Viable Strategies for Better Managing Regionalism 52 nd PIHOA Meeting

Development Partners (DPs) Strategically align goals and objectives among DPs 1. Create a web-based library of plans and reporting elements (“plan wikipedia”). Responsible: PIHOA. Funding: WPRO/DOI 2. Develop a consolidated inventory/matrix of DP investments and reporting requirements to increase visibility and show gaps, overlaps and alignment problems

Development Partners (DPs) Harmonize Performance Measures 3. Convene meeting with key stakeholders to develop recommendations and commitments for program, health and fiscal measures. Responsible: PIHOA. Funding: ???? 4. Develop a translational map for how reporting requirements can be met (crosswalk). Responsible: ??? Funding: ????

Development Partners (DPs) Advocacy and communications 5. Develop advocacy & communications toolkit and capacity for senior USAPI health leadership to promote USAPI policy and other priorities. Responsible: PIHOA assisted APIAHF/ASTHO and other DPs

Education 6. Develop country/jurisdiction HRH educational plans and translate into a Regional HRH Education Plan 7. Convene and host a PIHOA meeting with USAPI health and education leaders to: Address education challenges (promote/prepare regional health workforce Further development of regional HRH educ plan Make recommendations to PIHOA and DPs regarding resource allocation, to move HRH educ agenda

Health Leadership Council (HLC) 8. A minimum, standard data set that is agreed upon by our developmental partners. 9. Advocate for aligning and leveraging all financial resources, tailored to fit Pacific needs, acknowledging the challenges we face in our region/islands. More specifically, implement a policy that DPs allow USAPI to earmark a % of all grant funds (whether categorical or not) for cross-cutting work 10. Have other development partners identify and provide a liaison for the Pacific, such as CDC’s Bill Gallo.

PIHOA Members Prioritization/Planning & Coordination 11. TA for “triage” mapping of USAPI plans, projects & current resources against known priorities. Two page map serves as “interim plan” for those w/o plans & communications tool with DPs. 12. TA for streamlining and developing in- agency/in-country communications systems & workforce to track & deploy current & potential resources, on an ongoing basis, using map as a guide.

PIHOA Members Implementation 13. TA to develop and deploy management strategies that achieve cross-cutting (not siloed) USAPI program and policy priorities, including shifting from disease to health approach. “Managing horizontally/managing the seams” Evaluation 14. TA to develop surveillance for a few overarching, upstream indicators that reflect national and/or agency priorities (the map), allow more timely and agile evaluation, and dynamically and locally track and help adjust progress

Cross-cutting Planning Regional web-based “Wikipedia” of USAPI plans and reporting elements (DP1) Local and regional HRH Education plans and regional ED/HEALTH summit (ED6&7) In-country “triage” mapping of plans, project, priorities, resources (PIHOA11) Regional & in-country advocacy/communications toolkit and capacity (DP5)

Cross-cutting Communications In-country/agency communications focused on resource deployment (PIHOA12) Regional inventory/matrix of DP investments and reporting requirements (DP2) Regional & in-country advocacy/ communications toolkit and capacity for USAPI leadership (DP5)

Cross-cutting Management In-regional DP agency leadership liaisons for the Pacific (e.g, B. Gallo) (HLC10) In-country cross-cutting management strategies (horizontal management/seams) (PIHOA 13) In-country flexibility to use % of all grants for cross-cutting purposes (HLC9)

Cross-cutting Surveillance/Eval Regional minimum standard data set (HLC8) In-country surveillance for a few key upstream indicators (PIHOA14) Regionally harmonized program, health, fiscal measures (DP3) Regional translational map for DP reporting requirements (DP4) Regional web-based “Wikipedia” of USAPI plans and reporting elements (DP1)

X Planning 1. Strengthen the capacity of the region to increase the health impact of regional and local resources through: In country triage mapping (PIHOA11) In country HRH plans (sub part education) (ED6/7) Regional “wikipedia” of USAPI plans/reporting (DP1) Regional/in-country USAPI leadership communication/advocacy capacity (toolkit) (DP5)

X Communications Strengthen regional and local communications capacity for resource management: In-country/agency communications systems for resource deployment (PIHOA12) Matrix/inventory of DP investments and reporting requirements (DP2) In-country/regional leadership capacity for advocacy among DPs and external forces (DP5)

X Managment Build cross-cutting management infrastructure locally and regionally DP in-region leadership liaisons (HLC10) TA in cross-cutting management strategies in USAPI (PIHOA13) Policy for % of all grants for x-cutting initaitives (HLC9)

X Surveillance/Evaluation Strengthen cross-cutting surveillance and evaluation systems both regionally and locally by: Minimum regional data set Manageable and timely in-country surveillance of a few upstream indicators reflecting local “map” (priorities) DP-harmonized program, fiscal, health measures DP translational map for reporting requirements Regional web-based “wikipedia” of plans/ reporting requirements

Ok? Changes? Next steps?