1. JANS 2. Five-Year Plan 3. JAHR 2010 and Ten-Year Strategy Nguyen Hoang Long Dept of Planning and Finance, MOH HPG Meeting - 2 December 2010

- JANS - Joint Assessment of National Strategy

JANS Objectives Better quality of the 5-yr Plan Better quality of the 5-yr Plan More trust and confidence from DPs about the Plan More trust and confidence from DPs about the Plan More resources for Plan implementation More resources for Plan implementation

Uses and benefits For Government Enhanced quality of Plan More partners go 'on plan' More streamlined processes for getting funding approved More use of shared reporting processes leading to lower transaction costs; longer term, more predictable funding, better implementation For other partners Greater confidence in strategy and plans Opportunity for consultation Joint agreement on approaches to address weaknesses, more effective, coordinated response

Principles Country based; country-led Aligned with in-country processes; With an independent element Strengths and weaknesses of a health strategy/plan; not a pass/fail report.

What is assessed? Situation analysis and the coherence of strategies or plans with the analysis Situation analysis and the coherence of strategies or plans with the analysis Process through which national strategy has been developed Process through which national strategy has been developed Financing, auditing and procurement arrangements Financing, auditing and procurement arrangements Implementation and management arrangements Implementation and management arrangements Plans for M&E Plans for M&E

Core team: Core team:  Team Leader: Dr Viroj from Thailand  2 international and 4 local consultants  DPF, HSPI, School of Public Health  DPs: WHO (focal point), WB, EC, Pathfinder, etc  TA from IHP+, GF Wider participation in assessment process: interviews, meetings etc. Wider participation in assessment process: interviews, meetings etc. Expanded participation in discussing findings, recommendations and finalising report (open to all people) Expanded participation in discussing findings, recommendations and finalising report (open to all people) Core Team and Participation

5-yr planning team 5-yr planning team MPI MPI MOF MOF JAHR Team JAHR Team HPG Secretariats HPG Secretariats Other MOH Depts Other MOH Depts NTP NTP DPs DPs NGOs NGOs Others Others Key informants Review of guidelines, regulations and reports. Review of guidelines, regulations and reports. In-depth Interviews In-depth Interviews Focus Groups Focus Groups Consultation workshops/ meetings Consultation workshops/ meetings Methods

Recruit consultants and create JANS team Recruit consultants and create JANS team Review of Vietnam planning guidelines and JANS assessment criteria Review of Vietnam planning guidelines and JANS assessment criteria JANS team meetings to discuss about methods and task assignments JANS team meetings to discuss about methods and task assignments Data/information collections (interviews, focus groups, etc) and consultation meetings Data/information collections (interviews, focus groups, etc) and consultation meetings Provide feedback on 5-yr Plan (Draft 3). Provide feedback on 5-yr Plan (Draft 3). DPF revised the Plan and produced Draft 4. DPF revised the Plan and produced Draft 4. Further assessment of JANS team on Draft 4 => Draft JANS report Further assessment of JANS team on Draft 4 => Draft JANS report Workshop with HPG, 5-year Plan Team and other DPs Workshop with HPG, 5-year Plan Team and other DPs Comments from JANS report + provinces + NTPs + etc => Draft 5 (final version) Comments from JANS report + provinces + NTPs + etc => Draft 5 (final version) Reassessment and finalise JANS Report Reassessment and finalise JANS Report Steps to get JANS done

Better quality 5-yr Plan? Better quality 5-yr Plan?  Comprehensive comments from DPs and JANS team.  Increase involvement of DPs in the development of 5-yr Plan.  Significantly improved Plan after getting comments Getting more trust from DPs? Getting more trust from DPs?  More involvement  Better quality  Some more trust (not all) Getting more support for the Plan? Getting more support for the Plan?  Not yet known. Hopefully yes? JANS objectives met?

