Enhancing RH Commodity Security: Ghana MoH Perspective
Country Ownership: The Multi-sectoral
Challenge of RH Commodity Security –
The Ghana MoH Perspective
Presented
at the
“Access For All Conference”
22
nd
June 2011
Addis Ababa, Ethiopia
Country Ownership
Session Objectives:
•
What it means
•
How different sectors working individually and
together can overcome supply obstacles that
confront countries.
•
Ghana’s Experience
Paris Declaration
•
Developing countries will strengthen their
capacity to lead and manage development
•
Capacity development is the responsibility of
developing countries with donors playing a
supportive role and that technical cooperation
is one means to develop capacity.
•
Together developing countries and donors will
take steps to strengthen capacity
Country Ownership
Background:
The Accra High Level Forum on AID Effectiveness of 2
nd
September 2008
Engagement in open and inclusive dialogue on development
policies. Developing Country Govt’s will:
a.
Work more closely with Parliaments and Local authorities
b.
Donors will support efforts to increase capacity of all
actors
c.
And Donors will ensure that their respective development
policies and programmes are designed and implemented
in ways consistent with agreed international
commitments on gender equality, human rights, disability
and environmental sustainability
Country Ownership – MoH Perspective
•
Having a national plan(s) to which all
stakeholders have contributed and identify with
(
OWN
) and which all support to implement,
monitor and evaluate. “Buy in”
•
Stakeholders include:
Parliaments, Central and Local governments, Civil
Society Organizations, Research Institutions,
Media, and the Private Sector (Accra Declaration)
In Ghana
•
There is a National Development Plan - PRSP
(previous plans – GPRS, Vision 2020)
•
National Development Planning Commission
•
Population and FP input by the National
Population Council
•
All sectors have Plans that are in line with the
National Plan
Health Sector
•
The Ministry of Health
•
Health Policy Theme: “Creating Wealth
through Health”
•
Maternal and Child Health, Reproductive
Health, Nutrition and Life Style Changes are
among priorities
•
Medium Term Health Strategy with 5-Yr
Programs of Work 1997-2001, 2002 – 2006,
2007-2011
MoH Coordinating Mechanisms
•
Health Partners’ Summit twice each year
–
Aide Memoire signed with “Development
Partners”
–
In April 2008, Minister of Health declared
Maternal Mortality as a national disaster at Health
Summit
•
Health Partners’ Coordinating Meetings
monthly
Ghana Health Service
•
Strategic Framework 2007-2011
‘Strengthening Health Systems for effective and
efficient delivery of services to households and
communities with a focus to improve maternal and
child health outcomes’
•
Maternal & Child Health and RH among priorities
•
RH Policies & Standards (1997) reviewed (2003)
•
Service Protocols (Safe Motherhood, Family
Planning, Comprehensive Abortion Care)
•
Family Health Division
•
RH Policies and Standards documents and all
other protocols (guidelines), strategic plans, road
maps have been developed together with
stakeholders and are being implemented,
monitored and evaluated together.
•
Government and MoH/GHS provides leadership
cannot implement alone
•
Calls for multi-sectoral response and Partnership
•
Development partner support
•
NGO, Civil Society Organizations, Community
leaders ….
.
Strategic Planning Process
GoG Policy Decision
to Address CS
Sogakope CS Workshop
(May 2002)
ICC/CS
(August 2002)
Core Technical Group
(Oct. 2003)
Ghana National Contraceptive Security Strategy
Ghana National Contraceptive Security Strategy
(April 2004)
(April 2004)
Commodity Security
•
Contraceptive Commodity Security 2002
•
Inter Agency Coordinating Committee on
Contraceptive Security (ICC/CS)
•
Contraceptive Commodity Security Strategy
(2004- 2010)
•
RH Commodity Security Strategy (2011 –
2015)
•
Road Map on Repositioning Family Planning
Strategy (2005 – 2010)
Some Stakeholder Roles
Some Stakeholder Roles
Some Achievements
•
Implementation of Contraceptive Security Strategy
–
Development of Financial Sustainability Plan
–
Vibrant ICC/CS
–
Public-Private Partnerships e.g. Condoms to GSMF
•
Service Delivery
–
Updated Service Protocols (guidelines)
–
Increase in Method Mix – Introduction of New Methods
–
R3M and other partners
•
Advocacy:
–
Inclusion of Contraceptives & new RH commodities on Essential
Medicines List
–
“Donorship to Ownership”
•
Training in Standard Operating Procedures for Integrated LMIS
•
Development of RH Commodity Security Strategy
General CS Challenges
•
High Donor dependence for procurement
•
Decreasing trend in GoG contribution towards procurement of
contraceptives
•
LMIS capacity not optimal resulting in stock-outs
•
Multi-sectoral and Public private partnership sub-optimal
•
No dedicated Funding to implement strategy
•
Limited support for demand creation & sustainability e.g.
