health sector performance reports as an input to the JAR Country Experience Uganda Dr Sarah Byakika Ministry of Health Uganda 5 th IHP Country Teams Meeting 2 5 th December 2014 ID: 324013
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Slide1
Analytical health sector performance reports as an input to the JAR Country Experience Uganda
Dr. Sarah
Byakika
Ministry of Health, Uganda
5
th
IHP+ Country Teams Meeting
2 – 5
th
December 2014Slide2
The importance of analytical health sector performance reports and how they are doneHow to include many different stakeholders in JAR, and the advantages and problems with thisOutline Slide3
Is an institutional requirement compiled annually since 2001 and presented for discussion at the JARsThe analysis and report writing is a participatory process led by the MoH SME&R TWG. Highlights progress, challenges, lessons learnt and recommendations for moving the health sector forward in relation to the National Development Plan, National Health Policy, the Sector Strategic Plan and annual operational workplans
.
T
he AHSPRSlide4
Focus is on progress in implementation of the annual operational workplansOverall health sector performance against the core indicator targets set for the Financial Year
Trends in performance over the years
Analytical Aspects Slide5
The AHSPR is presented and deliberated upon at the JAR and biannual National Health Assembly (NHA).NHA is characterized by more District Leadership representation (All Local Council V Chairpersons, Representatives of Resident District Commissioners, Secretaries for Health and Chief Administrative Officers).
Findings in the AHSPR and the outcomes
of the
JAR/NHA deliberations guide
future planning and
programming as captured in the Aide Memoire
AHSPR Slide6
How to conduct JARs that are inclusive of many stakeholdersSlide7
The JAR is one of the monitoring and review processes in the health sector JARs are conducted in Uganda since 1995 between the months of September and October Conducted over 3 days
Background Slide8
Health Committee of Parliament / District LeadershipPublic and non public health sector representatives (MoH, Referral Hospitals, District, PNFPs and PHPs, Professional Associations & Councils) Health related
MDAs
Development Partners
Academic institutions (Universities)
Civil
Society
Organizations including the Health Consumer representatives
O
ther eminent persons e.g. emeritus health professionals
Stakeholders Slide9
Opportunity for all key stakeholders to interact in an open forumDistrict and hospital league tables are presented and this increases Local Government ownership for achievements Creates a spirit of competition among districts and hospitals catalyzing better performanceDistricts with good performance are able to share some of the best practices
Networking
Advantages Slide10
Over the years the number of participants has increased from about 150 to 400 as a result of the increased number of districts from 56 in 2005 to 86 by 2010 and 112 by 2014Declining quality of policy and strategic discussions over the years and this can be attributed to the large number of participants with varied experience and expectations from the JAR/NHA.
Implementation of the
identified priority actions
is weak in
the districts due to lack of district specific action
plans.
Challenge Slide11
Decentralize JAR process to Regional LevelHold annual regional stakeholders’ for a prior to the JAR (10 to 12 district representatives for 2 days)Synthesize regional aide memoires for presentation at the National JAR (200 participants)
Proposed JAR Reform