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Monitoring commitments to effective development cooperation in health: fifth IHP+ monitoring round - country assessments

Field of Expertise:
Health Policy and Governance; Policy, Governance, System; Health Policy / Policy Dialogue / Governance / Legal framework
Narrative description of project:
In 2014 hera was contracted by WHO (IHP+) for the elaboration of the Global report on IHP+ performance: monitoring commitments to effective development cooperation in health in 24 countries world-wide, including 24 governments and 33 development partners. In 2016, WHO has entrusted hera again with the next IHP+ monitoring round, covering 30 countries and 35 development partners.
IHP+ is a group of 65 developing countries, donor countries and international agencies committed to improving the health of citizens in developing countries by putting international principles for effective aid and development co-operation into practice in the health sector. It is administered by the WHO and World Bank. To date IHP+ has organised five Monitoring Rounds to assess signatories’ performance against aid effectiveness commitments, with the 5th currently being completed.
hera has led the 4th (24 countries) and 5th rounds of monitoring (30 countries). The focus of last current round is more on qualitative data as compared to the previous rounds, and includes the consultation of government, development partners, the private sector and CSO. In 2016 IHP+ transfomed in UHC2030.
Description of services provided:
The methodology consisted of two main components:
• Quantitative/financial data from the MoH and development partners were collated from the 30 countries into an excel database. Qualitative data was collated from interviews with Government staff, Development Partners, CSOs and the private sector through a PDF tool / interviews. Focus group discussions were held with CSOs and the private sector. An on-line survey of more than 400 CSOs complemented the above information.
• A discussion between in-country development partners, representatives from CSO and private sector, and the Ministry of Health / government on the findings on the performance, obstacles and potential remedial action in order to promote mutual accountability, effective development cooperation and ultimately better results. This was facilitated by the national expert with support from an international expert.
Performance was captured and visualised in several tools: 30 country-specific visual aids; 30 PowerPoint presentations; 30 country reports; 22 development partner visual aids; a global report. All deliverables are available on the UHC2030 website: In response to the health-related sustainable development goals (SDGs) adopted in 2015, the IHP+ steering committee and IHP+ signatories agreed to expand the scope of the IHP+ to include coordination of health systems strengthening (HSS) towards the achievement of universal health coverage (UHC), and to broaden the base of the partnership to respond to the health-related SDGs. The new ‘International Health Partnership for UHC 2030’, created in September 2016, will continue to work on improving effective development cooperation in countries receiving external assistance, but will broaden its scope to also focus on HSS and domestic spending in all countries and promoting accountability and advocacy for UHC as well as knowledge-sharing. One challenge for UHC2030 will be to maintain the interests of governments and development partners in effective development cooperation. Holding governments and development partners accountable for their commitments and assessing effectiveness of development cooperation should continue and can best be done within a framework that captures all financial resources, including domestic financing, and that links resource inputs and health system strengthening with the overall goal of reaching the health-related SDGs. Taking the new global aid architecture and the overall goal of universal health coverage into account, the content and the application of the EDC framework should be revisited and updated as necessary.