IEC/BCC, training
•
User fee pressure
•
Information sharing and data capture among partners not
optimal
•
FP commodities not included in pro-poor schemes e.g.
exemptions or NHIS which covers free maternal and child care
Closer Partnerships
•
Improvement in information sharing, with
capacity of Government built to improve
coordination, capacity building and well-
defined roles for all stakeholders,
transparency, new and strategic partnerships
with improved and coordinated resource
mobilization, monitoring and evaluation.
Better Stakeholder Partnership
•
There should be a shared vision and mission.
•
Transparency, recognition and appreciation of
each stakeholder’s strengths, weaknesses,
potential for improvement and roles
•
Information sharing should be improved
•
Stakeholders should present a common front
•
Stop unhealthy competition for funding
•
More of Constructive criticisms and suggestions
for improvement
Way Forward
•
Shared Commitment by all stakeholders
•
Governments should demonstrate leadership,
ownership and commitment by leading the
development of all inclusive plans and
strategies and by improving funding and other
support.
•
Development Partners should “Buy In” and
support Government efforts.
Thank You for your
interest
Presented on behalf of the Ghana Team
by
Dr. Gloria J. Quansah Asare
Director Family Health Division, GHS
Ghana's Ministry of Health (MoH) emphasizes country ownership in addressing the multi-sectoral challenges of reproductive health (RH) commodity security. The MoH highlights the importance of stakeholder involvement in national planning, coordination mechanisms, and strategic frameworks to improve maternal and child health outcomes. The Health Sector in Ghana focuses on creating wealth through health, with priorities on RH, nutrition, and lifestyle changes. The Ghana Health Service Strategic Framework aims to strengthen health systems for effective service delivery, particularly in maternal and child health.
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Presentation Transcript
Country Ownership: The Multi-sectoral Challenge of RH Commodity Security The Ghana MoH Perspective Presented at the Access For All Conference 22ndJune 2011 Addis Ababa, Ethiopia
Country Ownership Session Objectives: What it means How different sectors working individually and together can overcome supply obstacles that confront countries. Ghana s Experience
Country Ownership MoH Perspective Having a national plan(s) to which all stakeholders have contributed and identify with (OWN) and which all support to implement, monitor and evaluate. Buy in Stakeholders include: Parliaments, Central and Local governments, Civil Society Organizations, Research Institutions, Media, and the Private Sector (Accra Declaration)
In Ghana There is a National Development Plan - PRSP (previous plans GPRS, Vision 2020) National Development Planning Commission Population and FP input by the National Population Council All sectors have Plans that are in line with the National Plan
Health Sector The Ministry of Health Health Policy Theme: Creating Wealth through Health Maternal and Child Health, Reproductive Health, Nutrition and Life Style Changes are among priorities Medium Term Health Strategy with 5-Yr Programs of Work 1997-2001, 2002 2006, 2007-2011
MoH Coordinating Mechanisms Health Partners Summit twice each year Aide Memoire signed with Development Partners In April 2008, Minister of Health declared Maternal Mortality as a national disaster at Health Summit Health Partners Coordinating Meetings monthly
Ghana Health Service Strategic Framework 2007-2011 Strengthening Health Systems for effective and efficient delivery of services to households and communities with a focus to improve maternal and child health outcomes Maternal & Child Health and RH among priorities RH Policies & Standards (1997) reviewed (2003) Service Protocols (Safe Motherhood, Family Planning, Comprehensive Abortion Care) Family Health Division
RH Policies and Standards documents and all other protocols (guidelines), strategic plans, road maps have been developed together with stakeholders and are being implemented, monitored and evaluated together. Government and MoH/GHS provides leadership cannot implement alone Calls for multi-sectoral response and Partnership Development partner support NGO, Civil Society Organizations, Community leaders .
