National Group Recommendations Theme: “Every Child Counts” USAID FH IP Symposium 25 th -28 th March 2019
Leadership, Management and Governance Gaps: Recommendations: • Slow and inadequate trickling of policies from National government to • Coordination of partner activities through MoH County Government • DFH can begin in supporting the coordination – 1 coordination meeting • Weak Intergovernmental relations – National and County Government within the DFH – Nutrition, Child health, RH • • Communication The DFH should have a master plan fed by plans from all units • Slow and Lengthy process from national to county governments • Revive Integrated child health ICC and include all stakeholders – RMNCH, • HIV, Malaria, HMIS, CHS, etc Formal channel - DMS to write to counties through the COG • Timelines on communication (signed within 21days before the • Integration of programs activity) - What informed the 21days? • One review and planning meeting, Stop fragmentation, Integrated package • Coordination of partner activities • Integration of dissemination of policies; Pool resources for dissemination • Complaints from CoG that National government is reaching counties • Government must take the lead directly. • Partners tow the line • Limited resources at government level – partners should disclose plans • and resources for coordination Activities should be in annual work plan • Competing priorities • There should be coordination among the donor community to avoid funding duplication for technical support to MoH at national and county level - UNICEF, • Unclear Communication channel from county to National level when WHO , USAID, etc counties require support from National MoH; No Circular referenced • Reinforcing that partners provide coordinated support to MoH • Email; request from County or CoG to National MoH • Activities should be in annual work plan • Partner timelines
HSS M&E Gaps and Recommendations Recommendations Gaps • Coordination of M&E activities • Coordination • Coordination at DFH • Improve M&E coordination within DFH units • Parallel DFH M&E systems which operate • Improve Coordination of DFH M&E with division of M&E, separately research and informatics and partners • Coordination at MoH • Hold DFH tools coordination meeting Circular to all partners • DFH M&E is disjointed with division of M&E, not to introduce new tools research and informatics • • Many tools under review at the same time Tools that need to be revised are revised should be revised in a timely manner to meet the data demands. Tools should be reviewed • Uncoordinated county and stakeholder involvement during after 2 years as good practice tools review • • HMIS team to participate in other programs Different version of tools in use at county level - Management of version control • Stakeholder involvement in tools review process with timelines • Where there’s need for addition of indicators onto existing • tools there’s lack of wide communication on indicators for Hold Joint review and feedback meetings with the counties; Cluster inclusion to enable all stakeholders lobby for inclusion onto counties during dissemination and county consultation processes. HMIS
HSS Budget Gaps and Recommendations Recommendations Budget Gaps • Budget • Inadequate health budget allocation • Flexibility in donor budgets • Devolved health budget, inadequate • Partner coordination in budget allocation allocation for national level support to national level and counties • UHC Approach • Advocacy • Identify budget decision makers and activities for justification of increased resources – at national and county level • Evidence based advocacy • New-born and Child health strategy is under development – Embed advocacy strategy on resource mobilization
HSS Supply Chain in Gaps and Recommendations Supply Chain Gaps Recommendations • Disconnect between commodity • There’s need Metrics for orders need and what is ordered at based on need and demand; county level County meetings to track commodity metrics • Inadequate capacity in • Supervision and mentorship quantification and ordering in some counties
Next xt Steps • Meeting with DMS to share findings from Family Health symposium. • DMS to convene meeting with HODs to disseminate findings from the Family health symposium
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