1. NGO projects support to health systems?
What Works:
Financial and technical support to health facility (service delivery).
Coordination at central and field levels.
What doesn’t work:
NGO support to the health system. (Fragmented support, selected interventions)
Information system (Parallel in most of governorates)
Access to some locations / interventions

2. How to ensure that NGO projects support (rather than replace) health systems?
Support the delivery of minimum package of primary health care services through supporting health system as unified unit. MSP and IFRR are good examples of the integrated support.
More capacity building for local implementing partners (local NGOs and Governmental health offices at all levels) through different mechanisms (twining programming, support monitoring and supervision, quality implementation, extra.
More investment in the community based interventions as an extension of health care system.
Geographical presence to the areas with limited access / capacity for the health offices.
Contribute to the advocacy efforts with donors for more sustainable and comprehensive support to maintain the heath system.
Develop county action plan with partners commitment in line with cluster and IFRR strategy.
Health System Structure:
To define the cost of HR annual for sustaining the national health system’s structure
To identify a national framework which is harmonized and standardized for funding the structure, on a phase wise basis

3. What are the ways to increase technical capacity of NGOs without bringing expats to the country?
Strengthen the partnerships between INGO and NNGO both in regards to transferring funding and technical expertise (not only funding).
Technical capacity exchange between INGO and NNGO (External workshops / training, better use of local experts, exchange experiences,..)
ToT courses for the central levels of managers on different areas of programs; assessments, SMART, information management, etc.
Capacity building on operational management elements (not only technical)
Continuous advocacy effort with local Government authorities on the importance of international expertise's required to improve the quality of services provided, managed, implemented.

4. What are the opportunities to strengthen continuum of care for acute malnutrition?
The IFRR defined operational strategy (with defined sectorial integrated interventions, selection criteria and overlaps of services between prevention and treatment by sectors)
Defined basic package of health services (inclusive of treatment, preventive approaches in HF and communities)
Utilizing existing coordination mechanism for communication (sharing defined communication tree of existing OTPs, SCs, PHCs with contact information of focal persons) with all partners
Building upon the past experiences of community interventions in identification and referrals of AM cases, sick children etc (CHWs, CHVs linked with HF in charge)
Multi-donor and partner funding/implementation strategy:
The commonly defined approaches and strategies to communicate with wider donor, partner agencies to have harmonized funding, and implementation mechanism as a success enabler.