Good and very useful assessment Good and very useful assessment Very good JANS team with good combination of independent intl consultants, local consultants, DPs. Very good JANS team with good combination of independent intl consultants, local consultants, DPs. Active roles of WHO as the DP focal point. Active roles of WHO as the DP focal point. Good “Joint” with participation of many stakeholders. Good “Joint” with participation of many stakeholders. Independent, objective and supportive assessment. Independent, objective and supportive assessment. Good timing: During development and finalisation of the Plan. Good timing: During development and finalisation of the Plan. Not too much additional burden for the Govt side. Not too much additional burden for the Govt side. JANS tools are relevant and useful JANS tools are relevant and useful Lessons learnt (1)

 The Plan is prepared in accordance with the Govt guidelines (PM, MPI, MOF). Its standard structure guided by the Government does not include some attributes of JANS tools.  Some assessment attributes and criteria are outside of the Health sector role, and not suitable for Vietnam (e.g. financial management system, audit procedures, etc)  Differences between 10-yr Strategy => 5-yr Strategic Plan => Annual Action Plan (with different levels of details) may need different assessment tools.  Very rich, comprehensive and useful comments from DPs and JANS team. We have tried to incorporate, but may not all.  JANS tools need to be adapted to make it more appropriate with Vietnam context. Lessons learnt (2)

 Need assessment for training on Health Planning (RF-THS)  Development of training materials for Health Planning (ADB TA)  Development of Health Plan Template/Outline/Guideline (ADB TA)  Organize short training courses on Health Planning for provincial health planners (RF-THS, ABD and others).  Modification of JANS tools to use for assessment of provincial annual health plans (RF-THS)  HMIS strengthening  MTEF  JAHR as a monitoring tools Improving Health Plans: Much more to do

Five-Year Health Plan, Where It Is?

 Draft 3 was sent to JANS and HPG members for comments  Rich comments provided by DPs and JANS Team.  Draft 4 was produced and sent to JANS team and HPG members.  9 Nov Workshop with HPG members, chaired by VM Tien.  After 9 Nov workshop, Draft 4b was produced and sent to all provinces, NTPs, MOH Depts for last comments.  25 provinces, MOH Depts and NTP have provided comments  Draft 4b is being revised to produce Final Version by end Dec.  Next steps:  Finalise the Plan  Submit to MPI and Govt Office by end of December  Send back to JANS Team for final check in order to finalise the JANS report.

Ten-Year Health Strategy,

 MOH Steering Committee  Plan and Outline for the Strategy  Circulate to all MOH Dept for comments  Meeting with Minister and Vice Ministers for comments  Based on overall framework and outline of the Strategy, assign tasks for each Dept to prepare assessment and propose strategies for areas of their responsibility (Aug-Sept)  HPG meeting (Sept)  DPF (Drafting group) complied inputs from other Depts into Strategy.  Identify areas where in-depth consultations are needed. Things done

 Consultation workshops for specific areas:  Organizational structure of the health sector  Development of Basic healthcare network and PHC  Roles of the private health sector and PPP  Sustainable human resource development for health  Health financing reforms  Improving health financing efficiency (social moblization, financial autonomy etc)  Revise and improve the overall strategy  Consultation workshop for overall Strategy  Finalization and send to Ministry of Justice for appraisal (Mar 2011).  Submit to PM for approval (2 nd Quarter 2011) HPGs members, other Ministries, NGOs, Associations, Research/training institutions ect will be invited to participate the consultation workshops, meetings. Being done and Next...

JAHR Progress

 Semi-final version was reviewed by VM Tien  Final version was submitted to the Minister for his approval (in process).  After getting approval from the Minister, CD will be produced and distributed at the CG meeting.  Printings will be done and distributed after that.  Summary will be written and printed.  Posted on the website of the MOH and some other addresses.  Well effectively used for development of 5-yr plan and 10-yr strategy. JAHR 2010

 Timing: Start as soon as possible  Draft ready by June-July to support 2012 planning.  Design:  Health system updates  Priority issues JAHR 2011

 Chapter 1: Health System Updates Overview of health strategy and policies Overview of health strategy and policies Health System input building blocks (HRH, HCF, HMIS, Phar/Equip, Govt and Sterwardship). Health System input building blocks (HRH, HCF, HMIS, Phar/Equip, Govt and Sterwardship). Service Delivery Service Delivery Health Status and Determinants of Health Health Status and Determinants of Health  Chapter 2: Governance and Sterwardship  Chapter 3: Health Financing Health financing reforms Health financing reforms Roadmap to the universal coverage Roadmap to the universal coverage Hospital financing Hospital financing  Chapter 4: Hospital Service Quality  Chapter 5: Conclusions and Recommendations  M&E: Indicators JAHR 2011 Outline