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Sector Wide Approach (SWAp)

HERA has been involved at all stages of the sector-wide approach in health. In the early days of the SWAp conceptualisation HERA has supported governments and development agencies in developing innovative financing instruments. HERA has strengthened the capacity of several development agencies in using SWAp and developing institutional mechanisms and has assisted governments and development agencies in preparing and initiating sector-wide approaches. HERA has also been at the forefront of monitoring health sector performance in the context of SWAp.

Examples include:

Developing and maintaining innovative financial instruments in preparation of sector support and/or SWAp

Zimbabwe: Proposals for multi-donor basket financing of capital and recurrent costs of district health services (EC and Danida, 1997-1999).
Zambia: Proposals for financing the National Health Strategic Plan 2001-2005 in a framework of SWAp;
Tanzania: Evaluation of the district basket funding mechanism in the context of the ongoing SWAp (2003);
RDC: Proposal for a twin Health Fund approach (both demand and provider financing) (2004);
Myanmar: Preparation of a Multi-Donor Health Fund (2006);
Cameroon: Analysis of the financing mechanisms of health districts with a view to develop a joint financing mechanism (2007; 2008);

Supporting development agencies in acquiring experience in SWAp and documenting SWAp experience

Papua New Guinea: Support to AsDB and AusAid in gaining experience in SWAp (2003-2004) and preparation of an AsDB paper on experiences on health sector reform in PNG, within the context of AsDB's participation in WB's proposed scaling up of poverty reduction (2004);
EC: Supporting the EC health network in drafting a manual on EC approaches in the health sector, including sector support policy programmes (2002-2003); and supporting the evaluation unit of EuropeAid in developing evaluation tools of health sector support programmes (2004-2005);
DGOS: Evaluation of the Belgian general and sector budget support modality (2007).
UNFPA: Thematic Evaluation of UNFPA experience in increasing aid effectiveness through participation in SWAps (2008);
WHO: development of a database on annual health sector reviews (2008)

Support to government and development agencies in preparing and initiating SWAp

Papua New Guinea: Exposing national authorities and development agencies (AsDB, AusAid, NZ) to international SWAp experiences (2003); Support to MOH and donors in preparing procedures, tools and institutional changes for initiating an innovative SWAp, on behalf of AsDB (2003-2004);
Cameroun: Supporting MoH in putting in place SWAp modalities and mechanisms (long-term; 2010-2013)

Monitoring health sector performance in the context of SWAp

Zambia: Joint health appraisal of the Zambia national health strategic plan 2001-2005, reviewing the progress of the health sector reforms and making proposals for change, on behalf of several donors (2000-2001).
Tanzania: Annual health sector performance reviews in the context of the ongoing SWAp in 2001, 2003, 2004, 2005 and 2006;
Ghana: Appraisal of the Danida Health Sector Support Phase III in the context of the ongoing SWAp (2002);
Mali: Joint Review of the PRODESS, on behalf of WB and development partners (2002);
Bhutan: Joint annual sector review, on behalf of Danida in 2004 and in 2005;
Papua New Guinea: Monitoring health sector and SWAp performance on an annual basis on behalf of the government and development agencies (2005, 2006-2008);
Bangladesh: Annual health sector review (pharmaceutical sector, 2008, 2009)
Uganda: Joint Assessment of National Health Strategies (JANS, 2010)
Ghana: Joint Assessment of National Health Strategies (JANS, 2011)
Ghana: Annual health sector review (2010, 2011)