1. COUNTRY INFORMATION AND ACCOUNTABILITY PLATFORM IHP+ STEERING COMMITTEE MEETING 20 JUNE 2014 Monitoring Results & Accountability

2. IHP+ country-led platform for information & accountability  Framework & characteristics  Developed by WHO, World Bank, GAVI & GF in consultation with countries  Published in 2011  Technical framework used by many countries in development of 5-year health sector strategic plans  Strengths: focus on core indicators with targets, results, regular reviews  Weaknesses: data gaps including quality, suboptimal use of data in reviews and planning, lack of institutional involvement outside MOH, poor alignment of program plans and reviews with national plan  Partner alignment with country framework  Investment of partners in different components  Increasing discussion and some action to strengthen the performance of the national platform (data quality, fill data gaps)  Some efforts to use the national platform for global reporting

3. Accountability framework for women’s and children’s health  10 recommendations of Commission in 2011  75 countries, 63 completed assessment and national roadmaps; received catalytic resources ($250,000 in phase I)  Focus on:  Health with special attention for RMNCH (IHP+ influence), even though there are many new RMNCH initiatives  Monitoring of results, tracking of resources, CRVS, MDSR, e & mHealth, reviews and advocacy  Results:  Accountability framework (monitoring, review, action) resonates well  Strengthening of components such as better M&E component of national health strategy, eHealth strategy, new MDSR guidelines implemented, national health accounts with subaccounts, CRVS “revolution”  Discussions about a second phase for countries

4. Global Health Agency Leaders Indicators & reporting requirements  WG established with 19 agencies, led by WHO and WB to reduce reporting burden for countries  Rapid review of the burden completed with 12 countries, plus inventory of global agency requirements

5. DiagnosisMomentumImpedimentsPossible actions 1 Too many indicators for countries Willingness to reduce indicators, more emphasis on quality Demand for more results, more disaggregation and accountability Agree upon global core set of indicators 2 Reporting requirements are diverse and multiple Willingness of partners to align Demand for results and emphasis on “tit-for-tat” accountability (specific results for specified external resources) Agreement by partners to support one national platform for information & accountability that meets IHP+ criteria 2a Poor country systems alignment between M&E of health sector and disease plans More focus on a smaller set of indicators and targets Verticalization of programs, fuelled by separate funding streams Ensure better alignment between plans (IHP+ behaviours) 3 Investments in M&E systems are fragmented and inefficient Awareness of the need to support systems and address data availability and quality gaps; innovative approaches possible Program-specific approaches lead to fragmentation; Strengthen alignment of M&E investments, including DQ, in support of national M&E platform, including innovative approaches

6. Global Health Agency Leaders Indicators & reporting requirements  WG established with 19 agencies, led by WHO and WB to reduce reporting burden for countries  Rapid review of the burden completed with 12 countries, plus inventory of global agency requirements  Way forward  Develop global list of core indicators  Focus on countries: work together and make alignment in support of national platform real along the lines of the IHP+ framework for information and accountability: requires country leadership, supported by partners