. Strategic Planning Process GoG Policy Decision to Address CS Sogakope CS Workshop (May 2002) ICC/CS (August 2002) Core Technical Group (Oct. 2003) Ghana National Contraceptive Security Strategy (April 2004)
Commodity Security Contraceptive Commodity Security 2002 Inter Agency Coordinating Committee on Contraceptive Security (ICC/CS) Contraceptive Commodity Security Strategy (2004- 2010) RH Commodity Security Strategy (2011 2015) Road Map on Repositioning Family Planning Strategy (2005 2010)
Some Stakeholder Roles Role Agency(s) Activity Leadership MoH GHS Health Partners Summit Meetings, ICC/CS Coordination Development Partners, MOH Health Partners Meetings Policy MoH, GHS, Partners Policy Development, review, strategic plans, disseminate Commodity Registration Food and Drugs Board Advocacy NPC PPAG, UNFPA, USAID DELIVER, NPC, GHS, NGOs, CSOs (Population & FP on PRSP) Donorship to Ownership Meetings & Sessions with Parliamentarians, Documentaries, Traditional Leaders Capacity Building Technical Assistance USAID funded DELIVER GHS, Implementing Partners Forecasting Logistics Management Various Trainings
Some Stakeholder Roles Role Agency(s) Activity Service Delivery GHS, CHAG, NGOs R3M, PPAG, GRMA, CAs Service Delivery Partnerships MoH, GHS, IPs, PPAG, Social Marketing (EXP, GSMF), R3M Forecasting, Service Delivery, Advocacy and Resource Mobilization Financing USAID, UNFPA, DFID, World Bank, EU, DANIDA, Procurement Service Delivery M&E MoH, GHS, All Partners Monitoring Visits, Data Management, Meetings
Some Achievements Implementation of Contraceptive Security Strategy Development of Financial Sustainability Plan Vibrant ICC/CS Public-Private Partnerships e.g. Condoms to GSMF Service Delivery Updated Service Protocols (guidelines) Increase in Method Mix Introduction of New Methods R3M and other partners Advocacy: Inclusion of Contraceptives & new RH commodities on Essential Medicines List Donorship to Ownership Training in Standard Operating Procedures for Integrated LMIS Development of RH Commodity Security Strategy
General CS Challenges High Donor dependence for procurement Decreasing trend in GoG contribution towards procurement of contraceptives LMIS capacity not optimal resulting in stock-outs Multi-sectoral and Public private partnership sub-optimal No dedicated Funding to implement strategy Limited support for demand creation & sustainability e.g. IEC/BCC, training User fee pressure Information sharing and data capture among partners not optimal FP commodities not included in pro-poor schemes e.g. exemptions or NHIS which covers free maternal and child care
Closer Partnerships Improvement in information sharing, with capacity of Government built to improve coordination, capacity building and well- defined roles for all stakeholders, transparency, new and strategic partnerships with improved and coordinated resource mobilization, monitoring and evaluation.
Better Stakeholder Partnership There should be a shared vision and mission. Transparency, recognition and appreciation of each stakeholder s strengths, weaknesses, potential for improvement and roles Information sharing should be improved Stakeholders should present a common front Stop unhealthy competition for funding More of Constructive criticisms and suggestions for improvement
Way Forward Shared Commitment by all stakeholders Governments should demonstrate leadership, ownership and commitment by leading the development of all inclusive plans and strategies and by improving funding and other support. Development Partners should Buy In and support Government efforts.
Thank You for your interest ghana-flag Presented on behalf of the Ghana Team by Dr. Gloria J. Quansah Asare Director Family Health Division, GHS
