HCS/JHNP meeting
Joint Health & Nutrition
Programme (JHNP) overview
6 June 2013
Andrew Shaver
Image: UNICEF/SOMA2006/ KAMBER
Together with
Somali Health Authorities
Presentation Synopsis
Programme Overview
Programme Plan 2013
Standardizing Operating Procedures (Including NGO selection)
Budget/ Funding Information
Overview
• A Somali development programme which aims
to:
– To scale up the delivery of essential services for
women, girls and children in Somaliland, Puntland
and Central South Somalia
– Strengthen the Somali Public Health System by
establishing well informed governance and
management arrangements
– Developing the leadership capacity of the Somali
Health Authorities
3
Overview
Goals 2016:
 Reduced maternal mortality (by
10%)
 Reduced child mortality (by 15%)
 Reduced underweight children
(by 10%) and
 Reduced FGM/C (by 10%)
 Increase in peace and security
And improve the systems that
support better health for Somalis.
4
Overview: Programme Focus
• Target group: 3.4 million Somalis (circa 1/3
population)
• Initial focus areas:
Puntland: Nugal, Mudug, Bari
SCZ: Benadir, Gedo, Galgaduk
Somaliland: X, Togadeer, Awal
• Health authorities have requested changes in SL
(Sahil > Sanaag > maybe Maroodi Jeex)
• National (all areas), district and community based
interventions- based on HSSPs
5
Roll over Programme Plan 2012- 2013
Priorities from HSSPs will be funded by tranches 5, 6 and 7 in the JHNP Annual
Workplan.
The Annual Workplan to be finalized once the aligned logframe is approved.
(Final processes ongoing)
Current workplan priorities 2013 (tranche 5), based on HSSPs include:
•
•
•
•
•
•
•
•
Developing a procurement and service contracting strategy and unit for the MoH
in three zones
Focus on family planning policies for 3 zones, guidelines for health worker staff,
commodity procurement (inc contraceptives) and training of family planning
counselors and health care workers in modern contraceptive methods.
Human resource assessments, plans and policies (SL/SCZ) to strengthen financial
accountability systems
Salary support to key MoH staff within three zones (based on HR plans)
EPHS core activities in JHNP areas and procurement of EPHS supplies and
commodities (largest proportion of funds)
Establishing and implementing an essential drug list and national formulary, supply
chain management masterplan
Support to the HSAT
Assessment of current health care financing to lead to strategy development
Programme projected budget
The programme has a 5 year $236Million aspirational budget
Output 1: Improved governance and leadership at all levels of the health sector
Output 2: Skilled and motivated health workforce distributed equally and
equipped to deliver quality RMNCH and nutrition services through a continuum
of care
Output 3: Increased access, quality and demand for essential RMNCH and
nutrition services
Output 4: Improved access, availability, quality and rational use of essential
medicines, vaccines and medical equipment and physical structures
Output 5: Improved availability, quality and use of health information that
covers disease surveillance as well as management information system
Output 6: Steady progress made to an equitable and efficient health financing
system
Technical Assistance and Programme Management Support Costs
Total programmable amount
Agencies HQ recovery cost
GRAND TOTAL
$7,425,000
$13,287,000
$145,471,500
$18,575,000
$3,721,500
$1,990,000
$29,784,800
$220,254,800
$16,578,390.00
$236,833,190.00
7
SOPs
SOP001: Activity prioritization/budget
allocation
Standardizing JHNP processes to improve
accountability, transparency, efficiency and good
governance
Principles:
- Decentralization of decision making
- Alignment to HSSPs & each zone’s specific needs
- Equity
- Transparency and integrity
SOP002 (Implementing Partner Selection)
Rationale
• Document the process for selecting NGO implementing
partners for JHNP
• Clarifies collaborative arrangements between Somali
Health Authorities and UN at zonal and Nairobi Levels
Scope
• Focused on NGO partners for service delivery within
zones (e.g, PCAs with UNICEF)
• Standardized/transparent selection of partners
• Does not seek to change existing UN rules /procedures
or contracting modalities, which must be UN led.
