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Forum on INGO Collaboration in Health Sector November 13th, 2014

This forum discusses INGO cooperation in health, coordination mechanisms, achievements, and challenges in the context of the health sector, proposing ways to further consolidate collaboration. It provides snapshots of INGO activities in Vietnam from 2003 to 2013 and outlines current collaboration mechanisms and contributions of INGOs in the health sector. The forum highlights key achievements, challenges, and ways to improve INGO involvement in health governance for sustainable development.

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Forum on INGO Collaboration in Health Sector November 13th, 2014

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  1. Forum on INGO Collaboration in Health Sector November 13th, 2014 INGOs Cooperation in Health Sector and How to Further Consolidate It in the Future Le Ngoc BaoPathfinder International on Behalf of INGOs in Health Sector

  2. OUTLINE • INGOs Cooperation in Health Sector • Coordination and Engagement Mechanisms in Health Sector • Achievements • Challenges • New Context in Health Sector • International Experiences • Proposed Ways Forward

  3. SNAPSHOT ON INGOs IN VIETNAM (2003 – 2013) TOTAL BUDGET: UD$ 2.4 BILLION

  4. TOTAL NUMBER OF PROJECTS BY YEAR(2003-2013)

  5. COMMITTED AND IMPLEMENTED BUDGETS BY YEAR IN HEALTH SECTOR (2003-2013)

  6. INESTEMENT IN HEALTH SECTOR IN 2013

  7. INGOs BUDGET IN HEALTH SECTOR (2003-2013) • Total budget committed: 938 million (USD) • Total disbursed: 807 million (USD) • Delivery rate: 86% • Average budget increase/decrease in 2013 by organization • Increased budget: 10% of INGOs • No change in budget: 25% • Lower than average: 65%

  8. CONTRIBUTION BY HEATLH AREAS 2003-2013 • Human resource development: 86 % of INGOs • Reproductive/Mother & child health: 62 % • Governance and policy 57 % • Health Infrastructure: 48 % • Nutrition: 43 % • Disability/Rehabilitation: 43 % • Health equity: 38 % • Non-communicable diseases 24 % • Population and FP 14 %

  9. PSI POP COUNCIL PACT SAVE CHILDREN CARE Abt ADRA EMW FHI360 PLAN HealthBridge CRS WVI PATH PATHFINDER AMP Red Cross Crescent MCNV MEDECINE SANS FRONTIERE Childfund WVI OS

  10. CURRENT MECHANISMS OF COLLABORATION • Health Partnership Group (HPG) • Policy dialogue between department partners and MOH • MOH is keen in engaging INGOs in policy dialogues. VNHPD (2013-14) have a milestone specifically for this purpose (#5) • Limited number of INGOs engaging in this forum (most are working at central level or on policy…) • The results have not been shared with larger INGOs community working in health sector • INGOs are not well informed or lack understanding the overall health plans, health priorities for INGO’s design and alignment of programs and focus of programming

  11. CURRENT MECHANISMS OF COLLABORATION • Technical Working Groups (TWGs) (RHAG, Heath Human Resources, HIS, Environment/Preventive Medicine, Nutrition … • Much more focused on health policies or technical issues under heath sub-sectors • Many INGOs participated actively in these respective TWGs • Not clear how the results of the discussions in TWGs are followed up or translated into sub-sector actions or into the overall health policy and plans

  12. CURRENT MECHANISMS OF COLLABORATION • Joint Annual Health Report (JAHR) (2007 – 2014) • Policy document with review of health results and strategic health priorities developed annually between DPs and MOH • MOH opens INGOs to engage and contribute (technically and financially). The process encourages INGOs participation • Limited number of INGOS engaged in and quality of contribution is limited as lacking of a coordinated mechanism for review and discussion of inputs. Lack of consultative process among INGOs to agree on the health issues under their work expertise • Follow-up actions often lacking as collective efforts of INGOs to address the priorities • INGO funding is often donor-driven => limit their alignment to health priorities

