GLOBAL HEALTH INITIATIVES IN AFRICA CEDUMED - ANGOLA

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GLOBAL HEALTH INITIATIVES IN AFRICA CEDUMED -
ANGOLA

• Health Strategic Planning in
• Sub-saharan Africa

Presented by Ndoza Luwawa Maputo GHIN-INCO
Meeting (October 15, 2008)
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TOPICS

• SSA AFRICA PROFILE
• STUDY KEY OBJECTIVES
• STUDY METHODOLOGY
• DISCUSSION (RESULTS)
• - SSA/SPP COUNTRY EXPERIENCES
• - SYNERGIES BETWEEN SPP AND GHIs
• - SPP COUNTRIES CASE STUDIES
• DISCUSSION
• ANGOLA CASE STUDY
• RECOMMENDATIONS

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SUB-SAHARAN AFRICA PROFILE
Fig.1 people living with lt 1 or 2 USD daily in
sub-saharan Africa

• HIV/AIDS prevalence up to 30
• 65 of HIV cases among women
• 60 of new HIV infections among youth of 19-24
  yrs of age
• 1 million of deaths yearly caused by malaria
• 600.000 deaths yearly by Tuberculosis
• Over 160 infant deaths per 1000 new-born.
• Over 1000 maternal deaths per 100.000 live-births

Mothers with children in Reproductive Health
Clinic in Tanzania
Source The UN Division of Estatistics, 2008
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STUDY OBJECTIVES

• To screen-out the process typology of strategic
  planning in the saharian Africa
• To assess current efforts of stepping up SAA/SPP
  process activities, towards improving Health
  results in sub-saharian countries
• To draw lessons learned in the various countries,
  especially from the synergy between SPP processes
  and the Global Health Initiatives.

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METHODOLOGY

• 1. Litterature review of SPP/GHI in Sub-sahara
  Africa
• ? Nature, scientific grounds of strategic
  planning
• ? History, types and process of Health
  planning
• ? Values, principles at the basis of SPP
  models
• ? Actors (national and international )of SPP
  process
• ? Methods and information used.
• ? Countries Health Development and other
  related Plans.
• ? GHI/GHPs breakthroughs and SPP sinergies
• ? Published SPP/GHI studies findings
• 2. Critical analysis of findings (SPP Tipology,
  SPP/GHI synergy framework).
• 3. In-depth analysis/inferences (Angola,
  Mozambique and South-Africa case studies)

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DISCUSSION (RESULTS)

• Countries Plans Diversity reflecting specific
  national contexts and Government leadership/
  motivation.
• ? National Health Development Plans (content,
  structuring, MOH leadership, elaboration context,
  priority strategies, operationalization,
  Monitoring and Evaluation, donor/partner
  coordination).
• ? Poverty Reduction Strategic Plans (PRSPs) and
  Health
• ? Sector Wide Approaches ( SWAPs)
• ? Vertical Programmes Plans (HIV/AIDS, EPI,
  MCH/FP)
• ? Other (Gap Analysis, Macro-economics etc)
• Model Health System entailing PHC care, Minimum
  package of Interventions, district focus,
  Govt/NGO/Private inputs.

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DISCUSSION (Cont.)

• Sizeable evidence on positive effects of Health
  strategic Planning and GHI synergy. (Paris
  Declaration, 2005).
• Health issues/strategies poorly reflected in PRSP
  SAA planning documents. (Eldis Health PRSP
  papers).
• Substantial SPP breakthroughs in Uganda (Donors
  harmonization), Senegal (interim evaluation),
  Mozambique (SWAP), Burkina-Faso.
• Model Uganda, Senegal and S.-Africa Health
  Results in post SPP evaluation.
• Critical Health Systems Strengthening tru
  capacity-building and PHC revamping for MDG
  attainment (WHO Ouagadougou, 2008)
• Pivotal NEPAD Health Strategy, with needed Member
  states, REC, donors/GHIs adherence (AU Health
  Ministers Conference, 2007).

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GHI HEALTH PLANNING SYNERGIES (Sub-Saharan
Africa)Analytical Framework
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ANGOLA CASE STUDY

• Country with rich potential witnessing peace
  consolidation, rapid economic growth and
  compreensive infrastructures rehabilitation.
• Health indicators still worrying, despite
  extended social/Health facilities rehabilitation,
  staff capacity-building and ever-increasing
  funding opportunities.
• Poorly effective SPP process fostered by weak MOH
  leadership, poor institutional capacity/commitment
  , and poor donor/GHI coordination.
• Among Most salient fragmented Health Planning
  Processes and Products
• Human Resources Development Plan (1997 2007)
• National Health Development Plans (2001-2005)
  and (2005-2006)
• National HIV/AIDS Strategic Plan
  (2003-2008) and (2007-2010)
• National Malaria Control Programme (2005
  2010)
• National Plan for Accelerated Reduction of
  Maternal and Child Mortality.
• Global Fund Country Coordination Mechanisms
  (GF-CCM)
• Polio / EPI Joint Coordination Committees.

Source Dupret, 2008
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HIV-AIDS/TB/Malaria ANGOLA GHI SYNERGIES
Source Dupret, 2008
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RECOMMENDATIONS

• Further insight in Countries SPP processes
  especially in Angola, South-Africa and Mozambique
• Obtain from Mozambique updated Health evaluation
  data, especially in pós ACMP and ACAs.
• Assist Angola New MOH leadership in SPP tacking
  stock and bringing back on track
• Obtain Other countries Health Plans evaluation,
  using NEPAD/INCO evaluation guidelines