Swap ppt
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The document discusses sector-wide approaches (SWAps) in health sectors, including defining SWAps, their components and evolution in Nepal's health sector. It outlines Nepal's policy context for SWAps, challenges in implementing SWAps, opportunities they provide, and recommendations for strengthening SWAps such as designing awareness and leadership programs.
Swap ppt
- 1. By Nisha Thapa Magar 2015-1-37-0021 SWAp in health? What is it? Where we are? Ways forward Seminar on Under cordial guidance of Hari Prasad Kaphle Assistant. Proffessor (Public Health) PU, SHAS
- 2. Outline • Background • Introduction • Global context • Nepal context • Policy • References 2
- 3. Background • Developed in early 1990s. • adopted by wide group of development agencies at meeting held in Copenhagen in February 1997. • In 1998, Peter published the first analysis in the peer-reviewed literature on the design and experience in SWAp. 3 David H. Peters, Ligia Paina, Schlemann F. Sector-wide approaches (SWAps) in health: what have we learned? Health policy and planning. 2012;28:884-90.
- 4. Introduction A SWAp (Sector Wide Approach) is- • an approach involving different type of relationship between government and development partners, • a mechanism through which supports to public expenditure program for better coordination, • a means of improving aid effectiveness-by improving the efficiency and effectiveness with which all resources are used, and accounted for, in the sector. 4 Sector Wide Approaches: A Resource Document for UNFPA Staffs. 2005
- 5. Components of SWAp There are four key components of SWAp- • A clear nationally-owned sector policy and strategy; • A medium term expenditure framework that reflects the sector strategy; • Systematic arrangements of programming resources that supports the sector; • A performance monitoring system that measures progress and strengthens accountability. Sector Wide Approaches: A Resource Document for UNFPA Staffs. 2005 5
- 6. Approaches 1. Building individual human and institutional capacity. 2. Promoting dialogue and advocacy, establishment of equitable partnership and improve donor coordination. 3. Efficiency of policy advisory services and improving sector stewardship, national ownership and financial management. 4. Promoting knowledge production and support national health information systems. 5. Supporting Health SWAps to improve population health. 6. Supporting Health SWAps to improve health system functioning. Elis Borde, Publica ENdS. Sector-wide approaches (SWAps) in health. Gederal Ministry for Econimic Cooperation and Development 6
- 7. Global context • SWAp is known as development sector across many countries around the world. • The World Bank regard SWAp as integral to its strategy in Africa. • It is the most appropriate step for effective aid management and health sector development. • SWAp modality came into practice in Bangladesh in 1998 when MOHFW realized the need to refine its project implementation design. (MOHFW= Ministry of Health and Family Welfare) 7 Finance Mo. An Assessmemt of Sector Wide Approach (SWAp) in the Health and Education Sectors of Nepal. Government of Nepal,Ministry of Finance,International Economic Cooperation Coordination Division(IECCD)Kathmandu,Nepal. 2018
- 8. Cont… SWAp follow five basic principles of Paris Declaration. 1. Ownership 2. Alignment 3. Harmonisation 4. Managing for results 5. Mutual accountability 8 Finance Mo. An Assessmemt of Sector Wide Approach (SWAp) in the Health and Education Sectors of Nepal. Government of Nepal,Ministry of Finance,International Economic Cooperation Coordination Division(IECCD)Kathmandu,Nepal. 2018
- 9. Nepal Context • MoF is responsible for monitoring and evaluation of aid effectiveness in Nepal as it is involved in Joint Annual Review (JAR) for discussing the progress made in SWAp. • In health sector, the Nepal Health Sector Strategy (NHSS),2015-2020 guide the decision across different sector including public and private services and partnership with external donors. • In education, the School Sector Reform Plan (SSRP) 2004-2015 is a long term strategic plan for achieving basic and secondary education. 9 Finance Mo. An Assessmemt of Sector Wide Approach (SWAp) in the Health and Education Sectors of Nepal. Government of Nepal,Ministry of Finance,International Economic Cooperation Coordination Division(IECCD)Kathmandu,Nepal. 2018
