OECDDACs work on agency performance

1
OECD-DACs work on agency performance

• High-Level Forum on Health MDGs
• Geneva, 8-9 January 2004
• Richard Manning
• Chairman of the DAC

2
Overview

• The facts level of aid funding for health.
• From Monterrey to Rome.
• New DAC Working Party on Aid Effectiveness.
• Better delivery for good performers
• Addressing problems of poor performers.
• DAC document on Poverty Health.

3
The facts more funds for health
As a Percentage of Total Aid ()
4
From Monterrey to Rome

• The message from Monterrey
• More funds are needed.
• More funds have been pledged.
• But we need to demonstrate that aid is more
  effective.
• The message from Rome
• Better coordination and alignment of donor
  practices will increase aid effectiveness.
• Donors have committed to take action fewer
  missions, more transparency, more coordinated
  activities

5
DAC response Working Party on Aid Effectiveness

• Harmonisation and Alignment of donor practices.
• Public Financial Management.
• Procurement.
• Aid untying.
• Result based management.

6
A problem unpredictable aid

• Uncertainty regarding commitments and timing of
  disbursements
• makes aid less effective
• Implementing PRS is more complicated.
• Undermines partner country ownership.
• Complicates budget execution.
• The problem reflects a combination of factors on
  both donor and recipient sides.

7
Way forward relying on PRS as the framework for
coordination?

• Require substantial changes to procedures and
  practices for donors and partners.
• Donors should
• Base their programming on needs and strategies
  identified in PRS.
• Move towards multi-year commitments.
• Programme and disburse funds in accordance with
  countries budget cycle.
• Partner countries should
• Improve their internal alignment PRS should
  inform internal policies.
• Involve donors closely in annual progress report
  process.

8
Issues for reflection

• Are health priorities adequately reflected in the
  PRS?
• If not, what can we do so that health priorities
  are better reflected in PRS
• and receive the attention they deserve from
  partner countries and donors?
• Role of Global Funds

9
Other issue poor performers

• Poor performers require an alternative approach
• Less reliance on state systems budget support,
  SWAps
• More reliance on other modalities for aid
  delivery.
• More delivery of basic services.
• Support for reformers.
• Strategies need to be designed on a case by case.

10
DAC policy document Poverty Health

• Outline
• Key Actions to Promote a Pro-Poor Health
  Approach.
• Rationale for Investing in Health.
• Supporting Pro-Poor Health Systems.
• Key Complementary Policy Areas for Pro-Poor
  Health .
• Frameworks and Instruments for Health Programming
  and Monitoring.
• Policy Coherence and Global Public Goods.