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Securing National Ownership through Dialogue

Securing National Ownership through Dialogue. Capacity Building in the Health Sector, Nicaragua Case: Obstetric Nurses Programme. Programme based on previous experiences - and failures. Started in the 1980s as an NGO initiative Teachers/trainers where trained

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Securing National Ownership through Dialogue

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  1. Securing National Ownership through Dialogue Capacity Building in the Health Sector, Nicaragua Case: Obstetric Nurses Programme

  2. Programme based on previous experiences - and failures... • Started in the 1980s as an NGO initiative • Teachers/trainers where trained • Approx. 200 Obstetric Nurses (OB’s) where trained • Ownership at NGO level and university

  3. Positive outcome of the project • Institutional twinning Nicaragua-Sweden • Technically successful project • Enthusiasm and innovation • Personal commitment

  4. But what about sustainability? • National health authority absent • Financial sustainability insecure • Local health authorities unaware • No dissemination in local communities • Professional groups not ”on board”

  5. So in the end... • Project ended • NGO commitment decreased • Enthusiasm + personal commitment faded • Trained capacities where not used • Only a handful work today as OB’s

  6. New initiative based on dialogue • Sida received an informal request in 2001 from NGO and Managua University • Feasibilty and appraisal missions with Swedish OB’s plus + communicator • Interviews including all stakeholders • LFA-seminars with key stakeholders

  7. Securing national ownership • Negotiations with key professional groups • Discussions with Minsitry of Health (MoH) • Formation of a programme ”Core Group” • Technical design phase in dialogue with national health authorities on all levels

  8. Sida’s role(s) as donor/partner • Offering technical assistance in design • Securing initial support from MoH • Involving and informing donor community • Promoting national dialogue, esp. local level • Liasing with other related donor inititives

  9. cont. Sida’s role(s) as donor... • Inclusion of communication components in programme design and budget

  10. Strategic communication in the design phase • Communication exercise with Core Group in the design phase • Professional support in communication • Focus on ”communication opportunities” with each target group, connected overall objectives

  11. What about sustainabilty now? • Building on National Health Strategy • Included in Health Sector SWAp • Included in PRSP (as means to reduce maternal and infant mortality) • Institutional twinning arrangements • Long-term investment that requires ”donor patience”

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