10
SOP002: Implementing Partner Selection
Non-competitive selection: “when an existing
partner, who meets the selection criteria, is
covering all, or a significant proportion, of an
administrative area. See the generic selection
criteria for JHNP partners, which is to be
accompanied and completed alongside the
relevant UN agency’s standard criteria.”
SOP002- Selection Criteria
Yes/No
1
2
3
Does the NGO have an MOU or official agreement with the Health Authorities?
(in the case of South Central Somalia: has NGO expressed a willingness to sign an MOU?)
Does the NGO have a track record of working with the Health Authorities at regional level and/or
central level?
Is the NGO currently working in the geographical region/district covered by the proposed contract?
Note: if yes, for how long?
4
Does the NGO have development experience in health service delivery at PHC Level?
5
Does the NGO manage a (health facility) within the district/region?
6
Can the NGO provide proven evidence of having delivered similar services (to be defined by ZWG)
of acceptable quality (to be defined by ZWG) within the region/district?
7
Does the NGO have a proven track record of quality service provision (evidenced by reports and
preferably documented site visits)?
If not, a joint capacity assessment must be undertaken by the selecting body (request of risk
assessment (UNDP) can be sought for)
Is the size of the NGO’s existing programme relative to the size of the proposal?
8
9
10
11
12
Can the NGO contribute its own funds in the case of cash stock-out?
Does the NGO have documented evidence of using local capacities?
Does the NGO regularly attend zonal Health NGOs, Health Sector and Health Cluster meetings?
Does the NGO have experience working with an UN agency?
Or ZWG may
choose 1-5 points
scale
SOP002: Implementing Partner Selection
RFA: when (a) there are three or more NGOs
operating in a region who meet the JHNP
selection criteria or (b) in instances when the
JHNP is moving into a new implementation
region and the capacity of partners operating in
that region is not known.
SOP002 (Con’t)
• UN managing the awards (ie, UNICEF PCAs),
MoH primary interface
• ‘Transition’ SOP whilst capacity of MoH
develops to manage contracts directly (post
JHNP)
Budget/Funding Info
Donors
DFID=
USD 20.968 million
3,131,520.00
1,150,000
4,805,000.00
SIDA =
USD 4.805 million
Ausaid =
USD 3.132 million
USAID =
USD 1.150 million
1
20,968,000.00
2
3
4
Programme projected budget
• The programme has a 5 year $236Million aspirational budget
Output 1: Improved governance and leadership at all levels of the health sector
Output 2: Skilled and motivated health workforce distributed equally and
equipped to deliver quality RMNCH and nutrition services through a continuum
of care
Output 3: Increased access, quality and demand for essential RMNCH and
nutrition services
Output 4: Improved access, availability, quality and rational use of essential
medicines, vaccines and medical equipment and physical structures
Output 5: Improved availability, quality and use of health information that
covers disease surveillance as well as management information system
Output 6: Steady progress made to an equitable and efficient health financing
system
Technical Assistance and Programme Management Support Costs
Total programmable amount
Agencies HQ recovery cost
GRAND TOTAL
$7,425,000
$13,287,000
$145,471,500
$18,575,000
$3,721,500
$1,990,000
$29,784,800
$220,254,800
$16,578,390.00
$236,833,190.00
17
Current funds: Tranche Five
Building Block/ Programme Pillar
1. Leadership and governance
Tranche 5
$1,937,000
2. Skilled and motivated health workforce
$2,157,200
3. RMNCH Service Delivery
$6,660,000
4. Essential medicines, vaccines and medical equipment
$1,759,000
and physical structures
5. Improved health information
$580,000
6. Health financing
$150,000
Total Programmable Amount
$12,793,200
Programme funding- beyond 2013
2012
2013
2014
Dfid
$2,352,850
$30,458,522
$12,991,804
SIDA
$4,804,680
$4,812,000
AUSAID
$3,131,520
USAID
$1,149,963
TOTAL pledged
2011 budget
%
$11,439,013
$35,270,522
$12,991,804
23,819,535.56
53,957,304.83
71,943,093.21
48%
65%
18%
2015
71,943,093.21
0%
Mahadsanid,
Thank you, &
Questions