Viable Strategies for Better
Managing Regionalism
52nd PIHOA Meeting
Development Partners (DPs)
Strategically align goals and objectives among
DPs
1. Create a web-based library of plans and
reporting elements (“plan wikipedia”).
Responsible: PIHOA. Funding: WPRO/DOI
2. Develop a consolidated inventory/matrix of
DP investments and reporting requirements to
increase visibility and show gaps, overlaps and
alignment problems
Development Partners (DPs)
Harmonize Performance Measures
3. Convene meeting with key stakeholders to
develop recommendations and commitments
for program, health and fiscal measures.
Responsible: PIHOA. Funding: ????
4. Develop a translational map for how reporting
requirements can be met (crosswalk).
Responsible: ??? Funding: ????
Development Partners (DPs)
Advocacy and communications
5. Develop advocacy & communications toolkit
and capacity for senior USAPI health leadership
to promote USAPI policy and other priorities.
Responsible: PIHOA assisted APIAHF/ASTHO and
other DPs
Education
6. Develop country/jurisdiction HRH educational plans
and translate into a Regional HRH Education Plan
7. Convene and host a PIHOA meeting with USAPI health
and education leaders to:
• Address education challenges (promote/prepare
regional health workforce
• Further development of regional HRH educ plan
• Make recommendations to PIHOA and DPs regarding
resource allocation, to move HRH educ agenda
Health Leadership Council (HLC)
8. A minimum, standard data set that is agreed upon by
our developmental partners.
9. Advocate for aligning and leveraging all financial
resources, tailored to fit Pacific needs, acknowledging the
challenges we face in our region/islands. More
specifically, implement a policy that DPs allow USAPI to
earmark a % of all grant funds (whether categorical or
not) for cross-cutting work
10. Have other development partners identify and
provide a liaison for the Pacific, such as CDC’s Bill Gallo.
PIHOA Members
Prioritization/Planning & Coordination
11. TA for “triage” mapping of USAPI plans, projects
& current resources against known priorities. Two
page map serves as “interim plan” for those w/o
plans & communications tool with DPs.
12. TA for streamlining and developing inagency/in-country communications systems &
workforce to track & deploy current & potential
resources, on an ongoing basis, using map as a
guide.
PIHOA Members
Implementation
13. TA to develop and deploy management strategies that
achieve cross-cutting (not siloed) USAPI program and
policy priorities, including shifting from disease to health
approach. “Managing horizontally/managing the seams”
Evaluation
14. TA to develop surveillance for a few overarching,
upstream indicators that reflect national and/or agency
priorities (the map), allow more timely and agile
evaluation, and dynamically and locally track and help
adjust progress
Cross-cutting Planning
• Regional web-based “Wikipedia” of USAPI plans
and reporting elements (DP1)
• Local and regional HRH Education plans and
regional ED/HEALTH summit (ED6&7)
• In-country “triage” mapping of plans, project,
priorities, resources (PIHOA11)
• Regional & in-country advocacy/communications
toolkit and capacity (DP5)
Cross-cutting Communications
• In-country/agency communications focused
on resource deployment (PIHOA12)
• Regional inventory/matrix of DP investments
and reporting requirements (DP2)
• Regional & in-country advocacy/
communications toolkit and capacity for
USAPI leadership (DP5)
Cross-cutting Management
• In-regional DP agency leadership liaisons for
the Pacific (e.g, B. Gallo) (HLC10)
• In-country cross-cutting management
strategies (horizontal management/seams)
(PIHOA 13)
• In-country flexibility to use % of all grants for
cross-cutting purposes (HLC9)
Cross-cutting Surveillance/Eval
• Regional minimum standard data set (HLC8)
• In-country surveillance for a few key upstream
indicators (PIHOA14)
• Regionally harmonized program, health, fiscal
measures (DP3)
• Regional translational map for DP reporting
requirements (DP4)
• Regional web-based “Wikipedia” of USAPI plans
and reporting elements (DP1)
X Planning
1. Strengthen the capacity of the region to increase
the health impact of regional and local resources
through:
• In country triage mapping (PIHOA11)
• In country HRH plans (sub part education)
(ED6/7)
• Regional “wikipedia” of USAPI plans/reporting
(DP1)
• Regional/in-country USAPI leadership
communication/advocacy capacity (toolkit) (DP5)
X Communications
Strengthen regional and local communications
capacity for resource management:
• In-country/agency communications systems
for resource deployment (PIHOA12)
• Matrix/inventory of DP investments and
reporting requirements (DP2)
• In-country/regional leadership capacity for
advocacy among DPs and external forces
(DP5)
X Managment
Build cross-cutting management infrastructure
locally and regionally
• DP in-region leadership liaisons (HLC10)
• TA in cross-cutting management strategies in
USAPI (PIHOA13)
• Policy for % of all grants for x-cutting
initaitives (HLC9)
X Surveillance/Evaluation
Strengthen cross-cutting surveillance and
evaluation systems both regionally and locally by:
• Minimum regional data set
• Manageable and timely in-country surveillance of
a few upstream indicators reflecting local “map”
(priorities)
• DP-harmonized program, fiscal, health measures
• DP translational map for reporting requirements
• Regional web-based “wikipedia” of plans/
reporting requirements
Ok? Changes?
Next steps?