Uganda’s experience with monitoring aid effectiveness commitments in the health sector

1. Uganda’s experience with monitoring aid effectiveness commitments in the health sector Dr. Sarah Byakika Ministry of Health 5th October 2012

2. How is it being done, and what is being monitored? • Compact between GOU and Partners for Implementation of the Health Sector Strategic and Investment (HSSIP) 2010/11 – 2014/15 • Guiding Principles: • Ownership and leadership by government • Alignment of all partner programmes, activities and funding to one national plan (HSSIP) and harmonized annual plan • Use of common management arrangements • Value for money, and • One monitoring framework to promote accountability

3. How is it being done, & what is monitored? • Health Policy and Advisory Committee (HPAC) serves as the main oversight and steering body for monitoring implementation of the Compact. • Specifically responsible for; • Quarterly review of whether signatories are on track with their commitments . • Attendance of the quarterly sector performance review meetings • Participating in Annual reviews to monitor whether “Government” has met its commitments with respect to the implementation of HSSIP

4. How is it being done, & what is monitored?

5. What is being monitored?

6. How are findings being used, and by whom? • Quarterly/biannual and annual reports compiled, discussed and disseminated • Annual performance report findings are discussed at the Joint Review Mission; • Involves all stakeholders in health • Focuses on performance against the core indicator targets, • Jointly identify challenges, priority interventions and targets for the remaining period in the FY and subsequent year. • Expected to guide planning & resource allocationby government and partners • Used for recognition and reward

7. How are findings being used, and by whom? • Used to meet other national and global reporting requirements e.g. Government of Uganda Annual Report, Project Reports, IHP+ report

8. What has changed, as a result? • Government taking lead in determining sector priorities (HSSIP) and available resource allocation • Using a common M&E framework (Country-led) with harmonized M&E tools. Minimisedreporting requirements at implementation level • Joint Assessment Framework – jointly agreed targets and monitoring avoiding conflicting reports

9. Main lessons • Continuous dialogue necessary to bring all partners on board (Long consultative process) • All key stakeholders need to be involved in development of monitoring tools to cater for data/reporting needs, ensure ownership, use and transparency

10. Major Challenges • Not all donors are signatory to the Compact • Some partners hesitant to adopt the SWAPs – • off budget funding which is difficult to program and monitor and may not be aligned to sector priorities • Opting for project support and Parallel Implementing Units with focus on achieving project indicators. (skews resources) • Difficult to track donor resources due to lack of transparency. (Some do not share MOU, commitments or amounts disbursed with MoH and this information is not easily accessible from MoFPED) • Sometimes disbursements are below commitments. Who is to be held accountable? • Development Partner Commitments are not assessed or discussed during the sector performance reviews.