- 10. Evolution of SWAp in health sector in Nepal • December 2003: ‘The Health Sector Strategy (HSS): An agenda for reform was endorsed against the backdrop of Nepal’s commitments on delivering Poverty Reduction Strategy (PRS) and the MDGs. • February 2004: Signing of ‘Statement of intent to guide the partnership in health sector in Nepal by GoN and 11 External Development Partners (EDPs). • July 2004: ‘Letter of sector development policy’ was drafted by the then Deputy Prime Minister and Finance Minister. Finance Mo. An Assessmemt of Sector Wide Approach (SWAp) in the Health and Education Sectors of Nepal. Government of Nepal,Ministry of Finance,International Economic Cooperation Coordination Division(IECCD)Kathmandu,Nepal. 2018 10
- 11. Cont.. • August 2004: The Nepal Health Sector Implementation Plan 2004- 2009 was formulated. • March 2005: Signing of JFA (Joint Financing Arrangement) between GoN, Department for international Development (DFID) and the World Bank. • June 2009: Signing of JFA with Aus-Aid as third partner to provide health sector budget supports. • 2009: Signing of National Health Sector Development compact between MoHP and Development Partners (DPs). Finance Mo. An Assessmemt of Sector Wide Approach (SWAp) in the Health and Education Sectors of Nepal. Government of Nepal,Ministry of Finance,International Economic Cooperation Coordination Division(IECCD)Kathmandu,Nepal. 2018 11
- 12. Policy Context of SWAp Major policy 1. Foreign Aid Policy (FAP), 2002 2. Development Cooperation Policy (DCP), 2014 Education sector policies and program 1. School Sector Reform Plan, 2009-2015 2. School Sector Development Plan, 2016-2023 12 Finance Mo. An Assessmemt of Sector Wide Approach (SWAp) in the Health and Education Sectors of Nepal. Government of Nepal,Ministry of Finance,International Economic Cooperation Coordination Division(IECCD)Kathmandu,Nepal. 2018
- 13. Cont.. Health sector policies and program 1. Health Sector Strategy, 2003-2015 2. Nepal Health Sector Programme I, 2004-2009 3. Nepal Health Sector Programme II, 2010-2015 4. National Health Policy, 2014 5. Nepal Health Sector Strategy, 2015-2020 13
- 14. Challenges of SWAps The top 10 challenges of implementing sector wide approaches are- • Not easy to decide on how wide to define the sector • Core issues affecting the sector, decided outside the sector • Few institutional incentives to cooperate • Shifting of political focus from basic service delivery to a growth agenda • Focus on short-term results, not sustainable service delivery 14Study of Sector Wide Approach in the water sector. European Commission. 2011
- 15. Cont.. • Past reforms not consolidated, roles and responsibility are unclear • National systems too weak to carry out core tasks • Lack of resources and energy to coordinate and implement reform • The sector approach concept is not country led • Support from donor is inconsistent and unpredictable Study of Sector Wide Approach in the water sector. European Commission. 2011 15
- 16. Opportunities for SWAp • Reinforce decentralization • Shift sector objectives from short-term coverage targets to long-term sustainable service delivery • Respond to challenging and persistent constraints • Bring synergies with administration reform 16Study of Sector Wide Approach in the water sector. European Commission. 2011
- 17. Cont.. • Complement new planning and financial tools • Use information as an agent of cooperation and change • Support a focus on environment and climate change • Offer new prospects for international cooperation and partnerships. Study of Sector Wide Approach in the water sector. European Commission. 2011 17
- 18. Recommendation • Design and implement SWAp awareness program for local level staff. • Capacitate the existing system for SWAp implementation in terms of logistics, human resources and policy instruments. • Design and implement Leadership Development Programmes for senior policy makers working in SWAp. • Provide capacity development and other incentives for focal person and other staff working in SWAp Unit and/or Planning Divisions/Sections. 18 Finance Mo. An Assessmemt of Sector Wide Approach (SWAp) in the Health and Education Sectors of Nepal. Government of Nepal,Ministry of Finance,International Economic Cooperation Coordination Division(IECCD)Kathmandu,Nepal. 2018
- 19. References 1. David H. Peters, Ligia Paina, Schlemann F. Sector-wide approaches (SWAps) in health: what have we learned? Health policy and planning. 2012;28:884-90. 2. Finance Mo. An Assessmemt of Sector Wide Approach (SWAp) in the Health and Education Sectors of Nepal. Government of Nepal,Ministry of Finance,International Economic Cooperation Coordination Division(IECCD)Kathmandu,Nepal. 2018. 3. Elis Borde, Publica ENdS. Sector-wide approaches (SWAps) in health. Gederal Ministry for Econimic Cooperation and Development. 4.. Sector Wide Approaches: A Resource Document for UNFPA Staffs. 2005. 5. Study of Sector Wide Approach in the water sector. European Commission. 2011. 19
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