1. 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

2. 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

3. 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

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

5. 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

6. 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

7. 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