Suwit Wibulpolprasert Salif Samake Co-chairs Implementer Consortium

1. Recommendations on Maximizing the Positive Synergies from the interactions between Health Systems Strengthening and disease specific Global Health Initiatives Suwit Wibulpolprasert Salif Samake Co-chairs Implementer Consortium Maximizing Positive Synergies

2. The aim - How can disease specific Global Health Initiatives and Country Health Systems optimize their interactions to achieve their common goal of improving health outcomes? - How can Health Systems be strengthened to support the achievements of disease specific GHIs targets

3. The road to the recommendations • Establishment of the Implementers Consortium September 2008 • Academic and Civil Society consortia's work August 2008 – June 2009 • Consultations November 2008 – June 2009 • Implementers Consortium Meeting January, April and May 2009 • High Level Dialogue in Venice 22-23 June 2009 • Finalized recommendations and advocacy

4. Be Very Bold Set Enumerable targets Enhance National leadership Improve Evidence Communities Engagements The recommendations “VENICE” Recommendations

5. Be Very Bold • Reduce ‘self’ towards ‘love’, ‘trust’ and ‘solidarity’ – disease specific GHIs and HSS • More ‘health’ investment – Development partners and governments; both on disease specific GHIs and HSS • More cost-effective investment – PHC based HSS

6. Set Enumerable Targets for HSS • - Agreement on indicators for each • building block of the HS – HRH, service delivery, financing, governance, health information, supply management, etc. • Set Enumerable targets including targets on community engagement • Make national health information systems strong enough to inform the progresses of the agreed targets

7. Enhance National leadership • Sustainable National leadership: • - leadership • - HP/HS research and policy formulation • - Management and implementation capacity • Participatory, Accountable and Transparent Governing structures – all level • Focus on single consolidated National Health Development Plan – ‘3 Ones’ or IHP++++ or etc

8. Improve evidence • Assess situation formulate a national development plan on HIS based on HMN framework, and also on the HSR, based on multi-sectoral involvement. • Concrete and adequate investment to build long term sustainable national capacity on HIS and HSR • Link the evidences to the set targets and the policy decision processes

9. Communities Engagement – at all levels • Capacity building of community and civil society organizations – the right ones not the opportunists • Engage them in the governing structures at all levels • Decentralization and ownership by communities

10. Implementing the recommendations • International partners • Shared accountability on their prior commitments • Stop fighting and competition and move towards ‘co-petition’ - harmonization among partners based on ‘trust’ based relationship • Needs assessment and agreement on comparative advantages

11. Implementing the recommendations • National policy makers • build up strong and sustainable leadership to be able to deliver their commitments • Increased domestic health funding – 15% of national public spending on health • - Supportive policy environment and accountability

12. Implementing the recommendations • Programme managers • Building sustainable management capacity • Coordinated and unified response • among programmes, GHIs and HSS • Create common monitoring systems

13. Implementing the recommendations • Communities • Drive ambitious HSS agenda • Expand role of communities in • health service delivery – ‘brain’, ‘bark’ and • ‘Bite’ • Engagement in the governing structures • at all levels.

14. Implementing the recommendations • Researchers • Be a comprehensive ‘brain’ to HSS and • GHIs • - Define and cost a long term • HS research agenda • Develop rigours methods to • investigate interactions • between HS and GHIs

15. Thank you