Lessons Learned from Case Studies on Effective Service Delivery
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The document discusses lessons learned from case studies regarding the implementation of health sector reforms, emphasizing that various factors outside the health sector, such as political stability and economic growth, influence outcomes. It stresses the importance of political and managerial leadership, the fragility of reforms, and the critical need for balancing supply and demand-side interventions. Additionally, it highlights that effective capacity building should extend beyond training to encompass mentoring, and acknowledges the complex relationships between NGOs, faith-based organizations, and government agencies.
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Lessons Learned from Case Studies on Effective Service Delivery
- 1. 1 Lessons Learned from Case Studies Katja Janovsky
- 2. Many powerful factors driving implementation are beyond the health sector, including political stability and security, economic growth; and legislation, regulation and government capacity to monitor and enforce The case studies focused on decentralization, community empowerment and oversight over non-state providers, but the form these take in different countries varies considerably Case Studies Lessons (Macro Level)
- 3. Early successes may be reversed, if leadership changes, institutionalization is weak, and political and economic fortunes take a downturn – need to recognize fragility of reforms The quality of political and managerial leadership is key Attention to the pace of implementation is of critical importance The size of donor support and type of aid approaches have a significant impact on distribution of resources and focus of effort – hence on implementation Case Studies Lessons Learned (Health Sector Environment Level)
- 4. Greater attention is needed to balancing supply and demand-side interventions and to creating demand Ensuring capacity building as a central tenet is critical – but needs to go beyond training and TA, focusing on mentoring and supporting rather than substituting for national human resources The boost of new beginnings tends to work in favor of post-conflict countries, at least at the outset. The status and role of NGOs and FBOs is important – but relations with government are often difficult and unsupportive Case Studies Lessons Learned (Strategy Level)