IHP+ FM Harmoniza/on and Alignment

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1 IHP+ FM Harmoniza/on and Alignment Update IHP+ Steering Commi8ee 21 June 2016

2 General Principles Align with country systems whenever they meet the minimum acceptable level. Harmonize among development partners, when all or part of the na=onal Public Financial Management (PFM) system is not sufficiently developed. Agree and support implementa=on of a joint ac=on plan that strengthens the na=onal systems so as to bring about the necessary changes to make the alignment feasible. Not wait un=l all problems have been solved, but use a step-wise approach by using elements of country systems as soon as possible as part of the process of improving systems and developing capacity. 04/07/2016

3 Financial Management Technical Working Group Group formed in June 2014 with the approval of the Steering CommiSee to advance in-country work on FM harmoniza=on and alignment Membership is open to all IHP+ Partners Current membership: World Bank- Chair, WHO, UNFPA, Global Fund, GAVI, EU, AfDB, KfW, USAID, Ethiopia, Sierra Leone, Senegal, and Nepal. Meet via mostly via audio once every two months

4 Responsibili/es Iden/fy good prac/ces and lessons learned from FM harmoniza/on and alignment efforts in the health sector in partner countries Iden/fy bo8lenecks to FM harmoniza/on and alignment among DPs and also at the country level Share good prac/ces and iden/fy principles and op/ons for harmoniza/on and alignment, including Joint Fiduciary Arrangements Review and if needed revise the IHP+ Guidance on Joint FM Assessment Discuss, on an on-going basis, emerging issues in FM harmoniza/on and alignment Assist the IHP+ Core Team in facilita/ng, on request, support to countries including Joint FM Assessments and iden/fica/on of suitable Joint Fiduciary Arrangements Other arising responsibili/es as decided by the IHP+ Steering Commi8ee

5 Burundi Examples of work done so far Country Descrip/on of work Par/cipa/ng DPs Affiliated DPs Status Conduct joint FM assessment and develop a joint capacity building ac/on plan AfDB, EU, GF, WB Belgium Corpora/on, GAVI & USAID, Swiss Embassy English and French versions of the report have been completed. A workshop to disseminate the report, agree on an FM improvement ac/on plan, and to dra\ Joint Fiduciary Arrangements (JFA) in March has been postponed due to the poli/cal situa/on in the country. Senegal Align FM arrangements for DP-financed projects with country systems USAID, WB, GF GAVI For its HSS grant support to Senegal, GF now uses the country system, joining the WB and USAID in the use of country systems DR Congo (1) Develop joint FM procedures for government and DPfinanced projects; GF, WB, BTC, AfDB (2) Leverage WB-led PFM reforms to set a Directorate of Financial Management in MoH UNFPA, EU Joint FM Manual has been prepared. The MoH recruited two consultants to help finalize the manual. Donor consulta/ons are on-going. A dissemina/on workshop is planned for July Sierra Leone Sudan Liberia Set up an Integrated Health Projects Administra/on Unit (IHPAU) within MoHS Conduct joint FM assessment and develop a joint capacity building ac/on plan Conduct joint FM assessment and develop a joint capacity building ac/on plan GAVI, GF, WB GF, GAVI, WB, UNICEF, UNFPA, UNDP, WHO, DfID UNICEEF, UNFPA, EU, USAID, GAVI, GF, Irish AID & WB WHO JICA, EU TBD Review undertaken in May Assessment misison planing in progress JFMA report under prepara/on Ethiopia Dra\ a new JFA with DPs support GAVI, AusAID, Royal Dutch JFA now signed by all major DPs. DPs using joint financial management

6 On-going Studies a) Understanding the costs and benefits of unharmonized and unaligned implementa=on arrangements in the health sector- funded by IHP+ and World Bank b) Developing a conceptual framework for PFM in health- Led and funded by the World Bank, in collabora=on with WHO. 04/07/2016

7 Challenges Determining entry point for collabora=on is difficult due to different DPs support cycles Low bilateral par=cipa=on Slow decision making process by DPs Weak country leadership at =mes, makes joint effort supply driven

8 Opportuni/es/Areas of Focus Going Forward Intensify in-country work on implemen=ng JFMA recommenda=ons on harmonized arrangements or use of country systems. Use evidence-based research/study to support case for harmoniza=on and alignment Solicit more par=cipa=on in joint arrangements by bilateral partners and other UN Agencies Seek opportuni=es for collabora=on in other regions other than Africa region