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Montreux, November 18 2010

Experiences from the field: Country-level strategies for resource tracking harmonization and impact. Montreux, November 18 2010. Douglas M. Glandon, MPH Health Systems 20/20 douglas_glandon@abtassoc.com. Overview. Example 1: Coordinated implementation of RT activities (NASA & NHA) Concept

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Montreux, November 18 2010

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  1. Experiences from the field: Country-level strategies for resource tracking harmonization and impact Montreux, November 18 2010 Douglas M. Glandon, MPH Health Systems 20/20 douglas_glandon@abtassoc.com

  2. Overview • Example 1: Coordinated implementation of RT activities (NASA & NHA) • Concept • Challenges • Potential solutions • Example 2: Common database for tracking donor & NGO spending • Concept • Challenges • Potential solutions

  3. Concept:Capitalize on overlaps to consolidate data collection for multiple RT activities • Coordinating National Health Accounts (NHA) and National AIDS Spending Assessments (NASA) has the potential to: • Reduce the burden of data reporting on all partners • Minimize time and money wasted on duplicative tasks • Produce consistent, complementary results to inform policy • Bring together inter-sectoral stakeholders http://www.healthsystems2020.org/content/resource/detail/2321/ 3

  4. Harmonizing NHA & NASA in the field Rwanda (2007-8, 2010) NHA/NASA ‘crosswalk tables’ applied to NHA estimation Namibia (2010) Joint NHA/NASA data collection, report with UNAIDS DRC (2010) Joint NHA/NASA data collection with UNAIDS, PNMLS Ethiopia (2009-10) Collaboration with UNAIDS in NHA estimation; NHA figures to be used to generate UNGASS tables Vietnam (2010-11) Joint NHA/NASA data collection with UNAIDS http://www.healthsystems2020.org/content/resource/detail/2321/ 4

  5. Overview • Example 1: Coordinated implementation of RT activities (NASA & NHA) • Concept • Challenges • Potential solutions • Example 2: Common database for tracking donor & NGO spending • Concept • Challenges • Potential solutions

  6. Coordinated implementation of RT activities (NASA & NHA) • Challenges Technical Logistical Political • Data needs, methods of data collection and analysis • Potential for inconsistency of results • Timelines for implementation, reporting, etc. • Consistency in local capacity-building • Funding mechanisms • Different counterparts, stakeholders for each RT activity • Differences in intended use of results by stakeholders

  7. Coordinated implementation of RT activities (NASA & NHA) • Potential Solutions Technical Logistical Political • Combined technical working sessions • Single set of data collection instruments • Single data collection effort • Clear division of responsibilities up front • Train local counterpart staff on joint methodology • Hire the same consultant to work on both RT activities • Frame the activity as part of institutionalizing RT • Emphasize collaboration at stakeholder meetings • Joint reports (or joint sections)

  8. Overview • Example 1: Coordinated implementation of RT activities (NASA & NHA) • Concept • Challenges • Potential solutions • Example 2: Common database for tracking donor & NGO spending • Concept • Challenges • Potential solutions

  9. Concept:Resource tracking software that collects and stores health expenditure data from donors and NGOs in a country • Increased data consistency, comparability, and availability for health policy planning • Faster and easier for partners to complete spending reports • Improved coordination of health sector spending

  10. Overview • Example 1: Coordinated implementation of RT activities (NASA & NHA) • Concept • Challenges • Potential solutions • Example 2: Common database for tracking donor & NGO spending • Concept • Challenges • Potential solutions

  11. Challenge:Differences in methods and definitions between resource tracking activities • Potential solution: Define common classification criteria for expenditures

  12. Challenge: Potential overlap/duplication of existing RT activities, health information system • Potential solution: Integrate database with existing data sources, data needs

  13. Challenge:Initial added reporting burden until database replaces other RT activities • Potential solution: • Design database to produce reports stakeholders want

  14. Challenge:Maintenance, improvement and use of the RT database • Potential solution: Develop open source software with Ministry of Health programmers; provide training

  15. Acknowledgements • Rwanda and Vietnam Ministries of Health • UNAIDS teams from Vietnam, Rwanda, Namibia, DRC, and Ethiopia • Health Systems 20/20 • Catherine Connor; Nirmala Ravishankar; Hong Wang; Ha Nguyen; Michael DeLuca; Jeremy Snider; Gregory Nelson

  16. Health Systems 20/20 is USAID’s global health project to strengthen health systems in developing countries, focusing on integrated financing, governance, operational and capacity building. Thank you Reports related to resource tracking and National Health Accounts are available at www.HS2020.org

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