Preparation of ADB paper on experiences in Health Sector Reform relative to PNG within the framework of ADB’s Participation in World Bank’s Proposed Scaling Up Poverty Reduction

ADB

Papua New Guinea

Leadership/ Governance/ Policy/ Strategic Planning/ Management/ M&EPolicy/Governance/System; Planning/Management/M&EHealth Sector Reform

The learning program and high level forum conference aimed to present several studies from around the world highlighting cases where poverty reduction projects or schemes have been successful and which can be 'upscaled' or replicated in similar or varying conditions. Examples from all aspects of poverty were drawn upon including raising household incomes, improving health standards, infrastructure development, stimulating private investment and job creation, and increasing access to education.

Discussion paper for HLF meeting in Shangai (2004) produced on the PNG case study, with:
Focus on the trajectory of the health sector reform implementation process making reference to (a) rationale and objectives; (b) political context; (c) consistency of the objectives with any ongoing country poverty reduction strategies; (d) institutions involved and initial degree of commitment; (e) other actors involved; (f) preliminary results and comparison with initial objectives; (g) minor adjustments and fundamental changes to original plan; (h) changes in scale.
Analysis of final results and an attempt to assess the impact of the initiative.
Highlighted the main factors that drove the implementation process, considering four main categories: (A) Commitment and political economy for change; (B) Institutional innovation; (C) Learning and experimentation; and (D) External catalysts.
Elaborated recommendations regarding lessons learned that can be applied to other countries, as well as future prospects and actions that should be taken to ensure sustainability of present achievements.