  13. CURRENT MECHANISMS OF COLLABORATION • Country Coordinating Mechanism (CMM) under Global Fund • Independent mechanism for those that apply for GF-funding • NGO Recourse Center: Coordinating Mechanism between INGOs and the Government • Technical working groups in different socio-economic fields

  14. CONTRIBUTIONS • Provide additional financial resources to state budget • Provide technical assistance, technology transfer, effective models of health intervention/best practices • Support upgrade/renovation of infrastructures, facilities and provide medical supplies and medicine • Build and improve health human resource capacities • Emergency support to address humanitarian need for help, epidemic emergencies • Engage in policy dialogue and improved health governance

  15. KEY ACHIEVEMENTS • Increased availability and access to health services, to vulnerable, marginalized populations and ethnic minorities in particular => address equity issue • Improved quality of services through improved capacity of health personnel, infrastructures and practices and management practices • Improved health systems through planning and sector coordination for sustainable and effective health development • Contributing to MDG achievements as well as health subsector strategies

  16. KEY CHALLENGES • The size of INGO project small, short term, disperse => difficult to assess impacts and weak in sustainability • Most projects are donor-driven=>challenge in coordination in health sub-sectors • Operating at many levels under different management mechanisms => challenges in communication and information sharing; provision of evidence and organize collaborative advocacy for policy change as well as improved reporting to MOH and government agencies.

  17. KEY CHALLENGES • No coordination mechanisms among INGOs in existence yet • Policy dialogue with MOH limited to some INGOs participating in HPG • Link to and partnering with LNGOs and stakeholders is in many cases weak

  18. NEW CONTEXT IN HEALTH SECTOR • Health sector’s vision: Equity, Efficiency and Development: Health Plan 2016-2020, Post 2015 Health Agenda in horizon • Paris Declaration and Busan’s Action Plan call for • aid effectiveness and efficiency=>increased accountability, alignment of programs with national health priorities • Active engagement of CSOs in health planning and implementation

  19. NEW CONTEXT IN HEALTH SECTOR • New health care needs : transitional disease patterns, new epidemic breakout etc… • Donor landscape has changed when VN became MIC as well as the consequences of global economic crisis • How can INGOs and MOH improve their cooperation to contribute more effectively in health sector?

  20. INTERNATIONAL EXPERIENCES • Emphasize CSOs/INGOs critical role in formulation, implementation and monitoring of heath policies and good health governance for better health outcomes • Establish a functioning coordinating mechanism among INGOs/CSOs to guide collective action in policy advocacy, coordinated inputs to health plans and strategies • Take full use of already exist mechanisms with the government (MOH, other ministries…) • Suggest to Government/MOH new business models of engagement of INGOs in health sector such as Government’s funding to or sourcing out to INGOS for technical assistance …

  21. INTERNATIONAL EXPERIENCES • Intensify networking, information sharing among INGOs ; document lessons learned and evidence to share with MOH through well-run coordination platform for information sharing, consultations, to provide MOH with evidence for policy formulation, planning and monitoring • Work towards creating and consolidating linkages between INGOs and LNGOs through capacity building, both institutional and technical • Get wider stakeholders and partners engaged: partners as social enterprises, private sector (as donors or sub contractors through PPP models…)

  22. PROPOSED WAYS FORWARD • Continue and improve the current mechanisms (HPG, TWGs, …) through more coordinated and structured inputs from INGOs to different mechanism • A follow-up mechanism to monitor how the inputs have been taken into consideration in health plans • Mapping out INGOs (their program areas, location of operation, funding level etc…) for stakeholders to avoid duplication, • Establish a INGO run forum in health sector to share information, lessons learned, consultations to get inputs from all INGOS in health, to get collective feedback and contribution to health plans and strategies.

  23. PROPOSED WAYS FORWARD • To keep MOH know their funding to help MOH to foresee the resources for planning • Find new business models to work with INGOs (contract out for technical assistance…) • Establish and connect with other partners (LNGOs,, private sectors to get them involved • It is crucial to have INGOs as “drivers” to activate and guide the mechanism • …..

  24. THANK YOU

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