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BMZ Health Sector Strategy (Health
Division) Framework, principles and thematic
areas of German Development Aid for Health Dr A
Stadler Senior Advisor GTZ Health
Section February 2009
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Introduction

• BMZ Health Sector Strategy
• Conceptual framework for the German Development
  Aid for Health
• Framework for programme and project type support
• Guidelines for cooperation with partner countries
  and organisations
• Information tools for the public

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Introduction (2)

• Health is mainly determined by
• Effective preventive and curative health
  services, health promotion, and rehabilitation
• Healthy living conditions, such as water,
  housing, nutrition, education
• Peace, security and social and economic equity
• The current BMZ Health Sector Strategy deals
  mainly with elements related to health promotion
  and health services

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Health Systems

• All organizations, institutions and resources in
  a country dealing with health
• Public and private sector
• Promotional, preventive, curative and
  rehabilitative measures

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Health Systems (2)

• Services to be needs-orientated, equally
  distributed (coverage) and accessible for all
• Performance depends on
• available resources (finance, human resources and
  infrastructure)
• governance (respect of human rights, corruption,
  rights of beneficiaries, support)

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Some Essential Components of Primary Health Care
(PHC)

• Equitable distribution
• Community participation
• Inter-sectoral cooperation
• Appropriate technology
• Availability of support mechanisms

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Main thematic areas of BMZ Strategy

• Health System Strengthening
• Decentralised organization, respect of good
  governance principles and human rights
• Sustainable health system financing and social
  protection in health
• Capacity development for planning and management,
  training and research
• Human resources for health
• Infrastructure and technologies

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Main thematic areas of BMZ Strategy (2)

• Health System Strengthening (2)
• Poverty alleviation through extension of PHC
  coverage
• Quality and equity through support to different
  levels of health system organization - Focus on
  horizontal approaches and on the district
  health concept

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Main thematic areas of BMZ Strategy (3)

• Disease Control
• Support to specific or disease targeted actions
  via national (bilateral) or via global
  (multilateral) programmes
• Vertical organization only if appropriate, focus
  on integration / systemic approach
• AIDS, Malaria, Polio and other Neglected Diseases
• Support to research (but mainly through other
  Ministries)

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Main thematic areas of BMZ Strategy (4)

• Fight against HIV/AIDS (cross-cutting issue)
• Special focus of German development aid
• Disease control (prevention, diagnostic,
  treatment, research)
• Social and psychological support
• Target group specific activities with focus on
  protection of women and children
• Mainstreaming HIV into all relevant sectors of
  German Development Cooperation

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Main thematic areas of BMZ Strategy (5)

• Sexual and Reproductive Health and Rights
• Special focus of German development aid
• Family planning, prevention of STI
• Safe motherhood (including safe abortions)
• Empowerment of young women and girls / sexual
  education
• Activities related to harm reduction and
  post-care (including FGM)
• Mainstreaming SRHR into all relevant sectors of
  German Development Cooperation

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Core Principles

• Health as a Human Right based approach
• Core elements of this approach
• Equity in access to and quality of
• Health services
• Health information
• Healthy living conditions
• for poor and other marginalised groups
• Essential part of poverty reduction strategy
• BMZ supports health system approaches focussing
  on these core elements
• Governments have the duty to enable the right to
  health for their people

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Instruments for Implementation (1)

• Bilateral Instruments
• Financial Cooperation
• Technical Cooperation
• Technical Assistance
• Temporary Staff Secondments / Substitution
• Voluntary Service (Public, Faith-based
  organizations)
• Capacity Development (Universities, Development
  Agencies, Private Sector)

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Instruments for Implementation (2)

• Multilateral Instruments
• Financial support to international organizations
  and Global Health Institutions and Initiatives
  (e.g. IHP, P4H)
• Support of DAC-Criteria like
• Increase of PBA, SWAp-support, Sectoral and
  General Budget Support, Basket support, Pooling
  arrangements

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Strategies for Implementation (1)

• Cross-Cutting Approaches
• Health as Human Right
• Focus on inter-sectoral cooperation and
  mainstreaming of health related activities (e.g.
  HIV/AIDS, Health of Children, SRHR) into other
  sectors (e.g. water, education, civil sector
  development, decentralisation)
• PHC strategy as essential part of health system
  development including disease control aspects
• Private Sector Support
• Activities implemented through NGOs and
  faith-based organizations
• Activities implemented and co-financed through
  private business (PPP)

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Facts and figures on German Cooperation in Health
(1)

• Actually 17 priority countries of cooperation in
  the health sector 7 in SSA
• Health related activities in about 58 countries
  21 in SSA
• Major input on different aspects and different
  levels of health system strengthening in about 30
  countries 15 in SSA
• But health system strengthening and PHC part of
  almost all integrated approaches (including those
  with a focus on HIV/AIDS, SRHR or Social
  Protection)

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Facts and figures on German Cooperation in Health
(2)

• Development of the German Bilateral ODA in
  Health (in Million Euro)
• without HIV/AIDS, SRHR and Social Protection

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Thank you!