. What does this mean for all of us? The hunter in pursuit of an elephant does not stop to throw stones at birds… Ugandan proverb Looking past systems and numbers to impact Moving past M&E to public health Understanding the three diseases - epidemiology Providing insights to root causes where impact is not as expected No reinventing the wheel – moving away from being data collectors and stepping into an analyst role (The so what question) Evolving into an effective partner

6. Thank you!