Highlights from the Zambia SWAp Study “Exploring SWAp’s Contribution to the efficient allocation and use of resources in the health sector in Zambia “ Chansa et al; 2008 Klaus Hornetz, GTZ Kenya

Recalling SWAp Principles National ownership and leadership A common development framework Align support with the Gvt’s development agenda Use Gvt systems and processes Strengthen national capacity Develop and use Common Working Arrangements

Recalling SWAp Principles Predictability of DPs’ support Mutual accountability Respect for human rights, equity, democratic principles and good governance Ensure mainstreaming of poverty reduction, equity, gender, governance, anti-corruption measures, HIV/AIDS and environmental issues Partnership of Equals

Highlights from the Zambia SWAp Study ? Have envisaged improvements been achieved ? By studying developments in administrative, technical and allocative efficiency 1990 - 2006

Highlights from the Zambia SWAp Study ! Small improvement in admin. Efficiency Transaction cost remain high (Some) indicators in technical efficiency dropped Allocative efficiency did not improve Funding levels Improved for districts Dropped for hospitals SWAp failed to bring all external assistance together under one common framework

Highlights from the Zambia SWAp Study ! Small improvement in admin. Efficiency Transaction cost remain high (Some) indicators in technical efficiency drop Allocative efficiency did not improve Funding levels Improved for districts Dropped for hospitals SWAp failed to bring external assistance together under one common framework

Highlights from the IEG Study 2009 “Do Health Sector Wide Approaches Achieve Results? Vaillancourt; 2009 Countries: Bangladesh, Ghana, Kyrgyz Republic, Malawi, Nepal, Tanzania Klaus Hornetz, GTZ Kenya