Track A- Developing Effective Partnerships to Roll Back Malaria Experiences and lessons

2 Effective working at country level Different contexts: –fighting recurrence –potential success –big challenge settings –complex emergencies Why partnership? –Beyond co-ordination: get the best out of available resources –Common strategy, avoid duplication –Link malaria work with wider human and health development strategies, –Bring in new partners

3 Elements of partnership Framework for the partnership: as inclusive as possible Agree on goals Establish consensus on strategy embracing interests of all, reflecting their own priorities Common approach to advocacy Unified programming, working with and for each other. Building on each others strengths

4 Who shold be in the partnership?- at country level Groups with: –Strong presence throughout country –Focus on health issue but with multi-sectoral perspective –Willingness to contribute to, and respect a National strategy –Accepting principles or values of RBM –Willingness to innovate - involve the education sector, look at the health impact of development projects –Commitment to build national resources

5 Constraints to effective partnership Insufficient guidance to partners working in country: define what different agencies do Difficult if governments and organisations cannot prioritise malaria (perhaps alongside HIV and/or other diseases of poverty) Difficult when national authorities do not provide strong leadership which covers elements of government, draws in groups outside government (private and NGO), and includes international partners Must have vision on how to ensure that more poor people can access ITNs, and clarity on essential action to get this to happen Must agree on ways to work better to improve quality of private health providers

6 Opportunities for intensifying action –Governments to link RBM with new development agendas - children, poverty reduction, debt relief –Specific goals developed in country, in region, in country –Build on National Immunisation Days with Child Health Days –Link to the mobilisation and communication done on HIV –Focus on malaria, HIV and other priorities in pregnancy –Prepare to be able to accept increased resources

7 Day 2 Principles for good country partnerships Observations and recommendations to Secretariat Little focus on how global partners could better support country partnerships or How global and regional partnerships could be more effective - thought to work well.

8 Principles for good country partnerships Need for clear and well defined leadership - Ideally Government - but not always poss. Need for visison ande clear targets. Transparency and accountability Where SWAPs - RBM should seek to ensure that less malaria is outcome Where no SWAPs, RBM assists in setting priorities

9 Need for long term commitment - malaria like a spring.

10 Strong vs loose partnerships Global and Regional - loose ok, but at country and below, need to be firmer. Exploit existing partnerhsips and coordination mechs, minimise new structures Recognise partnerships take time - need to strengthen capacity

11 Important tensions Recognise malaria particularly important, need for action - but want to integrate wherever possible and ensure sustainability. Govt and Ministry of Health in drivers seat, but major actions needed by commercial sector, textile makers etc - how to ensure intersectoral action? Need to integrate - often essential - with, eg, ANC, IMCI - but how well does it work?

12 Recommendations to Secretariat Need for operational research on integration - how well does it work, document best practices Identify ways to strengthen national capacity Strengthen links with non health actors Ensure all other parts of WHO reflect priority of RBM - develop plan to ensure this.

13 Remember different contexts Global priority –But very different contexts –Working health system –Weak health system –Countries with damaged system No one size fits all - need to maintain flexibility and avoid too rigid an approach.

14 1 Effective working at country level Different contexts: –fighting recurrence –potential success –big challenge settings –complex emergencies Why partnership? –Beyond co-ordination: get the best out of available resources –Common strategy, avoid duplication –Link malaria work with wider human and health development strategies, including sector-wide action –Bring in new partners –Achieve consistency on reporting –Shared approach to strengthening human capacity 2 How partnership Devise a framework for the partnership: make it as inclusive as possible: not a template. Agree a goal Establish consensus on strategy which embraces the interests of all, reflecting their own priorities Common approach to advocacy Unified programming, working with and for each other. Building on each others strengths 3 Who in the partnership? Groups with Strong presence throughout country Focus on health issue but with multi- sectoral perspective Willingness to contribute to, and respect a National strategy Accepting principles or values of RBM Willingness to innovate - involve the education sector, look at the health impact of development projects Commitment to build national resources 4 Constraints to effective partnership Insufficient guidance to partners working in country: define what different agencies do Difficult if governments and organisations cannot prioritise malaria (perhaps alongside HIV and/or other diseases of poverty) Difficult when national authorities do not provide strong leadership which covers elements of government, draws in groups outside government (private and NGO), and includes international partners Must have vision on how to ensure that more poor people can access ITNs, and clarity on essential action to get this to happen Must agree on ways to work better to improve quality of private health providers 5 Opportunities for intensifying action Governments to link RBM with new development agendas - children, poverty reduction, debt relief Specific goals developed in country, in region, in country Build on National Immunisation Days with Child Health Days Link to the mobilisation and communication done on HIV Focus on malaria, HIV and other priorities in pregnancy Focus on needs of displaced people Prepare to be able to accept increased resources 2nd February 2000: DEVELOPMENT OF EFFECTIVE RBM PARTNERSHIPS: lessons of experience Questions for tomorrow: 1 Principles for good country partnerships? 2 How can global partners better support country partnerships? 3 How can global and regional partnerships be more effective? 4 Observations and actionable recommendations to Secretariat: eg case studies of success or failure? Burden reduction for programme staff? Integration of different interventions