Manning

OECD-DAC’s work on agency performance: 

OECD-DAC’s work on agency performance High-Level Forum on Health MDGs Geneva, 8-9 January 2004 Richard Manning Chairman of the DAC

Overview: 

Overview The facts: level of aid funding for health. From Monterrey to Rome. New DAC Working Party on Aid Effectiveness. Better delivery for good performers Addressing problems of poor performers. DAC document on Poverty & Health.

The facts: more funds for health: 

The facts: more funds for health As a Percentage of Total Aid (%)

From Monterrey to Rome…: 

From Monterrey to Rome… The message from Monterrey: More funds are needed. More funds have been pledged. But we need to demonstrate that aid is more effective. The message from Rome: Better coordination and alignment of donor practices will increase aid effectiveness. Donors have committed to take action: fewer missions, more transparency, more coordinated activities…

DAC response: Working Party on Aid Effectiveness: 

DAC response: Working Party on Aid Effectiveness Harmonisation and Alignment of donor practices. Public Financial Management. Procurement. Aid untying. Result based management.

A problem: unpredictable aid: 

A problem: unpredictable aid Uncertainty regarding commitments and timing of disbursements… …makes aid less effective: Implementing PRS is more complicated. Undermines partner country ownership. Complicates budget execution. The problem reflects a combination of factors on both donor and recipient sides.

Way forward: relying on PRS as the framework for coordination?: 

Way forward: relying on PRS as the framework for coordination? Require substantial changes to procedures and practices for donors and partners. Donors should: Base their programming on needs and strategies identified in PRS. Move towards multi-year commitments. Programme and disburse funds in accordance with countries budget cycle. Partner countries should: Improve their internal alignment: PRS should inform internal policies. Involve donors closely in annual progress report process.

Issues for reflection…: 

Issues for reflection… Are health priorities adequately reflected in the PRS? If not, what can we do so that health priorities are better reflected in PRS… … and receive the attention they deserve from partner countries and donors? Role of Global Funds

Other issue: poor performers: 

Other issue: poor performers Poor performers require an alternative approach: Less reliance on state systems: budget support, SWAps… More reliance on other modalities for aid delivery. More delivery of basic services. Support for reformers. Strategies need to be designed on a case by case.

DAC policy document: Poverty & Health: 

DAC policy document: Poverty & Health Outline: Key Actions to Promote a Pro-Poor Health Approach. Rationale for Investing in Health. Supporting Pro-Poor Health Systems. Key Complementary Policy Areas for Pro-Poor Health . Frameworks and Instruments for Health Programming and Monitoring. Policy Coherence and Global Public Goods.